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diagnosis theory > Tongue Indications > Flashcards

Tongue Indications Flashcards

1
Q

Pale
Small, dry body
Thin, white coating

A

Qi and Blood Deficiency

Pathogenesis:
Deficiency of Qi and Blood fails to fill the tongue vessels and nourish the tongue

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2
Q

Crimson
Dry, small body
No coating

A

Internal Yin Deficiency / Exhaustion

Pathogenesis:
When Yin is deficient or exhausted the blood will concentrate leading to a deeper red color

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3
Q

Red
Tough body
Thick, yellow coating

A

Heat Syndrome - Internal Excess

Pathogenesis:
Heat in body causes Qi and Blood to overfill the vessels of the tongue with fresh red color

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4
Q

Red
Small body with or w/o fissures
No coating

A

Heat Syndrome - Internal Deficiency

Pathogenesis:
Heat in body causes Qi and blood to overfill the vessels of the tongue with fresh red color

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5
Q

Red tip/red tongue edge

Thin, yellow coating

A

Heat Syndrome - External

Pathogenesis:
Heat in body causes Qi and Blood to overfill the vessels of the tongue with fresh red color

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6
Q

Crimson
Dry body
Dry coating

A

Exogenous Febrile Disease

Pathogenesis:
Pathogenic Heat invades the Nutritive and Blood levels, consumes th Blood and Body Fluids which concentrates the Blood leading to a darker color

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7
Q

Crimson w/ purple hue

Thin, moist coating

A

Internal Blood Stagnation

Pathogenesis:
Blood stagnation leads to a slower flow of Blood which then accumulated and produces a deeper color

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8
Q

Pale
Moist body
Thick, white coating

A

Cold Syndrome

Pathogenesis:
Cold causes Blood vessels in the tongue to constrict which prevents Blood from entering the tongue

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9
Q

Pale
Flabby, moist body
Thin, white coating

A

Yang Deficiency

Pathogenesis:
Deficiency of Yang fails to lift Qi and Blood up to tongue

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10
Q

Purple/Blue-Purple (Pale)
Moist
White coating

A

Blood Deficiency

Pathogenesis:
Invasion of exopathogenic Heat, Cold, or Damp. Or internal pathogenic changes can both lead to the stagnation of Qi and Blood which accumulated in or overfills the vessels giving rise to the purple color

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11
Q

Purple/Blue-Purple (Pale)

Dry body

A

Blood Stagnation

Pathogenesis:
Invasion of exopathogenic Heat, Cold, or Damp. Or internal pathogenic changes can both lead to the stagnation of Qi and Blood which accumulated in or overfills the vessels giving rise to the purple color

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12
Q

Purple/Blue-Purple (Pale)
Moist body
White coating

A

Internal Cold

Pathogenesis:
Invasion of exopathogenic Heat, Cold, or Damp. Or internal pathogenic changes can both lead to the stagnation of Qi and Blood which accumulated in or overfills the vessels giving rise to the purple color

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13
Q

Purple/Red-Purple
Dry body
Yellow coating

A

Extreme Heat

Pathogenesis:
Invasion of exopathogenic Heat, Cold, or Damp. Or internal pathogenic changes can both lead to the stagnation of Qi and Blood which accumulated in or overfills the vessels giving rise to the purple color

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14
Q

Dark red-purple

Greasy coating

A

Phlegm Damp

Pathogenesis:
Invasion of exopathogenic Heat, Cold, or Damp. Or internal pathogenic changes can both lead to the stagnation of Qi and Blood which accumulated in or overfills the vessels giving rise to the purple color

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15
Q

Dark red-purple

No coating

A

Yin Exhaustion

Pathogenesis:
Invasion of exopathogenic Heat, Cold, or Damp. Or internal pathogenic changes can both lead to the stagnation of Qi and Blood which accumulated in or overfills the vessels giving rise to the purple color

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16
Q

Dark red-purple

Dry coating

A

Alcohol Toxin

Pathogenesis:
Invasion of exopathogenic Heat, Cold, or Damp. Or internal pathogenic changes can both lead to the stagnation of Qi and Blood which accumulated in or overfills the vessels giving rise to the purple color

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17
Q

Blue (entire tongue)

Glossy coating

A

Cold Accumulation

Pathogenesis:
Natural color is blue-green vessels. Pathogenic Cold Attack can cause blood vessels spasms and Blood stagnation. With the absence of the flow of red Blood the blue color of the vessels appears

18
Q

Blue (sides of tongue)
Possible:
Dry mouth with dislike of swallowing water
Dry coating

A

Blood Stagnation

Pathogenesis:

Natural color is blue-green vessels. Pathogenic Cold Attack can cause blood vessels spasms and Blood stagnation. With the absence of the flow of red Blood the blue color of the vessels appears

19
Q

Pale
Small, dry body
Thin, white coating

A

Qi and Blood Deficiency

Pathogenesis:
Deficiency of Qi and Blood fails to fill the tongue vessels and nourish the tongue

20
Q

Crimson
Dry, small body
No coating

A

Internal Yin Deficiency/Exhaustion

Pathogenesis:
When Yin is deficient or exhausted, the Blood will become more concentrated which gives it a deeper red color

21
Q

Tongue body color indicates:

A

Conditions of Blood, Nutritive Qi and Yin organs

Reflects conditions of Heat and Cold, Yin and Yang

22
Q

Tongue body shape indicates:

A

The state of Blood and Nutritive Qi

Reflects conditions of Excess or Deficiency

23
Q

Tongue coating indicates:

A

State of the Yang organs

Reflects conditions of Heat or Cold, Excess or Deficiency

24
Q

Tongue moisture indicates:

A

State of the Body Fluids

25
Q

Pale tongue color indicates:

A

Deficiency of Yang (slightly too wet)

Deficiency of Blood (somewhat dry)

At sides: Liver-Blood deficiency

Pale/orange: severe Liver-Blood deficiency

26
Q

Red tongue body indicates:

A

Heat

With coating: Full-Heat (Excess Yang; pathogenic factor)

No coating: Empty-Heat (Deficient Yin)

Red tip w/ coating: Heart-Fire

Red tip w/o coating: HT Empty-Heat

Red sides w/ coating: Liver-Fire or GB Heat

Red sides w/o coating: Liver-Yin deficiency with Empty-Heat

Red center w/ coating: ST Heat

Red center w/o coating: ST Empty-Heat

Red points on tip: HT-Fire

Red points on sides: Liver-Fire

Red spots on Root: Heat in Lower Burner

Red points around center: ST Heat

27
Q

Crimson tongue color indicates:

A

Severe Heat

Same clinical significance as Red tongue but more severe

28
Q

Purple tongue color indicates:

A

Stasis of Blood

Red-Purple: Heat and Blood stagnation - Develops from Red tongue

At sides: Liver-Boood stasis

Blue-Purple: Cold and Blood stagnation - Develops from Pale tongue

At sides (female): Blood Stagnation in UT

Purple at center: Blood stasis in ST

29
Q

Blue tongue color indicates:

A

Interior Cold giving rise to Blood Stagnation

30
Q

Thin tongue body shape indicates:

A

And pale: Blood Deficiency

And red w/o coating: Yin Deficiency

31
Q

Swollen tongue body shape indicates:

A

Dampness or Phlegm!

Partially swollen: Heat

And red at tip: severe HT-Fire

And red at sides: LV-Fire

And pale at sides: SP Deficiency

At front third: Phlegm in Lungs

32
Q

Stiff tongue body indicates:

A

Interior Wind or Blood Stagnation

33
Q

Flaccid tongue body indicates:

A

Deficiency of Body Fluids

34
Q

Long tongue body indicates:

A

Heat, HT-Heat

35
Q

Short tongue body indicates:

A

Pale and wet: Interior Cold

Red and peeled: Severe Yin Deficiency

36
Q

Cracked tongue body indicates:

A

Full-Heat or Yin Deficiency

Short horizontal or vertical cracks: ST Yin Deficiency

Long midline crack to tip: Heart pattern

Shallow wide crack in midline not to tip: ST Yin Deficiency

Short traverse cracks at sides, middle section: chronic SP Qi or SP Yin deficiency

37
Q

Quivering tongue body indicates:

A

SP Qi deficiency

38
Q

Deviated tongue body indicates:

A

Interior Wind

39
Q

Toothmarked tongue body indicates:

A

SP Qi deficiency

40
Q

Tongue coating gives an indication of:

A

The presence or absence of a pathogenic factor and of its strength: exterior Wind, Dampness (interior or exterior), Cold, retention of food, Phlegm, Heat, Fire

Thick coating: presence of pathogenic factor and thicker the coating, the stronger the pathogenic factor

W/o root: ST Qi deficiency

Partially peeled: ST Yin deficiency

Completely peeled: ST/KI Yin deficiency

Completely peeled and red: KI Yin deficiency with Empty Heat

White: Cold pattern

Yellow: Heat pattern

Grey/black, wet: extreme Cold

Grey/black, dry: extreme Heat

diagnosis theory (4 decks)

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