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what is the significance of tongue diagnosis?
- Shows state of qi and blood
- progression of disease
- hot and cold
- penetration of evils
- state of yin and yang organs
- areas of tongue: 3 jiaos and zang-fu
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kid bladder are _ jiao
lower
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gallbladder liver are the _ jiao
middle
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lung and heart are the _ jiao
upper
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redness on sides of tongue
liver fire
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method of inspection
sufficient light- natural light
extending tongue
stained tongue coating\ false signs
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Normal tongue body
pale red, bright and moist, not too fat or thin, flexible
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normal tongue coating
- thin, white, and even
- If blocking the color of the tongue : thick
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normal tongue moisture
between dry and wet
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color of tongue body reflects
- conditions of hot/cold, yin/yang, yin organs, blood
- state of blood, ying qi yin organs
- 5 pathological colors
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five pathological colors
- pale white
- red
- deep red (crimson)
- purple
- blue green
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pale white
- blood or yang xu
- blood xu - accompaying signs of blood xu
- yang xu- swollen tongue, wet, too much moisture
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deep red (crimson)
extreme heat
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purple
- blood stasis
- bluish purple - blood stasis from cold
- reddish purple - blood stasis from heat
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blue green
interior cold from blood stasis
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tongue spirit tells
- prognosis
- thriving vs withered
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form of tongue indicates
vacuity or repletion
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tough and tender
- deficiency tends to be tender
- toughness tends to be excess
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thin tongue
- indicates deficiency of blood/fluids (ying)
- (Def. of what - check tongue body)
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swollen tongue
- swelling due to dampness/phlegm (often due to spleen xu)
- Phlegm tends to be greasy
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prickles
indicate extreme heat or toxic heat
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cracks / fissures
often constitutional. Often hear from yin xu/excess heat
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tooth marks in tongue body
spleen xu
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tongue sores
heat (especially from heart fire)
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vessels on underside of tongue
discoloration or swelling - blood stasis
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flaccid/limp tongue
- -xu of body fluid/ xu of qi and xue
- -extreme heat due to yin xu
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stiff tongue
- -interior wind/blood stasis (if purple)
- -phlegm misting the heart orifices
- -wind stroke
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termbling-quivering tongue
- -qi xu
- -xue xu with interior wind
- -liver yang rising engendering internal wind
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deviated tongue
- -internal wind
- -wind sroke
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contraction-short
- -If pale (internal cold)
- -extreme yin xu
- -congenital short fremulum
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long
tendency to heat/heart fire
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tongue coating shows
state or yang orgnas especially the stomach qi
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production of tongue coating
digestive activity of the stomach
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normal stomach fur
thin white
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thickness of stomach fur
- as disease gets stronger, the coat gets thicker
- thickness - disease is internal in zang/fu
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moisture
- too moist vs dry
- state of body fluids. Too moist - yang xu
- dry - heat or excess
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slimy
- greasy
- phlegm (phlegm heat/phlegm damp)
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beancurd
- Not rooted
- due to food stagnation
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white color coating
external attack/cold and damp pattern
thin white - normal
thin white - damp/phlegm
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yellow tongue coating
heat (internal heat)
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Gray/black tongue coating
extreme cold/ extreme heat
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tongue coating presence and absence of fur
stomach qi - condition of yin fluids
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rooted tongue coating
coating should be rooted. Tells us stomach qi is strong.
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No stomach coat root/easily scraped off
- right qi is debilitated
- Stomach qi is weak
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