论曰口吻疮者，其疮发于唇吻之间，疼痛微肿，湿烂有汁，世名燕口，又名肥疮，此由
脾胃有热，随气熏发，上攻于口唇，与津液相搏所致。
治口吻疮，芎 丸方
芎 （二两） 白芷 陈橘皮（汤浸去白焙） 黄连（去须各半两）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，甘草汤下，不拘时。
治口吻生疮，乱发灰散方
乱发灰 黄连（去须） 故絮灰（各一两） 干姜（炮半两）
上四味，捣研为散，再研匀，不拘多少，敷疮上，日三五次，以瘥为度。
治口吻疮，久不瘥，麝香散方
人中白（研） 麝香（研各一钱）
上二味再研匀，涂疮上。
治口吻疮，楸木皮敷方
上取楸木白皮湿贴之，日三五度瘥。
治口吻疮，葵根散方
上取经年葵根一握，烧作灰，研为散敷之。
治口吻疮，杨木汁涂方
上取杨木嫩枝，放铁上烧取汁涂之，日三五上瘥。
治口吻疮，槟榔散方
上用白槟榔烧灰，细研为散敷之，日三五度。
治口吻疮，马齿苋汁涂方
上捣马齿苋取汁涂之。
治口吻疮，乌金散方
上取蜣螂三枚，烧灰细研为散敷之。
论曰心主舌，脾主口，口舌干焦者，以心经蕴热，传之于脾，二脏俱受邪热，故口舌之
间，津液燥而干焦也，亦有多食五辛，饮酒过度，热积上焦，不能滋润于口舌，而致干焦者
，治宜详之。
治口舌干焦，葛根汤方
葛根（锉） 甘草（炙各半两） 人参（三分） 赤茯苓（去黑皮一两） 天门冬（去
心焙三分）
黄 （锉一两） 桂（去粗皮三分） 犀角屑 生干地黄 芎 （各半两） 麻黄（去根
节一两）
牛黄（研一分） 地骨皮（锉半两） 麦门冬（去心焙一两）
上一十四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服不拘时。
治口舌干焦，干枣汤方
干枣（去核焙） 贝母（去心各一两半） 生干地黄（焙） 胡桃瓤（各二两） 陈橘
皮（去白
焙一两） 牛膝（酒浸切焙） 葛根（锉） 鳖甲（去裙 醋炙） 柴胡（去苗） 桑根白
皮（各一两
）
上一十味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服不拘时。
治心脾客热，口舌干焦生疮，桂心散方
桂（去粗皮半两） 赤茯苓（去黑皮三分） 黄连（去须） 栀子仁 杏仁（去皮尖双
仁研各
半两） 黄芩（去黑心） 甘草（炙锉） 大黄（锉炒各三分） 栝蒌根（半两） 蔷薇根
（切三分）
上一十味，捣研为散，食后以温浆水，调下二钱匕，日三服。
治口干燥渴。栝蒌根汤方
栝蒌根（二两） 石膏（碎三分） 铅丹（研三分） 赤石脂 白石脂（各半两） 泽
泻（三分）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓入胡粉半钱匕，分温二服，
不拘时。
治心热，舌干烦躁。茯苓汤方
白茯苓（去黑皮） 大黄（锉炒） 升麻 麦门冬（去心焙） 远志（去心） 人参 葛
根（锉）
甘草（炙锉各半两）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时。
治口干。酸石榴汤方
酸石榴子（一两） 酸枣（去核） 麦门冬（去心焙各二两） 复盆子（一两半） 葛
根（三两）
乌梅（去核五十枚） 甘草（炙锉一两） 栝蒌根（一两半）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，日三服不拘时。
治口干，舌上生疮。五参丸方
玄参 沙参 丹参 苦参 人参 秦艽（去苗土各一两） 干姜（炮半两） 酸枣仁（一
两）
上八味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，至三十丸，米饮下不拘时。
治口干心热。甘草丸方
甘草（炙锉） 人参 乌梅肉（炒） 枣肉（焙） 石膏（碎各一两） 半夏（汤洗去
滑生姜汁
制一分）
上六味，捣罗为末，炼蜜丸如弹丸大，每服一丸，含化，不拘时。
治口中干燥，心膈痰壅。柴胡散方
柴胡（去苗一两） 地骨皮 赤茯苓（去黑皮） 枳壳（去瓤麸炒） 旋复花（各半两）
上五味，捣罗为散，每服二钱匕，生姜汤调下，日三服不拘时。
治口热舌焦干。杏仁煎方
杏仁（去皮尖双仁研半两） 生姜汁（一合） 甘草（炙锉为末半两） 枣（去皮核研
三十枚） 蜜
（五合）
上五味，先下姜汁与蜜，煎令烊，后入诸药，煎赤色如饧，每取一丸，如枣核大含化。
治口舌干燥。干枣杏仁丸方
干枣肉（焙） 杏仁（去皮尖双仁研） 乌梅肉（焙） 甘草（炙锉各一两）
上四味，捣研为末，炼蜜丸如弹子大，每服一丸，不拘时含化。
治口舌干，除热下气。石膏煎方
石膏（捣碎绵裹三两） 蜜（五两）
上二味，先用水三盏，煎石膏至二盏，内蜜，更煎令稠，每用一匙头含化，温汤调下亦
得。
治口舌干燥心热。麦门冬汤方
麦门冬（去心焙） 栝蒌根（各一两）
上二味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时。
治口舌干燥生疮，心脾肠热。扁豆汤方
扁豆（炒） 蒺藜子（炒各二两）
上二味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓日三服，不拘时。
Commentary states: Kouwen Chuang (Mouth and Lip Sores) refers to sores occurring between the lips and corners of the mouth, characterized by pain, slight swelling, dampness, ulceration, and exudate. In common parlance, it is known as Yankou (Swallow's Mouth), also called Feichuang (Fatty Sore). This condition arises from heat in the Spleen and Stomach, which follows the Qi mechanism to steam and erupt, attacking upwards towards the lips and mouth, where it contends with body fluids (Jinye).
Formula for Treating Kouwen Chuang: Xiong Wan (Ligusticum Pill)
Chuanxiong Rhizome (Chuanxiong, 2 liang), Angelica Dahurica Root (Baizhi), Aged Tangerine Peel (Chenjuapi, soaked in decoction, white pith removed, dried), Coptis Chinensis Rhizome (Huanglian,须s removed, each half liang).
The above four ingredients are crushed, sieved into powder, and processed with refined honey into pills the size of Sophora japonica seeds. Each dose consists of 20 pills, taken with Licorice Decoction at any time.
Formula for Treating Sores on Lips and Mouth: Luafa Hui San (Tangled Hair Ash Powder)
Ash of Tangled Hair (Luafa Hui), Coptis Chinensis Rhizome (Huanglian,须s removed), Ash of Old Cotton Wadding (Guxu Hui), Dried Ginger (Ganjiang, processed, each 1 liang; processed Ginger, half liang).
The above four ingredients are crushed and ground into a powder, then further ground uniformly. Apply an appropriate amount to the sores, three to five times daily, until healed.
Formula for Treating Kouwen Chuang that Persists for a Long Time: Shexiang San (Musk Powder)
Human Urine Sediment (Renzhongbai, ground), Musk (Shexiang, ground, each 1 qian).
The above two ingredients are further ground uniformly and applied to the sores.
Formula for Treating Kouwen Chuang: Qiumu Pi Application (Eucommia Bark Application - *Note: Text says Qiumu, Eucommia is Qipi, Qiu is Catalpa. Using Catalpa.*)
Take the fresh white bark of the Catalpa tree (Qiumu Baipi) and apply it wet to the affected area, three to five times daily until healed.
Formula for Treating Kouwen Chuang: Kuigen San (Abelmoschus Manihot Root Powder)
Take one handful of Abelmoschus Manihot root (Kuigen) stored for one year, burn it into ash, grind into powder, and apply.
Formula for Treating Kouwen Chuang: Yangmu Zhi Application (Poplar Sap Application)
Take tender branches of the Poplar tree (Yangmu), burn them over iron to extract the juice, and apply to the affected area, three to five times daily until healed.
Formula for Treating Kouwen Chuang: Binglang San (Areca Seed Powder)
Take white Areca Seeds (Binglang), burn into ash, finely grind into powder, and apply, three to five times daily.
Formula for Treating Kouwen Chuang: Machixian Zhi Application (Purslane Juice Application)
Crush Purslane (Machixian) to extract the juice and apply to the affected area.
Formula for Treating Kouwen Chuang: Wujin San (Black Beetle Ash Powder)
Take three Dung Beetles (Kuanglang), burn into ash, finely grind into powder, and apply.
Commentary states: The Heart governs the tongue, and the Spleen governs the mouth. Kou She Ganjiao (Dryness and Scorched Sensation of Mouth and Tongue) occurs because heat accumulates in the Heart Meridian and transmits to the Spleen, causing both organs to be affected by pathogenic heat. Consequently, the body fluids in the mouth and tongue become dry and scorched. There are also cases caused by excessive consumption of the "Five Pungent Spices" (Wuxin), excessive alcohol intake, leading to heat accumulation in the Upper Jiao, failing to moisten the mouth and tongue, resulting in dryness. Treatment requires detailed differentiation.
Formula for Treating Kou She Ganjiao: Gegen Tang (Kudzu Decoction)
Kudzu Root (Gegen, chopped), Roasted Licorice Root (Zhi Gancao, each half liang), Ginseng Root (Renshen, 3 fen), Red Poria (Chifuling, black skin removed, 1 liang), Asparagus Fern Tuber (Tianmendong, heart removed, dried, 3 fen), Scutellaria Root (Huangqin, chopped, 1 liang), Cinnamon Twig (Guizhi, rough bark removed, 3 fen), Rhinoceros Horn Chips (Xijiao xie), Raw Rehmannia Root (Sheng Dihuang), Ligusticum Rhizome (Chuanxiong, each half liang), Ephedra Stem (Mahuang, roots and nodes removed, 1 liang), Calculus Bovis (Niuhuang, ground, 1 fen), Ground Bamboo Root (Digupi, chopped, half liang), Ophiopogon Tuber (Mendong, heart removed, dried, 1 liang).
The above fourteen ingredients are coarsely crushed and sieved. Each dose uses 3 qianbi, boiled in one cup of water until reduced to 70%, strained, and taken warm at any time.
Formula for Treating Kou She Ganjiao: Ganzao Tang (Dried Date Decoction)
Dried Dates (Ganzao, pitted and dried), Fritillaria Bulb (Beimu, heart removed, each 1.5 liang), Raw Dried Rehmannia Root (Sheng Gan Dihuang, dried), Walnut Kernel (Hetao Rang, each 2 liang), Aged Tangerine Peel (Chenjuapi, white pith removed, dried, 1 liang), Achyranthes Root (Niuxi, wine-soaked, sliced, dried), Kudzu Root (Gegen, chopped), Softshell Turtle Shell (Biejia, apron removed, vinegar-processed), Bupleurum Root (Chaihu, shoots removed), Mulberry Root Bark (Sangbaipi, each 1 liang).
The above ten ingredients are coarsely crushed and sieved. Each dose uses 5 qianbi, boiled in 1.5 cups of water until reduced to 1 cup, strained, and taken warm at any time.
Formula for Treating Guest Heat in Heart and Spleen, Dryness and Scorched Sensation of Mouth and Tongue with Sores: Guixin San (Cinnamon Heart Powder)
Cinnamon Twig (Guizhi, rough bark removed, half liang), Red Poria (Chifuling, black skin removed, 3 fen), Coptis Rhizome (Huanglian,须s removed), Gardenia Fruit (Zhizi Ren), Almond Kernels (Xingren, skin and tips removed, non-double kernels, ground, each half liang), Scutellaria Root (Huangqin, black heart removed), Roasted Licorice Root (Zhi Gancao, chopped), Rhubarb (Dahuang, chopped and stir-fried, each 3 fen), Trichosanthes Root (Gualougen, half liang), Rose Root (Qiangweigen, sliced, 3 fen).
The above ten ingredients are crushed and ground into powder. After meals, mix 2 qianbi with warm grain water and take, three times daily.
Formula for Treating Dry Mouth and Thirst: Gualougen Tang (Trichosanthes Root Decoction)
Trichosanthes Root (Gualougen, 2 liang), Gypsum Fibrosum (Shigao, crushed, 3 fen), Lead Monoxide (Qiandan, ground, 3 fen), Red Halloysite (Chishizhi), White Halloysite (Baishizhi, each half liang), Alisma Rhizome (Zexie, 3 fen).
The above six ingredients are coarsely crushed and sieved. Each dose uses 5 qianbi, boiled in 1.5 cups of water until reduced to 1 cup. Strain and add 0.5 qianbi of Rice Powder (Hufen). Divide into two warm doses, taken at any time.
Formula for Treating Heart Heat, Dry Tongue, and Restlessness: Fuling Tang (Poria Decoction)
White Poria (Baifuling, black skin removed), Rhubarb (Dahuang, chopped and stir-fried), Cimicifuga Rhizome (Shengma), Ophiopogon Tuber (Mendong, heart removed, dried), Polygala Root (Yuanzhi, heart removed), Ginseng Root (Renshen), Kudzu Root (Gegen, chopped), Roasted Licorice Root (Zhi Gancao, chopped, each half liang).
The above eight ingredients are coarsely crushed and sieved. Each dose uses 3 qianbi, boiled in one cup of water until reduced to 70%, strained, and taken warm at any time.
Formula for Treating Dry Mouth: Suan Shiliu Tang (Sour Pomegranate Decoction)
Sour Pomegranate Seeds (Suan Shilizi, 1 liang), Sour Jujube Seeds (Suanzao, pitted), Ophiopogon Tuber (Mendong, heart removed, dried, each 2 liang), Raspberry (Fupenzi, 1.5 liang), Kudzu Root (Gegen, 3 liang), Smoked Plum (Wumei, pitted, 50 pieces), Roasted Licorice Root (Zhi Gancao, chopped, 1 liang), Trichosanthes Root (Gualougen, 1.5 liang).
The above eight ingredients are coarsely crushed and sieved. Each dose uses 5 qianbi, boiled in 1.5 cups of water until reduced to 1 cup, three times daily, taken at any time.
Formula for Treating Dry Mouth and Sores on the Tongue: Wushen Wan (Five Shen Pills)
Scrophularia Root (Xuanshen), Glehnia Root (Shashen), Salvia Root (Danshen), Sophora Root (Kushen), Ginseng Root (Renshen), Gentiana Macrophylla Root (Qinjiao, shoots and soil removed, each 1 liang), Dried Ginger (Ganjiang, processed, half liang), Sour Jujube Seed (Suanzaoren, 1 liang).
The above eight ingredients are crushed and sieved into powder, processed with refined honey into pills the size of Sophora japonica seeds. Each dose is 20 to 30 pills, taken with rice drink at any time.
Formula for Treating Dry Mouth and Heart Heat: Gancao Wan (Licorice Pill)
Roasted Licorice Root (Zhi Gancao, chopped), Ginseng Root (Renshen), Smoked Plum Meat (Wumei Rou, stir-fried), Jujube Flesh (Zao Rou, dried), Gypsum Fibrosum (Shigao, crushed, each 1 liang), Pinellia Tuber (Banxia, washed with decoction to remove slipperiness, processed with ginger juice, 1 fen).
The above six ingredients are crushed and sieved into powder, processed with refined honey into pills the size of a bullet. Each dose is one pill, held in the mouth to dissolve, taken at any time.
Formula for Treating Dry Mouth and Phlegm Obstruction in Heart and Diaphragm: Chaihu San (Bupleurum Powder)
Bupleurum Root (Chaihu, shoots removed, 1 liang), Ground Bamboo Root (Digupi), Red Poria (Chifuling, black skin removed), Aurantium Fruit (Zhike, pulp removed, bran-fried), Inula Flower (Xuanjinhua, each half liang).
The above five ingredients are crushed and sieved into powder. Each dose uses 2 qianbi, mixed with Ginger Decoction and taken, three times daily, at any time.
Formula for Treating Hot Mouth and Scorched Dry Tongue: Xingren Jian (Almond Electuary)
Almond Kernels (Xingren, skin and tips removed, non-double kernels, ground, half liang), Fresh Ginger Juice (Shengjiang Zhi, 1 he), Roasted Licorice Root (Zhi Gancao, chopped into powder, half liang), Dates (Zao, skin and pits removed, ground, 30 pieces), Honey (Mi, 5 he).
The above five ingredients: First add ginger juice and honey, boil until melted. Then add other herbs, boil until red and thick like syrup. Take one pill, the size of a date pit, and hold in the mouth to dissolve.
Formula for Treating Dry Mouth and Tongue: Ganzao Xingren Wan (Dried Date and Almond Pill)
Dried Jujube Flesh (Ganzao Rou, dried), Almond Kernels (Xingren, skin and tips removed, non-double kernels, ground), Smoked Plum Meat (Wumei Rou, dried), Roasted Licorice Root (Zhi Gancao, chopped, each 1 liang).
The above four ingredients are crushed and ground into powder, processed with refined honey into pills the size of a marble. Each dose is one pill, held in the mouth to dissolve, taken at any time.
Formula for Treating Dry Mouth and Tongue, Clearing Heat and Directing Qi Downward: Shigao Jian (Gypsum Electuary)
Gypsum Fibrosum (Shigao, crushed and wrapped in silk, 3 liang), Honey (Mi, 5 liang).
The above two ingredients: First use three cups of water to boil the gypsum-wrapped bundle until reduced to two cups. Add honey and boil until thick. Use one spoonful to hold in the mouth to dissolve; taking with warm water is also acceptable.
Formula for Treating Dry Mouth and Tongue with Heart Heat: Mendong Tang (Ophiopogon Decoction)
Ophiopogon Tuber (Mendong, heart removed, dried), Trichosanthes Root (Gualougen, each 1 liang).
The above two ingredients are coarsely crushed and sieved. Each dose uses 3 qianbi, boiled in one cup of water until reduced to 70%, strained, and taken warm at any time.
Formula for Treating Dry Mouth and Tongue with Sores, Heat in Heart, Spleen, and Intestines: Bidou Tang (Lablab Bean Decoction)
Lablab Bean (Bidou, stir-fried), Tribulus Fruit (Jilizi, stir-fried, each 2 liang).
The above two ingredients are coarsely crushed and sieved. Each dose uses 5 qianbi, boiled in 1.5 cups of water until reduced to 1 cup, strained, taken three times daily, at any time.