The main disease and pathological changes of tongue hypertrophy with tooth marks

Tongue hypertrophy and tooth marks are a disease that occurs on the tongue, and it is believed that this disease has been troubling many patients and their families. This disease not only affects our diet, but sometimes even affects our ability to eat and speak. So how to solve this problem and prevent it from further deterioration. Let's explain together the main disease and pathological changes of tongue hypertrophy and tooth marks.

Main disease

- pale white and moist with tooth marks, belonging to cold and damp stagnation;

- pale red with tooth marks, belonging to spleen deficiency or qi deficiency;

- Red and swollen mouth, with tooth marks on the edges, mostly due to damp heat and phlegm stagnation;

In summary, it can be divided into two types: qi deficiency and yang deficiency: tooth mark tongue

tooth mark tongue

⑴ Qi deficiency type: weak temperament, main symptoms: tongue texture, thin and white tongue coating, plump and tender tongue body, tooth marks on the edge of the tongue, pale or pale complexion, short breath and lazy speech, heavy head and body swelling, fatigue and weakness, self sweating, reduced diet, postprandial bloating, nausea and vomiting, loose stools, weak and weak pulse. Treatment principle: tonifying the middle and nourishing qi.

⑵ Yang deficiency type: main attraction: tongue texture is pale, the tongue surface is moist and moist, or the tongue surface is smooth, the tongue body is round, plump and tender, and there are tooth marks on the edges. Pale or bluish black complexion, fatigue and tiredness, preferring to lie down, with light mouth and no thirst, eating too little, cold and painful abdomen, warm and soothing, cold stomach and cold limbs, clear urine and stool, occasional swelling, and slightly sunken pulse.Treatment principle: Xin Wen Bu Yang.

Pathological changes

Pathological research: Qian also used optical microscopy and electron microscopy observation methods to compare and examine the tissue and cellular morphological manifestations of the protruding and concave parts of the serrated tongue and the normal tongue edge. It is believed that the main pathological changes of serrated tongue are:

⑴ Thinning of the epithelial layer. The epithelial layer is thickest in the normal tongue, followed by the depressed area, and thinnest in the protruding area, which may be related to local nutritional status;

⑵ Changes in rough endoplasmic reticulum. In the basal and spinous layers, there is a decrease, expansion, and loss of ribosomes in the rough endoplasmic reticulum, indicating dysfunction in protein synthesis in the rough endoplasmic reticulum, which is one of the manifestations of cellular damage;

⑶ Decreased tension wire. The tension filaments of the tooth mark tongue decrease, and the intercellular gaps between the spine cells and the basal layer increase, forming a sparse mesh like pattern. The number of papillomatous bridge granules decreases, indicating poor cell connectivity in the tooth mark tongue;

⑷ Edema of cellular tissue. The main cause is an increase in cell membrane permeability due to local nutrient deficiency, leading to water overflowing from blood vessels and infiltrating cells. On the other hand, lymphatic reflux is not smooth and cannot take away excess water;

⑸ Lack of elastic fibers. The lack of this fiber reduces its tolerance to tensile forces, resulting in a serrated appearance under the pressure of teeth.

I believe patients and their families have gained a deeper understanding of the disease of tongue hypertrophy and tooth marks. The condition of having a chubby tongue and teeth marks affects one's mood during work and various aspects of daily life. The explanation of the article can provide people with more knowledge about this disease, and it is hoped that the article can help patients with this disease and their families who are at a loss.