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Oriental Diagnosis > Inspection: Tongue Coating > Flashcards

Inspection: Tongue Coating Flashcards

1
Q

Tongue Coating
Normal

Description:
Clinical Significance:

A

Description: A normal tongue coating is thin, white and evenly distributed, and moist. It is generated by Stomach Qi.

Clinical Significance:
Distinguish condition of right Qi
Depth of the disease

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2
Q

Tongue Coating
Normal

How formed?

A

Indication: A normal tongue coating is created by the upward tide of the Spleen and Stomach Yang Qi evaporating and transforming damp turbidity

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3
Q

What does the tongue coating color indicate?

A

1) Nature and severity of the pathogens (heat/cold)

2) Locations (organs)

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4
Q

What are the tongue coating color changes?

A

White
Yellow
Gray
Black

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5
Q

Tongue Coating - Color
White

Description:
Indication:
Location:

A

Tongue Coating - Color
White

Description: Tongue coating color is white in color

Indication:

(1) . Exterior syndrome
(2) . Cold syndrome

Location: Lung and Large Intestine

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6
Q

Tongue Coating - Color
Yellow

Description:
Indication:
Location:

A

Tongue Coating - Color
Yellow

Description: The tongue coating color is yellow, it may vary from light yellow to dark or brown yellow

Indication:

(1) . Interior syndrome
(2) . Heat syndrome

Location: Spleen and Stomach

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7
Q

Tongue Coating - Color
Gray

Description:
Indication:
Location:

A

Tongue Coating - Color
Gray

Description: Same as a slightly black coating, it develops from the white or yellow coating.

Indication:

(1) . Heat syndrome: dry and gray
(2) . Cold syndrome: moist and gray

Location:

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8
Q

Tongue Coating - Color
Black

Description:
Indication:
Location:

A

Tongue Coating - Color
Black

Description: the tongue coating color looks black and usually evolves from gray coating or yellow coating

Indication:

(1) . Extreme heat: Dry and cracked
(2) . Extreme cold: Moist and greasy Black dry or thorn tongue coating
(3) . Recent history of bismuth based medicines for indigestion

Location:

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9
Q

Tongue Coating - Thickness

Description:

A

The so-called “fur” or thin to thick coating found atop the tongue body proper.

The tongue coating is regarded as thin if the underlying tongue surface shows through faintly, whereas a thick coating is one that blots out the tongue surface completely

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10
Q

What does the tongue coating thickness indicate?

A

Distinguish condition of right Qi

Depth of the disease

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11
Q

Physiopathology of Thickness of the Tongue Coating
Little or No Coating

Stomach Qi:
Turbidity:

A

Physiopathology of Thickness of the Tongue Coating
Little or No Coating

Stomach Qi:
Spleen/Stomach impaired; Kidney, Stomach Yin deficient

Turbidity:
Not enough powder or less (or no) turbidity to steam up

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12
Q

Physiopathology of Thickness of the Tongue Coating
Thin Coating

Stomach Qi:
Turbidity:

A

Physiopathology of Thickness of the Tongue Coating
Thin Coating

Stomach Qi: Right amount

Turbidity: Right amount

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13
Q

Physiopathology of Thickness of the Tongue Coating
Thick Coating

Stomach Qi:
Turbidity:

A

Physiopathology of Thickness of the Tongue Coating
Thick Coating

Stomach Qi: Spleen/Stomach dysfunction; Dampness; Phlegm; Food stagnation

Turbidity: Too much turbidity steams up

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14
Q

Physiopathology of Thickness of the Tongue Coating
Thick Coating

Description:
Pathogen:
Location:

A

Physiopathology of Thickness of the Tongue Coating
Thick Coating

Description: Tongue body can not be seen clearly through its coating

Pathogen: Strong

Location: Interior

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15
Q

Physiopathology of Thickness of the Tongue Coating
Thick Coating

Severity:
Stage:
Indication:
Prognosis:

A

Physiopathology of Thickness of the Tongue Coating
Thick Coating

Severity: Severe

Stage: Later stage

Indication: Dampness, water, food or phlegm retention or stagnation

Prognosis: Thick to thin- better

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16
Q

Physiopathology of Thickness of the Tongue Coating
Thin Coating

Description:
Pathogen:
Location:

A

Physiopathology of Thickness of the Tongue Coating
Thin Coating

Description: Tongue body can be seen clearly through its coating

Pathogen: Weak

Location: Exterior or mild interior disorder

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17
Q

Physiopathology of Thickness of the Tongue Coating
Thin Coating

Severity:
Stage:
Indication:
Prognosis:

A

Physiopathology of Thickness of the Tongue Coating
Thin Coating

Severity: Mild

Stage: Initial Stage

Indication: Normal, exterior syndrome, or mild, early stage disease

Prognosis: Thin to thick: worse

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18
Q

Physiopathology of Moistness of the Tongue Coating

Description:

A

Physiopathology of Moistness of the Tongue Coating

Description: A healthy tongue is kept moist naturally by saliva. A normal tongue coating is moist and lustrous

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19
Q

Physiopathology of Moistness of the Tongue Coating
Moist Coating

Description:

A

Tongue coat is enriched and moist with saliva

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20
Q

Physiopathology of Moistness of the Tongue Coating
Glossy (Slippery) Coating

Description:

A

A tongue covered with a transparent or semitransparent film of fluid, even to drop when stretching out tongue.

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21
Q

Physiopathology of Moistness of the Tongue Coating
Dry Coating

Description:

A

Fur whose surface is dry and without saliva

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22
Q

Physiopathology of Moistness of the Tongue Coating
Rough Coating

Description:

A

The tongue coating granules very rough that likes sands, give a roughness feeling which tough it by hand

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23
Q

Physiopathology of Moistness of the Tongue Coating
Moist Coating

Description:
Body Fluid:
Indications:
Prognosis:

A

Physiopathology of Moistness of the Tongue Coating
Moist Coating

Description: Normal condition, neither slippery nor dry

Body Fluid: Sufficiency

Indications: Health person, or body fluid has not been injury even under illness

Prognosis: From dry to moist: better

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24
Q

Physiopathology of Moistness of the Tongue Coating
Dry Coating

Description:
Body Fluid:
Indications:
Prognosis:

A

Physiopathology of Moistness of the Tongue Coating
Dry Coating

Description: The coating is very dry without fluid on it.

Body Fluid: Injured or deficiency

Indications:
Excess heat
Yin deficiency
Yang deficiency which failure transform water into body fluid
Exopathogenic dryness invades the Lung

Prognosis: From moist to dry: worse

25
Physiopathology of Moistness of the Tongue Coating Glossy (Slippery) Coating Description: Body Fluid: Indications:
Physiopathology of Moistness of the Tongue Coating Glossy (Slippery) Coating Description: A tongue covered with a transparent or semitransparent film of fluid, even to drop when stretching out tongue Body Fluid: sufficiency Indications: Cold syndrome Dampness, phlegm, water retention Yang deficiency
26
Physiopathology of Moistness of the Tongue Coating Rough Coating Description: Body Fluid: Indications:
Physiopathology of Moistness of the Tongue Coating Rough Coating Description: The tongue coating granules very rough that likes sands, give a roughness feeling which tough it by hand Body Fluid: severe injury Indications: Body fluids sever injury
27
What are the tongue moisture types:
Moist Glossy Dry Rough
28
Physiopathology of the Tongue Coating Appearance/Components of the Tongue List:
``` Thickness Moistness Viscosity Distribution Rooted Peeling Wax/Wane ```
29
Physiopathology of Viscosity of the Tongue Coating Description: Clinical Significance:
Physiopathology of Viscosity of the Tongue Coating Description: Viscosity of tongue coating is the appearance of the tongue coating Clinical Significance: To observer viscosity of the tongue coating can help to identify the pathogenic factors as well as the condition of water transformation
30
Physiopathology of Viscosity of the Tongue Coating Clean Coating Description:
A normal health tongue coating should be extremely fine coating with a grainy appearance.
31
Physiopathology of Viscosity of the Tongue Coating Moldy Tongue Coating Description:
Also known as “bean curd”, “tofu”. The coating is thick and patchy looks like coarse mulch granules as small curd cottage cheese on the tongue, and is easy to be scraped off
32
Physiopathology of Viscosity of the Tongue Coating Greasy Tongue Coating Description:
Also know as “sticky coating”. The greasy coating is make of fine particles, it is thicker in middle and thinner in margin and difficult to be scraped off. Looks like wet peanut butter smeared on to tongue’s surface
33
Physiopathology of Viscosity of the Tongue Coating Moldy Coating Description: Coating Particles: Adhere: Indication:
Physiopathology of Viscosity of the Tongue Coating Moldy Coating Description: The coating is thick and patchy looks like coarse mulch granules as cottage cheese piling on tongue Coating Particles: Big and loose which look like cottage cheese Adhere: Easy to wiped or scraped off Indication: Food stagnation Phlegm Internal Abscess
34
Physiopathology of Viscosity of the Tongue Coating Moldy and Greasy Pathogenesis: Remark(s):
Physiopathology of Viscosity of the Tongue Coating Moldy and Greasy Pathogenesis: Excessive Yang heat steaming the turbid and putrid Qi rise to the tongue surface Remark(s): Moldy coating and Greasy coating can be show at same time as moldy and greasy coating
35
Physiopathology of Viscosity of the Tongue Coating Greasy Coating Description: Coating Particles: Adhere: Indication:
Physiopathology of Viscosity of the Tongue Coating Greasy Coating Description: The greasy coating is made of fine particles. It is thicker in middle and thinner in margin. It looks like being covered by greasy mucus Coating Particles: Fine and small which like greasy fat (oily) Adhere: Difficulty to wiped or scraped off Indication: Food stagnation Phlegm Dampness
36
Physiopathology of Distribution of the Tongue Coating Description:
Under normal conditions there is thin white coating distributed evenly all over of the tongue body, with the center part and the posterior part being relatively thick
37
Physiopathology of Distribution of the Tongue Coating Even Coating Description:
Refers complete tongue coating
38
Physiopathology of Distribution of the Tongue Coating Uneven Coating Description:
Also call partial coating, the coating covers only a localized area of the tongue surface, such as the anterior, posterior, left, right, central or peripheral area.
39
Physiopathology of Distribution of the Tongue Coating Even Coating Clinical Significance:
The wide spread of pathogens in the body and stagnation of damp phlegm in middle-jiao
40
Physiopathology of Distribution of the Tongue Coating Uneven Coating - Coating on Anterior Area Clinical Significance:
Stomach Qi deficiency before the invasion of external pathogens to the internal organs of the body. Pathogens in the interior but not deep.
41
Physiopathology of Distribution of the Tongue Coating Uneven Coating - Coating on Posterior Area Clinical Significance:
Mild exopathogens invasion with Stomach function disorder
42
Physiopathology of Distribution of the Tongue Coating Uneven Coating - Coating on One Side Clinical Significance:
Pathogens in between exterior and interior, or in liver and gallbladder
43
Physiopathology of Distribution of the Tongue Coating Uneven Coating - Coating Absence on Center Clinical Significance:
Stomach Qi, Yin, or Kidney Yin insufficient, or deficiency of all Yin, essence, Qi and blood
44
Physiopathology of Distribution of the Tongue Coating Peeling Description:
Under certain condition, the tongue coating suddenly comes off completely or partly, the tongue body can be seen in exfoliated part. Different terms are given according to the site, state and range of the exfoliation
45
Physiopathology of Distribution of the Tongue Coating Peeling List:
Partial Exfoliative Peeling Geographic Tongue Mirror Tongue Exfoliative Like Coating
46
Physiopathology of Distribution of the Tongue Coating Peeling - Partial Exfoliative Peeling Description:
There partial peeling of coating and there is no coating at the exfoliated part
47
Physiopathology of Distribution of the Tongue Coating Peeling - Geographic Tongue Description:
Scattered peeling with borders that are raised above the surface
48
Physiopathology of Distribution of the Tongue Coating Peeling - Mirror Tongue Description:
The tongue has no coating at all, as smooth and glassy as a mirror
49
Physiopathology of Distribution of the Tongue Coating Peeling - Exfoliative Like Coating Description:
The exfoliated part is somewhat rough and covered with new produced particles
50
Physiopathology of Distribution of the Tongue Coating Peeling Indication: Pathogenesis:
Physiopathology of Distribution of the Tongue Coating Peeling Indication: Stomach Yin and Qi deficiency Pathogenesis: Stomach Yin is exhausted and Stomach Qi fails to produce tongue coating, there is no coating on tongue surface
51
Physiopathology of Distribution of the Tongue Coating Wax and Wane Description:
Physiopathology of Distribution of the Tongue Coating Wax and Wane Description: It also call increase or decrease of tongue coating. It means the changes of the thickness of the tongue coating.
52
Physiopathology of Distribution of the Tongue Coating Wax Indication:
Wax: increase the thickness of the tongue coating A. From thin coating to thick coating: Pathogenic factors getting stronger or invade deeper. B. From no coating to have coating: Stomach Qi recovered
53
Physiopathology of Distribution of the Tongue Coating Wane Indication:
Wane: decrease the thickness of the tongue coating A. From thick coating to thin coating: right Qi overcome the pathogenic factors B. From have coating to no coating: Stomach Qi failure
54
Physiopathology of Distribution of the Tongue Coating Rooted and Non-rooted Rooted (Description):
Under normal condition, tongue coating should attach with the tongue surface tightly and is relatively difficult to scrape or wiped off. It grows out of it much like grass grows from the soil
55
Physiopathology of Distribution of the Tongue Coating Rooted and Non-rooted Non-rooted (Description):
The tongue coating looks like being put on tongue body, easy to be wiped or scraped off. The surface of the tongue body looks very smooth after scraped off the coating
56
Physiopathology of Distribution of the Tongue Coating Rooted Indication: Pathogenesis: Prognosis: Remark:
Physiopathology of Distribution of the Tongue Coating Rooted Indication: Have Stomach Qi and right Qi Pathogenesis: Stomach Qi and right strong enough to tide up to the surface of the tongue Prognosis: Good Remark: Can be see in all stage of the illness
57
Physiopathology of Distribution of the Tongue Coating Non-rooted Indication: Pathogenesis: Prognosis: Remark:
Physiopathology of Distribution of the Tongue Coating Non-rooted Indication: Stomach Qi and right failure Pathogenesis: Stomach Qi exhausted and failure to tide up to generate new coat, old coat separate from tongue body Prognosis: Poor Remark: Only see in chronic, and critical condition
58
Observation of Tongue Body Indication:
Judge the condition of vital Qi, and differentiation the nature of pathogenic factors
59
Observation of Tongue Coating Indication:
Differentiation of the nature and location of the pathogenic factors

Oriental Diagnosis (8 decks)

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