In many TCM books, yellow greasy fur is generally diagnosed as damp-heat and phlegm-heat. Clinically, some patients with damp-heat can really see the yellow and thick tongue coating. But there are also yellow greasy fur, not damp-heat, nor phlegm-heat. Moreover, clearing heat and promoting diuresis, clearing heat and resolving phlegm have no effect. So, what kind of thick yellow greasy fur does not control damp and heat? 1, the tongue is light and tender, and the coating is yellow and greasy, but if the tongue is light and the tongue body is fat and tender, it is not necessarily damp-heat, but may be yang deficiency, water deficiency and qi deficiency. 2. Although the tongue coating is yellow and greasy, it has no damp-heat symptoms. Except for the yellow and greasy tongue coating, there are no other damp-heat symptoms. Please use it with caution at this time. The patient is probably not hot and humid. 3, according to damp-heat and phlegm-heat treatment, if it is damp-heat syndrome after repeated treatment, it is generally effective to use drugs to clear away heat and dampness. If many doctors have used heat-clearing and dampness-removing, but it has no effect at all, the tongue coating is still yellow and greasy. At this time, we need to reflect and change our thinking. So, what about yellow and greasy tongue coating? 1, a 24-year-old male patient with stomach yin deficiency is emaciated, with noisy epigastric cavity, dry mouth and red lips, upset and insomnia, hunger, red tongue, thick greasy yellow coating and rapid pulse. At first, the prescription of nourishing yin, reducing fire, resolving phlegm and eliminating dampness was used, but it was ineffective. Then the symptoms improved after switching to Ziyin Yiwei medicine. Moreover, the yellow greasy fur has gradually faded. 2, a 35-year-old female patient, kidney yin deficiency, dizziness, dry head for many years, aggravated in summer or afternoon. Accompanied by backache, dry mouth and no drinking, thready pulse, weakness of feet, red tongue and thick yellow moss root. We add and subtract from the left. After taking the medicine, the yellow greasy fur gradually receded. 3. A 38-year-old female patient with spleen deficiency, full stomach, loss of appetite, increased leucorrhea, less abdominal pain, stagnant stool, drowsiness of limbs, fatigue of limbs after work, dizziness and palpitation. His face was yellow and dull. The tongue is light and fat, and the coating is yellow and greasy. Buqi Yunpi Decoction and Gong Yi Powder. After taking the medicine, the feeling of fullness in the upper abdomen disappeared, the appetite became better, and the yellow greasy coating disappeared. A 4.23-year-old female patient with weak temper has been feverish for two months and her limbs are weak. After conscious fatigue, fever and fatigue increase, dizziness and palpitation, fatigue and fatigue, and more leucorrhea. The tongue is red with yellow and greasy fur. This recipe is modified by Buzhong Yiqi Decoction. After taking the medicine, the condition improved and the yellow greasy fur subsided. 5. A 52-year-old male patient with watery abdomen due to yang deficiency has a full stomach, dull pain, anorexia, loose stool, dizziness, tinnitus, tepid limbs and bitter taste. The complexion is dull, the tongue is pale, the fur is yellow and thick, and the pulse is deep and late. Prescription: Sini Decoction combined with Gui Ling Shugan Decoction. After taking the medicine, the stomach symptoms disappeared, and the yellow greasy coating disappeared. 6. A 50-year-old male patient with yang deficiency and watery eyes has dizziness and tinnitus, cold and asthma, cold limbs, irregular stool, heavy pulse, light and fat tongue, and thin yellow and greasy fur. Prescription: Zhenwu Decoction, Gui Ling Shugan Decoction and Alisma Decoction. After taking the medicine, the yellow hair disappeared. 7, 80-year-old male patients with cold and dampness, constipation for more than 4 years, usually can only rely on Kaisailu to relieve constipation. Abdominal pain, warm pressure, dry mouth and hot drink, anorexia. The tongue is light blue with thick yellow fur. Prescription: Dahuang Fuzi decoction combined with Xiaochengqi decoction. After taking the medicine, the stool is unobstructed and the yellow greasy coating has receded. 8.28-year-old male patient with liver depression and qi stagnation, thick and greasy tongue coating 12 years. Dry mouth and bitter taste, or sour mouth, anorexia and dreaminess, sallow and emaciated, slightly distended abdomen. Eating noodles is easy to have loose bowels, and drinking alcohol will aggravate greasy fur and yellow urine. The tongue is black with thick yellow fur. The pulse is thin and string. This prescription is modified by Chaihu Shugan Powder. The yellow greasy fur subsided after taking the medicine. Although yin deficiency, yang deficiency, cold-dampness, damp-heat, phlegm-heat, qi stagnation and blood stasis may all cause yellow and greasy fur, I think the essence of the reaction is turbid qi. However, yin deficiency, yang deficiency, damp-heat and cold-dampness can all lead to turbid qi. The more turbid it is, the thicker the tongue coating will be. Thick and greasy tongue coating is the appearance, while turbid qi is the essence. Turbid qi is the appearance, while yin deficiency, qi deficiency, damp heat and food retention are the essence. 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