【方歌】痰包每在舌下生，结肿绵软似匏形，痛胀舌下妨食语，
火积痰涎流注成。
【注】此证生于舌下，结肿如匏，光软如绵，塞胀舌下，有妨
饮食言语，色黄木痛，由火积痰涎流注而成。宜用立剪
当包上煎破，出痰涎如鸡子清，稠粘不断，拭净，搽冰
硼散，服加味二陈汤。忌煎炒、火酒等物。
方剂：加味二陈汤
组成：陈皮 半夏（制）
白茯苓 黄芩（各八分）
黄连 薄荷
甘草（生，各五分）
水二钟，姜三片，煎八分，食前服。
【方歌】加味二陈疗痰包，结肿舌下形如匏，二陈汤加芩连薄，
姜煎服下自然消。
又方：冰硼散（见口部鹅口疮）
【方歌】舌衄心火血分炎，舌上生孔似铁尖，或如箸头其色紫，
甚黑腐烂血出泉。
【注】此证系舌上忽生孔，小者如针尖，大者如箸头。其孔色
紫属热甚，色黑防腐烂，血出如泉涌。由心火上炎，以
致血热妄行而成。宜服升麻汤，兼搽必胜散甚效。
方剂：升麻汤
组成：升麻 小蓟根
茜根（一两五钱） 艾叶（七钱五分）
寒水石（三两）
共研，每三钱，水一钟，煎七分澄去渣，入生地黄
汁一羹匙，再煎二滚，温服。或加炒侧柏叶五钱亦可。
【方歌】升麻舌衄心火炎，小蓟茜根各两半，艾叶七钱五分加，
寒水三两同研烂。
又方：必胜散
组成：螺青（另研） 蒲黄（炒，各一钱）
共合一处研细，搽于患处，后用温盐汤漱口。
【方歌】必胜心热血妄行，舌生小孔涌血红，螺青研末蒲黄炒，
同匀搽之自归经。
【方歌】痰包通常生长在舌下，结块肿胀，质地绵软，形状像匏瓜。疼痛胀满位于舌下，妨碍进食和说话，这是由火热积聚、痰涎流注所形成的。
【注】此证候生于舌下，结块肿胀如匏瓜状，光亮柔软如棉絮，堵塞胀满于舌下，影响饮食和言语，颜色黄且木痛，是由火热积聚、痰涎流注而形成的。适宜用剪刀剪开当包（此处指病变部位），挤出痰涎如鸡蛋清般，稠粘不断，擦拭干净后，外搽冰硼散，内服加味二陈汤。忌食煎炒食物、火酒等物。
方剂：加味二陈汤
组成：陈皮、半夏（制）、白茯苓、黄芩（各八分）、黄连、薄荷、甘草（生，各五分）。
用水二钟，生姜三片，煎至八分，饭前服用。
【方歌】加味二陈汤治疗痰包，结块肿胀在舌下形状如匏瓜，二陈汤加入黄芩、黄连、薄荷，用姜水煎服自然消散。
【方歌】舌衄是心火导致血分炎症，舌上生出孔洞似铁尖，有的像筷子头那样大，颜色紫红，严重的发黑腐烂，血液涌出如泉水。
【注】此证候表现为舌上突然生出孔洞，小的如针尖，大的如筷子头。孔洞颜色紫红属于热势严重，颜色发黑且腐败腐烂，血液涌出如泉涌。这是由于心火上炎，导致血热妄行而形成的。适宜服用升麻汤，同时外搽必胜散，效果很好。
方剂：升麻汤
组成：升麻、小蓟根、茜根（一两五钱）、艾叶（七钱五分）、寒水石（三两）。
共同研成粉末，每次取三钱，用水一钟，煎至七分，澄清去渣，加入生地黄汁一羹匙，再煮沸两次，温服。也可以加入炒侧柏叶五钱。
【方歌】升麻汤治疗舌衄因心火炎，小蓟、茜根各一两半，艾叶七钱五分加入，寒水石三两一同研烂。
[Formula Song] Phlegm-bao (Phlegm-packet) usually arises under the tongue, forming a swelling that is soft and cotton-like in texture, resembling a calabash. Pain and distension occur under the tongue, obstructing eating and speaking; this is formed by the accumulation of fire and the flow of phlegm-saliva.
[Note] This condition arises under the tongue, presenting as a swelling like a calabash, smooth and soft like cotton, causing blockage and distension under the tongue, interfering with diet and speech. The color is yellow with a numb pain sensation. It is caused by the accumulation of fire and the flow of phlegm-saliva. It is appropriate to use scissors to incise the lesion ("Dangbao" referring to the affected area), draining phlegm-saliva resembling egg white, which is thick and viscous. After wiping clean, apply Bingpeng San externally, and internally administer Jiawei Erchen Tang. Avoid fried foods and strong liquor.
Formula: Jiawei Erchen Tang (Modified Two-Aged Decoction)
Composition: Chenpi (Citri Reticulatae Pericarpium), Banxia (Zhi) (Pinelliae Rhizoma Preparatum), Baifuling (Poria), Huangqin (Scutellariae Radix) (each 8 fen); Huanglian (Coptidis Rhizoma), Bohe (Menthae Haplocalycis Herba), Gancao (Sheng) (Glycyrrhizae Radix et Rhizoma Raw) (each 5 fen).
Use two zhong of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until eight parts remain. Take before meals.
[Formula Song] Jiawei Erchen treats Phlegm-bao, the swelling under the tongue resembles a calabash; adding Huangqin, Huanglian, and Bohe to Erchen Tang, decocted with ginger, it naturally dissipates.
Another Formula: Bingpeng San (See Mouth Section for Thrush)
[Formula Song] She-nü (Tongue bleeding) results from Heart Fire inflaming the Blood level; holes appear on the tongue like iron tips, or as large as chopstick heads, with a purple color. In severe cases, they turn black and rot, with blood gushing out like a spring.
[Note] This condition manifests as sudden holes appearing on the tongue, small ones like needle tips, large ones like chopstick heads. A purple color in the hole indicates severe heat; a black color indicates corruption and rotting, with blood gushing like a spring. This is caused by Heart Fire flaming upward, leading to reckless movement of blood due to blood-heat. It is appropriate to take Shengma Tang and simultaneously apply Bisheng San externally for excellent effect.
Formula: Shengma Tang (Cimicifugae Decoction)
Composition: Shengma (Cimicifugae Rhizoma), Xiaoji Gen (Cirsii Japonici Radix), Qian Gen (Achyranthis Bidentatae Radix) (1 liang 5 qian), Ai Ye (Artemisiae Argyi Folium) (7 qian 5 fen), Hanshuishi (Calcitrum) (3 liang).
Grind together into powder. Each time take 3 qian, add one zhong of water, decoct until seven parts remain. Clarify and remove dregs, add one spoonful of Shengdihuang Zhi (Rehmanniae Radix Juice), boil twice more, and take warm. Alternatively, add 5 qian of Chao Cebaiye (Platycladi Cacumen) stir-fried.
[Formula Song] Shengma Tang treats She-nü due to Heart Fire inflammation; Xiaoji and Qian Gen each 1 liang 5 qian, add 7 qian 5 fen of Ai Ye, and 3 liang of Hanshuishi grind together.
Another Formula: Bisheng San
Composition: Luoqing (Lapis Azuritatis, ground separately), Puhuang (Pollen Typhae, stir-fried) (each 1 qian).
Mix thoroughly and grind fine. Apply to the affected area, then rinse mouth with warm salt water.
[Formula Song] Bisheng San treats Heart Fire and blood-heat causing reckless movement; small holes on the tongue gush red blood. Luoqing ground into powder and stir-fried Puhuang are mixed evenly and applied to stop bleeding and restore normal circulation.