Höstmöte i Stockholm
INBJUDAN
HÖSTMÖTE & SEMINARIUM
17 – 18 Oktober 2009
Hjärtligt välkomna till ett intressant seminarium och höstmöte
med trevlig samvaro och gratis fortbildning (till ett värde av 3.200:- kr)
SEMINARIUM NR 20
Tungdiagnostik
Diagnoser & behandlingsprinciper, teori & praktik
FÖRELÄSARE: Barbara Kirschbaum
Välkänd internationell föreläsare. Europa , USA
Alla medlemmar som deltar i seminariet får intyg !
Plats: Radisson SAS Royal Viking Hotel,
Vasagatan 1 ( bredvid Stockholms Central )
Tid:
Lördag: kl 09.00 – registrering
kl 09.30 - 12.30 Seminarium
kl 12.30 - 14.00 Lunch
kl 14.00 - 15.00 Höstmöte
kl 15.00 - 18.30 Seminarium
*** Mingelparty kl.18.30 – 20.00***
Anmälan gör du samtidigt med seminariet pris 100:-
Söndag: kl 09.00 – registrering
kl 09.30 - 12.30 Seminarium
kl 12.30 - 13.30 Lunch
kl 13.30 - 16.00 Seminarium
Pauser kommer att läggas in.
200:- kr i registrerings avgift betalas i entrén , Detta inkluderar kompendium, förtäring i form av kaffe/te med tilltugg, frukt, juice och vatten, till varje deltagare. Säg till vid anmälan om du vill ha laktos eller glutenfri förtäring
ANMÄLAN SENAST DEN 1 5 Oktober 2009!!!
Telefon: 08-600 02 30
E-post: info@akupunkturforbundet.se
VÄLKOMNA!!!
-
OBSERVATION OF SUBLINGUAL VEINS
by Barbara Kirschbaum
Introduction
Over the last 20 years , interesting research into the diagnostic meaning of filled or distended sublingual veins has been undertaken in China. Clinical observation has shown that changes in the appearance of the sublingual veins has been correlated to certain orthodox medically defined illnesses, including coronary heart disease, cor pulmonalis, hypertension, hepatitis and cancer.1)
In clinical practice one is occasionally surprised to find quite normal tongue bodies and coatings in patients with severe organic illness. This implies that the tongue body does not always indicate the actual disease process. Often this is encountered when treating patients with breast cancer, for example. Even though blood stasis plays a role in the disease process it is often not reflected by a bluish discoloration of the tongue body. The shape and colour of the tongue body however do denote the conditions leading to the existing pathology.
In chronic and severe illness a pattern of blood stasis is often implicated. Despite not being reflected on the tongue body surface, this pattern is often indicated by pathological changes in the sublingual veins, and although theory holds that blood stasis presents itself by bluish spots or areas on the tongue surface, in may experience this occurs less frequently than the appearance of distended sublingual veins. The examination of the sublingual veins is therefore essential in order to determine a pattern of blood stasis.
Observation of the sublingual veins
Normal sublingual veins 2) which are situated laterally to the frenulum of the tongue, have a light blue color. They are thin and their length should not measure more than three fifths of the entire length of the underside of the tongue. In order to examine the sublingual veins, the patient should curl the tip of the tongue lightly upwards and without great exertion gently touch the palate. The length, form and colour of the veins should be observed. Additionally it is important to note the degree of distention of the sublingual veins. The appearance of small venules and red capillaries which may cover the underside of the tongue should also be noted.
Pathological changes to the sublingual veins
Some pathological manifestations of the sublingual veins are:
¤ very long and blue
¤ dark blue, thick and strongly distended
¤ winding, unevenly crooked and distended, sublingual varicosis
¤ light blue, thick and soft
Different grades of severity of pathological changes are used when judging the nature of the distension and length of the sublingual veins:
¤ only slightly distended and slightly blue
¤ only distended in the proximal part
¤ distention of sublingual veins over the entire length of underside of tongue
¤ extremely distended and dark blue.
Significance of pathological changes of the sublingual veins
The presence of pathologically changed sublingual veins in general reflects a pattern of blood stasis, and the darker and more distended the veins are, the greater the degree of blood stasis indicated. There is general agreement that distended sublingual veins in old people are less significant than in younger people.
The tongue surface is divided into three zones. Deviations in any of these zones indicate disharmonies of a particular zang or fu. However so far there are no sound results from research concerning zones in relation to sublingual veins. However Prof. Zhang Bo Li has stated:” If the sublingual veins reach the tip of the tongue, it is often indicative of a heart disease.” Distended sublingual veins, appearing in the course of heart disease, are frequently mentioned in modern literature. This corresponds with the findings of orthodox medicine, where distended sublingual veins are considered the result of a decreased backflow of venous blood as is the case with right-heart failure.
As with bluish discolouration of the surface of the tongue body, conclusions concerning the localisation of blood stasis in the body drawn from distension of the sublingual veins should only be formulated with great caution. Bluish areas on the tongue surface as well as sublingual veins do not precisely indicate the seat of the obstruction of blood. Judgements about the sublingual veins should only be made with long clinical experience and the background of a lot of collected information. At this point I want to emphasise that the mere existence of distended sublingual veins is not automatically an indication for a severe organic disease.
Personal observations on changes to the sublingual veins
¤ When blood stasis and phlegm combine, the veins often looks soft think and occasionally have a shinny appearance. This tongue sign is often found in patients who suffer from hypercholesterolemia .
¤ Occasionally one finds a yellowish membrane at the proximal part of the sublingual vein. This indicates hyperlipidemia.
¤ I have found a whitish membrane in several patients suffering from endometriosis.
¤ If a pattern of blood stasis has developed due to extreme heat in the body then there will be dark blue, distended veins or red capillaries at the edges of the underside of the tongue. Frequently patients with active auto-immune diseases like SLE and rheumatoid arthritis present with these signs.
¤ If petechiae appear lateral to the sublingual veins, and if they are very dark , they are an indication of a manifest heart disease or masses ( see pictures 1A ,1B, 65 year-old-man with hypertrophy of the prostrate ,: 2A, 2B , 52 year-old woman with breast cancer and metastases in the spine ).
¤ Occasionally one finds small, blue, distended venules , which branch off from the sublingual veins. These can indicate a profound pattern of blood stasis.
¤ It is common to find dark knots present when the sublingual veins are distended and these often correlate with winding or crooked sublingual veins. My observation of 50 patients with this tongue sign found that 40 had uterine fibroids, ovarian cysts or other masses. This was useful in order to focus the therapy on regulating blood.
¤ My experience also show a difference in the length of the sublingual veins between older and younger people. Older people ( from 60 onwards ) more often have long distended veins, indicating a greater prevalence of diseases of the heart and blood vessels ( picture 3A , 3B, 80 year old woman with coronary heart disease ).Younger people often have distended veins that do not extend further than the middle. In women this often denotes a pattern of stasis in the middle and especially in the lower burner ( see picture 4A , 21 year old woman with severe varicosis ).
Conclusion
Distended sublingual veins point towards a pattern of blood stasis in the body. Their shape, length, colour and degree of distension as well as the age of the patient must be considered when interpreting the extent of a possible pathology due to stasis of blood. The examination and diagnosis of the sublingual veins are essential in order to determine the intensity of the blood stasis in the body
Notes
1. See Li N-M Zhong Guo she zhen da quan , p. 1370 and Chen Z. M-F. The Essence and scientific background of Tongue Diagnosis, p. 96-97.
2. see B. Kirschbaum, Atlas of Chinese Tongue Diagnosis, Vol I, chap 8.3.
3. Lecture on sublingual veins by Prof. Zhong Bo Li , Tianjin University of Traditional Chinese Medicine, VRC, at the 31. Congress for TCM in Rothenburg, Germany.
4. Lecture on sublingual veins by Prof. Zhong Bo Li, Tianjin University of Traditional Chinese Medicine, VRC, at the 31. Congress for TCM in Rothenburg, Germany.
5. see Beaven DE, Brooks SE, Color Atlas of The Tongue in Clinical Diagnosis.
Barbara Kirschbaum qualified in acupuncture at ICOM , East Grinstead, England .Since 1989 she has lectured on acupuncture and Chinese pharmacology in Germany and Europe and is Director of the Pharmacology Centre in Hamburg where she runs courses on Chinese herbal medicine. She is the author of many publications including the Atlas of Chinese Tongue Diagnosis and been in practice for over 20 years.
Denna artikel är publicerad i The Journal of Chinese Medicine nr. 71, 2003 England
Translator
