小儿唇中忽见肿大，此系脾热所致。古法用生蒲黄、川连、冰片，共为细末，麻油调敷有效。
〔真按〕上下唇若赤肿，外敷蒲黄等药，固有效验。但若肿黑痛痒难忍者，宜用旧有方孔之大铜钱同样大者
四个，于石上磨猪油时常擦之。至或破烂流水者，则宜改用铜青、宫粉、明矾、顶上梅花冰片、黄连、麝香，共研
细末，破处则用干掺，干处则和猪油搽之尤效。
小儿唇边忽生红白颗粒，此即生疔。症见头痛寒热痛痒，亦有麻木不知痛痒者。古法先看大腿弯中，如有紫筋，
以银针刺出血。外用生鸡冠血点于唇上，或用活虾蟆破开，取肝贴之，或用生蚬去壳捣烂敷之，均效。
〔真按〕唇疔多至头痛心闷神昏，赶紧施治，迟则不救。内以紫花地丁、金银花、白果、桔梗、生甘草、知
母，煎服。外用蛔虫捣烂敷之，如无蛔虫，以焙五谷虫一钱，研末，白矾三分，蟾酥三分，再以烧酒溶化调匀，
敷疔上，少顷疔即破流毒水而愈。
小儿唇疮，无论破与未破，皆系脾蕴热毒而发。但用瓦松，生姜汁捣融，入盐少许敷之，或用蓝靛叶取汁洗
之，均效。
小儿唇紧，初起即不能饮食，宜急治之。但用新白布作卷，如
酒杯大，烧燃放刀口上，俟刀口汁出，取汁搽之，日搽十余次，并以青布烧灰冲酒服之，过夜即愈。
小儿唇干血出，只用生桃仁捣烂，调猪油敷之。若干燥已极，红肿难堪，时以舌 口水滋润，尚恐不及
者，则以松毛煮豆腐约半日之久，取豆腐贴之，日换数次有效。
小儿唇忽翻突，形如猪嘴，此名唇菌，乃心脾热毒所致，非急救不可。须觅活地龙（又名蚯蚓、曲鳝）十条，
捣烂，吴茱萸二钱研末，加灰面少许，醋调敷两脚心，用布捆住，半日一换；内服唇疔汤剂（见上）。以愈为度。
小儿嘴唇中间突然发生肿大，这是由于脾经有热所致。古代方法使用生蒲黄、川黄连、冰片，共同研磨成细粉，用麻油调和后外敷，效果显著。
〔陈守真按语〕上下嘴唇如果红肿，外敷蒲黄等药物，确实有效。但如果出现肿胀发黑、疼痛瘙痒难以忍受的情况，适宜使用四个旧的大孔铜钱（大小与患处相当），在石头上蘸着猪油经常擦拭。到了或者已经破溃流水的情况，则适宜改用铜青、宫粉、明矾、顶上梅花冰片、黄连、麝香，共同研磨成细末，破溃处直接干撒药粉，干燥处则和猪油调和涂抹，尤其有效。
小儿嘴唇边缘突然长出红白颗粒，这就是唇疔（生于唇部的疔疮）。症状表现为头痛、寒热往来、疼痛瘙痒，也有麻木不知痛痒的。古代方法先看大腿弯曲处，如果有紫色的筋脉，用银针刺破出血。外用生鸡冠血点涂在嘴唇上，或者用活蟾蜍剖开，取肝贴敷，或者用生蚬去壳捣烂敷贴，都有效。
〔陈守真按语〕唇疔大多发展到头痛、心闷、神志昏迷，必须赶紧治疗，拖延则无法救治。内服紫花地丁、金银花、白果、桔梗、生甘草、知母，煎汤服用。外用蛔虫捣烂敷贴，如果没有蛔虫，用焙干的五谷虫一钱，研成粉末，加白矾三分、蟾酥三分，再用烧酒溶化调匀，敷在疔疮上，一会儿疔疮就会破溃流出毒水而痊愈。
小儿唇疮，无论是否破溃，都是由于脾蕴积热毒而发作。只用瓦松，用生姜汁捣融，加入少许盐敷贴，或者用蓝靛叶取汁清洗，都有效。
小儿嘴唇紧缩，初起时就不能饮食，应当紧急治疗。只用新白布卷成卷，如酒杯大小，点燃放在刀口上，等到刀口渗出汁液，取汁液涂抹，每天涂抹十几次，并用青布烧成的灰冲酒服用，过一夜即可痊愈。
小儿嘴唇干燥出血，只用生桃仁捣烂，调和猪油敷贴。如果干燥至极，红肿难忍，不时用舌头唾液滋润，还恐怕不够的话，就用松毛煮豆腐约半天时间，取豆腐贴敷，每天更换数次，有效。
小儿嘴唇忽然翻出突起，形状像猪嘴，这名叫唇菌，是由心脾热毒所致，不紧急抢救不行。须寻找活地龙（又名蚯蚓、曲鳝）十条，捣烂，吴茱萸二钱研成粉末，加少许灰面，醋调和敷在两脚心，用布捆住，半天更换一次；内服唇疔汤剂（见上文）。以痊愈为限度。
The middle of the child's lip suddenly swells; this is caused by Spleen Heat (Spleen Excess Heat). The ancient method uses Sheng Puhuang (Raw Coptidis Rhizoma? No, *Pollen Typhae*, Raw), Chuan Lian (Coptidis Rhizoma), and Bingpian (Borneol), ground together into a fine powder, mixed with Sesame Oil (Mayou) for topical application, which is effective.
[Chen Shouzhen's Note] If the upper and lower lips are red and swollen, applying Puhuang and other medicines externally is indeed effective. However, if swelling turns black with unbearable pain and itching, it is advisable to use four old large-hole copper coins of similar size to the lesion, rubbing them frequently with Pig Fat (Zhuyou) on a stone surface. In cases where the skin has broken down and weeping fluid, it is better to use Tongqing (Malachite), Gongfen (Lead Carbonate), Mingfan (Alumen), Dingshang Meihua Bingpian (Top-grade Plum-blossom Borneol), Huanglian (Coptidis Rhizoma), and Shexiang (Musk), ground together into a fine powder. For broken areas, sprinkle the dry powder directly; for dry areas, mix with Pig Fat for application, which is particularly effective.
When red and white granules suddenly appear at the edge of the child's lip, this is called Lip Ding (Ding sore on the lip). Symptoms include headache, aversion to cold alternating with fever, pain, and itching; there are also cases of numbness without sensation of pain or itching. The ancient method first examines the popliteal fossa (back of the knee); if purple veins are visible, prick them with a silver needle to bleed. Externally, apply fresh Rooster Comb Blood (Jiguanxue) to the lip, or cut open a live Toad (Chanma), take its liver, and apply it; or remove the shell of a fresh Clam (Xian), mash it, and apply it. All are effective.
[Chen Shouzhen's Note] Lip Ding often progresses to headache, chest oppression, and coma; treatment must be administered promptly, otherwise it becomes incurable. Internally, decoct Zihua Diding (Viola Yedoensis), Jinyinhua (Lonicerae Japonicae Flos), Baiguo (Ginkgo Semen), Jiegeng (Platycodonis Radix), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), and Zhimu (Anemarrhenae Rhizoma) for oral administration. Externally, apply mashed Ascaris (Hui Chong); if Ascaris is unavailable, use one qian of baked Wugu Chong (Fermented Bean Curd Worms), ground into powder, mixed with 3 fen of Bai Fan (Alumen) and 3 fen of Chansu (Toad Venom), dissolved in Baijiu (White Spirit/Liquor), and applied to the Ding sore. Soon after, the Ding will rupture and discharge toxic fluid, leading to recovery.
Childhood Lip Chuang (Lip Ulcer/Canker), whether broken or unbroken, is caused by Heat-Toxin accumulating in the Spleen. Simply use Wasong (Leucoscyphus Sabdariffae Calyx), mashed with Ginger Juice (Shengjiang Zhi), adding a little salt for application; or use juice extracted from Lan Diany e (Isatis Leaf) for washing. Both are effective.
Childhood Lip Jin (Lip Contraction/Stiffness), where the child cannot eat from the onset, requires urgent treatment. Take new white cloth, roll it up like a wine glass, ignite it, and place it over a knife cut. When the juice exudes from the knife cut, collect the juice and apply it to the lips, more than ten times a day. Additionally, consume liquor mixed with ash from burnt blue cloth; recovery occurs overnight.
For childhood Lip Gan Xue Chu (Dry Lips with Bleeding), simply mash raw Tao Ren (Persicam Semen) and mix with Pig Fat for application. If extremely dry with intolerable redness and swelling, moisten with saliva occasionally, though this may still be insufficient. In such cases, boil Tofu with Pine Needles (Song Mao) for about half a day, take the Tofu, and apply it, changing several times a day, which is effective.
When the child's lip suddenly protrudes outward, resembling a pig's snout, this is named Chun Jun (Lip Mushroom/Tumor), caused by Heart-Spleen Heat-Toxin, requiring emergency rescue. Find ten live Dilong (Earthworm/Qu Shan), mash them, mix with two qian of Wuzhuyu (Evodiae Fructus) powder and a little Hui Mian (Ash Flour), blend with Vinegar, and apply to both soles (Yongquan area), binding with cloth, changing every half day. Internally, administer the Lip Ding Decoction (see above). Continue until cured.