Week 5 - Replete Pulses, Tongue Diagnosis

Question 1

What are the replete pulses?

Answer 1

Replete, Tight, Surging

Question 2

Describe a replete pulse

Answer 2

large, long, hard, forceful

arriving & departing w/ exuberance

Question 3

What pathologies are associated with a replete pulse?

Answer 3

Excess patterns - heat, cold, accumulations, masses

Question 4

Describe a tight pulse

Answer 4

forceful, large, ropey, taut, also side-to-side movement/vibration

Question 5

What pathologies are associated with a tight pulse?

Answer 5

cold, pain, food accumulation

Question 6

Describe a surging pulse

Answer 6

Found at superficial level, broad, large, forceful, arrives like waves

Question 7

What pathologies are associated with a surging pulse?

Answer 7

Exuberant heat, 4 bigs

Question 8

The center of the tongue is associated with which organ(s)?

Answer 8

SP / ST

Question 9

List qualities of a normal tongue body

Answer 9

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

Question 10

List qualities of a normal tongue coat

Answer 10

thin, white coat
rooted
even
moist

Question 11

What pathologies are associated with a thin tongue?

Answer 11

Qi, Blood, Yin vacuity

Question 12

What pathologies are associated with a thick tongue?

Answer 12

Excess - yin, damp, phlegm

Vacuity - yang, SP Qi

Question 13

What are symptoms of SP Qi vacuity?

Answer 13

initially thin tongue
fatigue
gas & bloating
easy bruising
shortness of breath

Question 14

What pathologies are associated with a narrow tongue?

Answer 14

vacuity

Question 15

What pathologies are associated with a wide tongue?

Answer 15

Excess - damp, phlegm accumulation, heat

Question 16

How will tongue change if heat condition persists?

Answer 16

Wide tongue will become a narrow tongue

Question 17

What tongue colors are associated with heat and fire?

Answer 17

heat - dark red

fire - crimson

Question 18

What tongue colors are associated with cold?

Answer 18

blue

Question 19

What tongue colors are associated with stagnation?

Answer 19

purple

Question 20

A very pale tongue color indicates _______

Answer 20

Vacuity - blood, qi, yang

Question 21

An orange tongue color indicates _______

Answer 21

Long term blood vacuity

Question 22

A bluish purple tongue color would indicate _______ while a reddish purple tongue color would indicate _______

Answer 22

stagnation due to cold

stagnation due to heat

Question 23

A tongue crack in the center of the tongue indicates _____

Answer 23

ST disharmony - excess/vacuity

Question 24

A tongue crack in the center of the tongue that reaches the tip indicates _______

Answer 24

psycho-emotional pathologies

Question 25

Horizontal cracks in the center of the tongue indicate ______

Answer 25

primarily ST yin vacuity

Question 26

Horizontal cracks on the sides of the tongue indicate ______

Answer 26

SP yin vacuity

Question 27

Swelling on the tongue generally indicate ______

Answer 27

excess

Question 28

Bilateral swelling in the center of the tongue indicates ______

Answer 28

middle jiao damp heat

Question 29

Flattened out/depression on sides of the tongue indicate ______

Answer 29

LV pathology

Question 30

A red tongue tip that rolls under indicates ____

Answer 30

HT vacuity heat

Question 31

A red tongue tip that rolls up indicates _____

Answer 31

HT excess heat

Question 32

An indentation in the tongue tip indicates ______

Answer 32

HT vacuity

Question 33

Ulcerations or sores on the tongue tip indicate _____

Answer 33

HT heat

Question 34

Red dots on the anterior 1/3 of tongue indicate ____

Answer 34

upper jiao heat

Question 35

White vessicles on the tongue indicate ______

Answer 35

damp accumulation

Question 36

Distended sublingual veins indicate ______

Answer 36

Blood stasis

Question 37

Scalloped sides of the tongue indicate _______

Answer 37

SP Qi vacuity
damp accumulation
yang vacuity - wetter tongue

Question 38

Explain the pathomechanism of a scalloped tongue.

Answer 38

Tongue doesn’t fit comfortably inside mouth because of SP Qi vacuity - lack of transportation and transformation which leads to fluid accumulation