夫手少阴为心之经也。其气通于舌。足太阴脾之经也。其气通于口。太阴之脉。起于足
大趾
胀。
凡舌肿强。此患人皆不识。或错治即杀人。其患甚急。但看舌下。自有噤虫形状。或似
蝼蛄
治舌肿强。牛黄散方。
牛黄（三分细研） 甘草（半两炙微赤锉） 人参（半两去芦头） 汉防己（三分） 犀
角屑
（一分）
两）
上件药。捣细罗为散。入牛黄研令匀。每服三钱。以水一中盏。煎至六分。去滓。不计
时候
治腹中虚热。舌木强直。口吻两边痛。舌上有疮。咽食不得。宜服柴胡散方。
柴胡（二两去苗） 川升麻（二两） 栀子仁（二两） 赤芍药（二两） 木通（二两
锉） 黄芩
（一
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。每于食后温服。
治舌肿满口。不得语。煎含 虫汤方。
虫（七枚微炒） 盐（一两半）
上件药。以水一大盏。同煎五七沸。含冷吐勿咽。日三五上瘥。
治舌强不能言语。白矾散方。
白矾（一分烧灰） 桂心（一分）
上件药。捣罗为末。用少许敷舌下。即语。
治舌忽热硬肿。逡巡塞闷杀人。宜服此方。
上取釜底上 煤。和盐等分。细研为末。表里涂舌。良久消瘥。
又方。
上以乌贼鱼骨。蒲黄等分。捣罗为末。每用少许。涂舌上瘥。
治舌卒肿起。如吹脬。满口塞喉。须臾不疗。即杀人。宜用此方。
上以指。冲决舌下两边皮。亦可以铍刀破之。出血后。刺舌下两边脉。血出数升。及烧
铁箸
治舌暴肿。宜掺药方。
干姜（一分） 半夏（一分汤浸七遍去滑）
上件药。捣细罗为散。每用少许。掺在舌上。以瘥为度。
手少阴心经，是心的经脉。其经气通达于舌。足太阴脾经，是脾的经脉。其经气通达于口。太阴经脉，起始于足大趾……（此处原文有缺漏或错简，仅保留可见部分）肿胀。
凡是舌头肿胀僵硬，这种病患大多不认识。如果误治就会致死。病情非常急迫。只需查看舌下，自然能看到“噤虫”的形状。或者像蝼蛄一样……
治疗舌头肿胀僵硬的牛黄散方：
牛黄（三分，细研） 甘草（半两，炙至微赤，锉碎） 人参（半两，去芦头） 汉防己（三分） 犀角屑（一分）……（此处原文有缺漏）
以上药物，捣碎过细罗成为散剂。加入牛黄研磨均匀。每次服用三钱。用水一中盏，煎至六分，去渣滓。不限时候服用。
治疗腹中虚热，舌头麻木僵硬，口唇两边疼痛，舌上有疮，吞咽食物困难。适宜服用柴胡散方：
柴胡（二两，去苗） 川升麻（二两） 栀子仁（二两） 赤芍药（二两） 木通（二两，锉碎） 黄芩……（此处原文有缺漏）
以上药物，捣碎筛成散剂。每次服用五钱。用水一大盏，加入生姜半分，煎至五分。每次在饭后温服。
治疗舌头肿胀满口，不能说话。煎煮含漱“䖵虫汤”方：
䖵虫（七枚，微炒） 盐（一两半）
以上药物，用水一大盏，同煎五到七沸。含在口中冷却后吐出，不要咽下。每天三到五次，痊愈为止。
治疗舌头僵硬不能言语。白矾散方：
白矾（一分，烧成灰） 桂心（一分）
治疗舌头突然发热、坚硬、肿胀，不久导致窒息闷死。适宜服用此方：
取锅底的烟煤（釜底煤）。与盐等分，细研成为粉末。涂在舌头的表面和里面。很久之后消退痊愈。
又一方：
取乌贼鱼骨、蒲黄等分，捣碎过罗成为粉末。每次用少许，涂在舌上，痊愈为止。
治疗舌头突然肿胀起来，像吹起的膀胱一样，充满口腔堵塞喉咙。片刻不治疗，就会致死。适宜用此方：
用手指，冲决舌下两边的皮肤。也可以用铍刀刺破它。出血后，针刺舌下两边的脉络，血流出数升。以及烧红的铁箸……（此处原文有缺漏）
The Hand-Shaoyin Heart Meridian is the meridian of the Heart. Its Qi connects to the tongue. The Foot-Taiyin Spleen Meridian is the meridian of the Spleen. Its Qi connects to the mouth. The Taiyin Meridian originates from the big toe... [text missing] swelling.
Whenever the tongue is swollen and stiff, patients often do not recognize this condition. Incorrect treatment may lead to death. The condition is extremely urgent. One should only examine under the tongue; naturally, the shape of "Jin Chong" (Throat Worms) can be seen. Or it resembles a mole cricket...
Niu Huang San (Calculus Bovis Powder) for treating tongue swelling and stiffness:
Niu Huang (Calculus Bovis, 3 fen, finely ground) Gan Cao (Radix Glycyrrhizae Preparata, half liang, roasted until slightly reddish and cut into pieces) Ren Shen (Radix Ginseng, half liang, radix removed) Han Fang Ji (Radix Stephaniae Tetrandrae, 3 fen) Xi Jiao Xie (Cornu Rhinocerotis Shavings, 1 fen)... [text missing]
The above herbs are crushed and passed through a fine sieve to make a powder. Add Niu Huang and grind evenly. Take 3 qian per dose. Decoct with one zhong zhen of water until reduced to six parts. Strain off the dregs. Take at any time.
For treating deficiency-heat in the abdomen, numbness and stiffness of the tongue, pain on both sides of the mouth corners, sores on the tongue, and difficulty swallowing food, it is suitable to take Chai Hu San (Bupleurum Powder):
Chai Hu (Radix Bupleuri, 2 liang, seedlings removed) Chuan Sheng Ma (Rhizoma Cimicifugae, 2 liang) Zhi Zi Ren (Semen Gardeniae, 2 liang) Chi Shao Yao (Radix Paeoniae Rubra, 2 liang) Mu Tong (Caulis Akebiae, 2 liang, cut into pieces) Huang Qin (Radix Scutellariae, ... [text missing]
The above herbs are crushed and sieved to make a powder. Take 5 qian per dose. Decoct with one da zhen of water, add half fen of Sheng Jiang (Rhizoma Zingiberis Recens), and reduce to five parts. Take warm after meals each time.
For treating tongue swelling filling the mouth and inability to speak, decoct and gargle with Kun Chong Tang (Insect Worm Soup):
Kun Chong (Periostracum Cicadae or similar insect, 7 pieces, lightly stir-fried) Yan (Sal, 1.5 liang)
The above herbs are decocted together with one da zhen of water for five to seven boils. Hold in the mouth, let cool, then spit out; do not swallow. Apply three to five times daily until cured.
For treating tongue stiffness and inability to speak, Bai Fan San (Alum Powder):
Bai Fan (Alumen, 1 fen, burnt to ash) Gui Xin (Cortex Cinnamomi, 1 fen)
The above herbs are crushed and sieved into powder. Apply a small amount under the tongue; speech will resume.
For treating sudden heat, hardness, and swelling of the tongue, which quickly leads to suffocation and death, it is suitable to use this prescription:
Take Fu Di Shang Mei (soot from the bottom of a cooking pot). Mix with Yan (Sal) in equal proportions, grind finely into powder. Apply to the surface and interior of the tongue. After a long while, it subsides and cures.
Another prescription:
Take Hai Piao Xiao (Os Sepiae) and Pu Huang (Pollen Typhae) in equal proportions, crush and sieve into powder. Use a small amount each time, apply to the tongue until cured.
For treating sudden tongue swelling, resembling an inflated bladder, filling the mouth and blocking the throat. If not treated within moments, it causes death. It is suitable to use this method:
Use fingers to rupture the skin on both sides under the tongue. Alternatively, use a Pi Dao (scalpel) to lacerate it. After bleeding occurs, prick the vessels on both sides under the tongue until several sheng of blood flow out. Also, use a red-hot Tie Zhu (iron chopstick)... [text missing]
For treating sudden tongue swelling, it is suitable to sprinkle medicine:
Gan Jiang (Rhizoma Zingiberis Secatum, 1 fen) Ban Xia (Rhizoma Pinelliae Preparatum, 1 fen, soaked in boiling water seven times to remove slipperiness)
The above herbs are crushed and passed through a fine sieve to make a powder. Use a small amount each time, sprinkle onto the tongue. Continue until cured.