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Diagnosis Shen/tongue > Quiz 2 > Flashcards

Quiz 2 Flashcards

1
Q

A Deficient pulse, thin width like a fine thread, very distinct with no interruption of rhythm is caused by deficient qi,blood or yin and excess damp

A

Thready pulse

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2
Q

This pulse moves quickly and smoothly, slippery inside vessel and is caused by Food stagnation, damp or phlegm and excess heat?

A

Rolling/slippery

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3
Q

This pulse is SLOW, not smooth within irregular rhythm and irregular strength. It is caused by Excess stagnation of qi and blood, food stagnation and phlegm deficient blood or essence and threatened abortion.

A

Hesitant/choppy

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4
Q

This pulse is long and forceful whether under pressure or not, maintains a straight line and is caused by Liver/GB disease, phlegm and pain

A

String taut

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5
Q

This pulse is Exterior and deficient, you can feel it with a very light touch.

A

Superficial

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6
Q

This Interior pulse can only be felt if you push down hard.

A

Deep

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7
Q

This pulse is Cold and qi deficient beats less than 3x per breath at a regular rhythm

A

Slow

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8
Q

This pulse beats 5x per breath at a regular rhythm, caused by Heat, possible anxiety

A

Rapid

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9
Q

This Deficient pulse is wide, forceless and slack, caused by qi,blood and Zheng qi deficiency

A

Deficient pulse

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10
Q

This pulse can be felt in all three positions, its long and forceful and feels full. It is caused by Excess

A

Excess /strong pulse

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11
Q

This pulse is wide, forceful though it fades quickly like a wave, vessel is wide and is caused by Excess heat in qi level… big pulse

A

Surging / flooding

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12
Q

This cold pulse rises and fall with strength and vibrates it is caused by Cold, pain , pulse is stretched tight

A

Tense/tight

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13
Q

This Damp and deficient pulse is superficial and thin is caused by qi and blood deficiency.

A

Soft

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14
Q

This Qi and blood deficient pulse is deep and thin without strength. It causes dampness

A

Weak

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15
Q

Excess pulse that beats rapid and irregular caused by excess heat with stagnation of blood,qi and phlegm. Deficient of zang fu
Could be linked to anxiety attack.

A

Abrupt

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16
Q

This pulse is SLOW, caused by Excess yin, stagnation of qi,phlegm and blood, pulse is slow with irregular missed beats and continues immediately, possible tumor or mass. Vital qi deficiency

A

Knotted

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17
Q

Deficient ,slow pulse with weak pauses at regular intervals could be from emotion,fear or fright. Caused by deficiency and declining zang qi. Linked to emotion, fear or fright

A

Regularly intermittent

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18
Q

Three treasures are spirit, essence and qi,

essence is composed of

A
  • Congenital essence Inherited from parents

* Acquired essence produced from food by spleen and stomach

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19
Q

Three treasures are spirit,essence and qi,

Qi denotes

A

Essential substance and function of zang fu

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20
Q

Three treasure are composed of Qi, spirit and essence.

Spirit is ?

A

Manifestation of all life activities external functions and mental, cognitive functions

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21
Q

Why is the eye movement so important?

A

Regarded the orifice of the liver, messenger of the heart and essence of qi of the Zang fu organs rise in the eyes

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22
Q

This spirit is Listless, weak , main symptom is poor memory. Deficient pattern of heart/spleen or kidney yang

A

Fatigued spirit

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23
Q

A Pathological state where deficiency undermines fullness of spirit.
3 manifestations of this state called
“lack of spirit’

A

Lack of spirit manifests

Loss of spirit
False spirit
Spirit disturbance

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24
Q

This type of Shen, spirit Manifests with dull eyes,slow and awkward, blurred vision,dull complexion, mental confusion and even unconsciousness and delirium.

A

Loss of spirit, qi exhausted

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25
Q

This type of shen Manifests as extremely weak,listless,unconscious yet the patient suddenly feels better and has clear consciousness and bright eyes.

A

False spirit, Zheng qi exhaustion impending failure of yin and yang

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26
Q

This type of Shen manifests as Consciousness is lost or obscured, caused by unique pathogenesis. Although similar to lack of spirit it’s is different and not caused by essence , blood of Zheng qi exhaustion. Could manifest as irritability, restless organ disorder, hysteria, yin or yang madness , epilepsy.

A

Sprit disturbance

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27
Q

Facial color is derived from?

A

Blood and yin

Spirit

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28
Q

Facial sheen and luster are associated with?

A

Qi and yang, the luster is an exterior manifestation of essence of the zang fu

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29
Q

Where is heart ( fire)represented on the face?

A

Forehead

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30
Q

Where is lung represented on the face?

A

Right cheek

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31
Q

Where is liver (wood)represented on the face ?

A

Left cheek

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32
Q

Where is Spleen (earth )represented on the face

A

Nose

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33
Q

Where is kidney represented on the face?

A

Chin

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34
Q

What is the color and sheen at time of birth called ?

A

Host complexion

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35
Q

slight change in color and sheen of skin following the seasons is called?

A

Guest complexion

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36
Q

Temporary change in color and sheen due to environment or physical and emotional activities

A

Transient normal complexion

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37
Q

Abnormal complexion of facial color is caused when a?

A

Single color dominates or color change does not agree with season, abnormal facial sheen

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38
Q

Blue/green color?

A

Spring,wind,liver+GB=wind,cold,pain

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39
Q

Red complexion indicates?

A

Summer,heat,Hrt/Small intestines =heat+yang

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40
Q

Yellow complexion indicates

A

Late summer, damp ST/SP=damp, SP deficiency

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41
Q

Pale complexion ?

A

Autumn, dryness, LU/Liv=deficiency cold

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42
Q

Dark complexion ?

A

Winter,cold, Kid/UB=cold, water

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43
Q

Filliform papillae

A

Most numerous, smallest,distributed over tongue tip,body and sides of tongue. Characterized by increased keratinization….. formed by lung qi and Ming men fire.

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44
Q

Fungiform papillae

A

Tip of tongue and scattered among the filiform papillae…..formed by heart and kidney qi

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45
Q

Circumvallate papillae

A

Largest papillae, seven to nine arranged in a V shape which separates tongue body from tongue root.

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46
Q

Appetite and taste are related to function of ?

A

Function of spleen and stomach

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47
Q

What organ Connects with the root of the tongue and scatters over the underside ?

A

Spleen

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48
Q

What’s organ harbors the tongue root ?

A

Kidney

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49
Q

Tongue body , what organ controls normal shape, move flexibility and ability to taste. Nourishes qi,blood and body fluids?

A

Spleen

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50
Q

Tongue body that controls normal shape and moisture and stores congenital jing and yin ?

A

Kidney

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51
Q

What organ is the muscle region, a branch that enters the root of the tongue

A

Bladder

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52
Q

Tongue body that moves, is flexible, mix food and speech controls tendons ?

A

Liver

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53
Q

Tongue body that distinguish taste and speech?

A

Heart

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54
Q

Tongue coat, what organ controls qi, blood and body fluids and has a thin white coating?

A

Stomach

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55
Q

Tongue, What two organs control qi. Blood and body fluids

A

Spleen and stomach

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56
Q

What’s organ nourishes the tongue body

A

Spleen

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57
Q

Tongue, What organ controls filiform papillae?

A

Lung

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58
Q

Tongue, lower jiao?

A

Deep root, back kid/UB

LI/Si

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59
Q

Tongue, Middle jiao?

A

Sp/stomach center, liv/GB center

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60
Q

Tongue, upper jiao?

A

Lung/heart

Heart tip

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61
Q

Tongue spirit indicates?

A

Qi,blood and body fluids generated by the stomach

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62
Q

Tongue is light red, moist, impression flourishes, movement is energetic. This indicates ?

A

Normal stomach qi

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63
Q

Tongue is dark and dim, dry , withered impression,sluggish movement. This indicates ?

A

Exhausted stomach Qi.

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64
Q

Tongue color indicates?

A

Qi and blood condition

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65
Q

A pale and moist tongue with thin white coating indicates?

A

Cold syndrome

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66
Q

A flabby and moist tongue with thin white coating indicates ?

A

Yang deficient, with cold

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67
Q

A thin and pale tongue with thin white coating indicates ?

A

Qi and blood deficiency

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68
Q

What indicates heat syndrome?

A

A red tongue, heat accelerates blood movement, which fill up the vessels.

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69
Q

What indicates external heat?

A

Slightly red or red on tip and edge

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70
Q

What indicates INTERNAL excess heat?

A

Red and tough with thick dry coat

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71
Q

What indicates INTERNAL deficiency heat?

A

Red with cracks and little coating

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72
Q

Why would a tongue be crimson?

A

Excess heat concentrates and accelerates the movement of blood

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73
Q

Why would a tongue be crimson with red thorns and have yellow greasy coating?

A

Exogenous febrile disease {exterior fever}

74
Q

Why would a tongue be crimson and dry with a small body?

A

Yin deficiency

75
Q

Why would a tongue be crimson with little and moist coating?

A

Blood stagnation

76
Q

What causes a purple tongue?

A

Blood stagnation which accumulates in tongue body

77
Q

What indicates a pale purple tongue ?

A

Cold syndrome

78
Q

What indicates a dark purple tongue ?

A

Blood stagnation

79
Q

What indicates a crimson purple tongue

A

Extreme heat

80
Q

Why would a tongue be bluish, bloodless like a buffalos tongue?

A

Cold constricts vessels and stagnates blood

81
Q

When the entire tongue is blue it indicates ?

A

Cold

82
Q

When the young is bluish on the edge it indicates ?

A

Blood stagnation

83
Q

What establishes the size of the tongue?

A

Body fluids

84
Q

Why would a tongue be flabby?

A

Fluids accumulate in tongue body

85
Q

What does a pale and enlarged tongue with a thin white coat indicate?

A

Cold dampness accumulates

86
Q

What does a red and enlarged tongue with a thick yellow coat indicate?

A

Damp heat

87
Q

What does a pale and enlarged tongue with teeth marks and white slippery coat indicate?

A

Yang deficient with damp

88
Q

What pathogenesis creates a swollen tongue?

A

Qi and blood stagnate in the tongue due to heat

89
Q

What does a red and swollen tongue indicate?

A

Heat in heart and spleen

90
Q

Why would a tongue be purple and swollen ?

A

Alcohol poisoning

91
Q

When a tongue is blue purple it means ?

A

Blood stasis caused by chemical toxicity

92
Q

Why would there be teeth marks on a tongue’s edge?

A

Water and damp stagnate in tongue

93
Q

What does a slight pale tongue with teeth marks and a glossy coat indicate?

A

Damp

94
Q

What does a slight red tongue with teeth marks and a thick white dry coating indicate?

A

Spleen deficiency

95
Q

Why would a tongue be thin?

A

Tongue body lack nutrition

96
Q

A thin and pale tongue indicates?

A

Qi and blood deficiency

97
Q

A red and thin tongue indicates ?

A

Yin deficiency with heat

98
Q

What are the indicators of a tongue body surface ?

A

Qi, blood and body fluids

99
Q

Why would a tongue crack?

A

Malnutrition of tongue

100
Q

What indicates a deep red crack in tongue with dry coating ?

A

Excess heat

101
Q

What indicates a tongue with a red body and cracks but no coat?

A

Yin deficiency

102
Q

Why would a tongue be pale and enlarged with teeth marks and cracks on edges?

A

Spleen deficiency with dampness

103
Q

What level are the four bigs?

A

Wei level

104
Q

Prickles, thorns,dots or spots on the tongue are indicated by?

A

Excess heat putrifies tongues surface, excess heat

105
Q

Bright red spots with yellow coat on tongue?

A

Excess heat toxin

106
Q

Crimson red spots on tongue ?

A

Heat pathogen invades ying or xue level

107
Q

Yellow coat on tongue?

A

Damp heat

108
Q

Ulcerated tongue is caused by?

A

Heat flaming upward and accumulates on tongues surface and putrefies the tissue.

109
Q

Ulcerated red tongue with yellow coating ?

A

Heat toxin in heart channel

110
Q

Ulcerated cracked red tongue with with scant yellow coat ?

A

Deficiency heat

111
Q

A tough tongue{ rough and sturdy}is caused by?

A

Excess heat,

pathogens invade vital qi causing qi and blood to rise. This consumes qi and body fluids

112
Q

A tender tongue, fine and smooth striae is caused by?

A

Deficiency

113
Q

A tender and dry tongue is caused by?

A

Qi and blood deficiency

114
Q

A tender and wet tongue is caused by ?

A

Yang qi deficiency

115
Q

Flexibility of the tongue is caused by ?

A

Liver controls tendons….which are nourished by blood and body fluids

116
Q

A stif tongue is caused by ?

A

Tongue body tendons {liver} spasm dur to malnutrition

117
Q

A stiff crimson tongue with dry yellow coating is caused by?

A

Pathogenic heat invades the pericardium

118
Q

A stiff flabby tongue with thick greasy coating is caused by ?

A

Turbid phlegm obstructs the meridian

119
Q

A flaccid tongue is ?

A

Atrophy of tongues muscle

120
Q

A pale and flaccid tongue is caused by ?

A

Yin and blood deficiency

121
Q

A crimson flaccid tongue is caused by?

A

Excess heat that injures body fluids

122
Q

A deep red and dry flaccid tongue with no coat is caused by?

A

Yin fluid exhaustion

123
Q

Abnormal tongue movements are caused by ?

A

Body fluid doesn’t nourish tendons

124
Q

A pale and flaccid shaking tongue quivers uncontrollably and is caused by

A

Qi and blood deficiency or yang depletion of tongue tendons

125
Q

A red and quivering or shaking tongue is caused by ?

A

Internal wind and extreme pathogenic heat.

126
Q

A deviated tongue protrudes and points to one side,

Why?

A

Could be tumor, could be purple red, pale thick coat or red.

127
Q

Protruding tongue is ?

A

Tongue stretches and immediately retracts, caused by heat and dries the the tendon. Pathogenic heat

128
Q

A shortened tongue is?

A

An atrophy tongue due to cold, is sign of critical condition

129
Q

A loose tongue is diagnosed by?

A

Tongue hangs out of mouth and difficult to retract. Tendon is malnourished due to excess heat or qi deficiency

130
Q

Hypoglossal vessel is under tongue, how long should the two bluish vessels be ?

A

1/3 of length from the sublingual caruncle to tip.

131
Q

The hypoglossal vessel indicates?

A

Qi and blood stagnation

132
Q

Case study;

White coat, strong fulliform papillae with teeth marks?

A

Damp, spleen qi deficient and anxious

133
Q

Case study;

Black spots on side with red tip ?

A

Blood stagnation

134
Q

Case study;

Pale,slight pale coat,peeling on side with teeth marks ?

A

Damp

135
Q

Case study;

Good color, some coating in back, damp in back, hypoglossal vessel has good color but veins long ?

A

Blood stagnation

136
Q

Case study;

Geographic tongue, hypoglossal engorged

A

Stagnation

137
Q

Case study ;

Peeling tongue, slight crack on lower part

A

Yin deficient

138
Q

Case study;

Slight thick white coat, slightly greasy

A

Damp

139
Q

Tongue coating is generated by ?

A

Upward tide of Stomach Qi evaporating and transforming spleen damp and food turbidity.

140
Q

When observing the tongue you look for?

A

Color and properties

141
Q

Normal tongue coating indicates?

A

Nature of pathogen [heat/cold]
And
Location

142
Q

White tongue coat indicates ?

A

Exterior and cold

Location: lung and large intestines

143
Q

Yellow tongue coat indicates ?

A

Interior heat
Cold transforms to heat
Location: spleen and stomach

144
Q

Grey tongue coat indicates ?

A

Heat/dry or cold/moist

Evolves from white

145
Q

Black tongue coat indicates ?

A

Evolves from grey or yellow

Extreme heat/dry/cracked or extreme cold/moist/greasy

146
Q

Thick tongue coat appearance ?

A

Fur: found on top of tongue
Too much turbid steams up
Sp/St damp and food stagnation
Condition of right qi-Zheng qi

147
Q

Thin tongue coat indicates ?

A

Not enough power for turbidity to steam up

SP/ST impaired, kidney yin deficient

148
Q

What coat direction is better ?
Thin to thick
Or
Thick to thin

A

Thick back to thin front

149
Q

Moistness of tongue can be moist-glossy-dry or rough, what indicates a dry or rough tongue

A

Heat, yin deficient

150
Q

Moistness of tongue can be moist-glossy-dry or rough, what indicates a glossy tongue?

A

Cold, damp excess damp accumulation

151
Q

Direction of moisture on the tongue is better going from dry to moist or moist to dry?

A

Dry to moist

152
Q

Viscosity is the appearance of tongue coating,

What indicates a moldy tongue coat and what causes it?

A

Bean curd, thick and patchy cottage cheese and is easy to scrape off, caused by damp, phlegm and food stagnation and water retention, excess turbid steams up

153
Q

Viscosity is the appearance of tongue coating,

What indicates a greasy tongue coat and what causes it?

A

Sticky coating, like peanut butter, thicker in the middle and thinner in the margin, difficulty to scrape off. Caused by damp, phlegm, food stagnation and water retention excess turbid steams up .

154
Q

Peeling refers to uneven coating of tongue,

Partial, geographic, mirror and exfoliative are all signs of

A

Stomach yin deficiency, stomach qi fails to produce coat

155
Q

Wax and wane of tongue coating helps understand condition of stomach qi. What indicates a waxing coat ?

A

Increase of thickness, pathogen is getting stronger and invades deeper

156
Q

Wax and wane of tongue coating helps understand condition of stomach qi. What indicates a waning coat ?

A

Decrease of thickness, from thick to thin, right qi overcome by pathological factors

157
Q

Rooted tongue coating is defined by?

A

Even coat, difficult to wipe off . Stomach qi is strong enough to tide up to the surface of the tongue

158
Q

Non-rooted tongue coating is defined by ?

A

Thick coat, easy to scrape off. Body looks smooth after coat is scraped off. Stomach qi exhausted and fails to tide up to tongue. Poor prognosis

159
Q

Observing the tongue body and tongue coating helps us judge ?

A

Tongue body represents Condition of vital qi and tongue coat represents location of disease

160
Q

The theory of eye and zang fu inspection is called ?

A

Five wheel ring theory

  • Blood wheel
  • Qi wheel
  • Wind wheel
  • Water wheel
  • Flesh wheel
161
Q

In five wheel theory the blood wheel, the inner and outer part of eye is associated with ?

A

The heart and small intestine

162
Q

In five wheel theory the Qi wheel, the sclera(white part) is associated with which organs ?

A

Lung /small intestine

163
Q

In five wheel theory the wind wheel, iris is associated with which organs

A

Liver/gall bladder

164
Q

In five wheel theory the water wheel, pupil is associated with which organs?

A

Kidney /UB

165
Q

In five wheel theory the flesh wheel, eyelids and surrounding muscle are associated with which organs?

A

Spleen/ST

166
Q

In Eye inspection, what manifests as having spirit?

A

Clear vision, shiny, flexible movement with little tearing, this is a sign sufficient liver and kidney qi

167
Q

In eye inspection what does a lack of spirit manifest as?

A

Poor vision, dull, turbid hue no tears. This is an is sufficiently of liver and kidney qi

168
Q

Pathological changes of eye color are?

A 
Yellow sclera, damp
Red ,heat
Blue/green sclera , wind cold
White inner or outer, deficient 
Black on sclera, water deficient
169
Q

What organ opens to the nose?

A

Lung is the passageway

170
Q

Nasal discharge of blood indicates?

A

Heat, injury of lung/ST

171
Q

Nasal discharge that is clear and thin indicates ?

A

Wind cold attack

172
Q

Nasal discharge that is yellow and turbid indicates ?

A

Wind heat attack

173
Q

Nasal discharge that is chronic and turbid indicates ?

A

Internal damp

174
Q

Teeth are the surplus of the?

A

Bone and governed by the kidney

175
Q

Swollen or ulcerated gums indicate?

A

Stomach fire flaming upwards

176
Q

Chronic gum bleeding indicates ?

A

Spleen qi deficiency

177
Q

The ears are connected to what organ ?

A

Kidney

178
Q

Ear shape that manifests insufficient kidney essence or kidney qi is?

A

Small and thin

179
Q

Dry ears with scales, psoriasis indicates ?

A

Blood stasis

180
Q

Swollen ears with sores and boils and redness indicates ?

A

Wind heat, or liv/GB fire

181
Q

Edema is defined as?

A

Retention of fluid, leads to puffiness. Water retention due to lung,spleen or kidney disorder

182
Q

Distention is defined as ?

A

Abdominal expansion caused by qi stagnation from Sp/ST disorder

Diagnosis Shen/tongue (1 decks)

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