Scar tongue

Introduction Tooth mark tongue, the trace of the tooth on the edge of the tongue, also known as the tooth print tongue, mostly due to the fat of the tongue and the compression of the tooth edge, is a kind of abnormal tongue shape, which has great guidance for clinical syndrome differentiation. significance. It is easily recognizable in the tongue and is less affected by external factors such as food, medicine, etc. The motherland medicine believes that the tooth marks are caused by qi deficiency, spleen deficiency or yang deficiency. Because the spleen deficiency can not transport the water and wet, the tongue is fat, so the scalp tongue is spleen and wet. If it is pale and moist, it is cold and damp; it is reddish and has scallops, mostly spleen or qi deficiency.

Cause

The scalloped tongue is mostly caused by the fat of the tongue and the compression of the tooth edge. Therefore, the scallop tongue is often seen with the fat tongue, mostly spleen deficiency and main deficiency syndrome. If the tongue is pale and moist, it is spleen and cold and wet.

The cause of the scalloped tongue is mostly due to the spleen deficiency, which can not be transported to wet water, wet to the tongue and the tongue is fat, and is deformed by the dentition to form a tooth mark. Therefore, the dent is often seen with the fat tender tongue, on the one hand due to the tongue. Body edema, which belongs to the spleen yang deficiency and wetness, on the other hand, due to the relaxation of the tongue muscles, the mouth is insufficient, and the spleen is qi deficiency.

an examination

Related inspection

Hypoglossal nerve examination

The tongue-shaped nipple count and the tip microcirculation method study the microcirculation changes of the scalloped tongue in the following aspects:

1. Blood supply disorders: The microvascular plexus of the sacral papilla is reduced, and the capillary arterial arm is slender than the venous arm. These two manifestations are more pronounced especially in the bulge of the scalloped tongue. The amount of abnormal microvascular plexus increased more than normal.

2, local hypoxia and nutritional deficiencies: the number of tongue-shaped nipples and blood supply is positively correlated, the number of gingival nipples is lower than normal.

3. Tissue edema: The diameter of the tongue-shaped papilla is significantly larger than normal, which is caused by the retention of water in the lamina propria inside the nipple.

Differential diagnosis

Need to distinguish from diseases such as giant tongue.

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