冯鲁瞻曰∶重 者，初生上 有物胀起，宛如悬痈者是也。是脾胃挟热，气血
不能收敛。治法速宜绵缠长针露锋，刺肿之处，去其恶血则消。若再生再刺，否则
有妨乳食。总缘小儿出胎之后，血气收敛成血，则口内舌上喉颊皆净；若血气不敛，
胎毒上攻，则乃成矣。（《锦囊》）
又曰∶儿初生，次日即看口中上 ，如有白泡子，即以银挖耳轻轻刮破，其泡子
须刮出，勿令落入喉中，仍以京墨搽之。此泡一老，非惟难刮，且儿不乳，变生撮口诸证。
初生下地即不啼哭，不能吞乳，奄奄如死者，急看喉间，悬痈前 上有一泡，用
指摘破，以帛拭去恶血，勿令咽下，即能通声吞乳。（《保生碎事》）
窦梦麟曰∶上 生疮如黄粟，口中腥臭，外证手怕冷，脚怯寒，此脾经积热也。
上属脾，脾气通于口，故脾经受热，则上 生疮也。先用蚌水，布蘸绞净患处，宜
服清脾降火汤，再吹冰片散，无不效矣。宜戒酒色。（《全书》）
附取蚌水法∶用蚌洗净打碎取水。另用湿棉布滤清，若夏布孔遇水即疏滑，倘
蚌中蚂蝗虫竟滤在水碗中矣，偶入口中将何处之？其棉布孔遇水即紧密，则蚂蝗虫
不能下，故用之口喉之证，属太阳之火，然蚌乃河中之物，属太阴之精，故借水以济火事。
又曰∶上 生疮，其因乃上焦积热，脾之气凝也。然上 属脾，故脾经受热，则
上生疮也。务须服清上膈、去风痰之药。
Feng Luzhan stated: Chong She (Re-tongue) refers to a condition where, upon birth, a swelling protrudes from the upper palate, resembling a suspended abscess. This is caused by heat in the Spleen and Stomach, preventing Qi and Blood from consolidating. The treatment method should promptly involve wrapping a long needle with silk cotton, exposing the needle tip, and puncturing the swollen area to drain the evil blood, which will cause the swelling to subside. If it recurs, puncture again; otherwise, it will interfere with nursing. Ultimately, this arises because after birth, if Qi and Blood consolidate into blood, the mouth, tongue, throat, and cheeks remain clean; but if Qi and Blood do not consolidate and fetal toxins attack upwards, this condition forms. (From *Jin Nang*)
He also stated: On the second day after birth, inspect the infant's mouth and upper palate. If there are white blisters, gently scrape them open with a silver ear pick. The blister fluid must be scraped out and prevented from falling into the throat. Then, apply Jingmo (Beijing Ink) to the lesion. Once these blisters mature, they become difficult to scrape, and the infant will refuse milk, potentially developing conditions such as Jue Kou (Lockjaw). If an infant does not cry upon touching the ground, cannot swallow milk, and appears lifeless, urgently inspect the throat. There may be a blister on the upper palate anterior to the Frenulum Linguae (Xuan Yong). Break it with a fingernail, wipe away the evil blood with cloth, ensuring it is not swallowed, and the infant will regain voice and ability to nurse. (From *Bao Sheng Sui Shi*)
Dou Minglin stated: Sores on the upper palate resembling yellow millet grains, accompanied by a fishy odor in the mouth, and external signs of cold hands and cold feet, indicate accumulated heat in the Spleen Meridian. The upper palate belongs to the Spleen, and Spleen Qi connects to the mouth; thus, when the Spleen Meridian is affected by heat, sores appear on the upper palate. First, use Clam Water (Bang Shui), dip a cloth in it, wring it out, and wipe the affected area. It is appropriate to administer Qing Pi Jiang Huo Tang (Spleen-Clearing Fire-Descending Decoction), followed by blowing Bingpian San (Borneol Powder) onto the lesion, which is invariably effective. One should abstain from alcohol and sexual indulgence. (From *Quan Shu*)
Appendix: Method for obtaining Clam Water: Wash clams thoroughly, crush them, and extract the water. Filter the clear liquid using wet cotton cloth. If summer linen (ramie cloth) is used, its pores become loose and slippery when wet; if leeches from the clam filter into the water bowl, what would happen if accidentally ingested? Cotton cloth pores become tight when wet, preventing leeches from passing through, hence it is used for oral and throat conditions. This condition belongs to the Fire of Taiyang, yet clams are creatures of the river, belonging to the Essence of Taiyin; thus, water is borrowed to assist in quenching fire.
He also stated: The cause of sores on the upper palate is accumulated heat in the Upper Jiao and stagnation of Spleen Qi. Since the upper palate belongs to the Spleen, heat in the Spleen Meridian leads to sores on the upper palate. It is essential to administer herbs that clear the Upper Diaphragm and dispel Wind-Phlegm.