小儿舌上偶生疮肿者。由风毒邪热。搏于血气。随其虚处。着而生病也。发于舌上紫肿者。名曰紫舌胀。若
肿粗大木闷而硬者。名曰木舌胀。若风湿相搏而生疮者。名曰舌疮。若风多而舌肿如吹泡者。名曰鼓舌。其紫
舌木舌鼓舌肿甚者。则满口溢出。闭塞气门。皆能杀人。
治紫舌肿 取羊乳饮之。
又方 治如前。以新鲫鱼。薄起肉片子。顿舌上。数数易之。
治舌上生疮。不能饮乳。 以白矾研末。和鸡子置醋中。涂儿足底。一七愈。
又方 治如前。以蒲黄敷之。
又方 以桑白皮汁。涂乳上吮服。
又方 治如前。以胡粉细研。用猪筒骨中髓调敷之。日三。
治木舌肿硬。满口逡巡。气闭则杀人。 以釜底煤和盐等分。以酒调。表里涂舌。须臾即悄。无酒亦得。
又方 治如前。
川朴硝（半两） 真紫雪（一分） 白盐（半分）
上和研匀细。每用半钱。入竹沥三两。滴白汤少许。调涂舌上。咽津不妨。
治舌卒肿如吹泡。满溢出。气不得通。奈无可治。 以半夏十枚。汤洗去滑尽。以苦酒一升。煮取五合。稍
稍含漱之。不得咽津。戟人咽喉。加以生姜一两。同煮亦得。
又方 煎甘草浓汁含之。
又方 以糖醋满口含之。良。
又方 治紫舌木鼓。肿满闭气。诸药不效。当用此救。在舌两边。以指刮破。或以铍刀决破。出其毒血。慎
勿伤舌下中央脉也。若血出不止。已及数升者。烧铁篦烙疮数过已。绝之。烧铁篦约度。不可太过。
Occasional sores and swellings on the tongue of infants are caused by wind-toxin and pathogenic heat clashing with blood and qi, lodging in areas of deficiency to induce disease. When purple swelling occurs on the tongue, it is named "Purple Tongue Distension" (Zi She Zhang). If the swelling is coarse, large, numb, stifling, and hard, it is named "Wooden Tongue Distension" (Mu She Zhang). If sores arise from the clash of wind-dampness, it is named "Tongue Sores" (She Chuang). If excessive wind causes the tongue to swell like a blown blister, it is named "Drum Tongue" (Gu She). Severe cases of Purple, Wooden, or Drum Tongue distension may overflow the entire mouth, blocking the air gate (vital opening), all of which can be fatal.
To treat Purple Tongue Distension: Administer sheep milk for drinking.
Another prescription: Treat as above. Take fresh crucian carp, slice the meat thinly, and frequently apply slices to the tongue, changing them often.
To treat sores on the tongue preventing nursing: Grind alum into powder, mix with an egg yolk, place in vinegar, and apply to the sole of the child's foot. It will heal within seven days.
Another prescription: Treat as above. Apply Puhuang (Corydalis Rhizome) powder externally.
Another prescription: Apply juice from Mulberry Root Bark (Sangbaipi) to the nipple/breast for the infant to suckle.
Another prescription: Treat as above. Finely grind Hufen (Lead Carbonate), mix with marrow from pig femur bones, and apply to the lesion three times daily.
To treat Wooden Tongue distension and hardness spreading throughout the mouth, where qi blockage leads to death: Mix equal parts of Fu Di Mei (soot from the bottom of a cauldron) and salt. Blend with wine and apply internally and externally to the tongue; relief comes quickly. Wine is optional.
Another prescription: Treat as above.
Chuan Puxiao (Natrii Sulfas), Zhen Zixue (True Purple Snow), Bai Yan (White Salt).
Mix and grind these three ingredients uniformly to a fine powder. Use half a qian each time, add 3 liang of Zhuli (Bamboo Sap), drop in a little white boiled water, mix well, and apply to the tongue. Swallowing saliva is permissible.
In cases of sudden tongue swelling like a blown blister, overflowing the mouth, with blocked qi and no other remedies available: Take ten Banxia (Pinellia Tuber), wash thoroughly with hot water to remove slipperiness. Boil in Ku Jiu (bitter wine/vinegar) one sheng until reduced to five ge. Gargle slowly, do not swallow saliva. If irritating the throat, adding one liang of Shengjiang (Fresh Ginger) for boiling is also acceptable.
Another prescription: Decoct concentrated Licorice Root (Gancao) juice and gargle.
Another prescription: Gargle with sugar-vinegar mixture; this is effective.
Another prescription: For Purple, Wooden, or Drum Tongue where swelling blocks qi and other medicines fail, use this rescue method. On both sides of the tongue, scrape open with fingers or incise with a Pi Dao (scalpel) to drain toxic blood. Be careful not to damage the central vein under the tongue. If bleeding does not stop and amounts to several sheng, cauterize the sores several times with a red-hot iron comb to arrest bleeding. The heating of the iron comb must be moderate, not excessive.