Regulatory Mechanism and New Research Ideas on Tongue Coating Formation
	    		
		   		
		   			
		   		
	    	
    	 
    	10.14148/j.issn.1672-0482.2024.0201
   		
        
        	
        		- VernacularTitle:舌苔形成的调控机制及研究新思路
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Junfeng ZHANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Zhen ZHAN
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 南京中医药大学医学院,江苏 南京 210023
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		tongue coating;
			        		
			        		
			        		
				        		immuno-neuro-endocrine;
			        		
			        		
			        		
				        		microenvironment;
			        		
			        		
			        		
				        		physical factors;
			        		
			        		
			        		
				        		regulatory mechanism
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Journal of Nanjing University of Traditional Chinese Medicine
	            		
	            		 2024;40(2):201-208
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Tongue coating(TC)is a layer of coating on the surface of the tongue dorsal mucosa,and observing its variable color and property is an important content of tongue diagnosis in traditional Chinese medicine(TCM).A large amount of existing evidence has showed that TC images and its material composition have important diagnostic value for systemic diseases,which constructs the modern scientific foundation for the scientific connotation of observing TC to assist clinical syndrome differentiation,prescription,and medication.However,it is still wanting in-depth exploration on the cellular and molecular biological mechanisms underlying TC forma-tion.The current review systematically summarizes the main research literatures,proposes the potential regulatory mechanism of the im-muno-neuro-endocrine system,biological toxins,and physical factors in the development of tongue coating,and draws upon innovative approach to exploring the biological mechanism of TC microenvironment including microorganisms,immunity,endocrine,mechanical stretching,temperature,etc.These advances provide valuable research ideas and technical platform for in-depth exploration on the bi-ological mechanisms of TC variety,and promote the scientific research and clinical application of tongue diagnosis.