How to treat bad breath caused by excessive liver fire?

Patient's question:

Excess liver fire causing bad breath, very uncomfortable, bowel movements twice a day approximately, thick yellow spots on the tongue, how to treat?

Doctor's answer:

When the liver fire is excessive, it may cause a recurrence of bitter taste in the mouth, and halitosis could be due to gastrointestinal diseases or gingivitis, periodontitis. Having one to two bowel movements per day is normal. In Traditional Chinese Medicine, a thick yellow tongue is believed to indicate spleen deficiency and stomach damp-heat. The spleen is responsible for transportation and transformation, and when turbid qi from the stomach and intestines does not ascend, it leads to halitosis. You can use Jianpi Wan or Shenling Baizhu Powder to regulate the spleen and stomach. For excessive liver fire, Longdan Xiegan Wan can be taken orally. If you have gingivitis or periodontitis, you can visit a hospital for dental scaling. In daily life, pay attention to a light diet, avoid foods and overly greasy foods, eat more fresh vegetables and fruits, maintain a regular lifestyle, and keep bowel movements smooth to aid detoxification.

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