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So, does anyone know for sure if this pepto-bysmal induced balck coat is caused by the direct contact of the bismuth with the tongue or is this some type of radioactive tracer for the Stomach Qi steaming upwards to form the moss of the tongue? I've mostly seen this 'pepto tongue coat' appear in the back and middle parts of the coat (Lower and Middle Burner), However, this would also be the area that would be contacted through swallowing the liquid.

 

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Dean Militello

Monday, July 08, 2002 7:14 PM

Re: black tongue

 

i seen a blackish coat caused by nicotine patch. which was interesting to me in that it did not enter the stomach as oral antibiotics and pepto bismal do. coat regained normal color w/i a few days after the patch was removed, and no extreme signs were presents, before or after. of course these are all coat tales, i think todd's original posting was in regard to tongue body color changes.

dean

 

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Linda Lyman

Sunday, July 07, 2002 11:11 PM

RE: black tongue

 

I have seen a person's tongue develop a black patch after he began taking the antibiotic isoniazid. A black spot developed in the center of the tongue and spread in size over the course of a few hours, becoming paler, but remaining. When the medication was withdrawn 3 or 4 days later, the tongue regained it's normal color. I have photos.

 

Linda Lyman, L.Ac.Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education.

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A patient presented with a chief complaint that her tongue had changed

colors. It presented with patches of the tongue body appearing greyish

-black. A colleague said this was a sign of dampness, which he confirmed

by a few other questions about digestion and diet. Any thoughts? I have

never heard this, nor have I read a good account of the black tongue,

though several other teachers have associated it with serious illness like

cancer.

 

 

Chinese Herbs

 

 

" Great spirits have always been violently opposed by mediocre minds " --

Albert Einstein

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What I've seen in the Wen Bing literature is that a dry black coat

indicates extreme heat and dryness in the large intestine. There is a

mention of it in " Warm Diseases, A Clinical Guide " , and in a Chinese

pamphlet on Wen Bing I obtained years ago. In other sources, (I cannot

recall at the moment) a black, moist coat indicates extreme coldness and

dampness, possibly with severe kidney and/or spleen yang vacuity. In

lecture notes from several years ago, I learned that a black tongue coat

can indicate cancer, especially uterine cancer. I've seen cancer

patients with at least partially black tongue coats, usually in later

stages.

 

Before diagnosing black tongue, however, check the patient for

medications, foods, candies or lozenges.

 

Black, obviously is an extreme color, and can be caused by either

extreme heat or cold causing severe damage to the qi mechanism. Look

for moistness and quality, and other signs such as color of tongue body,

pulse, skin color to determine if the black color is extreme cold or

extreme heat.

 

 

On Sunday, July 7, 2002, at 04:53 PM, wrote:

 

> A patient presented with a chief complaint that her tongue had changed

> colors. It presented with patches of the tongue body appearing greyish

> -black. A colleague said this was a sign of dampness, which he

> confirmed by a few other questions about digestion and diet. Any

> thoughts? I have never heard this, nor have I read a good account of

> the black tongue, though several other teachers have associated it with

> serious illness like cancer.

>

>

> Chinese Herbs

>

> voice:

> fax:

>

> " Great spirits have always been violently opposed by mediocre minds " --

> Albert Einstein

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Pepto Bismal also can cause black tongue coating! A regular patient of mine, who had never had a black tongue coat, came in one day with a black tongue coat and it turned out to be from pepto bismal, which was the only thing different that she reported. I looked it up and, indeed, pepto bismal does that. Scary looking, too.

 

Catherine

 

 

-

 

Sunday, July 07, 2002 5:22 PM

Re: black tongue

What I've seen in the Wen Bing literature is that a dry black coat indicates extreme heat and dryness in the large intestine. There is a mention of it in "Warm Diseases, A Clinical Guide", and in a Chinese pamphlet on Wen Bing I obtained years ago. In other sources, (I cannot recall at the moment) a black, moist coat indicates extreme coldness and dampness, possibly with severe kidney and/or spleen yang vacuity. In lecture notes from several years ago, I learned that a black tongue coat can indicate cancer, especially uterine cancer. I've seen cancer patients with at least partially black tongue coats, usually in later stages. Before diagnosing black tongue, however, check the patient for medications, foods, candies or lozenges.Black, obviously is an extreme color, and can be caused by either extreme heat or cold causing severe damage to the qi mechanism. Look for moistness and quality, and other signs such as color of tongue body, pulse, skin color to determine if the black color is extreme cold or extreme heat.On Sunday, July 7, 2002, at 04:53 PM, wrote:

A patient presented with a chief complaint that her tongue had changed colors. It presented with patches of the tongue body appearing greyish -black. A colleague said this was a sign of dampness, which he confirmed by a few other questions about digestion and diet. Any thoughts? I have never heard this, nor have I read a good account of the black tongue, though several other teachers have associated it with serious illness like cancer.Chinese Herbshttp://www..orgvoice: fax: "Great spirits have always been violently opposed by mediocre minds" -- Albert Einstein

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, " " <zrosenbe@s...>

In other sources, (I cannot recall at the moment) a black, moist

coat indicates extreme coldness and dampness, possibly with severe

kidney and/or spleen yang vacuity. In lecture notes from several

years ago, I learned that a black tongue coat can indicate cancer,

especially uterine cancer. I've seen cancer patients with at least

partially black tongue coats, usually in later stages.

 

 

 

Z'ev:

 

Although I do not usually check tongues, I do remember seeing a

black tongue in several cases involving severe kidney yang

depletion. One case was a referal and someone had pointed out the

tongue color beforehand.

 

The lecture comment can make sense in light of the fact that the

kidney channel and its divergent channel go to the root of the

tongue; but it hasn't been consistant with cancer patients.

 

I'm surprised it's not seen more often.

 

Jim Ramholz

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Sounds like pepto abysmal coating :)

 

Ouch!

 

 

On Sunday, July 7, 2002, at 06:17 PM, Catherine Hemenway wrote:

 

> Pepto Bismal also can cause black tongue coating!  A regular patient of

> mine, who had never had a black tongue coat, came in one day with a

> black tongue coat and it turned out to be from pepto bismal, which was

> the only thing different that she reported.  I looked it up and,

> indeed, pepto bismal does that. Scary looking, too.

>  

> Catherine

>  

>

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I have seen a person's tongue develop a black patch after he began taking the antibiotic isoniazid. A black spot developed in the center of the tongue and spread in size over the course of a few hours, becoming paler, but remaining. When the medication was withdrawn 3 or 4 days later, the tongue regained it's normal color. I have photos.

 

Linda Lyman, L.Ac.

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Are they available digitally to share?

 

I've also seen black tongue coats develop from steroids.

 

 

 

On Sunday, July 7, 2002, at 11:11 PM, Linda Lyman wrote:

 

> I have seen a person's tongue develop a black patch after he began

> taking the antibiotic isoniazid.  A black spot developed in the center

> of the tongue and spread in size over the course of a few hours,

> becoming paler, but remaining.  When the medication was withdrawn 3 or

> 4  days later, the tongue regained it's normal color.   I have photos. 

>  

> Linda Lyman, L.Ac.

>

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While I was in school I heard about one case of black tongue coating, and saw another. The first was a student who went to China. Her black tongue coat was the PeptoBismal variety. The second was another student who I saw in clinic, who had pneumonia. We were taught that black tongue coats are indicative of either extreme heat or extreme cold.

 

-

 

Sunday, July 07, 2002 5:22 PM

Re: black tongue

What I've seen in the Wen Bing literature is that a dry black coat indicates extreme heat and dryness in the large intestine. There is a mention of it in "Warm Diseases, A Clinical Guide", and in a Chinese pamphlet on Wen Bing I obtained years ago. In other sources, (I cannot recall at the moment) a black, moist coat indicates extreme coldness and dampness, possibly with severe kidney and/or spleen yang vacuity. In lecture notes from several years ago, I learned that a black tongue coat can indicate cancer, especially uterine cancer. I've seen cancer patients with at least partially black tongue coats, usually in later stages. Before diagnosing black tongue, however, check the patient for medications, foods, candies or lozenges.Black, obviously is an extreme color, and can be caused by either extreme heat or cold causing severe damage to the qi mechanism. Look for moistness and quality, and other signs such as color of tongue body, pulse, skin color to determine if the black color is extreme cold or extreme heat.On Sunday, July 7, 2002, at 04:53 PM, wrote:

A patient presented with a chief complaint that her tongue had changed colors. It presented with patches of the tongue body appearing greyish -black. A colleague said this was a sign of dampness, which he confirmed by a few other questions about digestion and diet. Any thoughts? I have never heard this, nor have I read a good account of the black tongue, though several other teachers have associated it with serious illness like cancer.Chinese Herbshttp://www..orgvoice: fax: "Great spirits have always been violently opposed by mediocre minds" -- Albert Einstein

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i seen a blackish coat caused by nicotine patch. which was interesting to me in that it did not enter the stomach as oral antibiotics and pepto bismal do. coat regained normal color w/i a few days after the patch was removed, and no extreme signs were presents, before or after. of course these are all coat tales, i think todd's original posting was in regard to tongue body color changes.

dean

 

-

Linda Lyman

Sunday, July 07, 2002 11:11 PM

RE: black tongue

 

I have seen a person's tongue develop a black patch after he began taking the antibiotic isoniazid. A black spot developed in the center of the tongue and spread in size over the course of a few hours, becoming paler, but remaining. When the medication was withdrawn 3 or 4 days later, the tongue regained it's normal color. I have photos.

 

Linda Lyman, L.Ac.Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education.

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