舌坐莲花六七尖。心家风火抟相炎。莫将斯症寻常看。日久缠绵最可嫌。
舌下浮肿多痰涎初生一二瓣渐至五六瓣形似莲花。凡两边尖瓣者可用刀若中间一瓣尖者。切不可用刀。盖人舌
下中间俱有一筋。直连上下。乃心之苗。所以切不可用刀者。恐误伤筋。则枉人命匪浅也。先用角药调敷舌下取痰
涎。再将冰硼散挑上。服紫地散。重加连翘。症甚者。外用气针自然取效。
枢扶氏曰。莲花证乃蕴热乘风而发于心。舌本属心。又为心之苗。心火上炎。或思虑太过或酒后当风受寒。以
致风痰相搏。而成是症也。
合架风生齿尽头。牙关紧闭病难休。若还不识针刀法。患者如何得便瘳。
此症生在上下牙床两根头勾合之处。起一红核肿痛。牙关紧闭不能开口先用角药调噙。次用破皮刀切红肿处。
吹冰硼散赤麟散可用消芦散熏之。
风名角架不为嘉肿痛须知药可加。昧却个中真妙诀。任他肘后秘方夸。
是症生上下牙床尽处。根上浮肿。以致闭口不便两齿难合咀嚼艰难。初起生在一边或延生两边者治法同合架风。
可用破皮刀切肿处。即效。
爆骨搜牙疾势骄声声痛楚费推敲。金针已度根据方法。功效随收心莫焦。
牙匡之上逐齿红肿骨中极痛不可忍者。名为爆骨搜牙。若通牙床上红肿。或在外牙床肿者。或在内牙床红肿。
口内作烧生痰名搜牙风。若有面红肿者。恐成粟房风症。部位虽分内外。法宜同治。先用角药调噙。吹冰硼散。服
紫地汤。次以针挑牙缝中有红紫血管者。即要挑断出血。若爆骨搜牙。每齿肿处俱要用破皮针。针出血即效。如症
在牙床内者必须肿起牙上。方可用刀。
The tongue surface presents with six or seven protrusions resembling lotus petals. This condition arises from the entanglement and combustion of wind-pathogen and fire-heat within the Heart meridian. Do not regard this syndrome as a trivial ailment; if left untreated for a long time, it becomes lingering and intractable, which is most vexing.
Swelling occurs under the tongue accompanied by excessive phlegm-saliva. Initially, one or two petal-like formations appear, gradually increasing to five or six, shaped like a lotus flower. For those located at the lateral tips, incision with a knife may be used. However, for the single central tip formation, incision with a knife is strictly prohibited. This is because there is a tendon connecting vertically above and below in the center of the sublingual region, which is the sprout (manifestation) of the Heart. The prohibition against using a knife is to avoid accidental injury to the tendon, which could result in severe harm or death. First, apply Jiaoyao (Horn Medicine) paste sublingually to resolve phlegm-saliva. Then, use Bingpeng San (Ice and Borax Powder) applied with a probe. Administer Zidi San internally, adding heavy doses of Qiaoliao (Forsythiae Fructus). For severe cases, external treatment with Qi Zhen (Qi Needle) yields natural efficacy.
Shu Fu Shi stated: The Lotus Syndrome develops when latent heat combines with wind-pathogen and affects the Heart. The root of the tongue belongs to the Heart and serves as its manifestation. When Heart-fire flares upward, due to excessive mental exertion or catching cold after drinking while exposed to wind, wind and phlegm interact to produce this syndrome.
Hejia Feng (Combined Frame Wind) arises at the extremities of the teeth, characterized by locked jaw and persistent difficulty. If the needle-knife method is unrecognized, how can the patient recover?
This lesion occurs where the roots of the upper and lower alveolar ridges interlock, presenting as a red, swollen, and painful nodule, causing trismus (locked jaw) and inability to open the mouth. First, rinse with dissolved Jiaoyao (Horn Medicine). Next, incise the swollen area with a Pipo Dao (Skin-Breaking Knife), insufflate Bingpeng San (Ice and Borax Powder), and Chilin San (Red Kirin Powder) may also be used. Xiluo San (Reed Root Powder) fumigation is applicable.
Named "Jiaojia Feng" (Frame Corner Wind), it is not auspicious. Regarding swelling and pain, one must know that medication dosage/intensity may need adjustment. Ignoring the true secret of this condition renders even the praised prescriptions from *Zhouhou Beiji Fang* useless.
This lesion occurs at the extremities of the upper and lower alveolar ridges, with root swelling causing difficulty in closing the mouth, inability to occlude teeth, and masticatory dysfunction. Whether initially unilateral or spreading bilaterally, the treatment is identical to Hejia Feng. Incise the swelling with a Pipo Dao (Skin-Breaking Knife) for immediate effect.
Baogu Souya (Exploding Bone Searching Tooth) disease has a fierce onset, with constant pain requiring careful deliberation. The Golden Needle method has been transmitted; follow the protocol, and efficacy will be achieved promptly, so do not be anxious.
When each tooth along the alveolar ridge shows redness and swelling, accompanied by unbearable deep bone pain, it is named Baogu Souya. Generalized redness and swelling of the alveolar ridge, whether external or internal, accompanied by a burning sensation in the mouth and phlegm production, is named Souya Feng (Searching Tooth Wind). If facial swelling is present, caution is advised as it may develop into Sulifeng (Millet House Wind). Although locations differ internally or externally, the treatment principles are the same. First, rinse with Jiaoyao (Horn Medicine), insufflate Bingpeng San (Ice and Borax Powder), and administer Zidi Tang internally. Subsequently, use a needle to puncture and sever any red-purple blood vessels found in the interdental spaces until bleeding occurs. For Baogu Souya, a Pipenzhen (Skin-Breaking Needle) must be used on every swollen tooth site; bleeding upon needling indicates efficacy. If the lesion is internal to the alveolar ridge, it must swell up to the tooth surface before a knife can be used.