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Tongue in Disease and Remedial Diagnosis – Science-based Homeopathy
Tongue in Disease and Remedial Diagnosis
August 28, 201 2 · homeopathy
Dr. Nancy Malik BHMS
Guest Post Written by Dr. Muhammed Rafeeque, BHMS The tongue (Lingua, Glossa) is a muscular organ in the oral cavity that is associated with the function of deglutition, taste and speech. It acts as an easily accessible mirror of the health of a person, and indicates the state of hydration of the body. Some characteristic changes occur on the tongue in some abnormal conditions or diseases. Hence, the examination of the tongue is very essential and will provide some hints for the clinical and remedial diagnosis. It is very easy to examine the tongue in a conscious patient. Difficulty may arise in unconscious patients and in non cooperative patients, especially the children. Small children may cry if we forcefully open their mouth, hence it can be easily examined by gently pressing above the mental-protuberance with the index finger and gradually opening the mouth, the baby will protrude the tongue automatically. Of course, it is a knack that can be gained only by experience. The clinical examination of the tongue should be done with consideration of following aspects such as shape, size, color, moisture, coating, nature of papillae and the movements. Appearance of tongue in some abnormal conditions: I. Movements: 1. Hemiplegia: Deviation towards the paralyzed side. 2. Tremors: Nervousness, Thyrotoxicosis, Delirium tremens and Parkinsonism. 3. Progressive Bulbar palsy: Wasting and paralysis of the tongue with fibrillation, eventually the tongue gets shriveled and lies functionless on the floor of the mouth.
glistening. Enteric fever. Geographic tongue – Irregularly shaped red and white patches resembling a map on dorsal and lateral surfaces. 5. Peritonitis – Furring of the tongue 8. Candidiasis – sloughing white lesions 3. Nutritional deficiency –Glossitis leading to papillary hypertrophy followed by atrophy. Diarrhea 2. white. Vitamin A deficiency – Furrowed tongue 8. Acute illness – white furring V. 7. Later stages of severe illness 3.wordpress. 4. Secondary syphilis – Mucous patches that are painless. Advanced uraemia – Brown color 4. HIV infection – Hairy leukoplakia 7. Hyponatraemia (with hard reddish brown color) III. Heat exhaustion 7. 9. anorexia. 3.Thick white coating 2. Leukoplakia – Keratotic white patch 6. Advanced uraemia (with brownish discoloration) 4. Ketosis – Brown discoloration 5. Median rhomboid glossitis – Smooth nodular red area in the posterior mid-line of the tongue. Central Cyanosis – Bluish discoloration 2. Coating : 1. restlessness. Iron deficiency and nutritional megaloblastic anaemia: Smooth tongue is encountered in both. Color : 1. vomiting.10/3/13 Tongue in Disease and Remedial Diagnosis – Science-based Homeopathy II. dry and parched tongue. 6. Riboflavin deficiency – Magenta color 6. Jaundice –Yellowish discoloration 3.Papillae : 1. Folic acid deficiency – Macrocytic megaloblastic anaemia with glossitis. Cause is unknown. 4. 5. 7. Dryness of tongue is seen in: 1. Niacin and iron deficiency – Atrophic linguae papillae. 2. drnancymalik. opalescent plazues which can’t be scraped off easily.com/2012/08/28/tongue-in-disease-and-remedial-diagnosis/ 2/7 . Moistness: The moistness of the tongue gives some indication about the state of hydration of the body. Niacin and some other B-complex deficiency – Bright scarlet or beefy red tongue. Hypovolumic shock 6. Water volume depletion in a person can lead to peripheral circulatory failure characterized by weakness. increased thirst. Diabetes mellitus and hypoadrenalism – Associated with white sloughing lesions. Acute intestinal obstruction 5. smooth. Severe anemia – Pallor IV. nausea. Hairy tongue – Due to elongation of filiform papillae which is provoked by poor oral and general debility . Thiamine and riboflavin deficiency – Hypertrophied filiform and fungiform papillae.
Scarlet fever – Bright red papillae standing out of a thick white fur. we do not treat the diseases. but the diseased individuals are treated by a holistic approach.10/3/13 Tongue in Disease and Remedial Diagnosis – Science-based Homeopathy 10. hydr. 2. Here the peculiar signs and symptoms will characterize the individual. 2.m. In Homeopathy. Hence. ter. b) Tingling on the tip. In Primary syphilis extra-genital chancre with enlarged submandibular and submental lymph nodes. Herpes Simplex :. loss of appetite and absence of thirst.s. Syphilis :. cham. rhust. kali. ars.Shallow ulcers.m. but a continuous process in the life of an individual.Glossitis with macrocytic megaloblastic anaemia and peripheral neuropathy. kali. e) Desire for acids. multiple shallow ulcers on under surface and sides. syph. ran. phyt. 4. c) Cracks in the corners of the mouth.Ulcers with everted edges and hard base. it should be kept in mind that over-importance to one particular sign or symptom may not be always correct. d) Saltish saliva. sul. Cyanocobalamine deficiency. which is called strawberry tongue. TARAX.wordpress. 3. Hutchinson’s wart on the middle of dorsum of the tongue. lyc. Tubercular ulcers:. d) Bitter taste of everything except water. In tertiary syphilis Gumma is seen on the mid-line of dorsum.bi. sep. lach. c) Dryness with intense thirst. nit. later the white coat disappear leaving enlarged papillae on a bright red surface. b) White furred appearance. The diseases are the dynamic morbid phenomena which are not different entities. ox.] The peculiar appearance of tongue in some important remedies 1.ac. nat. Carcinoma :.Acute vesicular eruption. VI. merc. the peculiar nature of the individual should be perceived by taking the totality by exact observation and correct interpretation.t.ac. Hence. Ulcers: 1. and all patients with mapped tongue may not be Natrum mur! [Synthesis Repertory>> Mouth >> Mapped tongue: Ant. 11. wherein the miasms get blended and evolved and finally affect the vital organs. drnancymalik. need not expect a mapped tongue in all Natrum mur patients. dulc. Antimonium Crudum: a) Tongue coated thick white as if white washed. often multiple and grayish yellow with slightly undermining margin. some abnormal signs on the body can be helpful for the differential remedial diagnosis. Here the nature of tongue can be taken in to consideration along with other characteristic signs. The internal morbid process is expressed by means of abnormal sensations and functions followed by the appearance of structural changes. Merely looking at one pathological condition and prescription does not come under the domain of Homeopathy. merc. tub.c. That is why the individualization is the sole mean for prescription .c. thuj. However. In secondary syphilis.com/2012/08/28/tongue-in-disease-and-remedial-diagnosis/ 3/7 .Syphilitic fissures are longitudinal in direction.ac. However. Aconite Napellus: a) Tongue is swollen and white coated. lil.
c) Tongue feels scalded. Loss of appetite. swollen. g) Great thirst for cold water. b) The edges are red. c) Large and flabby tongue. Arsenicum Album: a.clean and red. 7.com/2012/08/28/tongue-in-disease-and-remedial-diagnosis/ 4/7 . Tongue is dry. c) Strawberry appearance. 4. The edges and the tip has got redness. h. g. Feels scalded. e) Cracked and sore surface.10/3/13 Tongue in Disease and Remedial Diagnosis – Science-based Homeopathy 3. e) Erect papillae. c. and with vesicles. e.wordpress. b. raw. Belladonna: a) Tongue is swollen and painful. Shriveled appearance. b) Furred appearance with yellow dirty white coating. d) Dryness with great thirst for cold water. Blackish discoloration. yellow or dark brown. Baptisia: a) Indicated in typhoid tongue. 6. Stinging and burning pain with thristlessness. Gangrene of tongue. Bryonia Alba: a) Marked dryness of tongue. 8. Red hot and trembling. f) Fetid breath with bitter taste in the mouth. h) Stammering. d) Bitter taste in the mouth. Ulcerated with blue color. Tongue is fiery red. Apis Mellifica: a. b) White furred with red edges. Vesicles with stinging and burning pain. sore. f) Mouth dry as if glazed. e) Nausea and vomiting ameliorated by drinking very hot water. but dread of drinking. c) Lips parched dry and cracked. c. Chelidonium : a) Yellowish tongue with imprint of teeth. d) Red and shining edges. Thirst for small quantity of cold water in shorter intervals. d) Dryness and heat in tongue. d. Protrusion is difficult. drnancymalik. g. b. 5. f. b) Coated dark white. d. e. can swallow liquids only.
b) Deep ulcers with bluish red edges. c) Feels longer. drnancymalik. Mercurius: a) Furrow in the upper surface length wise. dry and cracked. Lachesis: a) Tongue is swollen. c) Protruded with difficulty. b) Cracked at tip. e) White furred tongue with bitter taste. f) Cancer of tongue with hemorrhages. d) Smooth and polished appearance.swollen. e) Hard lumps can be felt. Crotalus Horridus: a) Tongue red and small but feels swollen.10/3/13 Tongue in Disease and Remedial Diagnosis – Science-based Homeopathy 9. c) Scalded sensation.wordpress. c) Dryness in the center. 11. b) Shows imprint of teeth. f) Leather like appearance of tongue. d) Ulcers with fetid odor from mouth. c) Feels as if burnt.com/2012/08/28/tongue-in-disease-and-remedial-diagnosis/ 5/7 . b) Fiery red appearance. g) When protruding. goes to right side. b) It is stiff and immovable. 14. thick with moist coating. d) Fissures in the edges. e) Foams at mouth. d) It catches on teeth. d) Paralysis of tongue. black base. d) Impaired speech. c) Trembling with difficulty in moving. e. Hydrastis: a) White swollen and flabby. f) Moist mouth with great thirst. Muriatic Acid: a) Tongue is pale.) Difficult to protrude. g) Metallic taste in the mouth. Hyoscyamus: a) Tongue is red. b) Heavy. e) Blackish discoloration and softness. dry and leathery. e) Snake like protrusion is characteristic 13. red and dry. g) Indurated and looks like burnt. 10. 12.
with bleeding. b) Covered with a white film. 16. 20. c) Dry and red at edges. f) Desire for milk. Nitric acid: a) Painful pimples on the sides. c) Bitter taste in the mouth.10/3/13 Tongue in Disease and Remedial Diagnosis – Science-based Homeopathy 15. e) Bitter taste in the mouth.clean. Pyrogen: a) Dry. red. Nux Moschata: a) Very dry and adheres to roof of mouth. d) Taste terribly fetid.wordpress. b) White and cracked edges. c) Sensation of hair on the tip. e) Sensitive even to soft food. b) Sense of dryness and numbness with tingling. d) Red shining ulcers on the edges. 19. c) Breath is horrible. b) There is no thirst. d) Fever blisters around mouth.cracked. d) Mapped tongue. Nux Vomica: a) First half clean and posterior half covered with deep fur. e) Herpes on the tongue. b) Coated except red triangular space at the tip. d) Bitter taste and bilious vomiting. c) Ulcers with splinter like pains.com/2012/08/28/tongue-in-disease-and-remedial-diagnosis/ 6/7 . e) pus like taste in mouth. which comes off in patches leaving red spots. f) Bloody saliva with fetor oris. red and wet with center furrow. b) Smooth as if varnished. c) Feels raw. 18. f) Red insular patches on the surface. Taraxacum: a) Mapped tongue. 21. Natrum mur: a) Frothy coating with bubbles on sides. 17. c) Saliva looks like cotton. b) Clean. g) Loss of taste. d) Numb and paralyzed. Rhus Tox: a) Red and cracked. drnancymalik.
10/3/13 Tongue in Disease and Remedial Diagnosis – Science-based Homeopathy drnancymalik.com/2012/08/28/tongue-in-disease-and-remedial-diagnosis/ 7/7 .wordpress.