夫伤寒热毒在脏。心脾烦壅。表里热不解。毒瓦斯熏于上焦。故令口舌干燥生疮也。
治伤寒。心肺壅热。口内生疮。烦躁不得眠卧。宜服犀角散方。
犀角屑（三分） 川升麻（半两） 麦门冬（三分去心） 黄柏（半两锉） 黄连（半
两去须）
玄参（三分） 甘草（半两生锉） 杏仁（三分汤浸去皮尖双仁麸炒微黄）
上件药。捣筛为散。每服四钱。以水一中盏。煎至五分。去滓。不计时候温服。
治伤寒。上焦壅热。口舌生疮。宜服黄连散方。
黄连（三分去须） 黄柏（半两锉） 甘草（半两生锉） 蔷薇根（三分） 栀子仁（半
两）
上件药。捣筛为散。每服四钱。以水一中盏。入淡竹叶二十片。煎至五分。去滓。不计
时候温服。
治伤寒。口疮烂赤。宜服升麻散方。
川升麻（二两） 甘草（一两生锉） 黄芩（一两） 麦门冬（三分去心） 大青（一
两） 犀角
屑（三分）
上件药。捣筛为散。每服四钱。以水一中盏。入淡竹叶二七片。煎至六分。去滓。不计
时候温服。
治伤寒。咽喉内痛。满口生疮。吃食不得。宜服玄参煎方。
玄参（一两） 川升麻（半两） 苦参（半两锉） 人参（三分去芦头） 秦艽（一两
去苗） 马
牙硝（半两）
上件药。捣筛为散。每服五钱。用水一大盏。煎至五分。去滓。入炼了蜜一合。相和令
匀。不计时候。徐徐含咽服之。
治伤寒肺心热。口内生疮。咽喉肿塞。宜服升麻煎方。
川升麻（一两） 大青（一两） 射干（一两） 栀子仁（一两） 黄芩（柏）（半两）
玄参（
三分） 蔷薇根〔一（二）两〕 苦竹叶（一两） 生地黄汁（半升） 蜜（半升）
上件药。细锉。都用水三大盏。煎至一大盏。去滓。下蜜地黄汁搅和。煎如稀粥。入净
器中盛。不计时候。含一茶匙咽津。
治伤寒。心肺热。口内生疮。宜含黄柏散方。
黄柏（三分） 黄连（三分去须） 白矾（半两烧令汁尽） 川朴硝（三分） 龙脑（一
钱细研）
上件药。捣细罗为散。每服半钱。用新绵薄裹。食后含之。良久口内有涎唾。即吐之。
治伤寒。口疮。众医不瘥者。宜用此方。
密陀僧（半两） 黄柏（一两半涂蜜微炙锉） 甘草（一两涂蜜炙微赤锉） 蒲黄（一
两） 黄
药（一两）
上件药。捣细罗为散。时时敷于疮上。有涎即吐之。
治伤寒。心肺烦热。口疮烂痛。黄芩饮子方。
黄芩（一两） 赤芍药（二两） 羚羊角屑（二两） 黄柏（二两） 大青（一两） 苦
竹叶（二
两）
上件药。细锉和匀。每服一两。以水一大盏。煎至六分。去滓。温含冷吐。每日三度用
之。
治伤寒。上焦烦热。口内生疮不止。龙胆煎方。
龙胆（一两去芦头） 黄连（一两去须） 川升麻（一两） 槐白皮（一两） 大青（一
两） 苦
竹叶（五十片） 白蜜（一十盏）
上件药。细锉。都以水三大盏。煎去滓取汁一盏。入蜜更煎五七沸。放冷。涂于疮上。
日三四度。有涎即吐之。
治伤寒热毒壅滞。口内生疮方。
龙胆（一两去芦头） 黄柏（一两锉） 黄连（二两去须）
上件药。捣粗罗为末。每服一两。以水一大盏。煎至六分。去滓。放冷暖得所。含之良
久。旋旋吐却。
治伤寒。口舌生疮方。
浮萍草（一分） 黄丹（一分） 黄柏（一分锉）
上件药。捣细罗为末。以生蜜旋和。丸如弹子大。绵裹一丸含咽津。
治伤寒。热毒口疮方。
黄柏（三两削去粗皮细锉）
上件药。以蜜拌浸一宿。入铫子内。煎十余沸。滤去滓。候温。小心含其蜜。良久旋吐
却。更含之。
In the course of cold damage (Shanghan), heat-toxin accumulates in the zang organs. The heart and spleen are obstructed by heat, causing restlessness and congestion. The pathogenic heat in both the exterior and interior fails to resolve. Toxic qi steams upward into the upper jiao (Upper Burner). Consequently, this leads to dryness of the mouth and tongue and the formation of sores.
For treating cold damage with congestive heat in the heart and lungs, resulting in sores inside the mouth, irritability, and inability to sleep or lie down comfortably, it is appropriate to administer Xi Jiao San (Rhinoceros Horn Powder).
Xi Jiao Xie (Horn of Rhinoceros, sliced) (3 fen) Chuan Shengma (Rhizoma Cimicifugae, 37.5g) Mai Men Dong (Radix Ophiopogonis, 3 fen, core removed) Huang Bo (Cortex Phellodendri, 0.5 liang, sliced) Huang Lian (Rhizoma Coptidis, 0.5 liang, whiskers removed)
Xuan Shen (Radix Scrophulariae, 3 fen) Gan Cao (Radix Glycyrrhizae, 0.5 liang, raw and sliced) Xing Ren (Semen Pruni Armeniacae, 3 fen, soaked in water, skin and tips removed, double kernels discarded, bran-fried until slightly yellow)
The above herbs are crushed, sifted, and made into a powder. Each dose consists of 4 qian. Add one zhong zhan of water. Decoct until reduced to 0.5 zhong zhan. Strain off the dregs. Take warm at any time.
For treating cold damage with congestive heat in the upper jiao, causing sores on the mouth and tongue, it is appropriate to administer Huang Lian San (Coptis Powder).
Huang Lian (Rhizoma Coptidis, 3 fen, whiskers removed) Huang Bo (Cortex Phellodendri, 0.5 liang, sliced) Gan Cao (Radix Glycyrrhizae, 0.5 liang, raw and sliced) Qiang Wei Gen (Radix Rosae Rugosae, 3 fen) Zhi Zi Ren (Semen Gardeniae, 0.5 liang)
The above herbs are crushed, sifted, and made into a powder. Each dose consists of 4 qian. Add one zhong zhan of water. Add twenty slices of Dan Zhu Ye (Bamboo Leaf). Decoct until reduced to 0.5 zhong zhan. Strain off the dregs. Take warm at any time.
For treating cold damage with ulcerated and red sores in the mouth, it is appropriate to administer Sheng Ma San (Cimicifuga Powder).
Chuan Shengma (Rhizoma Cimicifugae, 2 liang) Gan Cao (Radix Glycyrrhizae, 1 liang, raw and sliced) Huang Qin (Radix Scutellariae, 1 liang) Mai Men Dong (Radix Ophiopogonis, 3 fen, core removed) Da Qing (Folium Isatidis, 1 liang) Xi Jiao Xie (Horn of Rhinoceros, sliced, 3 fen)
The above herbs are crushed, sifted, and made into a powder. Each dose consists of 4 qian. Add one zhong zhan of water. Add fourteen slices of Dan Zhu Ye. Decoct until reduced to 0.6 zhong zhan. Strain off the dregs. Take warm at any time.
For treating cold damage with pain inside the throat, sores all over the mouth, and difficulty eating, it is appropriate to administer Xuan Shen Jian (Scrophularia Decoction).
Xuan Shen (Radix Scrophulariae, 1 liang) Chuan Shengma (Rhizoma Cimicifugae, 0.5 liang) Ku Shen (Radix Sophorae Flavescentis, 0.5 liang, sliced) Ren Shen (Radix Ginseng, 3 fen, rhizome removed) Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, radix removed) Ma Ya Xiao (Natrii Sulfas, 0.5 liang)
The above herbs are crushed, sifted, and made into a powder. Each dose consists of 5 qian. Add one da zhan of water. Decoct until reduced to 0.5 da zhan. Strain off the dregs. Add one he of refined honey. Mix evenly. Take slowly by holding in the mouth and swallowing at any time.
For treating cold damage with heat in the lungs and heart, sores inside the mouth, and swelling and obstruction of the throat, it is appropriate to administer Sheng Ma Jian (Cimicifuga Decoction).
Chuan Shengma (Rhizoma Cimicifugae, 1 liang) Da Qing (Folium Isatidis, 1 liang) She Gan (Rhizoma Belamcandae, 1 liang) Zhi Zi Ren (Semen Gardeniae, 1 liang) Huang Qin (Radix Scutellariae, 0.5 liang) Xuan Shen (Radix Scrophulariae, 3 fen) Qiang Wei Gen (Radix Rosae Rugosae, 1-2 liang) Ku Zhu Ye (Bitter Bamboo Leaf, 1 liang) Sheng Di Huang Zhi (Juice of Radix Rehmanniae Recens, 0.5 sheng) Mi (Honey, 0.5 sheng)
The above herbs are finely sliced. Add three da zhan of water. Decoct until reduced to one da zhan. Strain off the dregs. Add honey and Rehmannia juice, stir and mix. Decoct until thick like thin porridge. Store in a clean container. Hold one tea spoon in the mouth and swallow saliva at any time.
For treating cold damage with heat in the heart and lungs, causing sores inside the mouth, it is appropriate to hold Huang Bo San (Phellodendron Powder) in the mouth.
Huang Bo (Cortex Phellodendri, 3 fen) Huang Lian (Rhizoma Coptidis, 3 fen, whiskers removed) Bai Fan (Alumen, 0.5 liang, calcined until liquid evaporates) Chuan Po Xiao (Natrii Sulfas, 3 fen) Long Nao (Borneolum Syntheticum, 1 qian, finely ground)
The above herbs are finely ground through a sieve to make a powder. Each dose is half a qian. Wrap thinly in new cotton. Hold in the mouth after meals. After a long time, when saliva forms in the mouth, spit it out.
For treating cold damage with mouth sores that have not healed despite treatment by many physicians, use this prescription.
Mi Tuo Seng (Lithargyrum, 0.5 liang) Huang Bo (Cortex Phellodendri, 1.5 liang, coated with honey, lightly roasted and sliced) Gan Cao (Radix Glycyrrhizae, 1 liang, coated with honey, roasted until slightly red and sliced) Pu Huang (Pollen Typhae, 1 liang) Huang Yao (Radix Dioscoreae Hypoglaucae, 1 liang)
The above herbs are finely ground through a sieve to make a powder. Apply frequently to the sores. Spit out any saliva produced.
For treating cold damage with irritability and heat in the heart and lungs, and ulcerated painful mouth sores, use Huang Qin Yin Zi (Scutellaria Drink).
Huang Qin (Radix Scutellariae, 1 liang) Chi Shao Yao (Radix Paeoniae Rubra, 2 liang) Ling Yang Jiao Xie (Horn of Antelope Subcervicapra, sliced, 2 liang) Huang Bo (Cortex Phellodendri, 2 liang) Da Qing (Folium Isatidis, 1 liang) Ku Zhu Ye (Bitter Bamboo Leaf, 2 liang)
The above herbs are finely sliced and mixed evenly. Each dose is 1 liang. Add one da zhan of water. Decoct until reduced to 0.6 da zhan. Strain off the dregs. Hold warm in the mouth, let cool, then spit out. Use three times daily.
For treating cold damage with irritability and heat in the upper jiao, and persistent sores inside the mouth, use Long Dan Jian (Gentiana Decoction).
Long Dan (Radix Gentianae, 1 liang, rhizome removed) Huang Lian (Rhizoma Coptidis, 1 liang, whiskers removed) Chuan Shengma (Rhizoma Cimicifugae, 1 liang) Huai Bai Pi (Cortex Morii Albi, 1 liang) Da Qing (Folium Isatidis, 1 liang) Ku Zhu Ye (Bitter Bamboo Leaf, 50 slices) Bai Mi (White Honey, 10 zhan)
The above herbs are finely sliced. Add three da zhan of water. Decoct and strain to obtain one zhan of juice. Add honey and boil for five to seven boils. Let cool. Apply to the sores. Three to four times daily. Spit out any saliva produced.
For treating cold damage with stagnation of heat-toxin and sores inside the mouth.
Long Dan (Radix Gentianae, 1 liang, rhizome removed) Huang Bo (Cortex Phellodendri, 1 liang, sliced) Huang Lian (Rhizoma Coptidis, 2 liang, whiskers removed)
The above herbs are coarsely ground. Each dose is 1 liang. Add one da zhan of water. Decoct until reduced to 0.6 da zhan. Strain off the dregs. Adjust temperature to be neither too hot nor too cold. Hold in the mouth for a long time. Spit out slowly.
For treating cold damage with sores on the mouth and tongue.
Fu Ping Cao (Herba Azollae, 1 fen) Huang Dan (Minium, 1 fen) Huang Bo (Cortex Phellodendri, 1 fen, sliced)
The above herbs are finely ground through a sieve. Mix with raw honey to form pills the size of a bullet. Wrap one pill in cotton, hold in the mouth, and swallow saliva.
For treating cold damage with heat-toxin mouth sores.
Huang Bo (Cortex Phellodendri, 3 liang, coarse bark peeled and finely sliced)
The above herb is mixed with honey and soaked overnight. Place in a dingzi (small pot). Boil for more than ten boils. Filter off the dregs. When warm, carefully hold the honey mixture in the mouth. Spit out slowly after a while. Repeat as needed.