HEALTHY NAILS AND THEIR RELATIONSHIP TO HUMANS INTERNAL ORGANS.

Nail, in the anatomy of humans and other primates, horny plate that grows on the back of each finger and toe at its outer end. It corresponds to the claw, hoof, or talon of other vertebrates. 

Our  nails are the hard, protective covering over the soft tips of the fingers and toes. Fingernails and toenails are a type of skin appendage, meaning they are made with skin cells. The nails act like a tool to help us scratch and improve our sense of touch.

There are three main parts that make up our nail anatomy: 

the nail plate, 

the underlying nail bed, 

and the skin around the nail. 


In some cases, health conditions can affect the structure and health of our nails, increasing our risk of infection and abnormal nails.


Anatomy of the Nails

The nails are slightly curved and about 1 millimeter thick—not even thickness of a credit card.

The length and width of our nails will depend on the size of our fingers or toes and how long you let your nails grow. Nails constantly grow, but aging and poor circulation can slow nail growth.

Fingernails grow about 3 millimeters every month. Toenails grow slightly slower. If you damage or lose a fingernail, the nail can take four to six months to grow back. Toenails take about 12 months to regrow.


Structure

The main part of your nail is called the nail plate. The nail plate is made of skin cells called onychocytes (a type of keratinocyte) that produce keratin. Keratin is a translucent, fibrous protein that gives nails their rigid structure.  Nails appear pink due to blood vessels underneath the nail plate. As the nail extends beyond the skin, there are no longer any blood vessels underneath, which is why the tips of the nails appear white.

The top portion of the nail plate that extends over your fingertips is called the edge of the nail.

The white half-moon shape near the base of the nail plate is called the lunula. The lunula is the upper part of the nail root that extends underneath your skin. The bottom part of the nail root underneath the skin is called the nail matrix.


The nail matrix creates new cells to help nails grow. About 80% of your fingernail is located above the nail root, and 20% of the nail (including the nail root and matrix) is underneath the skin.

Location  

The nail plate attaches to the nail bed, which is the soft, fleshy tissue area directly under the nail. The nail bed extends from the end of the nail root to the skin right under the edge of the nail plate. The nail bed contains pigment-producing melanocytes that give skin color, nerves, and blood vessels.

The vertical sides of the nail are surrounded by skin that slightly overlaps the nail plate, known as lateral nail folds. The small divet of skin at the base of your nail is called the proximal fold. The proximal fold is attached to the cuticle—the small band of tissue at the bottom of your nails' half-moons. The cuticle helps connect the nail plate and skin.

Anatomical Variations 

People can be born with nail differences that cause thin, mishappen, fragile, or missing nails. Other people may notice nail variations later in childhood as the nails grow slowly.

Nonsyndromic congenital nail disorder 10 causes extremely thick nails that often look like claws. These nails also start to separate from the nail bed, and portions of the nails may be missing.

Nail-patella syndrome is a genetic disorder that often causes skeletal abnormalities of the knees, elbows, and pelvis. About 95% of people born with nail-patella syndrome are born with nails that are thin, fragile, ridged, or missing.

It is also possible to be born without fingernails or toenails, known as anonychia congenita. All of the nails can be missing, part of the nails may be missing, or just a few nails may be missing.


What Do the Nails Do?

The anatomy of your fingernails and toenails helps protect the nail plate from injuries and infections. The nails also offer functional purposes related to scratching, sensation, and fine motor skills with your hands and feet.

Nails increase your hands' ability to feel pressure, handle objects, and defend yourself from a person or animal who might be attacking.

For some people, the nails also act as a canvas to apply nail polish for cosmetic purposes.


Associated Conditions

Chronic nail picking (onychotillomania) and nail biting (onychophagia) are common ways the nails become damaged or infected. But there are several health conditions that can affect the nails themselves, causing symptoms that change your nails' color, shape, and strength. Conditions that directly affect the nails include:


Nail fungus (onychomycosis): Fungal nail infections can affect the fingernails and toenails, causing thick, discolored, and fragile nails that crack or crumble. 

Paronychia: This infection of the nail fold can lead to red or swollen tissue around the nail. Paronychia typically affects the fingernails. 

Nail psoriasis: Psoriasis is a skin condition that causes itchy, scaly patches of skin. Nail psoriasis affects your nails, causing discoloration, separation, crumbling, and splitting.



Ingrown toenails (onychocryptosis): This can occur when nail plates grow into the nail fold. Ingrown toenails can lead to red, swollen areas around the nails and painful infections. Ingrown nails are usually caused by improper nail trimming, tight shoes, or anatomical abnormalities.


Other changes to your nails, such as in shape or color, are often a response to an underlying condition affecting another part of your body or nutritional deficiencies. This is why nails are considered to be a part of your body that can give clues to your overall health. Conditions your nails can develop as a result of an underlying issue include:

Nail lifting (onycholysis): With this, the nail begins to lift off the nail bed so that it is not completely attached, creating white discoloration. Nail lifting is often caused by a fungal infection, nail psoriasis, or nail injury. 

Brittle nails (onychoschizia): Thin, soft nails that may split down the center of the nail are known as brittle nails. Harsh chemicals that have been exposed to your nails, aging, nutrient deficiencies, nail psoriasis, and fungal infections can lead to brittle nails. 

Nail pitting: This is when you develop dents in the nails. Nail pitting usually indicates you have a condition like psoriasis, atopic dermatitis, or alopecia areata. 

Clubbing: This is when nails curve downward, causing the fingertips to swell. Clubbed nails may also feel spongy. Nails with this curve can be a harmless hereditary trait or a sign of a lung, heart, liver, stomach, or intestinal condition. 

Beau's lines: Deep grooves across the nail's width indicate the nails have slowed or stopped growing. Injuries, chemotherapy, high stress, and fever can cause Beau's lines. 


Onychomadesis: This is a severe gap across the nail's width where the nail has stopped growing due to injury, stress, chemo, or illness. 

Ram's horn nails (Onychogryphosis): These are thick, overgrown nails that resemble small horns. They're typically caused by psoriasis, ichthyosis, or circulation problems. The condition can also be hereditary. 



Nails have been a major part of women’s beauty across cultures. Nails are also an external sign of the state of a healthy body and mind for both females and males?


To understand what are healthy and unhealthy nails, it is important to know the following things.

What are healthy nails?

Colour

The colour of the nails should be pink/red without any white, black, or brown spots.

Shape

The shape should be naturally rounded covering the fingertip and there shouldn’t be a gap between the nail and the skin. The surface should be smooth without irregular patterns.

Hardness

The nails should look firm; not too thin, not too thick, and not too weak.

Growth

Nails should grow gradually and evenly. Generally we should cut them once a week and allow them to re-grow regularly.


How are nails associated with the internal organs and meridians (channels)?

Chinese medicine considers that nails have a relationship with different internal organs and channels. If certain internal organs are imbalanced, they will affect the health of certain nails.

Nails of the hands


Nails of thumbs: Lung and Large Intestine channels and organs

Nails of index finger: Large Intestine channel and organ

Nails of middle finger: Pericardium channel

Nails of ring finger: Sanjiao channel (trunk area which is associated with metabolism, digestion and circulation)

Nails of little finger: Heart channel and organ


Nails of the feet

Nails of big toes: Spleen and Liver channel and organs

Nails of 2nd and 3rd toe: Stomach channel and organ

Nails of 4th toe: Gallbladder channel and organ

Nails of little toe: Urinary bladder channel and organ



The relationship between nails and bones

From the Five Elements theory, Chinese medicine recognizes there is a close relationship between the Kidneys, Bones and Nails.


An example from nature may help illustrate the relationship. The roots of the tree are the Kidneys, the branches are the Bones and the leaves are the Nails. This indicates that the health of the nails are closely related to the function of the Kidneys.


Don’t ignore the following sign: a dark streak

If you notice an abnormal dark streak or spot on your nail, especially if it is only found on one finger or toe, you should visit your doctor (Western medicine) for an examination as soon as possible. This could be a sign of melanoma, which is a very dangerous form of skin cancer.


Do you have a habit of biting your nails?

This habit is very common, it not only happens to children but also to adults. In my clinical experience this is due to a weakness in the Liver and to excessive stress.


People who have this habit will often have other symptoms such as stiff neck and shoulders, headaches, anxiety or depression, insomnia, vivid dreams, breast fullness and tenderness before the period, bloating, or period pain.


Our body is very smart and gives us many ways to find out about the health of our internal organs. Don’t forget your nails are one of them.


Nail Discoloration

Changes in nail color are often signs of underlying health conditions. For example, blue nails indicate you lack oxygen in your blood. Reddish half-moons can signal lupus, arthritis, or heart disease. Brown-black discolorations on the nail might mean there is melanoma skin cancer on the skin underneath the nail.  If you notice a change in your nail color, consider contacting a healthcare provider for examination.
Therefore please always pay attention to the appearance of your nails (guys as well). You can check your nails anytime, especially before cutting or colouring them.

Tips for Keeping Your Nails Healthy

Good nail hygiene is a simple way to keep your nails healthy. Some everyday habits to keep your nails strong and intact include: 

Clean and moisturize your nails: Washing your hands, feet, and nails daily can help prevent infections. Follow up with a hand moisturizer to keep nails hydrated.  

Trim your nails regularly: Use clippers to cut your fingernails straight across and to slightly round the tips. Toenails should be cut straight across. Trimming your nails also helps you avoid breaks.

Wear sandals in damp, public areas: Being barefoot in public pools or locker rooms increases your risk of toenail fungus. 

Choose nail salons carefully: Visit clean salons and spas with experienced, licensed professionals. Make sure the businesses use sterile tools and disinfect pedicure foot baths before use. You can even bring your own tools for the nail technician to use.

Wear gloves when cleaning: Covering your hands protects your nails from damaging moisture and harsh chemicals.

Avoid biting and picking your nails: Kicking the habit is easier said than done, but try trimming your nails short or applying bitter-tasting nail polish to avoid biting your nails.


 

Nail anatomy includes the nail plate, nail bed, and surrounding tissue. The fingernails and toenails help protect the tips of your fingers and toes and improve fine motor skills. Keeping your nails healthy can help you avoid infections and permanent nail damage.



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