重龈胎热胃中蓄，牙根肿胀痛难禁，刺破一字散敷上，继进清胃效如神。
[注]
重龈者，因小儿在胎有热蓄于胃中故牙根肿如水泡，名日重龈，
治法用针刺破，以盐汤拭净，外敷一宇散，内服清胃散，其肿自消。
(一字散) 方见悬痈。
(清胃散) 生地 丹皮 黄连 当归 升麻 石膏煆 引用灯心水煎服。
(方歌)
清胃散治胃热熏，生地黄连当归身，丹皮升麻石膏煆，临煎须要入灯心。
%
初生门
鹅口白屑满舌口，心脾蕴热本胎原，清热泻脾搽保命，少迟糜烂治难痊。
[注]
鹅口者白屑生满口舌，如鹅之口也，
由在胎中受母饮食热毒之气，蕴于心脾二经，故生后遂发于口舌之间，
治法以清热泻脾散主之，
外用发蘸井水拭口，搽以保命散，日敷二三吹，白退自安，
倘治之稍迟，必口舌糜烂，吮乳不得，则虽痊矣。
(清热泻脾散) 山栀炒 石膏煆 黄连姜炒 生地 黄芩 赤苓 引用灯心水煎服。
(方歌)
清热泻脾治鹅口，石膏生地赤苓煎，芩连栀子合成剂，加人灯心病即安。
(保命散) 白矾烧灰 朱砂各二钱五分水飞 马牙硝五钱 以上研末，
以白鹅粪水搅取汁，涂舌与口角上。
%
初生门
吐长收缓名吐舌，皆是心经有热成，面红烦渴溺涩赤，泻心导赤服即宁。
[注]
吐舌者，伸长而收缓也，因心经有热所致，
故面红烦躁，口渴尿赤，宜泻心导赤汤主之。
(泻心导赤汤) 木通 生地 黄连 甘草生 引用灯心水煎服。
(方歌)
泻心导赤汤最良，心热吐舌即堪尝，木通生地黄连草，灯心加入服自强。
%
初生门
重龈是由于胎儿时期胎热蓄积在胃中，导致牙根肿胀，疼痛难以忍受。治疗时刺破患处，敷上一字散，随后服用清胃散，疗效神速。
[注]
重龈，是因为小儿在母胎中时，有热邪蓄积在胃中，所以牙根肿胀像水泡一样，名叫重龈。
治疗方法是用针刺破，用盐汤擦拭干净，外部敷上一字散，内部服用清胃散，肿胀自然消退。
（一字散）方剂见“悬痈”条下。
（清胃散）生地黄、牡丹皮、黄连、当归、升麻、煅石膏。引用灯心草煎水服用。
（方歌）
清胃散治疗胃热熏蒸，包含生地黄、黄连、当归身，牡丹皮、升麻、煅石膏，临煎煮时必须加入灯心草。
鹅口表现为白屑布满舌面和口腔，其根源在于心脾蕴藏的热邪来自胎元。清热泻脾并外搽保命散，若治疗稍迟导致糜烂则难治愈。
[注]
鹅口，是指白屑长满口腔和舌头，就像鹅的嘴巴一样。
这是由于在母胎中受到母亲饮食中热毒之气的影响，蕴结在心经和脾经，所以出生后就在口腔和舌头之间发作。
治疗方法以清热泻脾散为主。
外用蘸井水擦拭口腔，涂抹保命散，每天敷贴两三次，白屑退去后自然安宁。
如果治疗稍微延迟，必然导致口腔和舌头糜烂，无法吸吮乳汁，那么即使痊愈也困难了。
（清热泻脾散）炒山栀、煅石膏、姜炒黄连、生地黄、黄芩、赤茯苓。引用灯心草煎水服用。
（方歌）
清热泻脾散治疗鹅口，石膏、生地黄、赤茯苓煎煮，黄芩、黄连、栀子合成药剂，加入灯心草病即安。
（保命散）烧成灰的白矾、水飞朱砂各二钱五分、马牙硝五钱。以上研成粉末，
用白鹅粪的水搅拌取汁，涂抹在舌头和口角上。
吐舌且收回缓慢称为吐舌，都是由于心经有热所致。面色红、烦躁、口渴、小便涩痛色赤，服用泻心导赤汤即可安宁。
[注]
吐舌，是指舌头伸长而收回缓慢，这是因为心经有热引起的。
所以出现面红、烦躁、口渴、尿赤等症状，适宜用泻心导赤汤主治。
（泻心导赤汤）木通、生地黄、黄连、生甘草。引用灯心草煎水服用。
（方歌）
泻心导赤汤效果最好，心热导致的吐舌就可以尝试，木通、生地黄、黄连、甘草，加入灯心草服用效力更强。
Chongyin (Double Gums) is caused by fetal heat accumulating in the Stomach, leading to swelling of the gum roots and unbearable pain. The treatment involves pricking the lesion with a needle, applying Yizi San (One-Character Powder), followed by administering Qingwei San (Clear the Stomach Powder), which yields miraculous effects.
[Note]
Chongyin (Double Gums) occurs because heat accumulates in the Stomach while the infant is in the womb, causing the gum roots to swell like blisters, hence the name Chongyin (Double Gums).
The treatment method is to prick it with a needle, wipe it clean with salt water, apply Yizi San (One-Character Powder) externally, and internally administer Qingwei San (Clear the Stomach Powder), after which the swelling will naturally subside.
(Yizi San [One-Character Powder]) See the entry for Xuan Yong (Hanging Abscess) for the formula.
(Qingwei San [Clear the Stomach Powder]) Sheng Di Huang (Rehmanniae Radix Recens), Dan Pi (Moutan Cortex), Huang Lian (Coptidis Rhizoma), Dang Gui (Angelicae Sinensis Radix), Sheng Ma (Cimicifugae Rhizoma), Shu Shi Gao (Calcined Gypsum). Decoct with Deng Xin Cao (Junci Medullia) as a guiding herb.
(Verse Formula)
Qingwei San (Clear the Stomach Powder) treats fumigation by Stomach Heat; it contains Sheng Di Huang (Rehmanniae Radix Recens), Huang Lian (Coptidis Rhizoma), and Dang Gui Shen (the heart of Angelicae Sinensis Radix); Dan Pi (Moutan Cortex), Sheng Ma (Cimicifugae Rhizoma), and calcined Shi Gao (Gypsum Fibrosum); when decocting, Deng Xin Cao (Junci Medullia) must be added.
E Kou (Goose Mouth) presents with white debris filling the tongue and mouth; its root lies in Heart and Spleen heat originating from the prenatal stage. Clearing heat and purging the Spleen, combined with topical application of Baoming San (Life-Preserving Powder), is indicated; if treatment is delayed until erosion occurs, it becomes difficult to cure.
[Note]
E Kou (Goose Mouth) refers to white debris growing all over the mouth and tongue, resembling the mouth of a goose.
This is due to inhaling the qi of heat and toxins from the mother's diet while in the womb, which stagnates in the Heart and Spleen meridians, thus manifesting in the mouth and tongue after birth.
The treatment method primarily uses Qingre Xiapi San (Clear Heat and Purge Spleen Powder).
Externally, dip cotton in well water to wipe the mouth, then apply Baoming San (Life-Preserving Powder); apply two or three times daily. Once the white debris recedes, peace returns.
If treatment is slightly delayed, erosion of the mouth and tongue will inevitably occur, making suckling impossible, and even if cured later, recovery will be difficult.
(Qingre Xiapi San [Clear Heat and Purge Spleen Powder]) Chao Shan Zhi (Fried Gardenia Fructus), Hui Shi Gao (Calcined Gypsum), Jiang Chao Huang Lian (Ginger-fried Coptidis Rhizoma), Sheng Di Huang (Rehmanniae Radix Recens), Huang Qin (Scutellariae Radix), Chi Fu Ling (Poria with Red Core). Decoct with Deng Xin Cao (Junci Medullia) as a guiding herb.
(Verse Formula)
Qingre Xiapi San (Clear Heat and Purge Spleen Powder) treats E Kou (Goose Mouth); decoct Shi Gao (Gypsum Fibrosum), Sheng Di Huang (Rehmanniae Radix Recens), and Chi Fu Ling (Poria with Red Core); Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), and Shan Zhi (Gardenia Fructus) are combined into a preparation; adding Deng Xin Cao (Junci Medullia) brings immediate relief.
(Baoming San [Life-Preserving Powder]) Shao Bai Fan (Calcined Alum) and Zhu Sha (Cinnabar, water-washed) each 2.5 qian; Ma Ya Xiao (Natrii Sulfas) 5 qian. Grind the above into powder.
Mix with juice extracted from stirring white goose manure in water, and apply to the tongue and corners of the mouth.
Tu She (Protruding Tongue) is characterized by the tongue protruding and retracting slowly; this is always caused by heat in the Heart meridian. Symptoms include red face, irritability, thirst, and scanty dark urine. Administering Xiexin Daochi Tang (Drain the Heart and Guide Out Fire Decoction) brings calmness.
[Note]
Tu She (Protruding Tongue) refers to the tongue extending outward and retracting slowly, caused by heat in the Heart meridian.
Therefore, symptoms such as red face, irritability, thirst, and dark urine appear. Xiexin Daochi Tang (Drain the Heart and Guide Out Fire Decoction) is appropriate for treatment.
(Xiexin Daochi Tang [Drain the Heart and Guide Out Fire Decoction]) Mu Tong (Akebiae Caulis), Sheng Di Huang (Rehmanniae Radix Recens), Huang Lian (Coptidis Rhizoma), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma). Decoct with Deng Xin Cao (Junci Medullia) as a guiding herb.
(Verse Formula)
Xiexin Daochi Tang (Drain the Heart and Guide Out Fire Decoction) is excellent; it is suitable for Tu She (Protruding Tongue) caused by Heart Heat; Mu Tong (Akebiae Caulis), Sheng Di Huang (Rehmanniae Radix Recens), Huang Lian (Coptidis Rhizoma), and Gan Cao (Glycyrrhizae Radix et Rhizoma); adding Deng Xin Cao (Junci Medullia) strengthens the efficacy upon ingestion.