此症心经毒瓦斯。少腹邪风。发于听会之端。注于会膺之侧。列生如 。闭塞难通。不能饮食
。红肿发热。渐次溃脓。软而胀疼。此症初起用连翘当归散。日久用千金内托。吹秘加生
肌。贴白膏。外腐内溃。汤随水孔出者。曾治数人亦效。
连翘当归散
当归 生地 连翘 前胡 甘草 枳壳 桔梗 黄芩 粘子 白芍 元参 花粉
引用灯心。初起外用蜒蚰片麝。杵烂敷之妙。
锁喉风症心经毒。少腹火气及邪风。发于听会初如 。咽喉闭塞气难通。当用连翘宜进服。
脓成内托散收功。秘合生肌吹患处。初起麝蚰敷即松。
\r喉肿图\p05-c16a49.bmp\r
此症起于脾经。食煎炒油炽等物。及饮酒太过而行房事。以致毒瓦斯不能流行。聚结喉根。若
不速治。毒闭即死。治者先去痰涎。后吹秘药。服八正顺气汤。
喉肿脾家湿热生。醉后行房所致成。气不流通结喉下。先探痰涎秘药噙。八正顺气宜煎服。
管教患者得安宁。
\r骨槽风图\p05-c16a50.bmp\r
此症忧愁多虑。太阳受病。结于大肠之间。邪毒交生。蕴于经络之内。或郁怒伤肝。致筋骨
紧急。思虑伤脾。致肌肉结肿。膏粱浓味。致酿脓秽小儿生此。乃气禀虚弱。感暑风湿热。
食肥甘。而起于耳前。或耳下。腮肿连项。隐隐皮肉痛彻筋骨。略有小核。如李大。红肿。
寒热如疟。或下或上。或左或右。牙关紧急。初生坚硬不消。久则疮口难愈。先探风痰。初
宜艾灸。肿项。及耳下五分。各灸七壮。膏贴之。以泄内毒。用金箍散。加追风散。敷外肿
处。牙关肿处。吹本追风散。刀刺出血。吹秘。服清阳散火汤。溃后服千金内托加五味麦冬
。或中和汤。吹秘。合生肌。使水升木降。脾健金清乃愈。若外腐不合。虚热不退。坚硬
不消。形体消瘦者死。
清阳散火汤。治牙根尽处结肿。连及耳项作痛。
升麻（四分） 白芷（七分） 黄芩 当归 粘子 连翘 防风 荆芥（各一钱四分） 甘草（四分） 石膏（三
钱） 白蒺藜（一钱）
水煎。食后服。
骨槽风起太阳经。皆因郁怒致伤筋。思虑伤脾肌肉结。耳下牙关急痛生。垂下五分针七壮。
吹用追风亦用针。清阳散火初宜用。中和内托值千金。
\r死舌痈图\p05-c16a51.bmp\r
此症因久积热毒于心而起。舌肿色白。如木舌相似。但木舌小硬。此肿而白。治者以刀刮去
白皮。用追风散。加冰麝青皮干姜末。手指湿水。蘸擦舌上即愈。肿甚刺金津玉液。出血。
吹秘。服学士汤。含口水药。时吹本秘。日久脓成。左右挑放舌出黑血。刺治不转色。舌卷
不能言。并舌硬者死。
死舌痈生如木舌。其形白色肿多疼。刮去白苔须洗净。追风冰麝干姜青。玉液金津宜去血
。吹秘还将水药噙。瀛洲学士汤宜服。舌卷黑色命无存。
\r莲花钿舌图\p05-c16a52.bmp\r
此症因心经积热。及气郁劳伤。兼挟暑湿热之气而起。舌下生五峰。尖似莲花之状。三峰者
轻。七峰者重。有痰追风取痰。吹本于旁。峰上出血吹秘。中尖乃心之苗。切不可针。以伤
人命。初起服黄连泻心汤。并学士汤。日久则服千金内托散。脓熟刺放吹秘。再吹生肌散。
亦有生于舌上者。比舌高寸许。在下根两旁放血。吹本秘即愈。
细舌莲花何以因。皆由积热在心经。三五七峰生舌下。形似莲花取此名。忌伤舌下中央穴。
须针玉液与金津。有脓内托千金散。初起黄连学士汤。
\r珍珠毒图\p05-c16a53.bmp\r
此症小儿饮甘甜热物。或母喜饮。或胎中受热而生。舌上如珠。先赤紫。后白黄。疼痛难
。大者吹本。针刺出血。次吹秘。少加冰片。小者吹秘。服三黄凉膈散。或化毒丹。如不能
饮者。令母饮之。搽秘于乳头上。令小儿吞之。舌珠亦同。
舌上生起珍珠毒。皆由火毒犯心经。红黄赤白多疼痛。小刀去血秘药灵。三黄凉膈除心火。
化毒丹丸孩子吞。
\r螓舌图\p05-c16a54.bmp\r
此症因心膈蕴积热毒而生于舌。老者难医。少者尤可。若有孔。则全症也。或有一二孔。其
中流血。或在左右。有黑心。大者用药烂去黑心。小者用针挑去。用水药洗净。吹本。服三
黄凉膈二三剂。如不收口。用生肌散拌匀用。
螓舌因心劳郁气。舌生四眼是全角。或生一二流鲜血。年老难除少者生。三黄凉膈初宜进。
黑心挑去秘吹频。收功全在生肌散。舌硬疮生命不存。
\r雀舌图\p05-c16a55.bmp\r
此症因心膈蕴积热毒。感风热气郁劳苦而生。或上或左右。疼痛臭烂。舌上生苔。并腮
肿。治者吹本均。割去。次吹本秘数次。服三黄丸化之。雀舌小者。以刀剔破。不必割。如
不收口用生肌散。
雀舌感风由郁气。生于舌畔苦多痰。吹本用刀须割去。还吹秘药内加均。三黄凉膈宜多服。
收口生肌如入神。
\r卷舌痈图\p05-c16a56.bmp\r
此症因风热感于心经。或煎炒热物而生舌下。或左右。或正中。形如圆眼。或如枣核。肿疼
不堪。言语不能。舌卷紫硬。初起吹本。去血吹秘均。服黄连泻心。加金银花贝母花粉。日
久去脓吹秘。服千金内托散。后用生肌散收口。
卷舌痈生于舌下。或左或右或居中。形如果核多疼痛。舌黄卷紫闭喉咙。患处用刀宜点破。
均秘吹之有大功。黄连泻心加贝母。日久千金内托通。
\r舌上生痈图\p05-c16a57.bmp\r
此症心经积热。生疮于舌。状似杨梅。作事心烦。服窦氏甘桔汤。栀子。后服黄连解毒汤。
吹秘。不用刀针。或有痰结于舌上。成核强硬者。吹冰硼散。刀刺出血。服加味二陈。
舌上生疮名肿 。多由火毒内干心。作事烦躁多痛苦。秘吹不可用刀针。甘桔黄连先后服。
舌上痰凝用二陈。
\r舌衄图\p05-c16a58.bmp\r
此症因心火炽盛而起。形如簪孔。出血不止。治者掺槐花末于孔处。服犀角丹皮生地赤芍
。黄连当归黄芩山栀。蒲黄炒黑。共煎服。
又方
赤豆一升。杵碎。水三碗。和捣取汁。每服一盏。不拘时刻。
舌衄皆由心火盛。形如簪孔血流鲜。急须上掺槐花末。四物丹犀与黄连。赤豆一升生杵碎。
水和煎汁服通仙。
\r舌上龟纹图\p05-c16a59.bmp\r
此症思虑太甚。多醒少睡。虚火动而起。口破舌若无皮。色淡而白斑细点。甚者陷路龟纹。
脉虚不渴。治者用四物汤。加黄柏、知母、丹皮、肉桂为引导。从治法也。外以柳花散搽之
。不可误作实火。用寒凉之剂。并书实症于后。以备参考。
实火因膏粱浓味醇酒炙爆。心火旺而发。其色红紫。满口烂斑。甚者腮舌俱肿。脉实口干
。宜服凉膈。吹秘。如舌上生疮。舌干黄破。作渴。加八味丸滋化源。俱禁水漱。
舌上龟纹虚火动。状若无皮色淡红。四物桂丹加知柏。柳花散药漫收功。忌用寒凉多克伐。
实火休言在此中。
\r痰泡图\p05-c16a60.bmp\r
此症乃痰饮乘火。流行凝注。舌下结成痰肿。绵软不硬。有妨饮食。作痛不安。治者吹本。
用刀将泡刺破。捺干其中之痰。吹冰硼散。服二陈汤。如愈后复发。服清热如圣散。
痰饮火升流舌下。壅肿如绵痛不安。吹本用刀须刺破。流去痰胶捺令干。还要吹上冰硼散。
二陈加减即安然。
\r泡舌图\p05-c16a61.bmp\r
此症因火上冲。痰随火上注。舌忽胀满口中。软如猪尿泡形。不疼痛。口中流涎。妨言语。
治者看舌下有青泡如蟹眼。吹本秘。挑破捺净其痰。以温汤漱净吹秘。加冰硼元明粉。服加
味二陈汤。加牛蒡连翘木通花粉。一人舌忽肿胀退场门。痛如针刺。遇一游僧。云是蜈蚣毒沿
碗上。人食染毒。用雄鸡血一盏浸舌。搽玉枢丹。亦可服。如无。雄黄朱砂冰片研极细末。
吹患处。亦妙。泡舌像如猪脬形。痰随火上犯心经。不疼不痛妨言语。满口流涎食不成。
舌下青筋宜刺破。流出痰如鸡蛋清。秘合冰硼吹患处。服药增加用二陈。
\r连珠喉风图\p05-c16a62.bmp\r
此症因心经火毒上冲。而生舌下。其形如珠。初见一二。少顷蔓生盛。三五七八九如贯珠。
舌胀痰升。不能饮食。治者探去风痰。吹本药于患上。逐粒去血。兼刺玉液金津。吹秘。
服黄连泻心汤。
连珠风起似连珠。心火冲生舌下瘀。蔓生三五七八九。舌胀痰生探吐愈。吹本用刀须刺破。
玉液金津血亦祛。黄连泻心汤内服。如斯治法外无余。
\r气单图\p05-c16a63.bmp\r
此症受湿热七情所伤郁气而起。靠舌根横起紫红色筋。治者吹本于筋上。用一大针。将桐油
蘸。烧红。照图式上根据横筋针七处。次将三小针。扎品字样。每大针孔。各针二次。共成四
十九针。如舌根肿。灸外边喉下横三穴。口内烟出乃止。如不出烟。七壮为止。服凉膈散。
或甘桔汤数剂。吹秘自愈。
气单郁结原由起。舌根横紫起青筋。吹本大针针七次。每针品字各三针。外边喉下横三灸。
凉膈三黄并二陈。以上共针四十九。调理须知要养神。
\r悬疔图\p05-c16a64.bmp\r
此症受风热。或食煎炒浓味。或重衣叠被。或思虑过度。心火上冲蒂疔。卒然紫肿。吞吐不
利。治者不可用刀针。只吹秘。或用乌龙尾。和炒盐。用箸头点上。用枕卧一时。甚者服三
黄汤。加木通桔梗。去川芎。
悬疔之症由火生。重衣浓味起心经。倏忽蒂中垂下肿。秘吹切忌用刀针。盐水同炒乌龙尾。
研吹仰卧片时停。甚者宜服三黄汤。通桔粘子荆防功。
\r木舌图\p05-c16a65.bmp\r
此症因心火太盛而起。舌硬如山。憎寒壮热。言语謇涩。内服黄连泻心汤。外吹秘。以刀
刺紫肿处去血。再针金津玉液。出血自愈。又或舌上紫肿。用飞朴。加冰片少许搽之。出涎
自愈。或吹冰硼散。
木舌皆由心火盛。舌如木硬紫多疼。壮热憎寒言謇涩。吹秘舌下刺青筋。黄连泻心汤内
服。间吹本秘合冰硼。刀刺紫肿去血后。再针玉液与金津。
\r七星疮图\p05-c16a66.bmp\r
此症因脾经积热。上 属脾。脾气通于喉。故上 生疮。似粟如珠。或黄或白。口中腥臭。
手足怕冷。身体畏寒。治者用水药。或苦茶拭净。吹秘。服清脾降火汤。戒酒色。
七星疮生喉上 。皆由热毒积脾经。似粟如珠黄白色。满口涎流极臭腥。手足畏寒身发热。
苦茶拭净吹秘频。降火清脾噙水药。如斯指日可回生。
\r口疮图\p05-c16a67.bmp\r
此症因劳碌。乃食火酒炙爆椒姜之物而起。小儿食肥甘。或胎受毒。或母病食热乳而生。或
红紫。或黄白。疼痛流涎。难以饮食。甚者发热恶寒。口干便闭。治者用米泔或苦茶。青布
蘸拭净。出血不妨。吹秘。服粘子解毒汤。加栀子或三黄汤。如小儿不能服之。只以犀角
化毒丹服。小儿服之如臭。用秘。加人中黄黄连冰片麝香。研极细末。吹之。
口疮积热在心经。满口生疮黄白形。米泔拭净时吹秘。甚宜去血火方平。粘子解毒三黄汤
。服之退火与凉心。小儿化毒汤宜服。桑叶汁涂疮自轻。
\r悬蜞风图\p05-c16a68.bmp\r
此症上焦蕴积热毒。风痰塞壅而起。上 肿垂。形如蛙腹。或如鸡子。咽喉闭塞。痰涎满口
。治者用元明粉醋。探去风痰。吹本药于肿处。刀刺去血。吹秘。服三黄凉膈散。有表症者
。服荆防败毒散。日久千金内托散。
悬蜞风毒生上 。形如蛙腹闭喉咙。探痰须用元明醋。本吹刺血秘相攻。内服三黄凉膈散。
表症荆防大有功。有脓千金内托散。顿教患者喜重重。
\r出汗生痈图\p05-c16a69.bmp\r
此症受湿热。出汗过多而起。治者吹追风散。刀刺去血。吹秘加均本。如不肿疼。其内定破
。吹秘。次以均多加冰片儿茶硼砂青黛末。吹之。不用本药。有痰，以元明粉醋探去。有脓
。千金内托。不收口。生肌散。
汗出生痈余毒因。追风吹上用刀针。秘均加末时吹上。内服三黄桔梗汤。探痰须用元明
醋。脓成须速用千金。出脓疮口多疼痛。生肌吹上实时平。
\r咂舌痈图\p05-c16a70.bmp\r
此症受风热酒毒湿痰而起。牙龈里两边生痈。致舌短大。两边未破。吹本。针破去血。吹秘
。已破吹本秘。或擦追风散于舌上。两边臭烂。秘合生肌。加冰麝吹之。水药噙口。起初服
学士汤。或粘子解毒汤。已成。服千金内托散。有痰。亦须探去。
咂舌痈生舌两边。口中腥臭吐稠涎。未破痈头宜刺破。秘本生肌合共吹。学士神方粘子解。
已成内托散神仙。
\r撮口喉风图\p05-c16a71.bmp\r
This condition arises from toxic heat in the Heart Meridian and pathogenic wind in the lower abdomen. The disease manifests at the end of the Tinghui point (Auditory Meeting) and flows to the side of the Huiying point (Meeting of Chest). Lesions grow like millet grains, causing blockage and difficulty in swallowing. Symptoms include redness, swelling, fever, gradual suppuration and ulceration, with softness and distending pain. At the initial stage, use Liaoqiao Danggui San (Forsythia and Angelica Powder). For chronic cases, use Qianjin Neituo San (Thousand Gold Internal Support Powder). Apply secret powder for tissue regeneration externally, and apply Bai Gao (White Plaster). If external necrosis and internal ulceration occur, with pus discharging through water-like pores, several cases have been treated successfully.
Liaoqiao Danggui San (Forsythia and Angelica Powder)
Ingredients: Dang Gui (Angelicae Sinensis Radix), Sheng Di (Rehmanniae Radix), Liao Qiao (Forsythiae Fructus), Qian Hu (Peucedani Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhi Ke (Aurantii Fructus), Jie Geng (Platycodonis Radix), Huang Qin (Scutellariae Radix), Nian Zi (Arctii Fructus), Bai Shao (Paeoniae Radix Alba), Yuan Shen (Scrophulariae Radix), Hua Fen (Trichosanthis Radix).
Guide herb: Deng Xin Cao (Junci Medulla).
For initial stages, apply Yan You (Helix Aspersa) mixed with She Xiang (Moschus), pounded into a paste and applied topically, which is highly effective.
Song for Suohou Feng (Lock-Throat Wind):
Toxic heat of the Heart Meridian combines with fire qi and pathogenic wind from the lower abdomen, manifesting at Tinghui. Initially resembling millet grains, it causes throat blockage and breathing difficulty. One should take Liaoqiao San; when pus forms, use Neituo San to conclude treatment. Secret powder is blown onto the lesion. Initial application of Moschus and Helix Aspersa provides relief.
Image: Hou Zhong (Throat Swelling)
This condition originates from the Spleen Meridian, caused by consuming fried, oily, and hot foods, excessive alcohol intake, and sexual activity. This leads to toxic heat stagnation accumulating at the root of the throat. Without prompt treatment, toxic obstruction can be fatal. Treatment involves first inducing vomiting to remove phlegm and saliva, then applying secret powder, and administering Bazheng Shunqi Tang (Eight-Right Qi-Smooth Decoction).
Song for Hou Zhong (Throat Swelling):
Throat swelling arises from damp-heat in the Spleen, often resulting from intercourse after drunkenness. Qi stagnation knots below the throat. First probe out phlegm and saliva, hold secret medicine in the mouth. Decoct and drink Bazheng Shunqi Tang to ensure patient peace.
Image: Gu Cao Feng (Bone Trench Wind)
This condition is caused by excessive worry and anxiety, leading to pathogenic invasion of the Taiyang Meridian, knotting between the Large Intestine and other organs. Pathogenic toxins interact and accumulate within the meridians. Anger may injure the Liver, causing stiffness in tendons and bones; overthinking may injure the Spleen, causing muscle nodules; rich and greasy foods may generate pus and foulness. Children suffering from this condition have weak constitution, are affected by summer-heat, wind-dampness, and heat, and consume fatty and sweet foods. The disease starts before or below the ear, with cheek swelling extending to the neck, dull pain penetrating to bones and muscles, small nodules the size of a plum, redness, swelling, chills and fever resembling malaria, occurring on either side. The jaw becomes stiff. Initially hard and unresolving, ulcers become difficult to heal later. First, probe out wind-phlegm. Initially, moxa burn the swollen neck area and five fen below the ear, seven moxa cones each. Apply plaster to drain internal toxins. Use Jin Gu San (Golden Hoop Powder) combined with Zhui Feng San (Wind-Chasing Powder) applied to external swellings and jaw areas. Blow Zhui Feng San into the wound, prick to bleed, apply secret powder, and administer Qingyang Sanhuo Tang (Clear Yang Disperse Fire Decoction). After ulceration, take Qianjin Neituo San plus Wu Wei Zi (Schisandrae Fructus) and Mai Dong (Ophiopogonis Radix), or Zhonghe Tang (Neutralizing Decoction). Apply secret powder and regenerate tissue. When Water rises and Wood descends, Spleen strengthens and Metal clears, recovery occurs. If external necrosis fails to heal, deficiency heat persists, hardness remains, and emaciation sets in, death ensues.
Qingyang Sanhuo Tang (Clear Yang Disperse Fire Decoction): Treats swelling at the gum margin radiating pain to ears and neck.
Ingredients: Sheng Ma (Cimicifugae Rhizoma) 4 fen, Bai Zhi (Angelicae Dahuricae Radix) 7 fen, Huang Qin (Scutellariae Radix), Dang Gui (Angelicae Sinensis Radix), Nian Zi (Arctii Fructus), Liao Qiao (Forsythiae Fructus), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica) 1.4 qian each, Gan Cao (Glycyrrhizae Radix et Rhizoma) 4 fen, Shi Gao (Gypsum Fibrosum) 3 qian, Bai Ji Li (Tribuli Fructus) 1 qian.
Preparation: Decoct in water, take after meals.
Song for Gu Cao Feng (Bone Trench Wind):
Bone trench wind originates from the Taiyang Meridian, caused by anger injuring tendons. Overthinking injures Spleen causing muscle knots, pain in jaw and below ear. Seven moxa cones at five fen below. Blowing Zhui Feng powder and needling are used. Qingyang Sanhuo Tang is suitable initially; Zhonghe and Neituo powders are precious as gold.
Image: Si She Yong (Dead Tongue Abscess)
This condition arises from long-standing accumulated heat-toxin in the Heart. The tongue swells and turns white, resembling Mu She (Wooden Tongue). However, Wooden Tongue is smaller and harder, whereas this is swollen and white. The practitioner scrapes off the white layer with a knife, applies Zhui Feng San (Wind-Chasing Powder) mixed with Bing Pian (Borneolum Syntheticum), She Xiang (Moschus), Qing Pi (Citri Reticulatae Pericarpium Viride), and Gan Jiang (Zingiberis Rhizoma), wiping the tongue with wet fingers until healed. If swelling is severe, prick Jin Jin (Metal Spring) and Yu Ye (Jade Fluid) acupoints to bleed, apply secret powder, and administer Xueshi Tang (Scholar's Decoction). Hold saliva medicine in the mouth, frequently blowing secret powder. If pus forms after a long time, puncture left and right sides to discharge black blood from the tongue. If color does not change after pricking, tongue retracts preventing speech, and tongue becomes rigid, death occurs.
Song for Si She Yong (Dead Tongue Abscess):
Dead tongue abscess resembles wooden tongue, white and swollen with much pain. Scrape white coating clean. Use Zhui Feng powder with Borneol, Moschus, Dried Ginger, and Green Orange Peel. Prick Jade Fluid and Metal Spring to release blood. Blow secret powder and hold water medicine. Drink Yingzhou Xueshi Tang. If tongue retracts and turns black, life is lost.
Image: Lianhua Dian She (Lotus Ornament Tongue)
This condition arises from accumulated heat-toxin in the Heart Meridian, Qi stagnation, labor injury, combined with summer-heat and damp-heat. Five peaks appear under the tongue, sharp like a lotus flower. Three peaks indicate mild condition; seven peaks indicate severe condition. If phlegm exists, use Zhui Feng San to resolve phlegm, blow secret powder nearby. If peaks bleed, apply secret powder. The central peak is the sprout of the Heart; do not needle it to avoid fatal injury. Initially take Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart) and Xueshi Tang. Later take Qianjin Neituo San. When pus matures, prick to drain blood, blow secret powder, then apply Shengji San (Regenerate Tissue Powder). Some cases appear on the tongue surface, an inch higher than the tongue base; bleed from both sides of the lower root, blow secret powder for cure.
Song for Lianhua Dian She (Lotus Ornament Tongue):
Why does fine tongue resemble a lotus? All due to accumulated heat in the Heart Meridian. Three, five, or seven peaks grow under the tongue, named for its lotus-like shape. Avoid injuring the central acupoint under the tongue; must needle Jade Fluid and Metal Spring. If pus forms, use Thousand Gold Internal Support Powder. Initially take Coptis and Scholar's Decoctions.
Image: Zhenzhu Du (Pearl Poison)
This condition affects children who drink sweet, hot substances, or whose mothers prefer such drinks, or due to heat received in the womb. Pearls appear on the tongue, first reddish-purple, then yellowish-white, with severe pain. Larger lesions require blowing the primary powder, pricking to bleed, then blowing secret powder with added Borneol. Smaller lesions require only blowing secret powder. Administer Sanhuang Liangge San (Three-Yellow Cooling Chest Powder) or Huadu Dan (Detoxification Pill). If unable to swallow, the mother takes the medicine, and secret powder is applied to the nipple for the infant to swallow. Same method for tongue pearls.
Song for Zhenzhu Du (Pearl Poison):
Pearl poison grows on the tongue, caused by fire-toxin invading the Heart Meridian. Red, yellow, purple, and white colors cause much pain. Small knife removes blood, secret medicine is effective. Three-Yellow Cooling Chest clears Heart fire; Detoxification Pills are swallowed by children.
Image: Qin She (Cicada Tongue)
This condition arises from heat-toxin accumulation in the Heart and Diaphragm affecting the tongue. It is difficult to treat in the elderly but curable in the young. If perforations exist, it is a complete syndrome. One or two holes may bleed on either side, with a black center. Large black centers are dissolved with medicine; small ones are picked out with a needle. Clean with water medicine, blow primary powder, and take Sanhuang Liangge San for two to three doses. If wounds do not close, mix with Shengji San (Regenerate Tissue Powder).
Song for Qin She (Cicada Tongue):
Cicada tongue results from Heart labor and Qi stagnation; four eyes on the tongue indicate full syndrome. One or two holes flow fresh blood; difficult to remove in old age, easier in youth. Sanhuang Liangge San is suitable initially. Pick out black centers and frequently blow secret powder. Recovery depends entirely on Regenerate Tissue Powder. Rigid tongue and sores lead to death.
Image: Que She (Sparrow Tongue)
This condition arises from heat-toxin accumulation in the Heart and Diaphragm, combined with wind-heat, Qi stagnation, and fatigue. Lesions appear above or on either side, painful, foul-smelling, and rotting, with tongue coating and cheek swelling. The practitioner blows primary powder evenly, cuts it off, then blows secret powder several times. Take Sanhuang Wan (Three-Yellow Pill) to resolve it. For small sparrow tongue, scrape with a knife without cutting. If wounds do not close, use Shengji San.
Song for Que She (Sparrow Tongue):
Sparrow tongue is caused by wind and Qi stagnation, producing much phlegm on the tongue side. Blow primary powder and cut with knife. Then blow secret powder mixed with Jun. Take Sanhuang Liangge San frequently. Regenerate tissue aids healing miraculously.
Image: Juan She Yong (Rolled Tongue Abscess)
This condition arises from wind-heat affecting the Heart Meridian, or consumption of fried/hot foods, appearing under the tongue, on either side, or centrally. Shape resembles a round eye or jujube pit, with unbearable swelling and pain, inability to speak, rolled purple-hard tongue. Initially blow primary powder, remove blood, blow secret powder evenly. Take Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart) with Jin Yin Hua (Lonicerae Japonicae Flos), Bei Mu (Fritillariae Bulbus), and Hua Fen (Trichosanthis Radix). Later, remove pus, blow secret powder, and take Qianjin Neituo San (Thousand Gold Internal Support Powder). Finally, use Shengji San to close wounds.
Song for Juan She Yong (Rolled Tongue Abscess):
Rolled tongue abscess grows under the tongue, left, right, or center. Fruit-pit shaped with much pain, yellow rolled-purple tongue closes throat. Prick lesion with knife, blow Jun and secret powder for great merit. Coptis Xiexin with Fritillaria resolves it; Thousand Gold Internal Support works later.
Image: She Shang Sheng Yong (Abscess Growing on Tongue)
This condition arises from accumulated heat-toxin in the Heart Meridian, forming sores on the tongue resembling bayberries, causing irritability. Take Dou Shi Ganjie Tang (Dou's Licorice and Platycodon Decoction) and Zhi Zi (Gardeniae Fructus), followed by Huanglian Jiedu Tang (Coptis Detoxification Decoction). Blow secret powder; do not use knife or needle. If phlegm knots on the tongue forming hard nodules, blow Bingpeng San (Borneol and Borax Powder), prick to bleed, and take Jiawei Erchen Tang (Modified Two-Chen Decoction).
Song for She Shang Sheng Yong (Abscess Growing on Tongue):
Sores on tongue named Zhong , mostly caused by fire-toxin disturbing the Heart. Irritability and suffering prevail. Secret blowing avoids knife/needle. Take Licorice-Platycodon and Coptis sequentially. Phlegm condensation on tongue uses Erchen.
Image: She Nu (Tongue Hemorrhage)
This condition arises from blazing Heart fire, appearing like pinholes with continuous bleeding. The practitioner sprinkles Huai Hua Mo (Sophorae Flos Powder) into the holes. Take Xi Jiao (Rhinocerotis Cornu - *Note: Substitute with Trichosanthes or other safe alternative in modern practice, though text says Rhinoceros*), Dan Pi (Moutan Cortex), Sheng Di (Rehmanniae Radix), Chi Shao (Paeoniae Radix Rubra), Huang Lian (Coptidis Rhizoma), Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellariae Radix), Shan Zhi (Gardeniae Fructus), Pu Huang (Typhae Pollen stir-fried black). Decoct and take together.
Another Prescription:
Chi Dou (Vigna angularis) one sheng, pounded, mixed with three bowls of water, crushed to extract juice. Take one cup per dose, at any time.
Song for She Nu (Tongue Hemorrhage):
Tongue hemorrhage is due to excess Heart fire, pinhole-shaped with bright red blood flow. Immediately sprinkle Sophora powder on top. Four Substances, Moutan, Rhinoceros horn, and Coptis are used. Pound one sheng of red beans raw, mix with water, decoct juice, and drink for immortality.
Image: She Shang Gui Wen (Turtle Pattern on Tongue)
This condition results from excessive thinking, waking often with little sleep, moving deficiency fire. Mouth breaks, tongue lacks skin, pale color with fine white spots. Severe cases show depressed turtle patterns, deficient pulse, no thirst. Treatment uses Siwu Tang (Four Substances Decoction) added with Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Dan Pi (Moutan Cortex), and Rou Gui (Cinnamomi Cortex) as guides, following the reverse treatment method. Externally apply Liuhua San (Willow Flower Powder). Do not mistake for excess fire and use cold-cooling agents. Excess fire symptoms are listed below for reference.
Excess fire is caused by rich foods, strong wine, roasted/fried items. Heart fire flares up, color is red-purple, mouth covered with rotten spots. Severe cases involve swollen cheeks and tongue, solid pulse, dry mouth. Take Liangge San (Cooling Chest Powder), blow secret powder. If sores on tongue, dry yellow cracked tongue with thirst, add Bawei Wan (Eight-Ingredient Pill) to nourish the source. Rinse mouth is prohibited.
Song for She Shang Gui Wen (Turtle Pattern on Tongue):
Turtle pattern on tongue moves deficiency fire, looking like lacking skin, pale red. Siwu with Cinnamon, Moutan, Anemarrhena, and Phellodendrum. Willow Flower Powder slowly achieves success. Avoid cold-cooling and excessive attacking. Do not speak of excess fire here.
Image: Tan Pao (Phlegm Bubble)
This condition is phlegm-fluid riding fire, flowing and凝注 (condensing), forming soft, non-hard phlegm swelling under the tongue, interfering with eating, causing pain and discomfort. The practitioner blows primary powder, pierces the bubble with a knife, presses out the phlegm, blows Bingpeng San (Borneol and Borax Powder), and takes Erchen Tang (Two-Chen Decoction). If it recurs after healing, take Qingre Rusheng San (Heat-Clearing Like-Saint Powder).
Song for Tan Pao (Phlegm Bubble):
Phlegm-fluid and fire rise to flow under tongue, swelling like cotton with pain. Blow primary powder and pierce with knife. Drain phlegm mucus and press dry. Apply Borneol-Borax powder again. Modified Two-Chen brings peace.
Image: Pao She (Bubble Tongue)
This condition arises from fire rushing upward, phlegm following fire to flood the tongue, suddenly filling the mouth, soft like a pig bladder, painless, salivating, interfering with speech. The practitioner observes green bubbles like crab eyes under the tongue, blows primary secret powder, pierces and presses out phlegm, rinses with warm water, blows secret powder, adds Bingpeng (Borneol-Borax) and Yuanming Fen (Mirabilite), and takes Jiawei Erchen Tang (Modified Two-Chen Decoction) with Niu Bang Zi (Arctii Fructus), Liao Qiao (Forsythiae Fructus), Mu Tong (Akebiae Caulis), and Hua Fen (Trichosanthis Radix). One case: sudden tongue swelling retreated to the exit door, pain like needle pricks. A wandering monk said it was centipede poison along the bowl rim, ingested by people. Soak tongue in one cup of rooster blood, apply Yushu Dan (Jade Pivot Pill), or take it. If unavailable, grind Xiong Huang (Realgar), Zhu Sha (Cinnabar), and Bing Pian (Borneol) to fine powder, blow onto lesion, also excellent.
Song for Pao She (Bubble Tongue):
Bubble tongue looks like pig bladder, phlegm follows fire invading Heart Meridian. Painless but interferes with speech, full mouth salivation prevents eating. Prick blue veins under tongue, phlegm flows like egg white. Secret powder mixed with Borneol-Borax blown on lesion. Medication increases use of Erchen.
Image: Lianzhu Hou Feng (String-of-Pearls Throat Wind)
This condition arises from Heart Meridian fire-toxin rushing upward, growing under the tongue. Shape like pearls, initially one or two, soon spreading, three, five, seven, eight, nine like a string of pearls. Tongue swells, phlegm rises, inability to eat. The practitioner probes out wind-phlegm, blows primary medicine on lesions, removes blood from each grain, simultaneously needles Yuye (Jade Fluid) and Jinjin (Metal Spring), blows secret powder, and takes Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart).
Song for Lianzhu Hou Feng (String-of-Pearls Throat Wind):
Wind rises like strings of pearls, Heart fire rushes creating stasis under tongue. Spreading three, five, seven, eight, nine. Tongue swells, phlegm generated, probe and vomit to heal. Blow primary powder and pierce with knife. Blood removed from Jade Fluid and Metal Spring. Take Coptis Xiexin Decoction; no other methods remain.
Image: Qi Dan (Qi Single)
This condition arises from damp-heat and emotional Qi stagnation. Purple-red veins arise horizontally near the tongue root. The practitioner blows primary powder on the veins. Using a large needle dipped in tung oil, heated red, prick seven points along the horizontal vein according to the diagram. Then use three small needles to prick in a 'Pin' character pattern, twice at each large needle hole, totaling forty-nine needles. If tongue root swells, moxa burn three horizontal points below the external throat until smoke appears in the mouth. If no smoke, stop at seven cones. Take Liangge San (Cooling Chest Powder) or Ganjie Tang (Licorice and Platycodon Decoction) for several doses, blow secret powder for self-healing.
Song for Qi Dan (Qi Single):
Qi Dan originates from stagnation, purple veins rise horizontally at tongue root. Blow primary powder, prick seven times with large needle. Each prick forms three needles in Pin pattern. Moxa burn three horizontal points below external throat. Cooling Chest, Three-Yellow, and Two-Chen are used. Total forty-nine needles; regulation requires nurturing spirit.
Image: Xuan Ding (Hanging Carbuncle)
This condition is caused by wind-heat, eating fried/rich foods, heavy clothing/blankets, or excessive thinking, causing Heart fire to rush to the pedunculated carbuncle, suddenly becoming purple and swollen, difficulty in swallowing. The practitioner must not use knife or needle, only blow secret powder. Or use Wulong Wei (Centipede tail) mixed with stir-fried salt, apply with chopstick tip, lie on pillow for a while. Severe cases take Sanhuang Tang (Three-Yellow Decoction) with Mu Tong (Akebiae Caulis) and Jie Geng (Platycodonis Radix), removing Chuan Xiong (Ligustici Chuanxiong Rhizoma).
Song for Xuan Ding (Hanging Carbuncle):
Hanging carbuncle arises from fire, heavy clothes and rich foods affect Heart Meridian. Suddenly swelling hangs from peduncle. Secret blowing strictly forbids knife/needle. Centipede tail stir-fried with salt, ground and blown while lying supine briefly. Severe cases take Three-Yellow Decoction; Mu Tong, Jie Geng, Nian Zi, Jing Jie, and Fang Feng are effective.
Image: Mu She (Wooden Tongue)
This condition arises from excessive Heart fire. Tongue is hard as wood, aversion to cold with high fever, slurred speech. Internally take Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart), externally blow secret powder. Prick purple-swollen areas with knife to remove blood, then needle Jin Jin (Metal Spring) and Yu Ye (Jade Fluid); bleeding heals automatically. Alternatively, if purple swelling on tongue, use Fei Po (Natrii Sulfas sublimed) with a little Borneol applied, salivation heals it. Or blow Bingpeng San (Borneol and Borax Powder).
Song for Mu She (Wooden Tongue):
Wooden tongue is due to excess Heart fire, tongue hard as wood, purple and painful. High fever, aversion to cold, slurred speech. Blow secret powder, prick blue veins under tongue. Take Coptis Xiexin Decoction internally. Occasionally blow primary secret powder mixed with Borneol. After pricking purple swelling to remove blood, needle Jade Fluid and Metal Spring.
Image: Qixing Chuang (Seven-Star Sore)
This condition arises from Spleen Meridian accumulated heat. Upper palate belongs to Spleen; Spleen Qi connects to throat, so sores grow on upper palate, resembling millet or pearls, yellow or white, foul breath in mouth, cold hands and feet, body chills. The practitioner uses water medicine or bitter tea to wipe clean, blows secret powder, takes Qingpi Jianghuo Tang (Clear Spleen Descend Fire Decoction), abstains from alcohol and sex.
Song for Qixing Chuang (Seven-Star Sore):
Seven-star sores grow on upper palate, all due to heat-toxin accumulating in Spleen Meridian. Resembling millet or pearls, yellow-white. Full mouth saliva extremely foul. Cold hands/feet, body fever. Wipe clean with bitter tea, frequently blow secret powder. Descend fire, clear Spleen, hold water medicine. Recovery is imminent with this guidance.
Image: Kou Chuang (Mouth Ulcer)
This condition arises from overwork, consuming spicy/hot foods like pepper and ginger, or alcohol/fried items. Children eating fatty/sweet foods, fetal toxin reception, or mother having illness and feeding hot milk can cause it. Colors vary red-purple or yellow-white, painful with salivation, difficult to eat. Severe cases have fever, chills, dry mouth, constipation. The practitioner uses rice wash or bitter tea with blue cloth to wipe clean, bleeding is acceptable, blow secret powder, take Nian Zi Jiedu Tang (Arctii Detoxification Decoction) with Zhi Zi (Gardeniae Fructus) or Sanhuang Tang (Three-Yellow Decoction). If children cannot take it, use Xijiao Huadu Dan (Rhino Horn Detoxification Pill). If children find it foul-tasting, use secret powder added with Ren Zhong Huang (Human Manure Ash), Huang Lian (Coptidis Rhizoma), Bing Pian (Borneolum Syntheticum), and She Xiang (Moschus), ground to fine powder and blown.
Song for Kou Chuang (Mouth Ulcer):
Mouth ulcers accumulate heat in Heart Meridian, yellow-white sores fill mouth. Wipe clean with rice wash, frequently blow secret powder. Bleeding helps calm fire. Arctii Detoxification and Three-Yellow Decoctions reduce fire and cool heart. Detoxification Decoction is suitable for children. Mulberry leaf juice applied lightens sores.
Image: Xuan Bi Feng (Hanging Leech Wind)
This condition arises from upper Jiao accumulated heat-toxin, wind-phlegm obstruction. Upper palate swells and hangs, shape like frog belly or chicken egg, throat blocked, mouth full of phlegm-saliva. The practitioner uses Yuan Ming Fen (Mirabilite) and vinegar to probe out wind-phlegm, blows primary medicine on swelling, pricks to bleed, blows secret powder, takes Sanhuang Liangge San (Three-Yellow Cooling Chest Powder). If exterior symptoms exist, take Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxification Powder). Long-term cases take Qianjin Neituo San (Thousand Gold Internal Support Powder).
Song for Xuan Bi Feng (Hanging Leech Wind):
Hanging leech wind toxin grows on upper palate, frog-belly shape closes throat. Probe phlegm with Mirabilite and vinegar. Primary blowing, blood pricking, and secret powder attack together. Internally take Three-Yellow Cooling Chest Powder. Exterior symptoms benefit greatly from Jingfang. Pus formation requires Thousand Gold Internal Support Powder, bringing joy to patients.
Image: Chu Han Sheng Yong (Sweating Generates Abscess)
This condition arises from damp-heat and excessive sweating. The practitioner blows Zhui Feng San (Wind-Chasing Powder), pricks to bleed, blows secret powder plus Jun Ben. If not swollen/painful, internal rupture is certain, blow secret powder. Next, apply Jun Ben added with Bing Pian (Borneol), Er Cha (Camelliae Folium), Peng Sha (Borax), and Qing Dai (Indigo Naturalis), blowing it, without using primary powder. If phlegm exists, probe with Mirabilite and vinegar. If pus forms, use Qianjin Neituo San. If wounds don't close, use Shengji San (Regenerate Tissue Powder).
Song for Chu Han Sheng Yong (Sweating Generates Abscess):
Abscess from sweating is residual toxin. Blow Wind-Chasing externally, use knife/needle. Secret powder plus Jun end blown on. Internally take Three-Yellow Jiegeng Decoction. Probe phlegm with Mirabilite vinegar. Pus formation requires quick use of Thousand Gold. Pus discharge wounds hurt much; blowing Regenerate Tissue calms instantly.
Image: Za She Yong (Nibbling Tongue Abscess)
This condition arises from wind-heat, wine toxin, damp-phlegm. Abscesses grow on both sides inside gums, causing short/swollen tongue, unbroken on both sides. Blow primary powder, prick to bleed, blow secret powder. Broken areas blow primary secret powder, or rub Zhui Feng San on tongue. Both sides foul/rotten, secret powder combined with Shengji San, added with Bing Xiang (Moschus-Borneol mixture) blown on. Hold water medicine in mouth. Initially take Xueshi Tang (Scholar's Decoction) or Nian Zi Jiedu Tang (Arctii Detoxification Decoction). Once formed, take Qianjin Neituo San (Thousand Gold Internal Support Powder). If phlegm exists, probe it out.
Song for Za She Yong (Nibbling Tongue Abscess):
Nibbling tongue abscess grows on both sides of tongue, foul breath and thick saliva. Unbroken abscess heads should be pricked. Secret, primary, and Regenerate powders blown together. Scholar's divine formula and Arctii Detoxification resolve it. Formed stage uses Immortal Internal Support Powder.
Image: Cuokou Hou Feng (Grabbing Mouth Throat Wind)