论曰重舌者，以心脾二经，蕴伏热气，循缘经络，上冲舌本，遂令舌下血脉胀起，如小
舌状，故谓之重舌，盖心开窍于舌，足太阴之脉，属脾络胃，上膈侠咽，连舌本，散舌下故
也。
治心脾有热，生重舌，红雪煎方
羚羊角（镑） 升麻 吴蓝 黄芩（去黑心） 芍药 人参 大青 淡竹叶（切各一两）
槟
榔（为末
枋木（椎
碎别煎各
半两）
甘草（炙二
上二十味，除朴硝苏枋木丹砂木香麝香槟榔外，锉如麻豆大，以水二斗五升，煎至九升
，滤去滓，再煎沸，下朴硝，不住手以柳蓖搅，候水脚欲尽，下苏枋木汁，更煎三五沸，于
新砂盆中，次下木香槟榔麝香丹砂等末，搅令匀，每服一钱匕，绵裹咽津，甚者蜜水调下一
钱匕，食后服。
治心脾积热，生重舌，及时行阴黄，丹石发动一切热毒。石膏煎方
石膏 凝水石 滑石（并碎各一斤） 郁金（研） 犀角（镑屑各一两） 黄芩（去黑
心五两）
山栀子（去皮二两） 升麻（三两） 黄连（去须三两） 芒硝（研各一斤） 马牙硝（研
半两）
上一十一味，先以石膏凝水石滑石等，用水三斗，入金十两，无金入银十两亦得，先煎
金石药汁至一斗五升澄清，次入犀角郁金草药等，再煎至七升，去滓再煎，先下芒硝，煎三
两沸，次下马牙硝，搅令化，不住手搅，良久用一新瓦盆盛，一两日凝结，每服一钱匕，用
蜜水调下，大人小儿，以意加减服。
治重舌。牛黄散方
牛黄（研） 人参（各半两） 白茯苓（去黑皮三分） 大黄（锉炒半两） 当归（
切焙一分）
甘草（炙半两） 丹砂（研一分） 麝香（研半两）
上八味，捣罗为细散，每服半钱匕，温水调下，甚者加至一钱匕，食后服。
治重舌，及天行阴黄，丹石发动，一切热毒。朴麝散方
朴硝（研五两） 麝香（研一分） 黄芩（去黑心半两） 山栀子（去皮一两） 甘草
（炙一分）
淡竹叶（一握） 芦根（锉一两）
上七味，锉五味如麻豆大，入研者二味，以新汲水三升，将药入铛中，煎约半升以来
，去滓澄清，取瓷瓶一个，倾药汁在内，以物盖定瓶口，用盐泥固济，慢火 一复时，去火
放冷，却将瓶安在水中，无令水至瓶口，浸经一宿，至明日打破瓶子，取药如金色，研为细
散，每服半钱匕，冷水调服，绵裹咽津亦得。
治舌肿及重舌。黄药汤方
黄药 甘草（炙锉各一两）
上二味，粗捣筛，每服三钱匕，以水一盏，煎至七分，去滓食后温服。
Discourse states: Chong She (Double Tongue) is caused by latent heat accumulating in the Heart and Spleen meridians, ascending along the channels to strike the root of the tongue. This causes the blood vessels under the tongue to swell and protrude, resembling a small tongue, hence the name "Chong She." This is because the Heart opens into the tongue; the Foot-Taiyin Spleen Meridian belongs to the Spleen and connects with the Stomach, ascends through the diaphragm, flanks the pharynx, connects with the root of the tongue, and spreads beneath it.
Hong Xue Decoction (Red Snow Decoction) for treating heat in the Heart and Spleen causing Chong She:
Tigris Cornu (Antelope Horn), 1 liang; Shengma (Cimicifugae Rhizoma), 1 liang; Wulan (Isatidis Folium or similar bitter herb), 1 liang; Huangqin (Scutellariae Radix, black heart removed), 1 liang; Shaoyao (Paeoniae Radix), 1 liang; Renshen (Ginseng Radix et Rhizoma), 1 liang; Daqing (Indigo Naturalis), 1 liang; Dan Zhuye (Lophatheri Herba, cut), 1 liang; Binglang (Arecae Semen, powdered), 0.5 liang; Su Fangmu (Dalbergiae Odoriferae Lignum, pounded and decocted separately), 0.5 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 2 liang.
Of the above twenty ingredients, excluding Puxiao (Natrii Sulfas), Su Fangmu, Dansha (Cinnabar), Muxiang (Aucklandiae Radix), Shexiang (Moschus), and Binglang, chop the remaining herbs to the size of hemp seeds. Decoct in 2.5 dou (approx. 5 liters) of water until reduced to 9 sheng (approx. 1.8 liters). Strain and remove dregs, then boil again. Add Puxiao and stir continuously with a willow branch. When the liquid is nearly evaporated, add the juice of Su Fangmu. Boil for three to five boils. Pour into a new clay pot. Add powders of Muxiang, Binglang, Shexiang, and Dansha, and mix well. Take 1 qianbi (approx. 3-5 grams) wrapped in cotton, allowing it to dissolve and swallow the saliva. For severe cases, take 1 qianbi mixed with honey water after meals.
Shigao Decoction (Gypsum Decoction) for treating accumulated heat in the Heart and Spleen causing Chong She, epidemic Yin Jaundice, and all heat toxins triggered by Danchi (mineral drugs):
Shigao (Gypsum Fibrosum), 1 jin; Ningshuishi (Alumen), 1 jin; Huashi (Talcum), 1 jin (all crushed); Yujin (Curcumae Radix, ground); Xijiao (Rhinocerotis Cornu, shaved), 1 liang each; Huangqin (Scutellariae Radix, black heart removed), 5 liang; Shanzhizi (Gardeniae Fructus, skin removed), 2 liang; Shengma (Cimicifugae Rhizoma), 3 liang; Huanglian (Coptidis Rhizoma, roots removed), 3 liang; Mangxiao (Natrii Sulfas, ground), 1 jin; Mayaxiao (Mirabilite, ground), 0.5 liang.
Of the above eleven ingredients, first decoct Shigao, Ningshuishi, and Huashi in 3 dou (approx. 6 liters) of water with 10 liang of gold (or 10 liang of silver if gold is unavailable) until reduced to 1.5 dou (approx. 3 liters) and clarified. Then add Xijiao, Yujin, and other herbal medicines. Decoct until reduced to 7 sheng (approx. 1.4 liters). Strain and remove dregs, then decoct again. First add Mangxiao, boil for two or three boils, then add Mayaxiao. Stir constantly until dissolved. Store in a new earthenware vessel for one or two days until it solidifies. Take 1 qianbi mixed with honey water. Dosage for adults and children should be adjusted according to condition.
Niuhuang San (Calculus Bovis Powder) for treating Chong She:
Niuhuang (Calculus Bovis, ground), 0.5 liang; Renshen (Ginseng Radix et Rhizoma), 0.5 liang; Baifuling (Poria, black skin removed), 3 fen; Dahuang (Rhei Radix et Rhizoma, chopped and fried), 0.5 liang; Danggui (Angelicae Sinensis Radix, chopped and dried), 1 fen; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 0.5 liang; Dansha (Cinnabar, ground), 1 fen; Shexiang (Moschus, ground), 0.5 liang.
Grind the above eight ingredients into a fine powder. Take 0.5 qianbi mixed with warm water. For severe cases, increase to 1 qianbi. Take after meals.
Puxie San (Mirabilite and Moschus Powder) for treating Chong She, epidemic Yin Jaundice, and all heat toxins triggered by Danchi:
Puxiao (Natrii Sulfas, ground), 5 liang; Shexiang (Moschus, ground), 1 fen; Huangqin (Scutellariae Radix, black heart removed), 0.5 liang; Shanzhizi (Gardeniae Fructus, skin removed), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), 1 fen; Dan Zhuye (Lophatheri Herba), one handful; Lugeng (Phragmitis Rhizoma, chopped), 1 liang.
Chop five ingredients to the size of hemp seeds. Add the two ground ingredients. Decoct in 3 sheng (approx. 0.6 liters) of fresh well-water in a cauldron until reduced to about 0.5 sheng. Strain and clarify. Pour the liquid into a porcelain bottle. Seal the mouth tightly with salt mud. Simmer over low heat for one shichen (2 hours). Remove from fire and cool. Place the bottle in water without submerging the neck. Soak overnight. Break the bottle the next day. Retrieve the golden-colored substance, grind into a fine powder. Take 0.5 qianbi mixed with cold water. Alternatively, wrap in cotton and swallow with saliva.
Huangyao Tang (Yellow Herb Decoction) for treating swollen tongue and Chong She:
Huangyao (likely referring to a specific yellow herb, possibly Curcuma or similar), 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped), 1 liang.
Coarsely crush and sieve the above two ingredients. Take 3 qianbi. Decoct in one zhan (approx. 200 ml) of water until reduced to 0.7 zhan. Strain and take warm after meals.