弄舌时时口内摇，心脾热发口唇焦，烦热舌干大便秽，泻黄导赤并能疗。
【注】儿舌口中摇动者，因心脾有热，以致唇焦舌干，烦热便秽。先用泻黄散，次服泻心导赤汤。
泻黄散
藿香叶 山栀子（炒） 石膏（ ） 防风 甘草（生）
引加灯心水煎服
【方歌】弄舌泻黄散最神，藿香叶配山栀仁，甘草防风石膏 ，临时煎服入灯心。
泻心导赤汤（方见吐舌）
舌下肿突似舌形，心脾积热上攻冲，内服宜以清热饮，外敷凉心功最灵。
【注】重舌者，因舌下近舌根处其肿形似舌，故名重舌。此心、脾之热，宜服清热饮，
外吹凉心散。
清热饮
黄连（生） 生地 木通 甘草（生） 连翘（去心） 莲子
引用淡竹叶水煎，时时灌入口中
【方歌】清热饮内用黄连，生地莲子木通甘，连翘更加淡竹叶，一同煎服自然安。
凉心散
青黛 硼砂 黄柏 黄连（人乳拌晒） 人中白（ 过，各二钱） 风化硝（一钱） 冰片（二分）
上为极细末，吹之甚效。
木舌心脾积热成，肿胀木硬证多凶，外用川硝敷舌上，内服泻心导赤灵。
【注】木舌一证，皆因心脾积热而成，盖脾之脉络在舌下，又舌为心苗，遇火上冲，令
儿舌肿满木硬，不能转动，故名木舌。外用川硝散敷舌上，内服泻心导赤汤。若不急治，
必至难救。
川硝散
朴硝（五分） 真紫雪（二分） 盐（一分）
上为细末，以竹沥调敷舌上。
泻心导赤汤（方见吐舌）
Nong She (Trembling Tongue) is characterized by the frequent trembling of the tongue within the mouth. This condition arises from Heat accumulation in the Heart and Spleen, leading to dry and cracked lips, accompanied by irritability, dry tongue, and foul-smelling stool. Xie Huang San (Spleen-Draining Powder) and Dao Chi San (Guiding Out Red Powder) are effective treatments.
[Note] When a child's tongue trembles in the mouth, it is due to Heat in the Heart and Spleen, resulting in scorched lips, dry tongue, irritability, and foul stool. One should first administer Xie Huang San (Spleen-Draining Powder), followed by Xie Xin Dao Chi Tang (Heart-Draining and Guiding-Out Red Decoction).
Xie Huang San (Spleen-Draining Powder)
Huoxiang Ye (Leaf of Agastache rugosa)
Shanzhizi (Fructus Gardeniae jasminoidis, stir-fried)
Shigao (Gypsum Fibrosum)
Fangfeng (Radix Saposhnikoviae divaricatae)
Gancao (Radix Glycyrrhizae uralensis, raw)
Add Dengxincao (Medulla Junci) as a guiding herb; decoct with water for administration.
[Prescription Song] For Nong She (Trembling Tongue), Xie Huang San (Spleen-Draining Powder) is most miraculous; Huoxiang Ye (Leaf of Agastache rugosa) paired with Shanzhizi (Fructus Gardeniae jasminoidis), Gancao (Radix Glycyrrhizae uralensis), Fangfeng (Radix Saposhnikoviae divaricatae), and Shigao (Gypsum Fibrosum); decoct temporarily and add Dengxincao (Medulla Junci).
Xie Xin Dao Chi Tang (Heart-Draining and Guiding-Out Red Decoction) (See "Tu She" section for formula).
Chong She (Double Tongue) presents as swelling protruding below the tongue, resembling the shape of a tongue. This is caused by Heat accumulation in the Heart and Spleen rushing upward. Internally, Qing Re Yin (Heat-Clearing Drink) is indicated; externally applying Liang Xin San (Heart-Cooling Powder) yields the best results.
[Note] Chong She (Double Tongue) gets its name because the swelling near the root of the tongue beneath the tongue resembles a tongue. This is due to Heat in the Heart and Spleen. It is suitable to take Qing Re Yin (Heat-Clearing Drink) and blow Liang Xin San (Heart-Cooling Powder) externally.
Qing Re Yin (Heat-Clearing Drink)
Huanglian (Rhizoma Coptidis chinensis, raw)
Shengdi (Radix Rehmanniae glutinosae preparata)
Mutong (Caulis Akebiae trifolatae)
Gancao (Radix Glycyrrhizae uralensis, raw)
Lianqiao (Fructus Forsythiae suspensae, heart removed)
Lianzi (Semini Nelumbinis nuciferae)
Use Danzhuye (Folium Phyllostachydis nigrae) water as a reference for decoction; administer frequently into the mouth.
[Prescription Song] Qing Re Yin (Heat-Clearing Drink) contains Huanglian (Rhizoma Coptidis chinensis), Shengdi (Radix Rehmanniae glutinosae preparata), Lianzi (Semini Nelumbinis nuciferae), Mutong (Caulis Akebiae trifolatae), and Gancao (Radix Glycyrrhizae uralensis); adding Lianqiao (Fructus Forsythiae suspensae) and Danzhuye (Folium Phyllostachydis nigrae), decoct together for natural peace.
Liang Xin San (Heart-Cooling Powder)
Qingdai (Indigo Naturalis)
Pengsha (Borax)
Huangbai (Cortex Phellodendri amurensis)
Huanglian (Rhizoma Coptidis chinensis, mixed with human milk and sun-dried)
Renzhongbai (Calcinatio excrementi humani, calcined, two qian each)
Fenghuaxiao (Natrii Sulfas efflorescens, one qian)
Bingpian (Borneolum syntheticum, two fen)
Grind all ingredients into an extremely fine powder and blow into the affected area; this is very effective.
Mu She (Wooden Tongue) is formed by Heat accumulation in the Heart and Spleen. The tongue swells and becomes hard like wood, indicating a generally ominous prognosis. Externally apply Chuanxiao San (Chuanxiao Powder) to the tongue; internally administer Xie Xin Dao Chi Tang (Heart-Draining and Guiding-Out Red Decoction).
[Note] Mu She (Wooden Tongue) is entirely caused by Heat accumulation in the Heart and Spleen. Since the meridians of the Spleen run under the tongue, and the tongue is the sprout of the Heart, when Fire rushes upward, it causes the child's tongue to swell fully, become hard like wood, and unable to move, hence the name Mu She (Wooden Tongue). Externally apply Chuanxiao San (Chuanxiao Powder) to the tongue; internally administer Xie Xin Dao Chi Tang (Heart-Draining and Guiding-Out Red Decoction). If not treated urgently, it will inevitably become incurable.
Chuanxiao San (Chuanxiao Powder)
Puxiao (Natrii Sulfas, five fen)
Zhen Zixue (Zixue Dan, prepared, two fen)
Yan (Sal, one fen)
Grind the above ingredients into a fine powder, mix with Zhuli (Succus Bambusae), and apply to the tongue.
Xie Xin Dao Chi Tang (Heart-Draining and Guiding-Out Red Decoction) (See "Tu She" section for formula).