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Asian 1
Tongue
| Question | Answer |
|---|---|
| important when looking at tongue | fully extended, not our for more than 5-10 seconds, dont react |
| six areas of tongue examination | spirit of the tongue,shape/movement/cracks,body color,coating/moss/fue, moisture,surface feature |
| healthy tongue | bright pale red body,thin well rooted white coating,even moisture,even soft shape with no movement,no cracks,no prickles |
| spirit of the tongue | overall condition of the tongue,should look like it has life to it |
| healthy shape | even soft shape with no movement |
| what does body shape and movement indicate | deficiency or excess.severity and duration of concition |
| shape descriptions | swollen,tooth marked/scalloped, thin, quivering,cracks,ulcers,prickles,red=heat, purple=stagnation, deviated,curling under,curling up, long, short |
| swollen | shape:excess condition |
| tooth marked/scallop | shape:damp condition always secondary to SP Qi deficiency |
| thin | shape:deficiency condition |
| quivering | shape:spleen Qi Def |
| cracks | shape: congenital weakness,dependent on where they are on the tongue,geographic tongue indicates congenital weakness and/or yin def |
| ulcers | shape:excessive heat or toxic heat |
| prickles | shape: location,tell specifically which organs are involved |
| red | shape:heat |
| purple | shape:stagnation |
| deviated | shape:wind condition,usually relating to liver |
| curling under | shape:heart def |
| curling up | shape:heart excess |
| long | shape:heat usually in the heart,tongue usually red too |
| short | shape: cold condition (cold contracts) |
| body color description | normal,red,pale,purplish,sublinqualveins |
| body color | indicates hot/cold,yin/yang def and stagnations |
| normal | body color:brigh,pale red |
| red | body color: heat |
| pale | body color:cold or blood def |
| purplish | body color:blood stagnation |
| sublingual veins normal | body color:same as underside of the tongue,thin and slightly blue like the veins on the wrist |
| sublingual veins swollen,engorged,purple | body color: blood stagnation |
| coating descriptions | normal,thickness=thick or absent or peeled,color=yellow or white |
| normal coating | this white even and well rooted. normal byproduct of digestion, dirty dampness sent up from stomach. |
| thickness of coating | indicates strength of pathogen, or degree of deficiency |
| thick | coating:excess condition |
| absent/peeled | coating:deficiency(yin deficiency) |
| yellow | coating:heat |
| white | coating:cold |
| moisture | reflects state of the body fluids. normal tongue is moist |
| moisture description | dry or wet |
| dry | moisture:dry condition,deficiency of fluids in body |
| wet | moisture:excess of fluids in the body |
| surface features-3 divisions | look at from only one perspective at a time, not all three methods in one viewing.1specific organ,2three burners,3movement of pathogen |
| 8 principle of tongue Dx | exterior,interior,deficiency,excess,heat,cold, yang,yin |
| exterior | skin,muscles and channels-reflected in front 1/3 or edge of tongue.in exterior conditions tongue coat may be more concentrated in these areas. |
| interior | reflected on central surface of the tongue |
| deficiency | reflected by absence or excess of coating |
| excess | thick tongue |
| heat | tongue coating yellow |
| cold | tongue coating white |
| yang | tongue coating not important in diagnosing of yang deficiency only important if accumulation of dampness because of yang deficiency |
| yin | absence of tongue coating |
Created by:
mloft
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