The veins underneath the tongue, known as sublingual veins in Chinese medicine, accompanied by a purple color, are signs of blood stasis in the body. Looking at the veins under the tongue is one of the important elements of tongue diagnosis in TCM.

Why are the sublingual veins tortuous and purple? There are three reasons.

1. Qi deficiency and blood stasis

The operation of blood requires the promotion of qi. When qi is insufficient, it is incapable of promoting the blood, and the operation of the blood will be stagnant, thus leading to qi deficiency and blood stasis.

Treatment: tonify Qi and invigorate Blood.

Representative formula: Tonifying Yang and Returning Five Soups. 组成：黄芪，地龙，桃仁，红花，当归，川芎、赤芍。 This formula achieves the effect of tonifying Qi and invigorating Blood by reusing Astragalus and combining it with medicines that invigorate Blood circulation and remove Blood stasis.

milk vetch root (used in TCM)

2. Qi stagnation and blood stasis

This type of blood stasis is not caused by a deficiency of qi, but by an obstruction in the operation of qi. Qi is the commander of blood, and when Qi moves, blood moves. When there is a blockage in the movement of Qi, it will also lead to a blockage in the movement of blood. Qi stagnation is mostly closely related to the Liver, as the Liver is the main regulator of Qi and can regulate Qi (i.e. the movement of Qi).

Treatment: Move Qi and activate Blood.

Representative formula: Chai Hu Liver-Sparing Powder. This formula consists of the liver-relieving Four Reversing Powder (Chai Hu, Paeonia lactiflora, Citrus aurantium dulcis, Radix glycyrrhiza glabra), plus the qi-moving and blood-activating ingredients, Chen Pi, Fragrant Parsley, and Rhizoma Ligustici. Of course, we can also use Hematophagus and Blood Stasis Dispelling Soup.

traditional Chinese medicine for the stomach (usually prepared as small dark spherical pills)

3. Cold condensation and blood stasis

Cold collects and attracts and stagnates, when there is a lack of yang energy in the body, then the yang deficiency gives birth to internal cold, and the cold evil collects and attracts and stagnates the blood veins, which also causes stagnation in the use of the blood, then at this time should be warmed to invigorate the blood mainly.

Treatment: Warming Yang and activating Blood.

Representative formula: Danggui Siwei Tang. Danggui Siwei Tang is a variation of Gui Zhi Tang. Gui Zhi is an important drug for warming yang and activating blood circulation. Danggui Siwei Tang is based on Gui Zhi Tang (Gui Zhi, Paeoniae Lactiflorae, Ginger, Jujubae, and Roasted Glycyrrhiza Glutinosa), but it is made by removing the ginger and adding Danggui, Xin Xin, and Tongcao.

Follow Dr. Shen, Xiao Chaihu, to learn more about Chinese medicine.

Once saw a shocking picture, a health club inside, a row of people a person holding a large basin, from the mouth inside the spit out large chunks of blood clots, some people spit a basin are full! Originally, this is in the piercing of the tongue under the "green veins" detoxification, the name is, go to the blood!

The picture is too disgusting I will not put, interested friends can go to the Internet search. In fact, this is the real bad conscience liar, the so-called tongue under the blue veins is the body bruises, is simply nonsense!

The blue veins under the tongue are the greenish colored blood vessels, which are our sublingual veins. This is what supplies blood to the tongue, and because it's a vein, it looks a little darker in color. This is a normal part of the body, but some people may have more of it and it may look more obvious, while others may have less and it may look smaller.

Cutting the vein under the tongue to release the blood is even more nonsense. Not only useless, but also may cause infection, or even massive bleeding leading to shock. Believe that these theories are not high cultural level of middle-aged and elderly people, accidentally deceived!

Therefore, just because you see the sublingual vein, said bruises, this is simply unreliable. What's more, don't just believe in what bloodletting therapy, not in the regular hospital, not to do aseptic operation, make a big mouth bloodletting, not afraid of infection!

Under the tongue, there are blue veins bursting out, most of them are stagnant blood accumulation, is the stagnation of blood stagnation in a local manifestation, the color of greenish-purple is mostly cold obstruction of blood coagulation, reddish is mostly heat knotting of blood stasis, the green veins bulging and bending is mostly qi deficiency of blood stasis or qi stagnation of blood stasis, the whole tongue shows greenish-purple, is mostly the whole body of the blood stagnation. Unusual causes of blood stasis include Qi stagnation, Qi deficiency, cold condensation, heat stasis, and traumatic bleeding. Common symptoms of Blood stasis are fixed pain sites, stabbing pain or dull pain, or lumpy accumulation when pressed, or localized numbness, dull lips and tongue or purple spots, and astringent pulse. When identifying the pathology of Blood stasis, one should analyze which category of Blood stasis it belongs to from its concomitant symptoms. For example, those accompanied by impatience and irritability, blue and purple color of face, and exposure of veins on the skin are mostly Qi stagnation with Blood stasis; those accompanied by pale face, weak body, and lack of energy are mostly Qi deficiency with Blood stagnation; those accompanied by darkening of the face, dark purple color of the lips are mostly Cold obstruction with Blood coagulation; and those accompanied by thirst and heartburn, and short and reddish urination are mostly Heat knot with Blood stasis.

Qi stagnation and blood stasis should be promoted to activate Qi and eliminate blood stasis, commonly used formula such as Blood Palace and Blood Stasis Dispelling Tang with additions; Qi deficiency and blood stasis should be promoted to tonify Qi and activate blood stasis, commonly used formula such as Astragalus, Gui Zhi and Five Substance Soup; Cold obstruction of blood coagulation should be dispersed to dissipate the cold and activate blood, commonly used formula such as Dang Gui and Si Reverse Soup; Heat knotting of blood stasis should be removed to relieve heat and eliminate lumps, commonly used formula such as Huang Lian Lixin and Xuan Xin Soup; traumatic stasis should be promoted to dredge liver, activate blood and eliminate blood stasis, commonly used formula such as Fuxue Yuan Blood Activating Tang with additions.

Tongue, in our mouth, mainly plays two important roles, one is to help us pronounce, that is, normal expression; two is in the diet, help stirring food, play the role of "mixer". However, in addition to these roles, people are concerned about some parts of the tongue, but also more curious, is the tip of the tongue below, when people sometimes look in the mirror, the tongue up, will find some "veins" below, it feels like blood vessels are blocked after the varicose phenomenon, which in the end, how is it a case? What is this? Is it normal or abnormal?

1. "Bruising" is not a problem with blood vessels.

In fact, this is a very normal phenomenon, we all know that our mouth is actually a very complex place, there are not only teeth, and the tongue, and some of the bacteria we can not see, these mixed together, constitute a complex mouth, if any aspect of the problem, then the end of the natural will affect our health. Therefore, these blood vessels under the tongue, in fact, also has its purpose of existence, they are not only simply to provide oxygen and nutrients in the blood, they are also responsible for secretion of some things, can moisturize the mouth, but also can help absorb some nutrients.

2. why does it look puffy?

In fact, this is related to its structure, this part of the blood vessels inside the flow of venous blood, you can observe their skin superficial veins, are this color. Only, it is not as obvious as the ones inside the mouth and under the tongue, so why is it puffed up? In fact, with the organs have a certain relationship, if the internal organs are usually healthier, these blood vessels do not look so particularly obvious, but once the liver is not good, or other organs are weak, the blood vessels will also be puffed out more powerful. Therefore, there is a special "popping out" when you should consider, is not a problem with the organs, this time you should go to check.

3. How to reduce the rate of "bruises"?

Usually pay attention to rest, is the best care of the organs, if the organs are good, then the tendons will naturally be less. At the same time, due to the emergence of blue veins, but also implies that the oral cavity problems, so usually should pay attention to oral hygiene, less alcohol and smoking, etc., if you do these, for the health of nature will also be guaranteed.

Changes in the sublingual collaterals are mainly indicative of the presence of stasis lesions.

Depending on its color, the stasis of blood can be identified as Qi stagnation, Cold stagnation, Qi deficiency, or Heat congestion.

The veins under the tongue are thick and swollen or black like bruise or reddish purple.

Or a dark reddish coloration of the tiny complexes under the tongue.

or a greenish-purple network.

Or changes such as varicose veins under the tongue like purple nodules of varying sizes.

All are signs of blood stasis.

Abnormalities of the sublingual complex and their clinical significance:

The tongue is weak, then pale red, thin and short;

If the tongue is stagnant, it is blue and angry and long;

If the tongue is cold, it is pale purple and tightly bound;

The tongue is purplish and thick and long when it is hot.

In traditional Chinese medicine, you can observe the tongue to find out whether the body is abnormal, for example, when we look in the mirror, you can stick your tongue up, if you find that there are some obvious "blue veins" under the tongue, and protruding obviously, then it means that there is bruising in the body, which is what traditional Chinese medicine said This is what Chinese medicine says: "When the tongue is stagnant, the blue and purple color will grow".

Therefore, a bruise under the tongue suggests that there is a state of stagnant blood in the body, and there is a problem of poor blood flow. And there are three main reasons for the occurrence of this problem:

I. Qi deficiency and blood stasis

Qi deficiency and blood stasis is one of the most common causes of bruises under the tongue. This is documented in "Medical Forest Reform and Error - On the Drawing of the Wind Not the Wind," which says, "Since the vital energy is deficient, it will not reach the blood vessels, and when the blood vessels are devoid of vital energy, it will stay and stagnate."

It means that the normal operation of blood in our body requires the normal promotion of qi. If there is a deficiency of qi, such as a deficiency of lung qi, spleen qi, etc., then there is not enough qi to promote the normal operation of blood, and at this time the blood flow will be slowed down, which will result in the stagnation of the blood, and thus blood stasis will occur.

In addition, if we want to determine whether it is caused by qi deficiency and blood stasis, we also need to combine the qi deficiency of the patient's body to see whether there are concurrent symptoms of qi deficiency such as body fatigue, less breath, lazy speech, and lack of mental energy, and at the same time, whether there are also numbness, tingling, and other symptoms of blood stasis, and the female friend can also observe whether there is irregular menstruation, the color of the menstruation is dark, or there are lumps in the abdomen, and the occurrence of tingling, and other problems.

:: CountermeasuresFor the problem of blue veins under the tongue caused by qi deficiency and blood stasis, the most important thing is to replenish qi and activate blood, that is, to replenish qi and benefit qi as the mainstay, supplemented by activating blood and activating blood, so as to solve the problem of qi deficiency at its root. For example, under the guidance of the doctor, the dialectical prescription, the use of tonifying Yang also five soup plus subtractions.

At the same time in the usual more life can also be through more points to eat some of the tonic qi tonic qi and blood food to regulate, such as jujube, wolfberry, angelica, or Colla Corii Asini and other foods. In addition, you can also appropriate exercise, ensure adequate sleep, which can effectively promote the operation of qi and blood.

II. Qi stagnation and blood stasis

Qi stagnation and blood stasis is different from qi deficiency and blood stasis in that it is not a problem of deficiency of vital energy, but also an obstacle to the operation of qi, for example, dysfunction or hypofunction can appear as a result of blockage of qi. Once qi is blocked, then the flow of blood will lose its power, and without the power to push it, then the blood will stagnate and not be able to run, and may stay in certain places, thus resulting in the appearance of stagnation and blood stasis.

If we compare the deficiency of vital energy to the lack of power raw materials in a car, such as the lack of gasoline in a fuel car or the lack of batteries in a new energy car, and so on, and the stagnation of qi can be regarded as a problem with the car's engine or energy delivery system. So the main problem of qi stagnation in our body is related to liver qi stagnation. Because the liver is the main excretory, can regulate the qi, liver qi stagnation will naturally cause qi stagnation problems, and ultimately the blood will run obstacles and stagnation.

In addition, if we want to determine whether it is caused by qi stagnation and blood stasis, we also need to combine it with some other symptoms of the patient's body, such as whether there is also the presence of a purple or dark tongue or purple spots, bruises on the lips and nails of the mouth, a dull complexion, distension and pain in the chest, impatience and irritability, etc., and the female friends can also observe whether there is a lack of menstrual bleeding, dysmenorrhea, amenorrhea and other problems.

●countermeasuresFor the problem of blue veins under the tongue caused by Qi stagnation and blood stasis, the most important thing is to ease the liver and relieve depression, and to promote Qi and blood circulation, which can be adjusted by using Chai Hu Shuo Liver Essence under the guidance of a doctor.

In addition, in addition to appropriate exercise in ordinary life, to promote the operation of qi and blood, but also should be to relax the mood, regulate emotions, avoid staying up late, do not get angry, quit smoking and drinking, avoid making some liver injury behavior.

Cold and blood stasis

Blood running inside the blood vessels, in addition to the role of qi before, but also need yang, that is, the temperature, just like the flow of water in the water pipe, in addition to the pressure, but also need the water to have a certain temperature, do not allow it to condense in order to flow. For example, if the temperature is too low, causing the water inside the water pipe to condense, then naturally the flow of water will be affected.

And the blood flow inside the blood vessels is the same, in the body's normal temperature under normal flow, foot bath, exercise, etc. will make the temperature rise, thus promoting blood flow. However, if the body is attacked by cold, such as feeling the external wind-cold disease (wind-cold cold) or internal cold (Yang deficiency born of internal cold) damage to the body, then it will cause blood vessel contraction, blood flow is slow, this is the cold is coagulation, coagulation is stasis, resulting in blood stasis.

In addition, if we want to determine whether it is caused by cold condensation and blood stasis, we also need to combine with some other symptoms of the patient's body, such as whether the patient is cold and afraid of cold, hands and feet are not warm, muscle constriction, pain in the joints of the limbs, abdominal coldness and pain and refusal to be pressed, and no sweating, etc., and we can also observe the patient's limbs at the end of the skin color whether it is purple, dark, and the tongue whether it appears purple or dark or accompanied with petechiae, petechiae, and other problems.

:: CountermeasuresThe most important thing is to warm the menstruation, dissipate the cold, activate the blood and remove the blood stasis, which can be treated by taking Angelica Si-Yi Tang with additional subtraction under the doctor's knowledge.

In addition, in daily life, you can also eat more warm yang food, such as dog meat, mutton, loach, deer whip, leek, wolfberry, longan meat, jujube, deer antler and so on. You can also sunbathe more, increase the body's yang, but also should be appropriate to participate in physical exercise, can effectively promote the operation of qi and blood.

Author's note: I'm very happy to popularize health-related knowledge for everyone, I'm left-handed to say medical, every day in simple language for you to popularize professional medical knowledge, the code word is not easy, if you like my article, help me to point a praise! If you still have questions, you can leave a message in the comments section, welcome to pay attention to, forward, thank you for your support!

It is normal to have blue veins under the tongue. The mucous membrane under the tongue is relatively thin, and the veins under the tongue show a blue color through the mucous membrane under the tongue.

That's a good point, I have it too, but not so bruised. Know the cause and take care of it, your body is your own or the one you shouldn't fail is yourself!

Normal healthy people should not see the veins angry (no disease does not show), in general, under the tongue with veins protruding, it shows that there is blood stasis in the body, different age stasis places, the degree is not the same, such as young women more suggestive of menstrual bleeding; and middle-aged and elderly people suggest that the blood pressure and blood fat abnormalities, the probability of heart disease a little more to determine the heart whether the heart is healthy, in addition to look at the veins under the tongue black or violet, but also such as: earlobes see the Coronary groove, lips or nails are blue-purple, the root of the mountain with horizontal lines, around the Divine Gate point to see obvious veins or purple-black, etc., one of the above, need to strengthen the prevention of heart disease, do not stay up all night!