Pediatric flaking tongue has a long course and is often difficult to resolve on its own. Flower peeling refers to partial peeling of tongue coating, is a common tongue disease in children, mostly occurring in infants and young children over the age of 6 months, due to the peeling of the epithelium of the tongue mucosa. The course of this disease is long, can recur, often difficult to heal for many years. The cause of the disease is still not very clear, usually thought to be due to gastrointestinal parasites, gastrointestinal dysfunction, mycobacteria, etc. Traditional Chinese medicine believes that it is mostly related to spleen and stomach yin deficiency and spleen and stomach qi deficiency, which manifests as peeling of the tongue moss, glossy red tongue, tongue maple-like, and the child may also be mentally fatigued, sweating, and easy to catch colds, which is often accompanied by recurrent respiratory infections, rickets, anemia, intestinal parasitosis, and micronutrient deficiencies. Clinically, it is not recommended to wait for the disease to heal by itself. It can be routinely supplemented with micronutrients or vitamins and given traditional Chinese medicine that nourishes yin and clears heat, but the treatment effect is poor or even prolonged. It is recommended to go to the western medical examination first. After that, treatment should be made. Children should increase outdoor activities, enhance physical fitness, actively treat anemia, rickets, intestinal parasites, etc., ensure dietary nutrition, correct partiality, picky eating, eat more vegetables and fruits.