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113 Cards in this Set
- Front
- Back
Topography of Tongue
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(Image)
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What are the four main Observation Items of the tongue?
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Tongue-body colour
Tongue-body shape Tongue coating Tongue moisture |
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The normal body colour of the tongue is what?
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Pale red
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What does the color of the tongue body represent?
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Condition of Heat/Cold and Yin/Yang deficiency.
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Pale tongue-body colour indicates what?
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Yang Deficiency (slightly wet)
-or- Blood Deficiency (slightly dry) |
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A basic red tongue-body colour indicates what?
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Heat
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A red tongue-body colour with a coating indicates what?
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Full-Heat
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A red tongue-body colour without a coating indicates what?
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Empty-Heat
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A red tongue-body colour with red spots indicates what?
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Heat with some Blood stasis
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A basic purple tongue-body colour indicates what?
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Blood stasis
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A reddish purple tongue-body colour indicates what?
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Heat and Blood stasis
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A bluish purple tongue-body colour indicates what?
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Cold and Blood stasis
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Sublingual veins that are thin indicate what?
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Yin Deficiency
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Sublingual veins that are distended indicate what?
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Qi Deficiency
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Sublingual veins that are distended and purple indicate what?
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Blood Stasis
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Sublingual veins that have purple rice grains indicate what?
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Heart issues and hardening of the arteries
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A long tongue indicates what?
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Heat
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A short and pale tongue indicates what?
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Severe internal Cold and Yang deficiency
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A short and red tongue without a coating indicates what?
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Severe Yin deficiency
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A horizontally cracked tongue indicates what?
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Yin deficiency of Stomach and Kidney
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An irregular or central short crack in the tongue indicates what?
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Stomach-Yin deficiency
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Short, transverse cracks on the sides of the tongue indicates what?
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Spleen-Yin deficiency
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Short, transverse cracks behind the tip of the tongue indicates what?
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Past Lung pathology
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Very deep midline cracks with small cracks, usually with a Red tongue without coating indicates what?
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Severe Kidney-Yin deficiency with Empty-Heat in the Kidney and Heart
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A Heart crack that is shallow with a normal body colour indicates what?
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A constitutional tendency to Heart pattern
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A deep heart crack on the tongue indicates what?
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Heart pattern due to emotional stress
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A quivering tongue indicates what?
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Spleen-Qi or Spleen-Yang deficiency
Note: Other body signs will be present like cold feet |
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A moving tongue indicates what?
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internal Wind (elder)
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A deviated tongue indicates what?
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Internal Wind (elderly)
-or- Heart deficiency (young person) |
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The coating of the tongue reflects what group of organs?
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Yang Organs
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The body of the tongue reflects what group of organs?
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Yin Organs
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The overall tongue-body shape indicates what?
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The Full/Empty Condition
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A thin tongue-body shape that is pale indicates what?
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Blood deficiency
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A thin tongue-body shape that is red without a coating indicates what?
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Yin deficiency
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A swollen (whole; horizontal) tongue-body shape indicates what?
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Dampness or Phlegm
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A partially swollen tongue-body shape indicates what?
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Qi deficiency, Qi stagnation, Heat
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A swollen tongue-body shape with red sides indicates what?
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Liver-Fire
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A tongue-body shape that is swollen in the chest/breast area indicates what?
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Phlegm retention in the chest or breast, Lung-Qi deficiency
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A tongue-body shape that is swollen on the tip indicates what?
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Heart-Heat or Heart-Fire
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A tongue-body shape that is swollen on the front third of the tongue indicates what?
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Phlegm retention in Lung
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A stiff tongue-body shape indicates what?
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Internal Wind, Blood stasis, severe Yin deficiency
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A flaccid tongue-body shape indicates what?
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Lack of Body Fluids or Blood
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The overall tongue coating reflects what?
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The normal function of Stomach-Qi. It also reflects conditions of Yang organs Empty/Full and Cold/Heat
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A thin coating with root on the tongue indicates what?
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Healthy Stomach-Qi
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A thick coating with root on the tongue indicates what?
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Strong pathogenic factor with intact Stomach-Qi
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A thin coating without root on the tongue indicates what?
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Stomach-Qi weakened
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A thick coating without root on the tongue indicates what?
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Strong pathogenic factor, Stomach- Qi weakened
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The overall thickness of the coating on the tongue indicates what?
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it reflects the strength of the pathogenic factor
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A thin coating that becomes thick on the tongue indicates what?
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Pathogenic factor getting stronger or penetrating deeper into the interior
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A thick tongue coating located in the center of the tongue indicates what?
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Pathogenic factor in Stomach
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A thin coating on root of the tongue indicates what?
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Pathogenic factor in the Bladder or Intestine
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A white coating color of the tongue indicates what?
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Cold pattern, external, dampness
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A yellow coating color of the tongue indicates what?
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Full-Heat
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A gray or black coating color of the tongue indicates what?
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Extreme Cold, wet
-or- Extreme Heat, dry |
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The overall coating moisture of the tongue indicates what?
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A good supply and movement of Body Fluids
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A coating moisture of the tongue that is too dry indicates what?
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Full/Empty Heat, Yin deficiency
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A coating moisture of the tongue that is too wet indicates what?
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Severe Yang deficiency, Dampness
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What is a healthy overall coating texture of the tongue?
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It can be clearly seen, not too dry, not too wet
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A sticky coating texture of the tongue indicates what?
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Dampness and Phlegm
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A slippery coating texture of the tongue indicates what?
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Dampness and Phlegm
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A mouldy coating texture of the tongue indicates what?
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Dampness or Phlegm with Stomach-Yin deficiency (only found in the elderly)
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What are the characteristics of a normal coating on the tongue?
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white and thin enough to see The body colour naturally is thicker at the root and thinnest towards the tip, not extend to the very edges of the tongue
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Excessive thickness coating with root of the tongue indicates what?
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Full condition
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Sudden total or partial disappear of the tongue indicates what?
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Poor prognosis
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Partial coating of the tongue indicates what?
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Severe Stomach-Qi deficiency
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Total absence of coating of the tongue indicates what?
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Stomach- Kidney-Yin deficiency
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Coating of the tongue returned gradually and slowly indicates what?
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Positive sign
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Coating of the tongue returning suddenly indicates what?
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Bad sign
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What does it mean if a tongue is "with root"?
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It means that the coating cannot simply be brushed away with a tootbrush
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What is the typical size (weight) of a patient with Stomach Qi Deficiency?
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The patient is thin (underweight)
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What is the typical size (weight) of a patient with Spleen Qi Deficiency?
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The patient is thick (overweight)
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What does a mirror tongue indicate?
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Yin Deficiency
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A white coating of the tongue (in external disease) indicates what?
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The very beginning stages of an invasion of Wind even Wind-Heat
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A white coating that turns to yellow on the tongue (in external disease) indicates what?
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A change from Cold to Heat and from exterior to interior
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A coating of the tongue that is more concentrated in the front third of the tongue or the on the sides of the tongue (in external disease) indicates what?
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Exterior
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A coating in the center of the tongue (in external disease) indicates what?
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Interior
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A slightly pale tongue indicates what?
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Qi-deficiency
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Teethmarks or swelling on the central sides of the tongue indicates what?
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Spleen-Qi deficiency
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Rootless coating or with lack of coating in centre of the tongue indicates what?
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Stomach-Qi deficiency
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Definitely pale tongue that tends to be slightly wet indicates what?
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Yang-deficiency tongue
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A pale and swollen tongue indicates what?
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Severe Yang-deficiency
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A pale tongue that tends to be slightly dry indicates what?
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Blood-deficiency tongue
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A tongue that is pale on the sides indicates what?
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Liver-Blood deficiency
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A tongue that is pale in the chest area indicates what?
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Heart-Blood deficiency
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A lack of coating on the tongue indicates what?
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Yin-deficiency tongue
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A lack of coating and redness on the tongue indicates what?
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Yin-deficiency and Empty-Heat
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A lack of coating or crack in the center of the tongue indicates what?
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Stomach-Yin deficiency
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A lack of coating in the front third of the tongue indicates what?
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Lung-Yin deficiency
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A lack of coating all over with a red body color of the tongue indicates what?
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Kidney-Yin deficiency
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A pale red with thin-white coating (with root) of the tongue indicates which of the six stages of Yin Deficiency?
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Good stomach Qi
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A rootless coating in the centre and a normal body colour of the tongue indicates which of the six stages of Yin Deficiency?
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Beginning of Stomach-Qi deficiency
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A rootless coating all over and a normal body colour of the tongue indicates which of the six stages of Yin Deficiency?
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Stomach-Qi deficiency
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A rootless coating all over but missing in the centre with a normal body colour and a centre red color of the tongue indicates which of the six stages of Yin Deficiency?
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Beginning of Stomach-Yin deficiency
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A coating that is missing all over with a normal body colour of the tongue indicates which of the six stages of Yin Deficiency?
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Advanced Stomach-Yin deficiency
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A coating that is missing all over with a red body color and
deep midline Stomach cracks ( and other scattered cracks) of the tongue indicates which of the six stages of Yin Deficiency? |
Advanced Yin deficiency with Empty-Heat of Stomach and other organs
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A swollen tongue with a sticky coating indicates what?
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The tongue in phlegm and dampness
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A tongue that has a coating that appears to be more slippery than smooth indicates what?
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Dampness
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A tongue coating that tends to be slightly rough and sticky indicates what?
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Phlegm
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A tongue in heat with a coating indicates what?
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Full-Heat
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A tongue in heat without a coating indicates what?
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Empty-Heat
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A tongue that is slightly red on the sides/front indicates a pattern in which of the four levels?
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Defensive-Qi level
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A red tongue with a dark-yellow coating indicates a pattern in which of the four levels?
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Qi level
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A red tongue without a coating indicates a pattern in which of the four levels?
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Nutritive-Qi level
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A dark red and dry tongue without a coating indicates a pattern in which of the four levels?
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Blood level
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The overall tongue body color on a tongue in cold indicates what?
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It is affecting Yin organs
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The overall coating on a tongue in cold indicates what?
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It is affecting Yang organs
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A thick and white coating on a tongue in cold indicates what?
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Full Cold
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A pale and slightly white coating on a tongue in cold indicates what?
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Empty Cold
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A reddish sides (long-standing Qi stagnation has given rise to Heat) indicates what?
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Liver-Qi stagnation
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A purple color of the tongue (including sublingual veins indicates) what?
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Blood stasis
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A tongue that is Stiff, Moving, or Deviated indicates what?
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The tongue in internal wind
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A tongue in external invasion where the body colour doesn't change indicates what?
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Wind-Cold
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A tongue in external invasion where there is red in the front or sides (or both), especially in children, indicates what?
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Wind-Heat
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