论曰心气通于舌，脾脉侠咽连舌本，散舌下。心脾二经受风邪，则舌本强，不能卷舒，
又或热气加之则肿，肿则筋脉胀急，势连咽喉，碍于呼吸，法宜刺之，泄去恶血，及饵以药
治舌肿强。白茯苓汤方
白茯苓（去黑皮） 牛黄（研各三分） 犀角（屑一分） 甘草（炙） 人参 羚羊角
（屑） 熟
干地黄（焙） 白术 桂（去粗皮各半两）
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三。
治木舌肿强，及天行病，丹石发动，一切热毒。射干汤方
射干 木通（锉） 大黄（锉炒） 马蔺子（各一两半） 漏芦（去芦头） 升麻 当
归（切焙）
桂（去粗皮） 甘草（炙各一两）
上九味，粗捣筛，每用五钱匕，水一盏半，煎至八分，去滓分温服，日三夜二。
治伤寒舌肿。黄连汤方
黄连（去须） 大黄（生用各一两） 大青（去根） 升麻 黄药（各半两） 甘草（炙
三分）
上六味，粗捣筛，每服五钱匕，水二盏，入黑豆一撮，同煎至一盏，去滓分温二服，病
未退，每服更加芒硝末半钱匕，汤成下，以微利为度。
治牙疼连牙关急，口眼相引，木舌肿强不能转。牡蛎散方
牡砺（ 研） 伏龙肝 附子（炮裂去皮脐） 白矾（ 研各半两）
上四味，捣研为散，以酒和如泥，每用一钱，于患处涂贴，吐津。
治舌本强，两边痛。柴胡散方
柴胡（去苗） 升麻（各一两） 栀子仁（半两）
上三味，捣罗为散，每服一钱匕，熟水调下、日三。
治舌忽紧硬，逡巡能塞杀人者。涂百草霜方
百草霜 好盐（各半两）
上二味，同研匀，表里涂之立效。
治舌强不能语。矾石散方
白矾（研） 桂（去粗皮各一两）
上二味，捣罗为散，每用一钱匕，或半钱匕，安舌下。
治舌肿满口，言语不得。 虫散方
虫（五枚炙） 盐（半两）
上二味，细研为散，以水二盏，煎十余沸，去滓热含冷吐，以瘥为度。
治舌强不语。麝香散方
麝香 皂荚（各半两）
上二味，研捣为散，每用半钱，渗舌肿上、吐津。
又方
蛇胆（一枚焙干）
上一味，碾为末，敷舌上，有涎吐之。
治木舌肿强。螵蛸散方
桑螵蛸（十二月者炙黄）
上一味为散，每服半钱匕，莱菔汁调下。
治舌肿满口，气息不通，须臾杀人，急以手指刺破，溃去恶血，亦可用微针决破，次用
半夏酒方
半夏（十枚）
上一味，以苦酒一升，煮取八合，稍稍漱口，热含冷吐，半夏动人咽喉，以姜汁解之。
治舌肿满塞喉欲死。蚯蚓涂方
蚯蚓（一条）
上一味，以少许盐花化为水，以涂咽喉舌上，良久渐消。
治舌卒肿起，满口塞喉，气息不通，顷刻杀人，以针决舌下两边第一大脉出血，以铜箸
烧令赤，熨疮数遍，令血绝，仍以甘草汤治之方
甘草（不拘多少）
上一味，浓煎汤，热含冷吐，未瘥更以釜底 煤，和苦酒调涂舌上下，脱去更涂，须
臾即消。
It is stated that the Qi of the Heart connects with the tongue, and the Spleen meridian runs alongside the pharynx to connect with the root of the tongue, spreading beneath it. When the Heart and Spleen meridians are invaded by Wind pathogen (Feng Xie), the root of the tongue becomes stiff, unable to roll or extend freely. If Heat pathogen (Re) is added, swelling occurs; this swelling causes distension and tension in the sinews and vessels, extending to the pharynx, obstructing respiration. The appropriate treatment method involves acupuncture to drain bad blood, followed by herbal medication to treat tongue swelling and stiffness. Bai Fu Ling Tang (White Poria Decoction)
Bai Fu Ling (Poria, *Polyporus umbellatus*) [removed black skin], Niu Huang (Calculus Bovis, *Aries bovis calculus*) [ground], each 3 fen; Xi Jiao (Horn Rhinocerotis, *Rhinocerotis cornu*) [shredded], 1 fen; Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [roasted]; Ren Shen (Radix Ginseng, *Panax ginseng*); Ling Yang Jiao (Cornu Saigae Tataricae, *Saiga tatarica horn*) [shredded]; Shu Di Huang (Radix Rehmanniae Preparata, *Rehmannia glutinosa*) [baked]; Bai Zhu (Rhizoma Atractylodis Macrocephalae, *Atractylodes macrocephala*); Gui Zhi (Ramulus Cinnamomi, *Cinnamum cassia*) [removed coarse bark], each 0.5 liang.
The above nine ingredients are coarsely crushed and sieved. For each dose, take 3 qian bi (approx. 9-15g depending on era/measure), add one zhan (approx. 200ml) of water, decoct until reduced to 0.7 zhan, remove the dregs, and take warm. Administer three times daily.
Treats Mu She (Wood Tongue: stiff swollen tongue), epidemic diseases, activation of Dan Shi (mineral drugs causing toxicity), and all heat toxins. She Gan Tang (Belamcanda Decoction)
She Gan (Rhizoma Belamcandae, *Belamcanda chinensis*); Mu Tong (Caulis Akebiae, *Akebia quinata*) [crushed]; Da Huang (Radix et Rhizoma Rhei, *Rheum palmatum*) [crushed and stir-fried]; Ma Lin Zi (Fructus Iris pseudacorii, *Iris pseudacorus*) [each 1.5 liang]; Lou Lu (Radix Euphorbiae Humifusae, *Euphorbia humifusa*) [removed rhizome head]; Sheng Ma (Rhizoma Cimicifugae, *Cimicifuga foetida*); Dang Gui (Radix Angelicae Sinensis, *Angelica sinensis*) [cut and baked]; Gui Zhi (Ramulus Cinnamomi, *Cinnamum cassia*) [removed coarse bark]; Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [roasted], each 1 liang.
The above nine ingredients are coarsely crushed and sieved. For each dose, use 5 qian bi, add 1.5 zhan of water, decoct until reduced to 0.8 zhan, remove the dregs, and take warm in divided doses. Three times during the day, twice at night.
Treats tongue swelling caused by Shang Han (Cold Damage). Huang Lian Tang (Coptis Decoction)
Huang Lian (Rhizoma Coptidis, *Coptis chinensis*) [removed stamens]; Da Huang (Radix et Rhizoma Rhei, *Rheum palmatum*) [raw], each 1 liang; Da Qing (Cortex Isatidis, *Isatis tinctoria*) [removed roots]; Sheng Ma (Rhizoma Cimicifugae, *Cimicifuga foetida*); Huang Yao (Radix Polygoni Multiflori, *Polygonum multiflorum*? Note: Context suggests a heat-clearing herb, possibly referring to specific local variant or typo for Huang Qin/Bai Hua She She Cao, but literal translation used) [each 0.5 liang]; Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [roasted], 3 fen.
The above six ingredients are coarsely crushed and sieved. For each dose, take 5 qian bi, add two zhan of water, insert a pinch of Hei Dou (Black Soybean, *Glycine max*), decoct together until reduced to one zhan, remove the dregs, and take warm in two divided doses. If the disease does not recede, add 0.5 qian bi of Mang Xiao (Natrii Sulfas, *Na2SO4*) powder to each dose after the decoction is ready. Stop when mild diarrhea is achieved.
Treats toothache radiating to the jaw joint, pulling of mouth and eyes, Mu She (Wood Tongue) swelling and stiffness preventing movement. Mu Li San (Oyster Shell Powder)
Mu Li (Concha Ostreae, *Ostrea gigas*) [ground]; Fu Long Gan (Caulis Argillae Rubrae, *Caulis argillae rubrae*); Fu Zi (Radix Aconiti Lateralis Preparata, *Aconitum carmichaelii*) [pao-processed, cracked, skin and navel removed]; Bai Fan (Alumen, *Alumen*) [ground], each 0.5 liang.
The above four ingredients are crushed and ground into a powder. Mix with wine to form a paste. Apply one qian bi to the affected area. This induces salivation.
Treats stiffness of the tongue root and pain on both sides. Chai Hu San (Bupleurum Powder)
Chai Hu (Radix Bupleuri, *Bupleurum chinense*) [removed seedlings]; Sheng Ma (Rhizoma Cimicifugae, *Cimicifuga foetida*) [each 1 liang]; Zhi Zi Ren (Semen Gardeniae, *Gardenia jasminoides*) [0.5 liang].
The above three ingredients are crushed and sifted into a powder. Take one qian bi per dose, mixed with cooked warm water. Three times daily.
Treats sudden tightness and hardness of the tongue, which can quickly block the throat and cause death. Apply Bai Cao Shuang (Soot from Kitchen Chimney)
Bai Cao Shuang (Soot from Kitchen Chimney); Hao Yan (Good Salt, *NaCl*) [each 0.5 liang].
The above two ingredients are ground together evenly. Apply internally and externally for immediate effect.
Treats tongue stiffness preventing speech. Fan Shi San (Alum Powder)
Bai Fan (Alumen, *Alumen*) [ground]; Gui Zhi (Ramulus Cinnamomi, *Cinnamum cassia*) [removed coarse bark], each 1 liang.
The above two ingredients are crushed and sifted into a powder. Use 1 qian bi or 0.5 qian bi, place under the tongue.
Treats tongue swelling filling the mouth, preventing speech. Chong San (Insect Powder)
Chong (Likely referring to a specific insect, text says "Chong", possibly typo for 蜈蚣 or similar, literal: Insect) [five pieces, roasted]; Yan (Salt, *NaCl*) [0.5 liang].
The above two ingredients are finely ground into a powder. Add two zhan of water, boil for more than ten boils, remove dregs, hold hot in mouth, spit out when cool. Continue until cured.
Treats tongue stiffness preventing speech. She Xiang San (Musk Powder)
She Xiang (Moschus, *Moschus moschiferus*); Zao Jiao (Fructus Gleditsiae Sinensis, *Gleditsia sinensis*) [each 0.5 liang].
The above two ingredients are ground and crushed into a powder. Use half a qian bi, apply to the swollen tongue to induce salivation.
Another prescription
She Dan (Snake Gallbladder, *Serpentis fel*) [one piece, baked dry].
Grind the single ingredient into powder, apply to the tongue. Spit out saliva if produced.
Treats Mu She (Wood Tongue) swelling and stiffness. Piao Xiao San (Mantis Egg Case Powder)
Sang Piao Xiao (Ootheca Mantidis, *Tenodera sinensis* egg case) [from December, roasted yellow].
Grind the single ingredient into powder. Take half a qian bi per dose, mixed with Lai Fu Zhi (Radish Juice, *Raphanus sativus*).
Treats tongue swelling filling the mouth, blocking breath, fatal within moments. Urgently pierce with finger to drain bad blood, or use a fine needle to puncture. Then use Ban Xia Jiu (Pinellia Wine)
Ban Xia (Rhizoma Pinelliae, *Pinellia ternata*) [ten pieces].
Decoct the single ingredient in one sheng of Ku Jiu (Bitter Wine/Vinegar, likely Cu or vinegar based on context of detoxification) until reduced to eight ge. Rinse mouth slowly, hold hot, spit out when cool. Ban Xia irritates the throat; resolve its toxicity with Jiang Zhi (Ginger Juice, *Zingiber officinale*).
Treats tongue swelling filling and blocking the throat, near death. Apply Earthworm
Earthworm (Qiu Yin, *Pheretima aspergillum*) [one piece].
Dissolve a small amount of Yan Hua (Salt Flower/Crystal) in water with the earthworm. Apply to the throat and tongue. It will gradually subside after a while.
Treats sudden tongue swelling filling the mouth and blocking the throat, cutting off breath, fatal in moments. Puncture the largest vein on both sides under the tongue with a needle to bleed. Heat a chopstick made of copper until red-hot, cauterize the wound several times to stop bleeding. Then treat with Gan Cao Tang (Licorice Decoction)
Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [any amount].
Decoct the single ingredient strongly. Hold hot in mouth, spit out when cool. If not cured, mix Gu Di Tan (Pot Bottom Soot) with Ku Jiu (Vinegar/Wine) and apply to upper and lower tongue. Reapply after removal. It will subside quickly.