小儿唇中忽见肿大，此系脾热所致。古法用生蒲黄、川连、冰片，共为细末，麻油调敷有效。
〔真按〕上下唇若赤肿，外敷蒲黄等药，固有效验。但若肿黑痛痒难忍者，宜用旧有方孔之大铜钱同样大者
四个，于石上磨猪油时常擦之。至或破烂流水者，则宜改用铜青、宫粉、明矾、顶上梅花冰片、黄连、麝香，共研
细末，破处则用干掺，干处则和猪油搽之尤效。
小儿唇边忽生红白颗粒，此即生疔。症见头痛寒热痛痒，亦有麻木不知痛痒者。古法先看大腿弯中，如有紫筋，
以银针刺出血。外用生鸡冠血点于唇上，或用活虾蟆破开，取肝贴之，或用生蚬去壳捣烂敷之，均效。
〔真按〕唇疔多至头痛心闷神昏，赶紧施治，迟则不救。内以紫花地丁、金银花、白果、桔梗、生甘草、知
母，煎服。外用蛔虫捣烂敷之，如无蛔虫，以焙五谷虫一钱，研末，白矾三分，蟾酥三分，再以烧酒溶化调匀，
敷疔上，少顷疔即破流毒水而愈。
小儿唇疮，无论破与未破，皆系脾蕴热毒而发。但用瓦松，生姜汁捣融，入盐少许敷之，或用蓝靛叶取汁洗
之，均效。
小儿唇紧，初起即不能饮食，宜急治之。但用新白布作卷，如
酒杯大，烧燃放刀口上，俟刀口汁出，取汁搽之，日搽十余次，并以青布烧灰冲酒服之，过夜即愈。
小儿唇干血出，只用生桃仁捣烂，调猪油敷之。若干燥已极，红肿难堪，时以舌 口水滋润，尚恐不及
者，则以松毛煮豆腐约半日之久，取豆腐贴之，日换数次有效。
小儿唇忽翻突，形如猪嘴，此名唇菌，乃心脾热毒所致，非急救不可。须觅活地龙（又名蚯蚓、曲鳝）十条，
捣烂，吴茱萸二钱研末，加灰面少许，醋调敷两脚心，用布捆住，半日一换；内服唇疔汤剂（见上）。以愈为度。
The middle of the child's lip suddenly swells; this is caused by Spleen Heat (Spleen Excess Heat). The ancient method uses Sheng Puhuang (Raw Coptidis Rhizoma? No, *Pollen Typhae*, Raw), Chuan Lian (Coptidis Rhizoma), and Bingpian (Borneol), ground together into a fine powder, mixed with Sesame Oil (Mayou) for topical application, which is effective.
[Chen Shouzhen's Note] If the upper and lower lips are red and swollen, applying Puhuang and other medicines externally is indeed effective. However, if swelling turns black with unbearable pain and itching, it is advisable to use four old large-hole copper coins of similar size to the lesion, rubbing them frequently with Pig Fat (Zhuyou) on a stone surface. In cases where the skin has broken down and weeping fluid, it is better to use Tongqing (Malachite), Gongfen (Lead Carbonate), Mingfan (Alumen), Dingshang Meihua Bingpian (Top-grade Plum-blossom Borneol), Huanglian (Coptidis Rhizoma), and Shexiang (Musk), ground together into a fine powder. For broken areas, sprinkle the dry powder directly; for dry areas, mix with Pig Fat for application, which is particularly effective.
When red and white granules suddenly appear at the edge of the child's lip, this is called Lip Ding (Ding sore on the lip). Symptoms include headache, aversion to cold alternating with fever, pain, and itching; there are also cases of numbness without sensation of pain or itching. The ancient method first examines the popliteal fossa (back of the knee); if purple veins are visible, prick them with a silver needle to bleed. Externally, apply fresh Rooster Comb Blood (Jiguanxue) to the lip, or cut open a live Toad (Chanma), take its liver, and apply it; or remove the shell of a fresh Clam (Xian), mash it, and apply it. All are effective.
[Chen Shouzhen's Note] Lip Ding often progresses to headache, chest oppression, and coma; treatment must be administered promptly, otherwise it becomes incurable. Internally, decoct Zihua Diding (Viola Yedoensis), Jinyinhua (Lonicerae Japonicae Flos), Baiguo (Ginkgo Semen), Jiegeng (Platycodonis Radix), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), and Zhimu (Anemarrhenae Rhizoma) for oral administration. Externally, apply mashed Ascaris (Hui Chong); if Ascaris is unavailable, use one qian of baked Wugu Chong (Fermented Bean Curd Worms), ground into powder, mixed with 3 fen of Bai Fan (Alumen) and 3 fen of Chansu (Toad Venom), dissolved in Baijiu (White Spirit/Liquor), and applied to the Ding sore. Soon after, the Ding will rupture and discharge toxic fluid, leading to recovery.
Childhood Lip Chuang (Lip Ulcer/Canker), whether broken or unbroken, is caused by Heat-Toxin accumulating in the Spleen. Simply use Wasong (Leucoscyphus Sabdariffae Calyx), mashed with Ginger Juice (Shengjiang Zhi), adding a little salt for application; or use juice extracted from Lan Diany e (Isatis Leaf) for washing. Both are effective.
Childhood Lip Jin (Lip Contraction/Stiffness), where the child cannot eat from the onset, requires urgent treatment. Take new white cloth, roll it up like a wine glass, ignite it, and place it over a knife cut. When the juice exudes from the knife cut, collect the juice and apply it to the lips, more than ten times a day. Additionally, consume liquor mixed with ash from burnt blue cloth; recovery occurs overnight.
For childhood Lip Gan Xue Chu (Dry Lips with Bleeding), simply mash raw Tao Ren (Persicam Semen) and mix with Pig Fat for application. If extremely dry with intolerable redness and swelling, moisten with saliva occasionally, though this may still be insufficient. In such cases, boil Tofu with Pine Needles (Song Mao) for about half a day, take the Tofu, and apply it, changing several times a day, which is effective.
When the child's lip suddenly protrudes outward, resembling a pig's snout, this is named Chun Jun (Lip Mushroom/Tumor), caused by Heart-Spleen Heat-Toxin, requiring emergency rescue. Find ten live Dilong (Earthworm/Qu Shan), mash them, mix with two qian of Wuzhuyu (Evodiae Fructus) powder and a little Hui Mian (Ash Flour), blend with Vinegar, and apply to both soles (Yongquan area), binding with cloth, changing every half day. Internally, administer the Lip Ding Decoction (see above). Continue until cured.