Practice Diagnosis Midterm - Li

Front 1

pale tongue

Back 1

yang, qi, and blood deficiency

ANYTHING BUT YIN DEFICIENCY

Front 2

*** blue purple tongue

Back 2

blood stasis due to cold or heat

Front 3

swollen tongue, delicate in quality, pale in color, teethmarks

Back 3

SP or KD yang (-) producing harmful water - lot of swelling

Front 4

red tongue

Back 4

internal heat syndrome - excess or deficiency

Front 5

crimson tongue

Back 5

Nutrient (YING) phase syndrome, yin deficiency, and blood stasis

Front 6

Dark purple tongue without fluid

Back 6

extreme heat

Front 7

Bluish purple, moist tongue

Back 7

extreme cold

Front 8

purplish spots on the tongue surface

Back 8

blood stasis

Front 9

*** swollen, deep red in color, occupying the entire space of the mouth

Back 9

excessive heat in the HT or SP

Front 10

*** blue tongue without any red color

Back 10

cold & blood stasis

Front 11

*** thin & pale tongue

Back 11

Qi & blood deficiency

Front 12

thin, deep red, dry tongue

Back 12

fire due to yin deficiency

Front 13

*** cracked, pale tongue

Back 13

blood deficiency

Front 14

cracked, deep red tongue

Back 14

excess heat

Front 15

cracked, normal tongue

Back 15

not deep and remain there all the time unchanged

Front 16

thorny red tongue

Back 16

internal accumulation of pathogenic heat
- the more severe pathogenic heat is, the more enlarged and profuse the thorns will be

Front 17

deviated tongue

Back 17

wind-stroke
or early threatening signs of wind-stroke

Front 18

rigid tongue

Back 18

* exogenous: invasion of PC by heat, retention of turbid phlegm in the interior, excessive pathogenic heat consuming body fluids

* endogenous: wind-stroke or early signs of wind-stroke

Front 19

flaccid tongue

Back 19

extreme qi and blood deficiency or consumption of yin fluids

Front 20

flaccid pale tongue

Back 20

qi & blood deficiency

Front 21

deep red flaccid tongue

Back 21

yin collapse

Front 22

*** dry tongue

Back 22

consumption of body fluids, excess heat, or yin deficient heat

Front 23

*** tongue with excessive moisture, saliva dribbling, slippery

Back 23

harmful water and damp

Front 24

*** thin tongue

Back 24

superficial portion
* wei qi (-)
* pathogen is on the superficial

Front 25

*** thick tongue

Back 25

* deeper progression of pathogen
* retention of damp, or food

Front 26

*** sticky, hard to scrub, greasy tongue

Back 26

* retention of damp, phlegm or food

Front 27

*** granular tongue (coarse & soybean curds, easily scrubbed, pasty)

Back 27

excessive yang heat bring turbid ST Qi upward, also retention of phlegm or food

Front 28

*** partially peeled (geographic tongue)

Back 28

consumption of ST Qi and Yin

Front 29

entire tongue peeled (mirror, glossy)

Back 29

exhaustion of ST YIn, severe damage of ST QI

Front 30

thin white tongue

Back 30

exterior cold or normal

Front 31

thick white tongue

Back 31

interior cold

Front 32

yellow tongue

Back 32

interior heat: the deeper the yellow the coating is, the more severe the pathogenic heat is

Front 33

light yellow tongue

Back 33

mild heat

Front 34

deep yellow tongue

Back 34

severe heat

Front 35

burnt yellow tongue

Back 35

accumulation of heat

Front 36

grey tongue

Back 36

interior heat, or cold or damp

Front 37

grey yellowish and dry tongue

Back 37

interior excessive heat

Front 38

grey whitish and moist tongue

Back 38

retention of cold or damp

Front 39

*** black, yellowish and dry, possibly with thorns tongue

Back 39

extreme heat

Front 40

black tongue

Back 40

extreme heat or extreme cold - usually a progression of yellow or grey

Front 41

black, pale and slippery tongue

Back 41

excessive cold d/t yang deficiency

Front 42

pale & wet tongue

Back 42

yang deficiency

Front 43

purple, reddish & distended tongue

Back 43

extreme heat with blood stasis and toxin from alcohol injuring the HT

Front 44

purple, bluish tongue

Back 44

blood stasis from internal cold

Front 45

According to the theory of five rings, the outer & inner canthus are associated with what organ?

Back 45

Heart

Front 46

According to the theory of five rings, the scalera is associated with what organ?

Back 46

Lung

Front 47

According to the theory of five rings, the iris is associated with what organ?

Back 47

Liver

Front 48

According to the theory of five rings, the pupil is associated with what organ?

Back 48

Kidney

Front 49

According to the theory of five rings, the eyelids are associated with what organ?

Back 49

Spleen

Front 50

The theory of five rings says that the blood ring is the

Back 50

outer and inner canthus.

Front 51

The theory of five rings says that the Qi ring is the

Back 51

scalera (white of the eye).

Front 52

The theory of five rings says that the Wind ring is the

Back 52

iris.

Front 53

The theory of five rings says that the Water ring is the

Back 53

pupil.

Front 54

The theory of five rings says that the Muscle ring is the

Back 54

eyelids.

Front 55

The theory of the five rings says that the BLOOD ring is associated with what organ?

Back 55

heart

Front 56

The theory of the five rings says that the QI ring is associated with what organ?

Back 56

Lung

Front 57

The theory of the five rings says that the WIND ring is associated with what organ?

Back 57

Liver

Front 58

The theory of the five rings says that the WATER ring is associated with what organ?

Back 58

Kidney

Front 59

The theory of the five rings says that the MUSCLE ring is associated with what organ?

Back 59

Spleen

Front 60

True or False.
Finger vein observation is used to diagnose disease for infants below the age of 3 years old instead of pulse taking.

Back 60

True

Front 61

Finger vein observation says that the first phalanx of the index finger, namely, from the cross striation on the metacarpophalangeal to that of the second phalanx is called

Back 61

the WIND PASS.

Front 62

Finger vein observation says that the second phalanx of the index finger, namely, from the cross striation of the second phalanx to that of the third phalanx is called

Back 62

the QI PASS.

Front 63

Finger vein observation says that the third phalanx of the index finger, namely, from the cross striation of the third phalanx to the tip is called

Back 63

the LIFE PASS.

Front 64

True of False
The normal collateral color of the index finger is light red which is indistinct within the wind pass.

Back 64

TRUE

Front 65

True or False
The doctor puts his right thumb on the infant index finger and pushes forwards from life pass to the qi pass and to the wind pass for several successive times.

Back 65

True

Front 66

The clinical meaning of an obvious collateral within the wind pass is

Back 66

evil qi entering the collateral.

Front 67

The clinical meaning of an obvious collateral reached the qi pass is

Back 67

evil qi entering the meridian.

Front 68

The clinical meaning of an obvious collateral reached the life pass is

Back 68

evil qi entering the viscera.

Front 69

Obvious collateral through the three passes reached the end of the finger - going through the passes to the nail is

Back 69

serious and very unfavorable diagnosis.

Front 70

FLOATING and DEEP Common morbid figurations and colors identify the location is

Back 70

Floating: exterior
Deep: interior

Front 71

Dark and Light Common morbid figurations and colors identify

Back 71

Clear color: deficiency
Obscure color: excess

Front 72

Scarlet color in common morbid figurations and colors identifies

Back 72

exterior heat

Front 73

Blue color in common morbid figurations and colors identifies

Back 73

wind and pain.

Front 74

Pale color in common morbid figurations and colors identifies

Back 74

deficiency.

Front 75

Purplish black color in common morbid figurations and colors identifies

Back 75

blood vessel obstruction in critical cases.

Front 76

The growing thick collateral in common morbid figurations identifies

Back 76

heat and excess..

Front 77

The decreased thin collateral in common morbid figurations identifies

Back 77

cold and deficiency.

Front 78

The curved, circular and multi-branced figuration in common morbid figurations identifies

Back 78

serious, excess.

Front 79

A pulse that is like cotton floating in the water is called a

Back 79

soggy pulse.

Front 80

A soggy pulse indicates what syndromes?

Back 80

dampness; deficiency

Front 81

A pulse that is soft, deep, & thin that is only felt in a deep pulse is called a

Back 81

feeble pulse.

Front 82

A feeble pulse indicates

Back 82

yang, qi, & blood deficiency; especially qi deficiency

Front 83

True or False

Tongue diagnosis is a method of observing the changes of tongue body and coating to analyze disease.

Back 83

True

Front 84

True or False

The tongue is the sprout of the heart.

Back 84

True

Front 85

True or False

The tongue is the out-show of the spleen.

Back 85

True

Front 86

True or False

All qi of the meridians flow up to the tongue.

Back 86

True

Front 87

True or False

Tongue diagnosis is NOT a main component of observation.

Back 87

False

Front 88

The margins of the tongue are associated with

Back 88

LIVER & GB

Front 89

The root of the tongue is associated with

Back 89

the lower jiao

Front 90

The tip of the tongue is associated with

Back 90

the LU & HT and upper jiao

Front 91

The middle of the tongue is associated with

Back 91

SP & ST and middle jiao

Front 92

Multiple choice
The significance of tongue observation is:
a) To judge the exuberance or decline of the genuine qi.
b) To distinguish the nature of disease.
c) To detect the location of disease.
d) To infer the tendency of the disease.
e) All of the above.

Back 92

e) All of the above

Front 93

The nature of the disease refers to

Back 93

heat or cold.

Front 94

The location of the disease from tongue observation refers to

Back 94

thin coating: exterior
thick coating: interior

Front 95

The tendency of the disease seen during tongue observation such as dark red to red to pink indicates

Back 95

improvement.

Front 96

Tongue diagnosis includes:

Back 96

observing tongue texture (body) and tongue coating

Front 97

The normal tongue is

Back 97

pink with a thin white coating or slightly red with a thin white coating

Front 98

Tongue vitality / flourish of a tongue refers to a

Back 98

light red tongue body with energetic movement and enough fluid. That shows full vitality and indicates a good prognosis.

Front 99

The loss of vitality / withering of a tongue refers to

Back 99

a dry and dark tongue body with sluggish movement. It indicates a bad prognosis.

Front 100

Yang deficiency is

Back 100

qi deficiency PLUS cold.

Front 101

If the striae of the tongue are delicate, fine, and sooth the clinical meaning is

Back 101

deficiency.