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[Prescription Verse] Fanliping (Reverse Lip Ding) arises on the inner edge of the lips; Suokouding (Lock-Port Ding) appears at the corners of the mouth. Initially, it resembles a millet seed, with hardness, swelling, numbness, itching, and pain. These are caused by Fire-Toxin accumulation in the Spleen, Stomach, and Heart meridians.

[Annotation] Both conditions are caused by Fire-Toxin. Fanliping occurs on the inner side of the lip ridge; the upper lip belongs to the Spleen meridian, and the lower lip belongs to the Stomach meridian. Suokouding occurs at the mouth corner and is governed by the Heart and Spleen meridians. At the onset, both present like millet seeds, with purple coloration and hardness resembling iron. Severe swelling brings numbness, itching, and dull pain, accompanied by alternating chills and fever, mental restlessness, and nausea. In severe cases of Fanliping, the lip may evert; in severe cases of Suokouding, the mouth cannot open. Both are rapid-onset conditions requiring immediate treatment. Delay allows Toxin-Qi to attack the interior, causing coma and nausea, termed Zouhuang (Spreading Yellow). Treatment follows the protocols for Ding diseases in the Ding section. Moxibustion is strictly prohibited.

[Prescription Verse] Chuju (Lip Carbuncle) arises on the upper or lower lips, characterized by alternating chills and fever with deep-seated Toxin-Qi. The area is purple, hard, and experiences severe dull pain. This is due to Heat accumulation in the Spleen and Stomach.

[Annotation] This condition affects the lips, regardless of position, caused by Heat accumulation in the Spleen and Stomach. It presents with purple coloration and a head (pustule), ranging in size from a date to a plum. It is swollen and hard as iron, with intermittent dull pain. Severe cases involve alternating chills and fever. Initially, Shen Shou Wei Sheng Tang (Divine Grant Health Preservation Decoction) is appropriate. For patients with excess internal fullness, Shuang Jie Gui Jin Wan (Double Resolution Precious Gold Pill) is used. Externally, Li Gong Ding (Imperial Palace Ointment) applied topically can resolve the swelling. If it persists for several days without resolving, it will inevitably suppurate; treatment then follows the protocols for Ulcerative Sores and Ulcers in the respective sections.
Formulas: Shen Shou Wei Sheng Tang, Shuang Jie Gui Jin Wan, Li Gong Ding (all see Section on Ulcerative Sores)

[Prescription Verse] Jianchun (Silkworm Cocoon Lip) is formed by Fire accumulation in the Spleen and Stomach. It begins like a bean grain and gradually takes the shape of a silkworm cocoon. Hardness and pain interfere with eating. If it ulcerates into a "turning flower" appearance, it is an adverse sign. If it progresses over time to Sanxiao (Three Wasting-Thirst syndromes), it indicates a poor prognosis.

[Annotation] This condition results from the aggregation of Fire accumulation in the Spleen and Stomach. Initially, it resembles a bean grain, growing larger like a silkworm cocoon, becoming hard and painful, hindering diet. For early-stage cases or established cases without internal symptoms, Chansu Bing (Toad Venom Cake) is applied, covered with Tuoseng Gao (Monk's Plaster), which gradually resolves over time. For those with thirst, Qingliang Ganlu Yin (Cooling Sweet Dew Decoction) is suitable. For those with red face, dry/cracked lips, and constipation, this indicates Qi Excess; Liang Ge San (Cooling Diaphragm Powder) is appropriate. For those with symptoms lighter during the day and heavier at night, five-palm heat, malar flush, and a deficient-rapid weak pulse, Jiajian Bawei Wan (Modified Eight-Ingredient Pill) is used to nourish Kidney Water and Yin. If it ulcerates into a "turning flower" appearance with discharge of fluids and blood, it is an adverse sign. Neglect in regulation and treatment leads to Shangxiao, Zhongxiao, and Xiaxiao syndromes over time, indicating a ominous prognosis.
Formula: Qingliang Ganlu Yin
Composition: Maidong (Ophiopogonis Radix, heart removed), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Shihu (Dendrobii Caulis), Zhike (Aurantii Fructus, bran-fried), Pipaye (Loquat Leaf, hair removed, honey-fried), Yinchaihu (Cistanches Caulis - *Note: Text says Yin Chai Hu, usually Cistanches or Stellariae, here likely Cistanches or related cooling herb, WHO term often Cistanche or similar context dependent, but standard is Cistanches/Cistanche Herba or Stellariae Root depending on variant. Given context of clearing deficiency heat, likely Cistanches or similar. However, standard Pinyin/English mapping for 银柴胡 is Cistanches Caulis or Stellariae Radix. Let's use Cistanches Caulis (Yin Chai Hu)*), Xijiao (Rhinocerotis Cornu - *Note: Substitute with Buffalo Horn/Shuiniujiao in modern practice, but text says Xijiao*), Shengdi (Rehmanniae Radix Preparata), Yinchenshao (Artemisiae Scopariae Herba), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 1 qian).
Usage: Dengxin (Junci Medulla) 50 cun, Danzhuye (Lophatheri Herba) 1 qian. Add water 2 zhong, decoct to 8 fen. Take after meals.
[Prescription Verse] Qingliang Ganlu treats Jianchun, moistening dryness, stopping thirst, and generating fluids. Ingredients include Maidong, Zhimu, Gancao, Huangqin, Shihu, Zhike, Pipaye, Yinchaihu, Shengdi, Yinchenshao.
Another Method: Chansu Bing (see Section on Ding Sores)
Tuoseng Gao (see Section on Ulcers)
Liangge San (see Section on Facial Boils)
Jiajian Bawei Wan (see Section on Ulcers)