Question
Patient male, 11 months old, had herpes simplex before, with a map-like tongue coating. How should it be treated?
Answer
Map tongue itself has little impact on children, but it may affect taste. Map tongue is often due to zinc deficiency, so it is recommended to supplement appropriately and check for trace elements first. From a traditional Chinese medicine perspective, it is related to weakened spleen and stomach, and treatments like Xiangsha Liujun or Bu Zhong Yi Qi Wan can be tried, but it is best to use them under the guidance of a local experienced TCM practitioner. It may be due to deficiencies in trace elements and vitamins. It is recommended to take oral glycine zinc or vitamin B at the same time. Make sure to drink plenty of water regularly. Eat more vegetables. Avoid monosodium glutamate and chicken essence, as they may increase zinc excretion.