\r白肿舌\p05-c14a53.bmp\r
此症因风寒郁积于内。六脉弦紧，舌肿硬
痛。先用六味汤加∶细辛（三分） 苏叶（一钱五分） 白
芷（一钱） 当归（一钱五分） 川芎（一钱） 葛根（一钱）。若白
苔上有黑点而滑者，用淡附子 干姜（各五分）煎服，再用
干姜 冰片 麝香 青皮（等分） 共为细末，时搽舌上即愈。
\r烂边舌\p05-c14a54.bmp\r
此症脾家湿热不清，大舌四边发疳，
白点而烂。用六味汤加∶小生地（二钱） 滑石（三钱） 淡竹叶（一钱） 薏
仁米（一钱五分） 猪苓（一钱五分） 泽泻（一钱） 车前
（一钱） 甘草梢（一钱），二服而愈。口唇牙肉烂肿，同此治法。
\r红点紫舌\p05-c14a55.bmp\r
此症因心脾二经热极所致。满口红点紫色，作
烂而痛，或身有赤斑。用六味汤加熟石膏（一两） 葛根
（一钱五分） 川连（一钱） 青黛（一钱） 黄芩（酒炒二钱） 黄柏（一钱） 木
通（一钱） 山栀（一钱），甚者加大黄（生用三钱）。如六脉不数者，不照此方。
\r纯紫舌\p05-c14a56.bmp\r
此症因伤寒用葱酒发汗，酒毒入心，以致大舌纯紫。宜用升麻（一钱）
葛根（一钱） 枳 子（二钱） 石膏（二钱） 川连（一钱五分） 滑
石（三钱） 木通（一钱） 人中黄（三钱） 如心烦不安加∶山栀（一钱） 淡豆豉（一钱），恶心欲
吐者，恐防发斑加芫荽（一两），外用芫荽冲烧酒揩背心为妙。
White Swollen Tongue
This condition is caused by the accumulation and stagnation of wind-cold pathogens within the interior. The pulse at all six positions (cun, guan, chi on both hands) is wiry and tight (Xian Jin), and the tongue is swollen, stiff, and painful. Initially, treat with Liuwei Tang (Six-Ingredient Decoction) added with: Xixin (Asari Radix, 3 fen), Suye (Perilla Leaf, 1.5 qian), Baizhi (Angelicae Dahuricae Radix, 1 qian), Danggui (Angelicae Sinensis Radix, 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian), and Gegen (Puerariae Lobatae Radix, 1 qian). If there are black spots on the white coating that appear slippery and moist, decoct and administer Dan Fuzi (Prepared Aconiti Lateralis Radix) and Ganjiang (Zingiberis Rhizoma, each 5 fen). Subsequently, grind Ganjiang (Zingiberis Rhizoma), Bingpian (Borneolum Syntheticum), Shexiang (Moschus), and Qingpi (Citri Reticulatae Pericarpium Viride) in equal parts into a fine powder, and apply it to the tongue frequently until recovery.
Rotting Edge Tongue
This condition results from damp-heat turbidity in the Spleen system. The tongue is enlarged, with its margins developing canker sores (Gan), characterized by white spots and ulceration. Treat with Liuwei Tang (Six-Ingredient Decoction) added with: Xiaoshengdi (Rehmanniae Radix Recens, 2 qian), Huashi (Talcum, 3 qian), Dan Zhuyez (Lophatheri Herba, 1 qian), Yirenmi (Coicis Semen, 1.5 qian), Zhuling (Polyporus, 1.5 qian), Zexie (Alismatis Rhizoma, 1 qian), Cheqian (Plantaginis Semen, 1 qian), and Gancao Shao (Glycyrrhizae Radix et Rhizoma, tip portion, 1 qian). Recovery is expected after two doses. For swelling and ulceration of the lips and gingiva, the same treatment method applies.
Red-Dotted Purple Tongue
This condition is caused by extreme heat in the Heart and Spleen meridians. The entire mouth presents with red dots turning purple, accompanied by ulceration and pain, or red macules appearing on the body. Treat with Liuwei Tang (Six-Ingredient Decoction) added with: Shu Shigao (Gypsum Fibrosum, 1 liang), Gegen (Puerariae Lobatae Radix, 1.5 qian), Chuanlian (Coptidis Rhizoma, 1 qian), Qingdai (Indigo Naturalis, 1 qian), Huangqin (Scutellariae Radix, wine-fried 2 qian), Huangbai (Phellodendri Cortex, 1 qian), Mutong (Akebiae Caulis, 1 qian), and Shanzhi (Gardeniae Fructus, 1 qian). In severe cases, add Dahuang (Rhei Radix et Rhizoma, raw, 3 qian). If the pulse at all six positions is not rapid (Shu), do not use this prescription.
Pure Purple Tongue
This condition arises because patients with Shanghan (Cold Damage Disease) used scallion and wine to induce sweating, allowing wine toxicity to enter the Heart, resulting in a tongue that is entirely purple. It is appropriate to use Shengma ( Cimicifugae Rhizoma, 1 qian), Gegen (Puerariae Lobatae Radix, 1 qian), Zhizi (Callicarbis Fructus, 2 qian), Shigao (Gypsum Fibrosum, 2 qian), Chuanlian (Coptidis Rhizoma, 1.5 qian), Huashi (Talcum, 3 qian), Mutong (Akebiae Caulis, 1 qian), and Renzhonghuang (Nitrum, 3 qian). If there is mental restlessness and irritability, add Shanzhi (Gardeniae Fructus, 1 qian) and Danshichi (Sojae Semen Praeparatum, 1 qian). If there is nausea and a desire to vomit, fearing the emergence of macules, add Yuansui (Coriandri Fructus, 1 liang). Externally, it is excellent to rinse Coriandri Fructus (Yuansui) with liquor and wipe the back.