“察舌诊病”是中医诊断学中重要组成部分之一。一般来说,察内脏的虚实,重点在于舌质;察病邪的浅深与胃气的存亡,重点在于舌苔。“形色外诊简摩”上说:“苔乃胃气之熏蒸,五脏旨禀气于胃,故可借以诊五脏之寒热虚实也。”前人认为“舌为脾胃之外候”,“脾主运化”,舌与脾胃的消化有密切关系,消化情况容易反映于舌部。据此,本文以观察舌象变化来分析与慢性胃部疾病的关系,而本级病例均经纤维胃镜直视下肉眼观察及活检病理确诊的,作者试图运用现代医学的知识和方法,探索其与临床的联系及价值, “Indicating tongue diagnosis” is one of the important components in diagnostics of traditional Chinese medicine. In general, the internal and external organs of the viscera are focused on the quality of the tongue; the depth of the disease and the presence or absence of stomach air, with the focus on the tongue coating. “The color of the disease is diagnosed outside the clinic”: “Mosquito is a fumigation of stomach and gas, and the viscera of the five viscera are aimed at the stomach. Therefore, it can be used to diagnose the symptoms of the cold and heat of the five internal organs.” Predecessors think that “the tongue is out of the spleen and stomach”, The spleen is mainly transported, and the tongue is closely related to the digestion of the spleen and stomach. The digestion is easily reflected in the tongue. Based on this, this article analyzes the relationship with chronic gastric diseases by observing the changes of tongue images. This class of cases were all diagnosed by naked eye under fiberoptic gastroscopy and confirmed by biopsy. The author tried to use modern medical knowledge and methods to explore With clinical links and values,