What to do if a pregnant woman has a thick yellow tongue coating

In life, many people often find that their tongue coating is thick and yellow. This symptom does not only occur in children, but also in many women after giving birth. Different changes in the tongue indicate different symptoms. The shape of everyone's tongue coating is different. If you have symptoms of thick yellow tongue coating, you need to go to the hospital for a check-up. There may be these reasons.

Basic symptoms

1. If the tongue is pale red, with yellow fur covering the entire surface of the tongue, and the fur is moist and not dry; with a little white fur on the edges and tip, it is caused by external evil turning into heat and entering the Yangming stomach. Main diseases: syndrome of heat entering Yangming, damp-heat in Qi, liver and gallbladder diseases, urinary tract infection, and various febrile diseases. Treatment should be based on clearing away heat, detoxifying, and dredging the exterior and interior.

2. If the tongue is red, with a greasy yellow coating that is thick in the middle and thin at the edges, and is tight and fine, especially at the root, it is mostly due to the combination of heat and phlegm, or dampness entering the body and turning into heat, or warm and hot evils gathering in the stomach and intestines, and has not yet reached the stage of Yangming dryness and solidity.

3. If the tongue is dark red and has cracks, it is a sign of severe nutrient heat. The main diseases are: heat and phlegm, damp heat in the middle burner, and food stagnation in the stomach and intestines. The treatment should be to clear away heat and dampness, eliminate phlegm and relieve stagnation.

4. If the tongue is purple, with thick gray-yellow fur, and the fur is moist but not dry, it is a critical sign of mixed cold and heat, with heat turning into cold, or cold turning into heat. It is mostly because the fever does not heal, the heart yang declines suddenly, phlegm and aversion to fluids persist for a long time, and the external evil enters the body and turns into heat; in the hot summer, eating raw and cold food leads to cholera; the yin is strong inside, forcing the heat to float up; there is blood stasis in the body. The evil turns into heat; so the main disease is true cold and false heat, heart and kidney yang decline, cholera vomiting and diarrhea, and asthma. The treatment should be to warm the heart and kidneys, restore yang and rescue the adverse condition; clear away heat and resolve phlegm; promote blood circulation and remove stasis.

5. If the tongue is purple, with yellow greasy coating, the tongue is fat, and the surface of the tongue is covered with yellow coating. There is white coating in the middle, which is thicker at the root. It is yellow, thick and greasy. It may be caused by Yin syndrome, internal stagnation of phlegm and dampness, stagnation of cold evil, damp food blocking the middle burner, stagnation of qi and blood, and also symptoms of damp heat and gastrointestinal waste. The treatment is to warm the yang and strengthen the spleen, promote blood circulation and eliminate accumulation.

Patients with this type of tongue pattern generally have more complicated conditions, and treatment should be based on syndrome differentiation and medication. A normal person has a thin, white, and moist coating on the back of his tongue, which is called tongue coating. The tongue coating is thick and greasy, which is usually caused by phlegm heat, food accumulation or internal damp heat. The tongue coating is yellow, smooth and moist, which is a sign of yang deficiency.

Yellow and greasy tongue coating does not necessarily indicate dampness and heat

Liuwei Dihuang Pills

In clinical practice, if there is a yellow and greasy tongue coating, it is identified as damp-heat and treated with clearing and transforming methods, which is known to everyone. However, not many people know that it is caused by qi deficiency and dysfunction of transportation and transformation, which leads to dampness obstruction and inability to transform. I would like to cite a piece of medical theory by Mr. Zhang Shugeng, which may provide doctors with a new idea and be of some help in clinical practice.

Thick and greasy yellow tongue coating is not necessarily a symptom of damp-heat. It can also be caused by Qi deficiency and dysfunction of transportation and transformation, which leads to dampness obstruction. Some patients with thick and greasy yellow tongue coating have normal tongue quality, slippery pulse, bitter taste in the mouth, chest and abdominal distension, poor appetite, yellow urine, etc., which seem to be positive symptoms. The doctor has used bitter, cold and dampness-drying drugs such as Atractylodes, Magnolia officinalis, Scutellaria baicalensis, Coptis chinensis, and Plantago for several months, but the tongue coating remains the same. But if you look closely, you will find one or two symptoms of deficiency, such as soft and slippery pulse, fat tongue, cracks in the yellow and greasy tongue coating, bloating in the chest and abdomen, preference for warmth, loose stools, etc. The treatment can be changed to Bu Zhong Yi Qi, Xiang Sha Liu Jun, etc. with modifications. After taking them, the chest and abdomen will feel comfortable and the tongue coating will gradually disappear. This is also the method of using the method of blocking for blocking.

Treatment of yellow greasy tongue coating

The tongue coating is yellow and greasy, the mouth is often dry, there are teeth marks on the edges of the tongue, fever in the five hearts, the tongue is red with little coating, and the pulse is thin and rapid. Treatment: Nourish yin and reduce fire. You can take: Zhibai Dihuang Pills, Dabuyin Pills, Liuwei Dihuang Pills, etc. (In this statement, thick and greasy tongue coating and red tongue with less coating are contradictory. How can less coating be thick and greasy? The logic is wrong))

Yellow and greasy tongue coating caused by summer heat and dampness cold

Symptoms: Occurs in summer, with dirty face, hot body, and sweating, but the sweating is not smooth, the body heat does not rise, the body feels heavy and tired, dizzy and has severe headaches, or there may be nasal congestion and runny nose, cough with yellow sputum, chest tightness and nausea, short and dark urine, yellow and greasy tongue coating, and a weak and rapid pulse.

Treatment method: Clear away heat, dampness and relieve exterior symptoms.

Syndrome differentiation and treatment

Gastrointestinal heat

【Feeling】Hot flashes in the evening, thirst, irritability.

[Observation] The tongue coating is dark yellow, thick and dry, or even old yellow, cracked and prickly. The face is red and the body is hot, with continuous sweating. The stool is constipated, or it is loose and has loose stools. The abdomen is full and painful and refuses to be pressed. There is delirium and even unconsciousness. The patient may feel the pain by touching the clothes and the bed. The pulse is deep and strong, or slippery and solid.

[Prescription] 9 grams of rhubarb, 12 grams of Glauber's salt, 9 grams of Magnolia officinalis, 9 grams of Citrus aurantium, 12 grams of Red Peony Root, 12 grams of Peach Kernel, 12 grams of Radish Seed, 12 grams of Scrophularia ningpoensis, and 12 grams of Corydalis. Decoction for internal use

Spleen and stomach damp-heat stagnation

[Feeling] Body heat but not rising, irritability, thirst but no desire to drink, abdominal distension, and no appetite.

[Observation] The tongue coating is yellow and dirty, the tongue is red, there is nausea and vomiting, the stool is dirty, greasy and smelly, and the pulse is slippery and rapid.

[Prescription] 12 grams of Citrus aurantium, 6 grams of Rhubarb, 9 grams of Shenqu, 15 grams of Poria, 9 grams of Scutellaria baicalensis, 9 grams of Coptis chinensis, 18 grams of Atractylodes macrocephala, 12 grams of Alisma orientalis, and 10 grams of Anemarrhena asphodeloides. Decoction in water for oral administration.