The overall white tongue coating with cracks in the middle is mostly related to the patient’s long-term improper diet, spleen deficiency and qi stagnation, and weakness of the spleen and stomach, which can be regulated by moderately taking proprietary Chinese medicines such as Xiangsha Liujun Pills and Ginseng Ling Baijiu Granules. Xiangsha Liujun Wan has the effects of benefiting qi, strengthening the spleen (regulating the qi of the spleen and stomach), and harmonizing the stomach. If the deficiency of the spleen and qi stagnation results in a white, thick, toothed tongue with cracks in the middle, accompanied by dyspepsia, belching (hiccups) with little food, distension of the epigastric region (abdomen), and loose bowel movements, it is recommended that Xiangsha Liujun Wan be taken under the supervision of a physician for its regulation. Its adverse reactions and contraindications are not clear. Ginseng Ling and Atractylodes Macrocephalae Granules has the effect of tonifying the spleen and benefiting the vital energy. If the weakness of the spleen and stomach leads to white and thick coated tongue with teeth marks, accompanied by tiredness and fatigue, with little food and loose stools, Ginseng Ling and Atractylodes Macrocephalae Granules can be taken under the supervision of a physician to regulate the symptoms. Its adverse reactions and contraindications are not clear, diarrhea with loose stools, anus with a feeling of falling should not be taken. Of course, in addition to the need to take medication for treatment, patients should pay attention to less spicy and stimulating foods, such as chili, ginger, onions, peppers, etc., in order to reduce the stimulating effect on the spleen and stomach. If you need to take the above drugs, please under the guidance of a professional physician to identify the evidence, do not self-medication, so as not to affect the health of the body. If the tongue is white with cracks in the middle, it is recommended to consult a doctor in time to receive standardized treatment.