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113 Cards in this Set

  • Front
  • Back
Topography of Tongue
(Image)
What are the four main Observation Items of the tongue?
Tongue-body colour
Tongue-body shape
Tongue coating
Tongue moisture
The normal body colour of the tongue is what?
Pale red
What does the color of the tongue body represent?
Condition of Heat/Cold and Yin/Yang deficiency.
Pale tongue-body colour indicates what?
Yang Deficiency (slightly wet)
-or-
Blood Deficiency (slightly dry)
A basic red tongue-body colour indicates what?
Heat
A red tongue-body colour with a coating indicates what?
Full-Heat
A red tongue-body colour without a coating indicates what?
Empty-Heat
A red tongue-body colour with red spots indicates what?
Heat with some Blood stasis
A basic purple tongue-body colour indicates what?
Blood stasis
A reddish purple tongue-body colour indicates what?
Heat and Blood stasis
A bluish purple tongue-body colour indicates what?
Cold and Blood stasis
Sublingual veins that are thin indicate what?
Yin Deficiency
Sublingual veins that are distended indicate what?
Qi Deficiency
Sublingual veins that are distended and purple indicate what?
Blood Stasis
Sublingual veins that have purple rice grains indicate what?
Heart issues and hardening of the arteries
A long tongue indicates what?
Heat
A short and pale tongue indicates what?
Severe internal Cold and Yang deficiency
A short and red tongue without a coating indicates what?
Severe Yin deficiency
A horizontally cracked tongue indicates what?
Yin deficiency of Stomach and Kidney
An irregular or central short crack in the tongue indicates what?
Stomach-Yin deficiency
Short, transverse cracks on the sides of the tongue indicates what?
Spleen-Yin deficiency
Short, transverse cracks behind the tip of the tongue indicates what?
Past Lung pathology
Very deep midline cracks with small cracks, usually with a Red tongue without coating indicates what?
Severe Kidney-Yin deficiency with Empty-Heat in the Kidney and Heart
A Heart crack that is shallow with a normal body colour indicates what?
A constitutional tendency to Heart pattern
A deep heart crack on the tongue indicates what?
Heart pattern due to emotional stress
A quivering tongue indicates what?
Spleen-Qi or Spleen-Yang deficiency

Note: Other body signs will be present like cold feet
A moving tongue indicates what?
internal Wind (elder)
A deviated tongue indicates what?
Internal Wind (elderly)
-or-
Heart deficiency (young person)
The coating of the tongue reflects what group of organs?
Yang Organs
The body of the tongue reflects what group of organs?
Yin Organs
The overall tongue-body shape indicates what?
The Full/Empty Condition
A thin tongue-body shape that is pale indicates what?
Blood deficiency
A thin tongue-body shape that is red without a coating indicates what?
Yin deficiency
A swollen (whole; horizontal) tongue-body shape indicates what?
Dampness or Phlegm
A partially swollen tongue-body shape indicates what?
Qi deficiency, Qi stagnation, Heat
A swollen tongue-body shape with red sides indicates what?
Liver-Fire
A tongue-body shape that is swollen in the chest/breast area indicates what?
Phlegm retention in the chest or breast, Lung-Qi deficiency
A tongue-body shape that is swollen on the tip indicates what?
Heart-Heat or Heart-Fire
A tongue-body shape that is swollen on the front third of the tongue indicates what?
Phlegm retention in Lung
A stiff tongue-body shape indicates what?
Internal Wind, Blood stasis, severe Yin deficiency
A flaccid tongue-body shape indicates what?
Lack of Body Fluids or Blood
The overall tongue coating reflects what?
The normal function of Stomach-Qi. It also reflects conditions of Yang organs Empty/Full and Cold/Heat
A thin coating with root on the tongue indicates what?
Healthy Stomach-Qi
A thick coating with root on the tongue indicates what?
Strong pathogenic factor with intact Stomach-Qi
A thin coating without root on the tongue indicates what?
Stomach-Qi weakened
A thick coating without root on the tongue indicates what?
Strong pathogenic factor, Stomach- Qi weakened
The overall thickness of the coating on the tongue indicates what?
it reflects the strength of the pathogenic factor
A thin coating that becomes thick on the tongue indicates what?
Pathogenic factor getting stronger or penetrating deeper into the interior
A thick tongue coating located in the center of the tongue indicates what?
Pathogenic factor in Stomach
A thin coating on root of the tongue indicates what?
Pathogenic factor in the Bladder or Intestine
A white coating color of the tongue indicates what?
Cold pattern, external, dampness
A yellow coating color of the tongue indicates what?
Full-Heat
A gray or black coating color of the tongue indicates what?
Extreme Cold, wet
-or-
Extreme Heat, dry
The overall coating moisture of the tongue indicates what?
A good supply and movement of Body Fluids
A coating moisture of the tongue that is too dry indicates what?
Full/Empty Heat, Yin deficiency
A coating moisture of the tongue that is too wet indicates what?
Severe Yang deficiency, Dampness
What is a healthy overall coating texture of the tongue?
It can be clearly seen, not too dry, not too wet
A sticky coating texture of the tongue indicates what?
Dampness and Phlegm
A slippery coating texture of the tongue indicates what?
Dampness and Phlegm
A mouldy coating texture of the tongue indicates what?
Dampness or Phlegm with Stomach-Yin deficiency (only found in the elderly)
What are the characteristics of a normal coating on the tongue?
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
Excessive thickness coating with root of the tongue indicates what?
Full condition
Sudden total or partial disappear of the tongue indicates what?
Poor prognosis
Partial coating of the tongue indicates what?
Severe Stomach-Qi deficiency
Total absence of coating of the tongue indicates what?
Stomach- Kidney-Yin deficiency
Coating of the tongue returned gradually and slowly indicates what?
Positive sign
Coating of the tongue returning suddenly indicates what?
Bad sign
What does it mean if a tongue is "with root"?
It means that the coating cannot simply be brushed away with a tootbrush
What is the typical size (weight) of a patient with Stomach Qi Deficiency?
The patient is thin (underweight)
What is the typical size (weight) of a patient with Spleen Qi Deficiency?
The patient is thick (overweight)
What does a mirror tongue indicate?
Yin Deficiency
A white coating of the tongue (in external disease) indicates what?
The very beginning stages of an invasion of Wind even Wind-Heat
A white coating that turns to yellow on the tongue (in external disease) indicates what?
A change from Cold to Heat and from exterior to interior
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?
Exterior
A coating in the center of the tongue (in external disease) indicates what?
Interior
A slightly pale tongue indicates what?
Qi-deficiency
Teethmarks or swelling on the central sides of the tongue indicates what?
Spleen-Qi deficiency
Rootless coating or with lack of coating in centre of the tongue indicates what?
Stomach-Qi deficiency
Definitely pale tongue that tends to be slightly wet indicates what?
Yang-deficiency tongue
A pale and swollen tongue indicates what?
Severe Yang-deficiency
A pale tongue that tends to be slightly dry indicates what?
Blood-deficiency tongue
A tongue that is pale on the sides indicates what?
Liver-Blood deficiency
A tongue that is pale in the chest area indicates what?
Heart-Blood deficiency
A lack of coating on the tongue indicates what?
Yin-deficiency tongue
A lack of coating and redness on the tongue indicates what?
Yin-deficiency and Empty-Heat
A lack of coating or crack in the center of the tongue indicates what?
Stomach-Yin deficiency
A lack of coating in the front third of the tongue indicates what?
Lung-Yin deficiency
A lack of coating all over with a red body color of the tongue indicates what?
Kidney-Yin deficiency
A pale red with thin-white coating (with root) of the tongue indicates which of the six stages of Yin Deficiency?
Good stomach Qi
A rootless coating in the centre and a normal body colour of the tongue indicates which of the six stages of Yin Deficiency?
Beginning of Stomach-Qi deficiency
A rootless coating all over and a normal body colour of the tongue indicates which of the six stages of Yin Deficiency?
Stomach-Qi deficiency
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?
Beginning of Stomach-Yin deficiency
A coating that is missing all over with a normal body colour of the tongue indicates which of the six stages of Yin Deficiency?
Advanced Stomach-Yin deficiency
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
A swollen tongue with a sticky coating indicates what?
The tongue in phlegm and dampness
A tongue that has a coating that appears to be more slippery than smooth indicates what?
Dampness
A tongue coating that tends to be slightly rough and sticky indicates what?
Phlegm
A tongue in heat with a coating indicates what?
Full-Heat
A tongue in heat without a coating indicates what?
Empty-Heat
A tongue that is slightly red on the sides/front indicates a pattern in which of the four levels?
Defensive-Qi level
A red tongue with a dark-yellow coating indicates a pattern in which of the four levels?
Qi level
A red tongue without a coating indicates a pattern in which of the four levels?
Nutritive-Qi level
A dark red and dry tongue without a coating indicates a pattern in which of the four levels?
Blood level
The overall tongue body color on a tongue in cold indicates what?
It is affecting Yin organs
The overall coating on a tongue in cold indicates what?
It is affecting Yang organs
A thick and white coating on a tongue in cold indicates what?
Full Cold
A pale and slightly white coating on a tongue in cold indicates what?
Empty Cold
A reddish sides (long-standing Qi stagnation has given rise to Heat) indicates what?
Liver-Qi stagnation
A purple color of the tongue (including sublingual veins indicates) what?
Blood stasis
A tongue that is Stiff, Moving, or Deviated indicates what?
The tongue in internal wind
A tongue in external invasion where the body colour doesn't change indicates what?
Wind-Cold
A tongue in external invasion where there is red in the front or sides (or both), especially in children, indicates what?
Wind-Heat