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Acupuncture Five Elements and Foundations Exam Study > Tongue Diagnosis TCM > Flashcards

Tongue Diagnosis TCM Flashcards

1
Q

A pale tongue indicates…

A

deficiency type (cold syndrome caused by yang def or qi and blood def)

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2
Q

A red pale tongue indicates…

A

heat syndrome (interior excess or def)

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3
Q

A deep red tongue indicates…

A

extreme heat (external factors: invasion of the ying and blood levels by pathogenic heat or internal factors: yin def leading to fire)

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4
Q

A purple tongue indicates…

A

Blue purple: blood stasis due to cold/heat
Deep blue purple, dry and lusterless: blood stasis from heat
Pale purple, moist: blood stasis due to cold
Purple spots on tongue surface: blood stasis

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5
Q

A swollen tongue that is delicate in quality, pale in color with teethmarks indicates…

A

spleen or kidney yang def, producing harmful water

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6
Q

A swollen tongue that is deep red in color, occupying the entire space of the mouth indicates…

A

excessive heat in heart or spleen

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7
Q

A blue purple, dark swollen tongue indicates…

A

toxicosis

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8
Q

A thin and pale tongue indicates…

A

qi and blood def

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9
Q

A thin and deep red and dry tongue indicates…

A

fire due to yin def

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10
Q

A deep red and cracked tongue indicates…

A

excess heat

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11
Q

A pale and cracked tongue indicates…

A

blood def

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12
Q

A normal and cracked tongue indicates…

A

This can be normal as long as the cracks are not deep and appear to remain there all the time

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13
Q

A red and thorny tongue indicates…

A

internal accumulation of pathogenic heat.

The more severe the pathogenic heat, the more enlarged and profuse the thorns will be.

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14
Q

A deviated tongue indicates…

A

Wind stroke, or early signs of possible wind stroke

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15
Q

A rigid tongue indicates…

A

external factors: invasion of the pericardium by heat
retention of turbid phlegm in the interior
excessive pathogenic heat consuming body fluids

internal factors: wind stroke or early signs of wind stroke

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16
Q

A flaccid tongue indicates…

A

extreme qi and blood def or consumption of yin fluids

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17
Q

A pale flaccid tongue indicates…

A

qi and blood def

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18
Q

A deep red flaccid tongue indicates…

A

yin collapse

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19
Q

A thick tongue coat indicates…

A

deeper progression, retention of damp/food

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20
Q

A thin tongue coat indicates…

A

superficial problem, def of antipathogenic qi (zheng qi)

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21
Q

A dry tongue coat indicates…

A

consumption of body fluids, excess heat or yin def heat

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22
Q

A excessively moist tongue coat with saliva dribbles indicates…

A

harmful water and damp

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23
Q

A sticky/greasy tongue coat indicates…

A

retention of damp, phlegm or food

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24
Q

A granular, coarse, pasty tongue coat indicates…

A

excessive yang heat bringing turbid qi upward, also retention of food or phlegm

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25
Q

A partially peeled/geographic tongue coat indicates…

A

consumption of stomach qi and yin

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26
Q

An entirely peeled (mirror like) tongue coat indicates…

A

exhaustion of stomach yin, severed damage of stomach qi

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27
Q

A thick white tongue coat indicates…

A

interior cold

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28
Q

A thin white tongue coat indicates…

A

exterior cold or normal

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29
Q

A yellow tongue coat indicates…

A

heat. The deeper yellow, the more severe the heat

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30
Q

A grey tongue coat indicates…

A

interior heat, cold or damp.
Yellowish and dry is interior excess heat
Whitish and moist is retention of cold or damp
This can eventually develop into black.

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31
Q

A black tongue coat indicates…

A

Extreme interior condition, either extreme heat or cold.
Usually a progression of yellow/grey.
Yellowish, dry w/ thorns: extreme heat
Pale and slippery: excessive cold due to yang def

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32
Q

The tongue body color is indicative of…

A

The condition of the yin organs, bloods and yin qi stagnation of qi and blood
8 principals: cold/heat, yin/yang

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33
Q

The tongue shape is indicative of…

A

Yin organs, qi and blood

8 principals: def/excess

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34
Q

The tongue coat color is indicative of…

A

Heat/cold condition

8 principals: cold/heat

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35
Q

The tongue coat moisture is indicative of…

A

the condition of body fluids

8 principals: cold/heat, yin/yang

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36
Q

The tongue coat thickness is indicative of…

A

strength of pathogenic factors or weakness of body’s qi

8 principals: def/excess

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37
Q

The tongue coat distribution is indicative of…

A

location and progression of pathogenic factor

8 principals: interior/exterior

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38
Q

The tongue coat root is indicative of…

A

strength of body’s qi, especially stomach and kidney qi

8 principal: def/excess

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39
Q

The affect of antibiotics on tongue diagnosis is…

A

makes the stomach peeled in patches (injures the stomach yin)

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40
Q

The affect of corticosteroids (prednisone) on tongue diagnosis is…

A

red and swollen (after about one month of administration)

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41
Q

The affect of bronchodilators (alburterol) on tongue diagnosis is…

A

The tip becomes red (after prolonged/continued use).

Bronchodilators have an affect on the heart and can cause palpitations/arrhythmias

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42
Q

The affect of diuretics on tongue diagnosis is…

A

peeled tongue (reflecting yin def)

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43
Q

The affect of anti-inflammatory drugs on tongue diagnosis is…

A

red points, make the tongue body thinner, peeled (after prolonged use)

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44
Q

The affect of anti-neoplastic/chemotherapy drugs on tongue diagnosis is…

A

very thick brown or even black and dry coating

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45
Q

A pale, slightly dry tongue indicates…

A

blood def

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46
Q

A pale and wet tongue indicates…

A

yang def in adults

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47
Q

A pale and bright/shiny tongue indicates…

A

qi and blood def, especially of the spleen/stomach

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48
Q

A red tongue body with a coating indicates…

A

heat in the nutritive or blood levels

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49
Q

A red tongue body without a coating indicates…

A

yin def with heat

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50
Q

A red tongue body that is wet indicates…

A

heat with damp retention

51
Q

A red and dry tongue body indicates…

A

deficient heat and body fluid exaustion

52
Q

The tongue moisture comes from the…

A

stomach

53
Q

The tongue blood comes from the…

A

heart

54
Q

A red and shiny tongue body indicates…

A

stomach/kidney yin def

55
Q

A red tongue body with red points or spots indicate…

A

heat with blood stasis

56
Q

A red tongue body with prickles indicates…

A

heat in the ying/nutritive level or upper jao or lower jao

57
Q

A red tongue with purple spots in the center indicate…

A

blood stasis and heat in stomach

58
Q

A red tongue body that is peeled indicates…

A

heat from stomach/kidney yin def

59
Q

A red tongue body that is purple indicates…

A

heat and blood stasis

60
Q

A red tongue body that is purple and distended indicates…

A

extreme heat with blood stasis, toxin from alcohol injuring the heart

61
Q

A deep red/scarlet tongue indicates…

A

lung or heart yin def

If it is dark red with a dry center: stomach fire blazing stomach yin def with heat

62
Q

A reddish purple tongue body indicates…

A

blood stasis from internal heat.

If tongue is also distended this indicates extreme heat with blood stasis, toxin from alcohol injuring the heart

63
Q

A bluish purple tongue body indicates…

A

blood stasis from internal cold

if it’s bluish and moist this indicates blood stasis from internal liver/kidney cold, stiffening of tendons/bones

64
Q

A blue tongue body indicates…

A

severe internal cold with blood stasis

65
Q

A blue tongue body without coating indicates…

A

severe internal cold with stasis and exhaustion of blood

66
Q

A blue color on the tongue body at the middle surface indicates…

A

spleen yang def with phlegm retention in the chet

67
Q

A blue tongue during pregnancy indicates…

A

danger of imminent miscarriage

68
Q

A blue tongue with distended veins on the underside of tongue indicates…

A

deficiency, qi stagnation or blood stasis (if it’s dark)

69
Q

A thin tongue that is shrunken and red indicates…

A

yin def

70
Q

A thin tongue that is shrunken and pale indicates…

A

blood def

71
Q

A tongue where the whole tongue is swollen indicates…

A

spleen/kidney yang def with damp, spleen stomach damp heat, heart stomach heat, alcohol toxin, toxicity

72
Q

If the edges of the tongue are swollen (to the point that the tip becomes flattened), this indicates…

A

spleen qi/yang def

73
Q

If the sides of the tongue are swollen this indicates…

A

ascendant liver yang or liver fire

74
Q

If the tip of the tongue is swollen this indicates…

A

heart fire blazing (with a red color) or heart qi deficiency (normal color)

75
Q

If there is swelling between the tip and center of the tongue, this indicates…

A

lung qi def with phlegm retention

76
Q

If there is swelling along a central crack, this indicates…

A

heart fire (red color) or heart qi def (normal color)

77
Q

If there is swelling in half the tongue, this indicates…

A

weakness in the channels

78
Q

If there is localized swelling on one side this indicates…

A

def or qi stagnation in the chest

79
Q

If half of the tongue’s surface is swollen this indicate…

A

lung qi def

80
Q

If the tongue is hammer shaped this indicates…

A

stomach, spleen and/or kidney def

81
Q

A stiff tongue is indicative of…

A

blazing heart fire

82
Q

A dark red and stiff tongue is indicative of…

A

exterior heat invading the pericardium

83
Q

A red and stiff tongue is indicative of…

A

heat injuring the body fluids

84
Q

A stiff tongue that is normal in color is indicative of…

A

internal wind

85
Q

A flaccid tongue with a pale body is indicative of…

A

exhausted qi and blood

86
Q

A flaccid and red colored tongue body with

A

extreme heat injuring body fluids

87
Q

A flaccid, limp and deep red tongue is indicative of…

A

kidney yin def with heat

88
Q

A long tongue indicates…

A

blazing heart fire or heart phlegm fire

89
Q

A short tongue with a pale body indicates…

A

spleen yang def, internal cold

90
Q

A short tongue with a red body indicates…

A

heat stirring liver wind

91
Q

A short tongue with a red body and coating indicates…

A

body fluids insufficiency due to excess heat

92
Q

A short tongue with a red body without a coating indicates…

A

deficiency heat

93
Q

A short tongue with a pale body and slipper coat indicates…

A

spleen yang def with damp and phlegm

94
Q

Horizontal cracks on the tongue indicate…

A

yin def

95
Q

Cracks that appear like ice floes indicate…

A

yin def from old age

96
Q

Irregular cracks on the tongue indicate…

A

stomach yin def

97
Q

Transverse cracks along the side of the tongue indicate…

A

spleen qi/yin def

98
Q

Vertical cracks in the center of the tongue indicate…

A

spleen qi def

99
Q

Long vertical cracks that reach the tip of the tongue indicate…

A

heart, emotional disorders

100
Q

Transverse cracks behind the tongue tip indicate…

A

prior lung disease or present lung yin def

101
Q

A deep central crack with small branching cracks indicate…

A

kidney yin def with heat

102
Q

A loose tongue with a red body indicates…

A

interior excess heat

103
Q

A loose tongue with a red body and slippery coating indicates…

A

phlegm-fire clouding heart

104
Q

A loose tongue with a pale body indicates…

A

heart qi deficiency

105
Q

A deviated tongue with normal color indicates…

A

exterior wind invading the channels

106
Q

A deviated tongue with a red color indicates…

A

interior liver wind

107
Q

A deviated tongue with a pale body indicates…

A

heart qi deficiency

108
Q

A numb tongue with a pale body indicates…

A

heart blood deficiency

109
Q

A numb tongue with a red color indicates…

A

liver wind

110
Q

A numb tongue with a slipper coat indicates…

A

wind phlegm

111
Q

A moving tongue with a red body indicates…

A

heart fire and internal wind

112
Q

A moving tongue with a dry red body indicates…

A

spleen heat with body fluid exhaustion

113
Q

A quivering tongue with a pale body indicates…

A

spleen qi deficiency

114
Q

A quivering tongue with a red body indicates…

A

extreme heat generating internal wind

115
Q

A quivering tongue with a pale body indicates

A

heart and spleen collapse

116
Q

A quivering tongue with a pale and thin body indicates…

A

yang collapse

117
Q

A tongue where the tip is rolled up indicates…

A

excess heat

118
Q

A tongue where the tip is rolled under indicate…

A

deficiency heat

119
Q

An ulcerated tongue with a red body indicates…

A

heart fire blazing, spleen and kidney heat

120
Q

An ulcerated tongue with a red body and peeled coat indicates…

A

heart heat from kidney yin deficiency

121
Q

A tooth marked tongue indicates…

A

spleen qi deficiency

122
Q

A sore covered tongue with a red body indicates…

A

heat toxin in heart

123
Q

A sore covered tongue with a red body and peeled coat indicates…

A

deficiency heat

Acupuncture Five Elements and Foundations Exam Study (26 decks)

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