The reasons for the appearance of red spots on the face in children and adults are treatment with medications and folk remedies. Causes of a rash on a child's chin

Anyone can face such a problem as a chin rash. The reasons for this phenomenon can be different, one of them is oral dermatitis. It is also called perioral and rosacea-like dermatitis. It is worth noting that this disease is rare and affects mainly women of fertile age.

Rash on the chin - a symptom of oral dermatitis

The main symptom of oral dermatitis is a rash on the chin and around the mouth in the form of small pimples and papules. The skin under the rash is irritated and red. Over time, papules can grow and occupy a larger area. The disease, firstly, gives a person aesthetic and psychological problems.

Most people mistake the manifestations of oral dermatitis for ordinary acne that occurs due to poor hygiene or other reasons, and begin to use various acne remedies and wash their face more often. However, as a result of such actions appearance the affected area gets worse. Subsequently, such a rash on the chin goes away. After it, dark spots may remain, clearly separated from the mouth by a strip of healthy-looking skin.

Oral dermatitis may present with the following symptoms:

the area of the mouth and chin turns red and becomes covered with small red pimples, there is a feeling of tightness and dryness of the skin, burning, pain and itching;
Some pimples may have heads filled with clear liquid or pus, the latter is much less common;
rashes tend to form groups and clusters;
inflamed areas of the skin are covered with very thin, colorless scales.

Before starting treatment, you should visit a dermatologist for consultation and an accurate diagnosis. Symptoms of oral dermatitis are similar to other diseases. Most often, this pathology is diagnosed with the following diseases:

Seborrheic dermatitis.
Steroid acne.
Diffuse neurodermatitis.
Allergic contact dermatitis.
Rosacea vulgaris.

To clarify the diagnosis, the doctor may prescribe an examination aimed at identifying pathogenic microorganisms at the site of the lesion. To do this, a culture of scrapings from this area is carried out.

The reasons for the development of oral dermatitis may be the following:

Increased individual susceptibility to certain bacteria that are allergens.
Decreased general or cellular immunity.
Tendency to allergies, the presence of diseases such as bronchial asthma, allergic rhinitis and the like.
Climate change, excessive exposure to ultraviolet radiation.
Hormonal imbalance in gynecological diseases.
Long-term local use of ointments and creams that contain corticosteroids, sometimes such a reaction can also be caused by short-term application of such medications.
Using fluoride toothpastes or dentures.
Too much sensitive skin faces.
Disturbances in the functioning of the endocrine, nervous or digestive system.
Excessive application of cosmetics.

If you are prone to dermatitis, to prevent the appearance of a rash on the chin, you need to carefully study the composition of the product. Most often, oral dermatitis is provoked by the following substances contained in cosmetics:

cinnamon flavorings;
paraffin;
sodium lauryl sulfate;
petrolatum;
isopropyl myristate.

Treatment of rash on the chin

Treatment of a chin rash can take quite a lot of time; its duration can last up to three months or more, depending on the severity of the disease. Only a doctor can select the correct and complete course of therapy based on examinations and taking into account individual characteristics. However, even if the treatment was carried out correctly and in full, the possibility of repeated rashes or relapses of perioral dermatitis remains.

It is important to remember that for the entire duration of treatment you must completely avoid creams and ointments that contain corticosteroids.

Zero therapy The first stage of treatment for chin rash is zero therapy. It lies in the fact that all used medicinal and cosmetical tools, including creams, ointments, etc., are completely abolished, especially for those products that contain corticosteroids. It is recommended to change the medicated toothpaste to a regular one that does not contain any additives. Often this is enough for the rash to disappear.

Use of antihistamines After clarifying the diagnosis and consulting with a specialist, you can add antihistamines, such as cetrin, suprastin and others.

Taking antibiotics Antibiotics are effective in treating oral dermatitis. Your doctor may prescribe Metronidazole, a cream or gel, or Erythromycin. These products, when applied regularly (twice a day), can stop the appearance of new rashes.

It is also possible to take antibiotics in tablet form. Doxycillin, monocycline and others are usually prescribed. The course of treatment is long and includes several stages. At the first stage, the patient is prescribed an antibiotic dose of 100 mg twice a day, which lasts until the rash on the chin disappears. Then they take the drug 100 mg once a day for a month, and then another month - 50 mg. A similar regimen is used when prescribing tetracycline. Only the doses for this drug are slightly larger - 500 mg in the first month and 250 mg in the second.

In the first days of taking antibiotics, there may be a deterioration in the condition of the skin. Visible improvements usually become noticeable by the third week of treatment.

Pimecrolimus and Elidel cream This remedy can be prescribed by a doctor in cases where other treatment methods have not given the desired effect. The effect of Elidel cream has not yet been fully studied by experts. It is believed to suppress secondary immunity, which may lead to adverse effects in the distant future. There are known cases of lymphomas and skin tumors appearing some time after using this cream. Thus, it should be used extremely carefully and only when there is no alternative.

Features of skin care for chin rash When a rash appears on the chin, the skin of the face requires special attention. So, after the washing procedure, you cannot wipe your face with a towel, you need to gently blot it. A specialist will help you choose moisturizing and cooling creams that will help alleviate the condition and will not cause harm.

Infusions of medicinal herbs In the absence of allergies, you can use lotions from infusions of medicinal plants to eliminate the symptoms of the disease. Chamomile flowers, St. John's wort, calendula, celandine are suitable for this; a 1% solution of boric acid can also be used in this capacity.

General condition of the patient It is worth paying attention to the presence of concomitant diseases and infections. It is necessary to normalize the functioning of the digestive, nervous and endocrine systems of the body. It is advisable to consult a doctor about the need to take restorative, immune and other medications. We must not forget about regular courses of taking vitamins.

Providing sun protection For the entire period of treatment, it is necessary to protect the skin from exposure to direct rays of the sun. After all, ultraviolet radiation worsens the course of oral dermatitis. During the summer months, a cream with a sun protection factor of at least 30 should be applied to your face every day before leaving the house.

Small chin rash in adults

There can be many reasons for the appearance of a chin rash in an adult. In addition to various diseases accompanied by such a symptom, rashes can occur due to poor nutrition, insufficient hygiene, bad habits and other factors. The tendency to develop facial rashes can be hereditary. Of the pathological reasons, diseases of the digestive tract, endocrine disorders and nervous disorders most often lead to this result.

There is an opinion that a rash on the chin in women can appear due to gynecological problems. However, scientists from Canada, after lengthy research, refuted such a connection. Of course, if a rash occurs on the skin of the face, it is imperative to establish the cause of this phenomenon. This is especially important if the chin rash does not go away for a long time, is difficult to treat and regularly appears again. In such cases, it is necessary to visit a dermatologist and undergo the examination prescribed by him.

It is very important to diagnose the underlying disease in a timely manner and begin its treatment. If this is not done, then, in addition to possible complications and the consequences of pathology, coping with cosmetic problems of the face will be quite difficult, and sometimes completely impossible.

Therapy for the underlying disease must be combined with a balanced diet and medications prescribed by a specialist. Proper nutrition plays an important role in getting rid of chin rash, so it is advisable to discuss this issue with your doctor. You also need to remember that you should not comb or pick off the scabs on the affected skin. It is better not to touch this place at all. While the rash persists on the chin, you will have to stop using scrubs, peels and other irritating cosmetics.

Treatment for chin rash may include ozone therapy. This procedure helps to painlessly cope with facial skin problems, but before it you should consult a doctor.

Red rash on chin

One of the variants of a chin rash is subcutaneous pimples, which, unlike ordinary pimples and blackheads, are located deep in the thickness of the skin. Such rashes persist on the skin for a long time; the inflammatory process can drag on for several weeks.

The size of subcutaneous pimples can vary: from small, almost invisible to large, hard to the touch. Squeezing out such pimples is fraught with complications and drawing deeper tissues into the process. Often, after squeezing, a large wound remains on the skin, in place of which a noticeable scar can form.

You should not treat such a rash on the chin yourself; it is better to trust specialists in this matter.

The color of the rash is most often red. Individual elements may be small and not have a pronounced abscess head. A rash on the chin may be accompanied by pain and itching. You can relieve these unpleasant phenomena by wiping the affected area with tincture of calendula or chamomile in alcohol or tea tree oil.

For treatment, agents whose action is aimed at “pulling out” the contents of a pimple are also suitable. They contribute to faster ripening and opening of rashes. Such remedies include ichthyol ointment, aloe juice, and some pharmaceutical preparations.

There are many different remedies and recipes traditional medicine, helping to cope with the problem of rash on the chin. Often, products based on medicinal plants that have a healing and anti-inflammatory effect are used for this purpose.

One of these products is lotion with medicinal plants. For it you need to take equal quantities of mint leaves, calendula tincture, boric alcohol and lemon juice. Mint is brewed with 100 g of water and after 15 minutes other ingredients are added there. The lotion should be wiped over the affected areas twice a day.

A decoction of birch buds has a good effect. It is prepared very simply: pour 2 large spoons of kidneys into a mug of boiling water. You need to infuse the product for about half an hour with the lid closed. Birch buds can be replaced with dried chamomile flowers. An infusion from it is prepared in the same way. Proportions – 1 tablespoon per 200 ml of boiling water.

A well-known remedy for skin problems is calendula infusion. A large spoonful of the flowers of this plant is poured into a cup of boiling water, covered with a lid and left for half an hour. This infusion helps to cope with many skin rashes.

You can reduce the number of acne and even get rid of them completely by regularly rubbing the affected areas fresh juice aloe.

Regular toothpaste will help dry out and remove inflammation from a rash on the chin.

Update: October 2018

Perioral dermatitis - in medicine it is also called rosacea-like or perioral dermatitis. This is a rare disease, occurring in approximately 1% of the population, most often in women 20-40 years old.

With perioral dermatitis, small papules and pimples appear on the skin around the mouth and on the chin, the skin turns red, irritation appears and papules grow over a larger area. This creates considerable aesthetic, physical and psychological discomfort for a person.

This is how most patients describe the onset of the disease - “... recently I noticed that several small red pimples had formed on my chin, I began to use acne cream and wash my face more often, but this only made it worse.

Within a few months, the skin around the mouth and chin became simply red, and when the acne healed, it left dark spots. Moreover, between the lips and the affected areas around the mouth there is a clear strip of healthy skin without redness...”

Symptoms of perioral dermatitis

If these symptoms appear:

Pain, itching, burning, redness, a feeling of tightness of the skin, and small red pimples appear in the area of the chin and mouth.
Pimples may have heads that release clear liquid when emptied; over time, pimples become ulcers.
Pimples form colonies, group clusters
The skin in the inflamed areas begins to become covered with thin transparent scales, which then fall off

Most likely, this skin inflammation is caused by perioral dermatitis. But to clarify the diagnosis, you should definitely consult a dermatologist, since the appearance of acne and irritation on the face can be due to other reasons:

Diffuse
Allergic contact dermatitis
Acne vulgaris, rosacea, steroid acne.

To isolate the microflora of the lesion site and determine the pathogen, a bacterial culture of the scraping or contents of the rash is carried out.

The skin around the mouth may not be changed and present a normally colored border of up to 2 cm. Usually, the rashes are located on slightly reddened skin or the skin does not change color.

Causes of perioral dermatitis

Decreased humoral and cellular immunity
Climate change, excessive exposure to ultraviolet radiation
Increased sensitivity to bacterial allergens
Long-term or even short-term use of topical corticosteroids in the form of creams, ointments (see. full list all hormonal creams and ointments - )
Predisposition to allergic reactions, presence of bronchial asthma
Quite sensitive facial skin
Excessive use of various facial cosmetics
Hormonal imbalance in gynecological disorders
Use of dentures, toothpastes containing fluoride
Disorders of the gastrointestinal tract, nervous system, endocrine system

If dermatitis is caused by cosmetic products, carefully study the composition of all creams, lotions, etc. Here is a list of some ingredients that most often cause perioral dermatitis:

Paraffin
Sodium lauryl sulfate
Cinnamon flavors
Isopropyl myristate
Petrolatum

Treatment of perioral dermatitis

Treatment for this skin disease quite long, the duration of therapy ranges from 1.5 to 3 months and depends on the severity of the manifestations of perioral dermatitis. Treatment of perioral dermatitis is prescribed by a dermatologist, and the sooner you contact a specialist, the more effective the result will be. Even with proper treatment, relapses of the disease are possible in the future, but they are much easier and are eliminated faster.

The use of corticosteroids (hormonal ointments, creams) for perioral dermatitis is contraindicated.

Zero therapy

The first thing that is recommended to be done after diagnosis is called zero therapy. That is, cancel all ointments, creams, cosmetics used, especially with corticosteroid substances, and also change the toothpaste to regular one. In this case, the condition may worsen for some time, and then after a few weeks it should improve.

Antihistamines

At this time, it is possible to use antihistamines (Suprastin, etc., see All), sodium thiosulfate, calcium chloride.

Antibiotics

For oral dermatitis, treatment with antibiotics is quite effective. The administration of Metronidazole gel or cream 0.75% or Erythromycin gel 2% stops the progression of the disease. Apply the product 2 times a day until the rash stops.

The doctor may prescribe an oral antibiotic - this is Minocycline or Doxycillin 100 mg 2 times. per day until the rash goes away, then for a month, 100 mg once a day and another month, 50 mg per day. And also taking Metronidazole orally (this is not an antibiotic, but an antiprotozoal drug).

Or Tetracycline according to a similar regimen, only 500 mg/2 times, then 500 mg/1 time and 250 mg/1 time. After starting the use of antibiotics, deterioration may occur, but after 3 weeks the condition of the skin usually improves noticeably.

Elidel Cream (Pimecrolimus)

Pimecrolimus can be used for oral dermatitis only as prescribed by a doctor when other treatments are ineffective.

Elidel is a cream that has long-term adverse effects; the effect of the drug has not yet been fully studied, but it is believed that pimecrolimus suppresses the secondary immune response and there have been cases of the development of skin tumors and lymphomas after its use. Therefore, the use of this remedy should be treated with caution.

Skin care for perioral dermatitis

For this disease, gentle facial skin care is recommended. After washing, you should not wipe your face with a towel, but only blot it. The doctor can select for you indifferent powders, cooling, moisturizing creams that do not contain substances that aggravate the symptoms of the disease. (cm. , )

Herbal infusions

In the case of an acute process, to relieve symptoms, you can use cooling lotions made from chamomile infusion (if there is no allergy) or 1% boric acid, as well as from infusions of St. John's wort and calendula.

Normalization of the general condition of the body

If there are foci of infection, then treatment of concomitant diseases is necessary, as well as normalization of the endocrine and nervous systems, and the functioning of the gastrointestinal tract. If necessary, general strengthening, immunostimulating drugs, and drugs that normalize the function of the central nervous system are prescribed. Monthly courses of vitamin therapy, B vitamins, vitamin C and A, and folic acid are recommended.

Sun protection

During the treatment period, you should protect yourself from direct sunlight, since ultraviolet radiation aggravates the symptoms of perioral dermatitis. Should be used daily in summer sunscreen, the protection factor of which is at least 30.

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Dermatitis that occurs in the mouth and chin area is called perioral. This disease brings to its carrier not only physical, but also aesthetic ailments and complexes. In the modern world, success and life largely depend on a person’s face, so it is worth getting rid of oral dermatitis as soon as possible. But how?

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Etiology of the disease

The risk group for the disease mainly includes women from 18 to 45 years old. The perioral problem occurs infrequently, occurring in only 1-2% of the general population.

Oral dermatitis on the face in the perioral area can appear for a variety of reasons.

1. Immunodeficiency (both congenital and acquired - AIDS), decreased functioning of the immune system.
2. Abrupt climate change.
3. Allergic factors, reaction to external irritants, for example, bacteria.
4. Long-term use of ointments and gels containing corticosteroids (steroid dermatitis).
5. Increased skin sensitivity due to damage and injury.
6. Cosmetics that cause allergies or irritate the skin.
7. Hormonal imbalance in women (often observed during pregnancy or menopause).
8. Excess fluoride in the body (for example, when using toothpaste with fluoride).
9. Disorders of other body systems: gastrointestinal, nervous, endocrine.

Often skin manifestations with perioral dermatitis on the face are the result of the use of low-quality cosmetics or products that cause an allergic reaction in the body. Most often, dermatitis is provoked by those cosmetics that contain the following:

paraffin;
sodium sulfate;
vanilla and cinnamon flavorings;
Vaseline.

For this reason, therapeutic measures may be limited to eliminating the allergen.

Symptoms and signs

Oral dermatitis is characterized by the presence of the following symptoms:

1. Redness of the skin in the mouth and chin, feeling of tightness.
2. The appearance of small nodules or pimples in the infected area. At first they are red, but over time they mature and a white purulent head appears on them.
3. As a rule, rashes appear in a cluster and accumulate in several places.
4. The chin may itch and there is a burning sensation.
5. Skin that is not affected by the presence of nodules peels, cracks, and flakes off.

The disease can occur in the form of several isolated rashes, or it can spread over the entire face. Most often rashes are observed:

on the chin;
on the nasolabial triangle (around the mouth);
in the folds of the nasolabial triangle;
on the corners of the mouth.

In this case, the lip line is usually not damaged; the skin located a few millimeters around the mouth turns red. Sometimes dermatitis reaches the eye area: it fills the eyelids and temples. This problem is called "periorbital dermatitis." After dermatitis pimples appear, pigment spots will certainly remain in their place.

All skin diseases are similar to each other; perioral dermatitis is confused with the following problems:

1. Neurodermatitis.
2. Allergic contact dermatitis.
3. Seborrheic dermatitis.
4. Simple pimples, blackheads that appear on a person’s face.

In order not to confuse the disease with others, it is necessary to consult a doctor for diagnosis.

A dermatologist treats this problem. To make a diagnosis, a specialist can conduct an external examination, as well as a histological analysis of skin samples (for this, the epidermis is scraped from the infected area of the face).

Directions of therapy

Treatment of oral dermatitis on the face is primarily aimed at eliminating the cause of the disease. If the appearance of perioral dermatitis on the face is due to an allergic reaction, then before treating perioral dermatitis, it is necessary to isolate the person from the irritant, that is, stop using creams and toothpaste with fluoride.

In other cases of illness, treatment of perioral dermatitis can occur in the following ways:

1. By taking antihistamines, for example, Suprastin, Tavegil, Citrine.
2. Taking antibiotics and anti-inflammatory drugs. This can be either ointment or gels, or tablets. Among the ointments, Erythromycin, Metronidazole, and Tetracycline are highly effective; they must be applied to the affected area twice a day during the entire treatment period. Antibiotics for oral administration are selected individually by the doctor, this applies to both the choice of the drug and its dosage.
3. Taking vitamin complexes, in particular, vitamin B, ascorutin, nicotinic and folic acid should be taken.

In addition to taking medications, during the treatment period it is necessary to change your lifestyle, follow the rules of hygiene, nutrition and skin care. And also exclude the consumption of hormonal drugs.

Taking hormonal medications

If the diagnosis of perioral dermatitis is confirmed, the use of hormonal drugs is prohibited. Perioral dermatitis occurs in half of the cases when corticosteroids are used and is difficult to treat.

Corticosteroids are hormones that are widely used in medicine to treat various diseases. These may include drugs such as Cortomycetin (ointment), Nycomed, Medrol, Prednisolone and others. There are many such drugs side effects, one of which is steroid dermatitis on the face.

In some cases, for example, if the diagnosis is incorrect, the patient is prescribed steroid ointments or gels. At first, such drugs actually provide a visible effect on skin ailments. But they do not fight the disease, they only mask it, so when using steroids, the rash first goes into remission and then worsens several times more.

Diet during treatment

During the treatment of dermatitis, it is very important to follow a proper diet. This is done in order to cleanse the body of bacteria or irritants that cause rashes on the face. The diet consists of avoiding fatty and spicy foods, as well as sweets and alcohol. In each clinical case, a specialist can supplement the general recommendations.

Often, along with the diet, cleansing the stomach and intestines with enterosorbents, therapeutic fasting and cleansing enemas are also recommended.

Skin care

For oral dermatitis, treatment requires comprehensive skin care. It consists of following the following recommendations:

1. Do not rub your face. Even if the skin peels or cracks, you should not rip off or irritate the epithelium. After washing, you just need to blot your face and not wipe it.
2. If the skin is dry, you can use moisturizing creams, having previously agreed on their choice with a specialist. If the oil content is high, drying talc or medical powder can replace the cream.
3. Protect skin from direct sunlight and ultraviolet radiation. Especially it concerns summer period. In summer, be sure to use sunscreen; you must choose it on the recommendation of a doctor.
4. Do not warm your face. Overheating promotes the spread of infection.
5. Observe the rules of personal hygiene. Wash and change towels and bed linen daily. After washing, iron thoroughly as a towel, just like linen.

Skin care habits can help not only improve the effectiveness of treatment, but also reduce the risk of recurrence of dermatitis. Can also be used as prophylaxis.

Folk remedies

In addition to traditional medicine, treatment of perioral dermatitis can also be carried out using traditional methods.The most common ones are:

1. Lotions. For them, you can use a strong decoction with string, chamomile, plantain or calendula. A loose cloth or cotton pad is moistened in the cooled broth, and then applied to the affected area for a short time (5-10 minutes). You can repeat this procedure up to three times a day.
2. Compresses from linseed oil. To do this, a little honey and honey in equal proportions are heated over a fire until a homogeneous consistency is obtained. Next, onion juice is added to the broth in a ratio of 4 to 1, that is, onion juice should be four times less. Saturate a loose cloth or cotton pad with the resulting product and apply it to the site of infection for a longer time (15-20 minutes). For greater effectiveness, you can repeat the treatment method 3-4 times a day.
3. Wiping the infected area with infusion of birch buds. This remedy relieves itching well and has an antihistamine effect. You can repeat an unlimited number of times.
4. Thermal water. During treatment at home, using thermal water. You can wash the infected area with it, or you can use it for compresses and lotions.

Traditional medicine is best used simultaneously with traditional ones to obtain integrated approach, and it is easier to cure the disease. The chosen methods must be agreed upon with the attending physician.

Illness in children

Children are susceptible to the disease along with adults. The age of the patients ranges from six months to 15-16 years. Both girls and boys are susceptible to rashes. Experts believe that dermatitis on children's skin is an idiopathic disease, that is, it is caused by a congenital disorder of the barrier functions of the skin. Also, rashes on a child’s skin may appear due to a reaction to external irritants, which often occurs when complementary foods are introduced.

On the delicate skin of children, the disease can develop more severely than in adults. Perioral dermatitis in a child can manifest itself in the following clinical picture:

skin rash in the form of tiny pimples, sometimes pustules with purulent contents;
the epidermis around the rash may not turn red, remaining flesh-colored, but if it turns red, then a white strip of healthy skin can be clearly seen around the lips;
itching and burning;
sometimes dermatitis is accompanied general symptoms in children, for example, weakness, fatigue or chills.

Children, whose immune systems have not yet developed, react especially sensitively to irritating factors in the world around them. A rash on children's skin is often observed in the eyelid area and around the eyes. In children under one year of age, this is especially dangerous, as vision development may be impaired. If a child is diagnosed with perioral dermatitis, treatment will be more gentle, including antihistamines rather than antibiotics. How to treat perioral dermatitis should be decided exclusively by a pediatric dermatologist.

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Here it’s interesting that damn it, you can find out everything by looking at your face and you don’t have to trust all sorts of doctors who are not fully educated; it becomes a long, but useful story. You can bookmark it later when you need to read it, and good luck and good health to you

All diseases are reflected on the face.

According to Chinese medicine, which is more than 5 thousand years old, the face is a mirror image of health. If you think about it, there really must be a grain of truth in this statement. It is hardly possible to have a flourishing appearance if everything is not well inside you. Even Lope de Vega in “Dog in the Manger” through the mouth of the hero says: “Health and beauty are inseparable!” But the Chinese have gone even further: based on the state of the five zones of the face, they can make a rough diagnosis of your health.

Forehead.

According to the rules of Chinese medicine, the element of Fire corresponds to the forehead. It is responsible for the functioning of the heart and small intestines, as well as, naturally, for the state of mind and spirit.

When examining the forehead, look for any discoloration. Redness and an abundance of red blood vessels indicate heart problems. A darker shade of the forehead compared to the rest of the face indicates some problems with digestion, but, most likely, they are still minor. A change in forehead color can also be a consequence of severe mental turmoil. In people prone to stress and strong emotions, a large number of wrinkles appear on the forehead, and, as a rule, a fold between the eyebrows.

A heart attack can sometimes be predicted by a faint blue-green tint to the forehead. You should be wary if the appearance of such a shade is accompanied by other symptoms of heart problems: palpitations, dizziness, difficulty breathing or pain in the left arm.

Noc.

The nose corresponds to the element of Earth, which is responsible for the functioning of the stomach, spleen and pancreas.

Did a pimple suddenly pop up on the tip or side of your nose? Not everything is as harmless as it seems! This pimple indicates some kind of disorder in your digestive system. Remember what you ate the day before? A lot of spicy, fried, smoked or fatty foods? Or maybe you ate some chocolate? If the answer to even one question is yes, then perhaps the problem is only in your food choices. By the way, the appearance of such a seemingly insignificant pimple may be accompanied by indigestion, diarrhea or constipation.

Red capillaries and red spots on the bridge of the nose may indicate alcohol abuse or stress, which also affects the digestive tract.

Chin.

The chin area belongs to the element of Water, which is associated with the functioning of the kidneys and genitourinary system, and is also responsible for the functioning of the hormonal system and glands.

Redness, irritation, peeling, darkening or, conversely, lightening of the area around the mouth and chin may indicate problems with the kidneys or bladder. Periodic acne on the chin indicates a hormonal imbalance. The problem most often lies in the body's excess production of estrogen or testosterone, and can be accompanied by irregular menstruation in women and prostatitis in men.

Pay attention to the area located from the nose to the upper lip. This small area reflects the condition of the uterus and ovaries in women and the condition of the prostate gland and genitals in men. Horizontal folds, peeling, or discoloration in this area may indicate serious problems in the reproductive area, up to endometriosis, uterine fibroids or infertility.

According to Chinese medicine, people with small chins are genetically predisposed to weak kidneys and problems in the genitourinary system. However, this does not mean that every person with a small chin will necessarily have diseased kidneys. This is only a warning about the current trend, so that a person tries to make appropriate changes in his lifestyle and prevent the occurrence of the disease.

Right cheek.

The right cheek corresponds to Metal, which is responsible for the functioning of the lungs and large intestines.

Problems with the lungs or colon will show up as discoloration, flaking, and skin problems on the right cheek. Small pimples, redness or a flaky spot can either portend the imminent onset of a cold or bronchitis, or indicate more serious problems with the lungs.

People prone to respiratory allergies and asthma often have red, scaly or scaly eczema, or an area with a slight green-blue tint specifically on the right cheek. The appearance of such eczema or a similar shade may indicate the imminent onset of an allergic attack or asthma attack, which allows you to take preventive measures.

Left cheek.

The left cheek corresponds to the Wood element, which is responsible for the functioning of the liver and gall bladder, as well as the functioning of the nervous system.

Prominent capillaries and redness, especially those located close to the wings of the nose, indicate possible inflammation or stagnation (accumulation of toxins) in the liver. A yellowish tint under the left eye indicates either the presence of gallstones or high levels of cholesterol or triglycerides, which are produced by the liver and gallbladder systems.

Various problematic marks on this part of the face can also signal an unstable emotional state, such as anxiety, anger or depression. Protruding veins, redness or a rash on the left cheek can signal high blood pressure or hidden anger.

Remember that there are many ways in which the body warns us about disorders and diseases. And it is not always the occurrence of pain. On the contrary, pain indicates that the disease has already started or has entered an acute or chronic stage. There is no need to wait for this. Listen to your inner feelings and pay attention to external symptoms to prevent small disorders before they become serious illnesses. I hope that the proposed technique will help you a little with this.

PHOTO

Self-diagnosis.

Skin diagnostics

BY THE CONDITION of the skin one can fairly accurately judge dysfunctions internal organs and glands. Thus, pallor of the face usually indicates low blood pressure, anemia, peripheral circulatory disorders, and renal failure. Extreme pallor of the face indicates not entirely healthy mild and severe digestive disorders.
A yellowish tint to the skin indicates dysfunction of the liver or gall bladder, and a red color indicates high blood pressure, a predisposition to palpitations, and apoplexy. Periodic redness of the face can be caused by a rush of blood caused by menopause, as well as malignant formation in the small intestine or a tumor of the adrenal medulla.

Excessively silky skin is a sign of predisposition to rheumatism, gout, kidney and bladder diseases. Dry, rough skin indicates a predisposition to fever and skin diseases. Cold and damp skin is a signal of a predisposition to liver diseases. Wrinkled facial skin in young and middle age indicates a disease of the pancreas.

If the skin of the face has a bronze coloration, then this is a sign of damage to the adrenal glands. Sudden yellowing of the facial skin is a signal of dysfunction of the spleen. A greenish complexion may appear with cancer. If the cheeks have a blue-red color, then we can talk about heart failure.

Pale skin on the forehead is a sign of low blood pressure. General pallor, accompanied by sweat on the forehead, indicates a perforated stomach ulcer or appendicitis. With excessive intake of protein into the body and consumption of fried foods, birthmarks, so-called liver spots, may appear. Long-term digestive disorders lead to the appearance of acne on the skin.

A web of blood vessels on the skin, like brown spots at the roots of the hair, is a sign of increased stress on the liver. White spots on the skin indicate metabolic disorders.

Dilation of blood vessels on the skin near the mouth indicates gastritis, gastrocolitis.

WHAT DISEASES ARE “WRITTEN” ON THE FACE

A person's appearance can tell an experienced clinician almost everything - from physical to mental health.

Here are 25 unconditional manifestations of various diseases on the face, confirmed by medical practice:

Many transverse wrinkles on the forehead (accordion forehead), the manner of raising eyebrows as if in surprise is characteristic of people prone to alcoholism.
A “bitter” fold between the eyebrows (especially in combination with tightly compressed lips) indicates that a person has been suffering for a long time from some kind of chronic pain syndrome.
Shiny, slightly bulging eyes that attract and drive you crazy are a sign of thyroid disease.
Yellowness of the sclera of the eyes indicates a diseased liver.
Long, curved, beautiful, fluffy eyelashes are a sign of a pulmonary patient or a person prone to pulmonary pathologies and asthma.
Bags, dark circles under the eyes - diseased kidneys or bladder.
Increased hair loss is a symptom of a serious decrease in immunity after or against the background of a serious illness.
An mimic, mask-like face, facial expressions that do not correspond to the events taking place - a symptom of a serious mental illness, especially schizophrenia.
Even a wrinkled face young man- endocrine disorders.
Red veins in the sclera are a signal of nervous exhaustion and chronic fatigue.
Elastic facial skin is a sign of health. And sagging indicates premature aging of the skin. This happens in diseases of the metabolism and gastrointestinal tract.
General puffiness of the face - a diseased heart.
A sallow complexion, a “drooping” face is a sign of the development of a tumor disease.
Capillary mesh on the cheeks - signal high blood pressure and a tendency to stroke - apoplectic type.
Light spotty pigmentation on a woman’s face is a sign of pregnancy.
The appearance of yellowish-brownish pigment spots on the face indicates renal pathology.
Pink, red cheeks and at the same time bluish lips - mitral heart disease.
Bluish pallor of the face is a symptom of anemia or pulmonary pathology. Waxy pallor is a sign of tuberculosis.
A coquettishly open mouth is a sign of adenoids and sinusitis.
Drooping corners of the mouth and eyes are an outward manifestation of depression.
The lower lip sinks, the volume of the upper lip becomes larger - a sign of oncology.
Dry lips with wrinkles in the corners indicate gastritis or a stomach ulcer.
Brittle hair - metabolic deficiency, vitamin deficiency.
Oily, tow-hanging hair is a sign of endocrine problems, diseases of the stomach and intestines.
Characteristic brown spots - “bearskin” - in the iris are a sign of a predisposition to oncology.

WHAT WILL YOUR SKIN, NAILS AND FACE TELL THE DOCTOR ABOUT?

Eastern diagnostics is a special, very ancient medical art that has been formed over thousands of years. Today, reflexologist, specialist in Chinese and Tibetan medicine Boris Gezentsvey tells us about some ways to find out the state of a person’s health.

I RECOGNIZE YOUR PAIN BY THE GAIT!

15 signs of various ailments that can be recognized by a person’s appearance
There is such a concept - a picture of the disease. Many internal ailments are literally drawn on our appearance - sometimes with rough strokes, sometimes with subtle halftones. And assessing how a person looks, moves, what kind of gait, posture, manner of sitting and standing they have, largely helps a specialist make the correct diagnosis, and then support it with various studies.
Well, shall we get started?
When walking, the shoulders are bent forward, as if protecting the chest and stomach, the head is slightly retracted (like a ruffled sparrow), the manner of clasping hands on the stomach is a sign of diseases of the gastrointestinal tract: chronic gastritis, stomach ulcers, duodenal ulcers.
When a person stands or sits, he often changes his position and fidgets - a sign of a back problem: osteochondrosis or intervertebral hernia.
He walks as if on prosthetics, trying to bend his knees as little as possible, takes small steps, he has to make an effort to sit down and especially stand up - problems with joints: arthrosis, arthritis.
A person walks holding his head like a crystal vase, turning not his neck, but his entire body - cervical osteochondrosis. In combination with general pallor - severe headaches, migraines. If at the same time the head is tilted slightly to one side, we can talk about myositis - inflammation of the neck muscles.
A person holds himself too straight, bends his whole body without bending his back - a sign of ankylosing spondylitis.
An unsteady gait, as if constantly searching for support, is characteristic of those who suffer from dizziness due to problems with blood pressure, vegetative-vascular dystonia.
A shuffling gait coupled with drooping shoulders and head is a symptom of deep depression.
A nervous, hinge-like gait, excessive gesticulation even during a calm conversation are a sign of neuroses and psychopathy.
Retardation of movements, low mobility, stiffness of the hands are a sign of a serious mental disorder, including schizophrenia.
Even a barely noticeable shaking of the head indicates atherosclerosis of the cerebral vessels or neurological problems (in young people this is often post-traumatic parkinsonism). Trembling hands indicate vascular pathology.
It is easy to “calculate” a person who has suffered a mini-stroke by their gait falling to one side and characteristic movements: the arm is pressed to the body, the leg is moved to the side.
A cautious gait, fear of touching something, arms pressed to the body - some kind of chronic pain syndrome.
A shaking gait, as if a person is stepping on hot coals, is a sign of gout or polyarthritis.
A person walks with his legs apart, as if on stilts, and sits mainly sideways - a sign of hemorrhoids.

SELF-DIAGNOSTICS OF THE BODY BY LANGUAGE

How can you learn about malfunctions in the spine, stomach, and liver using your tongue and prevent them?
CURVATION OF THE FOLD AT THE TIP OF THE TONGUE signals cervical osteochondrosis. Most likely, this is the result of a sedentary lifestyle, working for a long time with a computer or at a desk.
BENDING OF THE FOLD IN THE MIDDLE OF THE TONGUE - lumbar osteochondrosis, it usually affects professional drivers and people who spend a lot of time behind the wheel. To avoid osteochondrosis, you need to warm up regularly: several squats, head rotation - simple but very useful exercises.
REDdening of the tip of the tongue is a sign of weak cardiac activity, beginning of coronary artery disease. Diseases of the pulmonary system can be judged by changes at the edges of the tongue, closer to the tip. Heart and lung diseases most often affect smokers, so such changes in the tongue are a serious reason to quit smoking.
YELLOWSHIP ON THE TONGUE AND PALATE indicates liver disease and chronic cholecystitis.
BY THE PLAQUE AT THE BASE OF THE TONGUE, disturbances in the functioning of the gastrointestinal tract and kidneys are judged.
TEETH PRINTS ON THE TONGUE are a sign of dysbiosis, slagging in the body. In this case, it is worth changing your diet, eating less fatty and fried foods. To bring order to the body, you can take different herbal infusions. For example, brew 1 tablespoon of St. John's wort with 1 cup of boiling water and leave in a warm place for 30 minutes. Take 1/3 cup 3 times a day before meals for 2-3 weeks.
TRIMING OF THE TONGUE is a manifestation of neurasthenic syndrome. The advice here is this: try to improve the psychological situation at home, at work, and change your lifestyle.
CRACKS IN THE TONGUE can indicate various diseases of the blood, endocrine system, and kidney pathology. This is where we need to check most seriously. A sign of problems in the body is a decrease in taste sensations. There are zones on the tongue that are responsible for the reaction to sweet, sour, salty, and bitter. If a person stops feeling any of these tastes, then we can talk about diseases of the nervous and endocrine systems.

OUR DISEASES ARE WRITTEN ON THE FACE

When something is wrong with our health, we usually run to the doctor and start taking a bunch of various tests. Or, on the contrary, we bypass the clinic as far as possible, not attaching importance to the emerging malfunctions in the body. Maybe it will pass! But it turns out that at least a preliminary diagnosis can be made independently, simply by looking at your own reflection in the mirror. However, for this you will need some special knowledge.
All this, in general, is not new. The great Aristotle studied physiognomy or the science of the face. Some people have innate skills to quickly determine from our faces what is “behind our soul.” We are surprised when a fortune teller on the street quickly and almost accurately determines our emotional state, and sometimes even guesses the diseases from which we suffer. The main “hint” to her in this activity is our own face. With the emotional state, everything is more or less clear. Representatives of round, oblong, square, triangular and trapezoidal faces have very specific character traits and this has been known since time immemorial. But how can diseases be diagnosed based on facial features?
It turns out that diseases also leave their indelible imprint on the patient’s face. At one time N.I. Pirogov even compiled an atlas, “The Patient’s Face.” He argued that almost every disease leaves its own characteristic mark on a person’s face. However, the facial diagnostic method has become especially widespread in Eastern countries (especially in China and Korea). No experienced doctor trained in Tibetan medicine will make a diagnosis without carefully examining the patient’s face. Since then, many followers of physiognomy have appeared.
Let's start with the most common diseases of the heart and blood vessels today. Facial features can, for example, predict myocardial infarction. The most reliable diagnostic sign of a possible cardiac “catastrophe” is a violation of sensitivity, up to numbness of the skin area between the chin and lower lip. If you rise higher from this zone, then the presence deep wrinkles between the lip and nose indicates a heart valve defect. Beginning heart failure is manifested on the face by periodic blue lips. If you notice this about yourself, this is a serious reason to contact a doctor.
An important sign of increased stress on the heart and circulatory organs is a deep and elongated nasolabial fold on both sides. A narrow bridge of the nose indicates cardiac neurosis.
A red, bumpy nose streaked with blood vessels indicates high blood pressure. Low blood pressure often manifests itself as a blue-red coloration of the nose.
The wings of the nose, which have a blue-red color, remind of heart disease, and the pallor of the ears with a characteristic waxy tint reminds of poor circulation.
An important diagnostic area is the temples. A curved temporal artery with sharp contours protruding under the skin, combined with periodic redness of the face, indicates a frequent and sharp increase in blood pressure. Such people are at high risk of hypertensive crisis.
One of the signs of heart problems may be the cheeks. If the left cheek is sunken, heart disease can be suspected. An indirect sign of early circulatory disorders at a young age is premature graying of hair.
A short neck indicates a predisposition to heart disease. In addition to heart problems, for those with a short neck, the threat of early cerebral vascular sclerosis is quite real.
Numerous so-called “cosmetic” imperfections on the face can also indicate serious health problems.
For example, bags under the eyes, as well as swelling of the face in general, indicate possible problems with the kidneys or with the thyroid gland.
Suddenly appearing and long-lasting dark circles under the eyes can “tell” about a whole complex of diseases.
The most commonplace acne is actually a real “map” of diseases located on our face. Depending on their location, it is possible to diagnose diseases of the reproductive system, problems with the gastrointestinal tract, nervous and endocrine systems, as well as many other disorders.
But that’s not all! An experienced doctor can assess the patient’s health even by the condition of his skin (its shade, degree of dryness, etc.).
But still, the face can most often be used to “calculate” diseases of the central nervous system. American researchers have recently developed a special program for this, capable of recognizing diseases and genetic syndromes. The computer, by analyzing the patient's facial features, helps doctors with little experience make a diagnosis. Using photographs of patients, the computer was trained to recognize such rare pathologies as Cornelia de Lange syndrome, fragile chromosome syndrome and Williams-Beuren syndrome.
The new program represents the face as a 48-point diagram. By comparing the position of these points and the distance between them with information from the database, the computer recognizes pathologies.
The first attempts gave the correct diagnosis in 60% of cases. When adjustments were made and the program began paying more attention to the eyes, nose, mouth and chin, performance increased to 76%. Previous works turned out to be less successful - insufficient attention was paid to assessing facial parameters in the aggregate.
It is very important that the new program makes it possible to make a preliminary diagnosis long before the appearance of other clinical manifestations of the disease. And this is very important in the case of genetic pathologies. After all, it is possible to carry out timely medical intervention, which will significantly ease the course of the patient’s disease in the future.
By the way, German scientists conducted an independent examination of a new computer diagnostic method. “For identification,” the program was offered 55 photographs of people with various pathologies. An accurate diagnosis was made in 76% of cases.
A new program will help scientists find out what ailments the ancient Egyptians suffered from. To this end, several surviving drawings have recently been examined. They studied color portraits found in the most ancient burials of mummies, which are now kept in the British Museum in London and in the Metropolitan Museum of Art in New York. Many of the portraits depict people suffering from progressive facial hemiatrophy, a disease in which facial features are distorted

SELF-DIAGNOSIS: SYMPTOMS OF DISEASES ON THE FACE

A bluish shadow in the inner corner of the eyes: the weak point of the body is the kidneys.
“Bags” under the eyes: the urinary system may be out of order.
The lower part of the face (with lips) signals the state of the cardiovascular and respiratory systems.
The way your cheekbones and nose look depends on your gastrointestinal tract.
The area around the eyes signals diseases of the genitourinary system.
Dark circles under the eyes: it is quite possible that the liver is overloaded. But sometimes this can be a consequence of very thin skin through which the capillaries are visible.
Peeling, especially around the nose, can have several causes.
1. The tan fades.
2. In summer, skin type often changes and normal skin becomes dry and flaky.
3. In men - perhaps a prerequisite for psoriasis.
Early double chin, loose skin: problems with the endocrine system are likely.
Puffiness above the cheekbones: problems in the lymphatic system of the gastrointestinal tract are possible. In men, this can sometimes be a sign of frequent “libation.” Rash on the temples: there is a possibility of problems with the gallbladder.
Brown spots. Pigmentation is often caused by ultraviolet radiation and will not go away on its own. Stains can only be removed by a dermatologist. In men, they can also indicate the presence of hormonal problems.
Small white dots. Metabolic disorders are possible, but more often they arise from poor skin cleansing and blockage of the sebaceous glands.
Red shapeless spots. Allergic reaction to food, cosmetics or clothing; sometimes occur against the background of prolonged stress or after prolonged colds.
Yellowing. Almost always talks about problems with the liver and gall bladder - you need to urgently consult a doctor.
Red vascular network. Most often this is a consequence of a sharp temperature change, but sometimes it indicates the poor condition of blood vessels throughout the body; watch your blood pressure!
Acne. At a young age, acne occurs due to the immaturity of the endocrine system, and at a more mature age (after 25 - 28 years) - due to poor skin cleansing. Men can get infections when shaving.
White spots. They usually appear not on the face, but on the neck, chest, and shoulders and are called vitiligo. Doctors do not yet know exactly where this disease comes from and how it is treated, but most doctors consider vitiligo to be a manifestation of nervous strain.

DIAGNOSTICS BY THE NOSE

Is your nose far from ideal? Do not despair. If you believe Eastern medicine, then those with a neat little nose are not at all lucky, since this organ indicates possible heart problems.
Streaks of blood vessels on the nose appear not only with heart disease, but also with high blood pressure.
A blue-red coloration of the nose often indicates low blood pressure.
If a network of blood vessels appears around the nose, poor circulation and inflammation of the veins may occur.
Thickening or pallor of the wings of the nose characterizes lung diseases.
A white tip of the nose indicates poor circulation or a peptic ulcer.
Periodic or constant redness of the nose can warn of chronic stomach disease.
Bursted blood vessels on the skin near the nose indicate congestion in the body.
A transverse wrinkle on the bridge of the nose indicates hypofunction of the thyroid gland, and a thickening of the tip of the nose indicates an expansion of the stomach.
Even a slight swelling in the bridge of the nose can indicate an inflammatory process in the nose, including the presence of polyps.

DIAGNOSTICS BY EYES

If you look carefully into our “mirror of the soul,” you can unmistakably recognize not only your mood and true intentions, but also signs of various problems in the body.
Yellowish sclera (whites) of the eyes “signal” about liver problems. If this occurs suddenly, is combined with general jaundice of the skin, fever and brown urine, this is almost 100% hepatitis A (jaundice). Go to the hospital immediately!
If the eyes are constantly yellow, it means that the liver cannot cope with the load. This happens with chronic inflammation of the liver and gallbladder, cirrhosis. You need to take blood tests - general and biochemistry, as well as do liver tests.
Eyes become watery with inflammatory diseases of the eyelids (blepharitis, conjunctivitis), with infection of the paranasal sinuses (sinusitis). Watery eyes from one eye and swelling of the area around it may be a sign of advanced pulpitis (inflammation of the soft tissues of the tooth).
Tight bags on the lower eyelids are a sign of heart failure or kidney problems.
Large and flabby bags with bluish veins indicate an avid drinker.
Swollen upper eyelids can be one of the external symptoms of cerebral vascular sclerosis.
Protruding eyes (bilateral exophthalmos) are a clear sign of problems with the thyroid gland, including the manifestation of Graves' disease.
If the eyeball protrudes on one side, it may be a sinus cyst or the formation of a tumor.
Narrow pupils in normal lighting indicate that a person is suffering from some kind of severe pain.
Also, constricted pupils are characteristic of drug addicts who use opium derivatives.
Different colored eyes (for example, one blue, the other brown) is a congenital pigmentation disorder. This is just a piquant feature that does not affect vision.
Both pupils are evenly wide in some forms of myopia. Such a reaction is possible during a hypertensive crisis.
Very wide pupils, almost unresponsive to light, are typical when using atropine-based drugs.
Eye twitching is a nervous tic - a sign of developing neurosis.
This may also indicate neuralgia of the facial nerves.
Unilateral tics often occur with migraines.
Eyelashes can tell you something about your health. For example, very long and fluffy ones indicate a congenital tendency to bronchopulmonary diseases, including tuberculosis and bronchial asthma.
Eyelash loss signals a general decrease in immunity and a lack of B vitamins.
If the eyes turn red and tears begin to flow in three streams as soon as a person smells a flower or strokes a cat, then we can safely talk about an allergic reaction.
Drooping corners of the eyes are a sign of prolonged depression.
Frequent blinking is a symptom of neurosis (this is especially common in children).
An unblinking gaze, directed as if through the interlocutor, is a distinctive feature of a serious neuropsychic disorder associated with apathy and “withdrawal.”
Redness of the eyeballs, coupled with inflamed eyelids, indicate a person suffering from chronic insomnia.
Vessels in the eyes burst when the eye muscles are overstrained, as well as due to changes in intracranial pressure

What do you see when you look in the mirror? Just your face? According to Chinese medicine, which is more than 5 thousand years old, the face is a mirror image of health. If you think about it, there really must be a grain of truth in this statement. It is hardly possible to have a flourishing appearance if everything is not well inside you. Even Lope de Vega in “Dog in the Manger” through the mouth of the hero says: “Health and beauty are inseparable!” But the Chinese have gone even further: based on the state of the five zones of the face, they can make a rough diagnosis of your health.

When examining the forehead, look for any discoloration. Redness and an abundance of red blood vessels indicate heart problems. A darker shade of the forehead compared to the rest of the face indicates some problems with digestion, but, most likely, they are still minor. A change in forehead color can also be a consequence of severe mental turmoil. In people prone to strong emotions, a large number of wrinkles appear on the forehead, and, as a rule, a fold between the eyebrows.

Nose

The nose corresponds to the element of Earth, which is responsible for the functioning of the stomach, spleen and pancreas.

Did a pimple suddenly pop up on the tip or side of your nose? Not everything is as harmless as it seems! This indicates some disorder in your digestive system. Remember what you ate the day before? A lot of spicy, fried, smoked or fatty foods? Or maybe you ate some chocolate? If the answer to even one question is yes, then perhaps the problem is only in your food choices. By the way, the appearance of such a seemingly insignificant pimple may be accompanied by indigestion, diarrhea or constipation.

Red capillaries and red spots on the bridge of the nose may indicate alcohol abuse or stress, which also affects the digestive tract.

Chin

Pay attention to the area located from the nose to the upper lip. This small area reflects the condition of the uterus and ovaries in women and the condition of the prostate gland and genitals in men. Horizontal folds, peeling or discoloration in this area may indicate serious problems in the reproductive area, including uterine fibroids or fibroids.

Right cheek

The right cheek corresponds to Metal, which is responsible for the functioning of the lungs and large intestines.

Problems with the lungs or colon will show up as discoloration, flaking, and skin problems on the right cheek. Small pimples, redness or a flaky spot can either portend the imminent onset of bronchitis or indicate more serious problems with the lungs

Left cheek

The left cheek corresponds to the Wood element, which is responsible for the functioning of the liver and gall bladder, as well as the functioning of the nervous system.

Various problematic marks on this part of the face can also signal an unstable emotional state, such as anxiety, anger, or. Protruding veins, redness or a rash on the left cheek can signal high blood pressure or hidden anger.