Red spots on the tongue are usually referred to as tongue sores. Traditional Chinese medicine diagnosis is mainly heart and spleen accumulation of heat, yin deficiency and fire (deficiency of Yin essence in the body, the appearance of deficiency fire hyperactivity), the upper solid and the lower deficiency and so on. If the patient’s tongue appears red dots, and a period of time does not recover to improve, should be as early as possible to the hospital, with the doctor to check for evidence-based treatment, do not blindly take medication. 1. Heat accumulation in the heart and spleen: Evil heat congestion in the heart and spleen, with fever and thirst, mouth and tongue sores, ulcers, pain, red tongue with yellow fur, pulse number and strong, etc. as the common symptoms of the disease. 2. Excessive heat due to yin deficiency: Yin deficiency leads to a decrease in yang heat and symptoms such as heartburn and heat (heat in the heart of the hands and feet, and self-consciousness of the heart and chest), hot flashes (bursts of heat), dizziness, tinnitus, insomnia, and so on. Usually, patients with Yin deficiency and fire are characterized by red spots on the tongue due to fire. 3. Upper solid and lower deficiency: by deficiency of the liver and kidneys (weakness of the liver and kidneys), deficiency of yin in the lower part of the body and hyperactivity of yang in the upper part of the body. On the one hand, there are signs of lower deficiency such as lumbar and knee weakness (a feeling of soreness and weakness in the lumbar and knee areas), weakness, and spermatorrhea; on the other hand, there are signs of dystocia (pain in the area of the coats of arms and ribs), redness in the eyes, and sores on the tongue.