Gio Tongue.txt

72) A 28 year old woman comes to you for help. She has been suffering from fatigue, loose stools, depression and a feeling of heaviness in the head. In the past she suffered sunstroke in India, which caused high fever and delirium. Her pulse is weak. What does this patient's tongue look like?

A) Body color is bluish purple, body shape is unremarkable, and the coating is thick, yellow.
B) Body color is reddish purple, body shape is tip swollen, moving, slightly swollen sides, swollen anteriorly, and the coating is thin, white.
C) Body color is normal, slight red in the center, body shape is swollen, and the coating is rootless and peeled in the center; thin, yellow coating between the tip and the center.
D) Body color is pale, except red on the tip, pale red concave spots around the center, and raised red points anteriorly. The body shape is swollen and the coating is yellow in the center and white elsewhere.

100) A 37 year old patient started off the other day with fever, aversion to cold, stiff neck, pain in the posterior aspect of the head. They were also sweating and their pulse was superficial and slowing down. They now have feverishness of the body, which is more pronounced in the afternoon, constipation, fullness and pain in the abdomen aggravated by pressure, restlessness and delirium. What do you expect their tongue and pulse to look like now?

A) Dry, yellow tongue coating and a superficial and forceful pulse
B) Burnt-yellow tongue coating with thorns on the tongue.
C) Pale tongue with a white coating and a slow or slowing-down pulse.
D) Red or deep red tongue with a thready, rapid pulse

6) A 92 year old male patient comes to you for help. He is upset that he can no longer get an erection. This has been going on for about three weeks. He'd like to get this fixed pronto because he's pretty sure he can count how many years he has left on one hand. He has, "Places to see and people to do. So let's get this show on the road." He can't try Viagra because he has a heart condition. He's on so many other medications that he doesn't want to try herbs either. He looks a little pale and a little cold, but otherwise he's in fantastic shape. Nothing else is really bothering him. He's had to go to the bathroom a little more often than before and he gets a little dizzy from time to time, but really nothing major. You ask if he has any palpitations or insomnia, but he has neither. He does have a soreness in his loins and knees that he'd also like for you to get rid of. You ask him what medications he's on and he rattles off things about cholesterol drugs, hypertension drugs, and migraine medication. He also takes aspirin to prevent a heart attack. His tongue is pale with a white coating and his pulse is deep and thready. What is this patient's diagnosis?

A) Decline of Mingmen Fire
B) Downward Flowing of Damp Heat
C) Disharmony between the Heart and Kidney
D) Damage of the Qi of the Meridian

5) A female patient age 39 comes to you for help. It was about 2 weeks before her period was expected when she had a sudden onset of profuse vaginal bleeding deep red in color. She has a red tongue with a yellow coating and a rapid pulse. What is this patient's diagnosis?

A) Uterine Bleeding: Qi deficiency
B) Uterine Bleeding: Qi Stasis and blood stasis
C) Uterine Bleeding: Damp-Heat
D) Uterine Bleeding: Excessive Bleeding

41) A girl age 10 comes to you for help. She has been suffering from an acute upper respiratory tract infection with a sore throat and pain in one ear. What do you expect for her tongue to look like?

A) Body color is normal, with red points all around the tip and sides, body shape is normal, and coating is yellow and sticky.
B) Body color is normal, with red points on the right side, shape is normal, and coating is thin white on the right side.
C) Body color is normal, body shape is very swollen (especially on the sides), many deep cracks on the sides, and the coating is dry, powder-like, and rootless
D) Body color is normal except for a slightly red left side and tip, body shape is normal, except for very slight swelling on the left side, and coating is yellow and slippery on the left side.

128) A green coating with purple spots on the tongue body may indicate which one of the following?

A) Atrophic gastritis
B) Chronic atrophic gastritis
C) Increase in blood viscosity
D) Carcinoma of the Stomach

59) A man age 25 comes to you for help. He is suffering from hypochondriac pain, constipation, dizziness, thirst, a bitter taste in the mouth, and irritability. His pulse is full and string-taut. What do you expect for his tongue to look like?

A) Red body color with a swollen body shape, an a rootless, moldy, and partially peeled coating.
B) Body color is bluish purple with pale and concave red spots. Body shape s tooth-marked, and the coating is dry and dirty.
C) Red body with points on the left side, normal body shape, and a thick, yellow, greasy, and sticky coating.
D) Body color is normal, with red points on the right side, shape is normal, and coating is thin white on the right side.

27) A man age 62 comes to you for help. He is suffering from epigastric pain, indigestion and rheumatic pain in the wrists and knees. His pulse is deep and weak, except for the Heart pulse, which is surging but deficient. What do you expect for his tongue to look like?

A) Body color is pale, body shape is swollen, more so in the front part, and tooth-marked, and the coating is sticky white all over.
B) Body color is red, body shape is slightly thin, although the sides are slightly swollen, scattered cracks, and the coating is peeled, except for a very small area toward the root.
C) Body color is red, tip redder and with red points, body shape is slightly stiff, coating is thick, yellow, and dry, and the moisture is very dry.
D) Body color is normal, body shape is swollen on the sides, crack in the center to the tip with swelling on both sides and a sticky and dirty coating with prickles inside the central crack.

92) A man age 66 comes to you for help. He has been suffering from emphysema and asthma for the past ten years, with shortness of breath and pain in the chest. For many years previously he had pleurisy as well as an duodenal ulcer. His pulse is rapid and rolling, but rather weak on the right side. What does his tongue look like?

A) Body color is reddish purple, body shape is slightly swollen, crack in the center extending to the tip, and slightly stiff. The coating is yellow on the root, thin and rootless elsewhere, yellow prickles inside the crack, and generally dry.
B) Body color is normal, body shape has a central crack, cracks on the sides, and other scattered cracks, and there is no coating.
C) Body color is red with red spots on the root, shape is swollen, especially just behind the tip and on the sides, slight cracks on the sides, and a dip in the Lung area. There is no coating in the center, slightly wet on the sides, yellow coating on the root, and very wet within the dip in the Lung area.
D) Body color is red, body shape is normal, and coating is thick, yellow, black and dry, with scattered white, moldy coating on the left side.

57) A normal, fresh, pale red color of the tongue body indicates that the tongue is receiving an abundant supply of which one of the following?

A) Heart Blood
B) Kidney Qi
C) Stomach Yin
D) Spleen Blood

87) A patient presents with a pale, wet, and swollen tongue. Based on the tongue alone, which one of the following would best describe their current condition?

A) Retention of dampness and/or phlegm, usually occurring against a background of Spleen yang deficiency
B) Obstruction of the spirit by phlegm
C) Deficiency of Spleen and Kidney Yang leading to retention of dampness
D) Retention of Cold-Damp in the Stomach and Spleen

12) A patient presents with edema of the extremities. They are coughing and wheezing with watery, copious sputum. They have a stifling sensation in the chest and diaphragm, shortness of breath marked by relatively labored inhalation and smooth exhalation. What do you expect their tongue to look like?

A) Greasy, yellow tongue coating
B) White tongue coating that is either slippery or greasy.
C) A moist or greasy, white tongue coating
D) Pale, swollen tongue with a thin, white, and moist coating

45) A patient presents with hypochondriac pain, headaches of a stabbing nature in the temples and eyes,
dizziness, tinnitus, a bitter taste in the mouth and lower abdominal pain of a twisting or boring nature, and
of fixed location. Their pulse is string-taut. They have been angry for a long time and have been repressing
their feelings and drinking a lot of alcohol and eating a lot of spicy and greasy foods. What do you expect
for this patient's tongue to look like?

A) A reddish purple tongue tip with red or purple spots on the tip
B) A dark reddish purple tongue that is dry
C) A dark reddish purple tongue that is wet
D) A reddish color with purple or red spots on the sides of the tongue

194) A patient presents with stasis of blood in the chest with pressing, squeezing, tight, heavy and occasionally burning sensation in the chest. The sensation is mild to moderate and they describe it as more of a discomfort than pain. This sensation is retrosternal, across the anterior chest, and sometimes radiates to the shoulders, arms, and lower jaw. It will usually last about 1 to 3 minutes. What do you expect their tongue to look like?

A) Spots on the sides of the tongue in the area between the tip and the center.
B) Purple spots on the central surface of the tongue
C) Spots on the root of the tongue.
D) Spots all along the sides of the tongue.

45) A tongue body that is short like a kidney indicates which one of the following?

A) Collapse of the Liver qi
B) Exhaustion of the qi and blood
C) Collapse of Spleen Yang
D) Severe, dangerous withering and exhaustion of the Kidney yin

42) A tongue that is red in the middle and black on the sides indicates which one of the following?

A) Exhaustion of body fluids
B) Heat injuring the yin or to collapse of the Stomach qi
C) Kidney and Stomach yin deficiency leading to heat, with damp-toxin lurking inside
D) Collapse of the Kidney yin is indicated

83) A thin and white tongue coating, possibly more around the center or in the front third with an unchanged tongue body is found in which one of the six stages?

A) Shaoyang
B) Jueyin
C) Taiyang
D) Taiyin

17) A woman age 65 comes to you for help. She is suffering from chronic asthma, with particularly difficulty in inhalation, for over thirty years. She has considerable mucus in the chest, which is occasionally coughed up. Her mucus is white and watery. Her pulse is weak, especially in the proximal positions. What do you expect for her tongue to look like?

A) Body color is red, with sides that are slightly purple. Body shape is normal, and on the underside the vein on the right side is purple and distended.
B) Body color is red, especially in the front part, red points around the center, body shape is swollen in the front part, and coating is thick, yellow, with root.
C) Pale body color with a swollen body shape with some cracks. The coating is thin, white, and dry.
D) Body color is red, redder in the front part, red points in the center, body shape is swollen in the front part, and the coating is absent from the front part and toward the center, thin, yellow and slightly rootless elsewhere.

51) A reddish purple color with a redder tip and swelling anteriorly represents which one of the following conditions?

A) Heat injuring the yin
B) Blood stasis with heat and severe blood stasis in the chest
C) Kidney and Stomach yin deficiency leading to heat, with damp-toxin lurking inside
D) Collapse of the Stomach qi

61) A white and moldy coating indicates which one of the following?

A) Collapse of the Kidney yin is indicated
B) Heat injuring the yin or to collapse of the Stomach qi
C) Exhaustion of body fluids
D) Kidney and Stomach yin deficiency leading to heat, with damp-toxin lurking inside

91) Cracks that resemble ice floes are frequently seen among them:

A) Young
B) Elderly
C) Paralyzed
D) Debilitated

8) Fred, a 47 year old male patient, is brought to you by his brother for help. The two of them were travelling when Fred caught a cold in the airport on the way home. It didn't seem like a big deal at the time. His brother started off with a fever, aversion to cold, he had a headache and a sore throat. His nose was runny with some yellow discharge and his tonsils swelled up. However, now his brother has alternating hot and cold feeling with a prevalence of heat. He's really thirsty and has a dry throat. He has pain in his side right below his ribs and is nauseated. Fred explains that he also has a bitter taste in his mouth and a feeling of fullness in the epigastrium. His tongue is red with a yellow, unilateral sticky coating and is pulse is string-taut and rapid. What is this patient's diagnosis now?

A) Damp-Heat in the Stomach and Spleen
B) Gallbladder Heat
C) Lung-Heat: Heat in the Chest and Diaphragm
D) Stomach Heat

179) How does blood stasis manifest on the underside of the tongue?

A) As swelling and darkening of the two veins on either side of the frenulum.
B) As swelling and paleness of the two veins on either side of the philtrum.
C) As swelling and darkening of the two veins on either side of the philtrum.
D) As swelling and paleness of the two veins on either side of the frenulum.

40) If a patient has a tongue with spots on the root, this is a sign of which one of the following:

A) Stasis of blood in the Intestines or Bladder
B) Stasis of blood in the Chest
C) Stasis of blood in the Liver
D) Stasis of blood in the Middle Jiao

37) If the tongue looks like a patch of fish scales, has prickles on its surface and is dry with withered cracks it is due to which one of the following?

A) Kidney and Stomach yin deficiency leading to heat, with damp-toxin lurking inside
B) Exhaustion of body fluids
C) Collapse of the Kidney yin is indicated
D) Heat injuring the yin or to collapse of the Stomach qi

82) In which one of the following instances will the center of the tongue have soft white papillae?

A) When the physiological fire of the gate of vitality joins with the Spleen
B) When the physiological fire of the gate of vitality joins with the Heart
C) When the physiological fire of the gate of vitality joins with the Stomach
D) When the physiological fire of the gate of vitality joins with the Lung

20) The gate of vitality corresponds to which part of the tongue?

A) The Root
B) The Middle
C) The tip
D) The Sides

100) The left side and/or edge of the tongue often corresponds to which one of the following organs?

A) Liver
B) Gallbladder
C) Spleen
D) Stomach

50) The prosperity or decline of the heart qi and the amount of blood circulating will be reflected in changes in:

A) Pulse and complexion
B) Pulse and tongue
C) Tongue and complexion
D) Complexion only

90) The pulse and tongue are complementary because, generally speaking, the:

A) Both tongue and pulse reflect blood
B) Pulse reflects qi and the tongue reflects blood
C) Both tongue and pulse reflect qi
D) Pulse reflects blood and the tongue reflects

80) What do ulcers underneath the tongue body indicate?

A) Extreme heat in the Spleen and Kidneys that is exhausting the body fluids
B) Heart heat from Kidney yin deficiency
C) Heat toxin in the Heart channel
D) Heart fire blazing upwards

52) What do swollen, painful red ulcers with white edges on the surface of the tongue usually signify?

A) Extreme heat in the Spleen and Kidneys that is exhausting the body fluids
B) Heart heat from Kidney yin deficiency
C) Heart fire blazing upwards
D) Heat toxin in the Heart channel

155) What does a blue color evident only on the central surface of the tongue indicate?

A) Stasis of blood in the chest
B) Internal cold, specifically of the Stomach and Spleen
C) The presence of dampness.
D) Stomach and/or Kidney yin deficiency.

62) What does a pale, bright and shiny tongue where the coating has come off entirely and the surface of the tongue looks like freshly-plucked chicken flesh indicate?

A) Qi and blood deficiency, particularly of Stomach and Spleen.
B) Stomach and/or Kidney yin deficiency.
C) The presence of dampness.
D) Nutritive qi level and blood stasis

18) What does a quivering tongue accompanied by aphasia or dysphasia indicate?

A) Collapse of Heart and Spleen Qi
B) Liver heat toxin generating internal wind
C) Qi and blood deficiency, usually accompanied by Spleen Yang Deficiency
D) Extreme heat inside, which gives rise to internal wind

196) What does a quivery tongue that is red and dry indicate?

A) Extreme heat inside, which gives rise to internal wind
B) Collapse of Heart and Spleen Qi
C) Liver heat toxin generating internal wind
D) Qi and blood deficiency, usually accompanied by Spleen Yang Deficiency

61) What does a sore-covered tongue with sores like rice grains scattered on the four corners of both the upper
and lower surface usually indicate?

A) Heart fire blazing upwards
B) Extreme heat in the Spleen and Kidneys that is exhausting the body fluids
C) Heat toxin in the Heart channel
D) Heart heat from Kidney yin deficiency

57) What does a white coating with black points or a white, greasy coating with streaks of black indicate?

A) Dampness in the Spleen at the Qi Level
B) Retention of pathogenic cold in a half-exterior and half-interior state
C) Deficiency cold with dampness from Spleen yang deficiency
D) Kidney and Stomach yin deficiency leading to heat, with damp-toxin lurking inside.

31) What does it mean if the whole tongue coating is white and dry and cannot be scraped off?

A) The cold is about to transform into heat and that the Lung fluids have been injured, resulting in the dry prickles.
B) There is the presence of externally-contracted damp-cold, in the initial stage of penetration.
C) That the externally-contracted cold is about to become more superficial and will not be turning into fire
D) That the externally-contracted cold is about to penetrate deeper and has the potential of turning into fire.

21) What does it mean when papillary buds over the surface of the tongue swell up like thorns?

A) Early threatening signs of wind stroke
B) Toxicosis
C) Accumulation of pathogenic heat in the interior
D) Excessive heat in the heart and spleen

99) What does the change that the epithelial layer of the tongue coincide with?

A) Progressive reduction in tongue coating
B) Progressive reduction in the philtrum
C) Progressive reduction in moisture of the tongue
D) Progressive reducing in skeletal muscle

189) What is the single most revealing element and the one firm point of tongue diagnosis?

A) Shape
B) Coating
C) Color
D) Size

137) What is the tongue composed of?

A) Skeletal muscle covered with sebaceous glands
B) Skeletal muscle covered with the epidermis
C) Skeletal muscle covered with mucous membrane
D) Skeletal muscle covered with osteoclasts

72) What may a tongue that is very swollen and somewhat flabby indicate?

A) Deficiency of Spleen and Kidney Yang leading to retention of dampness
B) Retention of dampness and/or phlegm, usually occurring against a background of Spleen deficiency
C) Obstruction of the spirit by phlegm
D) Retention of Damp-Heat in the Stomach and Spleen

181) What type of cracks on the tongue would you expect to see in a patient no appetite or slight hunger but with no desire to eat, constipation, dull epigastric pain, dry mouth and throat especially in the afternoon with a desire to drink in small sips and a slight feeling of fullness after eating?

A) Short, irregular cracks
B) Long vertical crack in the center
C) Transverse cracks
D) Long horizontal cracks

88) What type of tongue could you expect to see in a patient with an acute case of febrile disease such as meningitis?

A) Burnt black tongue coating with thorns on the tongue
B) A dark bluish purple and swollen tongue
C) A purple, swollen tongue
D) Tongue body color is a fresh-looking red and swollen

21) What type of tongue usually indicates prior Lung diseases as childhood pneumonia, whooping cough or pulmonary tuberculosis?

A) One or two small transverse cracks at a 25 degree angle slanting toward the midline, located just behind the tongue tip in the area corresponding to the Lungs
B) One or two small transverse cracks at a 65 degree angle slanting toward the midline, located just behind the tongue tip in the area corresponding to the Lungs
C) One or two small transverse cracks at a 90 degree angle slanting toward the midline, located just behind the tongue tip in the area corresponding to the Lungs
D) One or two small transverse cracks at a 45 degree angle slanting toward the midline, located just behind the tongue tip in the area corresponding to the Lungs

99) What type of tongue would you expect to see in a patient after a cerebral vascular accident?

A) A numb tongue
B) A tongue that moves slowly from one side to the other when extended, or moves without stopping and can only be extended to show a small part of the tongue body.
C) A tongue with rapid movements of small amplitude when extended.
D) A tongue that deviates to one side when extended

154) What will the tongue look like if Lung qi holds the true fire of the gate of vitality as it rises/comes out?

A) Healthy, pale red tip and soft white center.
B) Physiological fire of the gate of vitality joins with the Heart.
C) Center of the tongue has white soft prickles as fine as hair.
D) Tip of the tongue has fine red grains.

34) When the tip of the tongue is contracted and the tongue itself is completely dry and resembles dry meat it indicates which one of the following conditions?

A) Collapse of Spleen Yang
B) Severe, dangerous withering and exhaustion of the Kidney yin
C) Cold congealed inside with blood stasis
D) Exhaustion of the qi and blood

6) Which one of the following channels connects directly to the tongue?

A) Small Intestine
B) Lung
C) Pericardium
D) Gallbladder

192) Which one of the following generally causes the tongue to become peeled in patches where the coating falls off in small area?

A) Bronchodilators
B) Antibiotics
C) Corticosteroids
D) Anti-Inflammatory Agents

94) Which one of the following tongue coatings indicates retention of damp-heat in the interior and is frequently observed in alcoholics?

A) White Coating, Black points
B) Black, Dry, and Cracked
C) White Coating, Black prickles
D) Yellow sides, black and greasy coating

65) Which one of the following tongue coatings is least likely to indicate retention of food?

A) Granular coating
B) Thick coating
C) Sticky coating
D) Thin, dry coating

14) Which one of the following tongues could you expect to see in poliomyelitis?

A) Red or dark red with a sticky, yellow greasy coating.
B) Pale or pale red and be peeled.
C) Red or dark red with a thin, white coating.
D) Red or dark red tongue and be peeled.

23) Which one of the following tongues would you most likely see in a condition due to heat injuring the yin or to collapse of the Stomach Qi?

A) A blue tongue body with an absence of coating
B) The tongue body is red in the middle and black on the sides
C) Tongue looks like a patch of fish scales, has prickles on its surface and is dry with withered cracks
D) No tongue coating and the tongue looks like a pig's kidney or like a mirror

199) Which one of the following types of tongues does not indicate yin deficiency?

A) Granular coating
B) Flaccid and Deep red tongue
C) Thin, dry, and deep red tongue
D) Swollen tongue

33) Which type of antibiotic affects the tongue more than any other type of antibiotic?

A) Tetracyclines
B) Gentamicins
C) Aminoglycosides
D) Chloramphenicol

61) Very often the other clinical signs and symptoms will be contradictory; in such cases, what is the definitive indicator for the diagnosis?

A) Tongue coating color
B) Tongue body color
C) Tongue body shape
D) Tongue coating thickness

104) You diagnose a patient with yin deficiency of the lower burner with heat from the deficiency floating upwards. Which one of the following tongues would they most likely present?

A) Sores on the tongue that are concave and painless
B) A sore covered tongue like rice grains scattered on the four corners of both its upper and lower surfaces
C) Sores on the tongue that are convex and painful
D) Sores on the tongue that are convex and painless

55) You have diagnosed your patient as having Kidney and Stomach Yin deficiency leading to heat, with damp-toxin lurking inside. Which one of the following tongue coatings do they have to match this diagnosis?

A) White and Snow-like
B) White and Moldy
C) White, Rough and Cracked
D) White and Powder-like