What Is Smooth Tongue?

The tongue image includes changes in tongue texture and tongue coating. The tongue is a muscular organ, consisting of mucous membranes and tongue muscles. It attaches to the bottom of the mouth, mandible, and hyoid bone, and is flat and long. The main function is to identify the taste, adjust the sound, mix food and assist in swallowing. The tongue consists of muscles, blood veins, and meridians, all of which are closely related to the viscera.

Tongue Elephant

The tongue image includes changes in tongue texture and tongue coating. The tongue is a muscular organ, consisting of mucous membranes and tongue muscles. It attaches to the bottom of the mouth, mandible, and hyoid bone, and is flat and long. The main function is to identify the taste, adjust the sound, mix food and assist in swallowing. The tongue consists of muscles, blood veins, and meridians, all of which are closely related to the viscera.

Pay attention to Chinese medicine

Stomach patients who pay close attention to their tongue coatings often find something special: some are very thick, some are black, some are yellow, and some are peeling. If a person's tongue coating is abnormal for a long time, others will kindly remind: go and see if there is any stomach disease! In fact, changes in tongue coating can indeed reflect the disease.

How to observe and analyze the tongue

You must also be knowledgeable when you extend your tongue. You must be natural when you extend your tongue. The tongue should be relaxed, the tongue should be flat, the tip of the tongue should be slightly downward, and the mouth should be as wide as possible (but don't use excessive force) to fully expose the tongue. If the tongue is stretched too hard or the tongue is tense or curled, it will affect the tongue.

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The following three patients with gastroscopy diagnosed as "gastric sinus atrophic gastritis" have completely different tongue manifestations.

The tongue is the seed of the heart and the spleen. Because the tongue can directly or indirectly contact many organs through the meridians, the essence of the organs can be glorified by the tongue, the visceral organs are solid and solid, the qi and blood are prosperous, and the body fluid is dead or dead. The depth of the evil gas can be reflected by the change of the tongue. For example, Wu Kunan said: "The viscera and viscera of the disease, ying and blood, and the yin and yang on the surface and cold and heat are all shaped on the tongue." Modern research has proved that the tongue mucosa is extremely sensitive, and is particularly sensitive to the reaction of blood microcirculation.

Liu Jian, a TCM expert at the China Center for the Prevention and Treatment of Liver Diseases, analyzed the relationship between tongue changes and liver function in 582 patients with hepatitis B. It was found that there was no significant difference between type I tongue images (ie, pale red tongue and thin white fur) and ordinary people, so their prothrombin Time, globulin, serum bilirubin

Clinical indicators are generally normal. Leukoglobulin ratio was normal, GPT was normal or slightly elevated. It shows that the liver damage is slight, reflecting the mildness of the disease. The liver pathological changes are mainly fibrous tissue hyperplasia. Therefore, this type is more common in the chronic period of chronic hepatitis and chronic active hepatitis during the stationary phase.

Type tongue image (ie red tongue or palate, slight varicose veins with subdivided branches, trunk and branches skipping the tip of the tongue, root branches are not obvious, dark purple, yellow or grayish yellow, thick and not greasy (Dry) There are many signs of heat and humidity. Dampness and heat depression often lead to bile overflow, so this type of pathological change is most prominent in cholestasis, that is, bile retention in hepatocytes, bile duct dilatation, and cholestasis. Its performance is that serum bilirubin and alanine aminotransferase are significantly higher than other types. This proves that the heavier the heat and humidity, the HBv replication becomes active. Clinically this type of tongue image is more common in the active phase of chronic active hepatitis.

If the heat lasts for a long time, it will hurt. Liver and kidney are the same, liver and yin deficiency will cause kidney water deficiency, yin deficiency can be seen with thin tongue, red tongue and less moss; in severe cases, tongue fur exfoliation is like a map-like pattern, which is characterized by type III tongue image. Therefore, compared with type X, its prothrombin time and r globulin are higher than those of type II, and its liver function damage is also more serious. It has more extrahepatic manifestations. The pathological changes are mainly disordered arrangement of hepatocytes, degeneration of hepatocytes, and infiltration of inflammatory cells. Hepatic cell necrosis and the formation of valvular lobules are still the most common pathological changes of this type. Clinically more common in chronic active hepatitis.

The dark purple tongue or blood on the tongue and ecchymosis near the tongue are signs of qi stagnation and blood stasis. "Popular typhoid theory" contains: "The tongue is purple, and the liver is always stasis." Type tongue images are mostly caused by liver stagnation and long-term dysfunction of qi, blood and blood are the same, qi is blood handsome, qi stagnation is blood cancer. Its clinical laboratory indicators are higher than type I, and its clinical symptoms are heavier than type I. The pathological changes were mostly detrital necrosis, with boundary necrosis as the main cause. This type is more common in chronic active hepatitis.

The tongue is dim, the tongue is fat or tender, and there are teeth marks on the tongue. On the changes of the tongue veins, there are obvious branches and nodules. The tongue is yellow and white or gray and white or thick or slippery. This is a type tongue. . As a sign of chronic yang damage, the body's yang relies on the spleen and kidney, which promotes each other and can maintain normality. Prolonged disease and spleen and kidney, spleen and kidney yang deficiency, water and dampness block. This type of liver function is mostly prolonged prothrombin time, r globulin increased, albumin to globulin ratio mostly inverted, serum bilirubin increased, but alanine aminotransferase decreased, indicating severe liver damage and severe disease The prognosis is poor. ^[1]