鹅口满口白斑点，小儿心脾热所生，初生多是胎中热，甚则咽喉叠肿疼。
【注】此证小儿多有之，属心、脾二经之热所生，初生小儿则属胎热上攻所致，满口
皆生白色斑点作痛，甚则咽喉叠叠肿起，难于乳哺，多生啼叫。法用青纱一条，裹箸头
上，蘸新汲水揩去白苔，以净为度，重手血出无妨，随用冰硼散搽之，内服凉膈散即愈。
冰硼散
冰片（五分） 硼砂 元明粉（各五钱） 朱砂（六分）
共研极细末，用少许搽于疮处。如咽喉肿痛，以芦筒吹之立效。
【方歌】冰硼散治咽肿痛，口疮白点满口生，冰硼朱砂元明粉，研末搽之立见功。
凉膈散（见面部面发毒）
口糜阴虚阳火成，膀胱湿水溢脾经，湿与热瘀熏胃口，满口糜烂色红疼。
【注】此证由阳旺阴虚，膀胱湿水泛溢脾经，湿与热瘀，郁久则化为热，热气熏蒸胃
口，以致满口糜烂，甚于口疮，色红作痛，甚则连及咽喉，不能饮食。初起宜服导赤汤。口
臭、泻泄脾虚湿者，宜服连理汤；糜烂延及咽喉，日轻夜重者，服少阴甘桔汤；便秘者
服凉膈散。外俱以姜柏散搽之有效。
导赤汤
木通 生地（各二钱） 甘草（生，一钱）
竹叶二十片，水一盅，煎半盅，温服。
【方歌】导赤汤医口糜证，脾湿化热熏胃成，木通生地生甘草，竹叶煎服热自平。
加味连理汤
白术（土炒，二钱） 人参 白茯苓 黄连 干姜（各一钱） 甘草（炙，五分）
水煎，热服。
【方歌】连理胃热脾虚湿，口糜臭气泻泄俱，参苓白术炙甘草，干姜黄连脾胃宜。
少阴甘桔汤
桔梗（二钱） 甘草（生，一钱） 川芎 黄芩 陈皮 元参 柴胡（各六分） 羌活 升麻（各四分）
葱白一根，水二盅，煎八分，食远服。
【方歌】少阴甘桔治口糜，芎芩羌活桔陈皮，元参柴草升麻共，葱白水煎神效奇。
姜柏散
干姜 黄柏（末，各等分）
各研末，共合一处研匀，干搽口内，温水漱口。
【方歌】姜柏散搽口糜烂，黄柏干姜各细研，等分兑匀搽患处，温水漱口效如仙。
凉膈散（见面部面发毒）
Erythema oris (Thrush) presents as white spots covering the entire mouth, generated by heat in the Heart and Spleen meridians of infants. In newborns, it is often due to fetal heat; in severe cases, the throat swells layer by layer with pain.
[Note] This condition is common in infants, caused by heat in the Heart and Spleen meridians. In newborns, it results from fetal heat attacking upwards, causing white spots throughout the mouth accompanied by pain. Severe cases involve layered swelling of the throat, making breastfeeding difficult and leading to frequent crying. The treatment method involves wrapping a strip of green gauze around the head of a chopstick, dipping it in freshly drawn cold water, and wiping away the white coating until clean. It is acceptable if slight bleeding occurs with firm pressure. Subsequently, apply Bingpeng San (Ice and Borax Powder) externally and administer Liangge San (Cooling the Diaphragm Decoction) internally for recovery.
Bingpeng San (Ice and Borax Powder)
Bingpian (Borneol) (5 fen) Pingsha (Borax) Yuanmingfen (Mirabilite) (each 5 qian) Zhusha (Cinnabar) (6 fen)
Grind all into an extremely fine powder. Apply a small amount to the affected area. If there is throat swelling and pain, insufflate the powder using a reed tube for immediate effect.
[Prescription Verse] Bingpeng San treats throat swelling and pain, white spots of oral ulcers cover the mouth, Borneol, Borax, Cinnabar, and Mirabilite, ground into powder and applied yields immediate results.
Liangge San (See Facial Furuncles section)
Koumi (Oral Mucosal Ulceration) arises from Yin deficiency and Yang fire hyperactivity, with dampness from the Bladder meridian overflowing into the Spleen meridian. Dampness and heat stagnate and熏蒸 (fume/steaming) the Stomach opening, resulting in full-mouth ulceration, redness, and pain.
[Note] This condition is caused by excessive Yang and deficient Yin, where dampness from the Bladder overflows into the Spleen meridian. Dampness and heat stagnate, transforming into heat after prolonged retention. Heat steams the Stomach region, causing extensive oral ulceration, worse than simple oral ulcers, with redness and pain. Severe cases extend to the throat, preventing eating and drinking. At the onset, Daochi Tang (Guide Out Redness Decoction) is suitable. For halitosis and diarrhea due to Spleen deficiency and dampness, Jiawei Lianli Tang (Modified Coptis and Licorice Decoction) is appropriate. If ulceration extends to the throat with symptoms lighter during the day and heavier at night, Shaoyin Ganjie Tang (Shaoyin Licorice and Platycodon Decoction) should be taken. For constipation, Liangge San (Cooling the Diaphragm Decoction) is used. Externally, Jiangbai San (Ginger and Phellodendron Powder) is effective.
Daochi Tang (Guide Out Redness Decoction)
Mutong (Akebia Caulis) Shengdi (Rehmanniae Radix Praeparata) (each 2 qian) Gancao (Licoriza Root), raw (1 qian)
Twenty leaves of Zhuye (Bamboo Leaf), one cup of water, decoct to half a cup, take warm.
[Prescription Verse] Daochi Tang treats Koumi, Spleen dampness transforms to heat steaming the Stomach, Akebia Caulis, Rehmannia Root, and raw Licorice, Bamboo Leaf decoction calms heat naturally.
Jiawei Lianli Tang (Modified Coptis and Licorice Decoction)
Baizhu (Atractylodis Macrocephalae Rhizoma), soil-fried (2 qian) Renshen (Ginseng Radix) Baifuling (Poria) Huanglian (Coptidis Rhizoma) Ganjiang (Zingiberis Rhizoma) (each 1 qian) Gancao (Licoriza Root), honey-fried (5 fen)
Decoct in water, take hot.
[Prescription Verse] Lianli Tang addresses Stomach heat, Spleen deficiency, and dampness, treating Koumi, halitosis, and diarrhea, Ginseng, Poria, Atractylodes, and honey-fried Licorice, Zingiber and Coptidis regulate the Spleen and Stomach suitably.
Shaoyin Ganjie Tang (Shaoyin Licorice and Platycodon Decoction)
Jiegeng (Platycodonis Radix) (2 qian) Gancao (Licoriza Root), raw (1 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma) Huangqin (Scutellariae Radix) Chenpi (Citri Reticulatae Pericarpium) Yuanshen (Scrophulariae Radix) Chaihu (Bupleuri Radix) (each 6 fen) Qianghuo (Notopterygii Rhizoma et Radix) Shengma (Cimicifugae Rhizoma) (each 4 fen)
One stalk of Congbai (Allii Fistulosi Bulbus), two cups of water, decoct to 0.8 cup, take well after meals.
[Prescription Verse] Shaoyin Ganjie Tang treats Koumi, Ligusticum, Scutellaria, Notopterygium, Platycodon, Citrus Peel, Scrophularia, Bupleurum, Licorice, and Cimicifuga together, Allii Fistulosi and water decoction yield miraculous effects.
Jiangbai San (Ginger and Phellodendron Powder)
Ganjiang (Zingiberis Rhizoma) Huangbai (Phellodendri Cortex) (powder, equal parts)
Grind each into powder, mix uniformly, apply dry to the inside of the mouth, rinse with warm water.
[Prescription Verse] Jiangbai San applies to oral ulceration, Phellodendron and Zingiber each finely ground, equal parts mixed and applied to the lesion, rinsing with warm water yields efficacy like a fairy.
Liangge San (See Facial Furuncles section)