Recently I treated several patients with different problems but the tongue and nearby muscles were the locus of treatment. One case was a painful burning tongue probably due to exposure to toxic metals. Another was post stroke loss of motility of the tongue leading to speech difficulty. A third one was sleep apnea. Still another one had speech and swallowing problems after an operation to remove a brain tumor. There were similar and also some different distal points used but three points on and near the tongue: jinjin, yuye, lianquan, and yamen on the back of the neck were used for all as a local treatment. These points were chosen based on channel and point theory but also anatomical and neurological concerns. The etiology of the four cases were quite different but all of them involved loss of the functioning of the tongue and tissues near it. The distal points addressed the deeper issues while the local treatment addressed their expression. Since the cases were different the methods used to stimulate the points were different.