（附论）
夫时气发汗吐下之后。表里俱虚。毒瓦斯未散。攻心脾上焦热躁。故口舌生疮也。
方
升麻散（出圣惠方）治时气热盛。口中生疮。
川升麻（一两） 木通（锉） 射干 麦门冬（去心） 芦根 羚羊角屑（各一两） 上
为散。
每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
大青散（出圣惠方）治时气咽痛口疮。烦躁头重。
大青（一两） 黄芩（一两） 川升麻（一两） 麦门冬（去心一两） 栀子仁（一两）
甘草
（炙微赤锉一两） 上为散。每服四钱。以水一中盏。入竹叶三七片。煎至六分。去滓。不
计
时候。温服。
麦门冬散（出圣惠方）治时气热盛。昏沉如醉。及腹胁痛。百节酸疼。舌裂
生疮。
麦门冬（一两去心） 川升麻（三分） 柴胡（一两去苗） 赤芍药（三分） 石膏（二
两） 淡
竹叶（三分） 甘草（三分炙微赤锉） 豉（二合） 上为散。每服五钱。以水一大盏。入
葱白二
茎。煎至五分。去滓。不计时候。温服。
治时气心脾脏热毒。舌裂。满口生疮。（出圣惠方）
川升麻（一两） 黄柏（半两锉） 苦竹叶（半两） 射干（三分） 大青（半两） 龙
胆（五钱）
玄参（五钱） 生干地黄（半两） 上为散。每服五钱。用水一大盏。煎至五分。去滓。入
蜜半
合。搅匀。不计时候。徐徐含咽之。
犀角散（出圣惠方）治时行气心脾脏热毒上冲。遍口生疮。
大青（半两） 犀角屑（一两） 玄参（一两） 胡黄连（半两） 川升麻（三分） 甘
草（生锉
三分） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
黄连散（出圣惠方）治时气兼口舌生疮。
黄连（一两五钱去须） 川大黄（三分） 川升麻（三分） 黄芩（三分） 甘草（生
锉三分）
上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治时气壅热。口内生疮。（出圣惠方）
黄连（一两五钱去须） 甘草（生锉一两） 麦门冬（去心一两） 玄参（一两） 柴
胡（去苗一
两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
酪酥煎丸 治天行热盛。口中生疮。病既发汗。表里俱虚。而毒瓦斯未尽。熏蒸上焦
。故喉口生疮。
酪酥（三合） 蜜（三合） 大青（一两） 上三味。合煎三沸。稍稍敷口。以瘥为度。
又口疮方 治天行热盛。口中生疮。
取蛇莓五升。捣绞取汁。稍稍饮之。一方绞汁一斗。煎取五升。饮之。
升麻汤 治天行时热病口疮。
升麻（二两） 通草（四两） 射干（二两） 羚羊角屑（三两） 芍药（三两） 生
芦根（切一
升） 上切。以水七升。煮取三升。分为三服。如人行五里时更服。
柴胡汤 治天行病后。乍寒乍热。昏昏不省。觉胁下痛。百节骨疼。不能下食。
兼口舌干生疮。
柴胡（八分） 升麻（六分） 芍药（六分） 黄芩（六分） 麦门冬（六分去心） 香
豉（六分
绵裹） 生姜（六分） 甘草（五分） 石膏（一钱三分绵裹） 葱白（一钱） 竹叶（切
一升洗）
上切。以水九升。煮取二升五合。绞去滓。分温三服。如人行六七里进一服。不吐不利瘥。
忌海藻、菘菜、热面、油腻。
治天行热盛。口中生疮。
用黄柏皮。削去上粗皮。取里好处。入薄荷、蜜、渍之一宿。惟欲令浓。含其汁。良。
吐更含。若胸中热有疮。时饮三五合。尤佳。
(Attached Discussion)
After the administration of diaphoresis (sweating), emesis, or purgation for a seasonal epidemic disease, both the exterior and interior are deficient. The pathogenic toxic qi has not yet dissipated. Heat and irritability attack the Heart, Spleen, and Upper Jiao. Therefore, sores arise in the mouth and tongue.
Formulas
Shengma San (Cinnamon Twig Powder) [Source: *Shenghui Fang*]: Treats excessive heat from seasonal epidemic pathogens with sores in the mouth.
Chuan Shengma (*Rhizoma Cimicifugae*, 1 liang), Mutong (*Caulis Akebiae*, cut), Shegan (*Radix Belamcandae*), Maimendong (*Radix Ophiopogonis*, heart removed), Lugeng (*Rhizoma Phragmitis*, each 1 liang). Grind the above into a powder.
Take 5 qian per dose. Boil in one da zhen (large cup) of water until reduced to five fen (parts). Strain the dregs. Take warm at any time.
Daqing San (Indigo Naturalis Powder) [Source: *Shenghui Fang*]: Treats sore throat and mouth sores due to seasonal epidemic pathogens, accompanied by irritability and heavy head.
Daqing (*Folium Isatidis*, 1 liang), Huangqin (*Radix Scutellariae*, 1 liang), Chuan Shengma (*Rhizoma Cimicifugae*, 1 liang), Maimendong (*Radix Ophiopogonis*, heart removed, 1 liang), Zhizi Ren (*Semen Gardeniae*, 1 liang), Gancao (*Radix Glycyrrhizae*, roasted until slightly red and cut, 1 liang). Grind the above into a powder. Take 4 qian per dose. Add 37 slices of Zhuye (*Folium Bambusae*) to one zhong zhen (medium cup) of water. Boil until reduced to six fen. Strain the dregs. Take warm at any time.
Maimendong San (Ophiopogon Powder) [Source: *Shenghui Fang*]: Treats excessive heat from seasonal epidemic pathogens causing mental confusion as if drunk, abdominal and hypochondriac pain, soreness and pain in all joints, cracked tongue, and sores.
Maimendong (*Radix Ophiopogonis*, 1 liang, heart removed), Chuan Shengma (*Rhizoma Cimicifugae*, 3 fen), Chaihu (*Radix Bupleuri*, 1 liang, radix removed), Chi Shaoyao (*Radix Paeoniae Rubra*, 3 fen), Shigao (*Gypsum Fibrosum*, 2 liang), Dan Zhuye (*Folium Bambusae*, 3 fen), Gancao (*Radix Glycyrrhizae*, roasted until slightly red and cut, 3 fen), Chi (*Semen Sojae Preparatum*, 2 he). Grind the above into a powder. Take 5 qian per dose. Add two stems of Congbai (*Bulbus Allii Cepae*) to one da zhen of water. Boil until reduced to five fen. Strain the dregs. Take warm at any time.
Treats heat-toxin of the Heart and Spleen organs due to seasonal epidemic pathogens, resulting in cracked tongue and sores throughout the mouth. [Source: *Shenghui Fang*]
Chuan Shengma (*Rhizoma Cimicifugae*, 1 liang), Huangbo (*Cortex Phellodendri*, half liang, cut), Ku Zhuye (*Folium Bambusae*, half liang), Shegan (*Radix Belamcandae*, 3 fen), Daqing (*Folium Isatidis*, half liang), Longdan (*Radix Gentianae*, 5 qian), Xuanshen (*Radix Scrophulariae*, 5 qian), Sheng Gan Dihuang (*Radix Rehmanniae Preparata*, half liang). Grind the above into a powder. Take 5 qian per dose. Use one da zhen of water, boil until reduced to five fen. Strain the dregs, add half he of honey, and stir evenly. Take slowly by holding in the mouth and swallowing at any time.
Xijiao San (Rhinoceros Horn Powder) [Source: *Shenghui Fang*]: Treats upward rushing of heat-toxin from the Heart and Spleen organs due to seasonal epidemic pathogens, causing sores all over the mouth.
Daqing (*Folium Isatidis*, half liang), Xijiao Xie (*Cornu Rhinocerotis*, 1 liang), Xuanshen (*Radix Scrophulariae*, 1 liang), Huhuanglian (*Rhizoma Coptidis*? Note: Text says Hu Huanglian, likely *Radix Picrorhizae* or similar bitter cold herb, here translated as Picrorhiza Root), Chuan Shengma (*Rhizoma Cimicifugae*, 3 fen), Gancao (*Radix Glycyrrhizae*, raw and cut, 3 fen). Grind the above into a powder. Take 5 qian per dose. Use one da zhen of water, boil until reduced to five fen. Strain the dregs. Take warm at any time.
Huanglian San (Coptis Powder) [Source: *Shenghui Fang*]: Treats seasonal epidemic pathogens accompanied by mouth and tongue sores.
Huanglian (*Rhizoma Coptidis*, 1 liang 5 qian, remove mustache), Chuan Dahuang (*Radix et Rhizoma Rhei*, 3 fen), Chuan Shengma (*Rhizoma Cimicifugae*, 3 fen), Huangqin (*Radix Scutellariae*, 3 fen), Gancao (*Radix Glycyrrhizae*, raw and cut, 3 fen). Grind the above into a powder. Take 5 qian per dose. Use one da zhen of water, boil until reduced to five fen. Strain the dregs. Take warm at any time.
Treats obstructive heat from seasonal epidemic pathogens with sores inside the mouth. [Source: *Shenghui Fang*]
Huanglian (*Rhizoma Coptidis*, 1 liang 5 qian, remove mustache), Gancao (*Radix Glycyrrhizae*, raw and cut, 1 liang), Maimendong (*Radix Ophiopogonis*, heart removed, 1 liang), Xuanshen (*Radix Scrophulariae*, 1 liang), Chaihu (*Radix Bupleuri*, remove radix, 1 liang). Grind the above into a powder. Take 5 qian per dose. Use one da zhen of water, boil until reduced to five fen. Strain the dregs. Take warm at any time.
Laosu Jian Wan (Cheese and Butter Decoction Pills): Treats excessive heat from heavenly travel (epidemic) pathogens with sores in the mouth. After the disease has undergone sweating, both exterior and interior are deficient, but toxic qi is not fully exhausted, steaming the Upper Jiao, thus causing sores in the throat and mouth.
Lasu (*Casei Sudor*? Likely cheese/butter derivative, 3 he), Mi (*Mel*, 3 he), Daqing (*Folium Isatidis*, 1 liang). Combine the above three ingredients and boil three times. Apply slightly to the mouth. Continue until healed.
Another formula for mouth sores: Treats excessive heat from epidemic pathogens with sores in the mouth.
Take 5 sheng of Semem Rubi Corani? No, "She Mei" is *Duchesnea indica* (Snakeberry). Crush and squeeze to obtain juice. Drink slowly. Another method: Squeeze one dou of juice, boil down to five sheng, and drink.
Shengma Tang (Cimicifuga Decoction): Treats mouth sores caused by epidemic seasonal heat diseases.
Shengma (*Rhizoma Cimicifugae*, 2 liang), Tongcao (*Medulla Tetrapanacis*, 4 liang), Shegan (*Radix Belamcandae*, 2 liang), Lingyangjiao Xie (*Cornu Saigae Tataricae*, 3 liang), Shaoyao (*Radix Paeoniae Alba/Lactiflora*, 3 liang), Sheng Lugeng (*Rhizoma Phragmitis*, sliced, 1 sheng). Cut the above. Boil in seven sheng of water until three sheng remain. Divide into three doses. Administer another dose after the patient walks five li.
Chaihu Tang (Bupleurum Decoction): Treats post-epidemic symptoms including alternating chills and fever, mental confusion and unconsciousness, pain under the ribs, bone pain in all joints, inability to eat, accompanied by dry mouth and tongue sores.
Chaihu (*Radix Bupleuri*, 8 fen), Shengma (*Rhizoma Cimicifugae*, 6 fen), Shaoyao (*Radix Paeoniae*, 6 fen), Huangqin (*Radix Scutellariae*, 6 fen), Maimendong (*Radix Ophiopogonis*, 6 fen, heart removed), Xiangchi (*Semen Sojae Preparatum*, 6 fen, wrapped in silk), Shengjiang (*Rhizoma Zingiberis Recens*, 6 fen), Gancao (*Radix Glycyrrhizae*, 5 fen), Shigao (*Gypsum Fibrosum*, 1 qian 3 fen, wrapped in silk), Congbai (*Bulbus Allii Cepae*, 1 qian), Zhuye (*Folium Bambusae*, sliced, 1 sheng, washed). Cut the above. Boil in nine sheng of water until two sheng 5 he remain. Strain the dregs. Divide into three warm doses. Administer one dose after the patient walks six or seven li. If there is no vomiting or diarrhea, the disease resolves. Avoid consuming Haizao (*Thallus Laminariae/Kelp*), Songcai (*Brassica pekinensis*), hot noodles, and greasy foods.
Treats excessive heat from epidemic pathogens with sores in the mouth.
Use Huangbo Pi (*Cortex Phellodendri*). Scrape off the rough outer bark and take the inner good part. Add Bohe (*Herba Menthae*) and honey, soak overnight. Ensure the liquid is concentrated. Hold the juice in the mouth. This is effective. Spit out and hold again. If there is heat and sores in the chest, drinking 3-5 he occasionally is especially good.