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NCCAOM Theory Inspec
NCCAOM Fundamentals Exam - Inspection Dx
| Question | Answer |
|---|---|
| Describe a Wood body type. | Greenish complexion, small head, long face [rectangular], broad shoulders, straight back, tall, sinewy body, small hands/feet |
| Describe a Fire body type. | Reddish complexion, pointed small head [triangular], wide teeth, wide shoulders, curly or less hair, small hands/feet |
| Describe an Earth body type. | Yellowish complexion, large head, round face, wide jaws [circular], wide shoulders, large abdomen, large thighs and calf |
| Describe a Metal body type. | Pale complexion, small head, square face [square], small shoulders, flat abdomen, strong voice |
| Describe a Water body type. | Dark complexion, large head, broad cheeks [oval], narrow shoulders, large abdomen, long spine, wrinkly skin |
| Describe the organ positions on the tongue. | Right side: GB; Left side: LV; Tip: HT; Just behind tip: LU; Center: SP/ST; Root: KD/UB/Intestines |
| What and where are the 3 gates on an infant’s index finger? | Proximal phalanx: Gate of Wind: exterior pathogen and mild Dz; Middle phalanx: Gate of Qi: interior and rather more severe Dz; Distal phalanx: Gate of Life: serious and life threatening Dz; Bluish venules: cold pattern; Red venules: heat pattern |
| What patterns are present w/ a red face color and what is the complexion? | Excess heat: whole face red; Deficiency heat: red cheekbones (malar flush) + tidal fever, night sweating |
| What patterns are present w/ a white (pale) face color and what is the complexion? | Blood Def: dull white (withered); Yang Def: Bright white (puffy, bloated appearance); Excessive Cold: Bluish white |
| What patterns are present w/ a yellow face color and what is the complexion? 1st 4 | SP/ST def or blood def: sallow yellow (pale yellow w/o brightness); DH w/ damp prevalence: smoky, dull yellow; CD in SP/ST: dull-pale yellow; long-standing damp: ash-like yellow |
| What patterns are present w/ a yellow face color and what is the complexion? Last 3 | ST Qi recovering after an illness: clear and moist yellow b/w the eyebrows; Poor Px sign: dried up and withered looking yellow b/w eyebrows; Jaundice: Entire body (yang type: bright orange/yin type: smoky dark) |
| What patterns are present w/ a green face color and what is the complexion? | LV patterns, interior cold, pain or LV wind: green face; LV fire: green complexion w/ red eyes; Qi stag w/ abdominal pain: green on the nose; LV Qi stag turning into heat: dark-reddish-green complexion |
| What patterns are present w/ a blue face color and what is the complexion? | Excess cold or chronic pain: white-bluish (pale and blue tinge); severe HTyang def: dull-bluish; HTblood stasis: blue-purplish face & lips + intermittent chest pain; LV wind (infantile convulsion): blue-purplish face & lips + high fever, bad mvmt of limbs |
| What patterns are present w/ a black (dark grey) face color and what is the complexion? | Cold, pain or KD Dz (esp KD yin def): black; KD def: dark and pale + LBP, cold feet; Cold: black and moist; Heat: black and dried-up, burned looking; blood stasis (prolonged): dark complexion w/o brightness + scaly skin |
| What are the correspondences of eye areas w/ organs? | Corner: HT; Upper eyelid: SP; Lower eyelid: ST; Sclera: LU; Iris: LV; Pupil: KD; can associate w/ organ color: HT red, KD black, LU white, Irish eyes are green LV |
| What does a pale tongue color indicate? | Deficiency type: cold syndrome caused by yang Qi def/Qi and blood def |
| What does a red tongue color indicate? | Heat syndrome: interior excess or deficiency |
| What does a deep red tongue color indicate? | Extreme heat: Exogenous = invasion of the ying and blood levels by pathogenic heat; Endogenous = yin def leading to fire |
| What does a blue purple tongue color indicate? | Blood stasis d/t cold or heat |
| What does a deep blue-purple, dry and lusterless tongue color indicate? | Blood stasis d/t heat |
| What does a pale purple, moist tongue color indicate? | Blood stasis d/t cold |
| What do purplish spots on the tongue surface indicate? | Blood stasis |
| What does a swollen tongue that is delicate in quality, pale in color w/ teethmarks indicate? | SP or KD yang def producing harmful water |
| What does a swollen tongue that is deep red in color, occupying the entire space of the mouth indicate? | Excessive heat in HT or SP |
| What does a swollen tongue that is blue purplish, dark indicate? | Toxicosis |
| What does a thin tongue that is pale indicate? | Qi and blood deficiency |
| What does a thin tongue that is deep red and dry indicate? | Fire d/t yin deficiency |
| What does a cracked tongue that is deep red indicate? | Excess heat |
| What does a cracked tongue that is pale indicate? | Blood deficiency |
| What does a cracked tongue where the cracks are unchanging and not deep indicate? | Normal |
| What does a thorny tongue indicate? | Red: internal accumulation of pathogenic heat; the more severe the heat is, the more enlarged and profuse the thorns will be |
| What does a deviated tongue indicate? | Wind-stroke or early threatening signs of wind-stroke |
| What does a rigid tongue indicate exogenously? | Invasion of the PC by heat; retention of turbid phlegm in the interior; excessive pathogenic heat consuming body fluids [fluids not moving properly] |
| What does a rigid tongue indicate endogenously? | Wind-stroke or early signs of wind-stroke |
| What does a flaccid tongue indicate? | Extreme Qi and blood deficiency or consumption of yin fluids |
| What does a flaccid tongue that is pale indicate? | Qi and blood deficiency |
| What does a flaccid tongue that is deep red indicate? | Yin collapse |
| What does a thin tongue coat indicate? | Superficial portion/deficiency of anti-pathogenic Qi |
| What does a thick tongue coat indicate? | Deeper progression / retention of damp, food; ALWAYS EXCESS |
| What does a dry tongue coat indicate? | Consumption of body fluids, excess heat, or yin deficient heat |
| What does a moist tongue coat (slippery) indicate? | Excessive moisture, saliva dribbles, harmful water and damp |
| What does a sticky tongue coat indicate? | Hard to scrub, greasy: retention of damp, phlegm, or food |
| What does a granular tongue coat indicate? | Coarse and soybean curds, easily scrubbed, pasty: excessive yang heat brings turbid ST Qi upward, also retention of phlegm or food |
| What does a partially (geographic) peeled tongue coat indicate? | Consumption of ST Qi and Yin |
| What does a completely (mirror, glossy) peeled tongue coat indicate? | Exhaustion of ST Yin, severe damage of ST Qi |
| What does a thin white tongue coat indicate? | Exterior cold or normal |
| What does a thick white tongue coat indicate? | Interior cold |
| What does a yellow tongue coat indicate? | Interior heat: the deeper the yellow, the more severe the heat is |
| What does a light yellow tongue coat indicate? | Mild heat |
| What does a deep yellow tongue coat indicate? | Severe heat |
| What does a burnt yellow tongue coat indicate? | Accumulation of heat |
| What does a grey tongue coat indicate? | Interior heat, cold or damp |
| What does a grey tongue coat that is yellowish and dry indicate? | Interior excessive heat |
| What does a grey tongue coat that is whitish and moist indicate? | Retention of cold or damp; can develop to grayish or black |
| What does a black tongue coat indicate? | Extreme interior condition: extreme heat or extreme cold usually a progression of yellow or grey |
| What does a black tongue coat that is yellowish and dry, possibly with thorns indicate? | Extreme heat |
| What does a black tongue coat that is pale and slippery indicate? | Excessive cold d/t yang deficiency |
| How do antibiotics affect the tongue? | Peeled in patches b/c tend to injure ST yin |
| How do corticosteroids affect the tongue? | Red and swollen (after about a month of administration) |
| How do bronchodialators affect the tongue? | Tongue tip can become red (after prolonged and continued use |
| How do diuretics affect the tongue? | Peeled reflecting yin deficiency |
| How do anti-inflammatory medications affect the tongue? | Red points, make the tongue body thinner, peeled (after prolonged use) |
| How do anti-neoplastic (cytotoxic) drugs affect the tongue? | Very thick brown or even black and dry coating |
| What is a normal tongue-body color and why? | Pale: sufficient fluids from ST reaching tongue; Red: supply of blood from HT |
| What does a pale slightly dry tongue body indicate? | Blood deficiency |
| What does a pale wet tongue body indicate? | Yang Xu (young children’s tongues are naturally paler and wetter than adults) |
| What does a pale, bright, shiny tongue body indicate? | Qi and blood deficiency particularly of SP/ST |
| What does a red tongue body w/ coat indicate? | What does a red tongue body w/o coat indicate? |
| What does a red tongue body that is wet indicate? | Heat w/ damp retention |
| What does a red tongue body that is dry indicate? | Deficient heat and body fluid exhaustion |
| What does a red tongue body that is shiny indicate? | ST/KD yin deficiency |
| What does a red tongue body that has red points or spots indicate? | Heat w/ blood stasis |
| What does a red tongue body that has prickles indicate? | Heat in the Ying level or UJ or LJ |
| What does a red tongue body that has purple spots in the center indicate? | Blood stasis and heat in ST |
| What does a red tongue body that is peeled indicate? | Heat from ST/KD yin deficiency |
| What does a red tongue body that is purple indicate? | Heat and bloods stasis |
| What does a red tongue body that is purple and distended indicate? | Extreme heat w/ blood stasis and toxin from alcohol injuring HT |
| What does a deep red/scarlet tongue body that is dark red indicate? | LU or HT yin deficiency |
| What does a deep red/scarlet tongue body that is dark red w/ a dry center indicate? | ST fire blazing, ST Yin deficiency w/ heat |
| What does a purple reddish tongue body indicate? | Blood stasis from internal heat |
| What does a purple reddish distended tongue body indicate? | Extreme heat w/ blood stasis and toxin from alcohol injuring HT |
| What does a purple bluish tongue body indicate? | Blood stasis from internal cold |
| What does a purple bluish tongue body that is moist indicate? | Blood stasis from internal LV/KD, cold stiffening tendons/bones |
| What does a blue tongue body indicate? | Severe internal cold w/ blood stasis |
| What does a blue tongue body w/o coat indicate? | Severe internal cold w/ stasis and exhaustion of blood |
| What does a blue tongue body w/ a central surface indicate? | SP yang deficiency w/ phlegm retention in the chest |
| What does a blue tongue body in pregnancy indicate? | Danger of imminent miscarriage |
| What does a blue tongue body w/ distended SLV indicate? | Deficiency, Qi stagnation, or bloods stasis (if dark) |
| What does a wet tongue coating that is puddle w/ moisture/wet/glossy indicate? | Excess fluids or fluids stagnation |
| What does a wet tongue coating that is white indicate? | Yang deficiency w/ damp retention |
| What does a wet tongue coating that is thin and white indicate? | Exterior wind cold |
| What does a dry tongue indicate? (2) | Heat: Excess heat or yin deficiency; Yang Xu: Yang deficiency w/ damp retention, mouth is dry w/ absence of thirst |
| What does a slippery tongue coat that is excessive wetness w/ an oily appearance indicate? | Yang deficiency, Damp Cold internal or external origin |
| What does a slippery white tongue coat indicate? | Pathogen is beginning to go into the interior |
| What does a slippery greasy tongue coat indicate? | Damp-phlegm |
| What does a slippery greasy thick tongue coat indicate? | Damp-phlegm retention and cold |
| What does a Slimy/greasy coat that is thicker in the center than on the edges and cannot be scraped off indicate? | Qi cannot transform fluids and then accumulates to form phlegm (or DH or DC) caused by yang deficiency |
| What does a moldy – thick and patchy (crumbly like cottage cheese) and can be scraped off indicate? | ST heat, ST yin defiency |
| What does a thick tongue coat indicate? | Pathogenic factor, a cond’n of excess, thicker the coating the stronger the pathogen |
Created by:
kabrown
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