Week 5 - Replete Pulses, Tongue Diagnosis Flashcards
What are the replete pulses?
Replete, Tight, Surging
Describe a replete pulse
large, long, hard, forceful
arriving & departing w/ exuberance
What pathologies are associated with a replete pulse?
Excess patterns - heat, cold, accumulations, masses
Describe a tight pulse
forceful, large, ropey, taut, also side-to-side movement/vibration
What pathologies are associated with a tight pulse?
cold, pain, food accumulation
Describe a surging pulse
Found at superficial level, broad, large, forceful, arrives like waves
What pathologies are associated with a surging pulse?
Exuberant heat, 4 bigs
The center of the tongue is associated with which organ(s)?
SP / ST
List qualities of a normal tongue body
pale red/pink fits comfortably in mouth neither thin nor thick no unintended movement moist smooth no consitutional demarcations SLV not distended no deviations flexibility/pliability spiritedness
List qualities of a normal tongue coat
thin, white coat
rooted
even
moist
What pathologies are associated with a thin tongue?
Qi, Blood, Yin vacuity
What pathologies are associated with a thick tongue?
Excess - yin, damp, phlegm
Vacuity - yang, SP Qi
What are symptoms of SP Qi vacuity?
initially thin tongue fatigue gas & bloating easy bruising shortness of breath
What pathologies are associated with a narrow tongue?
vacuity
What pathologies are associated with a wide tongue?
Excess - damp, phlegm accumulation, heat
How will tongue change if heat condition persists?
Wide tongue will become a narrow tongue
What tongue colors are associated with heat and fire?
heat - dark red
fire - crimson
What tongue colors are associated with cold?
blue
What tongue colors are associated with stagnation?
purple
A very pale tongue color indicates _______
Vacuity - blood, qi, yang
An orange tongue color indicates _______
Long term blood vacuity
A bluish purple tongue color would indicate _______ while a reddish purple tongue color would indicate _______
stagnation due to cold
stagnation due to heat
A tongue crack in the center of the tongue indicates _____
ST disharmony - excess/vacuity
A tongue crack in the center of the tongue that reaches the tip indicates _______
psycho-emotional pathologies
Horizontal cracks in the center of the tongue indicate ______
primarily ST yin vacuity
Horizontal cracks on the sides of the tongue indicate ______
SP yin vacuity
Swelling on the tongue generally indicate ______
excess
Bilateral swelling in the center of the tongue indicates ______
middle jiao damp heat
Flattened out/depression on sides of the tongue indicate ______
LV pathology
A red tongue tip that rolls under indicates ____
HT vacuity heat
A red tongue tip that rolls up indicates _____
HT excess heat
An indentation in the tongue tip indicates ______
HT vacuity
Ulcerations or sores on the tongue tip indicate _____
HT heat
Red dots on the anterior 1/3 of tongue indicate ____
upper jiao heat
White vessicles on the tongue indicate ______
damp accumulation
Distended sublingual veins indicate ______
Blood stasis
Scalloped sides of the tongue indicate _______
SP Qi vacuity
damp accumulation
yang vacuity - wetter tongue
Explain the pathomechanism of a scalloped tongue.
Tongue doesn’t fit comfortably inside mouth because of SP Qi vacuity - lack of transportation and transformation which leads to fluid accumulation
