Strawberry tongue in Chinese medicine is a kind of red tongue with punctures, like strawberry, which is mainly heat from internal organs or blood heat, and distinguishes heat in which organs according to the distribution of punctures. In western medicine, it is usually seen in patients with scarlet fever and chronic fever, and is not directly related to poor spleen and stomach. If a patient develops strawberry tongue, it is recommended to visit a specialist hospital for examination to clarify the cause. Scarlet fever is usually caused by Streptococcus haemolyticus infection, which can cause fever and scarlet fever rash due to erythrotoxin. At the beginning of the disease, the surface of the tongue will be covered with white moss, and the swollen tongue papillae will protrude outside the white moss, thus forming a strawberry tongue. Patients with fever due to other factors may also have a white tongue moss and a red, enlarged tongue due to prolonged fever, thus causing a strawberry tongue. If the patient is suffering from scarlet fever causing strawberry tongue, he can be treated with antibiotics such as penicillin under the guidance of a doctor. If there is penicillin allergy or resistance, he can be replaced with other drugs such as azithromycin, erythromycin, or cephalosporin antibiotics. During the treatment period, patients should take rest and avoid close contact with others as much as possible, and need to follow up regularly to avoid recurrence of the disease.