如圆眼核样，有根线，长五寸许，吐球出外，方可饮食，以手轻捻，痛彻至心。此球是
舌上忽有簪孔，出不止者，此属心经火甚也。（景华按∶此症是舌衄之类，治当补心清火。）
【谔按∶此症用蒲连散掺之，内服如栀、连、翘、芩等，可愈。（出字下，似脱一血字。）】
咽喉中有生肉，层层相叠，渐肿有孔，出臭气者，是因肺受热毒所致也。
初起，先齿痛不已，复牙根肉即浮肿，紫黑色，或出血，久则腐烂而臭也。
即前症相同，久则不愈，齿缝出白脓，极难调治，甚则齿落。如落上左边门牙，一概不
治。以上二症。俱属胃肾虚热也。
属胃火，如豆大，或内或外，生无定处。
齿缝出血，上属脾，下属胃，实火上攻所致。亦有胃虚火动，腐烂牙根，以致渗漏不已。
初起，生一小块于牙根肉，或上或下，或内或外，其状高起而硬，此脾胃火也。【谔按
症患者极多，大都内蕴热而外束风邪所致，必牵引颊车，牙咬为之开合不利。宜用大豆卷、
桑叶、荆、防、角针、僵蚕、象贝、连翘、薄荷、甘桔、川芎、蝉衣、钩钩、蒺藜之属，一
二剂即愈。余治此症，屡试屡验。昧者用膏药一贴，闷成坏症，伙矣。】
生于牙根，紫黑色，高起如菌状。此系火甚血热，而兼气滞，或好饮烧酒，酒湿伤脾，
湿郁生火，致有此症。【谔按∶此症宜用苦辛温法，疏气化痰，兼解毒治之，如银花、甘草、绿
Like a longan seed, with a thread-like root, approximately five cun in length. The fleshy ball protrudes outward, and only then can one eat or drink. Gentle manipulation with the hand causes pain that pierces to the heart. This fleshy growth is
Suddenly, needle-hole-like perforations appear on the tongue with unceasing bleeding; this belongs to excessive fire in the Heart Meridian. (Jinghua notes: This condition is similar to lingual epistaxis [bleeding from the tongue]; treatment should tonify the Heart and clear fire.)
[E notes: For this condition, apply Pulian San externally and internally administer Zhi Zi [Gardenia], Lian Qiao [Forsythia], Huang Qin [Scutellaria], etc., which can lead to recovery. (It seems a character for "blood" is missing after the character "chu" [protrude/come out].)]
Fleshy growths arise within the throat, overlapping layer by layer, gradually swelling with holes forming, emitting foul odor; this is caused by the Lung receiving heat-toxin.
In the initial stage, there is incessant toothache, followed by swelling of the gingiva, which turns purple-black or bleeds. Over time, it rots and emits a foul odor.
This is identical to the previously mentioned symptoms. If prolonged and untreatable, white pus exudes from the interdental spaces, making it extremely difficult to manage. In severe cases, teeth may fall out. If an upper left incisor falls out, it is generally considered incurable. Both of the above conditions belong to deficiency-heat in the Stomach and Kidney.
Attributed to Stomach fire, appearing bean-sized, either internally or externally, with no fixed location.
Bleeding from the interdental spaces relates to the Spleen above and the Stomach below, caused by excess fire attacking upward. There are also cases where Stomach deficiency leads to vacuity-fire stirring, rotting the gingival roots, resulting in continuous leakage.
Initially, a small lump arises on the gingiva, either superiorly or inferiorly, internally or externally, presenting as elevated and hard; this indicates Stomach-Spleen fire. [E notes: Patients with this condition are numerous; most suffer from internal heat accumulation constrained by external wind-pathogens. This inevitably affects the Jiache acupoint region, causing difficulty in jaw opening and closing. It is appropriate to use Da Dou Juan [Sojae Semen Praeparatum], Sang Ye [Mori Folium], Jing Jie [Schizonepetae Herba], Fang Feng [Saposhnikoviae Radix], Zao Jiao Ci [Gleditsiae Spina], Jiang Can [Bombyx Batryticatus], Xiang Bei [Fritillariae Thunbergii Bulbus], Lian Qiao [Forsythiae Fructus], Bo He [Menthae Haplocalycis Herba], Gan Cao [Glycyrrhizae Radix et Rhizoma], Jie Geng [Platycodonis Radix], Chuan Xiong [Ligustici Chuanxiong Rhizoma], Chan Yi [Bombyx Cylobalitiidis Periostracum], Gou Teng [Uncariae Ramulus cum Uncis], and Ji Li [Tribuli Fructus]. One or two doses will suffice for recovery. I have treated this condition repeatedly with consistent success. Ignorant practitioners using plaster often cause severe complications due to trapping the pathogen, a common occurrence.]
Arising at the gingival root, purple-black in color, elevated like a mushroom. This results from extreme fire and blood-heat, combined with qi stagnation, or from a preference for drinking distilled spirits. Alcohol-dampness injures the Spleen; dampness stagnates and transforms into fire, leading to this condition. [E notes: This condition should be treated with bitter-pungent-warm methods to regulate qi, resolve phlegm, and detoxify, such as Yin Hua [Lonicerae Japonicae Flos], Gan Cao [Glycyrrhizae Radix et Rhizoma], Lv...]