Inspection of the Tongue Body Flashcards Preview

TCM Diagnosis - Maciocia > Inspection of the Tongue Body > Flashcards

Flashcards in Inspection of the Tongue Body Deck (129):
1

How does the Kidney Meridian reach the tongue?

it reaches root of the tongue throught he regular and Jing Bie

2

How does the Heart Meridian reach the tongue?

Luo connects to the root of the tongue
it's influence is seen on the tip of the tongue

3

What are the 8 things we assess when looking at the tongue?

1. Body color/vitality
2. Shape
3. Sheen moisture
4. Body movement
5. Coat color
6. Coat thickness
7. Coat texture
8. Coat distribution

4

What do we see from the body color of the tongue

See Quality of blood - yang Qi, yin, blood fluids

5

A thin tongue indicates

yin def

6

an enlarged tongue indicates

dampness or XS condition

7

Scallop tooth sides

SP Qi def + dampness

8

Purple body

Blood stagnation

9

Pale body

cold/blood def

10

Body Dusky
twinge of purple or dots

LIV Qi stagnation

11

Pale swollen

Qi of Body def. for a long while

12

Red tongue w/ sm contracted body

Ki yin def. or severe loss of fluids

13

Red tongue w/ normal tongue body

KI yin def. or heat getting into the blood

14

Cracks depressions

energetic disharmonies in specific organs
Either constitutional or yin def. KI & HE yin def.

15

coat shows

Interior or exterior

16

Slippery yellow coat

damp heat

17

Dry yellow coat

heat predominant

18

In an acuteness disorder _________ takes precedence over shape of body. Especially what?

coating
thickness, location and texture

19

What are the characteristics of a normal tongue?

fresh body, well supplied with blood, fresh pink/ pale red; ease of movement, protrude w/o difficulty, little moisture - adequate fluids; thin white coat.

20

What does a normal pale red tongue indicated about the Yang and Qi of the body

that they are strong enough to transport the blood to the tongue

21

What is the cause of a pale white tongue?

Due to qi and blood not thriving to the tongue Qi not transporting - cold or blood def.

22

Cause of a pale white tongue with a normal body shape

slight def SP or LU Qi

23

cause of a pale white small tongue
can be slightly dry

lacking def. Qi and Blood

24

cause of a pale white swollen tongue
often wet

common: yang Qi weak - not transforming fluids properly

25

cause of a pale white tongue

deficiency and often cold

26

Cause of a pale & swollen tongue

SP yang def or SP Qi def

27

Blood def tongue

pale and dry, less fur, size normal or shrunken

28

Qi def tongue

tongue becomes white tender w/ fur, & tongue body slight enlarged

29

Pale white, body enlarged and tender, damp and moist with much fluid & teeth impressions

Yang def = internal collection of cold damp

30

Causes of pale tongue

Malnutrition; Severe or chronic anemia from blood loss; Enduring disease where the body is vacuous; Pale white governs vacuity and cold

31

How would the lack of blood and body fluids affect the tongue

decline volume of tongue body -> thinning, shrinking or contracting.

32

Pale and slightly dry

blood def

33

Pale sides

LIV Blood Def

34

orange hue

severe blood def

35

Pale and slightly wet

Yang def

36

Pale swollen with teeth marks

SP Qi and Yang def

37

Pale swollen and moist

damp cold

38

Pale depression at root

Qi def and essence def

39

Pale thin tougue

essence def

40

Pale narrow sides

blood def

41

Pale swollen anterior third

SP & LU Qi Def.

42

Tongue red, prickles, fur is thick

extreme heat

43

Tongue red, tongue heart dry

heat scorching stomach fluids

44

Sides tongue red

Heat in LIV & GB

45

Tip red

warm disease in upper burner, febrile acute - cold in the lungs, or HE heat

46

Red tip + prickles

upflaming heart fire

47

Red tongue w/ purple macule dots

disease about to develop macules on skin

48

tongue appears red and dry
why?

Heat can dry up fluids

49

Crimson tongue
What are the primary disease patterns

XS heat and stasis

50

Cause of a purple tongue

disease due to repletion heat and heat evil entering construction blood, heat pathogen entering the blood level

51

crimson and prickles

Heat enters construction blood

52

Crimson and dry center

ST fire heat scorching liquids

53

Crimson and dry with cracks

heat pathogen burning up the yin

54

Crimson and black fur

extreme exuberance of repletion heat / exuberant excess heat

55

Crimson and sticky mucus on surface

mid burner harboring turbidity, almost looks like it has been planted on tongue - something is stuck in the middle burner

56

absent coating

deficiency heat

57

mirror tongue

Crimson lacking fur, glossy & lacking liquid
Internal heat damaging Yin and yin liquid depletion consumption

58

Crimson dry withered and listless

desiccating & exhaustion of kidney yin

59

what does stasis look like?

Crimson tongue dark stasis dots
b/c blood stasis creates heat

60

Crimson tongue is indicates what

warm diseases, a high fever

61

Green blue purple

yin cold or blood stasis -> Qi Stagnation

62

Purple red

heat XS w/ Qi and blood obstruction stagnation and blood stasis

63

Purple & dark, damp & moist

phlegm damp or blood stasis

64

Deep purple entire tongue

blood & viscera and bowels - deep

65

Partial blue green and purple

light blood stasis, or only in certain organs.

66

Tongue fur - green-blue & glossy

yin cold

67

If stasis due to heat, what will the tongue look like

tongue deep purple & red/ dry and burnt

68

If stasis due to cold what will the tongue look like?

pale purple / green blue, spoil by dust/glossy

69

Rough and coarse, hard and tough governs

XS. & Heat patterns

70

Body fine, sickly, slightly swollen and tender, possible teeth impressions

deficiency and cold patterns

71

What does the enlarged or shrunken tongue idicate

the fluid physiology of the body

72

Pale white color, enlarged, tender and moist, white glossy fur

SP & KI yang def. & water damp collection

73

Tongue pale red/red-Crimson & enlarged, thick fur yellow & slimy

SP & ST damp heat w. Phlegm collecting and stagnation

74

What does the coat of the tongue reflect

ST & SP

75

Tongue red, swollen, Descends and fills the mouth

XS heat

76

Tongue red, swollen, Descends and fills the mouth with yellow fur

XS heat toxin / Heat HE & SP

77

Tongue large & tender, dark purple

toxin stroke pattern

78

Tongue dark purple, swollen and descends

counterflow surging alcohol toxin

79

A shrunken tongue governs ____________

deficiency
Generally due to yin and blood def.

80

Tongue shrunken pale red, tender

dual def. HE & SP & insufficiency Qi and blood

81

Shrunken, dry, Crimson

yin def. XS heat XS/ blood def and heat

82

Pricles

Heat XS

83

If blue green or purple prickles not protruding from surface

stasis

84

large and profuse prickles

Evil Qi XS

85

Prickles pure red or fresh red

GB fire & heat scorching construction asp.

86

If prickles more intense what is happening to the heat

turning into fire

87

Prickles at tongue tip

HE fire

88

Prickles at centre

Stomach fire

89

Fissures generally indicate

yin def

90

Red & Crimson, little fur, dry and fissured

Heat XS damaging yin, seen in dehydrated patients

91

Pale red, tender w fissures

def KI yin or blood def and yin depletion

92

superficial cracks

ST SP Qi Def

93

deep cracks

Blood and yin def

94

Tender with fissures

insufficient KI yin def or blood def. & yin def.

95

Elderly , jagged fissures

yin def.

96

Red slimy fur and thick, fissures

Heat XS in viscera and bowels

97

Crimson glossy and fissures

great damage to yin humor

98

tooth impressions govern

deficiency Qi and SP

99

Pale red, tongue enlarged, tender and tooth impressions

SP def. and water not being transported

100

Pale white, fur white, damp and moist, tooth impressions

cold damp in SP

101

tongue sores protrude on sides and tip

heat toxin in HE channel

102

tongue sores doe not protrudes

lower burner yin def. & upflaming def. heat

103

dark purple sublingual veins w dark spots

upper burner severe blood stasis

104

Rough large and tortuous plus stasis macules or stasis dots on tongue

blood stasis

105

inspecting the bearing of the tongue:
Limp was stiffness, trembling, deviation, contraction and protrusion and worrying

Usually due to yin and blood def - inability to nourish the tongue body or wind or heat - often critical

106

Limp or weak tongue

def heat
Floppy soft w/o strength, doesn't come out with flexibility, doesn't turn or move naturally.

107

Limp, pale white

def. Qi and blood & lack of nourishment to sinew vessels

108

Limp, Crimson w/o fur

def. of LIV & KI yin -> dryness

109

Limp, dry, red

heat scorching Yin

110

Limp contracted, fulcrum swollen, lips turned over

SP channel Qi expiry

111

stiff tongue

Severe lack ST Qi - due arisal of wind, heat or phlegm turbidity

112

Stiff dry, red or Crimson

XS heat enters PC and XS heat damages liquids

113

Pale red, stiff and deviated

LIV wind or wind stroke pattern - seen often w. Deviated mouth and eyes - hemo lateral paralysis

114

Grey , enlarged and stiff

obstructing stagnation of phlegm tubidity

115

Red or Crimson, Tremble like a gentle wind

due to XS heat create wind

116

Pale white, trembles slightly

Qi vacuity or blood vacuity w. wind

117

Red trembling, difficulty speaking

HE or SP def, or if sweating yang collapse - check in b/c sleep indicates HE, check LIV looking for wind.

118

deviation of tongue

wind stroke
Wind evil striking channels and network vessels causing obstructing stagnation of wind phlegm in networks, can be accompanied by wind stroke pulse

119

unable to extend tongue from mouth

critical unless congenital

120

Contracted, red, dry

extreme heat damaging yin causing vessels and networks lack nourishment

121

Contracted, pale white, damp and moist

sudden desertion of yang Qi w/ cold congealing in channel vessels

122

Tongue enlarged, sticky, slimy and short

phlegm construction tongue root = wind stroke patterns

123

Red and protruding or worrying tongue

HE and SP heat

124

Purple/Crimson, protruded/worrying

epidemic toxin attacking HE

125

Worrying in children

fright wind or critical sign of enduring disease, slow development

126

tongue doubling

Due to upward surging of fire heat through HE channel due to external evil

127

Palsy of the tongue
numb, does not turn of move flexibly

Internal stirring of LIV wind due to blood vacuity/ internal wind combined phlegm patterns

128

Protracted deep red, drooling, mouth and eyes deviated

wind phlegm or phlegm fire harassing HE

129

protracted & numb tongue

Qi and blood def