Quiz 2 Flashcards
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
Thready pulse
This pulse moves quickly and smoothly, slippery inside vessel and is caused by Food stagnation, damp or phlegm and excess heat?
Rolling/slippery
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.
Hesitant/choppy
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
String taut
This pulse is Exterior and deficient, you can feel it with a very light touch.
Superficial
This Interior pulse can only be felt if you push down hard.
Deep
This pulse is Cold and qi deficient beats less than 3x per breath at a regular rhythm
Slow
This pulse beats 5x per breath at a regular rhythm, caused by Heat, possible anxiety
Rapid
This Deficient pulse is wide, forceless and slack, caused by qi,blood and Zheng qi deficiency
Deficient pulse
This pulse can be felt in all three positions, its long and forceful and feels full. It is caused by Excess
Excess /strong pulse
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
Surging / flooding
This cold pulse rises and fall with strength and vibrates it is caused by Cold, pain , pulse is stretched tight
Tense/tight
This Damp and deficient pulse is superficial and thin is caused by qi and blood deficiency.
Soft
This Qi and blood deficient pulse is deep and thin without strength. It causes dampness
Weak
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.
Abrupt
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
Knotted
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
Regularly intermittent
Three treasures are spirit, essence and qi,
essence is composed of
- Congenital essence Inherited from parents
* Acquired essence produced from food by spleen and stomach
Three treasures are spirit,essence and qi,
Qi denotes
Essential substance and function of zang fu
Three treasure are composed of Qi, spirit and essence.
Spirit is ?
Manifestation of all life activities external functions and mental, cognitive functions
Why is the eye movement so important?
Regarded the orifice of the liver, messenger of the heart and essence of qi of the Zang fu organs rise in the eyes
This spirit is Listless, weak , main symptom is poor memory. Deficient pattern of heart/spleen or kidney yang
Fatigued spirit
A Pathological state where deficiency undermines fullness of spirit.
3 manifestations of this state called
“lack of spirit’
Lack of spirit manifests
Loss of spirit
False spirit
Spirit disturbance
This type of Shen, spirit Manifests with dull eyes,slow and awkward, blurred vision,dull complexion, mental confusion and even unconsciousness and delirium.
Loss of spirit, qi exhausted
This type of shen Manifests as extremely weak,listless,unconscious yet the patient suddenly feels better and has clear consciousness and bright eyes.
False spirit, Zheng qi exhaustion impending failure of yin and yang
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.
Sprit disturbance
Facial color is derived from?
Blood and yin
Spirit
Facial sheen and luster are associated with?
Qi and yang, the luster is an exterior manifestation of essence of the zang fu
Where is heart ( fire)represented on the face?
Forehead
Where is lung represented on the face?
Right cheek
Where is liver (wood)represented on the face ?
Left cheek
Where is Spleen (earth )represented on the face
Nose
Where is kidney represented on the face?
Chin
What is the color and sheen at time of birth called ?
Host complexion
slight change in color and sheen of skin following the seasons is called?
Guest complexion
Temporary change in color and sheen due to environment or physical and emotional activities
Transient normal complexion
Abnormal complexion of facial color is caused when a?
Single color dominates or color change does not agree with season, abnormal facial sheen
Blue/green color?
Spring,wind,liver+GB=wind,cold,pain
Red complexion indicates?
Summer,heat,Hrt/Small intestines =heat+yang
Yellow complexion indicates
Late summer, damp ST/SP=damp, SP deficiency
Pale complexion ?
Autumn, dryness, LU/Liv=deficiency cold
Dark complexion ?
Winter,cold, Kid/UB=cold, water
Filliform papillae
Most numerous, smallest,distributed over tongue tip,body and sides of tongue. Characterized by increased keratinization….. formed by lung qi and Ming men fire.
Fungiform papillae
Tip of tongue and scattered among the filiform papillae…..formed by heart and kidney qi
Circumvallate papillae
Largest papillae, seven to nine arranged in a V shape which separates tongue body from tongue root.
Appetite and taste are related to function of ?
Function of spleen and stomach
What organ Connects with the root of the tongue and scatters over the underside ?
Spleen
What’s organ harbors the tongue root ?
Kidney
Tongue body , what organ controls normal shape, move flexibility and ability to taste. Nourishes qi,blood and body fluids?
Spleen
Tongue body that controls normal shape and moisture and stores congenital jing and yin ?
Kidney
What organ is the muscle region, a branch that enters the root of the tongue
Bladder
Tongue body that moves, is flexible, mix food and speech controls tendons ?
Liver
Tongue body that distinguish taste and speech?
Heart
Tongue coat, what organ controls qi, blood and body fluids and has a thin white coating?
Stomach
Tongue, What two organs control qi. Blood and body fluids
Spleen and stomach
What’s organ nourishes the tongue body
Spleen
Tongue, What organ controls filiform papillae?
Lung
Tongue, lower jiao?
Deep root, back kid/UB
LI/Si
Tongue, Middle jiao?
Sp/stomach center, liv/GB center
Tongue, upper jiao?
Lung/heart
Heart tip
Tongue spirit indicates?
Qi,blood and body fluids generated by the stomach
Tongue is light red, moist, impression flourishes, movement is energetic. This indicates ?
Normal stomach qi
Tongue is dark and dim, dry , withered impression,sluggish movement. This indicates ?
Exhausted stomach Qi.
Tongue color indicates?
Qi and blood condition
A pale and moist tongue with thin white coating indicates?
Cold syndrome
A flabby and moist tongue with thin white coating indicates ?
Yang deficient, with cold
A thin and pale tongue with thin white coating indicates ?
Qi and blood deficiency
What indicates heat syndrome?
A red tongue, heat accelerates blood movement, which fill up the vessels.
What indicates external heat?
Slightly red or red on tip and edge
What indicates INTERNAL excess heat?
Red and tough with thick dry coat
What indicates INTERNAL deficiency heat?
Red with cracks and little coating
Why would a tongue be crimson?
Excess heat concentrates and accelerates the movement of blood
Why would a tongue be crimson with red thorns and have yellow greasy coating?
Exogenous febrile disease {exterior fever}
Why would a tongue be crimson and dry with a small body?
Yin deficiency
Why would a tongue be crimson with little and moist coating?
Blood stagnation
What causes a purple tongue?
Blood stagnation which accumulates in tongue body
What indicates a pale purple tongue ?
Cold syndrome
What indicates a dark purple tongue ?
Blood stagnation
What indicates a crimson purple tongue
Extreme heat
Why would a tongue be bluish, bloodless like a buffalos tongue?
Cold constricts vessels and stagnates blood
When the entire tongue is blue it indicates ?
Cold
When the young is bluish on the edge it indicates ?
Blood stagnation
What establishes the size of the tongue?
Body fluids
Why would a tongue be flabby?
Fluids accumulate in tongue body
What does a pale and enlarged tongue with a thin white coat indicate?
Cold dampness accumulates
What does a red and enlarged tongue with a thick yellow coat indicate?
Damp heat
What does a pale and enlarged tongue with teeth marks and white slippery coat indicate?
Yang deficient with damp
What pathogenesis creates a swollen tongue?
Qi and blood stagnate in the tongue due to heat
What does a red and swollen tongue indicate?
Heat in heart and spleen
Why would a tongue be purple and swollen ?
Alcohol poisoning
When a tongue is blue purple it means ?
Blood stasis caused by chemical toxicity
Why would there be teeth marks on a tongue’s edge?
Water and damp stagnate in tongue
What does a slight pale tongue with teeth marks and a glossy coat indicate?
Damp
What does a slight red tongue with teeth marks and a thick white dry coating indicate?
Spleen deficiency
Why would a tongue be thin?
Tongue body lack nutrition
A thin and pale tongue indicates?
Qi and blood deficiency
A red and thin tongue indicates ?
Yin deficiency with heat
What are the indicators of a tongue body surface ?
Qi, blood and body fluids
Why would a tongue crack?
Malnutrition of tongue
What indicates a deep red crack in tongue with dry coating ?
Excess heat
What indicates a tongue with a red body and cracks but no coat?
Yin deficiency
Why would a tongue be pale and enlarged with teeth marks and cracks on edges?
Spleen deficiency with dampness
What level are the four bigs?
Wei level
Prickles, thorns,dots or spots on the tongue are indicated by?
Excess heat putrifies tongues surface, excess heat
Bright red spots with yellow coat on tongue?
Excess heat toxin
Crimson red spots on tongue ?
Heat pathogen invades ying or xue level
Yellow coat on tongue?
Damp heat
Ulcerated tongue is caused by?
Heat flaming upward and accumulates on tongues surface and putrefies the tissue.
Ulcerated red tongue with yellow coating ?
Heat toxin in heart channel
Ulcerated cracked red tongue with with scant yellow coat ?
Deficiency heat
A tough tongue{ rough and sturdy}is caused by?
Excess heat,
pathogens invade vital qi causing qi and blood to rise. This consumes qi and body fluids
A tender tongue, fine and smooth striae is caused by?
Deficiency
A tender and dry tongue is caused by?
Qi and blood deficiency
A tender and wet tongue is caused by ?
Yang qi deficiency
Flexibility of the tongue is caused by ?
Liver controls tendons….which are nourished by blood and body fluids
A stif tongue is caused by ?
Tongue body tendons {liver} spasm dur to malnutrition
A stiff crimson tongue with dry yellow coating is caused by?
Pathogenic heat invades the pericardium
A stiff flabby tongue with thick greasy coating is caused by ?
Turbid phlegm obstructs the meridian
A flaccid tongue is ?
Atrophy of tongues muscle
A pale and flaccid tongue is caused by ?
Yin and blood deficiency
A crimson flaccid tongue is caused by?
Excess heat that injures body fluids
A deep red and dry flaccid tongue with no coat is caused by?
Yin fluid exhaustion
Abnormal tongue movements are caused by ?
Body fluid doesn’t nourish tendons
A pale and flaccid shaking tongue quivers uncontrollably and is caused by
Qi and blood deficiency or yang depletion of tongue tendons
A red and quivering or shaking tongue is caused by ?
Internal wind and extreme pathogenic heat.
A deviated tongue protrudes and points to one side,
Why?
Could be tumor, could be purple red, pale thick coat or red.
Protruding tongue is ?
Tongue stretches and immediately retracts, caused by heat and dries the the tendon. Pathogenic heat
A shortened tongue is?
An atrophy tongue due to cold, is sign of critical condition
A loose tongue is diagnosed by?
Tongue hangs out of mouth and difficult to retract. Tendon is malnourished due to excess heat or qi deficiency
Hypoglossal vessel is under tongue, how long should the two bluish vessels be ?
1/3 of length from the sublingual caruncle to tip.
The hypoglossal vessel indicates?
Qi and blood stagnation
Case study;
White coat, strong fulliform papillae with teeth marks?
Damp, spleen qi deficient and anxious
Case study;
Black spots on side with red tip ?
Blood stagnation
Case study;
Pale,slight pale coat,peeling on side with teeth marks ?
Damp
Case study;
Good color, some coating in back, damp in back, hypoglossal vessel has good color but veins long ?
Blood stagnation
Case study;
Geographic tongue, hypoglossal engorged
Stagnation
Case study ;
Peeling tongue, slight crack on lower part
Yin deficient
Case study;
Slight thick white coat, slightly greasy
Damp
Tongue coating is generated by ?
Upward tide of Stomach Qi evaporating and transforming spleen damp and food turbidity.
When observing the tongue you look for?
Color and properties
Normal tongue coating indicates?
Nature of pathogen [heat/cold]
And
Location
White tongue coat indicates ?
Exterior and cold
Location: lung and large intestines
Yellow tongue coat indicates ?
Interior heat
Cold transforms to heat
Location: spleen and stomach
Grey tongue coat indicates ?
Heat/dry or cold/moist
Evolves from white
Black tongue coat indicates ?
Evolves from grey or yellow
Extreme heat/dry/cracked or extreme cold/moist/greasy
Thick tongue coat appearance ?
Fur: found on top of tongue
Too much turbid steams up
Sp/St damp and food stagnation
Condition of right qi-Zheng qi
Thin tongue coat indicates ?
Not enough power for turbidity to steam up
SP/ST impaired, kidney yin deficient
What coat direction is better ?
Thin to thick
Or
Thick to thin
Thick back to thin front
Moistness of tongue can be moist-glossy-dry or rough, what indicates a dry or rough tongue
Heat, yin deficient
Moistness of tongue can be moist-glossy-dry or rough, what indicates a glossy tongue?
Cold, damp excess damp accumulation
Direction of moisture on the tongue is better going from dry to moist or moist to dry?
Dry to moist
Viscosity is the appearance of tongue coating,
What indicates a moldy tongue coat and what causes it?
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
Viscosity is the appearance of tongue coating,
What indicates a greasy tongue coat and what causes it?
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 .
Peeling refers to uneven coating of tongue,
Partial, geographic, mirror and exfoliative are all signs of
Stomach yin deficiency, stomach qi fails to produce coat
Wax and wane of tongue coating helps understand condition of stomach qi. What indicates a waxing coat ?
Increase of thickness, pathogen is getting stronger and invades deeper
Wax and wane of tongue coating helps understand condition of stomach qi. What indicates a waning coat ?
Decrease of thickness, from thick to thin, right qi overcome by pathological factors
Rooted tongue coating is defined by?
Even coat, difficult to wipe off . Stomach qi is strong enough to tide up to the surface of the tongue
Non-rooted tongue coating is defined by ?
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
Observing the tongue body and tongue coating helps us judge ?
Tongue body represents Condition of vital qi and tongue coat represents location of disease
The theory of eye and zang fu inspection is called ?
Five wheel ring theory
- Blood wheel
- Qi wheel
- Wind wheel
- Water wheel
- Flesh wheel
In five wheel theory the blood wheel, the inner and outer part of eye is associated with ?
The heart and small intestine
In five wheel theory the Qi wheel, the sclera(white part) is associated with which organs ?
Lung /small intestine
In five wheel theory the wind wheel, iris is associated with which organs
Liver/gall bladder
In five wheel theory the water wheel, pupil is associated with which organs?
Kidney /UB
In five wheel theory the flesh wheel, eyelids and surrounding muscle are associated with which organs?
Spleen/ST
In Eye inspection, what manifests as having spirit?
Clear vision, shiny, flexible movement with little tearing, this is a sign sufficient liver and kidney qi
In eye inspection what does a lack of spirit manifest as?
Poor vision, dull, turbid hue no tears. This is an is sufficiently of liver and kidney qi
Pathological changes of eye color are?
Yellow sclera, damp Red ,heat Blue/green sclera , wind cold White inner or outer, deficient Black on sclera, water deficient
What organ opens to the nose?
Lung is the passageway
Nasal discharge of blood indicates?
Heat, injury of lung/ST
Nasal discharge that is clear and thin indicates ?
Wind cold attack
Nasal discharge that is yellow and turbid indicates ?
Wind heat attack
Nasal discharge that is chronic and turbid indicates ?
Internal damp
Teeth are the surplus of the?
Bone and governed by the kidney
Swollen or ulcerated gums indicate?
Stomach fire flaming upwards
Chronic gum bleeding indicates ?
Spleen qi deficiency
The ears are connected to what organ ?
Kidney
Ear shape that manifests insufficient kidney essence or kidney qi is?
Small and thin
Dry ears with scales, psoriasis indicates ?
Blood stasis
Swollen ears with sores and boils and redness indicates ?
Wind heat, or liv/GB fire
Edema is defined as?
Retention of fluid, leads to puffiness. Water retention due to lung,spleen or kidney disorder
Distention is defined as ?
Abdominal expansion caused by qi stagnation from Sp/ST disorder
