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You are here: Home / Ayurvedic Health / DIY Ayurvedic Tongue Diagnosis: What Your Tongue Says About Your Health

DIY Ayurvedic Tongue Diagnosis: What Your Tongue Says About Your Health

by John Douillard on November 15, 2018 | 28 Comments

In Ayurveda, one of the primary investigative tools of practitioners for determining the state of one’s 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 lining and its function.

In fact, Ayurveda suggested that the surface of the tongue reflects an entire map of the body reflecting its overall health.

Tongue Analysis

lifespa-image-tongue-diagnosis-diagram

While looking in the mirror, examine each area on the tongue, look for differences in:

  • Color
  • Texture
  • Coating
  • Taste buds

According to Ayurveda, the inner lining of the digestive tract is the most important determining factor for your overall health. The inner skin, the epithelium governs the delivery of nutrients, the removal of digested toxins, and the beginning of the lymphatic and immune systems. Examining the tongue can offer useful insight into these functions.

Let’s 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)
  7. The source of 70% of the body’s immune system (18)
  8. The beginning of the body’s  lymphatic circulation (18)
  9. The main driver of detoxification (18)
  10. Creates the environment for the manufacturing of vitamins, hormones, and neurotransmitters

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?

Your tongue can give you quick and useful incites about the status of your 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 redder 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—moist!
  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 or glassiness on the sides of the tongue.

Tongue Diagnosis: Looking For Imbalances

Inside of your stomach and intestines, you have intestinal villi and delicate epithelium with a thin layer of mucus lining the upper digestion. This coating helps with the assimilation of nutrients and the breakdown of toxins. The health of the digestive skin was classically evaluated by examining one’s tongue. We all grew up with every doctor’s visit starting with a tongue depressor saying ahhh!

When the intestines become inflamed or imbalanced, they produce excess mucus, which bogs down the villa, negatively affecting their ability to detox waste and absorb nutrients. In this case, the tongue would turn red or become overly wet and mucousy.

On the other hand, if the intestines are too dry as a result of excess stress or dehydration, the villi dry out and lose function, turning the tongue dry, parched, and even pale or cracked. Examine your own tongue and see if you can find one that matches your tongue’s appearance.

Symptoms Diagnosis Support/Herbs to Research
  • Pinkish
  • Slight whitish film
  • Soft
  • Taste buds clearly defined
  • Fairly Uniform
  • Normal
  • Eat seasonal food
  • Eat meals, not snacks
  • Heavy white coating
  • Bad breath
  • Build-up of ama (toxins)
  • Decreased digestive agni (heat) (HCI)
  • Large intestine digestive concerns
  • Low immunity
  • Warm Digest (trikatu)
  • Beet Cleanse
  • Liver Repair
  • Triphala
  • Chyawanprash
  • Wet, slimy, mucousy

OR

  • Thick coating
  • Intestinal imbalance resulting in reactive mucus production
    Villi in your intestines negatively affected. Toxins default through enteric cycle back to liver. Need to remove accumulated mucus in small/large intestines.
  • Loose stools, perhaps with mucus
  • Elim 2
  • Slippery Elm Prebiotic
  • Gut Revival Probiotic
  • Amalaki
  • Manjistha
  • Flora Restore Probiotic
  • Dry
  • Cracked
  • Dehydration, dryness of mucous membranes of the intestinal lining
  • Occasional constipation
  • Slippery Elm Prebiotic
  • Gut Revival Probiotic
  • Elim 1
  • Triphala
  • Liver Repair
  • Beet Cleanse
  • Bright, red, scarlet, smooth, shiny
  • Purplish
  • Too much heat or acidity in digestive system
  • Mucous membranes may be irritated
  • Loose stools (2-3+ BMs per day)
  • Mucus in stool
  • Neem
  • Cool Digest (Avipattikar churna)
  • Amalaki
  • Elim 2
  • Summer Grocery List – Pitta-Balancing Foods
  • Coated
  • Pink to grayish
  • Gas, bloating, or heavy digestion
  • Dark circles under eyes, heavy jowls, an extra 10-50 lbs, lymph congestion
  • Elim 1
  • Gentle Digest
  • Beet Cleanse
  • Manjistha
  • Lymph Cleanse
  • Scallops on side on tongue
  • Absorption of nutrients should be evaluated
  • Occasional heartburn, constipation
  • Gentle Digest
  • Cool Digest (Avipattikar churna)
  • Beet Cleanse
  • Kutki
  • Elim 1
  • Triphala
  • Side of tongue red, shiny
  • Liver concerns
  • Absorption of nutrients should be evaluated
  • Cool Digest (Avipattikar churna)
  • Amalaki
  • Slippery Elm Prebiotic
  • Gut Revival Probiotic
  • Liver Repair
  • Red shiny spots on side or tip
  • Shows areas of imbalance (find location on tongue chart above)
  • Amalaki
  • Chyawanprash
  • Crack down middle
  • Severe vata imbalance
  • Winter Grocery List – Vata-Balancing Foods
  • Ashwagandha
  • Tulsi Holy Basil
  • Happy Caps
  • Tip of tongue burning
  • Stress
  • Amalaki
  • Neem
  • Arjuna
  • Thin
  • Shaky
  • Vata imbalance
  • Winter Grocery List – Vata-Balancing Foods
  • Ashwagandha
  • Brahmi Brain
  • Bacopa
  • Happy Caps
  • Learn dietary strategies to restore healthy digestion and inner digestive skin.
  • Learn lifestyle strategies to restore healthy digestion and inner digestive skin.
  • Learn more about herbs to restore healthy digestion and inner digestive skin.

Classic Tongue Imbalances

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 excess acid in the stomach, the tongue will often reflect that by becoming more red. Due to the hypersensitivity 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. 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.

Irritated Tongue

The irritated 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’s low 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 upset 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.

Teeth-Marked 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. Teeth marks or a scalloped tongue may suggest imbalanced assimilation of nutrients.

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.

Cracked Tongue

Sometimes you will see a deep crack running down the center of the tongue. This may reflect vata strain in the nervous system or spinal stress.

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, small intestine, and colon. A thick coating on the front and back of the tongue suggests ama build-up in the stomach and small intestine.

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 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 reflects 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.

How’s the health of your tongue? Take a peek!

 

References

  1. http://www.ncbi.nlm.nih.gov/pubmed/25888704
  2. Gerson M. The Second Brain. Harper Collins. New York. 1998
  3. http://www.ncbi.nlm.nih.gov/pubmed/10564096
  4. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2515351/
  5. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775315/
  6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1378139/
  7. http://www.ncbi.nlm.nih.gov/pubmed/20376150
  8. http://www.ncbi.nlm.nih.gov/pubmed/22841660
  9. http://www.ncbi.nlm.nih.gov/pubmed/25785303
  10. http://www.ncbi.nlm.nih.gov/pubmed/16032940
  11. http://www.ncbi.nlm.nih.gov/pubmed/15341360
  12. http://www.ncbi.nlm.nih.gov/pubmed/15191584
  13. http://www.ncbi.nlm.nih.gov/pubmed/15191584
  14. Caraka Samhita. Sutrasthana. Ch 5. Verse 71-75
  15. http://www.ncbi.nlm.nih.gov/pubmed/22341460
  16. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3067274/
  17. http://www.ncbi.nlm.nih.gov/pubmed/22173515
  18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3132563/
 

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Categories: Ayurvedic Health, Dental Health Tagged: amalaki, ashwagandha, Avipattikar churna, bacopa, beets, Brahmi, chyawanprash, digestive health, kutki, liver health, lymph health, manjistha, mood health, neem, oil pulling, slippery elm, trikatu, triphala

Comments

  1. Jaideep says

    December 5, 2018 at 7:57 am

    What to do in condition where you have “Teeth-Marked” tongue ?

    Reply
    • Gašper says

      December 26, 2018 at 6:17 am

      If your tougne is scallapped it indicates that you are low on Iodine-possible thyroid problem.

      Reply
  2. Vacheslav says

    November 28, 2018 at 7:05 am

    Speaking and writing of Tongues, I know someone who used to have these attacks: first the joint would start to ache, then the feeling in the arm would diminish because of less blood flow to the arm, and the blood would go upward and the tongue would swell up to more than 2 times its size… of course following many of the advice in this site lessened the frequency of the attacks but what nailed it was the homeopath! When he would feel the attack starting, he would take 5 small pieces of the prescribed medicine and the joint would seize to hurt!

    Reply
  3. Vacheslav says

    November 16, 2018 at 12:40 am

    Not a mention of toothpaste! there is neem toothpaste which is awesome for gums, there is also the one with black pepper which makes the tongue feel spicy and cleansed. there is also miswak from the uae, very tasty and cleansing 🙂

    Reply
  4. Andy says

    July 7, 2018 at 4:39 pm

    My entire mouth has sores. It has been biopsied. Results were inflamed mouth. My tongue is coated white and burns. I haven’t been able to eat. Just liquids. I’ve lost 20 pounds
    Very painful. Any suggestions?

    Reply
    • Lola Scarborough says

      August 22, 2018 at 7:35 am

      Hi Andy. I am trained in Ayurveda and hold a degree in it and practice it in my area. I strongly suggest you set up an appointment with an avyurvedic practitioner in your area. Through changes in diet and lifestyle, along with a process called panchakarma and maybe some herbal formulas, your practitioner would be able to help you with this. Western medicine is not so good at working with these things. My best to you. Lola

      Reply
  5. Barb says

    April 8, 2018 at 9:08 pm

    I have stress tongue…how can this be treated..it’s awful

    Reply
  6. Naseer Ahmad dar says

    February 19, 2018 at 11:23 pm

    Sir,
    My tongue has cracked a lot by naturally and no pain of the toungue and when I eat any food no pain but my toungue has breadth ,it is problem ,tell me

    Reply
  7. anita graham says

    March 7, 2017 at 3:12 pm

    black tongue especially in back?

    Reply
  8. Brenda says

    November 18, 2016 at 4:26 pm

    I suffer from a very sticky mouth. It seems I have plaque oozing from the gum line around a couple of my upper left teeth. I’ve read that this can be an imbalance in the calcium/phosph. levels but I’m not certain. Maybe my body doesn’t absorb calcium too well. I am now suffering from gum disease and have recently started developing pockets next to two teeth either side of my mouth (upper). I don’t take calcium supplements. Does anyone have an idea how I can improve these levels or improve my sticky mouth/teeth? Any advice gratefully received. Thanks.

    Reply
    • John Douillard says

      November 22, 2016 at 10:24 am

      Hi Brenda thanks for reaching out. Try to incorporate the following: tongue scraping, oil pulling https://lifespa.com/the-truth-about-oil-pulling/, and oral respiratory defense (at least 4 a day for about a month) http://store.lifespa.com/oral_plus_respiratory_defense.html
      Be well.

      Reply
  9. AKB says

    August 15, 2016 at 11:35 am

    What is your opinion about surgery to remove the adenoids in young children? My understanding is that the adenoids are lymphatic tissue and act as gatekeepers to the respiratory tract. Do you have any alternatives to the surgery for very inflamed adenoids in a child with frequent colds? Do you have any examples of long-term success or other results either with surgery or alternatives? The parents are overwhelmed as it is, so the simpler (and less expensive) the better.

    Reply
  10. Malgorzata says

    April 14, 2016 at 10:46 am

    I have a burning sensation on my tongue for the last month or maybe longer. The burning sensation is on the tip and top of my tongue which is cracked towards the tip and red, the back of the tongue have small rash and a little more build up. The burning sensation is also inside my mouth. I have a filling that I have rush round my throat area. What I can do ?

    Reply
  11. Carmen C.Izquierdo says

    April 12, 2016 at 4:02 am

    Dr. Vasant Lad’s book “Ayurveda: A Practical Guide: The Science of Self Healing”, Lotus Press; 1985 ISBN 0-914955-00-4 has excellent illustrations of the tongue for tongue diagnosis. However, the explanation in this article is more detailed than the one I found in Dr. Lad’s book. Thank you Dr. Douillard.

    Reply
  12. Sue says

    January 9, 2016 at 9:12 am

    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’.

    The last part of this sentence does not make sense – it should likely say – it points to a build-up of toxins in the small intestine?

    Reply
  13. Rosie says

    July 6, 2015 at 7:44 am

    You mention a “Geographic Tongue” but then you don’t go into detail on it. What is a “Geographic Tongue”?

    Reply
    • Cheryl says

      August 15, 2015 at 3:07 pm

      I would love to know what the geographic tongue means in terms of digestion, because I have one. Areas of the taste buds seem to come and go, and it looks like a map,hence the term “geographic”. It is often painful and acidic or salty foods can hurt my tongue when it’s in this state.

      Reply
      • AKB says

        August 18, 2016 at 7:43 am

        I practice Chinese Medicine not Ayurveda, but since John never answered, I’ll give you my perspective. The classic description of a geographic tongue is that the coating is uneven; it may be thick in some places, thin in others, and usually there are “peeled” spots, where there is no coating and the surface looks glassy instead of having the normal roughness with a thin white coat. Diagnostically, it means inflammation or sometimes infection, usually in some part of the digestive tract, but it can also be a general fluid imbalance or deficiency, which means too much fluid in some areas and not enough in others. The farther back on the tongue you go, the lower in the digestive tract, or other organs, e.g. Colon or Kidneys are represented on the back of the tongue.

        Reply
  14. Barry says

    July 5, 2015 at 8:12 pm

    The tongue diagnosis is very fascinating. Do you have a picture of each kind of tongue, so that we might have a visual to go along with your description of each condition?

    Reply
    • John Douillard says

      July 13, 2015 at 4:17 pm

      Hi Barry,
      I have found it very interesting as well. We are working on pictures – we couldn’t find ideal one’s in time to print with the article.
      Thanks!
      John

      Reply
    • Neha says

      October 10, 2015 at 12:48 pm

      I agree I am waiting for the pictures too. It is hard to understand what a healthy pink tongue looks like with thin white coating without seeing it.

      Reply
  15. Kathy says

    July 3, 2015 at 11:46 am

    Im definitely showing malabsorption problems…what steps can I take to recover? I have chronic epstein barr, hypothyroid but with weight loss.

    Reply
    • Kristy says

      February 12, 2019 at 8:53 pm

      You need to rebuild your digestive strength, Drink celery juice first thing in the morning. Slowly incorporate antiviral herbs, Cat’s Claw, Lemon Balm, and take L-Lysine daily,
      a good probiotic would help as well.

      Reply
  16. Randy Jug says

    July 2, 2015 at 12:17 pm

    You missed two points: If your tougne is scallapped it indicates that you are low on Iodine-possible thyroid problem and if it is too white you may have an excessive Candida population.

    Reply
    • John Douillard says

      July 3, 2015 at 2:41 pm

      Thanks, Randy!

      Reply
    • Jackie says

      July 4, 2015 at 11:06 am

      One more thought I would like your opinion on…..I have heard that a vata type person with a kapha tongue can have scallops just due to the size of the large tongue nesting next to the teeth in a small mouth. Having nothing to do with malabsorption. Do you agree with this?

      Reply
      • John Douillard says

        July 13, 2015 at 4:16 pm

        Hi Jackie,
        Yes, this is possible but kapha types also tend towards boggy digestion.
        The tongue is only one piece of the digestive puzzle.
        Be well,
        John

        Reply
  17. Djani says

    July 2, 2015 at 7:40 am

    Thanx for some nice and intresting input on the tounge health.
    Here is some more on the Copper thing very intresting.

    Ayurveda – Copper Drinking Water
    Ayurveda – Copper Drinking Water : According to Ayurvedic Medicine, a holistically simple, practical, and effective way to consume water would be via a copper drinking vessel (like a cup).

    What’s the Deal with Ayurveda – Copper Drinking Water ?

    So it follows, according to Ancient Ayurveda that Copper is said to be less habitable, and far more resistant to certain (if not all) types of bacteria that may get into your cup or the water than say stainless steel or aluminum (like cans). Thus the idea would be that storing water for about three hours in a copper vessel would kill harmful bacteria.

    But there’s more :

    Regular consumption of water (at room temperature) is said to cleanse the gastrointestinal tract, flush the kidneys, and even stimulates peristalsis. When copper is used it is said to become a decent tonic for the liver, spleen, lymphatic system and is even reported to help with anemia. Copper is also thought be good for hair, eyes, normal aging, and energy production., and even helping melt away fat!

    //Djani

    Reply

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