论曰小儿多以珠玑钱 之类，为玩弄之具，或藏于口中。因惊或啼，遂误吞咽，仓
猝不得出，为害亦大。当随物所宣，以方术治之。
治小儿误吞钱，在喉中不下。方
麸炭（研为细末）
上一味，以指弹少许入喉中，少顷自吐出。一方，用羊胫炭研细，为末。
治小儿误吞针。方
磁石（一块小弹子大吸铁紧者）
上一味，入口内，吸令针出。或丝系定，送咽喉引出亦得。
治小儿误吞钩绳。方
上凡吞钩，绳犹在手者，莫伸引，俱以珠 若穿了薏苡子之类，就其绳穿。稍稍推至钩
畔，即急推前入，才钩离刺处，复缓缓引出。
治小儿误吞珠 。方
上烧铜弩牙令赤，淬水一碗旋饮，其物即出。
治小儿误吞银 及钗。方
上以饴糖随儿大小多少食之，若能多食，钗 即随出。
治小儿误吞发。方
上用木梳烧灰细研，粥饮调下半钱匕，不下，再服。
治小儿误吞梅李核。方
上以温水，旋从小儿头淋下，却接其水，与儿饮之。
治小儿误吞 。方
上以鹅毛半两，烧灰细研，米饮调下半钱，未效再服。
论曰脾主肉，其华在唇，脾胃有热，熏发于口。则令唇际生疮，又为风邪寒湿之气，搏
于肿处，故 结不消，湿烂汁出，时发时瘥，积久不愈。谓之紧唇疮，又名沉唇也。
治小儿唇疮未已。复被风冷所搏，疮口湿肿，此名紧唇。顺脾散方
山芋（一两） 人参（三分） 桂（去粗皮一分） 木香（半两） 甘草（炙锉） 白
术（各一分） 诃黎勒（炮去核半两） 肉豆蔻（炮去壳二枚） 白茯苓（去黑皮） 黄
（锉各半两） 白芷（
一分）
上一十一味，捣罗为散，每服半钱匕，沸汤点服，量儿大小加减。
治小儿紧唇疮。二铅散敷方
铅丹（一分） 铅霜（研半分） 蛤粉（研） 晚蚕蛾（微炒各半钱） 麝香（研一钱）
上五味，各为散，用蜜合调，敷疮上。
治小儿紧唇，疮肿皮急。黄连散敷方
黄连（去须） 黄柏（去粗皮锉） 甘草（生锉） 凝水石（碎各半两） 槟榔（生锉
一分）
上五味，捣罗为散，用蜜调，敷唇上，频换为效。
治小儿紧唇，及脾热攻唇疮肿。乌蛇散敷方
乌蛇（烧灰）
上一味细研，以酥和，敷唇上，频换为效。
治小儿唇疮。白芨膏敷方
白芨 白蔹 白蜡（各一两） 黄 （锉） 乳香（研） 牡丹皮 芍药 丁香（各一
分） 麻
油（二两）
上九味，除油蜡外，并细锉，先煎麻油令沸，次入前项药。以柳木枝，不住手搅，绵滤
过，去滓再煎，入蜡膏成，入银石器中盛，候冷，不拘多少，取敷疮上。
治小儿唇疮不合。龙胆丸方
龙胆 大黄（锉微炒各一分） 人参 栀子仁 朴硝 郁李仁（去皮别研入各半两） 茵
陈
蒿（一分）
上七味，捣罗为末，炼蜜和丸。如麻子大，每服五丸至七丸，温水下，量儿大小加减。
治小儿唇疮。方
黄柏（去粗皮为细末）
上一味，浓煎蔷薇根汁调，涂疮上立效。
治小儿唇生疮。方
桑根白皮（细切）
上一味，捣取汁，涂疮上，大效。
治小儿唇疮。方
蓝叶（细切）
上一味，研取汁洗之，日三上，瘥。
论述说：小儿大多把珍珠、玉石、钱币等物品当作玩具，或者含在嘴里。因为受惊或啼哭，于是误吞下去，仓促间无法取出，造成的危害也很大。应当根据所吞咽物品的性质，用相应的方法治疗。
治疗小儿误吞钱币卡在喉咙里下不去的方子：
麸炭（研成细末）
以上一味药，用手指蘸取少许弹入喉咙中，过一会儿自然会吐出来。另一方法，用羊胫骨炭研细，做成粉末。
治疗小儿误吞针的方子：
磁石（一块小弹丸大小、吸铁力强的）
以上一味药，放入口中，利用其磁性将针吸出。也可以用丝线系住，送进咽喉引出也可以。
治疗小儿误吞带钩绳子的方子：
凡是吞下带钩的东西，如果绳子还在外面，不要强行拉扯，都用珠子或者穿了薏苡仁之类的东西，顺着绳子穿过去。稍微推到钩子旁边，就赶紧向前推入，一旦钩子离开刺破处，再缓缓拉出。
治疗小儿误吞珠子的方子：
以上烧红铜弩牙（古代弓弩上的发射机关），在一碗水中淬火，随即让患儿饮用，异物就会出来。
治疗小儿误吞银饰及发钗的方子：
以上让患儿根据年龄大小适量食用饴糖，如果能多吃，发钗就会随之排出。
治疗小儿误吞头发的方子：
以上用木梳烧成灰，研细，用米汤调服半钱匕的量，如果没排出来，再服用。
治疗小儿误吞梅核李核的方子：
以上用温水，从患儿头顶慢慢淋下，接着接住流下的水，给患儿喝下。
治疗小儿误吞鱼骨的方子：
以上用鹅毛半两，烧成灰研细，用米饮调服半钱，如果没有效果再服用。
论述说：脾主司肌肉，其荣华表现于嘴唇。如果脾胃有热，热气熏蒸到口腔，就会导致嘴唇边缘生疮。再加上风邪、寒湿之气，搏结在肿胀处，所以凝结不消散，潮湿溃烂流出汁液，时好时坏，日久不愈。这叫做紧唇疮，又叫做沉唇。
治疗小儿唇疮未愈，又受到风冷侵袭，疮口潮湿肿胀，这叫紧唇。顺脾散方：
山芋（一两） 人参（三分） 桂枝（去掉粗皮一分） 木香（半两） 甘草（炙后锉碎） 白术（各一分） 诃黎勒（炮制去核半两） 肉豆蔻（炮制去壳二枚） 白茯苓（去掉黑皮） 黄芪（锉碎各半两） 白芷（一分）
以上十一味药，捣碎过筛制成散剂，每次服用半钱匕，用沸水冲服，根据患儿年龄大小增减剂量。
治疗小儿紧唇疮。二铅散外敷方：
铅丹（一分） 铅霜（研细半分） 蛤粉（研细） 晚蚕蛾（微炒各半钱） 麝香（研细一钱）
以上五味药，分别制成散剂，用蜂蜜调和，敷在疮上。
治疗小儿紧唇，疮肿皮肤紧绷。黄连散外敷方：
黄连（去掉须根） 黄柏（去掉粗皮锉碎） 甘草（生锉碎） 凝水石（打碎各半两） 槟榔（生锉碎一分）
以上五味药，捣碎过筛制成散剂，用蜂蜜调和，敷在嘴唇上，频繁更换以见效。
治疗小儿紧唇，以及脾热攻注导致的唇疮肿胀。乌蛇散外敷方：
乌梢蛇（烧成灰）
以上一味药，研细，用酥油调和，敷在嘴唇上，频繁更换以见效。
治疗小儿唇疮。白芨膏外敷方：
白芨 白蔹 白蜡（各一两） 黄芪（锉碎） 乳香（研细） 牡丹皮 芍药 丁香（各一分） 麻油（二两）
以上九味药，除了油和蜡以外，都锉碎，先煎麻油至沸腾，然后加入前面的药物。用柳树枝不停地搅拌，用绵布过滤，去掉药渣后再煎，加入蜡制成膏，装入银器或石器中保存，冷却后，不拘多少，取适量敷在疮上。
治疗小儿唇疮久不合口。龙胆丸方：
龙胆 大黄（锉碎微炒各一分） 人参 栀子仁 朴硝 郁李仁（去皮另研入药各半两） 茵陈蒿（一分）
以上七味药，捣碎过筛制成粉末，用炼蜜和丸。如麻子大小，每次服用五丸到七丸，温水送下，根据患儿年龄大小增减剂量。
治疗小儿唇疮。方：
黄柏（去掉粗皮为细末）
以上一味药，浓煎蔷薇根汁调和，涂在疮上，立即见效。
Commentary states: Children often use pearls, jade, coins, and similar items as toys or keep them in their mouths. Due to fright or crying, they may accidentally swallow these objects. If they cannot be expelled quickly, the harm caused can be significant. Treatment should follow the nature of the ingested object using appropriate methods.
Formula for treating children who have accidentally swallowed a coin stuck in the throat:
Bran Charcoal (ground into fine powder)
Take one portion of this ingredient, dip a finger into it, and flick a small amount into the throat. After a short while, the coin will naturally be vomited out. Another method uses calcined sheep tibia bone ground into fine powder.
Formula for treating children who have accidentally swallowed a needle:
Magnetite (a piece the size of a small bean with strong magnetic attraction)
Place this single ingredient in the mouth; its magnetism will attract and extract the needle. Alternatively, tie it with silk thread and guide it out through the throat.
Formula for treating children who have accidentally swallowed a hook attached to a string:
If swallowing an object with a hook, and the string remains outside, do not pull forcefully. Use a bead or a coix seed (Coicis Semen) threaded onto the string. Gently push the bead/thread towards the hook. Once the hook passes the puncture site, slowly pull the object out.
Formula for treating children who have accidentally swallowed a pearl:
Heat copper crossbow trigger until red hot, then quench it in a bowl of water. Have the child drink this water immediately; the foreign body will be expelled.
Formula for treating children who have accidentally swallowed silver ornaments or hairpins:
Allow the child to eat maltose syrup according to their age and size. If consumed in sufficient quantity, the hairpin will be expelled along with the stool.
Formula for treating children who have accidentally swallowed hair:
Burn a wooden comb to ash, grind it finely, and administer half a qianbi dose mixed with rice water. If not expelled, administer another dose.
Formula for treating children who have accidentally swallowed plum or apricot pits:
Pour warm water slowly from the top of the child's head. Collect the runoff water and give it to the child to drink.
Formula for treating children who have accidentally swallowed fish bones:
Burn half a liang of goose feathers to ash, grind finely, and administer half a qian dose mixed with rice water. Repeat if ineffective.
Commentary states: The Spleen governs muscles, and its flourishing manifestation appears on the lips. Heat in the Spleen and Stomach steams upward to the mouth, causing sores on the lip margins. When combined with Wind-Cold-Damp pathogenic factors attacking the swollen area, condensation occurs and does not dissipate. The area becomes moist, ulcerated, and exudes fluid. It fluctuates between remission and exacerbation, persisting for a long time without healing. This is called Tight Lip Ulcer (Jin Chun Chuang), also known as Sunken Lip.
Shun Pi San (Spleen-Soothing Powder) for treating pediatric lip ulcers that have not healed and are further aggravated by Wind-Cold, resulting in moist swelling:
Dioscoreae Hypoglaucae Rhizoma (1 liang)
Ren Shen (3 fen)
Guizhi (Cinnamon Twig, peeled coarse skin, 1 fen)
Muxiang (0.5 liang)
Gancao (Honey-fried and chopped)
Baizhu (1 fen each)
Helile (Poria, roasted, pitted, 0.5 liang)
Roudoukou (Nutmeg, roasted, shelled, 2 pieces)
Baifuling (Poria, black skin removed)
Huangqi (Astragalus Root, chopped, 0.5 liang each)
Baizhi (Angelicae Dahuricae Radix, 1 fen)
Grind these eleven ingredients into a powder. Take half a qianbi dose per administration, mix with boiling water, and adjust dosage according to the child's age.
Er Qiao San (Two-Lead Powder) for topical application on pediatric tight lip ulcers:
Qian Dan (Lead Oxide, 1 fen)
Qian Shuang (Basic Lead Carbonate, ground, 0.5 fen)
Ge Fen (Concha Tridacnae, ground)
Wan Can E (Silkworm Moth, lightly fried, 0.5 qian each)
Shexiang (Moschus, ground, 1 qian)
Grind each of these five ingredients separately into powder. Mix with honey and apply topically to the ulcer.
Huang Lian San (Coptis Powder) for topical application on pediatric tight lips with swollen, tense skin:
Huanglian (Coptidis Rhizoma, remove rootlets)
Huangbai (Phellodendri Cortex, remove coarse bark and chop)
Gancao (Licorice Root, raw and chopped)
Ningshuishi (Natron, crushed, 0.5 liang each)
Binglang (Areca Seed, raw and chopped, 1 fen)
Grind these five ingredients into a powder. Mix with honey and apply to the lips. Change frequently for best results.
Wu She San (Black Snake Powder) for topical application on pediatric tight lips and lip ulcers caused by Spleen Heat:
Wushe (Zaocys, burned to ash)
Grind this single ingredient finely. Mix with butter/ghee and apply to the lips. Change frequently for best results.
Bai Ji Gao (Bletilla Ointment) for topical application on pediatric lip ulcers:
Baiji (Bletillae Rhizoma)
Bailian (Ampelopsis Radix)
Bila (Beeswax, 1 liang each)
Huangqi (Astragalus Root, chopped)
Ruxiang (Olibanum, ground)
Mudanpi (Moutan Cortex)
Shaoyao (Paeoniae Radix)
Dingxiang (Caryophylli Flos, 1 fen each)
Mayou (Sesame Oil, 2 liang)
Chop all nine ingredients except oil and wax finely. Boil sesame oil first, then add the herbs. Stir constantly with a willow branch. Filter through cloth, remove dregs, and boil again. Add wax to form ointment. Store in silver or ceramic vessels. Once cooled, apply appropriate amount to the ulcer.
Long Dan Wan (Gentian Pills) for treating pediatric lip ulcers that fail to close:
Longdan (Gentianae Radix)
Dahuang (Rhei Radix et Rhizoma, chopped and lightly fried, 1 fen each)
Renshen (Ginseng Radix)
Zhizi Ren (Gardeniae Fructus Seed)
Poxiao (Natrii Sulfas)
Yuliren (Pruni Semen, skin removed and ground separately, 0.5 liang each)
Yinchenhao (Artemisiae Scopariae Herba, 1 fen)
Grind these seven ingredients into powder. Mix with refined honey to make pills the size of hemp seeds. Administer 5-7 pills per dose with warm water. Adjust dosage based on the child's age.
Formula for pediatric lip ulcers:
Huangbai (Phellodendri Cortex, remove coarse bark and grind to fine powder)
Boil Rosa multiflora root juice thickly. Mix with Huangbai powder and apply to the ulcer for immediate effect.
Formula for pediatric lip sores:
Sanggan Baipi (Mori Cortex, finely sliced)
Grind to extract juice. Apply to the ulcer for significant efficacy.
Formula for pediatric lip ulcers:
Lanye (Isatidis Folium, finely sliced)
Grind to extract juice. Wash the affected area three times daily until healed.