the Causes of Purple-Black Spots on the Tongue in Traditional Chinese Medicine - Traditional Chinese Medicine

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Dr.
Chuang: May I ask why there are several purple-black patches on the tongue? Thank you.

W.D.C., 40~49 year old female. Ask Date: 2005/03/28

Dr. Zhuang Yihui reply Traditional Chinese Medicine


Dear W.D.C: I am unsure how long the purple-black lesion on your tongue has been present.
Generally, if it has been long-term, it may be what we in Traditional Chinese Medicine refer to as "blood stasis." However, if the purple-black lesion is of short duration, it could potentially be a fungal infection.
I recommend that you consult a dentist or a Traditional Chinese Medicine practitioner for an evaluation.
Sincerely, Dr.
Wu Hsuan-Chang, Attending Physician, Shu-Hua Traditional Chinese Medicine.

Reply Date: 2005/03/28

More Info


In Traditional Chinese Medicine (TCM), the appearance of purple-black spots on the tongue can be indicative of various underlying health conditions. The tongue is considered a mirror of the body's internal health, and its color, shape, and coating can provide valuable insights into a person's overall well-being.
The presence of purple-black spots on the tongue is often associated with "blood stasis" or "blood stagnation," a concept in TCM that refers to the impaired circulation of blood within the body. This stagnation can occur due to various factors, including emotional stress, physical trauma, or chronic illness. When blood flow is restricted, it can lead to the accumulation of stagnant blood, which may manifest as discoloration on the tongue.
In contrast, if the purple-black spots appear suddenly and are accompanied by other symptoms such as pain or swelling, they may be indicative of an acute condition, such as a fungal infection or other oral health issues. In such cases, it is essential to seek evaluation from a healthcare professional, such as a dentist or a TCM practitioner, to determine the exact cause and appropriate treatment.

From a TCM perspective, the treatment for purple-black spots on the tongue typically involves addressing the underlying cause of blood stagnation. This may include acupuncture, herbal remedies, and dietary modifications aimed at promoting blood circulation and enhancing overall health. For instance, acupuncture points that stimulate blood flow and alleviate stagnation may be targeted during treatment. Herbal formulas that invigorate the blood and dispel stasis, such as Dan Shen (Salvia miltiorrhiza) or Chuan Xiong (Ligusticum chuanxiong), may also be prescribed.

Moreover, lifestyle changes can play a significant role in managing blood stagnation. Regular physical activity, stress management techniques, and a balanced diet rich in fruits, vegetables, and whole grains can help improve circulation and overall health. It is also advisable to avoid excessive consumption of alcohol, spicy foods, and other substances that may exacerbate stagnation.

In conclusion, the appearance of purple-black spots on the tongue in TCM can signify blood stagnation or other health issues. A thorough evaluation by a qualified healthcare professional is crucial for accurate diagnosis and treatment. By addressing the underlying causes and making appropriate lifestyle changes, individuals can work towards restoring balance and improving their overall health. If you notice persistent or worsening symptoms, it is essential to seek medical attention promptly.

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