\r舌上痈\p05-c14a49.bmp\r
舌上痈，生于舌中心，如梅子大，不能言语。此
症因热入心胞络而发，左寸脉宜洪大而数，不宜细缓，
形症红肿者可治，黑者不治。用六味汤加∶川连（二钱） 连翘（五
钱） 河车（五钱） 生大黄（四钱） 地丁（三钱）。吹金不换，重加瓜硝
搽之，或加牛黄（三二分）更妙，以愈为度。
\r舌下痈\p05-c14a50.bmp\r
此乃脾肾积热，故发症于舌下。然舌下金津、玉液二穴通于肾经，肾水枯竭生
于此穴。胗其左尺洪数者是也。用六味汤加∶生地（二钱） 河车（二
钱） 葛根（一钱） 丹皮（一钱） 花粉（一钱） 玄参（三钱）。二服后用十八味
神药收功，吹药如前。
\r上 痈\p05-c14a51.bmp\r
上 痈，高如梅核挂下，不能饮食。此症因胃家炙 之毒，积久而发，用宜解毒；
之剂。草河车（三钱） 石膏（五钱） 地丁 生地（各二钱） 归尾 赤芍 山甲 角刺（各钱半） 丹
皮花粉 葛根（各一钱），服四五帖或十帖。兼用玉枢丹，
每日服五分。吹紫雪、金不换。此症非小，二、三月收功者亦有之。
（十三症图说）
\r木舌\p05-c14a52.bmp\r
此症心脾肝三脏积热而发。舌粗紫胀，食滞中宫，不能言
语。因多食炙 所致。急砭出紫血，搽金不换，服大承气汤
兼黄连解毒汤加∶山栀 木通
连翘 花粉（各二钱） 赤芍 草河车（各三钱）。服二帖不应，
重加生大黄以泻热毒。再用六味汤漱口（不必咽下）。左
右寸关之脉俱洪大者，实症，宜用前药。六脉细者，虚
症，难治。大承气汤、黄连解毒汤（俱在二卷精选应用方内可查。）
舌上痈，生于舌头中央，大小如梅子，导致患者无法言语。此症因热邪侵入心包络而引发，左寸脉象宜表现为洪大且数，不宜细缓；若形体症状表现为红肿者可以治愈，若颜色发黑则难以治愈。使用六味汤加味：川连（二钱）、连翘（五钱）、河车（五钱）、生大黄（四钱）、地丁（三钱）。吹敷金不换散，并重用瓜硝搽涂患处，或加入牛黄（二三分）效果更佳，以痊愈为度。
此症乃脾肾积热所致，因此病症发于舌下。然而舌下的金津穴、玉液穴与肾经相通，肾水枯竭易在此处生症。诊察其左尺脉象洪数即可确诊。使用六味汤加味：生地（二钱）、河车（二钱）、葛根（一钱）、丹皮（一钱）、花粉（一钱）、玄参（三钱）。服用两剂后，用十八味神药收功，吹药方法同上。
上颚痈
上颚痈，高起如梅核悬挂于下，导致患者不能饮食。此症因胃中炙烤之毒，积聚日久而后发作，治疗宜用解毒之剂。草河车（三钱）、石膏（五钱）、地丁、生地（各二钱）、归尾、赤芍、山甲、角刺（各钱半）、丹皮、花粉、葛根（各一钱），服用四五帖或十帖。同时服用玉枢丹，每日五分。吹敷紫雪散、金不换散。此症并非小病，有的需两三个月才能痊愈。
（十三症图说）
此症因心、脾、肝三脏积热而引发。舌头粗大、紫胀，食物停滞于中焦脾胃，导致无法言语。因过多食用炙烤食物所致。急用砭石刺出紫血，搽涂金不换散，服用大承气汤兼黄连解毒汤加味：山栀、木通、连翘、花粉（各二钱）、赤芍、草河车（各三钱）。服用两帖若无反应，加重生大黄用量以泻热毒。再用六味汤漱口（不必咽下）。左右寸关脉象均洪大的，属实证，宜用前述药物。六脉皆细的，属虚证，难治。大承气汤、黄连解毒汤（均在第二卷精选应用方内可查。）
Tongue Abscess (She Shang Yong)
Tongue abscess arises in the center of the tongue, approximately the size of a plum, rendering the patient unable to speak. This condition is caused by heat entering the Pericardium Collateral (Xin Bao Luo). The pulse at the left Cun position should be surging and rapid; it should not be fine and slow. If the physical signs show redness and swelling, it is treatable; if black, it is untreatable. Use Liuwei Decoction (Six-Ingredient Decoction) with additions: Chuanlian (Coptidis Rhizoma, 2 qian), Lianqiao (Forsythiae Fructus, 5 qian), Heche (Placenta Hominis, 5 qian), Sheng Dahuang (Rhei Radix et Rhizoma, 4 qian), and Dingdian (Violariae Herba, 3 qian). Apply Jinbuhuan powder via insufflation, and heavily apply Guanxiao (Gypsum and Nitre mixture) as a topical rub. Alternatively, adding Niuhuang (Calculus Bovis, 2-3 fen) yields better results. Treatment continues until recovery.
Sublingual Abscess (She Xia Yong)
This condition results from accumulated heat in the Spleen and Kidney, manifesting as a lesion under the tongue. The Jinjin (Metal Fluid) and Yuye (Jade Fluid) acupoints under the tongue connect to the Kidney Meridian; depletion of Kidney Water often generates pathology at these points. Diagnosis is confirmed by a surging and rapid pulse at the left Chi position. Use Liuwei Decoction (Six-Ingredient Decoction) with additions: Shengdi (Rehmanniae Radix, 2 qian), Heche (Placenta Hominis, 2 qian), Gegen (Puerariae Lobatae Radix, 1 qian), Danpi (Moutan Cortex, 1 qian), Huafen (Trichosanthis Radix, 1 qian), and Xuanshen (Scrophulariae Radix, 3 qian). After two doses, conclude treatment with Shibawei Shen Yao (Eighteen-Ingredient Divine Medicine), applying insufflation medicine as before.
Palatal Abscess (Shang Yan Yong)
Palatal abscess presents as a high swelling resembling a plum kernel hanging downwards, preventing eating and drinking. This condition arises from toxic heat generated by excessive consumption of roasted/grilled foods, accumulating over time. Treatment requires detoxifying agents. Caoheche (Sargentodoxae Caulis, 3 qian), Shigao (Gypsum Fibrosum, 5 qian), Dingdian (Violariae Herba, 2 qian), Shengdi (Rehmanniae Radix, 2 qian), Guiwei (Angelicae Sinensis Radix, 1.5 qian), Chishao (Paeoniae Radix Rubra, 1.5 qian), Shan Jia (Mantis Oviposita, 1.5 qian), Jiaoci (Unguis Cruris Gallus, 1.5 qian), Danpi (Moutan Cortex, 1 qian), Huafen (Trichosanthis Radix, 1 qian), and Gegen (Puerariae Lobatae Radix, 1 qian). Take four to five or ten doses. Concurrently administer Yushu Dan (Jade Pivot Pill), 0.5 fen daily. Insufflate Zixue San (Purple Snow Powder) and Jinbuhuan powder. This is a serious condition; recovery may take two to three months.
(Description of Figures for Thirteen Conditions)
Wood Tongue (Mu She)
This condition is caused by accumulated heat in the Heart, Spleen, and Liver meridians. The tongue becomes coarse, purple, and swollen; food stagnates in the Middle Jiao (Central Palace), and speech is impaired. It is caused by excessive consumption of roasted/grilled foods. Urgently use Bian stone (Bianshi) to prick and release purple blood, apply Jinbuhuan powder topically, and administer Dachengqi Tang (Major Order the Qi Decoction) combined with Huanglian Jiedu Tang (Coptis Decoction for Detoxification) with additions: Shanzhi (Gardeniae Fructus, 2 qian), Mutong (Akebiae Caulis, 2 qian), Lianqiao (Forsythiae Fructus, 2 qian), Huafen (Trichosanthis Radix, 2 qian), Chishao (Paeoniae Radix Rubra, 3 qian), and Caoheche (Sargentodoxae Caulis, 3 qian). If there is no response after two doses, increase the dosage of Sheng Dahuang (Rhei Radix et Rhizoma) to purge heat and toxicity. Subsequently, rinse the mouth with Liuwei Decoction (Six-Ingredient Decoction) (do not swallow). If the Cun and Guan pulses on both left and right sides are surging and large, it indicates an Excess pattern, suitable for the aforementioned medicines. If all six pulses are fine, it indicates a Deficiency pattern, which is difficult to treat. Dachengqi Tang (Major Order the Qi Decoction) and Huanglian Jiedu Tang (Coptis Decoction for Detoxification) can be consulted in Volume II, Selected Applied Formulas.