《巢氏病源》小儿重舌候∶小儿重舌者，心脾热故也。心候于舌，而主于血，脾之络脉，又出舌下。心火脾
土二脏，母子也。有热即血气俱盛，其状附舌下，进舌根，生形如舌而短，故谓之重舌。
《千金》论曰∶小儿出腹六、七日后，其血气收敛成肉，则口舌喉颊里清净也。若喉里舌上有物，如芦箨盛
水状，有肿起着舌下，如此者名重舌，皆刺去血汁也。
《惠眼观证》∶凡生下中鹅口、重舌、重 、口疮，皆上焦热所致。此亦受胎时，大受极热。急以鸡内金为
末，干掺口内，及以朱砂膏、（方见惊热门中。）地黄膏（方见本门中）。轮流掺之，仍以天竺黄散服之。（方见本门中。）
《惠眼观证》地黄膏 治初生儿鹅口、重舌、重 方。
郁金（皂荚水煮干，切细，焙干用） 豆粉（各半两） 甘草（一分，炙） 马牙硝（研、一钱）
上用生地黄汁及蜂糖对合，入盏内约二分许，熬成膏，和成药。每服两皂子大，香熟水含化；或鹅翎扫涂
口内亦得。
《惠眼观证》金朱饮子 治惊、壮热，伤寒伏热，上焦虚热；重舌，口鼻生疮疹，致赤眼方。（本名天竺黄散。）
川郁金（锉碎，皂荚水煮干，细者如胆肚极佳） 天竺黄 甘草（炙） 牙硝（别研。各半两） 朱砂（一
分，研） 蝉壳（十四个，水浸去土） 麝香（少许）
上为末。每服半钱至一钱，以蜂糖熟水调下，此药除烦退热。
《葛氏肘后》治卒重舌方。
上烧蛇蜕皮为末，唾和，涂舌上瘥。（姚和众方同。只干敷。《婴孺》方同，用醋调，沾舌下。）
葛氏又法
上用釜下土，苦酒和，涂舌下。（《千金》、《婴孺》皆云∶釜丹下土。）
《千金》治小儿重舌方。
上用田中蜂房烧灰，酒和涂喉下愈。
《千金》又方
上以衣鱼涂舌上。（《千金翼》及《婴孺》方皆烧灰，研，敷。）
《千金》又方
上用三家屠肉，切令如指大，摩舌上，儿立能啼。（《婴孺》首用此方。）
《千金》又方
上用赤小豆末，醋和涂舌上。
《千金》又方
上烧簸箕灰，敷舌上。（《圣惠》簸箕尖烧灰，细研。）
《千金》又方
上用黄柏，以竹沥渍取，细细点舌上良。
《千金翼》治重舌，舌强不能收乳方。
上取鹿角末如大豆许，安舌上，日三即瘥。
《千金翼》治小儿重舌，舌生疮涎出方。
上以蒲黄敷舌上，不过三度愈。
《外台》∶《古今录验》疗小儿重舌欲死方。
上以乱发烧灰，末之，敷舌上甚佳。（张涣用猪脂和，涂之。）
姚和众治小儿重舌方。
上用马牙硝涂舌下，日三度。
《子母秘录》治小儿重舌方。
上用黄丹如豆大，内管中以安舌下。
《子母秘录》治小儿重舌方。
上用乌贼鱼骨烧灰，和鸡子黄，敷喉及舌上。
《子母秘录》治小儿童舌方。
上用蜣螂烧，研未，和唾，敷舌上。
孟诜治小儿重舌方。
上用小豆煮汁，和鹿角灰，安重舌下，日三度。
日华子治小儿重舌、鹅口疮方。
上用鹿角炙，熨之。
《圣惠》治小儿重舌，及口中生疮涎出方。
上用白羊尿，涂少许口中，瘥。
《圣惠》又方
上用桑根上取汁，涂口中，瘥。
《圣惠》又方
桂心（一分） 白矾（半两）
上件药捣，罗为末。每用少许，干敷舌下，日三上。
《圣惠》治小儿重舌、口中生疮涎出。蒲黄散方
蒲黄 露蜂房（微炙。各一分） 白鱼（一钱）
上件药都研令匀。用少许酒调，敷重舌、口中疮上，日三用之。
《圣惠》治小儿重舌、舌肿方。
上取牯牛乳，少许与饮之。
《圣惠》治小儿重舌方。
上以桂心半两为末，生姜汁相和令匀。每用少许涂舌下，日再涂之。
《圣惠》又方
上用甑带，烧灰细研，敷舌下。
《圣惠》又方
上用桑根白皮一两，细锉，以水一大盏，煎至五分去滓，渐渐以匙子抄少许，令儿吮之。
《圣惠》又方
上用釜底墨，水调，涂舌下。
《婴孺》治重舌方。
上取木兰皮一尺，广四寸，去皮皴，切细，以苦酒一升煮半升。适寒温浸两手，食久小歇，须臾干，复渍
两足，干，复渍之，大良。（《子母秘录》用醋一升煮木兰皮取汁，注重舌上。）
《婴孺》治小儿心极热，口中生疮、重舌、鹅口方。
上用柘根枝叶五升，以水一斗煮二升，去滓；煎五合，细细敷疮上。无根柘弓材亦可。
张涣乌鱼散方 治重舌病。
乌鱼骨（一两，烧灰） 干蜣螂（烧灰） 蒲黄（研。各半两） 枯白矾（一分，研）
上件同研为粉。每服半钱，以鸡子黄调，涂舌下，咽津无妨。
《千金》灸法∶治重舌。灸行间，随年壮穴，在足大指歧中。
《千金》又灸法∶两足外踝上三壮。
《千金翼》∶小儿重舌，灸左足踝七壮。（《婴孺》方灸三壮。）
《外台》∶《古今录验》疗儿重舌欲死。灸右足踝三壮，立愈。又灸左右并良。（《千金》云∶灸两足外踝。）
《婴孺》治重舌。以儿置其内，东向门中，灸其舌三炷。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the condition of double tongue in infants: The occurrence of double tongue (a swelling resembling a second tongue under the main tongue) in children is caused by heat in the Heart and Spleen. The Heart opens into the tongue and governs blood; the collateral vessels of the Spleen also emerge from beneath the tongue. The Heart and the Spleen (Earth element) have a mother-son relationship. When heat is present, both Qi and Blood become hyperactive. The manifestation involves growth attached beneath the tongue, extending to the root, forming a structure similar to a tongue but shorter, hence termed "double tongue."
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) states: Six or seven days after birth, an infant's Qi and Blood converge to form flesh, at which point the oral cavity, tongue, throat, and cheeks should remain clear. If there are foreign substances in the throat or on the tongue, resembling water held within a reed sheath, with swelling protruding beneath the tongue, this is called double tongue. Such cases require pricking to release blood stasis.
*Hui Yan Guan Zheng* records: Conditions such as thrush (oral candidiasis), double tongue, double palate, and mouth sores in newborns are all caused by heat in the Upper Jiao (Upper Burner). This results from excessive heat exposure during fetal development. Immediately powder Ji Nei Jin (Gallus Gallus Domesticus Brisson Gizzard Lining) and dry-dust it into the mouth. Apply Zhusha Gao (Cinnabar Ointment) (formula seen in the Convulsion Section) and Dihuang Gao (Rehmannia Ointment) (formula seen in this section) alternately. Additionally, administer Tianzhu Huang San (Bambusa Textilis Calamus Powder) internally.
*Dihuang Gao* from *Hui Yan Guan Zheng*: A formula for treating thrush, double tongue, and double palate in newborns.
Jin Yu (Curcuma aromatica Rhizome), boiled with Gleditsia Sinensis Fruit juice until dry, cut finely, and dried (0.5 liang); Dou Fen (Starch) (0.5 liang); Gan Cao (Licorice Root), roasted (1 fen); Ma Ya Xiao (Natrii Sulfas) (1 qian, ground).
Mix these with fresh Sheng Di Huang Juice (Rehmanniae Radix Fresh Juice) and bee honey. Place approximately 2 fen of liquid mixture in a cup and boil down to an ointment consistency. Take a dose the size of a soap bean, dissolve in warm cooked water; or apply with a goose feather quill inside the mouth.
*Jin Zhu Yin Zi* from *Hui Yan Guan Zheng*: Treats convulsions, high fever, latent heat from cold damage, deficiency heat in the Upper Jiao; as well as double tongue, mouth/nose sores/rashes causing red eyes. (Originally named Tianzhu Huang San.)
Chuan Yu Jin (Curcuma aromatica Rhizome), crushed, boiled with Gleditsia Sinensis Fruit juice until dry (fine texture like gall bladder lining is best); Tian Zhu Huang (Bambusa Textilis Calamus); Gan Cao (Licorice Root), roasted; Ya Xiao (Natrii Sulfas), separately ground (each 0.5 liang); Zhu Sha (Cinnabaris) (1 fen, ground); Chan Ke (Cicada Slough) (14 pieces, soaked in water to remove dirt); She Xiang (Moschus) (a small amount).
Grind all into powder. Take 0.5 to 1 qian per dose, mixed with honey and warm water. This medicine clears irritability and reduces fever.
*Ge Shi Zhou Hou Fang* (Emergency Prescriptions Held in the Elbow of Ge Hong) for sudden onset of double tongue:
Burn snake slough into powder, mix with saliva, and apply to the tongue. It will heal. (Yao Hezhong's formula is the same, applied dry. *Ying Ru*'s formula is the same, mixed with vinegar to moisten under the tongue.)
Another method by Ge Shi:
Take earth from under the cooking pot, mix with vinegar, and apply under the tongue. (*Qian Jin* and *Ying Ru* refer to this as Fu Dan Xia Tu - earth from under the furnace.)
*Qian Jin Fang* for pediatric double tongue:
Burn honeycombs found in fields to ash, mix with wine, and apply under the throat. It heals.
Another *Qian Jin Fang*:
Apply Yi Yu (Silverfish/Ctenolepisma longicaudata) to the tongue.
Another *Qian Jin Fang*:
Take meat from three different butcher shops, cut into finger-sized pieces, and rub on the tongue. The infant will immediately cry. (*Ying Ru* uses this formula first.)
Another *Qian Jin Fang*:
Use powder of Chi Xiao Dou (Adzuki Bean), mixed with vinegar, applied to the tongue.
Another *Qian Jin Fang*:
Burn winnowing basket ashes, apply to the tongue. (*Sheng Hui* specifies burning the tip of the basket, grinding finely.)
Another *Qian Jin Fang*:
Use Huang Bo (Phellodendri Cortex), soak in Zhu Li (Bamboo Sap) to extract juice, and dot finely onto the tongue. Good results.
*Qian Jin Yi Fang* for double tongue and stiff tongue unable to suckle:
Take Lu Jiao Mo (Deer Antler Powder), size of a soybean, place on the tongue. Three times daily leads to recovery.
*Qian Jin Yi Fang* for pediatric double tongue with sores and salivation:
Apply Pu Huang (Typhae Pollen) to the tongue. Recovery occurs within three applications.
*Wai Tai Mi Yao* (Prescriptions Kept Behind the Pillow) citing *Gu Jin Lu Yan*: For severe double tongue in infants nearing death:
Burn disordered hair to ash, grind to powder, and apply to the tongue. Very effective. (Zhang Huan mixes with pig fat for application.)
Yao Hezhong for pediatric double tongue:
Apply Ma Ya Xiao (Natrii Sulfas) under the tongue, three times daily.
*Zi Mu Mi Lu* for pediatric double tongue:
Place Huang Dan (Lithargyrum) the size of a bean inside a tube, positioned under the tongue.
Another *Zi Mu Mi Lu* for pediatric double tongue:
Burn Hai Piao Xiao (Sepiae Endoconcha) to ash, mix with Ji Zi Huang (Egg Yolk), and apply to the throat and tongue.
*Zi Mu Mi Lu* for pediatric child-tongue (tongue tie/swelling):
Burn Qiang Lang (Scarabaeus), grind to powder, mix with saliva, and apply to the tongue.
Meng Shen for pediatric double tongue:
Boil Dou (Beans) to make juice, mix with Lu Jiao Hui (Deer Antler Ash), place under the double tongue, three times daily.
Ri Hua Zi for pediatric double tongue and thrush:
Roast Lu Jiao (Deer Antler) and use for moxibustion/ironing therapy.
*Sheng Hui Fang* for pediatric double tongue and mouth sores with salivation:
Apply Bai Yang Niao (White Goat Urine) sparingly inside the mouth. It heals.
Another *Sheng Hui Fang*:
Extract juice from Sang Gen (Mulberry Root) and apply inside the mouth. It heals.
Another *Sheng Hui Fang*:
Gui Xin (Cinnamomi Cortex) 1 fen; Bai Fan (Alumen) 0.5 liang.
Pound and sieve these medicines into powder. Use a small amount, dry-dust under the tongue, three times daily.
*Sheng Hui Fang* Pu Huang San for pediatric double tongue and mouth sores with salivation:
Pu Huang (Typhae Pollen); Lu Feng Fang (Apis Nest), lightly roasted (each 1 fen); Bai Yu (Silverfish) 1 qian.
Grind all medicines evenly. Mix with a little wine, apply to the double tongue and mouth sores, three times daily.
*Sheng Hui Fang* for pediatric double tongue and swollen tongue:
Give Gu Niu Nai (Ox Milk) to drink in small amounts.
Another *Sheng Hui Fang* for pediatric double tongue:
Grind Gui Xin (Cinnamomi Cortex) 0.5 liang into powder, mix evenly with Sheng Jiang Zhi (Fresh Ginger Juice). Apply sparingly under the tongue twice daily.
Another *Sheng Hui Fang*:
Burn Zheng Dai (Steamer Strap), grind finely to ash, apply under the tongue.
Another *Sheng Hui Fang*:
Take Sang Gen Bai Pi (Mori Cortex) 1 liang, cut finely. Decoct with one large cup of water until reduced to two-fifths. Strain. Gradually spoon small amounts for the infant to suck.
Another *Sheng Hui Fang*:
Use Fu Di Mo (Furnace Bottom Ink/Soot), mix with water, apply under the tongue.
*Ying Ru* for double tongue:
Take Mu Lan Pi (Magnolia Bark) one chi long, four cun wide. Remove rough skin, cut finely. Decoct with one sheng of Ku Jiu (Vinegar) until reduced to half a sheng. When temperature is suitable, soak hands. After eating and resting slightly, when dry, soak feet. Repeat until dry. Very effective. (*Zi Mu Mi Lu* uses one sheng of vinegar to decoct Mu Lan Pi for juice, focusing application on the tongue.)
*Ying Ru* for infant extreme Heart Heat, mouth sores, double tongue, and thrush:
Take Zhe Gen Ye Zhi (Toona sinensis Branches and Leaves) five sheng. Decoct with ten dou of water until reduced to two sheng. Strain. Further reduce to five he. Apply finely to sores. If roots/branches are unavailable, Zhe Gong Cai (Bow material) can be used.
Zhang Huan's Wu Yu San for double tongue disease:
Wu Yu Gu (Sepiae Endoconcha) 1 liang (burned to ash); Gan Qiang Lang (Dry Scarabaeus) (burned to ash); Pu Huang (Typhae Pollen) (ground, each 0.5 liang); Ku Bai Fan (Dried Alumen) 1 fen (ground).
Grind together into powder. Take 0.5 qian per dose, mix with Ji Zi Huang (Egg Yolk), apply under the tongue. Swallowing saliva is harmless.
*Moxibustion Methods from Qian Jin Fang*: For double tongue. Moxa Xing Jian (LR2), number of moxa cones based on age. Location: between the big toe and second toe.
Another *Qian Jin Fang* Moxibustion Method:
Three cones on each outer ankle.
*Qian Jin Yi Fang*: For pediatric double tongue, moxa left ankle seven cones. (*Ying Ru* uses three cones.)
*Wai Tai Mi Yao* citing *Gu Jin Lu Yan*: For severe double tongue in infants. Moxa right ankle three cones, immediate recovery. Moxa both sides is also good. (*Qian Jin* says: moxa both outer ankles.)
*Ying Ru* for double tongue: Place the infant inside, facing east towards the door, moxa the tongue three cones.