The most important thing in TCM is tongue diagnosis. This paper mainly investigates the shape, color and moistening dryness of tongue and tongue coating, so as to judge the nature of the disease, the exterior and interior of the disease, the rise and fall of qi and blood, the profit and loss of body fluid and the deficiency and excess of viscera.
Tongue quality, also called tongue body, is the muscle and vein tissue of the tongue. Tongue coating is a layer of coating attached to the tongue, which is caused by stomach qi.
Come with me first to see what a healthy tongue looks like!
Pale red tongue coating is thin and white.
Precautions for reading tongue:
1. Slight impact
It is best to have enough soft natural light to see the tongue during the day.
2. Dietary or drug effects
Diet and drugs can change the tongue image, while excessively cold and overheated diet and irritating food can change the tongue color.
3. The influence of oral cavity on tongue picture
The uneven teeth will cause the tongue coating on the same side to be thick, and the tooth inlay will leave tooth marks on the edge of the tongue. People who breathe with their mouths open when sleeping will make the tongue coating thicker. This situation should be carefully screened to avoid misdiagnosis.
A chapped tongue:
Cracks with different sizes, depths and shapes are seen on the tongue surface, which is a cracked tongue.
(1) Excess heat injures yin, with crimson tongue and cracks;
Patients with this tongue picture need to see a doctor in time, and eat more food to nourish yin and reduce fire in daily life.
(2) Blood deficiency is not moist, mostly pale and cracked tongue;
Most of them are anemia or serious illness, and patients often have tongue pictures after operation. They need to eat more blood-enriching food on weekdays, but they should scientifically enrich blood and nourish blood, and avoid making up for it.
(3) Spleen deficiency and wet immersion, the tongue is pale, white, fat and tender, with teeth marks and cracks at the edge.
Common in patients with spleen deficiency and dampness, you can choose to eat yam, coix seed, poria cocos and other foods that strengthen the spleen, strengthen the stomach and eliminate dampness in your daily life.
Serrated tongue
The edge of the tongue has teeth marks, that is, a toothed tongue.
(1) The tongue is pale, white and moist with teeth marks, which belongs to cold and dampness.
(2) Red tongue with tooth marks belongs to spleen deficiency or qi deficiency.
(3) The tongue is red, swollen, full of mouth, with teeth marks on the edge, which are mostly caused by damp heat and phlegm and blood stasis.
Patients with lingual teeth should pay attention to the following points in their daily life:
1. Eat more foods that can dispel dampness and benefit qi, such as yam, gordon euryales, red beans, etc., and eat less cold, greasy, spicy and other foods that are easy to get wet.
2, ensure at least half an hour of exercise every day, exercise can not only help the body to expel moisture, but also strengthen the spleen and stomach transport ability.
3, pay attention to the warmth of the body, especially the abdomen, do not blow air conditioning for a long time in summer.
Fat tongue
The tongue is swollen and fat, or has teeth marks on the edge, and it is light and tender, which is a fat tongue.
(1) The tongue is tender and light in color. Tooth marks on the edge of the tongue, thin and white tongue coating, pale and cold complexion, lack of breath and laziness in speaking, listlessness, lack of food, full stomach with loose stool and weak pulse.
Common in patients with spleen deficiency. It is suggested that Chinese yam, poria cocos, coix seed and other foods with the same origin of medicine and food should be eaten in daily life to strengthen the spleen.
(2) The tongue is large, fat and tender, pale in color, with teeth marks on the edge, edema below the waist, short and red urine, cold limbs, dull or white complexion and slow pulse.
It is common in patients with kidney deficiency and flooding. It is suggested that you can eat more black beans, melon and other foods in your daily life.
A deep purple tongue
The tongue is purple and dark, dull and moist, and slightly gray in purple, which is purple and dark.
(1) The pathogenic heat is deep, the body fluid is dry and the blood is stagnant. It is common in patients with heat toxin entering the blood, and the treatment should be based on cooling blood and dispersing blood.
(2) Pathogenic heat with blood stasis, warm sensation of nutrients, accumulation of blood and blood stasis, and obstruction of meridians, which may be accompanied by abdominal caking and pain. The pain is mainly tingling, the pain is uncertain, and the color is dark and emaciated, which is more common in patients with blood stasis. Therefore, the treatment should be nourishing and removing blood stasis.
(3) Patients with warm-dampness and blood stasis, damp-heat, and blood stasis and damp-heat are mostly treated by removing blood stasis and removing dampness.
Because the patients with this tongue picture are generally complicated, it is suggested that patients with dark purple tongue must go to the hospital for diagnosis in time.
Map tongue:
A chronic marginal exfoliative glossitis occurring in the superficial layer of the tongue mucosa.
General map tongue is related to intestinal parasites or gastrointestinal dysfunction, children's nervous system development is not perfect, and mood swings. It is more common in children, especially weak children. There are also patients with congenital map tongue.
Parents of children with pictures and tongues should pay attention to:
1. Ensure that children have a rest on time. Add complementary food in time. Prevent partial eclipse and picky eaters, so as to avoid gastrointestinal dysfunction and malnutrition. It can be made into almond, coix seed and poria cocos rice paste for children to eat, which can not only awake the spleen and eliminate dampness, but also strengthen the transport function of the baby's spleen and stomach.
2. Carefully check the teeth, tonsils and buccal mucosa for infection, and treat them in time if found.
3. Keep the oral cavity clean and hygienic, and gently brush 1 ~ 2 times from the back of the tongue every morning to remove the exfoliated epithelium, which can achieve remarkable results.
Yellow greasy fur:
The tongue coating is yellow and sticky, and the particles are closely bonded. If the tongue is coated with yellow powder, it will be yellow and greasy.
Yellow greasy fur is formed by the intersection of pathogenic heat, phlegm and saliva. Yellow fur is hot, greasy fur is wet and phlegm is food stagnation.
Patients with yellow greasy fur should pay attention to:
1, light diet, eat more fruits and vegetables, eat less high-calorie and high-fat foods, and eat more foods such as bitter gourd and wax gourd that clear away heat and promote diuresis. Don't smoke and drink.
2, ensure exercise, sweating can accelerate the excretion of damp heat.
If it is convenient, you can try to make soup with pork and bitter gourd, which has a good effect of eliminating damp heat.
White fur: Generally, it is exterior syndrome and cold syndrome.
The tongue coating of normal people is thin, white and moist. At the same time, thin and white moss also means that the disease is on the body surface rather than in the body.
The tongue coating is thin, white and too slippery, which is more common in exterior cold syndrome.
Thin, white and dry fur indicates exterior heat syndrome or dryness. The tongue coating is white, thick and dry, which means that body fluid is injured by dampness, turbidity and heat.
White and dry fur is called "rough fur", which is more common in febrile diseases.
A pale tongue with white and slippery fur represents cold syndrome or cold-dampness syndrome.
The tongue coating is white, smooth and sticky, which is found in people with phlegm-dampness or dampness trapped in the spleen.
The tongue coating is white, slippery and rotten, and heat accumulates in the stomach and intestines.
Gray moss: the main internal syndrome.
The fur is thin and slippery, mostly due to internal cold and dampness, or phlegm.
The fur is gray and dry, which is a fever or a fire of yin deficiency.
Black coating: Black coating is mostly transformed from yellow coating or gray coating, indicating that the condition is extremely serious.
Black and dry fur is caused by insufficient heat and body fluid. The tip of the tongue is black and dry, full of heart fire. The coating is black and slippery, and it is extremely rich in yang deficiency and yin cold.
Look at your tongue in the mirror for 30 seconds every day, and you will know your physical condition! Let's act quickly!