Tongue Flashcards

1
Q

what is the tongue coat mnemonic

A

TCMRTD

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2
Q

what does TCMRTD stand for

A
Thickness
Color
Moisture
Rooted
Turbidity
Distribution
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3
Q

what is the tongue body mnemnic

A

TCMWHTS

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4
Q

what does TCMWHTS stand for

A
Thickness
Color
Movement
Width
Hue
Texture
Shape
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5
Q

what does a thick coat mean

A

internal or external
white means cold
yellow means heat

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6
Q

what does a thin coat mean

A

deficiency

yin xu or xue xu

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7
Q

yellow and thick coat means

A

damp and heat

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8
Q

white and thick coat means

A

cold and damp/phlegm

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9
Q

a white coat means

A
normal
cold (excess or deficiency: yang xu)
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10
Q

a yellow coat means

A

heat (excess or deficiency: yin xu)

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11
Q

a grey coat means

A

chronic excess
+ yellowish means chronic heat
+thick and white means chronic cold damp

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12
Q

a black coat means

A

severe pathology

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13
Q

a brown coat means

A

constipation due to heat (jin ye xu, yin xu, xue xu)

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14
Q

too moist of a coat means

A

pathological fluid (damp, water from KD yang xu, phlegm)

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15
Q

tood ry of a coat means

A

jin ye xu, xue xu, yin xu

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16
Q

a rooted tongue coat means

A

normal

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17
Q

an unrooted tongue coat means

A

SP qi xu and damp

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18
Q

a translucent coat looks like

A

thicker and sticky

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19
Q

a turbid coat looks like

A

greasy and sticky

20
Q

what does a turbid coat mean

A

phlegm, damp heat, food stagnation, heat toxin

21
Q

what are the types of tongue coat distribution

A

peeled, geographic, mirror

22
Q

what does a peeled coat mean

A

patches of no coat

heat from jin ye xu or yin xu

23
Q

what does a geographic coat mean

A

patches of coat

chronic heat, damp heat, yin xu

24
Q

what does a mirror coat mean

A

glossy
most likely red body with no coat and moisture
heat pathogen into interior (yang and xue)
damages yin
surging pulse

25
Q

what does a thick body mean

A

excess pathogens, damp ,heat, dampheat, stagnation

26
Q

what does a thin body mean

A

yin xu or xue xu

27
Q

what does a red body mean

A

heat that is excess or deficient, internal or external
liver fire
large intestine heat etc
yin xu

28
Q

what does a blue body mean

A

cold

29
Q

what does a purple body mean

A

qi stagnation and blood stasis

30
Q

what does a crimson body mean

A

excess external heat pathogen going into the interior (ying and xue)

31
Q

what does an orange body mean

A

usually on the lateral aspect pertaining to the liver’liver xue xu and qi stagnation

32
Q

what does a pale hue mean

A

deficiency

33
Q

what does a dusky hue mean

A

excess

34
Q

what does the movement of the tongue indicate

A

wind, internal wind
could be deviation, tremor, inability to fully extend, severe deficiency with inability to extend
extreme flaccidity
MS, parkinson’s, post stroke

35
Q

what do prickles on the tongue mean

A

pointed and red
sometimes on the tip
heat rising to the upper jiao
heart or lung fire

36
Q

what do macules on the tongue mean

A

dome shaped, wider, rounder

usually blood stasis

37
Q

what do cracks on the tongue mean

A

yin xu, spleen xu, liver xu, heart problems

38
Q

what do yin xu cracks look like

A

deeper, wider
deep horizontal cracks
like iceburgs

39
Q

what do spleen xu cracks look like

A

more superficial
horizontal cracks in the MJ
qi deficiency in MJ/spleen

40
Q

what do liver racks look like

A

on the edges

problems with liver qi, yin, and blood

41
Q

what do heart cracks look like

A

goes all the way to the tip

heart/shen problems

42
Q

what do cracks from the MJ to UJ mean

A

problems between the stomach to the esophagus

43
Q

what does a swollen tongue mean

A

damp
qi stagnation
in the middle jiao it means damp
on the lateral sides itm eans liver qi

44
Q

what are the lateral changes of shape

A

swollen on sides (chong tongue)
liver problems: qi stagnation
scalloping/roughness: spleen qi xu and damp
roughness is usually liver qi creating heat

45
Q

what do changes of shape at the tip of the tongu emean

A

problems with heart and shen

46
Q

what do the valleys in the tongue mean

A

in the middle it may mean sp/st xu