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[Formula Song] Phlegm-bao (Phlegm-packet) usually arises under the tongue, forming a swelling that is soft and cotton-like in texture, resembling a calabash. Pain and distension occur under the tongue, obstructing eating and speaking; this is formed by the accumulation of fire and the flow of phlegm-saliva.

[Note] This condition arises under the tongue, presenting as a swelling like a calabash, smooth and soft like cotton, causing blockage and distension under the tongue, interfering with diet and speech. The color is yellow with a numb pain sensation. It is caused by the accumulation of fire and the flow of phlegm-saliva. It is appropriate to use scissors to incise the lesion ("Dangbao" referring to the affected area), draining phlegm-saliva resembling egg white, which is thick and viscous. After wiping clean, apply Bingpeng San externally, and internally administer Jiawei Erchen Tang. Avoid fried foods and strong liquor.

Formula: Jiawei Erchen Tang (Modified Two-Aged Decoction)
Composition: Chenpi (Citri Reticulatae Pericarpium), Banxia (Zhi) (Pinelliae Rhizoma Preparatum), Baifuling (Poria), Huangqin (Scutellariae Radix) (each 8 fen); Huanglian (Coptidis Rhizoma), Bohe (Menthae Haplocalycis Herba), Gancao (Sheng) (Glycyrrhizae Radix et Rhizoma Raw) (each 5 fen).
Use two zhong of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until eight parts remain. Take before meals.

[Formula Song] Jiawei Erchen treats Phlegm-bao, the swelling under the tongue resembles a calabash; adding Huangqin, Huanglian, and Bohe to Erchen Tang, decocted with ginger, it naturally dissipates.

Another Formula: Bingpeng San (See Mouth Section for Thrush)

[Formula Song] She-nü (Tongue bleeding) results from Heart Fire inflaming the Blood level; holes appear on the tongue like iron tips, or as large as chopstick heads, with a purple color. In severe cases, they turn black and rot, with blood gushing out like a spring.

[Note] This condition manifests as sudden holes appearing on the tongue, small ones like needle tips, large ones like chopstick heads. A purple color in the hole indicates severe heat; a black color indicates corruption and rotting, with blood gushing like a spring. This is caused by Heart Fire flaming upward, leading to reckless movement of blood due to blood-heat. It is appropriate to take Shengma Tang and simultaneously apply Bisheng San externally for excellent effect.

Formula: Shengma Tang (Cimicifugae Decoction)
Composition: Shengma (Cimicifugae Rhizoma), Xiaoji Gen (Cirsii Japonici Radix), Qian Gen (Achyranthis Bidentatae Radix) (1 liang 5 qian), Ai Ye (Artemisiae Argyi Folium) (7 qian 5 fen), Hanshuishi (Calcitrum) (3 liang).
Grind together into powder. Each time take 3 qian, add one zhong of water, decoct until seven parts remain. Clarify and remove dregs, add one spoonful of Shengdihuang Zhi (Rehmanniae Radix Juice), boil twice more, and take warm. Alternatively, add 5 qian of Chao Cebaiye (Platycladi Cacumen) stir-fried.

[Formula Song] Shengma Tang treats She-nü due to Heart Fire inflammation; Xiaoji and Qian Gen each 1 liang 5 qian, add 7 qian 5 fen of Ai Ye, and 3 liang of Hanshuishi grind together.

Another Formula: Bisheng San
Composition: Luoqing (Lapis Azuritatis, ground separately), Puhuang (Pollen Typhae, stir-fried) (each 1 qian).
Mix thoroughly and grind fine. Apply to the affected area, then rinse mouth with warm salt water.

[Formula Song] Bisheng San treats Heart Fire and blood-heat causing reckless movement; small holes on the tongue gush red blood. Luoqing ground into powder and stir-fried Puhuang are mixed evenly and applied to stop bleeding and restore normal circulation.