Tongue hot and spicy to exclude physiological factors (such as eating chili), may be related to stomach fire, may also be related to liver fire, the specific causes are more, it is recommended to consult a doctor. 1. Excessive stomach fire: Tongue hot and spicy caused by excessive stomach fire can be accompanied by burning pain in the stomach and epigastric region, aggravated by pressing, acid reflux, heartburn, easy to get hungry, and vomiting when eating. 2. Liver fire: tongue hot and spicy caused by liver fire can also be accompanied by headache, dizziness, red face and eyes, dry mouth and bitter mouth, sore throat, pain in the abdomen and ribs, yellow urine and constipation, and even vomiting blood and other symptoms. If the symptoms of the tongue is not relieved for a long time or accompanied by other discomforts, consult a doctor in time to find out the cause and carry out targeted treatment.