Tongue Diagnosis.txt

49) A 52 year old woman comes to you for help. She has been suffering from chronic neck pain and lower back pain for over fifteen years. Biomedical investigations revealed severe osteoarthritis of the cervical vertebrae. She has also been suffering from severe dizziness and fatigue. In the past she had several falls and accidents. She had undergone a hysterectomy (for heavy periods) fifteen years previously. Ten years previously she had an acute episode of very high temperature and severe headache which went undiagnosed, but which resembles meningitis. This was followed by a feeling of weakness and near-paralysis of the left side, symptoms which recovered spontaneously after a few weeks.

A) Body color is normal, body shape is normal, except for very slightly swollen sides and a crack down the center, and coating is thin and yellow, without root, and peeled in patches.
B) Body color is deep red tending to reddish purple, tip is redder, with points on the sides, body shape is swollen anteriorly (including the tip), and the coating is peeled, except for a thin white coating on the sides.
C) Body color is pale, with pale red points on the left side, body shape is slightly swollen on the left side, and the coating is thin, yellow and dirty, and wet on the sides.
D) Body color is red, tip is redder, tip is rolled over and swollen, and the coating is sticky, yellow and dry.

90) A 92 year old patient in generally good health comes to you for help. Her children want to put her in a nursing home but she does not want to go. She got so irritable when they approached her about this and her heart started pounding. She hasn't been able to sleep and has even started developing night sweats she's so ticked they would suggest such a thing. Sometimes when she starts to think about the incident the room will start to spin. You offer her a glass of water and she accepts explaining that lately she's been very thirsty as well. Which one of the following tongue and pulse presentation would best match this patient's condition?

A) Tender, red tongue and a weak and rapid pulse
B) Dark-red tongue, with dark spots on the sides of the tongue and a string-taut and tense pulse
C) Dry, red tongue and a wiry or thready, rapid pulse
D) A red tongue with a rapid, string-taut pulse.

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.

39) A man age 64 comes to you for help. He has been suffering from chronic rheumatoid arthritis, mostly affect his shoulders, elbows, and wrists. Four years previously he had a stomach ulcer which perforated. His pulse is mostly string-taut and rapid, less so on the right hand side, which is slightly weak and superficial in the middle position. What will this patient's tongue look like?

A) Body color is red, and shiny anteriorly. Shape is slightly stiff and deviated, deep crack in the center to the tip, right side is slightly swollen, and the coating is thin, slightly dry and dirty, with no coating in the center.
B) Body color is reddish purple, and the tip is red, body shape is swollen (especially on the tip) and stiff, and coating is thin and white, without root, small peeled patches on the root.
C) Body color is bluish purple, body shape is slightly swollen, with a crack in the center, and coating is thin and white.
D) Body color is normal, body shape is normal, except for a swelling superficially on the right half, and coating is normal.

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.

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

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

66) A patient presents with extremely cold extremities, aversion to cold, and they are sleeping with their knees drawn up. They're in a lethargic state and all they want to do is sleep. They've been vomiting, have diarrhea with undigested food particles, and abdominal pain. What does this patient's tongue and pulse look like?

A) The tongue is not red, but has a white, slippery coating. The pulse is thready and slow or thread and wiry.
B) Pale tongue with a thin, white coating and a thready, frail pulse.
C) Pale tongue with a white, slippery coating and a submerged, thready pulse.
D) Pale tongue and a thin and wiry or thin and choppy pulse.

70) A woman age 41 comes to you for help. She has been suffering from migraine headaches at the temples, extreme fatigue, anxiety and indigestion. Her hair has been falling out for the past two years, and she suffers from constipation. Her pulse is thready and slightly rapid. What does this patient's tongue look like?

A) Body color is dark red with red spots between the tip and center, sides slightly orange-colored, particularly on the right. There are many cracks of the ice floe type and there is no coating.
B) 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.
C) Body color is red, tip redder, body shape has a crack in the center reaching the tip, other small cracks, and the coating is peeled, tip dry, and root wet.
D) Body color is normal, body shape has a wide crack in the center that does not extend to the tip; slight cracks on the sides and no coating.

85) A woman age 51 comes to you for help. She has been suffering from persistent shaking of the head, which started two years previously. She also had slight palpitations, insomnia, and frequent urination at night. Her pulse is weak and deep. Her biomedical diagnosis for her condition is Parkinson's disease. What do you expect for her tongue to look like?

A) Body color is slightly pale, especially on the sides, body shape is slightly swollen overall, much more so in the front part; slightly tooth-marked, and the coating is normal, slightly sticky.
B) Body color is reddish purple, red points in the front part, body shape is swollen, heart crack, and tooth marked, and the coating is a generally sticky white, sticky yellow inside the crack toward the rot (yellow prickles), peeled in patches, especially on the sides toward the front (chest area)
C) Body color is pale, shape is swollen, and coating is wet.
D) Body color is slightly pale, especially on the sides, the body shape is slightly swollen overall, much more so in the front part; slightly tooth-marked, and the coating is normal, slightly sticky.

64) A woman age 52 comes to you for help. She has been suffering from chronic frontal headaches, tension and stiffness of the neck muscles and hypertension. Her pulse is thready, slow, and weak. What does this patient's tongue look like?

A) Body color is normal, body shape is wide crack in the center that does not extend to the tip; slight cracks on the sides, and no coating.
B) Body color is deep red, sides redder, body shape is swollen anteriorly and on the sides, and coating is white, powder-like, dry and rootless.
C) Body color is deep red, body shape has a deep central crack extending to the tip, many other cracks radiating outward from it; swollen along the central crack.
D) Body color is bluish purple with pale and concave red spots. Body shape s tooth-marked, and the coating is dry and dirty.

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.

5) A woman age 80 comes to you for help. She is suffering from rheumatism of the wrists and knees. Apart from this she is relatively healthy. What do you expect for her 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 normal, body shape is normal, except for very slightly swollen sides and a crack down the center, and coating is thin and yellow, without root, and peeled in patches.
C) Red body with points on the left side, normal body shape, and a thick, yellow, greasy, and sticky coating.
D) Pale body color with a swollen body shape with some cracks. The coating is thin, white, and dry.

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

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.

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