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Yellow and greasy tongue coating: is it due to excessive stomach heat or liver heat?

Feb 21, 2025 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Yellow and greasy tongue coating accompanied by symptoms such as epigastric burning, oral ulcers, and constipation may be caused by excessive stomach fire. If symptoms such as yellow and greasy tongue coating, dry eyes, bitter taste in the mouth, and irritability occur, it may indicate excessive liver fire. It is recommended to visit a hospital to determine the exact cause and follow medical advice for treatment. When excessive stomach fire is present, patients may experience symptoms including epigastric burning, oral ulcers, and constipation.

　　If yellow greasy tongue coating is accompanied by symptoms such as epigastric burning, oral ulcers, and constipation, it may be caused by excessive stomach fire. If yellow greasy tongue coating, dry eyes, bitter taste in the mouth, irritability, and other symptoms occur, it may be due to excessive liver fire. It is recommended to visit a hospital to determine the cause and follow medical advice for treatment. Analysis is as follows:

　　Excessive stomach fire is often caused by improper diet. In addition, long-term emotional distress and irregular lifestyle may also trigger stomach fire. When stomach fire is excessive, patients may experience symptoms such as epigastric burning, oral ulcers, and constipation. These symptoms mainly affect the digestive system, and if not adjusted timely, they may impair digestive absorption function and subsequently affect overall health.

　　Excessive liver fire is mostly caused by emotional stagnation and irregular lifestyle. Emotional distress, excessive anxiety or anger, and irregular作息 (作息 here might mean作息 habits or daily routine) can all trigger excessive liver fire. When liver fire is excessive, patients may experience symptoms such as dry eyes, bitter taste in the mouth, irritability, insomnia, and vivid dreams. Rising liver fire can also indirectly affect the tongue coating, causing it to appear yellow and greasy.

　　It is recommended to adjust the diet structure, focusing on light and easily digestible foods, and consume more fresh vegetables and fruits, such as watermelon and bitter melon, which have heat-clearing and fire-purging effects. In addition, it is important to promptly improve lifestyle habits, maintain a cheerful mood, and avoid excessive anxiety and anger. Engage in appropriate relaxation activities, such as walking and yoga.

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