【方歌】鹅口满口白斑点，小儿心脾热所生，初生多是胎中热，
甚则咽喉叠肿疼。
【注】此证小儿多有之，属心、脾二经之热所生，初生小儿则
属胎热上攻所致。满口皆生白色斑点作痛，甚则咽喉叠
叠肿起，难于乳哺，多生啼叫。法用青纱一条，裹箸头
上，蘸新汲水，揩去白胎，以净为度，重手出血无妨，
随用冰硼散搽之，内服凉膈散即愈。
方剂：冰硼散
组成：冰片（五分） 硼砂
元明粉（各五钱） 朱砂（六分）
共研极细末，用少许搽于疮处。如咽喉肿痛，以芦
筒吹之立效。
【方歌】冰硼散治咽肿痛，口疮白点满口生，冰硼朱砂元明粉，
研末搽之立见功。
又方：凉膈散（见面部面发毒）
【方歌】口糜阴虚阳火成，膀胱湿水溢脾经，湿与热瘀薰胃口，
满口糜烂色红疼。
【注】此证由阳旺阴虚，膀胱湿水泛溢脾经，湿与热瘀，郁久
则化为热，热气薰蒸胃口，以致满口糜烂，甚于口疮，
色红作痛，甚则连及咽喉，不能饮食。初起宜服导赤汤
。口臭、泻泄脾虚湿者，宜服连理汤；糜烂延及喉咽，
日轻夜重者，服少阴甘桔汤；便秘者服凉膈散。外俱以
姜柏散搽之有效。
方剂：导赤汤
组成：木通 生地（各二钱）
甘草（生，一钱）
竹叶二十片，水一钟，煎半钟，温服。
【方歌】导赤汤医口糜证，脾湿化热薰胃成，木通生地生甘草，
竹叶煎服热自平。
又方：加味连理汤
组成：白术（土炒，二钱） 人参
白茯苓 黄连
干姜（各一钱） 甘草（炙，五分）
水煎，热服。
【方歌】连理胃热脾虚湿，口糜臭气泻泄俱，参芩白术炙甘草，
干姜黄连脾胃宜。
又方：少阴甘桔汤
组成：桔梗（二钱） 甘草（生，一钱）
川芎 黄芩
陈皮 元参
柴胡（各六分） 羌活
升麻（各四分）
葱白一根，水二钟，煎八分，食远服。
【方歌】少阴甘桔治口糜，芎芩羌活桔陈皮，元参柴草升麻共，
葱白水煎神效奇。
又方：姜柏散
组成：干姜 黄柏（末，各等分）
各研末，共合一处研匀，干搽口内，温水漱口。
【方歌】姜柏散搽口糜烂，黄柏干姜各细研，等分兑匀搽患处，
温水漱口效如仙。
又方：凉膈散（见面部面发毒）
【方歌】鹅口疮表现为满口白色斑点，这是由小儿心经和脾经的热邪所致。初生婴儿多因胎中积热引起，严重时咽喉会层层肿胀疼痛。
【注】这种病症在小儿中较为常见，属于心和脾两经的热邪所导致；初生婴儿则是由胎热上攻引起的。满口都长出白色斑点并伴有疼痛，严重时咽喉层层肿起，难以吃奶，经常啼哭。治疗方法是用一条青纱裹住筷子头，蘸取新汲取的冷水，擦拭去除白色的胎膜，以擦干净为度，用力重一些导致出血也无妨，随后用冰硼散涂抹患处，内服凉膈散即可痊愈。
方剂：冰硼散
组成：冰片（五分） 硼砂 元明粉（各五钱） 朱砂（六分）
共同研磨成极细的粉末，取少量涂抹在疮处。如果咽喉肿痛，用芦筒吹入药粉，立即见效。
【方歌】冰硼散治疗咽喉肿痛，口疮白点长满口腔，由冰片、硼砂、朱砂、元明粉组成，研成末涂抹立刻见效。
另一方法：凉膈散（参见面部疔疮章节）
【方歌】口糜是由于阴虚阳火亢盛而成，膀胱的湿水泛溢到脾经，湿与热瘀结熏蒸胃口，导致满口糜烂且颜色发红疼痛。
【注】此病证由阳气旺盛而阴液不足，膀胱湿气泛溢至脾经，湿与热瘀结，郁久化为热，热气熏蒸胃口，导致满口糜烂，比口疮更严重，颜色发红作痛，严重时连及咽喉，无法饮食。初起宜服用导赤汤。若有口臭、腹泻且属脾虚湿盛者，宜服用连理汤；若糜烂延及喉咽，且白天轻晚上重者，服用少阴甘桔汤；便秘者服用凉膈散。外用均使用姜柏散涂抹有效。
方剂：导赤汤
组成：木通 生地（各二钱）
甘草（生用，一钱）
竹叶二十片，用水一钟，煎至半钟，温服。
【方歌】导赤汤治疗口糜证，脾湿化热熏蒸胃腑而成，由木通、生地、生甘草、竹叶煎服，热邪自然平息。
另一方法：加味连理汤
组成：白术（土炒，二钱） 人参 白茯苓 黄连 干姜（各一钱） 甘草（炙用，五分）
水煎，热服。
【方歌】连理汤治疗胃热脾虚湿，口糜臭气腹泻皆适宜，人参、黄芩、白术、炙甘草，干姜黄连调理脾胃适宜。
另一方法：少阴甘桔汤
组成：桔梗（二钱） 甘草（生用，一钱） 川芎 黄芩 陈皮 元参 柴胡（各六分） 羌活 升麻（各四分）
葱白一根，用水二钟，煎至八分，饭后服用。
【方歌】少阴甘桔汤治疗口糜，川芎、黄芩、羌活、桔梗、陈皮，元参、柴胡、甘草、升麻共用，葱白水煎效果神奇。
另一方法：姜柏散
组成：干姜 黄柏（末，各等分）
分别研成粉末，混合均匀，干撒于口腔内，用温水漱口。
【方歌】姜柏散涂抹口部糜烂，黄柏和干姜分别细研，等分混合后涂抹患处，用温水漱口效果如仙。
另一方法：凉膈散（参见面部疔疮章节）
[Formula Song] Ge Kou Chuang (Thrush) presents as white spots covering the entire mouth, generated by heat in the Heart and Spleen meridians of infants. In newborns, it is often due to fetal heat; if severe, the throat swells in layers and becomes painful.
[Note] This condition is common in infants, caused by heat in the Heart and Spleen meridians; in newborns, it results from fetal heat attacking upward. White spots appear throughout the mouth with pain; severely, the throat swells in layers, making suckling difficult and causing frequent crying. The treatment method involves wrapping a piece of green gauze around the head of a chopstick, dipping it in freshly drawn cold water, and wiping away the white membrane until clean. Heavy pressure causing bleeding is acceptable. Subsequently, apply Bingpeng San (Bingpeng Powder) to the lesion, and internally administer Liangge San (Cool the Upper Jiao Powder) for recovery.
Formula: Bingpeng San (Bingpeng Powder)
Composition: Pianchuan Xiong (Borneolum Syntheticum, 5 fen), Pengsha (Borax, 5 qian), Yuanming Fen (Mirabilite, 5 qian), Zhusha (Cinnabar, 6 fen).
Grind all ingredients into an extremely fine powder. Apply a small amount to the ulcerated area. If there is throat swelling and pain, insufflate the powder using a reed tube for immediate effect.
[Formula Song] Bingpeng San treats throat swelling and pain, and white spots of oral ulcers covering the mouth. Composed of Borneol, Borax, Cinnabar, and Mirabilite, grinding them into powder and applying them yields immediate results.
Another Formula: Liangge San (See section on Facial Carbuncles)
[Formula Song] Kou Mi (Oral Mucosal Ulceration) is formed by Yin deficiency and Yang fire hyperactivity. Dampness from the Bladder overflows into the Spleen meridian; dampness and heat stagnate and薰 (mingle/steep) the Stomach opening, causing full-mouth ulceration with redness and pain.
[Note] This condition arises from excessive Yang and deficient Yin, where dampness from the Bladder overflows into the Spleen meridian. Dampness and heat stagnate, transforming into heat after long-term retention. Heat steams the Stomach opening, leading to extensive oral ulceration, worse than simple oral ulcers, with redness and pain, potentially extending to the throat and preventing eating and drinking. At the onset, Dao Chi Tang (Guide Out Redness Decoction) is suitable. For cases with bad breath and diarrhea due to Spleen deficiency and dampness, Lianli Tang (Coptis and Licorice Decoction) is suitable. If ulceration extends to the throat and worsens at night, Shaoyin Ganjie Tang (Shaoyin Licorice and Platycodon Decoction) is used. For constipation, Liangge San is administered. Externally, Jiangbai San (Ginger and Phellodendron Powder) applied to the area is effective.
Formula: Dao Chi Tang (Guide Out Redness Decoction)
Composition: Mutong (Akebiae Caulis, 2 qian each), Shengdi Huang (Rehmanniae Radix, 2 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian), Zhuye (Bambusae Folium, 20 leaves).
Decoct with one zhong of water until half remains, take warm.
[Formula Song] Dao Chi Tang treats oral mucosal ulceration caused by Spleen dampness transforming into heat steaming the Stomach. Mutong, Rehmannia, Raw Licorice, and Bamboo Leaf decocted and taken relieve heat naturally.
Another Formula: Jiawei Lianli Tang (Modified Coptis and Licorice Decoction)
Composition: Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried, 2 qian), Renshen (Ginseng Radix), Baifuling (Poria, 1 qian each), Huanglian (Coptidis Rhizoma, 1 qian), Ganjiang (Zingiberis Rhizoma, 1 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 5 fen).
Decoct with water, take hot.
[Formula Song] Lianli Tang treats Stomach heat, Spleen deficiency, and dampness; suitable for oral mucosal ulceration with odor and diarrhea. Ginseng, Scutellaria, Atractylodes, and Honey-fried Licorice, along with Ginger and Coptis, benefit the Spleen and Stomach.
Another Formula: Shaoyin Ganjie Tang (Shaoyin Licorice and Platycodon Decoction)
Composition: Jiegeng (Platycodonis Radix, 2 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 6 fen each), Huangqin (Scutellariae Radix, 6 fen each), Chenpi (Citri Reticulatae Pericarpium, 6 fen each), Yuanshen (Scrophulariae Radix, 6 fen each), Chaihu (Bupleuri Radix, 6 fen each), Qianghuo (Notopterygii Rhizoma et Radix, 4 fen each), Shengma (Cimicifugae Rhizoma, 4 fen each).
Add one stalk of Congbai (Allii Fistulosi Bulbus), decoct two zhongs of water until eight fen remain, take after meals.
[Formula Song] Shaoyin Ganjie Tang treats oral mucosal ulceration. Ligusticum, Scutellaria, Notopterygium, Platycodon, Citrus peel, Scrophularia, Bupleurum, Licorice, and Cimicifuga are combined. Decocted with Allium fistulosum and water, the effect is miraculous.
Another Formula: Jiangbai San (Ginger and Phellodendron Powder)
Composition: Ganjiang (Dried Zingiberis Rhizoma), Huangbai (Phellodendri Cortex) - both ground into powder in equal parts.
Grind separately and mix uniformly. Apply dry powder to the inside of the mouth, rinse with warm water.
[Formula Song] Jiangbai San applied to oral mucosal ulceration; Phellodendron and Dried Ginger are finely ground separately, mixed in equal parts, applied to the affected area, and rinsed with warm water for efficacy like a fairy remedy.
Another Formula: Liangge San (See section on Facial Carbuncles)