论曰心气通于舌，脾脉侠咽连舌本，散舌下。心脾二经受风邪，则舌本强，不能卷舒，
又或热气加之则肿，肿则筋脉胀急，势连咽喉，碍于呼吸，法宜刺之，泄去恶血，及饵以药
治舌肿强。白茯苓汤方
白茯苓（去黑皮） 牛黄（研各三分） 犀角（屑一分） 甘草（炙） 人参 羚羊角
（屑） 熟
干地黄（焙） 白术 桂（去粗皮各半两）
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三。
治木舌肿强，及天行病，丹石发动，一切热毒。射干汤方
射干 木通（锉） 大黄（锉炒） 马蔺子（各一两半） 漏芦（去芦头） 升麻 当
归（切焙）
桂（去粗皮） 甘草（炙各一两）
上九味，粗捣筛，每用五钱匕，水一盏半，煎至八分，去滓分温服，日三夜二。
治伤寒舌肿。黄连汤方
黄连（去须） 大黄（生用各一两） 大青（去根） 升麻 黄药（各半两） 甘草（炙
三分）
上六味，粗捣筛，每服五钱匕，水二盏，入黑豆一撮，同煎至一盏，去滓分温二服，病
未退，每服更加芒硝末半钱匕，汤成下，以微利为度。
治牙疼连牙关急，口眼相引，木舌肿强不能转。牡蛎散方
牡砺（ 研） 伏龙肝 附子（炮裂去皮脐） 白矾（ 研各半两）
上四味，捣研为散，以酒和如泥，每用一钱，于患处涂贴，吐津。
治舌本强，两边痛。柴胡散方
柴胡（去苗） 升麻（各一两） 栀子仁（半两）
上三味，捣罗为散，每服一钱匕，熟水调下、日三。
治舌忽紧硬，逡巡能塞杀人者。涂百草霜方
百草霜 好盐（各半两）
上二味，同研匀，表里涂之立效。
治舌强不能语。矾石散方
白矾（研） 桂（去粗皮各一两）
上二味，捣罗为散，每用一钱匕，或半钱匕，安舌下。
治舌肿满口，言语不得。 虫散方
虫（五枚炙） 盐（半两）
上二味，细研为散，以水二盏，煎十余沸，去滓热含冷吐，以瘥为度。
治舌强不语。麝香散方
麝香 皂荚（各半两）
上二味，研捣为散，每用半钱，渗舌肿上、吐津。
又方
蛇胆（一枚焙干）
上一味，碾为末，敷舌上，有涎吐之。
治木舌肿强。螵蛸散方
桑螵蛸（十二月者炙黄）
上一味为散，每服半钱匕，莱菔汁调下。
治舌肿满口，气息不通，须臾杀人，急以手指刺破，溃去恶血，亦可用微针决破，次用
半夏酒方
半夏（十枚）
上一味，以苦酒一升，煮取八合，稍稍漱口，热含冷吐，半夏动人咽喉，以姜汁解之。
治舌肿满塞喉欲死。蚯蚓涂方
蚯蚓（一条）
上一味，以少许盐花化为水，以涂咽喉舌上，良久渐消。
治舌卒肿起，满口塞喉，气息不通，顷刻杀人，以针决舌下两边第一大脉出血，以铜箸
烧令赤，熨疮数遍，令血绝，仍以甘草汤治之方
甘草（不拘多少）
上一味，浓煎汤，热含冷吐，未瘥更以釜底 煤，和苦酒调涂舌上下，脱去更涂，须
臾即消。
论述说：心的气机通达于舌，脾的经脉夹持咽喉连接舌根，散布在舌下。心和脾两经受到风邪侵袭，就会导致舌根僵硬，不能随意卷曲和伸展；或者又有热气叠加在上面，就会引起肿胀，肿胀则导致筋脉胀满拘急，病势牵连到咽喉，阻碍呼吸，治疗法则适宜采用针刺，泄去恶血，并服用药物来治疗舌肿强。白茯苓汤方
白茯苓（去除黑皮） 牛黄（研磨）各三分 犀角（锉成屑）一分 甘草（炙烤） 人参 羚羊角（锉成屑） 熟干地黄（焙干） 白术 桂枝（去除粗皮）各半两
以上九味药，粗捣筛过，每次服用三钱匕，用水一盏，煎煮至七分，去掉药渣，温服，每日三次。
治疗木舌肿胀僵硬，以及时行病，丹石类药物发作，一切热毒。射干汤方
射干 木通（锉碎） 大黄（锉碎炒制） 马蔺子（各一两半） 漏芦（去除芦头） 升麻 当归（切后焙干） 桂枝（去除粗皮） 甘草（炙烤）各一两
以上九味药，粗捣筛过，每次用五钱匕，用水一盏半，煎煮至八分，去掉药渣，分次温服，白天三次，夜间两次。
黄连（去除须根） 大黄（生用）各一两 大青（去除根） 升麻 黄药（各半两） 甘草（炙烤）三分
以上六味药，粗捣筛过，每次服用五钱匕，用水二盏，加入黑豆一撮，一同煎煮至一盏，去掉药渣，分两次温服，如果病未退，每次服用时再加芒硝末半钱匕，药汤煎成后加入，以轻微腹泻为限度。
治疗牙疼牵连牙关紧急，口眼歪斜牵引，木舌肿胀僵硬不能转动。牡蛎散方
牡蛎（研磨） 伏龙肝 附子（炮裂去皮脐） 白矾（研磨）各半两
以上四味药，捣碎研细成为散剂，用酒调和如泥状，每次用一钱，涂抹贴在患处，促使吐出津液。
以上三味药，捣碎过筛成为散剂，每次服用一钱匕，用温水调下，每日三次。
以上两味药，一同研磨均匀，内外涂抹，立即见效。
治疗舌僵硬不能说话。矾石散方
以上两味药，捣碎过筛成为散剂，每次用一钱匕，或半钱匕，放在舌下。
虫（五枚炙烤） 盐（半两）
以上两味药，细细研磨成为散剂，用水二盏，煎煮十余沸，去掉药渣，趁热含漱，冷后吐出，以痊愈为度。
麝香 皂荚（各半两）
以上两味药，研磨捣碎成为散剂，每次用半钱，渗敷在舌肿处，促使吐出津液。
又一方
蛇胆（一枚焙干）
以上一味药，碾成粉末，敷在舌上，有涎液就吐出。
桑螵蛸（十二月的炙黄）
以上一味药，制成散剂，每次服用半钱匕，用莱菔汁调下。
治疗舌肿胀充满口腔，气息不通，片刻杀人，急忙用手指刺破，溃排恶血，也可以用微针决破，其次使用半夏酒方
半夏（十枚）
以上一味药，用苦酒一升，煮取八合，慢慢漱口，热含冷吐，半夏刺激咽喉，用姜汁解其毒性。
蚯蚓（一条）
以上一味药，用少许盐花化为水，涂抹在咽喉舌上，许久逐渐消退。
治疗舌头突然肿胀起来，充满口腔堵塞喉部，气息不通，顷刻杀人，用针刺破舌下两边第一大脉出血，用铜筷子烧红，熨烫伤口数次，使血流停止，仍然用甘草汤治疗的方
甘草（不拘多少）
It is stated that the Qi of the Heart connects with the tongue, and the Spleen meridian runs alongside the pharynx to connect with the root of the tongue, spreading beneath it. When the Heart and Spleen meridians are invaded by Wind pathogen (Feng Xie), the root of the tongue becomes stiff, unable to roll or extend freely. If Heat pathogen (Re) is added, swelling occurs; this swelling causes distension and tension in the sinews and vessels, extending to the pharynx, obstructing respiration. The appropriate treatment method involves acupuncture to drain bad blood, followed by herbal medication to treat tongue swelling and stiffness. Bai Fu Ling Tang (White Poria Decoction)
Bai Fu Ling (Poria, *Polyporus umbellatus*) [removed black skin], Niu Huang (Calculus Bovis, *Aries bovis calculus*) [ground], each 3 fen; Xi Jiao (Horn Rhinocerotis, *Rhinocerotis cornu*) [shredded], 1 fen; Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [roasted]; Ren Shen (Radix Ginseng, *Panax ginseng*); Ling Yang Jiao (Cornu Saigae Tataricae, *Saiga tatarica horn*) [shredded]; Shu Di Huang (Radix Rehmanniae Preparata, *Rehmannia glutinosa*) [baked]; Bai Zhu (Rhizoma Atractylodis Macrocephalae, *Atractylodes macrocephala*); Gui Zhi (Ramulus Cinnamomi, *Cinnamum cassia*) [removed coarse bark], each 0.5 liang.
The above nine ingredients are coarsely crushed and sieved. For each dose, take 3 qian bi (approx. 9-15g depending on era/measure), add one zhan (approx. 200ml) of water, decoct until reduced to 0.7 zhan, remove the dregs, and take warm. Administer three times daily.
Treats Mu She (Wood Tongue: stiff swollen tongue), epidemic diseases, activation of Dan Shi (mineral drugs causing toxicity), and all heat toxins. She Gan Tang (Belamcanda Decoction)
She Gan (Rhizoma Belamcandae, *Belamcanda chinensis*); Mu Tong (Caulis Akebiae, *Akebia quinata*) [crushed]; Da Huang (Radix et Rhizoma Rhei, *Rheum palmatum*) [crushed and stir-fried]; Ma Lin Zi (Fructus Iris pseudacorii, *Iris pseudacorus*) [each 1.5 liang]; Lou Lu (Radix Euphorbiae Humifusae, *Euphorbia humifusa*) [removed rhizome head]; Sheng Ma (Rhizoma Cimicifugae, *Cimicifuga foetida*); Dang Gui (Radix Angelicae Sinensis, *Angelica sinensis*) [cut and baked]; Gui Zhi (Ramulus Cinnamomi, *Cinnamum cassia*) [removed coarse bark]; Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [roasted], each 1 liang.
The above nine ingredients are coarsely crushed and sieved. For each dose, use 5 qian bi, add 1.5 zhan of water, decoct until reduced to 0.8 zhan, remove the dregs, and take warm in divided doses. Three times during the day, twice at night.
Treats tongue swelling caused by Shang Han (Cold Damage). Huang Lian Tang (Coptis Decoction)
Huang Lian (Rhizoma Coptidis, *Coptis chinensis*) [removed stamens]; Da Huang (Radix et Rhizoma Rhei, *Rheum palmatum*) [raw], each 1 liang; Da Qing (Cortex Isatidis, *Isatis tinctoria*) [removed roots]; Sheng Ma (Rhizoma Cimicifugae, *Cimicifuga foetida*); Huang Yao (Radix Polygoni Multiflori, *Polygonum multiflorum*? Note: Context suggests a heat-clearing herb, possibly referring to specific local variant or typo for Huang Qin/Bai Hua She She Cao, but literal translation used) [each 0.5 liang]; Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [roasted], 3 fen.
The above six ingredients are coarsely crushed and sieved. For each dose, take 5 qian bi, add two zhan of water, insert a pinch of Hei Dou (Black Soybean, *Glycine max*), decoct together until reduced to one zhan, remove the dregs, and take warm in two divided doses. If the disease does not recede, add 0.5 qian bi of Mang Xiao (Natrii Sulfas, *Na2SO4*) powder to each dose after the decoction is ready. Stop when mild diarrhea is achieved.
Treats toothache radiating to the jaw joint, pulling of mouth and eyes, Mu She (Wood Tongue) swelling and stiffness preventing movement. Mu Li San (Oyster Shell Powder)
Mu Li (Concha Ostreae, *Ostrea gigas*) [ground]; Fu Long Gan (Caulis Argillae Rubrae, *Caulis argillae rubrae*); Fu Zi (Radix Aconiti Lateralis Preparata, *Aconitum carmichaelii*) [pao-processed, cracked, skin and navel removed]; Bai Fan (Alumen, *Alumen*) [ground], each 0.5 liang.
The above four ingredients are crushed and ground into a powder. Mix with wine to form a paste. Apply one qian bi to the affected area. This induces salivation.
Treats stiffness of the tongue root and pain on both sides. Chai Hu San (Bupleurum Powder)
Chai Hu (Radix Bupleuri, *Bupleurum chinense*) [removed seedlings]; Sheng Ma (Rhizoma Cimicifugae, *Cimicifuga foetida*) [each 1 liang]; Zhi Zi Ren (Semen Gardeniae, *Gardenia jasminoides*) [0.5 liang].
The above three ingredients are crushed and sifted into a powder. Take one qian bi per dose, mixed with cooked warm water. Three times daily.
Treats sudden tightness and hardness of the tongue, which can quickly block the throat and cause death. Apply Bai Cao Shuang (Soot from Kitchen Chimney)
Bai Cao Shuang (Soot from Kitchen Chimney); Hao Yan (Good Salt, *NaCl*) [each 0.5 liang].
The above two ingredients are ground together evenly. Apply internally and externally for immediate effect.
Treats tongue stiffness preventing speech. Fan Shi San (Alum Powder)
Bai Fan (Alumen, *Alumen*) [ground]; Gui Zhi (Ramulus Cinnamomi, *Cinnamum cassia*) [removed coarse bark], each 1 liang.
The above two ingredients are crushed and sifted into a powder. Use 1 qian bi or 0.5 qian bi, place under the tongue.
Treats tongue swelling filling the mouth, preventing speech. Chong San (Insect Powder)
Chong (Likely referring to a specific insect, text says "Chong", possibly typo for 蜈蚣 or similar, literal: Insect) [five pieces, roasted]; Yan (Salt, *NaCl*) [0.5 liang].
The above two ingredients are finely ground into a powder. Add two zhan of water, boil for more than ten boils, remove dregs, hold hot in mouth, spit out when cool. Continue until cured.
Treats tongue stiffness preventing speech. She Xiang San (Musk Powder)
She Xiang (Moschus, *Moschus moschiferus*); Zao Jiao (Fructus Gleditsiae Sinensis, *Gleditsia sinensis*) [each 0.5 liang].
The above two ingredients are ground and crushed into a powder. Use half a qian bi, apply to the swollen tongue to induce salivation.
Another prescription
She Dan (Snake Gallbladder, *Serpentis fel*) [one piece, baked dry].
Grind the single ingredient into powder, apply to the tongue. Spit out saliva if produced.
Treats Mu She (Wood Tongue) swelling and stiffness. Piao Xiao San (Mantis Egg Case Powder)
Sang Piao Xiao (Ootheca Mantidis, *Tenodera sinensis* egg case) [from December, roasted yellow].
Grind the single ingredient into powder. Take half a qian bi per dose, mixed with Lai Fu Zhi (Radish Juice, *Raphanus sativus*).
Treats tongue swelling filling the mouth, blocking breath, fatal within moments. Urgently pierce with finger to drain bad blood, or use a fine needle to puncture. Then use Ban Xia Jiu (Pinellia Wine)
Ban Xia (Rhizoma Pinelliae, *Pinellia ternata*) [ten pieces].
Decoct the single ingredient in one sheng of Ku Jiu (Bitter Wine/Vinegar, likely Cu or vinegar based on context of detoxification) until reduced to eight ge. Rinse mouth slowly, hold hot, spit out when cool. Ban Xia irritates the throat; resolve its toxicity with Jiang Zhi (Ginger Juice, *Zingiber officinale*).
Treats tongue swelling filling and blocking the throat, near death. Apply Earthworm
Earthworm (Qiu Yin, *Pheretima aspergillum*) [one piece].
Dissolve a small amount of Yan Hua (Salt Flower/Crystal) in water with the earthworm. Apply to the throat and tongue. It will gradually subside after a while.
Treats sudden tongue swelling filling the mouth and blocking the throat, cutting off breath, fatal in moments. Puncture the largest vein on both sides under the tongue with a needle to bleed. Heat a chopstick made of copper until red-hot, cauterize the wound several times to stop bleeding. Then treat with Gan Cao Tang (Licorice Decoction)
Gan Cao (Radix Glycyrrhizae, *Glycyrrhiza uralensis*) [any amount].
Decoct the single ingredient strongly. Hold hot in mouth, spit out when cool. If not cured, mix Gu Di Tan (Pot Bottom Soot) with Ku Jiu (Vinegar/Wine) and apply to upper and lower tongue. Reapply after removal. It will subside quickly.