重龈胎热胃中蓄，牙根肿胀痛难禁，刺破一字散敷上，继进清胃效如神。
【注】重龈者，因小儿在胎有热蓄于胃中，故牙根肿如水泡，名曰重龈，治法用针刺破，
以盐汤拭净，外敷一字散，内服清胃散，其肿自消。
一字散（方见悬痈）
清胃散
生地 丹皮 黄连 当归 升麻 石膏（ ）
引用灯心，水煎服。
【方歌】清胃散洽胃热熏，生地黄连当归身，丹皮升麻石膏 ，临煎须要入灯心。
鹅口白屑满舌口，心脾蕴热本胎原，清热泻脾搽保命，少迟糜烂治难痊。
【注】鹅口者，白屑生满口舌，如鹅之口也。由在胎中受母饮食热毒之气，蕴于心、脾
二经，故生后遂发于口舌之间。治法以清热泻脾散主之，外用发蘸井水拭口，搽以保命
散，日敷二三次，白退自安。倘治之稍迟，必口舌糜烂，吮乳不得，则难痊矣。
清热泻脾散
山栀（炒） 石膏（ ） 黄连（姜炒） 生地 黄芩 赤苓
引用灯心水煎服
【方歌】清热泻脾治鹅口，石膏生地赤苓煎，芩连栀子合成剂，加入灯心病即安。
保命散
白矾（烧灰） 朱砂（水飞，各二钱五分） 马牙硝（五钱）
上研末，以清水搅取汁，涂舌与口角上。
吐长收缓名吐舌，皆是心经有热成，面红烦渴溺赤涩，泻心导赤服即宁。
【注】吐舌者，伸长而收缓也，因心经有热所致，故面红、烦躁、口渴、尿赤，宜泻
心导赤汤主之。
泻心导赤汤
木通 生地 黄连 甘草（生）
引用灯心，水煎服
【方歌】泻心导赤汤最良，心热吐舌即堪尝，木通生地黄连草，灯心加入服自强。
Chongyin (Double Gum) is caused by fetal heat accumulating in the Stomach, leading to swelling of the gum roots and unbearable pain. The treatment involves pricking the lesion with a needle, applying Yizi San (One-Character Powder), followed by administering Qingwei San (Stomach-Clearing Powder), which yields miraculous effects.
[Note] Chongyin refers to the condition where the infant's gum roots swell like blisters due to heat accumulation in the Stomach during the fetal period. The treatment method is to prick the area with a needle, wipe it clean with salt water, apply Yizi San externally, and administer Qingwei San internally; the swelling will subside naturally.
Yizi San (Formula see Xuan Yong section)
Qingwei San (Stomach-Clearing Powder)
Sheng Di Huang (Rehmanniae Radix Preparata)
Dan Pi (Moutan Cortex)
Huang Lian (Coptidis Rhizoma)
Dang Gui (Angelicae Sinensis Radix)
Sheng Ma (Cimicifugae Rhizoma)
Shi Gao (Gypsum Fibrosum) [Dosage unspecified]
Use Deng Xin Cao (Junci Medulla) as a guide drug, decoct with water and take orally.
[Formula Song] Qingwei San treats stomach heat steaming upward, composed of Sheng Di Huang, Huang Lian, and Dang Gui Shen, along with Dan Pi, Sheng Ma, and Shi Gao; Deng Xin Cao must be added during decoction.
E Kou (Goose Mouth) presents with white debris covering the tongue and oral cavity, originating from heart-spleen heat accumulation rooted in the fetal stage. Treatment requires Qingre Xiapi San (Heat-Clearing and Splea-Draining Powder) combined with Baoming San (Life-Preserving Powder) for external application; if treatment is delayed, ulceration occurs and becomes difficult to cure.
[Note] E Kou refers to white debris filling the mouth and tongue, resembling a goose's beak. This results from heat-toxic qi from the mother's diet affecting the fetus, accumulating in the Heart and Spleen meridians, manifesting after birth on the tongue and mouth. The primary treatment is Qingre Xiapi San. Externally, use hair dipped in well water to wipe the mouth, then apply Baoming San twice or three times daily; once the white debris recedes, peace returns. If treatment is delayed, oral and lingual ulceration will occur, preventing breastfeeding, making recovery difficult.
Qingre Xiapi San (Heat-Clearing and Splea-Draining Powder)
Zhi Zi (Gardeniae Fructus, stir-fried)
Shi Gao (Gypsum Fibrosum) [Dosage unspecified]
Huang Lian (Coptidis Rhizoma, stir-fried with ginger juice)
Sheng Di Huang (Rehmanniae Radix Preparata)
Huang Qin (Scutellariae Radix)
Chi Fu Ling (Poria Cocos with Red Mycelium)
Use Deng Xin Cao (Junci Medulla) as a guide drug, decoct with water and take orally.
[Formula Song] Qingre Xiapi San treats E Kou, decocted with Shi Gao, Sheng Di Huang, and Chi Fu Ling; Huang Qin, Huang Lian, and Zhi Zi form the mixture; adding Deng Xin Cao ensures immediate relief.
Baoming San (Life-Preserving Powder)
Bai Fan (Alumen, burnt to ash)
Zhu Sha (Cinnabaris, water-ground, each 2.5 qian)
Ma Ya Xiao (Natrii Sulfas, 5 qian)
Grind the above into powder, mix with clear water to extract juice, and apply to the tongue and corners of the mouth.
Tu She (Protruding Tongue) is characterized by the tongue extending outward and retracting slowly, caused by heat in the Heart meridian. Symptoms include red face, irritability, thirst, and dark, scanty urine. Administer Xie Xin Daochi Tang (Heart-Draining and Channel-Guiding Decoction) for immediate relief.
[Note] Tu She refers to the tongue protruding and retracting slowly, caused by heat in the Heart meridian, resulting in symptoms such as facial redness, restlessness, thirst, and dark urine. The appropriate treatment is Xie Xin Daochi Tang.
Xie Xin Daochi Tang (Heart-Draining and Channel-Guiding Decoction)
Mu Tong (Akebiae Caulis)
Sheng Di Huang (Rehmanniae Radix Preparata)
Huang Lian (Coptidis Rhizoma)
Gan Cao (Glycyrrhizae Radix et Rhizoma, raw)
Use Deng Xin Cao (Junci Medulla) as a guide drug, decoct with water and take orally.
[Formula Song] Xie Xin Daochi Tang is most effective; for heart-heat causing protruding tongue, consume this formula. It consists of Mu Tong, Sheng Di Huang, Huang Lian, and Gan Cao; adding Deng Xin Cao enhances its efficacy.