What’s the matter with white and greasy tongue coating?
White and greasy tongue coating is one of the common tongue symptoms in TCM diagnosis, which usually reflects the pathological state of dampness or cold-dampness in the body. In recent years, with the increase in health awareness, discussions about abnormal tongue coating have become a hot topic. This article will combine the hot content on the Internet in the past 10 days, analyze the causes, accompanying symptoms and treatment methods of white and greasy tongue coating from the perspectives of traditional Chinese medicine and modern medicine, and provide structured data for readers' reference.
1. Common causes of white and greasy tongue coating

According to traditional Chinese medicine theory, white and greasy tongue coating is mainly related to the following factors:
| Classification | specific reasons | Typical performance |
|---|---|---|
| Internal resistance due to cold and dampness | Overeating raw and cold food, exogenous cold evil | Thick and greasy tongue coating, sensitivity to cold, diarrhea |
| Phlegm and dampness trapping the spleen | Weak spleen and stomach, abnormal transportation and transformation | Fat tongue, loss of appetite, abdominal distension |
| Damp and hot accumulation | Dampness and turbidity turn into heat, and the stagnation is steamed above | White, greasy and slightly yellow tongue coating, bitter and sticky mouth |
2. Top 5 related symptoms that are hotly discussed on the Internet (data in the past 10 days)
| Ranking | associated symptoms | Search popularity |
|---|---|---|
| 1 | Bad breath | ★★★★★ |
| 2 | Indigestion | ★★★★☆ |
| 3 | Fatigue | ★★★☆☆ |
| 4 | Sticky stool | ★★★☆☆ |
| 5 | recurring mouth ulcers | ★★☆☆☆ |
3. Interpretation from the perspective of modern medicine
Modern medicine believes that white and greasy tongue coating may be related to the following conditions:
1.Oral flora imbalance: Excessive proliferation of Candida albicans may lead to abnormal thickening of tongue coating
2.Digestive system diseases: Gastritis, irritable bowel syndrome, etc. are often accompanied by changes in tongue coating
3.vitamin deficiency: Thick and greasy tongue coating may occur when B vitamins are deficient.
4. Comparison of TCM conditioning programs
| Certificate type | Recommended dietary therapy | Commonly used prescriptions |
|---|---|---|
| Cold and damp type | Ginger brown sugar water, tangerine peel tea | Huoxiang Zhengqi Powder |
| Phlegm-damp type | Barley, red bean porridge, yam porridge | Erchen Tang |
| Damp heat type | Mung bean soup, winter melon soup | Sanren soup |
5. Recent focus of attention on the Internet
1.Tongue coating and Helicobacter pylori infection: A study in a tertiary hospital showed that the HP positive rate of patients with white greasy coating reached 68%.
2.Internet celebrity tongue brushing controversy: Experts point out that excessive cleaning may damage the oral microenvironment
3.seasonal correlation: During the period of heavy humidity in summer, related search volume increased by 40%
6. Daily care suggestions
1.diet regulation: Eat less sweet, greasy, raw and cold food, and don’t eat too much at dinner
2.oral hygiene: Use a soft-bristled toothbrush to gently brush the tongue surface to avoid scratching the tongue papilla.
3.Work and rest management: Ensure adequate sleep and avoid staying up late to aggravate spleen deficiency.
4.Exercise advice: Daily moderate aerobic exercise to promote metabolism
If the abnormal tongue coating lasts for more than 2 weeks, or is accompanied by obvious discomfort symptoms, it is recommended to seek medical treatment in time for professional diagnosis. Only through the combination of tongue diagnosis and pulse diagnosis and other four diagnostic methods of traditional Chinese medicine can we accurately determine the type of constitution and provide symptomatic treatment.
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