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NCCAOM Theory Inspec

NCCAOM Fundamentals Exam - Inspection Dx

QuestionAnswer
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