夫舌者心之候也。脾之脉起于足大趾。入连于舌本。心脾有热。即热气随脉波于舌本。
血脉
治重舌口中涎出。水浆不收。牛黄散方。
牛黄(一分) 龙脑(一分) 朱砂(一分) 太阴玄精(二两)
上件药。同细研为散。每度用药半钱。先于重舌上。以铍针。铍破出血。用盐汤漱口。
然后
又方。
用簸箕舌烧为灰。细研。以温酒调下一钱。
又方。
用伏龙肝研如粉。以牛蒡汁调敷之。效。
又方。
用蛇蜕皮烧灰。研令细。以少许敷之。效。
治重舌满口。半夏酒方。
右以半夏二十枚。水煮了。炮及热。用好酒一升浸。密封头。良久。取酒乘热含之。冷
即吐
治重舌口中涎出。宜服此方。
上取蒲黄敷舌上。良。
又方。
上取田中蜂房。烧灰细研。以好酒和。薄敷喉下。立愈。
又方。
驴乳(一升) 猪乳(一升)
上二味相和。煎至半升。不计时候。服半匙。
又方。
上取赤小豆。捣罗为末。以醋和。涂舌上。
夫脾脉络于舌。舌者心之候。若脏腑壅滞。心脾积热。邪热之气。随脉上冲于舌本。
则令
治心脾热毒。生木舌。肿涩妨闷。宜服大黄散方。
川大黄(一两锉碎微炒) 犀角屑(三分) 射干(三分) 川升麻(三分) 玄参(二
分) 大
青(
上件药。捣筛为散。每服五钱。以水一大盏。煎至三(五)分。去滓。不计时候。温服。
治心脾壅热。生木舌。肿胀。宜服玄参散方。
玄参(三分) 川升麻(三分) 川大黄(三分锉碎微炒) 甘草(半两炙微赤锉) 犀
角屑
(三分)
上件药。捣筛为散。每服五(三)钱。以水一大(中)盏。煎至五分。去滓。不计时候。
温
服。
治木舌热肿。渐大满口。宜含马牙硝丸方。
马牙硝(三分细研) 铅霜(半两细研) 川大黄(半两锉碎微炒) 白矾(半分烧灰)
大阴
玄
上件药。捣罗为末。入研了药令匀。炼蜜和丸。如小弹子大。常含一丸咽津。
治热毒攻心脾。致生木舌。肿痛。兼咽喉不利。射干散方。
射干(三分) 漏芦(三分) 川升麻(三分) 当归(半两) 桂心(半两) 川大
黄(半两锉
碎微
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
又方。
犀角屑(一两半) 黄芩(一两半) 漏芦(一两) 川升麻(一两) 麦门冬(一两
去心) 羚
羊角
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
又方。
上用鲤鱼薄起作片子。贴于舌上。易之便消。
又方。
上取 煤。以醋调涂舌上。常出涎沫。又涂之。以舌如故即止。
The tongue is the external manifestation of the Heart. The Spleen meridian originates from the big toe and connects to the root of the tongue. If there is heat in the Heart and Spleen, the pathogenic heat follows the meridians to flow into the root of the tongue.
Treatment for Chong She (Re Tongue / Double Tongue), characterized by salivation and inability to take fluids or food: Niuhuang San Formula.
Niu Huang (Calculus Bovis, 1 fen) Long Nao (Borneolum Syntheticum, 1 fen) Zhu Sha (Cinnabaris, 1 fen) Taiyin Xuanjing (Mineral Gypsum Fibrosum or similar specific mineral, 2 liang)
Grind the above ingredients together finely into a powder. For each dose, use half a qian. First, on the area of Chong She, use a Pi Zhen (a type of surgical needle) to prick it until blood flows. Rinse the mouth with salt water.
Then...
Another formula:
Burn Bosiji She (likely referring to a specific herb part or typo for Che Qian Cao/Antirrhinum, literally "Sieve Tongue") into ash, grind finely, and mix with warm wine to administer one qian orally.
Another formula:
Grind Fulong Gan (Caosinis Cotyledonis / Hearth Earth) into a fine powder, mix with Niu Bang Zi juice (Arctii Fructus juice), and apply topically. Effective.
Another formula:
Burn She Tui Pi (Ophichthys Skin / Snake Slough) into ash, grind extremely fine, and apply a small amount topically. Effective.
Treatment for Chong She filling the mouth, Banxia Jiu Formula:
Take twenty Ban Xia (Pinelliae Rhizoma). Boil in water until cooked, process while hot. Soak in one sheng of good wine, seal tightly, and let stand for a long time. Take the wine and hold it in the mouth while warm; spit it out when it cools.
For Chong She with salivation, this formula is suitable:
Apply Pu Huang (Lygodii Spora) to the tongue. Good effect.
Another formula:
Take Tian Zhong Feng Fang (Vespa Nidus / Beehive from fields), burn into ash, grind finely, mix with good wine, and apply thinly under the throat. Cures immediately.
Another formula:
Lu Ru (Donkey's Milk, 1 sheng) Zhu Ru (Pig's Milk, 1 sheng)
Mix these two ingredients, boil down to half a sheng. Take half a spoonful at any time.
Another formula:
Take Chi Xiao Dou (Adzuki Bean), crush and sieve into powder. Mix with vinegar and apply to the tongue.
The Spleen meridian connects to the tongue; the tongue is the external manifestation of the Heart. If the Zang-Fu organs are obstructed and Heat accumulates in the Heart and Spleen, pathogenic heat rises along the meridians to the root of the tongue.
It leads to...
Treatment for Heart and Spleen Heat-Toxin causing Mu She (Wood Tongue / Stiff Swollen Tongue), characterized by swelling, stiffness, discomfort, and chest oppression: Dahuang San Formula.
Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, crushed, slightly stir-fried) Xi Jiao Xie (Rhinocerotis Cornu, 3 fen) She Gan (Belamcandae Rhizoma, 3 fen) Chuan Sheng Ma (Bupleuri Radix or Cimicifugae Rhizoma, 3 fen) Xuan Shen (Scrophulariae Radix, 2 fen) Da Qing (Isatidis Folium, dosage omitted in text)
Crush and sieve the above ingredients into a powder. Take five qian per dose. Add one da zhan of water, decoct until three (or five) parts remain, remove dregs, and take warm at any time.
Treatment for Heart and Spleen Obstructive Heat causing Mu She with swelling: Xuanshen San Formula.
Xuan Shen (Scrophulariae Radix, 3 fen) Chuan Sheng Ma (Bupleuri Radix or Cimicifugae Rhizoma, 3 fen) Chuan Da Huang (Rhei Radix et Rhizoma, 3 fen, crushed, slightly stir-fried) Gan Cao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried, slightly reddish, crushed) Xi Jiao Xie (Rhinocerotis Cornu, 3 fen)
Crush and sieve the above ingredients into a powder. Take five (or three) qian per dose. Add one da (or zhong) zhan of water, decoct until five parts remain, remove dregs, and take warm at any time.
Treatment for Mu She with Heat-Swelling gradually enlarging to fill the mouth: Mayaxiao Wan Formula (to be held in mouth):
Mayaxiao (Natrii Sulfas / Mirabilite, 3 fen, finely ground) Qianshuang (Plumbum Subcarbonate, half liang, finely ground) Chuan Da Huang (Rhei Radix et Rhizoma, half liang, crushed, slightly stir-fried) Bai Fan (Alumen, half fen, burned to ash) Dayin Xuan (Text unclear, likely refers to Xuan Shen or a mineral, kept as literal translation "Dayin Xuan")
Crush and sieve the ingredients into powder, mix thoroughly with the pre-ground medicines. Combine with refined honey to form pills the size of small marbles. Frequently hold one pill in the mouth and swallow the saliva.
Treatment for Heat-Toxin attacking Heart and Spleen causing Mu She with swelling and pain, accompanied by throat obstruction: Shegan San Formula.
She Gan (Belamcandae Rhizoma, 3 fen) Lou Lu (Euphorbiae Humifusae Herba, 3 fen) Chuan Sheng Ma (Bupleuri Radix or Cimicifugae Rhizoma, 3 fen) Dang Gui (Angelicae Sinensis Radix, half liang) Guixin (Cinnamomi Ramulus Cortex, half liang) Chuan Da Huang (Rhei Radix et Rhizoma, half liang, crushed, slightly stir-fried)
Crush and sieve the above ingredients into a powder. Take five qian per dose. Add one da zhan of water, decoct until five parts remain, remove dregs, and take warm at any time.
Another formula:
Xi Jiao Xie (Rhinocerotis Cornu, 1.5 liang) Huang Qin (Scutellariae Radix, 1.5 liang) Lou Lu (Euphorbiae Humifusae Herba, 1 liang) Chuan Sheng Ma (Bupleuri Radix or Cimicifugae Rhizoma, 1 liang) Maidong (Ophiopogonis Radix, 1 liang, heart removed) Lingyangjiao (Saigae Tataricae Cornu, dosage omitted)
Crush and sieve the above ingredients into a powder. Take five qian per dose. Add one da zhan of water, decoct until five parts remain, remove dregs, and take warm at any time.
Another formula:
Take thin slices of Li Yu (Cyprinus Carpio / Common Carp) meat, apply to the tongue. Replace frequently until it subsides.
Another formula:
Take [Mei/Coal] (Text ambiguous, likely referring to Carbonized material or Ink, translated literally as Mei), mix with vinegar, and apply to the tongue. Saliva will often flow out. Apply again. Stop when the tongue returns to normal.