Diagnosis ; tongue to help in giving cure results, which is an important aspect in diagnosis by inception. It indicates primary information of the disease to make diagnosis.
Acupuncture ‘SuJok’ energy says tongue is directly or indirectly connects with many organs through the meridians and collaterals. The deep branch of the Heart meridian goes to the root of the tongue; and the Spleen meridian traverses the root of the tongue and spreads over its lower surface; the Kidney meridian terminates at the root of the tongue. So the essential energy of the organs can go up to nourish the tongue, and one can at the same time see pathological changes of the organs which show by changes in tongue conditions. This way one may observe the pathological changes of the internal organs.
There is easy way to see the tongue properly and its coating. The proper tongue refers to the muscular tissue of the tongue, which is also sign as the tongue body. The tongue coating refers to a layer of ‘moss’ over the tongue surface, which is produced by the stomach qi.
A normal tongue is considered to be of a proper size, soft in quality, free in motion, a thin layer of white coating with slightly red or pinkish in overall color which is neither dry nor moist in excess.
The tongue may be divided while diagnosis into four parts, namely, tip, central part, root and border. The tip of the tongue often reveals the pathological changes of the heart and lung, and its border area reveals those of the liver and gall bladder; its central part reveals those of the spleen and stomach; and tongues root reveals to the kidney place. This method of diagnosing the pathological changes of the organs by dividing the tongue into corresponding areas is clinically significant.
Tongue diagnosis ;
Tongue Proper: This is to see the color and form of the tongue proper ~
Color of the tongue proper – Pale tongue : If a tongue appears to be pale means less red than a normal one, indicates syndromes of deficiency type and cold syndromes of the organs caused by deficiency or insufficiency of the qi and blood.
Red tongue : A red tongue is bright red and redder than a normal tongue. It indicates various heat syndromes including interior heat syndromes of excess type and interior heat syndromes of deficiency type due to deficiency.
Deep Red tongue : A deep red tongue indicates extreme hotness condition. Normally in exogenous febrile diseases, which indicates invasion of the blood systems by pathogenic heat. In endogenous diseases it indicates deficiency leading to the hyperactivity of fire.
Purple tongue : A blue purple tongue indicates stagnation of the blood which is related to either cold or heat. A deep blue purplish tongue, dry and lusterless, is related to heat, whilst a pale purplish and moist tongue is related to cold. While the purplish spots presence on the tongue surface indicates stagnation of the blood.
Form of the tongue proper :
Swollen tongue : A swollen tongue is larger than the normal. If a swollen tongue is delicate in quality and pale in color, and with tooth prints on the border, it indicates deficiency of the spleen and kidney. The condition may be due to impaired circulation of body fluids producing harmful water, retained fluid, phlegm and damp. If a swollen tongue is deep red in color occupying the entire space of the mouth, it indicates excessive heat in the heart and spleen. But if tongue appears to be bluish purplish and dark, it indicates toxics.
Thin tongue : A thin tongue is smaller and thinner than the normal one. A thin and pale tongue indicates deficiency of qi and the blood. A thin, dry and deep red tongue indicates hyperactivity of fire due to deficiency in which body fluid is consumed.
Cracked tongue : Irregular streaks or cracks on the tongue indicate excessive heat consuming body fluids.
Sore spots : It may be small but can occur anywhere in the mouth ,including the tongue which are excessively painful. It may happen due to multi factors – such as having a cold or fever, eating an excess of citrus fruits, or biting the tongue. But a normal canker will heal up and vanish in a week or so. Something that lasts longer and doesn’t seem to be going away could be a sign of oral cancer.
Thorny tongue : The papillary buds over the surface of the tongue swell up like thorns. A thorny and red tongue indicates accumulation of pathogenic heat in the interior. The more sever the pathogenic heat is, the more enlarged and profuse the thorns will be.
Deviated tongue : A deviated tongue indicates wind stroke or likely to be threatening signs of wind stroke.
Rigid tongue : A rigid tongue lacks flexibility and is difficult to protrude, retract or roll. A rigid tongue seen in exogenous febrile diseases which often indicates invasion of the pericardium by heat, retention of turbid phlegm in the interior or excessive pathogenic heat consuming body fluid. A rigid tongue present in endogenous diseases indicates wind stroke or early threatening sings of wind stroke.
Flaccid tongue : A flaccid tongue is weak in motion and often indicates extreme deficiency of qi and blood or consumption of fluid depriving the tongue to nourish. If a flaccid tongue is pale, it indicates deficiency of qi and blood. If it is deep red, it indicates collapse of the organ.
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