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TCM Diagnosis - Maciocia > Inspection of the Tongue Body > Flashcards

Inspection of the Tongue Body Flashcards

1
Q

How does the Kidney Meridian reach the tongue?

A

it reaches root of the tongue throught he regular and Jing Bie

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2
Q

How does the Heart Meridian reach the tongue?

A

Luo connects to the root of the tongue

it’s influence is seen on the tip of the tongue

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3
Q

What are the 8 things we assess when looking at the tongue?

A
  1. Body color/vitality
    1. Shape
    2. Sheen moisture
    3. Body movement
    4. Coat color
    5. Coat thickness
    6. Coat texture
    7. Coat distribution
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4
Q

What do we see from the body color of the tongue

A

See Quality of blood - yang Qi, yin, blood fluids

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5
Q

A thin tongue indicates

A

yin def

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6
Q

an enlarged tongue indicates

A

dampness or XS condition

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7
Q

Scallop tooth sides

A

SP Qi def + dampness

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8
Q

Purple body

A

Blood stagnation

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9
Q

Pale body

A

cold/blood def

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10
Q

Body Dusky

twinge of purple or dots

A

LIV Qi stagnation

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11
Q

Pale swollen

A

Qi of Body def. for a long while

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12
Q

Red tongue w/ sm contracted body

A

Ki yin def. or severe loss of fluids

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13
Q

Red tongue w/ normal tongue body

A

KI yin def. or heat getting into the blood

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14
Q

Cracks depressions

A

energetic disharmonies in specific organs

Either constitutional or yin def. KI & HE yin def.

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15
Q

coat shows

A

Interior or exterior

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16
Q

Slippery yellow coat

A

damp heat

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17
Q

Dry yellow coat

A

heat predominant

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18
Q

In an acuteness disorder _________ takes precedence over shape of body. Especially what?

A

coating

thickness, location and texture

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19
Q

What are the characteristics of a normal tongue?

A

fresh body, well supplied with blood, fresh pink/ pale red; ease of movement, protrude w/o difficulty, little moisture - adequate fluids; thin white coat.

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20
Q

What does a normal pale red tongue indicated about the Yang and Qi of the body

A

that they are strong enough to transport the blood to the tongue

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21
Q

What is the cause of a pale white tongue?

A

Due to qi and blood not thriving to the tongue Qi not transporting - cold or blood def.

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22
Q

Cause of a pale white tongue with a normal body shape

A

slight def SP or LU Qi

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23
Q

cause of a pale white small tongue

can be slightly dry

A

lacking def. Qi and Blood

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24
Q

cause of a pale white swollen tongue

often wet

A

common: yang Qi weak - not transforming fluids properly

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25
Q

cause of a pale white tongue

A

deficiency and often cold

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26
Q

Cause of a pale & swollen tongue

A

SP yang def or SP Qi def

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27
Q

Blood def tongue

A

pale and dry, less fur, size normal or shrunken

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28
Q

Qi def tongue

A

tongue becomes white tender w/ fur, & tongue body slight enlarged

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29
Q

Pale white, body enlarged and tender, damp and moist with much fluid & teeth impressions

A

Yang def = internal collection of cold damp

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30
Q

Causes of pale tongue

A

Malnutrition; Severe or chronic anemia from blood loss; Enduring disease where the body is vacuous; Pale white governs vacuity and cold

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31
Q

How would the lack of blood and body fluids affect the tongue

A

decline volume of tongue body -> thinning, shrinking or contracting.

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32
Q

Pale and slightly dry

A

blood def

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33
Q

Pale sides

A

LIV Blood Def

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34
Q

orange hue

A

severe blood def

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35
Q

Pale and slightly wet

A

Yang def

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36
Q

Pale swollen with teeth marks

A

SP Qi and Yang def

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37
Q

Pale swollen and moist

A

damp cold

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38
Q

Pale depression at root

A

Qi def and essence def

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39
Q

Pale thin tougue

A

essence def

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40
Q

Pale narrow sides

A

blood def

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41
Q

Pale swollen anterior third

A

SP & LU Qi Def.

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42
Q

Tongue red, prickles, fur is thick

A

extreme heat

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43
Q

Tongue red, tongue heart dry

A

heat scorching stomach fluids

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44
Q

Sides tongue red

A

Heat in LIV & GB

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45
Q

Tip red

A

warm disease in upper burner, febrile acute - cold in the lungs, or HE heat

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46
Q

Red tip + prickles

A

upflaming heart fire

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47
Q

Red tongue w/ purple macule dots

A

disease about to develop macules on skin

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48
Q

tongue appears red and dry

why?

A

Heat can dry up fluids

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49
Q

Crimson tongue

What are the primary disease patterns

A

XS heat and stasis

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50
Q

Cause of a purple tongue

A

disease due to repletion heat and heat evil entering construction blood, heat pathogen entering the blood level

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51
Q

crimson and prickles

A

Heat enters construction blood

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52
Q

Crimson and dry center

A

ST fire heat scorching liquids

53
Q

Crimson and dry with cracks

A

heat pathogen burning up the yin

54
Q

Crimson and black fur

A

extreme exuberance of repletion heat / exuberant excess heat

55
Q

Crimson and sticky mucus on surface

A

mid burner harboring turbidity, almost looks like it has been planted on tongue - something is stuck in the middle burner

56
Q

absent coating

A

deficiency heat

57
Q

mirror tongue

A

Crimson lacking fur, glossy & lacking liquid

Internal heat damaging Yin and yin liquid depletion consumption

58
Q

Crimson dry withered and listless

A

desiccating & exhaustion of kidney yin

59
Q

what does stasis look like?

A

Crimson tongue dark stasis dots

b/c blood stasis creates heat

60
Q

Crimson tongue is indicates what

A

warm diseases, a high fever

61
Q

Green blue purple

A

yin cold or blood stasis -> Qi Stagnation

62
Q

Purple red

A

heat XS w/ Qi and blood obstruction stagnation and blood stasis

63
Q

Purple & dark, damp & moist

A

phlegm damp or blood stasis

64
Q

Deep purple entire tongue

A

blood & viscera and bowels - deep

65
Q

Partial blue green and purple

A

light blood stasis, or only in certain organs.

66
Q

Tongue fur - green-blue & glossy

A

yin cold

67
Q

If stasis due to heat, what will the tongue look like

A

tongue deep purple & red/ dry and burnt

68
Q

If stasis due to cold what will the tongue look like?

A

pale purple / green blue, spoil by dust/glossy

69
Q

Rough and coarse, hard and tough governs

A

XS. & Heat patterns

70
Q

Body fine, sickly, slightly swollen and tender, possible teeth impressions

A

deficiency and cold patterns

71
Q

What does the enlarged or shrunken tongue idicate

A

the fluid physiology of the body

72
Q

Pale white color, enlarged, tender and moist, white glossy fur

A

SP & KI yang def. & water damp collection

73
Q

Tongue pale red/red-Crimson & enlarged, thick fur yellow & slimy

A

SP & ST damp heat w. Phlegm collecting and stagnation

74
Q

What does the coat of the tongue reflect

A

ST & SP

75
Q

Tongue red, swollen, Descends and fills the mouth

A

XS heat

76
Q

Tongue red, swollen, Descends and fills the mouth with yellow fur

A

XS heat toxin / Heat HE & SP

77
Q

Tongue large & tender, dark purple

A

toxin stroke pattern

78
Q

Tongue dark purple, swollen and descends

A

counterflow surging alcohol toxin

79
Q

A shrunken tongue governs ____________

A

deficiency

Generally due to yin and blood def.

80
Q

Tongue shrunken pale red, tender

A

dual def. HE & SP & insufficiency Qi and blood

81
Q

Shrunken, dry, Crimson

A

yin def. XS heat XS/ blood def and heat

82
Q

Pricles

A

Heat XS

83
Q

If blue green or purple prickles not protruding from surface

A

stasis

84
Q

large and profuse prickles

A

Evil Qi XS

85
Q

Prickles pure red or fresh red

A

GB fire & heat scorching construction asp.

86
Q

If prickles more intense what is happening to the heat

A

turning into fire

87
Q

Prickles at tongue tip

A

HE fire

88
Q

Prickles at centre

A

Stomach fire

89
Q

Fissures generally indicate

A

yin def

90
Q

Red & Crimson, little fur, dry and fissured

A

Heat XS damaging yin, seen in dehydrated patients

91
Q

Pale red, tender w fissures

A

def KI yin or blood def and yin depletion

92
Q

superficial cracks

A

ST SP Qi Def

93
Q

deep cracks

A

Blood and yin def

94
Q

Tender with fissures

A

insufficient KI yin def or blood def. & yin def.

95
Q

Elderly , jagged fissures

A

yin def.

96
Q

Red slimy fur and thick, fissures

A

Heat XS in viscera and bowels

97
Q

Crimson glossy and fissures

A

great damage to yin humor

98
Q

tooth impressions govern

A

deficiency Qi and SP

99
Q

Pale red, tongue enlarged, tender and tooth impressions

A

SP def. and water not being transported

100
Q

Pale white, fur white, damp and moist, tooth impressions

A

cold damp in SP

101
Q

tongue sores protrude on sides and tip

A

heat toxin in HE channel

102
Q

tongue sores doe not protrudes

A

lower burner yin def. & upflaming def. heat

103
Q

dark purple sublingual veins w dark spots

A

upper burner severe blood stasis

104
Q

Rough large and tortuous plus stasis macules or stasis dots on tongue

A

blood stasis

105
Q

inspecting the bearing of the tongue:

Limp was stiffness, trembling, deviation, contraction and protrusion and worrying

A

Usually due to yin and blood def - inability to nourish the tongue body or wind or heat - often critical

106
Q

Limp or weak tongue

A 
def heat
Floppy soft w/o strength, doesn't come out with flexibility, doesn't turn or move naturally.
107
Q

Limp, pale white

A

def. Qi and blood & lack of nourishment to sinew vessels

108
Q

Limp, Crimson w/o fur

A

def. of LIV & KI yin -> dryness

109
Q

Limp, dry, red

A

heat scorching Yin

110
Q

Limp contracted, fulcrum swollen, lips turned over

A

SP channel Qi expiry

111
Q

stiff tongue

A

Severe lack ST Qi - due arisal of wind, heat or phlegm turbidity

112
Q

Stiff dry, red or Crimson

A

XS heat enters PC and XS heat damages liquids

113
Q

Pale red, stiff and deviated

A

LIV wind or wind stroke pattern - seen often w. Deviated mouth and eyes - hemo lateral paralysis

114
Q

Grey , enlarged and stiff

A

obstructing stagnation of phlegm tubidity

115
Q

Red or Crimson, Tremble like a gentle wind

A

due to XS heat create wind

116
Q

Pale white, trembles slightly

A

Qi vacuity or blood vacuity w. wind

117
Q

Red trembling, difficulty speaking

A

HE or SP def, or if sweating yang collapse - check in b/c sleep indicates HE, check LIV looking for wind.

118
Q

deviation of tongue

A

wind stroke
Wind evil striking channels and network vessels causing obstructing stagnation of wind phlegm in networks, can be accompanied by wind stroke pulse

119
Q

unable to extend tongue from mouth

A

critical unless congenital

120
Q

Contracted, red, dry

A

extreme heat damaging yin causing vessels and networks lack nourishment

121
Q

Contracted, pale white, damp and moist

A

sudden desertion of yang Qi w/ cold congealing in channel vessels

122
Q

Tongue enlarged, sticky, slimy and short

A

phlegm construction tongue root = wind stroke patterns

123
Q

Red and protruding or worrying tongue

A

HE and SP heat

124
Q

Purple/Crimson, protruded/worrying

A

epidemic toxin attacking HE

125
Q

Worrying in children

A

fright wind or critical sign of enduring disease, slow development

126
Q

tongue doubling

A

Due to upward surging of fire heat through HE channel due to external evil

127
Q

Palsy of the tongue

numb, does not turn of move flexibly

A

Internal stirring of LIV wind due to blood vacuity/ internal wind combined phlegm patterns

128
Q

Protracted deep red, drooling, mouth and eyes deviated

A

wind phlegm or phlegm fire harassing HE

129
Q

protracted & numb tongue

A

Qi and blood def

TCM Diagnosis - Maciocia (20 decks)

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