H is 32 years old and runs her own architectural business. She describes herself as a perfectionist. She is thus very critical of herself and the people around her, causing her to experience constant inner tension. At the same time, she is always worried about not being successful.
She connects this fear to a feeling of tension around the neck and shoulders. She works more than 60 hours a week; the lack of spare time means she eats irregularly.
She also drinks a lot of coffee and sleeps very little. The physical symptoms of which she complains are headaches and tension around the shoulders and neck. She is also extremely worried about her infertility. The tongue is noticeably long and shows a rootless coating. Her pulse is slightly rapid shuo and choppy se.
For constitutional reasons, her emotional reactions give rise to heat in the Heart, as manifested in the red points at the tip of the tongue and the slightly rapid pulse. Because the discoloration of the red points at the tip is not very severe, the heat in the Heart appears to be of recent origin, possibly related to starting her own business. However, the long tongue body reflects a constitutional tendency toward the development of heat in the Heart.
Stress, a hectic lifestyle, and inner tension lead more readily to the formation of heat in those with this tendency than would be the case in individuals with other types of constitution. The patients irregular eating habits and excessive consumption of coffee has injured her postnatal qi, which in the long run will lead to malnourishment of Kidney yin and essence.
The onset of this pathology is reflected in the rootless coating on the posterior third of the tongue, as well as the soreness in her lower back. The vertical crack in the midline of the tongue indicates a slight deficiency of Stomach yin. Although the pale tongue and the choppy pulse denote blood deficiency, the pathology of the patient also points to the onset of Heart and Kidney yin deficiency. The sleeping problems, restlessness, and functional infertility point to blood as well yin deficiency.
The occasional headaches and the tingling and numbness are related to Liver blood deficiency. Treatment consisted of harmonizing the communication between the Heart and Kidney, and strengthening the blood and Kidney yin. Tai ji chuan, acupuncture, and herbs helped all the symptoms, including the infertility; two years later, she gave birth to a healthy baby. The long tongue reflects disharmony between fire Heart and water Kidneys , which may in some cases be of constitutional origin. This disharmony may give rise to symptoms like restlessness and sleeping disorders that go hand in hand with deep-seated fears and long-lasting exhaustion.
Tongues with a Long, Vertical Crack in the Midline A crack in the midline of the tongue is often seen as an indication of Stomach yin deficiency. The crack appears in the middle third of the tongue and is very often deep and wide. Constitutional weakness of the Heart can also present with a deep midline crack.
This crack, however, is much longer than the former. It starts in the posterior third and runs to the tip or just short of the tip. If the tongue body color is pale red or normal, and if the crack is thin, there may be no pathology. The crack may simply indicate that there is possible constitutional weakness of the Heart.
If, however, the tongue body is very red and the midline crack is very deep, Heart fire is probably present. If such is the case there will also be restlessness, irritability, palpitations, and mouth ulcers. If the crack is covered by a yellow, greasy coating, phlegm-fire is agitating the Heart. In this case the patient will exhibit restless agitation, a bad temper, and manic behavior. Finally, a red tongue body with a rootless or peeled coating in conjunction with a long, vertical midline crack indicates deficiency of Heart and Kidney yin.
A constitutional weakness of the Heart does not mean an organic weakness of the Heart. In those with this tongue type there is a tendency toward certain kinds of mental or emotional weakness: frequent attacks of melancholy and crying spells, emotional instability, fearfulness since childhood, depression. However, with an appropriate lifestyle, there may be no symptoms at all.
Great care must be taken, therefore, when assessing the significance of this crack. Tongue description Reddish, slightly swollen Long, vertical crack in the center with yellow, thin, greasy coating Red tip White, greasy coating.
Chinese diagnosis Slight Spleen qi deficiency accumulation of dampness Constitutional heat in the Heart with phlegm-fire in the Stomach Heat in the Heart Accumulation of dampness. Symptoms Panic attacks with fainting spells Palpitations Severe feelings of fear Diarrhea with emotional pressure. Tongue description Reddish, slightly swollen Long, vertical crack in the center with slightly yellow, thin, greasy coating.
Chinese diagnosis Spleen qi deficiency accumulation of dampness Constitutional heat in the Heart with phlegmheat in the Stomach. Symptoms Sudden vertigo Trembling of the entire body Numb areas in the extremities Severe feelings of fear Tendency to catch colds.
Tongue description Pale red Slightly red and curled-up edges Long, vertical crack in the center Indentation at the tip Depression at the root of the tongue Yellow, greasy coating along the midline crack. Chinese diagnosis Normal Liver qi constraint with heat in the Liver Constitutional weakness of the Heart Heart blood deficiency Essence deficiency Phlegm in the Stomach transforms into fire. Tongue description Reddish Red edges Long, vertical crack in the center with a red tip Yellow, thin, greasy coating.
Symptoms Inability to stay asleep Hot feet at night Occasional night sweats Headaches Tightness of the neck muscles Blocked sinuses. Symptoms Palpitations Anxiety, restlessness Insomnia, fatigue Washes herself all day Nausea and vomiting with agitation.
Case History This year-old private secretary complained about her unhappy marriage of 10 years. She did not know how to improve the relationship. During this period, her panic attacks occurred more frequently and became more intense. They always started with palpitations, a stifling sensation in the chest, and sudden diarrhea. A little bio won't be bad but i don't have any.. Follow me on twitter lets talk. Table of Contents 0. Share this:. Comment Cancel reply. You May Also Like.
Read More. F Free Engineering Books. Treatment consisted of harmonizing the communication between the Heart and Kidney, and strengthening the blood and Kidney yin. Tai ji chuan, acupuncture, and herbs helped all the symptoms, including the infertility; two years later, she gave birth to a healthy baby. The long tongue reflects disharmony between fire Heart and water Kidneys , which may in some cases be of constitutional origin.
This disharmony may give rise to symptoms like restlessness and sleeping disorders that go hand in hand with deep-seated fears and long-lasting exhaustion. The crack appears in the middle third of the tongue and is very often deep and wide. Constitutional weakness of the Heart can also present with a deep midline crack.
This crack, however, is much longer than the former. It starts in the posterior third and runs to the tip or just short of the tip. If the tongue body color is pale red or normal, and if the crack is thin, there may be no pathology. The crack may simply indicate that there is possible constitutional weakness of the Heart.
If, however, the tongue body is very red and the midline crack is very deep, Heart fire is probably present. If such is the case there will also be restlessness, irritability, palpitations, and mouth ulcers.
If the crack is covered by a yellow, greasy coating, phlegm-fire is agitating the Heart. In this case the patient will exhibit restless agitation, a bad temper, and manic behavior. Finally, a red tongue body with a rootless or peeled coating in conjunction with a long, vertical midline crack indicates deficiency of Heart and Kidney yin. A constitutional weakness of the Heart does not mean an organic weakness of the Heart. In those with this tongue type there is a tendency toward certain kinds of mental or emotional weakness: frequent attacks of melancholy and crying spells, emotional instability, fearfulness since childhood, depression.
However, with an appropriate lifestyle, there may be no symptoms at all. Great care must be taken, therefore, when assessing the significance of this crack. Tongue description Chinese diagnosis Reddish, slightly swollen Slight Spleen qi deficiency accumulation of dampness Long, vertical crack in the center with yellow, thin, greasy coating Constitutional heat in the Heart with phlegm-fire in the Stomach Red tip Heat in the Heart White, greasy coating Accumulation of dampness Symptoms Figure 6.
She did not know how to improve the relationship. During this period, her panic attacks occurred more frequently and became more intense. They always started with palpitations, a stifling sensation in the chest, and sudden diarrhea.
She often called for an ambulance in these situations, thinking that she had suffered a heart attack. The patient occasionally fainted when the feeling of fear became too strong. She appeared nervous and hectic but at the same time gave an impression of vitality. There was a long, vertical crack on the midline of the tongue, and the coating was thin, yellow, and greasy.
Her pulse was rapid shuo and slightly slippery hua. The deep midline crack in this case, which extends to the tip of the tongue, is not just an indication of constitutional weakness of the Heart, but also suggests the presence of heat in the Heart. The red tip and midline crack are covered with a yellow, prickly coating.
This is a sign of phlegm-heat in the Stomach.
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