Chinese patent medicine for treating enlarged tongue and tooth marks

Some ancient books also discuss fat tongue together with swollen tongue. In fact, big tongue is caused by deficiency of spleen yang qi, or dampness and cold, which leads to fat, loose, soft and light-colored tongue, and frequent tooth marks. It is a sign of deficiency and should be distinguished from swollen tongue.

Definition of fat tongue

Fat tongue: The tongue is fat and enlarged, or has teeth marks on the edges, and is light and tender in color. It is called a fat tongue.

Main symptoms of enlarged tongue

1. Spleen deficiency: Symptoms include a fat, tender and pale tongue. There are teeth marks on the edges of the tongue, the tongue coating is thin white, the face is pale and cold, there is shortness of breath and laziness to speak, fatigue and indigestion, abdominal distension and watery stools, and a weak or slow pulse. It is mostly due to the obstruction of water, dampness and phlegm, which causes water to be retained in the tongue and causes it to become enlarged. If the tongue is pale, plump and tender, and the body is slippery, it is due to spleen and kidney yang deficiency, inability of qi to transform fluid, and the upward flow of fluid. The treatment should be to strengthen the spleen and replenish qi. The prescription should be Balizhong Decoction or Buzhong Yiqi Decoction.

In clinical medicine, this tongue pattern is common in patients with obesity, low thyroid hormone, anemia, etc.

Common Chinese medicine prescriptions include: Ginseng Jianpi Pills, Huoxiang Zhengqi Pills, Shenling Baizhu Pills, Fuzi Lizhong Pills, Jiawei Baohe Pills, etc.

2. Kidney deficiency and water retention. Symptoms include a fat and tender tongue with light color and teeth marks on the edges, severe swelling below the waist, scanty urination, cold body and fatigue, cold limbs, dull or pale complexion, slow or deep and thin pulse. Treatment should be warming yang and removing dampness, such as Jinkui Shenqi Pills and Zhenwu Decoction. In addition, if the tongue is light red and fat, with yellow greasy coating, it is mostly due to the spleen and stomach damp-heat fighting with phlegm turbidity, and the overflow of cold dampness and phlegm turbidity. The treatment should be to eliminate dampness and expel phlegm, and it is suitable to use Artemisia capillaris, Akebia trifoliata, Feldspar, Gypsum ​​and Gardenia jasminoides to clear away heat and dampness.

In clinical medicine, this tongue pattern is commonly seen in patients with chronic glomerulonephritis, pyelonephritis, etc.

Common Chinese medicine prescriptions include: Jinkui Shenqi Pills, Jisheng Shenqi Pills, Bu Yao Jian Shen Paste, Nephritis Tongyang Tablets, Nephritis Xiaozhong Tablets, etc.

Clinical Medicine and Scientific Research on Enlarged Tongue

Obese tongue and tongue with tooth marks are mostly caused by the enlarged tongue being compressed by the edge of the teeth. Therefore, tongue with tooth marks is often seen together with obese tongue. It is mostly caused by spleen deficiency and is the main symptom of deficiency syndrome. If the tongue is pale and moist, it indicates spleen deficiency and excessive dampness and coldness.

The cause of tongue with tooth marks is mostly due to spleen deficiency and inability to absorb water, which causes moisture to block the tongue and make it swollen, which is squeezed by the teeth and forms tooth marks. Therefore, tooth marks are often seen together with a fat and tender tongue. On the one hand, the tongue is swollen, which is due to spleen yang deficiency and excessive moisture. On the other hand, the tongue muscles are weak and the mouth cannot be opened enough, which is due to spleen qi deficiency.

Scalloped tongue main diseases:

Pale white, moist and with tooth marks, indicating excessive dampness and coldness;

Light red with tooth marks indicates spleen or qi deficiency;

The mouth is red and swollen, with teeth marks on the edges, which is mostly caused by cold, dampness, phlegm and stagnation;

In general, it can be divided into two types: Qi deficiency and Yang deficiency:

(1) Qi deficiency type: spleen deficiency and dampness. Main symptoms: pale tongue, thin white tongue coating, plump and tender tongue, tooth marks on the edges of the tongue, pale or yellowish complexion, chest tightness, shortness of breath, laziness to speak, dizziness, body swelling, fatigue, night sweats, decreased appetite, abdominal distension after eating, nausea and vomiting, loose stools, and a deep, thready and weak pulse. Treatment principle: Invigorate Qi.

(2) Yang deficiency type: Main symptoms: The tongue is pale, moist and juicy, or slippery, plump and tender with teeth marks on the edges. Pale or dark complexion, fatigue, lethargy and preference for lying down, tasteless but not dry mouth, poor appetite, cold pain in the stomach, relieved only by warmth, cold stomach and limbs, clear urine and loose stools, or edema, and a deep and weak pulse. Treatment principle: spicy and warm to tonify Yang.