TCM tongue and pulse with TCM organs

Question 1

Name the organs of the Upper, middle, and lower burners.

Answer 1

Upper: Lungs, heart

Middle: Stomach, spleen, liver, gallbladder

Lower: Large intestine, small intestine, bladder, kidney

Question 2

Name the organs associated with each section of the tongue:

Answer 2

1) Kidney, Bladder, Intestines
2) gallbladder
3) Stomach, spleen
4) Liver
5) Lungs
6) Heart

Question 3

What organ is the swelling associated with?

Answer 3

Gallbladder

Question 4

What organ is affected based on this tongue?

Answer 4

Stomach cracks

Question 5

What organ is affected?

Answer 5

Chest areas of the tongue

Question 6

Fill in the blanks:

Answer 6

1) Lung (front inch)
2) Spleen (middle gate)
3) Kidney (rear foot)

4) Heart (front inch)
5) Liver (middle gate)
6) Kidney (rear foot)

Question 7

What is used to diagnose pulse?

Answer 7

Speed: below 60 bpm or over 90 bpm
Rhythm: regular or irregular
Size: long or short
Width: thin, thready, thick
Shape: wiry, soft, tense
Quality: choppy, rushing, slippery

Question 8

What are the eight principles?

Answer 8

yin-yang, heat-cold, internal-external, excess-deficiency

Question 9

What are the vital substances?

Answer 9

Qi, blood, body fluids, essence

Question 10

What are the zhang-fu organs?

Answer 10

5 yin-6 yang, & 6 extraordinary organs

Question 11

What are the 6 stages?

Answer 11

Tai yang, Yang Ming, Shao yin, Jue Yin

Question 12

What are the four levels?

Answer 12

Wei, Qi, Ying, Blood

Question 13

What is the exterior comprised of?

Answer 13

-Skin, muscles, and channels space between skin and muscles where the Wei Qi and sweat are located and first invaded by external pathogens.

Patterns include: Aversion to cold, fever, aching body, stiff neck, and floating pulse

Question 14

What is the interior comprised of?

Answer 14

When the internal organs are affected. Treating the internal organs pattern.

Question 15

Empty heat vs. Full heat

Answer 15

Question 16

Empty cold vs. Full cold

Answer 16

Question 17

What are signs of excess?

Answer 17

Characterized by the presence of pathogenic factors with upright Qi is relatively intact and actively fighting against the pathogen
-pain is worse with pressure
-Pain that is acute in onset
-irritability, restlessness
-strong voice

Question 18

What are signs of deficiency?

Answer 18

Characterized by the emptiness of upright Qi and the absence of a pathogenic factor
-Empty Qi: Pale face, weak voice, slight sweating, slight shortness of breath, fatigue, loose stools, poor appetite
-Empty yang: Bright pale face, cold limbs, absence of thirst, desire for hot drinks, frequent pale urination
-Empty yin: heat in the afternoon, dry throat at night, night sweats
-Empty blood: Dull-pale face, pale lips, dry hair, blurred vision, tiredness, poor memory, insomnia, scanty periods

Question 19

What are causes of disease?

Answer 19

Disease can be caused by internal or external factors
-External factors are thought of as pathogens that attack the body from the outside
-Internal factors are often from stress and emotional factors that can damage individual organ systems, and from organ impairment which leads to a lack of functioning
-Organ impairment can be caused by diet, drugs, alcohol, medication, overwork, emotional factors, or external pathogens that penetrate into the interior and begin to damage organ systems

Question 20

What are the six pathogenic factors?

Answer 20

-wind
-cold
-heat
-dampness
-dryness
-summer heat

Question 21

Describe wind:

Answer 21

-Yang in nature
-usually used as a source for other factors to enter
-Arises quickly and changes rapidly
-Moves around
-Lungs are affected first(external wind)
-Liver affected for internal wind
-Causes tremors or convulsions, stiffness, paralysis

Question 22

What happens when wind invades the muscles and channels?

Answer 22

Stiffness, rigidity, and contraction of the muscles with sudden onset

Question 23

What happens when wind invades the joints?

Answer 23

Pain that moves from joint to joint, especially the upper part of the body

Question 24

DDX: Wind Cold

Answer 24

-aversion to cold/wind
-chills
-sneezing
-cough white discharge
-runny nose w/ white discharge
-body stiffness and aches
-Pulses: maybe floating, but often no change from normal
-Tongue: no change from normal

Question 25

DDX: wind heat

Answer 25

-Aversion to wind/heat
-fever
-sneezing
-cough w/ yellow discharge
-runny nose w/ yellow mucus
-itchy and/or sore throat
-swollen tonsils, red back of throat
Pulses: maybe superficial, but usually no change
Tongue: no change from normal

Question 26

Internal wind:

Answer 26

-Tremors, tics
-Itchy-lung involved as well because of skin
-severe dizziness, vertigo
-Severe cases: convulsions, unconsciousness, hemiplegia
-Deviation of mouth/tongue

Question 27

Cold:

Answer 27

-Injures Yang
-Contracts and congeals
-Causes clear discharge

-sleepiness
-severe localized pain improved by heat: excess or deficiency?
-White tongue coating and body discharges
-slow pulse
-craves warmth, aversion to cold, feels cold
-pale complexion
-lack of thirst
-loose stool
-clear and profuse urine: not heat
-day or night (any at night too much depending on age)

Question 28

Heat:

Answer 28

-yang in nature
-blazes upwards
-drying-damages blood and yin
-may cause bleeding
-potential to generate wind when severe
-affects the mind

-high fever, desires cold, aversion to heat, heat sensation
-redness: skin, face, eyes, & complexion
-thirst
-constipation (complicated) or foul smelling diarrhea; foul smelling discharge
-scanty, dark yellow urine
-restlessness, irritability
-Bleeding symptoms: cough, vomit, nose, gums, urine, stool, skin
Rapid anything: including pulse, breathing rate
Yellow tongue coating (full heat) and other body discharge, red tongue body

Question 29

Dampness:

Answer 29

-Excess of yin
-From damp environments: clothes, living, wading, diet
-Lack of environment
-Sticky and difficult to get rid of
-Heavy & slow
-Feeling of heaviness, pain or anything worse with damp
-Anything swollen and/or oozing
-No appetite, bloating, made worse w/ food
-Cloudiness of discharges
Pulses: Slippery
Tongue: Sticky coat and/or fat, swollen tongue

Question 30

Dryness:

Answer 30

-Usually from very dry and/or hot weather, internal heat, dry warming foods and/or herbs, lack of fluid intake, not enough fruit and veggies, salty processed food
-All symptoms are Dry
-Internal dryness is a form of yin deficiency w/o heat signs or symptoms
-Can result from heat too

Question 31

Summer heat:

Answer 31

-yang in nature
-only in the summer
-like a heat stroke
-combo of heat and damp
-usually only encounter in 1st aid situation

-aversion to heat
-sweating/no
-Headache
-scanty dark urine
-dry lips
-feeling of heaviness
-irritability
-thirst, no thirst if severe
-Pulses: Rapid
- Tongue: red on the sides & tip
May see delirium, slurred speech & unconsciousness