〔无〕矾石散治风湿寒，舌强不能语。
枯矾 桂心（各等分）
上为末，每服一钱，安舌下。
针灸舌卷，独取手少阳络与筋。经云∶邪客手少阳之络，令人喉痹舌卷，口干心烦，臂外廉
痛，手不及头，刺手中指、次指爪甲上去端如韭叶各一 。又云∶手阳明之筋，其病支痛，
转筋舌卷。治在燔针劫刺，以知为数，以痛为输是也。
〔《诊》〕舌卷，若唇青卵缩者，必死。经云∶厥阴络者，甚则舌卷，卵上缩。经又云∶肝
者筋之合也，肝脉弗荣则筋急。筋急则引舌与卵，故唇青舌卷卵缩，则筋先死，庚笃辛死也。
〔萧〕治口角流涎不止，口目 邪，手足痿软，方如下。（流涎者，自然流出也。）
神龟滋阴丸治足痿。
龟板（炙，四两） 知母（酒炒，二两） 锁阳（酒洗，一两） 黄柏（炒赤，二两） 枸杞子
五味子（各一两） 干姜（炮，半两）
上为末，清水丸。如桐子大。每服七十丸，空心盐汤下。
通天愈风汤
人参（一钱） 威灵仙（去芦，半钱） 南星（汤泡） 贝母（去心。各一钱） 连翘 防风（去芦。各五分）
栝蒌仁（十五粒） 白术（一钱半） 桔梗（三钱） 甘草 荆芥穗（各五分） 生姜（三片）
上水一钟半，煎七分去渣，入荆沥一呷，姜汁些少，半饥时服。吞下清心导痰丸五十粒，日
一服。
清心导痰丸
白附（一两） 南星（姜汁，二两） 半夏（姜汁，二两） 黄连（炒，七钱半） 天花粉（一两）
白僵蚕（炒，去丝嘴，半两） 川乌（盐制，二钱） 郁金（七钱半） 天麻 羌活（各半两）
上为末，姜汁糊为丸，如桐子大。每服五十丸，用通天愈风汤吞下。
清心牛黄丸
胆星（一两） 牛黄（二钱） 黄连（一两） 归身 甘草 辰砂（各半两）
上为末，汤浸蒸饼为丸，绿豆大。每服五十丸，临卧时唾津咽下。
尝治宣文炳，口流涎不止，喜笑舌喑，脉洪大。用连、芩、柏、栀、白术、苍术、半夏、竹
沥、姜汁，服之五日，涎止笑息。
〔仲〕云∶大病瘥后喜唾，久不了了者，胃上有寒，当以丸药温之，宜理中丸。东垣云∶多
唾或唾白沫者，胃口上停寒也，药中加益智仁。（此多唾者，用力吐方出也。）
〔《灵》〕舌纵涎下，烦 ，取足少阴。（寒热病篇）黄帝曰∶人之涎下者，何气使然？岐伯曰∶
饮食者，皆入于胃，胃中有热则虫动，虫动则胃缓，胃缓则廉泉开，廉泉开故涎下，补足少阴。
（口问篇）
〔《甲》〕 舌纵涎下，烦闷，阴谷主之。
矾石散治疗风湿寒邪，导致舌体僵硬、不能言语。
枯矾 桂心（各等分）
将上述药物研为细末，每次服用一钱，置于舌下含化。
针灸治疗舌体卷缩，专门选取手少阳经的络穴以及筋会穴。经文说：邪气客居手少阳经的络脉，使人咽喉痹阻、舌体卷缩、口干心烦、手臂外侧疼痛、手举不过头，针刺手中指和次指指甲角旁，距离边缘如韭菜叶宽处各一寸。又说：手阳明经的筋脉，其病症表现为支节疼痛、转筋、舌体卷缩。治疗方法是用燔针劫刺，以病情好转为度，以疼痛部位作为腧穴。
〔《诊》〕舌体卷缩，如果伴有嘴唇发青、睾丸上缩，必定死亡。经文说：厥阴经的络脉，病势严重时会导致舌体卷缩、睾丸上缩。经文又说：肝是筋的汇聚之处，肝脉不能滋养则筋脉拘急。筋脉拘急会牵引舌体和睾丸，所以嘴唇发青、舌体卷缩、睾丸上缩，说明筋先死，庚日加重，辛日死亡。
〔萧〕治疗口角流涎不止、口眼歪斜、手足痿软无力，方剂如下。（流涎，指津液自然流出。）
神龟滋阴丸治疗足部痿软。
龟板（炙，四两） 知母（酒炒，二两） 锁阳（酒洗，一两） 黄柏（炒至赤色，二两） 枸杞子 五味子（各一两） 干姜（炮制，半两）
将上述药物研为细末，用清水制成丸药，大小如梧桐子。每次服用七十丸，空腹时用盐汤送服。
通天愈风汤
人参（一钱） 威灵仙（去芦头，半钱） 南星（汤泡） 贝母（去心，各一钱） 连翘 防风（去芦头，各五分）
栝蒌仁（十五粒） 白术（一钱半） 桔梗（三钱） 甘草 荆芥穗（各五分） 生姜（三片）
用水一钟半，煎煮至七分，去渣，加入荆沥一口，少许姜汁，在半饥半饱时服用。同时吞服清心导痰丸五十粒，每日一次。
清心导痰丸
白附子（一两） 南星（姜汁制，二两） 半夏（姜汁制，二两） 黄连（炒，七钱半） 天花粉（一两）
白僵蚕（炒，去丝嘴，半两） 川乌（盐制，二钱） 郁金（七钱半） 天麻 羌活（各半两）
将上述药物研为细末，用姜汁调糊制成丸药，大小如梧桐子。每次服用五十丸，用通天愈风汤送服。
清心牛黄丸
胆南星（一两） 牛黄（二钱） 黄连（一两） 当归身 甘草 辰砂（各半两）
将上述药物研为细末，用汤浸泡蒸饼制成丸药，大小如绿豆。每次服用五十丸，临睡前用唾液咽下。
曾经治疗宣文炳，口角流涎不止，喜欢笑且舌暗不语，脉象洪大。使用黄连、黄芩、黄柏、栀子、白术、苍术、半夏、竹沥、姜汁，服用五日后，流涎停止，喜笑止息。
〔仲景〕说：大病初愈后喜欢吐唾沫，久久不能痊愈的，是胃上有寒，应当用丸药温补，适宜用理中丸。东垣说：多唾或吐出白沫的，是胃口上方停聚寒邪，药物中加入益智仁。（这种多唾，是指用力吐才能出来。）
〔《灵枢》〕舌纵缓、涎水下溢、烦闷，取足少阴经穴。（寒热病篇）黄帝问：人之所以流涎，是什么气导致的？岐伯答：饮食进入胃中，胃中有热则虫动，虫动则胃气松弛，胃气松弛则廉泉穴开泄，廉泉穴开泄所以涎水下溢，治疗应补足少阴经。（口问篇）
〔《甲乙经》〕舌纵缓、涎水下溢、烦闷，阴谷穴主治。
Fanshi San (Alum Powder) treats wind-dampness-cold, causing tongue stiffness and inability to speak.
Kufan (Calcined Alum), Guixin (Cinnamon Twig) (equal parts)
Grind the above into powder. Take one qian per dose, place under the tongue.
For acupuncture treatment of tongue retraction (She Juan), specifically select the Luo-connecting point of the Hand-Shaoyang channel and the Xi-Cleft point or related tendon points. The Classic states: When pathogenic factors lodge in the Luo-connecting vessels of the Hand-Shaoyang, it causes throat obstruction (Hou Bi), tongue retraction, dry mouth, vexation, pain along the lateral aspect of the arm, and inability to raise the hand to the head. Puncture at the nail corners of the middle finger and index finger, one cun from the corner, each side. It also states: Diseases of the sinews of the Hand-Yangming channel manifest as pain in the branches, spasms, and tongue retraction. The treatment involves burning needle (Fan Zhen) and rapid puncture (Jie Ci), using the improvement of symptoms as the indicator for stopping, and using painful areas as acupoints.
[Diagnosis] Tongue retraction accompanied by blue lips and testicular retraction indicates certain death. The Classic states: When the Luo-connecting vessels of the Jueyin are severely affected, it leads to tongue retraction and testicular retraction. The Classic further states: The Liver is the convergence of sinews. If the Liver meridian fails to nourish, sinews become tense. Tense sinews pull on the tongue and testes; thus, blue lips, tongue retraction, and testicular retraction indicate that the sinews die first, worsening on Geng days and dying on Xin days.
[Xiao] Treats continuous drooling, facial deviation (mouth and eyes deviating), and flaccidity of limbs. Formula follows. (Drooling refers to the natural flow of saliva.)
Shen Gui Zi Yin Wan (Divine Turtle Nourishing Yin Pill) treats lower limb flaccidity (Zu Wei).
Guiban (Tortoise Shell, prepared with heat, 4 liang), Zhimu (Anemarrhena Rhizome, stir-fried with wine, 2 liang), Suoyang (Cynomorium Herba, washed with wine, 1 liang), Huangbai (Phellodendron Bark, stir-fried until red, 2 liang), Gouqizi (Lycium Fruit), Wuweizi (Schisandra Fruit) (each 1 liang), Ganjiang (Dried Ginger, processed, half liang)
Grind into powder, make pills with clear water, size of wutong seeds. Take 70 pills per dose, swallow with salted water on an empty stomach.
Tongtian Yufeng Tang (Heaven-Penetrating Wind-Dispelling Decoction)
Renshen (Ginseng Root, 1 qian), Weilingxian (Syringa Stem, remove rhizome, half qian), Nanxing (Arisaema Rhizome, soak in water), Beimu (Fritillaria Bulb, remove heart, each 1 qian), Lianqiao (Forsythia Fruit), Fangfeng (Saposhnikovia Root, remove rhizome, each 5 fen)
Gualouren (Trichosanthes Seed, 15 grains), Baizhu (Atractylodes Macrocephala Rhizome, 1.5 qian), Jiegeng (Platycodon Root, 3 qian), Gancao (Licorice Root), Jingjiesui (Perilla Leaf, each 5 fen), Shengjiang (Fresh Ginger, 3 slices)
Add 1.5 zhong of water, decoct to 0.7 zhong, strain. Add a sip of Jingli (Bamboo Sap) and a little ginger juice. Take when half-hungry. Swallow 50 pills of Qingxin Daotan Wan simultaneously, once daily.
Qingxin Daotan Wan (Heart-Clearing Phlegm-Draining Pill)
Baifu (Typhonium Rhizome, 1 liang), Nanxing (Arisaema Rhizome, ginger juice processed, 2 liang), Banxia (Pinellia Tuber, ginger juice processed, 2 liang), Huanglian (Coptis Rhizome, stir-fried, 7.5 qian), Tianhuafen (Trichosanthes Root, 1 liang)
Baijiangcan (Bombyx Batryticatus, stir-fried, remove silk and head, half liang), Chuanwu (Aconitum Carmichaelii Lateral Root, salt-processed, 2 qian), Yujin (Curcuma Longa Rhizome, 7.5 qian), Tianma (Gastrodia Rhizome), Qianghuo (Notopterygium Rhizome) (each half liang)
Grind into powder, make pills with ginger juice paste, size of wutong seeds. Take 50 pills per dose, swallow with Tongtian Yufeng Tang.
Qingxin Niuhuang Wan (Heart-Clearing Calculus Bovis Pill)
Danning (Calculus Bovis Processed with Arisaema, 1 liang), Niuhuang (Calculus Bovis, 2 qian), Huanglian (Coptis Rhizome, 1 liang), Guishen (Angelica Sinensis Root Tip), Gancao (Licorice Root), Chencha (Cinnabar) (each half liang)
Grind into powder, make pills with steamed wheat cake soaked in decoction, size of mung beans. Take 50 pills per dose, swallow with saliva before bed.
I once treated Xuan Wenbing, who had continuous drooling, frequent laughter, and aphasia, with a surging pulse. I used Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark), Zhizi (Gardenia Fruit), Baizhu (Atractylodes Macrocephala Rhizome), Cangzhu (Atractylodes Lancea Rhizome), Banxia (Pinellia Tuber), Zhuli (Bamboo Sap), and Jiangzhi (Ginger Juice). After five doses, drooling stopped and laughter ceased.
[Zhang Zhongjing] states: After a major illness has subsided, if there is a tendency to salivate and it persists without resolution, it is due to cold in the upper stomach. It should be treated with pills to warm the interior, preferably Lizhong Wan (Regulate the Middle Pill). Dongyuan states: Excessive salivation or spitting white foam indicates cold stagnation above the stomach opening. Add Yizhiren (Buckthorn Seed) to the formula. (This type of excessive salivation requires forceful spitting to expel.)
[Lingshu] Tongue laxity with drooling, and vexation/oppression, take Foot-Shaoyin points. (Chapter on Cold-Heat Diseases) The Yellow Emperor asked: What qi causes drooling? Qibo answered: Food and drink enter the stomach. If there is heat in the stomach, parasites move. Parasite movement causes the stomach to relax. Stomach relaxation opens the Lianquan point. Opening of Lianquan causes drooling. Treatment should tonify the Foot-Shaoyin. (Chapter on Mouth Questions)
[Jiayi Jing] Tongue laxity with drooling, and vexation/oppression, Yinggu (KI10) is the primary point.