重舌者,心脾有病也。盖心候于舌,而主血,然脾脉络于舌下,火土又子母也。有
热即与血气俱盛,其状附舌下,而近舌根,生形如舌,而微短小色异,亦宜针刺。如至
生着颊里及上 者,即名重 。若着齿龈者,即名重龈。
木舌者,因脏腑壅滞,心脾积热,其气上冲,是以舌肿尖大,塞满口中。若不急
治,则致害人,更不可用手去按,按则舌根乃损,长成语言不正。如至啼叫无声,面色
频变,而惊疼者,不治,然舌病固属心脾,但肝脉亦络舌本,故伤寒邪传厥阴,则舌卷
囊缩,概可见矣。
弄舌者,是脾脏小热,舌络微紧,时时舒舌,治之勿过用凉药,即有饮水者,亦脾
虚津液不足耳。若于大病之末,而弄舌者,凶。凡出长而收缓者,名曰舒。微露即收,
舌干肿涩者,名曰弄。若舌上无故出血者,名曰舌衄。总心脾热症也。
治鹅口口疮。
雄黄(三钱) 硼砂(一分) 龙脑(少许) 甘草(五分) 为末,干掺患处。或用蜜调拣。
重舌(舌下肿胀如小舌),是心和脾有病。因为心开窍于舌,且主血,而脾的脉络连接在舌下,火(心)与土(脾)又是母子关系。如果有热邪,就会使血和气都亢盛,症状表现为附着在舌下,靠近舌根处,长出的形状像舌头,但稍微短小且颜色不同,也适宜用针刺治疗。如果肿物长在脸颊内侧及上颚的,就叫做“重舐”(注:原文此处可能有缺字或异体字,通常指重舌或类似症状)。如果长在齿龈上的,就叫做“重龈”。
木舌(舌体僵硬肿大,转动不灵),是因为脏腑气机壅滞,心脾积热,热气上冲,导致舌头肿胀、尖端变大,塞满口腔。如果不紧急治疗,会导致死亡,更不能用手指去按压,一按就会损伤舌根,长成后语言不正。如果发展到啼哭叫不出声,面色频繁变化,并伴有惊厥疼痛的,属于不治之症。然而舌病固然属于心脾,但肝脉也络属舌本,所以伤寒邪气传入厥阴经时,会出现舌卷缩和睾丸收缩的症状,这大概可以类推了。
弄舌(舌头不时伸出舔唇或口外),是脾脏有轻微热邪,舌部经络微微拘紧,时不时地伸舌头。治疗时不要过度使用寒凉药物,即使患者想喝水,也是由于脾虚导致津液不足罢了。如果在大病将愈之时出现弄舌,预后凶险。凡是伸出较长且收回缓慢的,叫做“舒”。稍微露出就收回,舌头干燥肿胀涩滞的,叫做“弄”。如果舌上无故出血的,叫做“舌衄”。这些总归都是心脾热证的表现。
治疗鹅口疮(婴儿口腔黏膜白色斑块)和口疮。
雄黄(三钱)、硼砂(一分)、龙脑(少许)、甘草(五分),研成细末,直接干撒在患处。或者用蜂蜜调和涂抹。
治疗鹅口疮、重舌、口疮以及垂痈。
龙脑(一分)、青黛、朴硝(各一钱),另一版本方中有牛黄,研成细末,用蜂蜜调和,用鹅毛管蘸取少许敷在患处。
治疗重舌、重龈。
天南星,生用,去皮和脐部,研成极细粉末,用醋调匀涂在脚心,男性涂左脚,女性涂右脚。用厚皮纸贴住,如果干了,再用醋润湿。
Treats continuous rhinorrhea, nasal congestion, and headache. Refer to the "Head Wind" section mentioned earlier.
Chong She (Double Tongue / Sublingual swelling resembling a small tongue) indicates pathology of the Heart and Spleen. The Heart opens into the tongue and governs Blood, while the Spleen's collaterals connect to the underside of the tongue; furthermore, Fire (Heart) and Earth (Spleen) share a mother-son relationship. When Heat is present, it causes both Qi and Blood to flourish excessively. The manifestation involves swelling attached beneath the tongue, near its root, forming a shape similar to the tongue but slightly shorter and smaller with a different color. Acupuncture may also be appropriate. If the swelling occurs on the inner cheek or palate, it is termed *Chong Shi* (a variant term for sublingual swelling). If it occurs on the gingiva, it is termed *Chong Yin* (Double Gingiva).
Mu She (Wooden Tongue / Stiff and swollen tongue) results from stagnation in the Zang-Fu organs, where accumulated Heat in the Heart and Spleen forces Qi upward. This causes the tongue to swell, become enlarged at the tip, and fill the mouth. If not treated urgently, it can be fatal. One must not press the tongue with hands, as this damages the root, potentially leading to speech impediments later. If the condition progresses to silent crying, frequent changes in facial complexion, and convulsive pain, it is incurable. Although tongue diseases primarily belong to the Heart and Spleen, the Liver meridian also connects to the root of the tongue. Thus, when Cold Damage pathogens transmit to the Jueyin channel, symptoms such as tongue retraction and testicular contraction occur, which serves as a general analogy.
Nong She (Playing Tongue / Frequent protrusion of the tongue) indicates slight Heat in the Spleen causing mild tension in the tongue collaterals, resulting in intermittent tongue protrusion. Treatment should avoid excessive use of cold-natured herbs. Even if the patient desires water, it is due to Spleen deficiency and insufficient body fluids. If Nong She appears at the end of a severe illness, the prognosis is ominous. Prolonged protrusion with slow retraction is called "Shu" (Relaxed/Extended). Brief protrusion followed by quick retraction, accompanied by a dry, swollen, and rough tongue, is called "Nong" (Playing/Moving). Spontaneous bleeding from the tongue is called "She Nu" (Tongue Hemorrhage). All these are collectively manifestations of Heart and Spleen Heat syndromes.
Treats E Kou Chuang (Goose-mouth sores / Thrush) and oral ulcers.
Xiong Huang (Realgar), Peng Sha (Borax), Long Nao (Borneol), Gan Cao (Licorice Root). Grind into fine powder and apply dry to the affected area. Alternatively, mix with honey for application.
Treats E Kou Chong She (Thrush with Double Tongue), oral ulcers, and drooping abscesses.
Long Nao (Borneol), Qing Dai (Indigo Naturalis), Pu Xiao (Mirabilite). Another prescription includes Niu Huang (Calculus Bovis). Grind into fine powder, mix with honey, and apply sparingly to the affected area using a goose feather.
Treats Chong She and Chong Yin.
Tian Nan Xing (Arisaema Rhizome), raw, peeled and de-navelled, ground into an extremely fine powder. Mix with vinegar and apply to the sole of the foot: left foot for males, right foot for females. Cover with thick skin paper. If it dries, moisten again with vinegar.