GOT Game: Tongue & Pulse Flashcards by Joyce Kwok

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In TCM, pulse palpation is often performed at the radial artery because:

a) The circulation of Qi and Blood in all 5 Zang and 6 Fu organs start and end at the Heart
b) The Lung channel starts in the Upper Burner, where the Spleen and Stomach are located; they are the source of acquired qi and the production of Qi and Blood
c) it is accessible and clinically accurate
d) the Lung is the source of acquired qi and the production of Qi and Blood

c) it is accessible and clinically accurate

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The cun pulse is:

a) adjacent and immediately distal to the proximal position
b) adjacent and distal to the middle position
c) adjacent and proximal to the middle position
d) medial to the styloid process of the radius

b) adjacent and distal to the middle position

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The guan position is:

a) on top of a hill
b) adjacent and proximal to the middle position
c) adjacent and distal to the middle position
d) medial to the styloid process of the radius

d) medial to the styloid process of the radius

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Pulses on the left wrist:

a) reflect the condition of the blood
b) reflect the Heart and Lung
c) reflect the upper, middle and lower jiao
d) reflect the Heart, Liver and Kidney Yin

a) reflect the condition of the blood
d) reflect the Heart, Liver and Kidney Yin

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Pulses on the right wrist:

a) reflect the condition of the blood and qi
b) reflect the condition of Lung, Spleen and Kidney Yang
c) reflect the condition of the Lung, Spleen and Kidney Yin
d) reflect the condition of the qi

b) reflect the condition of Lung, Spleen and Kidney Yang
d) reflect the condition of the qi

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Which 3 groups are accurately paired?

a) middle jiao: Liver, Spleen
b) lower jiao: Kidney Yang, Spleen
c) upper jiao: Heart, Lung
d) upper jiao: Heart, Liver
e) middle jiao: Spleen, Kidney Yin
f) lower jiao: Kidneys

a) middle jiao: Liver, Spleen
c) upper jiao:Heart, Lung
f) lower jiao: Kidneys

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What is the optimal duration to take a pulse reading?

a) 1 minute
b) 15 breaths
c) 2-3 minutes or at least 50 breaths
d) 2-3 minutes or at least 50 heart beats

c) 2-3 minutes or at least 50 breaths

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What are the 8 basic qualities or components of the TCM pulse image?

Bonus question: What is a 9th component?

Strength Width

Depth Rate

Rhythm Shape

Length Tension

Bonus: Vibration

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Which 3 statements are accurate?

a) Width of a pulse is the diameter of the vessel which is due to the qi and blood reflecting the condition of the Zang Fu organs.
b) Depth refers to the cun, guan or chi position where the pulse is strongest reflecting the vitality of the Stomach Qi
c) Strength is the force of the pulse which reflects the condition of the Qi and Blood
d) Length is the measure of the pulse length relative to the 3 positions, cun, guan and chi. This reflects the condition of the Qi and Blood - esp the Qi.

a) Width of a pulse is the diameter of the vessel which is due to the qi and blood reflecting the condition of the Zang Fu organs.
c) Strength is the force of the pulse which reflects the condition of the Qi and Blood
d) Length is the measure of the pulse length relative to the 3 positions, cun, guan and chi. This reflects the condition of the Qi and Blood - esp the Qi.

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Which statement is true?

a) Pulse rate is the number of times you count the patient’s pulse
b) Normal TCM pulse rate is 5 - 6 beats per breath of the patient
c) Pulse rate is determined by multiple factors - esp the state of the Yang
d) Normal pulse rate is between 70 - 100 beats per minute

c) Pulse rate is determined by multiple factors - esp the state of the Yang

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Which statements are true?

a) Rhythm of the heart beat mainly reflects Heart Qi function
b) Tension of the blood vessels is due to the condition of Qi and Blood and the blood vessels
c) Shape of a pulse refers to the ascending and descending contour of the pulse
d) The normal pulse is rooted

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Which statement is true?

a) Qi provides the substance that fills the vessels.
b) Yang provides the substance that fills the vessels.
c) Blood provides the substance that fills the vessels.
d) Yin is a form of blood therefore provides the substance that fills the vessels.

c) Blood provides the substance that fills the vessels.

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Which statement is true?

a) The Heart governs the Qi and gathers the channels and vessels.
b) The Heart stores the essence which transforms into Qi and Blood.
c) The Heart controls the blood inside the vessels.
d) The Heart stores the blood and ensures the smooth flow of Qi.
e) The Heart governs the blood and vessels.

e) The Heart governs the blood and vessels.

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Which statement is true?

a) The Spleen/Stomach governs the Qi and gathers the channels and vessels.
b) The Spleen/Stomach stores the essence which transforms into Qi and Blood.
c) The Spleen/Stomach controls the blood inside the vessels.
d) The Spleen/Stomach stores the blood and ensures the smooth flow of Qi.
e) The Spleen/Stomach governs the blood and vessels.

c) The Spleen/Stomach controls the blood inside the vessels.

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Which statement is true?

a) The Lung governs the Qi and gathers the channels and vessels.
b) The Lung stores the essence which transforms into Qi and Blood.
c) The Lung controls the blood inside the vessels.
d) The Lung stores the blood and ensures the smooth flow of Qi.
e) The Lung governs the blood and vessels.

a) The Lung governs the Qi and gathers the channels and vessels.

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Which statement is true?

a) The Kidney governs the Qi and gathers the channels and vessels.
b) The Kidney stores the essence which transforms into Qi and Blood.
c) The Kidney controls the blood inside the vessels.
d) The Kidney stores the blood and ensures the smooth flow of Qi.
e) The Kidney governs the blood and vessels.

b) The Kidney stores the essence which transforms into Qi and Blood.

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Which statement is true?

a) The Liver governs the Qi and gathers the channels and vessels.
b) The Liverstores the essence which transforms into Qi and Blood.
c) The Liver controls the blood inside the vessels.
d) The Liver stores the blood and ensures the smooth flow of Qi.
e) The Liver governs the blood and vessels.

d) The Liver stores the blood and ensures the smooth flow of Qi.

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Which completed statements are true? A normal pulse…

a) is 4 -5 beats/breath of the patient
b) feels strongest at the deep level
c) may indicate a very early stage pathological process
d) has a moderate width and force

c) may indicate a very early stage pathological process
d) has a moderate width and force

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What are the 3 basic aspects of the normal pulse that determine prognosis?

a) Yin, Yang and Essence
b) Stomach Qi, Spirit and Root
c) Depth, Width, Tension
c) Strength, Rate, Shape

b) Stomach Qi, Spirit and Root

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Choose the 3 best answers to complete the sentence.

Rootedness is:

a) felt at the deepest depth at all 3 positions (cun, guan, chi)
b) due to Heart Qi that is sufficient in Qi and Blood
c) the result of Kidney Qi.
d) felt at the proximal position at any depth.

a) felt at the deepest depth at all 3 positions (cun, guan, chi)
c) the result of Kidney Qi.
d) felt at the proximal position at any depth.

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An excess pulse may indicate…

a) cold accumulation, qi or blood stagnation
b) yin deficient fire
c) food stagnation or phlegm retention
d) yang collapse

a) cold accumulation, qi or blood stagnation
c) food stagnation or phlegm retention

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Choose the best answer to complete the sentence.

A deficient pulse may indicate…

a) blood deficiency if also floating
b) internal deficiency if also submerged/deep
c) yin deficiency if also slow
d) yang deficiency if also rapid

b) internal deficiency if also submerged/deep

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# Choose the 2 best answers to complete the sentence. **A large/wide pulse may indicate...** a) external heat b) internal heat c) yin unable to anchor yang d) yang unable to anchor yin

b) internal heat c) yin unable to anchor yang

# Choose the 3 best answers to complete the sentence. **A thin/thready pulse may indicate...** a) dampness b) wind c) blood or yin deficiency d) qi deficiency

a) dampness c) blood or yin deficiency d) qi deficiency

# Choose the 2 best answers to complete the sentence. **A superficial/floating pulse may indicate...** a) internal wind b) exterior wind c) blood, yin or yang exhaustion d) qi stagnation

b) exterior wind c) blood, yin or yang exhaustion

# Choose the 3 best answers to complete the sentence. **A deep/submerged pulse may indicate...** a) internal syndrome b) exterior external c) pathogenic obstruction d) qi and blood deficiency

a) internal syndrome c) pathogenic obstruction d) qi and blood deficiency

# Choose the best answers to complete the sentence. **A hidden pulse may indicate...** a) yang qi obstructed by pathogens b) yang qi unable to push qi and blood to the surface c) severe blood loss d) pregnancy

a) yang qi obstructed by pathogens b) yang qi unable to push qi and blood to the surface c) severe blood loss d) pregnancy

# Choose the 3 best answers to complete the sentence. **A long pulse may indicate...** a) internal heat b) Liver yang rising c) normal in moderate strength d) cold accumulation

a) internal heat b) Liver yang rising c) normal in moderate strength

# Choose the 2 best answers to complete the sentence. **A short pulse may indicate...** a) qi deficiency b) qi stagnation c) blood deficiency d) blood stagnation

a) qi deficiency b) qi stagnation

# Choose the 3 best answers to complete the sentence. **A rapid pulse may indicate...** a) excess pathogenic heat b) yin deficiency c) blood deficiency d) blood stagnation

a) excess pathogenic heat b) yin deficiency c) blood deficiency

# Choose the 2 best answers to complete the sentence. **A racing pulse may indicate...** a) excess heat and hyperactivity of yang b) yin exhaustion and antipathogenic qi collapse c) internal wind d) qi and blood stagnation

a) excess heat and hyperactivity of yang b) yin exhaustion and antipathogenic qi collapse

# Choose the 3 best answers to complete the sentence. **A slow pulse may indicate...** a) excess cold b) deficiency cold c) qi deficiency d) qi stagnation

a) excess cold b) deficiency cold c) qi deficiency

# Choose the 2 best answers to complete the sentence. **A consistently/regularly intermittent pulse may indicate...** a) if also rapid: wind syndrome, pain, emotional shock b) if also rapid: damp syndrome, phlegm, excitement c) if also forceless: qi and/or blood deficiency d) if also forceless: yin and/or yang deficiency

a) if also rapid: wind syndrome, pain, emotional shock c) if also forceless: qi and/or blood deficiency

# Choose the 2 best answers to complete the sentence. **A slippery/rolling pulse may indicate...** a) deficiency b) food stagnation or heat c) phlegm or damp d) blood stagnation

b) food stagnation or heat c) phlegm or damp

# Choose the best answer. **Which "normal" pulses are accurately paired with a season?** a) spring and flooding b) summer and wiry c) winter and slow d) autumn and floating

d) autumn and floating

# Choose the 3 best answers **Which "normal" pulses are accurately paired with age, constitution or gender?** a) elderly with empty and forceless b) female with maybe weaker, thinner, slightly more rapid c) infants and children with heart rates over 90 beats per minute. d) taller, thinner constitution with slower rate

a) elderly with empty and forceless b) female with maybe weaker, thinner, slightly more rapid c) infants and children with heart rates over 90 beats per minute.

# Choose the 2 best answers. **Which pulses are accurately paired with a mental state?** a) fear with moving b) fright with submerged c) joy with slow d) grief with short

c) joy with slow d) grief with short

# Choose the best answers. **Which factors may cause a pulse to feel more full, rapid or forceful?** a) eating a meal b) spicy foods c) ice cream d) alcohol

a) eating a meal b) spicy foods d) alcohol

# Choose the best answer. **What pulse quality reflects the sufficiency of stomch qi and the free flow of qi and blood ?** a) strength b) width c) depth d) rate

c) depth

# Choose the best answer. **What pulse quality reflects the condition of heart qi?** a) strength b) rhythm c) length d) shape

b) rhythm

# Choose the 3 most accurate statements. a) A pulse that is slack or loose indicates qi and blood deficiency b) A pulse that is slack or loose indicates yin deficiency c) A pulse that is taut or has tension indicates qi and blood stagnation d) A pulse that is taut or has tension indicates blood vessel constriction

a) A pulse that is slack or loose indicates qi and blood deficiency c) A pulse that is taut or has tension indicates qi and blood stagnation d) A pulse that is taut or has tension indicates blood vessel constriction

# Choose the 3 best statements to complete the sentence. **A wiry or string-taut pulse feels:** a) "Like a string on a musical istrument." b) Long, forceful and vibrating c) Like a straight line d) Taut, long and forceful

a) "Like a string on musical istrument." c) Like a straight line d) Taut, long and forceful

# Choose the 2 best statements to complete the sentence. **A wiry or string-taut pulse indicates:** a) Normal in Summer b) Phlegm, Pain or Malaria c) Qi and Blood deficiency d) Liver/Gallbladder disease

b) Phlegm, Pain or Malaria d) Liver/Gallbladder disease

# Choose the best statement to complete the sentence. **A tight or tense pulse feels:** a) "Like a string on a musical istrument." b) Vibrating, rising and falling with strength c) Rapid d) Round, rolling

b) Vibrating, rising and falling with strength

# Choose the 2 best statements to complete the sentence. **A tight or tense pulse indicates:** a) Pain or Heat Pattern b) Pain or Cold Pattern c) Food Stagnation d) Phlegm Stagnation

b) Pain or Cold Pattern c) Food Stagnation

# Choose the 2 best statements to complete the sentence. **A leather pulse feels:** a) Deep, flat and forceful b) Vibrating, rising and falling with strength c) Superficial, forceful, taut, wide and hollow d) Like a drumskin

c) Superficial, forceful, taut, wide and hollow d) Like a drumskin

# Choose the 2 best statements to complete the sentence. **A leather pulse indicates:** a) Excess Pattern b) Deficiency Pattern c) Qi and Blood Stagnation d) Blood Loss

b) Deficiency Pattern d) Blood Loss

# Choose the 3 best statements to complete the sentence. **A rapid irregular or abrupt pulse feels:** a) Possibly forceful or forceless b) Hasty c) Hesitant d) Fast with missed steps

a) Possibly forceful or forceless b) Hasty d) Fast with missed steps

# Choose the 2 best statements to complete the sentence. **A rapid irregular or abrupt pulse indicates:** a) If also forceful, then excess heat or stagnation b) If also forceful, then excess cold c) If also forceless, then qi or blood deficiency d) If also forceless, then yin and yang disharmony

a) If also forceful, then excess heat or stagnation d) If also forceless, then yin and yang disharmony

# Choose the 2 best statements to complete the sentence. **A slow irregular or knotted pulse indicates:** a) Heart qi deficiency b) Liver blood deficiency c) Heat or Yang Rising d) Cold, Stagnation or Tumor

a) Heart qi deficiency d) Cold, Stagnation or Tumor

# Choose the best statements to complete the sentence. **A choppy or hesitant pulse feels:** a) Irregular in rate, strength and size b) Uneven, unsmooth, changing rapidly c) Rough, Sluggish d) Forceful or Forceless

a) Irregular in rate, strength and size b) Uneven, unsmooth, changing rapidly c) Rough, Sluggish d) Forceful or Forceless

# Choose the 2 best statements to complete the sentence. **A choppy or hesitant pulse:** a) If also forceful, indicates qi and blood stagnation, food stagnation or phlegm retention b) If also forceful, indicates excess heat or cold c) If also forceless, indicates Spleen qi deficiency with dampness d) If also forceless, indicates blood or essence deficiency, threatened abortion or seminal emission

a) If also forceful, indicates qi and blood stagnation, food stagnation or phlegm retention d) If also forceless, indicates blood or essence deficiency, threatened abortion or seminal emission

# Choose the 2 best statements to complete the sentence. **A flooding or surging pulse feels:** a) Gently rising with a burst of force b) Wide, forceful and easily felt at the superficial level c) Fades gently d) Symmetrical when it rises and falls

b) Wide, forceful and easily felt at the superficial level c) Fades gently

# Choose the 2 best statements to complete the sentence. **A flooding or surging pulse indicates:** a) Excess Damp in the qi level b) Excess Heat in the qi level c) Acute infection d) Possibly normal in the Spring

b) Excess Heat in the qi level c) Acute infection

# Choose the best answers. **Which 4 pulses are accurately paired with their descriptions?** a) Soggy/Soft - superficial, thin and forceless b) Frail/Weak - superficial, very thin and forceless c) Faint - vague with more pressure, very thin and forceless d) Scattered - superficial, wide, slack, vague and forceless e) Hollow - superficial, wide and soft, obscure center

a) Soggy/Soft - superficial, thin and forceless c) Faint - vague with more pressure, very thin and forceless d) Scattered - superficial, wide, slack, vague and forceless e) Hollow - superficial, wide and soft, obscure center

# Choose the 2 best statements to complete the sentence. **A soggy or soft pulse indicates:** a) threatened pregnancy b) dampness obstructing qi and blood flow c) deficiency of qi, blood or yin d) normal for a young or strong patient

b) dampness obstructing qi and blood flow c) deficiency of qi, blood or yin

# Choose the 2 best statements to complete the sentence. **A frail or weak pulse indicates:** a) possible blood loss, profuse sweating or severe vomiting b) hypertension or hypotension c) deficiency of qi, blood, yin or yang d) deficiency of essence

a) possible blood loss, profuse sweating or severe vomiting c) deficiency of qi, blood, yin or yang

# Choose the 2 best statements to complete the sentence. **A faint or minute pulse indicates:** a) possible blood loss, profuse sweating or severe vomiting b) hypertension or hypotension c) deficiency of qi, blood, yin or yang d) deficiency of essence

a) possible blood loss, profuse sweating or severe vomiting c) deficiency of qi, blood, yin or yang

# Choose the 2 best statements to complete the sentence. **A scattered pulse indicates:** a) Zang Fu organ failure b) Shen disturbance c) exhaustion of qi d) internal wind

a) Zang Fu organ failure c) exhaustion of qi

# Choose the 3 best statements to complete the sentence. **A scattered pulse may be:** a) potential miscarriage if in 2nd trimester b) Cardiovascular, Heart disease c) Imminent labor if in 3rd trimester d) emotional shock

a) potential miscarriage if in 2nd trimester b) Cardiovascular, Heart disease c) Imminent labor if in 3rd trimester

# Choose the 2 best statements to complete the sentence. **A hollow pulse:** a) if also forceless, indicates loss of qi b) if also forceless, indicates loss of blood c) if also rapid, indicates yin depletion d) if also rapid, indicates yang exhaustion

b) if also forceless, indicates loss of blood c) if also rapid, indicates yin depletion

# Choose the best statements to complete the sentence. **A moderate, leisurely pulse:** a) usually also has other pulse qualities b) Spleen and Stomach deficiency c) dampness d) may be normal

a) usually also has other pulse qualities b) Spleen and Stomach deficiency c) dampness d) may be normal

# Choose the 2 best statements to complete the sentence. **A moving pulse:** a) is “like a bean bouncing in the vessel, with well-defined peaks, but without head or tail.” b) Long, slow, slippery and forceful c) may be due to pain or fright d) may be normal in the 2nd trimester of a pregnant woman

a) is “like a bean bouncing in the vessel, with well-defined peaks, but without head or tail.” c) may be due to pain or fright

# Choose the 3 best statements to complete the sentence. **A confined pulse:** a) is deep, taut, long, wide and forceful b) may be due to arteriosclerosis, chronic nephritis, hernia or mass c) indicates an interior excess heat syndrome d) indicates an interior excess cold syndrome

a) is deep, taut, long, wide and forceful b) may be due to arteriosclerosis, chronic nephritis, hernia or mass d) indicates an interior excess cold syndrome

# Choose the best answers. **What are the 3 main indications for a pale tongue body?** a) Qi and Blood Deficiency b) Yin Deficiency c) Yang Deficiency d) Cold Syndrome e) Qi and Blood Stagnation

a) Qi and Blood Deficiency c) Yang Deficiency d) Cold Syndrome

# Choose the best answer. **What kind of tongue body and coating would a person with Cold Syndrome and pale tongue color show?** a) Flabby, moist body and thin, white coat b) Moist body and thin, white coat c) Small, dry body and thick, white coat d) Moist body and thick, white coat

d) Moist body and thick, white coat

# Choose the best answer. **What kind of tongue body and coating would a person with Yang Deficiency and pale tongue color show?** a) Flabby, moist body and thin, white coat b) Moist body and thin, white coat c) Small, moist body and thick, white coat d) Moist body and thick, white coat

## Footnote a) Flabby, moist body and thin, white coat

# Choose the best answer. **What kind of tongue body and coating would a person with Qi and Blood Deficiency and pale tongue color show?** a) Flabby, moist body and thin, white coat b) Small, dry body and thin, white coat c) Small, moist body and thick, white coat d) Small, dry body and thick, white coat

## Footnote b) Small, dry body and thin, white coat

# Choose the best answers. **Biomedical causes for a a pale tongue body may be:** a) blood disorders, such as: anemia, erythropenia b) tissue edema c) protein deficiencies d) digestive disorders

## Footnote a) blood disorders, such as: anemia, erythropenia b) tissue edema c) protein deficiencies d) digestive disorders

# Choose the best answers. **What are the 3 main indications for a red tongue body?** a) Internal Excess b) Internal Deficiency c) External Invasion d) Dry Wind Invasion e) Qi and Blood Deficiency

## Footnote a) Internal Excess b) Internal Deficiency c) External Invasion

## Footnote Choose the best answer. **What kind of tongue body and coating would a person with an External Invasion and red tongue color show?** a) Tough body and thick, yellow coat b) Small , fissured body and no coat c) Slightly red body and thin, white coat d) Slightly red body and thin, yellow coat

d) Slightly red body and thin, yellow coat

Choose the best answer. **What kind of tongue body and coating would a person with Internal Excess and red tongue color show?** a) Tough body and thick, yellow coat b) Small , fissured body and no coat c) Tough body and thin, white coat d) Tough body and thick, white coat

## Footnote a) Tough body and thick, yellow coat

# Choose the best answer. **What kind of tongue body and coating would a person with severe Internal Deficiency and red tongue color show?** a) Small body and white coat b) Small , fissured body and no coat c) Swollen body and yellow coat d) Tough body and thick, yellow coat

b) Small , fissured body and no coat

# Choose the 4 best answers. **Biomedical causes for a a red tongue body may be:** a) high fever b) digestive disorders c) dehydration d) inflammation e) hypercoagulation

a) high fever c) dehydration d) inflammation e) hypercoagulation

# Choose the best answers. **What are the 3 main indications for a crimson tongue body?** a) Blood Stagnation b) Internal Deficiency or Exhaustion c) Qi Deficiency with Dampness d) External Febrile Disease e) Blood Deficiency

a) Blood Stagnation b) Internal Deficiency or Exhaustion d) External Febrile Disease

# Choose the 4 best answers. **Biomedical causes for a a crimson tongue body may be:** a) high fever b) digestive disorders c) dehydration d) inflammation e) hypercoagulation

a) high fever c) dehydration d) inflammation e) hypercoagulation

# Choose the best answer. **What kind of tongue body and coating would a person with an External Febrile Disease and crimson tongue color show?** a) Dry body and thin, moist coat b) Dry body and no coat c) Dry body and dry coat d) Dry body and thin, white coat

c) Dry body and dry coat

# Choose the best answer. **What kind of tongue body and coating would a person with an Internal Deficiency or Exhaustion and crimson tongue color show?** a) Dry, small body and thin, moist coat b) Dry, purple body and no coat c) Dry body and dry coat d) Dry, small body and no coat

## Footnote d) Dry, small body and no coat

# Choose the best answer. **What kind of tongue body and coating would a person with an Internal Excess Blood Stagnant and crimson tongue color show?** a) Dry, small, purple hued body and thin, moist coat b) Purple hued body and thin, moist coat c) Purple hued body and dry coat d) Purple hued body and no coat

b) Purple hued body and thin, moist coat

# Choose the best answers. **What are the 3 main indications for a Pale or Blue Purple tongue body?** a) Blood Stagnation b) Phlegm Stagnation c) Internal Cold d) Damp Accumulation e) Blood Deficiency

a) Blood Stagnation c) Internal Cold e) Blood Deficiency

# Choose the best answers. **What are the 3 main indications for a Dark Red Purple tongue body?** a) Alcohol Toxin and Extreme Heat b) Phlegm and Damp c) Extreme Cold and Blood Deficiency d) Yin Exhaustion

a) Alcohol Toxin and Extreme Heat b) Phlegm and Damp d) Yin Exhaustion

# Choose the best answer. **What kind of tongue body and coating would a person with Blood stagnation and blue tongue color show?** a) Blue sides of body and dry coat b) Blue sides of body and maybe dry coat w/dislike of water c) Blue sides of body and maybe dry coat w/thirst for water d) Entirely blue body and glossy coat

b) Blue sides of body and maybe dry coat w/dislike of water

# Choose the 4 best answers. **Biomedical causes for a a purple tongue body may be:** a) venous stagnation b) deoxygenation c) decreased blood circulation d) fluid retention e) thickened blood

a) venous stagnation b) deoxygenation c) decreased blood circulation e) thickened blood

# Choose the best answers. **What are the 2 main indications for a blue tongue body?** a) Blood Stagnation b) Qi Deficiency with Dampness c) External Febrile Disease d) Cold Accumulation

a) Blood Stagnation d) Cold Accumulation

# Choose the best answer. **What kind of tongue body and coating would a person with Cold Accumulation and blue tongue color show?** a) Blue sides of body and maybe dry coat b) Front half blue body and glossy coat c) Entirely blue body and glossy coat d) Rear half blue body and glossy coat

c) Entirely blue body and glossy coat

# Choose the best answers. **Biomedical causes for a a blue tongue body may be:** a) venous stagnation b) deoxygenation c) decreased blood circulation d) fluid retention e) thickened blood

a) venous stagnation b) deoxygenation c) decreased blood circulation e) thickened blood

# Choose the 3 best answers. **For dark red, purple tongue bodies, which tongue coatings are paired accurately to their indications?** a) Alcohol toxin and dry coat b) Yin exhaustion and no coat c) Extreme Cold and thick white coat d) Phlegm Damp and greasy or glossy coat

a) Alcohol toxin and dry coat b) Yin exhaustion and no coat d) Phlegm Damp and greasy or glossy coat

# Choose the 2 best answers. **Normal tongue coating is:** a) thin, white, even b) sometimes wet or dry c) sometimes sticky d) rooted to the tongue body

a) thin, white, even d) rooted to the tongue body

# Choose the 3 best answers. **A tongue with a white coating that is thin may indicate:** a) normal b) wind heat c) early stage of a pathogenic invasion d) wind cold, damp or cold damp

a) normal c) early stage of a pathogenic invasion d) wind cold, damp or cold damp

# Choose the 2 best answers. **A tongue with a white coating that is thick and greasy may indicate:** a) food stagnation or dampness b) wind heat or wind cold c) if also glossy, interior cold, damp or phlegm d) blood stagnation

a) food stagnation or dampness c) if also glossy, interior cold, damp or phlegm

# Choose the 3 best answers. **A tongue with a white coating that is dry may indicate:** a) if also thick, early stage febrile disease b) wind heat c) dryness d) wind cold

a) if also thick, early stage febrile disease b) wind heat c) dryness

# Choose the best answer. **A person with an internal toxic heat (contagious epidemic) may have a tongue coating that looks:** a) thick white and greasy b) white and powdery c) black and white d) thin and white

b) white and powdery

# Choose the best answer. **A tongue with a slightly yellow coating that is thin may indicate:** a) excess interior heat b) excess interior cold c) wind cold invasion d) wind heat invasion

d) wind heat invasion

# Choose the best answer. **A tongue with a thick, slightly yellow coating may indicate:** a) damp heat with Qi stagnation b) wind heat invasion c) Qi and Blood stagnation d) excess interior cold

a) damp heat with Qi stagnation

# Choose the 2 best answers. **A tongue with a thick yellow coating that is greasy may indicate:** a) damp heat b) cold damp c) Qi stagnation d) phlegm Heat

a) damp heat d) phlegm Heat

# Choose the 2 best answers. **A tongue with a yellow coating that is greasy may indicate:** a) damp and/or heat b) damp and/or cold c) if pale yellow, cold mixed with heat d) if dark yellow, heat more than damp

a) damp and/or heat d) if dark yellow, heat more than damp

# Choose the best answer. **A tongue with a yellow coating that is glossy (wet) over a pale body may indicate:** a) that you have to scrape the coat off to see the body b) yin deficiency c) yang deficiency d) blood deficiency

c) yang deficiency

# Choose the 2 best answers. **For a tongue with a yellow coat in various regions of the tongue body or darker color shade, choose the correct presentation to problem area.** a) coating at the root indicates upper burner b) coating in double strips indicates Speen/Stomach c) dark yellow coating indicates Liver/Gallbladder d) coating at the tip indicates middle burner

b) coating in double strips indicates Speen/Stomach c) dark yellow coating indicates Liver/Gallbladder

# Choose the 2 best answers. **A tongue with a gray or slightly black coating may indicate:** a) an exterior condition b) if also dry, yin deficiency c) if also glossy, cold damp or phlegm d) wind cold invasion

b) if also dry, yin deficiency c) if also glossy, cold damp or phlegm

# Choose the 3 best answers. **A tongue with a black coating may indicate:** a) use of a Pepto Bismol type product b) if also dry and cracked, kidney exhaustion c) if also glossy and greasy, excess cold damp d) if also glossy and greasy, excess yin deficiency

a) use of Pepto Bismol type product b) if also dry and cracked, kidney exhaustion c) if also glossy and greasy, excess cold damp

# Choose the 3 best answers. **When examining tongue coat qualities we look for:** a) thickness, moisture, viscosity b) distribution, peeling c) taste d) trend and root

a) thickness, moisture, viscosity b) distribution, peeling d) trend and root

# Choose the 3 best answers. **A thin tongue coating may indicate:** a) Depth of the antipathgenic qi or pathogenic qi b) Stomach/Spleen Yang qi deficiency c) Kidney/Stomach Yin deficiency d) food stagnation e) phlegm/dampness

a) Depth of the antipathgenic qi or pathogenic qi b) Stomach/Spleen Yang qi deficiency c) Kidney/Stomach Yin deficiency

# Choose the 3 best answers. **A thick tongue coating may indicate:** a) Depth of the antipathgenic qi or pathogenic qi b) Stomach/Spleen Yang qi deficiency c) Kidney/Stomach Yin deficiency d) food stagnation e) phlegm/dampness

a) Depth of the antipathgenic qi or pathogenic qi d) food stagnation e) phlegm/dampness

# Choose the 3 best answers. **A glossy (wet) tongue coating may indicate:** a) the condition of the body fluids b) cold, damp, phlegm c) Kidney/Stomach Yin d) food stagnation

a) the condition of the body fluids b) cold, damp, phlegm c) Kidney/Stomach Yin

# Choose the 3 best answers. **A dry tongue coating may indicate:** a) Heat excess b) Yin and/or Yang deficiency c) Phlegm heat d) the condition of the body fluids

a) Heat excess b) Yin and/or Yang deficiency d) the condition of the body fluids

# Choose the 3 best answers. **A greasy tongue coating may indicate:** a) heat excess b) food stagnation c) phlegm or Dampness d) obstruction of yang qi by pathogen

b) food stagnation c) Phlegm or Dampness d) obstruction of yang qi by pathogen

# Choose the 4 best answers. **A moldy tongue coating may indicate:** a) internal abscess b) food stagnation c) Phlegm d) putrid qi rising due to excess yang heat e) diet high in tofu

a) internal abscess b) food stagnation c) Phlegm d) putrid qi rising due to excess yang heat

# Choose the 4 best answers. **A uneven tongue coating may indicate:** a) if on one side, lung or heart b) invasion of pathogen c) if absent in the center, deficiency of qi, blood, yin or essence d) location and depth of the disease e) stomach qi deficiency or dysfunction

b) invasion of pathogen c) if absent in the center, deficiency of qi, blood, yin or essence d) location and depth of the disease e) stomach qi deficiency or dysfunction

# Choose the 3 best answers. **A peeling tongue coating may:** a) appear geographic ("mapped"), scattered, peeled with raised borders b) indicate excess heat invasion c) appear mirror-like, smooth and shiny with no coat d) indicate qi stagnation e) indicate stomach yin and qi deficiency

a) appear geographic ("mapped"), scattered, peeled with raised borders c) appear mirror-like, smooth and shiny with no coat e) indicate stomach yin and qi deficiency

# Choose the 3 best answers. **The trend of the tongue coating thickening or thinning may indicate:** a) the pathogen entering or exiting b) the prognosis c) the health of stomach qi d) the existence qi stagnation

a) the pathogen entering or exiting b) the prognosis c) the health of stomach qi

# Choose the 3 best answers. **The rootedness of the tongue coating may indicate:** a) the strength of a pathogen b) the prognosis c) the strength of kidney qi d) the strength of stomach qi

a) the strength of a pathogen b) the prognosis d) the strength of stomach qi

# Choose the best answer. **What is *not* a clinical significance of tongue body shape change?** a) Helps provide a correct diagnosis when the color of the tongue body hasn't changed. b) Indicates a more severe condition. c) Helps determine the thermal nature of the pathogen d) Reflects excess or deficiency syndromes.

c) Helps determine the thermal nature of the pathogen

# Choose the 2 best answers that complete the sentence accurately. **If the texture of the tongue body is tough, \_\_\_** a) and if the tongue body is red then there is excess heat b) and if the tongue body is pale then there is deficient heat c) and if the tongue body is blue then there is damp heat d) and if the tongue body is purple then there is blood stagnation

a) and if the tongue body is red then there is excess heat d) and if the tongue body is purple then there is blood stagnation

# Choose the 2 best answers that complete the sentence accurately. **If the texture of the tongue body is tender, \_\_\_** a) and if the tongue body is moist then there is damp accumulation b) and if the tongue body is dry then there is qi and blood deficiency c) and if the tongue body is glossy (wet) then there is yang deficiency d) and if the tongue body is prickled then there is blood deficiency

b) and if the tongue body is dry then there is qi and blood deficiency c) and if the tongue body is glossy (wet) then there is yang deficiency

# Choose the 3 best answers. **A flabby tongue shape indicates:** a) damp or phlegm heat if the tongue body is red b) blood stagnation if the tongue body is pale c) Spleen or Kidney yang deficiency if the tongue body is pale, tender, and teethmarked d) normal health in an asymptomatic person

a) Damp or phlegm heat if the tongue body is red c) Spleen or Kidney yang deficiency if the tongue body is pale, tender, and teethmarked d) Normal health in an asymptomatic person

# Choose the 3 best answers. **A (vertically) swollen tongue shape indicates:** a) Alcohol poisoning if the tongue body is purple b) Blood stagnation due to chemical toxicity if the tongue body is dark blue purple or pale blue purple c) Heart or Spleen Heat if the tongue body is bright red, possibly painful d) normal health in an asymptomatic person

a) Alcohol poisoning if the tongue body is purple b) Blood stagnation due to chemical toxicity if the tongue body is dark blue purple or pale blue purple c) Heart or Spleen Heat if the tongue body is bright red, possibly painful

# Choose the 4 best answers. **An enlarged tongue with teethmarks indicates:** a) Dampness if the tongue body is pale and moist b) Spleen yang deficiency if the tongue body is pale and moist c) Kidney yang deficiency if the tongue body is pale and moist d) abnormal health in all cases e) Spleen deficiency if slightly pale

a) Dampness if the tongue body is pale and moist b) Spleen yang deficiency if the tongue body is pale and moist c) Kidney yang deficiency if the tongue body is pale and moist e) Spleen deficiency if slightly pale

# Choose the 3 best answers. **A thin and/or small tongue indicates:** a) Qi and blood deficiency if the tongue body is pale and the coating is thin b) Spleen yang deficiency if the tongue body is pale and dry c) Yin deficiency with heat if the tongue body is red and mirrored d) Normal health in some cases

a) Qi and blood deficiency if the tongue body is pale and the coating is thin c) Yin deficiency with heat if the tongue body is red and mirrored d) Normal health in some cases

# Choose the best answer. **Which indication is *incorrect* for a cracked tongue body?** a) Blood deficiency if the tongue body is pale or slightly red and the coating is varied b) Spleen qi deficiency with dampness if the tongue body is pale, flabby, scalloped and the coating is varied c) Excess Heat if the tongue body is deep red and has a dry coat d) Yin deficient if the tongue body is red and the coating is thin and yellow

d) Yin deficient if the tongue body is red and the coating is thin and yellow

# Choose the 3 best answers. **Which indications are true for a prickled or speckled tongue body?** a) Speckles are raised and due to pathogenic heat pushing upwards b) Damp Heat accumulation if the tongue body has red prickles and the coating is thick and yellow c) Toxic Heat if the tongue body is bright red and has a yellow coat d) Heat in the Nutritive or Blood Level if the tongue body is deep red with red or dark purple prickles and the coating is little or none

b) Damp Heat accumulation if the tongue body has red prickles and the coating is thick and yellow c) Toxic Heat if the tongue body is bright red and has a yellow coat d) Heat in the Nutritive or Blood Level if the tongue body is deep red with red or dark purple prickles and the coating is little or none

# Choose the 2 best answers. **Which indications are true for sores on the tongue body?** a) Toxic Heat in the Heart Channel if the tongue body is pale and has a white coat, sores are yellow, ulcerating and painful b) Deficient Heat from the Lower Burner if the tongue body is pale with scallops and the coating is thick and white, sores are flat, red and mildly painful. c) Toxic Heat in the Heart Channel if the tongue body is red and has a yellow coat, sores are yellow, ulcerating and painful d) Deficient Heat from the Lower Burner if the tongue body is red with fissures and the coating is very little and yellow, sores are flat, red and mildly painful.

c) Toxic Heat in the Heart Channel if the tongue body is red and has a yellow coat, sores are yellow, ulcerating and painful d) Deficient Heat from the Lower Burner if the tongue body is red with fissures and the coating is very little and yellow, sores are flat, red and mildly painful.

# Choose the 2 best answers. **A tongue body with a stiff tongue bearing causing slurred speech and/or dysphagia may be due to:** a) Spleen dysfunction causing wind causing muscle spasm b) Turbid Phlegm c) Excess Heat invading the Pericardium d) Yang Qi dysfunction

b) Turbid Phlegm c) Excess Heat invading the Pericardium

# Choose the 2 best answers. **A tongue body with an atrophied limp tongue bearing may be due to:** a) Damp accumulation b) Turbid Phlegm c) Excess Heat d) Yin & Body Fluid Exhaustion

c) Excess Heat d) Yin & Body Fluid Exhaustion

# Choose the 2 best answers. **A tongue body with a trembling or quivering tongue bearing may be due to:** a) Excess Cold b) Qi, Blood or Yang Deficiency c) Excess Heat causing Internal Wind d) Food Stagnation

b) Qi, Blood or Yang Deficiency c) Excess Heat causing Internal Winnd

# Choose the best answers. **A tongue body with a deviated bearing is due to Wind Stroke possibly caused by:** a) Wind Phlegm b) Blood Deficiency c) Liver Yang Rising d) External Pathogenic Wind Entering the Collaterals

a) Wind Phlegm b) Blood Deficiency c) Liver Yang Rising d) Excess Pathogenic Wind Entering the Collaterals

# Choose the 2 best answers. **A tongue body that is protruded and/or licking may be due to cognitive/mental issues associated with:** a) Kidney Channel Pathogenic Heat b) Liver Channel Pathogenic Heat c) Heart Channel Pathogenic Heat d) Spleen Channel Pathogenic Heat e) Lung Channel Pathogenic Heat

c) Heart Channel Pathogenic Heat d) Spleen Channel Pathogenic Heat

# Choose the 4 best answers. **A tongue body that has a contracted bearing may be due to:** a) Pathogenic Heat or Cold b) Lung Dryness c) Qi and Blood Deficiency d) Spleen and Kidney "Failure" e) Turbid Phlegm

a) Pathogenic Heat or Cold c) Qi and Blood Deficiency d) Spleen and Kidney "Failure" e) Turbid Phlegm

# Choose the 3 best answers. **A tongue body that has a protracted or loosened bearing mostly seen in critical conditions may be due to:** a) Interior Excess Heat b) Liver Wind c) Qi Deficiency d) Cold Invasion e) Phlegm Heat

a) Interior Excess Heat c) Qi Deficiency e) Phlegm Heat