《巢氏病源》小儿鹅口候∶小儿初生，口里白屑起，乃至舌上生疮如鹅之口里，谓之鹅口。此由在胎时受谷
气盛，心脾热气熏发于口故也。
《千金》论曰∶凡小儿初出腹，有鹅口者，其舌上有白屑如米，剧者鼻外（外，一作中）亦有之。此由儿在胞胎中，
受谷气盛故也。或妊娠时嗜糯米使之。
茅先生论∶小儿生下有喉痹、木舌、鹅口候。喉中忽壅一块肉瘤闭却喉，此为喉痹。及身大热，舌硬都不
转得，为木舌。口更开殊不合，满口都黄如膏，此名鹅口。此三个候，皆因热甚生风，风盛壅热毒，至此为实
积实热。得此候所治者，先用积实牛黄丸（方见实热门中）微与通；吐恶涎后，用匀气散；（方见胃
气不和门中。）然用天竺黄散（方见实热门中）夹牛黄膏（方见膈热门中）与服即愈。如见喉内加空响似锯及眼视面青黑，
不下奶食，死候。《葛氏肘后》治新生出腹鹅口方。
上以发缠箸，沾井华水拭之，三日一如此便脱去。不脱可煮粟茭汁令浓，以绵缠箸拭之。如春夏无粟茭，
粟木皮亦得。
用井华水法（《千金》作粟茯，治法皆与葛氏同。）
后徐王神效方 治小儿鹅口噤。
矾石 朱砂（末。各半分）
右二物合研极细，敷舌上。药烈，唯薄薄敷之，日三。以冷水洗舌，以发拭白垢也（《外台秘要》方同。）
《千金》治小儿鹅口，不能饮乳方。
上用鹅屎汁沥儿口中。（《圣惠》取白鹅粪，以水绞取汁。）
《千金》又方
上用黍米汁涂之。（《子母秘录》用黍米汁。）
《千金》又方
上用取小儿父母乱发，净洗缠桃枝，沾取井华水，东向向日以发拭口中。得口中白乳以置水中，七过沥洗，
三朝作之。（《圣惠》云∶以指缠乱发，蘸温水拣之，三日勿绝，效矣。）
《简要济众》治小儿鹅口方。
上用马牙硝细研，于舌上掺之，日三、五度(《圣惠》云∶调于舌下涂之。)
《子母秘录》∶小儿鹅口方。
上用桑白皮汁和胡粉敷之。
《子母秘录》∶小儿鹅口不乳方。
上用鸡 黄皮烧末，乳和服。
《千金》治小儿鹅口方。
上用柘根净洗，细锉五升。无根，只以弓材亦佳。水一斗，煮取二升去滓，更煎取五合。频频拭齿口即瘥。
张涣∶婴儿初生七日内胎毒者，其舌上有白屑如米连舌上，下有膜如石榴子大，令儿语不发如鹅口状，名曰鹅
口。保命散方
朱砂（研细，水飞，令干） 白矾（烧灰。各一分） 马牙硝（半两，细研）
上同再研细，每服一字。取白鹅粪以水搅取汁，调涂舌上、颌颊内。未用药时，先以手指缠乱发揩拭舌上
垢，然后使药敷之。
《孔氏家传》治小儿鹅口方。
上以桑汁，用新绵惹之。(日华子用桑东行根研汁。)
According to *Chao Shi Bing Yuan* (Pathogenesis of Diseases by Master Chao) regarding the syndrome of Goose Mouth in infants: When a newborn infant has white flakes appearing in the mouth, extending to sores on the tongue resembling the inside of a goose's beak, this is called "Goose Mouth" (E Kou). This condition arises because, during gestation, the fetus received an excess of grain qi, causing heat from the Heart and Spleen to steam upward and manifest in the mouth.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) states: For any newborn suffering from Goose Mouth, there are white flakes like rice grains on the tongue; in severe cases, these may also appear outside the nostrils (some versions say "middle"). This is due to the infant receiving excessive grain qi while in the womb. It may also result from the mother consuming glutinous rice excessively during pregnancy.
Master Mao discusses: Newborns may present with three syndromes: Throat Bi (obstruction), Wood Tongue, and Goose Mouth. If a lump suddenly blocks the throat, it is called Throat Bi. If the body is highly feverish and the tongue is stiff and immobile, it is called Wood Tongue. If the mouth opens abnormally wide and the entire mouth is yellow like paste, it is called Goose Mouth. All three syndromes are caused by extreme heat generating wind, where strong wind stagnates heat toxins, resulting in solid accumulation of excess heat. For treatment, first administer a small amount of Zhishi Niuhuang Wan (Real-Heat Section) to promote unblocking; after vomiting out foul saliva, use Yunqi San (Stomach Qi Disharmony Section). However, administering Tianzhu Huang San (Real-Heat Section) combined with Niuhuang Gao (Diaphragm Heat Section) will lead to recovery. If hollow sounds like sawing are heard in the throat, the face appears cyanotic/black, and the infant refuses milk, this indicates a fatal prognosis. The *Ge Shi Zhou Hou Fang* (Emergency Prescriptions by Ge Hong) for treating newborn Goose Mouth:
Take hair wrapped around a chopstick, dip it well-water (Jing Hua Shui - water drawn at dawn), and wipe the affected area. Repeat this every three days until the lesions fall off. If they do not detach, boil sorghum stalk juice until thick, wrap cotton around a chopstick, and wipe. In spring and summer when sorghum stalks are unavailable, sorghum bark can be used instead.
Method for using well-water (*Qian Jin Fang* refers to millet fungus; treatment methods are identical to Ge Shi's).
Later Xu Wang Shen Xiao Fang for treating infant Goose Mouth with Trismus:
Alumen (Fan Shi) Cinnabar (Zhu Sha, powdered. Each 0.5 fen)
Grind these two ingredients together until extremely fine, and apply thinly on the tongue. The medication is potent, so apply only a thin layer, three times daily. Wash the tongue with cold water and wipe away white debris with hair (The formula in *Wai Tai Mi Yao* is the same.)
*Qian Jin Fang* for treating infant Goose Mouth where the infant cannot suckle milk:
Drip juice from goose feces into the infant's mouth. (*Sheng Hui Fang* takes white goose feces and wrings out the juice with water.)
*Qian Jin Fang*, another formula:
Apply juice from broomcorn millet. (*Zi Mu Mi Lu* uses broomcorn millet juice.)
*Qian Jin Fang*, another formula:
Take the disordered hair of the infant's parents, wash it cleanly, wrap it around a peach branch, dip it in well-water, face east towards the sun, and use the hair to wipe the infant's mouth. Place the removed white milky debris into water, rinse seven times, and perform this for three consecutive days. (*Sheng Hui Fang* states: Wrap disordered hair around a finger, dip in warm water, and pick/wipe; do not stop for three days, and it will be effective.)
*Jian Yao Ji Zhong Fang* for treating infant Goose Mouth:
Finely grind Natrii Sulfas (Ma Ya Xiao), sprinkle onto the tongue, three to five times daily. (*Sheng Hui Fang* states: Mix and apply under the tongue.)
*Zi Mu Mi Lu*: Formula for infant Goose Mouth:
Apply juice from Morus alba root bark (Sang Bai Pi) mixed with lead carbonate (Hu Fen) to the affected area.
*Zi Mu Mi Lu*: Formula for infant Goose Mouth refusing milk:
Burn chicken eggshell membrane (Ji Nei Jin/Huang Pi) to ash, mix with milk, and administer orally.
*Qian Jin Fang* for treating infant Goose Mouth:
Cleanly wash Ziziphus jujuba var. spinosa root (Zhe Gen), finely cut five sheng. If roots are unavailable, bow wood is also suitable. Boil in one dou of water until reduced to two sheng, remove dregs, and further decoct to obtain five he. Frequently wipe the teeth and mouth until healed.
Zhang Huan: Within seven days after birth, if fetal toxicity manifests, white flakes like rice grains appear on the tongue connected to the tongue body, with a membrane the size of a pomegranate seed underneath, preventing speech and presenting as Goose Mouth. This is named Goose Mouth. Baoming San Formula:
Cinnabar (Zhu Sha, ground fine, levigated with water, dried) Alum (Bai Fan, burnt to ash. Each 1 fen) Natrii Sulfas (Ma Ya Xiao, half liang, finely ground)
Re-grind all ingredients together until fine. Take one zi dose each time. Take white goose feces, stir with water to extract juice, mix with medicine, and apply to the tongue, chin, and inner cheeks. Before applying medicine, first use a finger wrapped with disordered hair to wipe the debris off the tongue, then apply the medication.
*Kong Shi Jia Chuan* for treating infant Goose Mouth:
Use mulberry juice, apply with fresh cotton wadding. (Ri Hua Zi suggests grinding the east-facing root of the mulberry tree to extract juice.)