See tongue coating shedding: tongue coating shedding refers to tongue coating shedding, which is like a map for a long time and belongs to insect accumulation [2]. If in a fever, the tongue coating disappears completely within a day or two, and the tongue is bright and crimson, or it is like a mirror, it is a serious syndrome of invincible masculine gender, deficiency of liver and kidney and true yin, and invagination of pathogenic factors [2]. "Guide to Distinguishing Tongue": "The tongue coating suddenly erodes rough and dry for yin deficiency, and there is still greasy coating on the edge of erosion for phlegm dampness." Yin deficiency should nourish liver and kidney; Phlegm dampness should be transformed into dampness and phlegm; Insects should be repelled and destroyed.
The geographical tongue of western medicine is the atrophy and recovery of filiform tongue in different parts, so it is also called wandering glossitis, which is a benign, chronic, superficial and exfoliative localized glossitis with unknown etiology and may be inherited due to frequent dyeing.
Related to grooved tongue, sometimes grooved tongue can develop into map-like tongue after several years. It is more common in adults and children. The incidence rate is about 2%.
2. 1 disease name pattern tongue
2.2 English name geographical tongue
2.3 The alias of map-like tongue is geographical tongue; ; Exfoliative glossitis; Map tongue; Localized exfoliative glossitis; Benign wandering glossitis
2.4 classified dermatology >; Mucosal diseases
2.5 ICDNo。 K 14. 1
2.6 Epidemiological map-like tongue mostly occurs in children and young women with weak constitution. There is no other related content description at present.
2.7 The real cause of map-like tongue is unknown, and the predication is related to heredity (probably common dominant inheritance), nervous system instability, mood fluctuation and some physical factors.
2.8 Pathogenesis Pathogenesis is still unclear.
2.9 Clinical manifestations 1. At the early stage, there were 1 red patches, large round or oval nails with clear boundaries, and the edges were slightly raised in yellow-gray or white halo, which was caused by filamentous keratosis. Filamentous disappearance of skin lesions. Mushroom-like * * * still exists or is more obvious. The damage gradually expanded and merged into a map. Rare similar lesions of tongue tip and soft palate.
2. The damage is mostly on the tongue surface or the edge of the tongue. Occasionally found in lips, cheeks, soft palate mucosa and tongue abdomen. Generally, it will disappear after 2 ~ 10 days, but it can also appear elsewhere, often delaying for many days.
3. No obvious symptoms, slight tingling, mainly seen in thin children and young women. Occasionally coexist with psoriasis vulgaris or pustular psoriasis.
2. The complications of10 map tongue occasionally coexist with psoriasis vulgaris or pustular psoriasis.
2. 1 1 Histopathological examination showed hyperkeratosis at the margin, central degeneration and acute infiltration of polymorphonuclear lymphocytes in dermis. Spongy micro abscess, polymorphonuclear leukocyte and chronic inflammatory cell infiltration were formed in superficial epithelium. At the erythema, the filamentous * * disappears, the superficial layer of mucosal epithelium falls off, the spinous layer becomes thinner, the dermal * * * rises, the dermal blood vessels are congested, and lymphocytes and plasma cells infiltrate.
2. 12 diagnosis can be made according to clinical manifestations, skin lesions and histopathological features.
2. 13 tongue image processing 1. Generally do not need treatment, enhance physical fitness, pay attention to oral hygiene and avoid * * * factors, such as hot or spicy food. Rinse your mouth with vitamin B complex and 4% sodium bicarbonate solution.
2.x-ray irradiation 100r, weekly 1 time, three times in a row, the injury can disappear, but it is easy to recur.
3. Principles of TCM treatment: Nourishing yin should lead to fire. Prescription: Cinnamomum cassia 1.5g, Ophiopogon japonicus 15g, Radix Asparagi 15g, Radix Rehmanniae 15g, Dendrobium candidum 15g, Fructus Lycii 20g, Fructus Ligustri Lucidi 20g and Semen Plantaginis/kloc.
2. The prognosis of14 usually lasts for 2 ~ 10 days, and it can disappear by itself, but it can also appear elsewhere, often delaying for many days.
2. 15 prevention of tongue striae can enhance physical fitness, pay attention to oral hygiene and avoid * * * factors.
2. 16 related drugs vitamin b complex and sodium bicarbonate
2. 17 plasma cell correlation test
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