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Tongue Veins

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Hi Jason, of course sublingual veins tend to get more distended with use of the tongue (muscle).

I think ,one needs to distinguish between different degrees of distension of the sublingual veins. I have written an article about this in Journal of Chiense medicine , publ Hove, England issue 71.

To diagnosis the intensity of bloodstasis, I feel, one needs to look out for other signs, like venoles branching off the the main vein,or membranes covering the sublingual veins, color of the tongue underside.

Barbara Kirscshbaum

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Most people would probably agree that distended purple veins under the

tongue correspond to stagnation, and depending on the severity either

blood or qi. I noticed on myself that I had some very distended

purple veins (what I would consider blood stagnation)… I thought that

is strange, I don't really have any other blood stasis signs…?? So I

started looking at my tongue periodically, and I noticed the

following: a) right when I wake up there is nothing, (no distention,

no purple)! b) Later in the day, not always, but sometimes it would

get purple and distended. This brings up a couple of questions, and

primarily the validity of this supposed blood stasis sign. (of course

all s/s should be taken in context… but, this is so often equated with

blood stasis (or qi zhi) that it is puzzling. For example, how could

a blood stasis indicator change so quickly? And if this is a sign of

stagnation why would it be BEST in the morning after sleep, in what I

would assume the most stagnant part of the 24 hours. With exercise/

activity this sign gets worse.?? Has anyone else noticed this? Or

maybe my tongue is an anomaly.. Any thoughts???

 

 

 

 

-

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, " "

<@h...> wrote:

>

With exercise/

> activity this sign gets worse.?? Has anyone else noticed this? Or

> maybe my tongue is an anomaly.. Any thoughts???

>

 

I would not make a blood stag dx with just this sign. However the

majority of patients DO NOT have distended veins in the afternoon or

evening, so the fact that others do still says something about them

that is different from the general population. You would think

activity would improve stagnation, but what if daily events involve

increasing frustration. By the time the day is over, the events of

the day can drive a certain temperament over the edge. I can see a

liver qi type worse after a day of work (but better after a day of

frisbee). the constraint worsens and worsens due to stress and only

dissipates during sleep. We think of resting too much as stagnating,

but relaxation also unwinds, so it is not that black and white.

 

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Jason,

I would read that 'use of the tongue' as talking. When I've been

talking for long stretches, my viens pop out also. This is something to

consider when you do your patient intake that you don't ask to see their

viens right after they've been answering a long string of questions...

or else you start to see all your patients have stagnation... ;-) I

don't know how long it takes for them to recede, but usually by the time

I'm finished taking the pulse, they're back to normal (for the patient).

 

Barbara - love your tongue book!

 

Geoff

 

> __________

>

> Re: Tongue Veins

>

> Hi Jason, of course sublingual veins tend to get more

> distended with use of

> the tongue (muscle).

> I think ,one needs to distinguish between different degrees

> of distension of

> the sublingual veins. I have written an article about this

> in Journal of

> Chiense medicine , publ Hove, England issue 71.

> To diagnosis the intensity of bloodstasis, I feel, one needs

> to look out for

> other signs, like venoles branching off the the main vein,or

> membranes

> covering the sublingual veins, color of the tongue underside.

> Barbara Kirscshbaum

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