茧唇者初生如豆。渐大如茧。或如番花灵芝等样。肿硬疼痛。破流血水。久变消渴消中之症。由胃中积
热。火痰留注所致。初起及已成无内症者。用麻子大艾灸三壮。贴蟾酥饼。膏药盖之。日久渐消。有内症
作渴者。早服加减地黄丸。午服清凉甘露饮。以滋化源。如日久流血不止。见形羸虚热。面黑颧红。口干
渴甚者。不治。
清凉甘露饮
犀角 银柴胡 茵陈 石斛 枳壳 麦冬 生地黄 黄芩 知母 枇杷叶 甘草（各一钱） 淡竹叶
灯心（各二十）
用水二钟。煎八分。食远服。
加减地黄丸（见溃疡） 蟾酥饼（见疔疮门）
唇风生下唇。发痒不疼。肿裂流水。由胃火上攻也。宜服滋阴地黄丸。外以坎宫锭子一钱。加铜青末五
分。水调涂之。
滋阴地黄丸 治阴虚火燥。唇裂如茧。
熟地 山药 山萸 五味子 麦冬 当归 菊花 枸杞 肉苁蓉 巴戟
上等分为末。炼蜜为丸。如梧子大。每服七八十丸。空心。白滚汤送下。
经络 口疮 脾气通于口。脾和则口能知味。又心脉布于舌上。脾脉布于舌下。故心脾积热。则口舌
生疮。甚则腮舌赤肿。此实火也。治以苦寒。如凉膈散。又膀胱移热于小肠。隔肠不便。上为口糜。如灶底
燃薪。笼中肉腐之象也。宜柴胡地骨皮汤。或五苓散、导赤散合而用之。如服寒凉之药不应者。虚火也。
治以甘温。如发热饮冷者。上焦虚热也。补中益气汤。肢冷腹痛。便滑食少者。中焦虚寒也。附子理中汤、
八味地黄丸。晡热内热。唾痰便数。口干作渴者。下焦虚火也。加减地黄丸。此从治之法也。如小儿又当
察面图部位。分脏腑虚实而药之。
升麻饮 治口内生疮。齿龈肉烂。
升麻 玄参 黄连 羚羊角 黄芩 葛根 麦冬 羌活 防风 菊花 大黄（各一钱） 人参
知母 炙甘草（各五分）
水二钟。煎八分。食远服。
甘露饮 治口舌生疮。及牙宣齿龈肿烂。时出脓血。不任凉药者。
枇杷叶 石斛 黄芩 麦冬 生地 甘草（炙） 加枳壳 茵陈（等分）
水二钟。煎八分。食远服。
柴胡地骨皮汤
柴胡 地骨皮（各五钱）
水二钟。煎八分。食远服。
辰砂定痛散 治口舌生疮。咽喉肿痛。
软石膏（ 一两） 胡黄连（末二分） 辰砂（末五分） 冰片（二分）
共为末。收罐内。如口内则掺之。喉内则吹之。日上五七次。咽之。
蟾酥绵 治口内生疮。齿龈肉烂。
蟾酥（五分） 硼砂 冰片 麝香（各一分）
为细末。用温水半盏。化令匀尽。入红绵五分。蘸药汁晒干。再浸。俟药汁尽。将绵寸截。每用一片贴患
处。有涎即吐之。日三五次。
抽薪散 治口舌生疮。并小儿火眼。
大附子为末。津调。敷足心内。油纸盖之。绢条扎之。
一用草乌、南星、干姜。等分为末。醋调。敷手心足心。一用吴茱萸为末。醋调。敷脚心。
一用白矾三四两。冲淡水一盆。浸化泡足。 一用细辛为末。醋调敷脐。
凉膈散 治上焦实热。口舌生疮。及咽喉肿痛。
黄芩 栀子 连翘 薄荷 甘草 桔梗 朴硝 大黄
水二钟。竹叶二十片。煎八分。加蜂蜜三匙。和服。
附子理中汤 五苓散
导赤散 泻丙丁小肠。
生地 木通 甘草
加竹叶。水煎服。
补中益气汤 八味地黄丸 加减地黄丸
Callosity of the lip (Jianchun) initially appears like a bean. It gradually enlarges to the size of a silkworm cocoon, or takes shapes resembling safflower or lingzhi mushroom. The area becomes swollen, hard, and painful. Upon ulceration, it bleeds and discharges fluid. If prolonged, it may transform into symptoms of Xiao Ke (Wasting and Thirsting syndrome) or Xiao Zhong (Middle Jiao Wasting). This is caused by accumulated heat in the Stomach, where Fire pathogen and Phlegm stagnate. In the early stage or when formed but without internal syndromes, apply moxibustion using an acupoint-sized moxa cone for three doses, apply Chan Su Bing (Toad Venom Cake), and cover with a plaster. Over time, it will gradually subside. If internal syndromes manifest with thirst, take Jiadi Dihuang Wan (Modified Rehmannia Pill) in the morning and Qingliang Ganlu Yin (Cooling Sweet Dew Decoction) at noon to nourish the source of transformation. If bleeding persists for a long time, accompanied by emaciation, deficiency-heat, dark complexion with red malar eminences, and extreme dry mouth and thirst, it is incurable.
Qingliang Ganlu Yin (Cooling Sweet Dew Decoction)
Xijiao (Rhinoceros Horn - *Note: Substitute with Water Buffalo Horn in modern practice*), Yinchaihu (Stellariae Radix), Ychen (Artemisiae Scopariae Herba), Shihu (Dendrobii Caulis), Zhiqiao (Aurantii Fructus), Maidong (Ophiopogonis Radix), Shengdihuang (Rehmanniae Radix), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Pipaye (Loquat Leaf), Gancao (Licorice Root) (each 1 qian); Danzhuyeh (Bamboo Leaf), Dengxincao (Junci Medulla) (each 20 units).
Use two zhong of water, decoct until eight fen remains. Take far from meals.
Jiadi Dihuang Wan (Modified Rehmannia Pill) (See Ulcer section); Chan Su Bing (Toad Venom Cake) (See Ding Chuang Gate section).
Chunfeng (Lip Wind) occurs on the lower lip. It itches but does not hurt. The lip swells, cracks, and weeps fluid. This is due to Stomach Fire attacking upward. It is suitable to take Ziyin Dihuang Wan (Yin-Nourishing Rehmannia Pill). Externally, apply one qian of Kangong Dings (Kangong Stick) mixed with five fen of Tongqing Mo (Copper Green Powder), blended with water and applied.
Ziyin Dihuang Wan (Yin-Nourishing Rehmannia Pill) treats Yin deficiency with Fire dryness, causing lips to crack like a cocoon.
Shudihuang (Prepared Rehmannia Root), Shanyao (Dioscorea Rhizome), Shanzhuyu (Cornus Fruit), Wuweizi (Schisandra Fruit), Maidong (Ophiopogon Tuber), Danggui (Angelica Sinensis Root), Juhua (Chrysanthemum Flower), Gouqi (Goji Berry), Roucongrong (Cistanche Stem), Bajitian (Morinda Root).
Grind the above ingredients into fine powder, mix with refined honey to make pills the size of wutong seeds. Take seventy to eighty pills per dose, on an empty stomach, washed down with plain boiled water.
Meridians; Kou Chuang (Mouth Ulcers): The Spleen's qi connects to the mouth. When the Spleen is harmonious, the mouth can perceive flavors. The Heart meridian spreads over the tongue, and the Spleen meridian spreads under the tongue. Therefore, when Heat accumulates in the Heart and Spleen, ulcers form in the mouth and tongue. In severe cases, the cheeks and tongue become red and swollen. This is Excess Fire. Treat with bitter-cold herbs, such as Liangge San (Cooling the Diaphragm Powder). Additionally, if Heat transfers from the Bladder to the Small Intestine, causing intestinal obstruction and difficulty in defecation, the heat rises to cause Kou Mi (Mouth Miasma/Ulcers). This resembles burning firewood under a stove or meat rotting in a cage. Use Chaihu Digupi Tang (Bupleurum and Groundsel Root Decoction). Alternatively, combine Wuling San (Five-Ling Powder) and Daochi San (Guide Out Redness Powder). If cold-cooling medicines are ineffective, it indicates Deficiency Fire. Treat with sweet-warm methods. For those with fever and desire for cold drinks, it is Upper Jiao Deficiency Heat; use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). For those with cold limbs, abdominal pain, loose stools, and poor appetite, it is Middle Jiao Deficiency Cold; use Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) or Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill). For afternoon fever, internal heat, expectoration of phlegm, frequent urination, dry mouth, and thirst, it is Lower Jiao Deficiency Fire; use Jiadi Dihuang Wan (Modified Rehmannia Pill). This is a method of treating according to the nature of the disease. For children, observe facial areas corresponding to organ maps, differentiate between excess and deficiency of Zang-Fu organs, and medicate accordingly.
Shengma Yin (Primrose Decoction) treats ulcers inside the mouth and rotting of gingival flesh.
Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix), Huanglian (Coptidis Rhizoma), Lingyangjiao (Antelope Horn), Huangqin (Scutellariae Radix), Gegen (Puerariae Radix), Maidong (Ophiopogonis Radix), Qianghuo (Notopterygii Rhizoma), Fangfeng (Saposhnikoviae Radix), Juhua (Chrysanthemi Flos), Dahuang (Rhei Radix et Rhizoma) (each 1 qian); Renshen (Ginseng Radix), Zhimu (Anemarrhenae Rhizoma), Zhigancao (Honey-fried Licorice Root) (each 5 fen).
Two zhong of water, decoct to eight fen. Take far from meals.
Ganlu Yin (Sweet Dew Decoction) treats mouth and tongue ulcers, as well as Ya Xuan (Gum Recession) with swollen and rotting gums, frequently discharging pus and blood, intolerant to cooling medicines.
Pipaye (Loquat Leaf), Shihu (Dendrobii Caulis), Huangqin (Scutellariae Radix), Maidong (Ophiopogonis Radix), Shengdi (Rehmanniae Radix), Zhigancao (Honey-fried Licorice Root); add Zhiqiao (Aurantii Fructus) and Yichen (Artemisiae Scopariae Herba) in equal parts.
Two zhong of water, decoct to eight fen. Take far from meals.
Chaihu Digupi Tang (Bupleurum and Groundsel Root Decoction)
Chaihu (Bupleuri Radix), Digupi (Lycii Cortex) (each 5 qian).
Two zhong of water, decoct to eight fen. Take far from meals.
Chensha Dongtong San (Cinnabar Pain-Relieving Powder) treats mouth and tongue ulcers, and sore throat with swelling and pain.
Ruanshigao (Soft Gypsum Fibrosum, 1 liang), Huhuanglian (Picrorhizae Rhizoma, 2 fen powder), Chensha (Cinnabar, 5 fen powder), Bingpian (Borneolum Syntheticum, 2 fen).
Grind all into powder, store in a jar. For oral lesions, sprinkle internally; for throat lesions, blow into the throat. Apply five to seven times daily, swallowing the residue.
Chansu Mian (Toad Venom Cotton) treats ulcers inside the mouth and rotting of gingival flesh.
Chansu (Toad Venom, 5 fen), Pengsha (Borax), Bingpian (Borneolum Syntheticum), Shexiang (Moschus) (each 1 fen).
Grind into fine powder. Dissolve in half a zhan of warm water until uniform. Soak five fen of red cotton in the medicinal juice, dry it, then soak again. Wait until the juice is fully absorbed, cut the cotton into inch-length pieces. Apply one piece to the affected area each time. Spit out saliva immediately. Apply three to five times daily.
Chouxin San (Draw Firewood Away Powder) treats mouth and tongue ulcers, and also treats infant Fire Eye.
Da Fuzi (Large Aconite Lateral Root) ground into powder, mixed with saliva, applied to the center of the sole. Cover with oil paper and bind with silk strips.
Alternatively, use Caowu (Aconiti Kusnezoffii Radix), Nanting (Arisaema Cum Bile), and Ganjiang (Zingiberis Rhizoma) in equal parts, ground into powder, mixed with vinegar, applied to palms and soles.
Alternatively, use Wuzhuyu (Evodiae Fructus) ground into powder, mixed with vinegar, applied to the soles.
Alternatively, use three to four liang of Baifan (Alumen), dissolved in a basin of fresh water, soak feet.
Alternatively, use Xixin (Asari Radix) ground into powder, mixed with vinegar, applied to the umbilicus.
Liangge San (Cooling the Diaphragm Powder) treats Upper Jiao Excess Heat, mouth and tongue ulcers, and sore throat with swelling and pain.
Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Lianqiao (Forsythiae Fructus), Bohe (Menthae Haplocalycis Herba), Gancao (Licorice Root), Jiegeng (Platycodonis Radix), Puxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma).
Two zhong of water, add twenty leaves of Zhuye (Bamboo Leaf), decoct to eight fen. Add three spoons of honey and mix.
Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction); Wuling San (Five-Ling Powder).
Daochi San (Guide Out Redness Powder) drains Fire from the Bing-Ding Small Intestine.
Shengdi (Rehmanniae Radix), Mutong (Akebiae Caulis), Gancao (Licorice Root).
Add Zhuye (Bamboo Leaf), decoct in water and take.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill); Jiadi Dihuang Wan (Modified Rehmannia Pill).