Tongue Diagnosis Made Easy

by John Douillard on July 2, 2015 | 10 Comments

Average Reading Time: 6 minutes and 7 seconds

In Ayurveda, one of the primary

investigative tools of practitioners for determining the state of ones health is
tongue diagnosis or evaluation of the tongue. The tongue is the very
beginning of the digestive tract, which lumbers on for another 30 feet or so.
Since we cannot see much beyond the mouth without some invasive
diagnostics, a quick look at the tongue can tell much about the health of your
inner digestive skin.
Your inner skin is without a doubt the most important determining factor for
your overall health. By inner skin, I mean the epithelium or the skin that lines
the digestive tract. Lets quickly take a look at what healthy inner digestive skin
is responsible for:
1. Hosting of trillions of beneficial microbes (1)
2. Where 95% of the serotonin for mood health is derived (2)

3. Where 80% of the immune system is found (3,4)

4. The protective barrier to ward off environmental toxins (5)
5. The delivery of all vitamins, minerals and nutrients (6)
6. Regulates genetic and epigenetic changes to the human genome (7-9)
This is, of course, the extremely short list of why the health of the inner
digestive skin is so important. The problem with diagnosing the inner skin is
that we cannot see it or can we? The tongue can give us quick and useful
indications about the status of our digestion.

The Perfect Tongue

Before we discuss the perfect tongue constitutionally, note that we will all
have a tongue that closely reflects our main constitution. For example:
Vata Constitution

The tongue will tend to be thinner, smaller, and a bit rough and dry.

Pitta Constitution

The tongue will be a bit more red in color, medium in size, and slightly
dry.

Kapha Constitution

The tongue will be larger, full, possibly light pink, and a bit wet.

Based on the normal variations between body types, a perfect tongue will be:

1. Pink not pale, scarlet, or red.

2. The pinkish color would be consistent across the entire tongue.
3. You would be able to see small cylindrical taste buds on the entire top
surface of the tongue.
4. It would be not too wet and not too dry it would be just right!
5. You would not see any cracks on the tongue.
6. There would be a very thin white coating of mucus on the tongue.
7. There would be no teeth marks on the sides of the tongue.

Tongue Diagnosis: Looking For Imbalances

Perhaps most directly seen on the tongue is the health of the epithelium of the
stomach. After the food hits the tongue, the next stop is the stomach. Often
the quality of the mucus lining of the stomach is reflected on the lining of the
tongue.

Movie Star Tongue

When the tongue becomes red, smooth, and moist or wet, I call this a movie
star tongue. While it might be pretty, it is not a functional tongue, and here is
why. When there is irritation or excess acid in the stomach, the tongue will
often reflect that by becoming more red. Due to the irritation of the stomach
lining and perhaps the upper part of the small intestine, the taste buds will
contract as if trying to hide and protect themselves from the irritation. The
result is a very smooth tongue that looks like it was sanded down and buffed.
Such a tongue will often be moist, which is a reflection of the excess mucus

produced in the stomach and small intestine to protect the lining from the
irritation.

IBS Tongue
The irritable bowel tongue reflects intestinal irritation from stress on the
tongue. It can be smooth, wet and pale. The smoothness is because the taste
buds are reacting to the stress by contracting or hiding. It is wet because of
the reactive mucus production generated as a result of the stress, and its
paleness is the result of the stomach eventually stopping the production of
stomach acid as a way to protect the intestinal wall from further irritation.

Acid Tongue
The acid tongue reflects symptoms like occasional heartburn. When
stomach acid builds up in the stomach and begins to move upwards, it can
irritate the lining of the stomach, esophagus, mouth, and tongue. The result is
a very red, dry, and often smooth tongue.

Boggy Tongue
A boggy tongue reflects a digestive fire that has been turned off. This
typically results in a pale, wet, coated, and even swollen tongue depending on
what the body type is.

Malabsorption Tongue
This tongue generally has scalloping teeth marks along the sides of the
tongue. It can also be discolored, where it might be reddish in one area, pale
in another, and pink somewhere else.

Stress Tongue
This tongue, which generally afflicts vata and pitta types, will have many small
cracks on the tongue. This is not to be confused with a geographic tongue,
which normally exhibits many cracks. A stress tongue is also typically dry
and often unsteady.

Spinal Stress or CNS Stress Tongue

Sometimes you will see a deep crack running down the center of the tongue.
This often reflects chronic stress in the central nervous system or spinal stress
from injury.

Ama Tongue
Ama, in Ayurveda, is the accumulation of improperly digested food that can
congest the intestinal tract. An ama tongue is when the tongue builds up a
thick coating on the entire tongue. If the accumulation of ama is on the back of
the tongue, it is generally a build-up of toxins in the large intestine. If it is in the
middle of the tongue, it points to a build-up of toxins in the middle of the
tongue.

Pale Tongue
A pale tongue suggests that there is a lack of good stomach acid and
digestive enzymes needed to properly digest food and deliver the minerals,
vitamins and nutrients needed for optimal health. Sometimes this can also be
a sign of anemia.

Dry Tongue

For the stomach to produce the acid needed to digest hard-to-digest foods,
the stomach requires proper hydration. Proper hydration supports a
bicarbonate layer of cells that is 80% water and buffers the acids in the
stomach. Without adequate hydration, the stomach will not produce acid and
the tongue often becomes very dry and slightly pale.

Wet Tongue
A wet tongue can be due to excess kapha (mucus) from a severely irritated
stomach lining, intestinal wall, undigested proteins like casein or gluten, or
from excessive stress.

Swollen Tongue
A swollen tongue may suggest a congested lymphatic system backing up
into the cervical lymph nodes, tonsils, adenoids, and tongue. Look for other
signs of lymph congestion to confirm this.

Balance Digestion and Change Your

Tongue
Each of these tongue imbalances reflect a certain type of digestive imbalance.
Please read the articles in my digestive health article and video archives to
address your particular issue, or schedule a personalized Ayurvedic
consult so we can dig in deeper.

Caring For Your Tongue

Tongue scraping is the simple practice of scraping the tongue before brushing
the teeth. Studies have shown that this simple technique:
1. Reduces undesirable bacteria in the mouth that compromise gum, teeth
and oral health. (10)
2. Reduces volatile sulfur compounds (VSC) that are by-products of mouth
bacteria linked to bad breath. (11)
3. Increases the function of taste buds to better taste and digest food. (12)
4. Changes the environment of the mouth to reduce putrefaction and
decrease bacterial load. (13)
Toxins, or ama (as we discussed earlier), collect on the back of the tongue
that can cause obstructions in respiration and foul smell. (14)
Copper may be the best metal to use for tongue scraping because the mouth
is loaded with both good and not-so-good bacteria. Copper not only seems to

be toxic to the bad bacteria, it also provides important enzymes that are
needed for the healthy microbes of the mouth to survive. (15,16)
In one study, the antiseptic benefits of copper were so great that, when copper
was put in hospital rooms as furnishings, the surface bacteria count on all the
surfaces in the hospital room was significantly reduced. (17) Some hospitals
are now incorporating copper furnishings as part of their anti-bacterial
strategies.

How To Scrape Your Tongue

1. In the morning, right after you wake up, scrape your tongue. Make it the
first thing you do. Even if you wake up in the middle of the night, scraping
the tongue followed by a glass of water can reduce accumulating
digestive ama (toxins).
2. With a relaxed tongue, using your U-shaped tongue scraper, gently
reach to the back of the tongue and scrape the tongue from back to front.
Repeat this 5-10 times, reaching as far back as comfortable, rinsing the
scraper after each pass. A slight gag can help bring up some mucus and
ama from the back of the throat.
3. Follow tongue scraping with brushing (with non-fluoride toothpaste),
flossing, and a large glass of water.
4. To complete an Ayurvedic oral hygiene routine, this can be followed
by oil pulling of course, this would require another round of tooth
brushing.
5. Get into the habit of scraping your tongue prior to each brushing.

Hows the health of your tongue? Take a peek!