《奇病方》云∶人有患舌缩入喉咙，乃寒气结于胸腹之故。急用附子、肉桂、干姜各一钱，白术五钱，人参三钱，
服之则舌自舒矣。
又云∶有人患舌吐出，不肯收进，乃阳火盛强之故。以冰片少许，点之即收。继服全舌散，二剂自安。
丁志云∶临安民有因患伤寒，舌出过寸，无能疗治，但以笔管通粥饮入口，每日坐于门。一道人见之，咨嗟曰∶
吾能疗此。顷刻闻耳，奈药不可得，当竭力访之，不肯告而去。明日又言之，至于旬时，会中贵人罢归，下马观病者，
道人适至，其言如初。中贵问所须，乃梅花冰片也。笑曰∶此不难耳，即遣仆驰取以付之。道人即研为末，糁舌上，随
手而缩。凡用五钱，病立愈。
《王明清余话》云∶王贶，字子亨，本士人，为南京宋毅叔婿。毅叔医名擅南北，贶初传其学未精，薄游京师，甚
凄然，会盐法有变，有大贾观偈示，失惊HT 舌，遂不能复入。经旬遂不食下咽， 羸日甚，国医不能疗，其家忧惧。
榜于市曰∶有治之者，当以千万为谢，贶利其所售之浓，始往应其求。既见贾之状，忽发笑不能止，心以未易措手也。
其家人怪而诘之，贶诊为大言笑之曰∶所笑辇毂之大如此，乃无人治此小疾耳？语主人家曰∶试取《针经》来。贶漫检
之，偶有与其疾似是者，贶曰∶尔家当勒状与我，万一不能治，则勿扰我。我当为针之，可立效。主病者不得已，亦从
之。即针舌之底，抽针之际，其人若委顿状，顷刻舌遂伸缩如平时矣。其家大喜，谢之如约，又为之延誉。是时翕然名
动京师，家既小康，始得尽心《肘后》之书，卒有闻于世。事之偶然有如此者，贶后以医得幸。宣和中，为朝请大夫，
着《全生指迷论》，医者多用之。
《圣惠方》云∶有人忽舌硬如铁，血出不止，用木贼煎水，漱之即愈。
〔源按〕经云∶心脉系舌本，脾脉络舌旁，系舌下，故舌病多二经之所致也。又云∶心热则生疮，脾热则强硬。舌
尖肿胀叠浓，为重舌。舌肿硬而不柔和，挺然胀满，或退场门者为木舌。乃心脾二经之火上壅。急以针砭，刺出毒血，以
杀其标，然后以泻心脾之药，治其本可也。观此则舌硬如铁，而血出不止，则火已开泄，可不用针砭，独用木贼一味，
升散火邪，乘其势而提之，故但漱而愈。
《良方》云∶一人无故舌上出血，仍有小窍，医者不晓何疾，偶曰∶此名舌衄。炒槐花为末，掺之而愈。
又云∶人有患舌痹或麻，此痰气滞于心胞络也，服顺气豁痰汤自愈。
〔源按〕舌痹，亦有患心血不足，不可作风热及痰治，须用理中汤合四物汤治之。
立密云∶先兄口舌糜烂，痰涎上涌，饮食如常，遇大风欲扑地。用补中益气汤及八味丸即愈。间乐数日，仍作。每
劳苦，则痰盛目赤，漱冷水舌稍愈，顷间舌益甚，用附子片含之即愈，服煎药诸症方痊。
《医说》云∶一人中仙茅毒，舌胀退场门，渐大与肩齐，即以小刀 之，随破随合， 之百数，始有血一点。曰∶可
救矣。煮大黄、朴硝与服，以药掺之，应时消缩。此皆火盛性淫之人，过服之害也。
戴人治南邻朱老翁，年六十余岁，身热数日不已，舌根肿起，和舌尖亦肿，肿至满口，比原舌大三倍，一外科以燔
针，刺其舌两旁，下廉泉穴，病势转凶。戴人曰∶血实者宜决之。以排针磨令锋极尖，轻砭之，日砭八九次，出血约二
三盏。如是者三次，渐觉血少，病减肿消。夫舌者，心之外候也。心主血，故血出则愈。又诸痛痒疮疡，皆属心火。燔
针艾火，皆失此义也。薛新甫云∶凡舌肿胀甚，宜先刺舌尖，或舌上，或边旁出血，泄毒以救其急。惟舌下廉泉穴，此
属肾经，虽当出血，亦当禁针，慎之。
甄立言治一妇，正产之时，收生妇以温水进之，误用鹿角脂，女子涂鬓发也。因哇而舌出，产后数日不能收，医药
屡不应。甄以朱砂涂其舌，仍命作产子状，以两妇人掖之。
乃使人潜于壁外，多奉缶器，向危处掷地作声。声闻而舌收矣。
薛己治一小儿，舌断半寸许，敷洪宝丹，服四物汤加柴胡，痛定血止。次服四君子汤加柴胡、山栀，月余而舌自完。
〔源按〕小儿跌扑断舌，须乘热接上。古法急用鸡子轻击周遭，去硬壳，取膜套舌，以洪宝丹敷膜上，自然接续。
若良久舌已冷，不必用接，但以洪宝丹敷之，其舌亦生。
予同郡有一富家妇，年五十余，忽一日舌出不收，别无他恙，医作风痰治不效。一医于风痰药中，加蕲蛇舌一枚，
煎服而愈。
全舌散
黄连 人参 白芍（各三钱） 柴胡 菖蒲（各一钱）
水煎服。
顺气豁痰汤
半夏（一钱半） 茯苓 橘红 栝蒌 贝母 黄连 桔梗 枳壳（各一钱） 香附（七分） 甘草（四分）
姜三片，水煎服。
理中汤
白术（土炒，二钱） 人参 干姜（炮） 甘草（各一钱）
水煎服。
洪宝丹
天花粉（三两） 姜黄 白芷 赤石脂（各一两）
上为末，茶汤调敷患处。
补中益气汤（见项门）
八味丸（见手足门）
四物汤（见头门）
《奇病方》记载：有人患舌缩入喉咙，这是由于寒气凝结在胸腹的缘故。紧急使用附子、肉桂、干姜各一钱，白术五钱，人参三钱，服用后舌头自然舒展。
又记载：有人患舌头伸出，不肯收回，这是阳火盛强的缘故。用少许冰片点涂，舌头随即收回。随后服用全舌散，两剂后即可安宁。
丁志记载：临安有一位百姓因患伤寒，舌头伸出超过一寸，无人能治疗，只能用笔管通粥饮入口，每天坐在门口。一位道人看见，叹息说：“我能治疗这个病。”但药不可得，应当竭力寻找，不肯告知便离开了。第二天又说此事，过了十天，恰逢一位权贵罢官回家，下马观看病人，道人恰好到达，说的话和之前一样。权贵询问需要什么药，原来是梅花冰片。权贵笑着说：“这不难办到。”立即派仆人骑马取来交给他。道人随即研成粉末，撒在舌上，舌头随手收缩。共用了五钱，病立刻痊愈。
《王明清余话》记载：王贶，字子亨，本是读书人，是南京宋毅叔的女婿。宋毅叔医术闻名南北，王贶起初继承其学艺尚不精湛，客游京师，十分凄凉，恰逢盐法有变，有大商人观偈示（注：此处原文可能有误或指特定情境，按文意理解为受惊），失惊导致舌头伸出，遂不能收回。经过十天不能进食下咽，身体日益消瘦，国医不能治疗，家人担忧恐惧。在市里张贴告示：有能治疗的，当以千万钱酬谢。王贶贪图所售之物的利润，才前往应求。见到商人的状况，忽然发笑不止，心里认为这病不容易下手。他的家人奇怪并责问他，王贶诊断后大声笑着说：“我所笑的京城之大竟然如此，却没有人能治这种小病呢？”对主人家说：“试着取《针经》来。”王贶随意翻阅，偶然发现有与其病症相似的，王贶说：“你们家应当立下状纸给我，万一不能治好，就不要打扰我。我将为他针灸，可以立竿见影。”患病者的家人不得已，也听从了他。随即针刺舌底，抽针之际，那人好像委顿的样子，顷刻间舌头伸缩如平时一样了。家人大喜，如约酬谢，又为他宣扬名誉。此时名声震动京师，家境既已小康，才开始尽心研读《肘后备急方》一书，最终闻名于世。事情偶然竟有如此者，王贶后来凭借医术得到宠幸。宣和年间，任朝请大夫，著有《全生指迷论》，医者多采用它。
《圣惠方》记载：有人突然舌头硬如铁，血出不止，用木贼煎水，漱口即愈。
〔沈源按〕经文说：心脉系于舌本，脾脉络于舌旁，系于舌下，所以舌病多是这两条经脉所致。又说：心热则生疮，脾热则强硬。舌尖肿胀重叠，称为重舌。舌肿硬而不柔和，挺然胀满，或退至口腔门外的称为木舌。这是心脾二经之火上壅。紧急时用针砭刺破，放出毒血，以消除其标症，然后用泻心脾的药，治疗其本症即可。看这里所说舌硬如铁，而血出不止，说明火邪已经开泄，可以不用针砭，只用木贼一味，升散火邪，乘其势而提之，所以只需漱口即愈。
《良方》记载：一人无故舌上出血，仍有小孔，医生不知是什么病，偶然说：“这叫舌衄。”炒槐花为末，掺敷而愈。
又记载：有人患舌痹或麻木，这是痰气滞于心包络的缘故，服用顺气豁痰汤自愈。
〔沈源按〕舌痹，也有因心血不足引起的，不可当作风热及痰治疗，须用理中汤合四物汤治疗。
密云记载：先兄口舌糜烂，痰涎上涌，饮食如常，遇大风欲扑倒在地。用补中益气汤及八味丸即愈。间隔几天，仍发作。每当劳苦，则痰盛目赤，漱冷水舌头稍好，一会儿舌头更严重，用附子片含之即愈，服煎药诸症才痊愈。
《医说》记载：一人中仙茅毒，舌胀退至口腔门外，渐大与肩齐，即用小刀切开，随破随合，切了上百次，始有一点血流出。说：“可以救了。”煮大黄、朴硝给患者服用，用药粉掺敷患处，当时就消缩。这都是火盛性淫之人，过服仙茅的危害。
戴人治疗南邻朱老翁，六十多岁，身热数日不已，舌根肿起，连舌尖也肿，肿至满口，比原舌大三倍，一位外科医生用燔针，刺其舌两旁，下廉泉穴，病势转凶。戴人说：“血实者宜决之。”用排针磨令锋极尖，轻砭刺，每天砭刺八九次，出血约二三盏。像这样三次，渐渐觉得血少，病减肿消。舌，是心的外候。心主血，所以出血则愈。又诸痛痒疮疡，皆属心火。燔针艾火，都违背了这个道理。薛新甫说：凡舌肿胀甚，宜先刺舌尖，或舌上，或边旁出血，泄毒以救其急。惟舌下廉泉穴，此属肾经，虽当出血，亦当禁针，慎之。
甄立言治疗一妇人，正产之时，接生婆用温水进之，误用鹿角脂（女子涂鬓发之物）。因呕吐而舌头伸出，产后数日不能收回，医药屡不应验。甄立言用朱砂涂其舌，仍命作产子状，让两个妇人搀扶她。然后让人潜于壁外，多奉缶器，向危险处掷地作声。声音听到后舌头收回了。
薛己治疗一小儿，舌断半寸许，敷洪宝丹，服四物汤加柴胡，痛定血止。次服四君子汤加柴胡、山栀，月余而舌自完。
〔沈源按〕小儿跌扑断舌，须趁热接上。古法紧急时用鸡蛋轻击周遭，去硬壳，取膜套舌，以洪宝丹敷膜上，自然接续。若良久舌已冷，不必用接，但以洪宝丹敷之，其舌亦生。
我同郡有一富家妇，五十多岁，忽一日舌出不收，别无他恙，医生作风痰治不效。一位医生在风痰药中，加蕲蛇舌一枚，煎服而愈。
全舌散
黄连 人参 白芍（各三钱） 柴胡 菖蒲（各一钱）
水煎服。
顺气豁痰汤
半夏（一钱半） 茯苓 橘红 栝蒌 贝母 黄连 桔梗 枳壳（各一钱） 香附（七分） 甘草（四分）
姜三片，水煎服。
理中汤
白术（土炒，二钱） 人参 干姜（炮） 甘草（各一钱）
水煎服。
*Qibing Fang* (Record of Strange Diseases) states: A person suffering from the tongue retracting into the throat, this is due to cold qi congealing in the chest and abdomen. Urgently use Fuzi (Aconite Lateral Root), Rougui (Cinnamon Bark), and Ganjiang (Dried Ginger) each one qian, Baizhu (Atractylodes Rhizome) five qian, and Renshen (Ginseng Root) three qian. After taking it, the tongue will naturally extend.
It also states: A person suffering from the tongue protruding and refusing to retract, this is due to excessive Yang fire. Apply a small amount of Bingpian (Borneol) to it, and it will immediately retract. Subsequently take Quanshe San (Complete Tongue Powder), and after two doses, peace will be restored.
Ding Zhi records: A commoner in Lin'an suffered from Shanghan (Cold Damage Syndrome), with the tongue protruding more than one cun. No one could treat it; they could only feed them porridge through a pen tube daily, sitting at the door. A Daoist priest saw this and sighed, saying, "I can cure this." However, the medicine was unavailable, so he said he would try hard to find it but left without revealing where. The next day, he spoke of it again. Ten days later, a high-ranking official returned home from office, dismounted, and observed the patient. The Daoist arrived just then, repeating his previous words. The official asked what was needed, which was Meihua Bingpian (Plum Blossom Borneol). Laughing, he said, "This is not difficult," and immediately sent a servant to fetch it quickly and hand it over. The Daoist ground it into powder, sprinkled it on the tongue, and the tongue retracted instantly. Five qian were used in total, and the illness was cured immediately.
*Wang Mingqing Yu Hua* (Reminiscences by Wang Mingqing) records: Wang Kuang, courtesy name Ziheng, was originally a scholar and the son-in-law of Song Yishu of Nanjing. Song Yishu's medical fame spread across north and south. Wang Kuang initially inherited his learning but was not yet proficient. Wandering in the capital, he felt desolate. Coincidentally, salt laws changed, and a wealthy merchant, startled by an omen/sign, had his tongue protrude in shock and could not retract it. After ten days, he could not eat or swallow, growing thinner daily. Imperial physicians could not cure him, and his family was worried and fearful. A notice was posted in the market: whoever could cure him would be rewarded with tens of millions of coins. Wang Kuang, tempted by the profit from selling something, went to answer the call. Upon seeing the merchant's condition, he suddenly laughed uncontrollably, thinking internally that it was not easy to handle. His family members questioned him strangely. Wang Kuang diagnosed it and loudly laughed, saying, "What I laugh at is that despite the greatness of the capital, no one can treat such a minor ailment?" He told the host's family, "Try to fetch the *Zhen Jing* (Classic of Acupuncture)." Wang Kuang casually flipped through it and accidentally found something similar to the disease. He said, "Your family should write a statement for me. If I cannot cure it, do not disturb me. I will needle it, and there will be immediate effect." The patient's family, having no choice, agreed. They immediately needled the base of the tongue. As the needle was withdrawn, the person appeared exhausted, but within moments, the tongue extended and retracted as usual. The family was overjoyed, thanked him as promised, and spread his reputation. At that time, his fame shook the capital. With his family becoming moderately wealthy, he began to devote himself to studying the *Zhouhou Beiji Fang* (Handbook of Prescriptions for Emergencies), eventually gaining renown. Such accidental events occurred. Later, Wang Kuang gained favor through medicine. In the Xuanhe era, he served as Chaoqing Dafu (Grand Master of Court Gentlemen) and authored *Quansheng Zhimi Lun* (Treatise on Guiding the Lost in Life Preservation), which physicians often used.
*Shenghui Fang* (Prescriptions of the Holy Grace) records: Someone suddenly had a tongue hard as iron with unceasing bleeding. Using Muze (Equisetum Decoction) to rinse the mouth resulted in a cure.
[Source Note] The Classics state: The Heart meridian connects to the root of the tongue, and the Spleen meridian winds around the sides of the tongue and connects under the tongue. Therefore, tongue diseases are mostly caused by these two meridians. It also states: Heart heat generates sores; Spleen heat causes stiffness. Swelling and overlapping of the tongue tip is called Chongshe (Double Tongue). Tongue swelling, hardness, lack of flexibility, protruding fullness, or extending out of the mouth is called Mushe (Wood Tongue). This is caused by fire congesting upward from the Heart and Spleen meridians. Urgently use acupuncture/bloodletting to prick and release toxic blood to eliminate the branch symptoms, then use herbs to drain the Heart and Spleen to treat the root. Observing this case where the tongue is hard as iron with unceasing bleeding, the fire has already been vented. Acupuncture may not be needed; using only Muze (Horsetail Herb) alone can ascend and dissipate the fire pathogen, lifting it with its momentum. Thus, rinsing with it leads to a cure.
*Liangfang* (Excellent Prescriptions) records: A person bled from the tongue without cause, with small holes remaining. Physicians did not know the disease. Accidentally, it was said: "This is called Shenu (Tongue Epistaxis)." Stir-fried Huaihua (Sophora Flower) ground into powder, applied topically, led to recovery.
It also states: Someone suffers from Shebi (Tongue Numbness) or numbness. This is due to phlegm qi stagnating in the Pericardium Luo collateral. Taking Shunqi Huotan Tang (Smooth Qi and Resolve Phlegm Decoction) leads to self-healing.
[Source Note] Shebi (Tongue Numbness) can also be caused by insufficient Heart blood. It should not be treated as wind-heat or phlegm. Lizhong Tang (Regulate the Middle Decoction) combined with Siwu Tang (Four Substances Decoction) should be used.
Miyun records: My elder brother suffered from oral and tongue ulceration, with phlegm-saliva surging upward, normal diet, but feeling like falling when strong winds blew. Taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Bawei Wan (Eight Ingredients Pill) led to recovery. After a few days, it recurred. Whenever laborious, phlegma increased, eyes turned red, rinsing with cold water slightly improved the tongue, but soon worsened. Holding Fuzi Pian (Aconite Slice) in the mouth led to improvement, and taking decoctions cured all symptoms.
*Yishuo* (Medical Narratives) records: A person poisoned by Xianmao (Curculigo Rhizome), tongue swelled and extended out of the mouth, gradually enlarging to shoulder width. A small knife was used to cut it; it healed as it was cut. After hundreds of cuts, a drop of blood appeared. It was said, "It can be saved." Boiled Dahuang (Rhubarb Rhizome) and Puxiao (Mirabilite) for oral administration, and applied medicament topically. It reduced and shrank immediately. These are harms from excessive consumption by people with excessive fire and licentious nature.
Dairen treated Old Man Zhu, the southern neighbor, over sixty years old, with body heat lasting several days without abatement. The root of the tongue swelled, and the tip also swelled, filling the mouth, three times larger than the original tongue. A surgeon used burning needles (Fanzhen), pricking both sides of the tongue and the Lianquan acupoint below, worsening the condition. Dairen said, "When blood is excess, it should be drained." Using a row of needles sharpened to extreme points, he lightly pricked (bloodletting), eight or nine times daily, draining about two or three zhan of blood. Doing this three times, he gradually felt less blood loss, the illness decreased, and swelling subsided. The tongue is the external manifestation of the Heart. The Heart governs blood, so bleeding leads to recovery. Furthermore, all pain, itching, sores, and ulcers belong to Heart fire. Burning needles and moxibustion violate this principle. Xue Xinpu says: For severe tongue swelling, one should first prick the tongue tip, upper surface, or sides to bleed, releasing toxicity to save the emergency. However, the Lianquan acupoint under the tongue belongs to the Kidney meridian. Although bleeding is indicated, needling should be forbidden. Be cautious.
Zhen Liyan treated a woman during childbirth. The midwife offered warm water but mistakenly used Lu Jiaozhi (Deer Antler Glue, used by women to coat hair). Due to vomiting, the tongue protruded. Days postpartum, it could not retract. Medicines repeatedly failed. Zhen coated the tongue with Zhusha (Cinnabar) and instructed mimicking childbirth posture, supported by two women. Then, someone hid outside the wall, holding many jars, throwing them to the ground near the dangerous area to make noise. Hearing the sound, the tongue retracted.
Xue Ji treated a child whose tongue was severed by half a cun. Hongbao Dan (Hongbao Elixir) was applied, and Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleurum Root) was taken. Pain stopped, and bleeding ceased. Next, Sizijunzi Tang (Four Gentlemen Decoction) added with Chaihu (Bupleurum Root) and Shanzhi (Gardenia Fruit) was taken. Over a month, the tongue regenerated naturally.
[Source Note] For children with severed tongues from falls, reconnect while hot. Ancient method: urgently strike an egg gently around the shell, remove the hard shell, take the membrane, cover the tongue with it, apply Hongbao Dan (Hongbao Elixir) on the membrane, and natural connection occurs. If the tongue has been cold for a long time, no need to reconnect; simply apply Hongbao Dan (Hongbao Elixir), and the tongue will grow back.
In my hometown, there was a wealthy woman, over fifty, who suddenly had her tongue protrude and not retract, with no other ailments. Physicians treated it as wind-phlegm without effect. One physician added Qisheye (Agkistrodon Tongue) to the wind-phlegm medicine, decocted and administered, leading to recovery.
Quanshe San (Complete Tongue Powder)
Huanglian (Coptis Rhizome), Renshen (Ginseng Root), Baishao (White Peony Root) (each 3 qian); Chaihu (Bupleurum Root), Changpu (Acorus Rhizome) (each 1 qian).
Decoct in water and take orally.
Shunqi Huotan Tang (Smooth Qi and Resolve Phlegm Decoction)
Banxia (Pinellia Tuber) (1.5 qian); Fuling (Poria), Juhong (Citrus Peel), Gualou (Trichosanthes Fruit), Beimu (Fritillaria Bulb), Huanglian (Coptis Rhizome), Jiegeng (Platycodon Root), Zhike (Aurantii Fructus Immaturus) (each 1 qian); Xiangfu (Cyperi Rhizome) (0.7 qian); Gancao (Licorice Root) (0.4 qian).
Three slices of Jiang (Fresh Ginger), decoct in water and take orally.
Lizhong Tang (Regulate the Middle Decoction)
Baizhu (Atractylodes Rhizome, stir-fried in soil) (2 qian); Renshen (Ginseng Root), Ganjiang (Dried Ginger), Gancao (Licorice Root) (each 1 qian).
Decoct in water and take orally.
Hongbao Dan (Hongbao Elixir)
Tianhuafen (Trichosanthes Root) (3 liang); Jianghuang (Turmeric Rhizome), Baizhi (Angelica Dahurica Root), Chishizhi (Red Halloysite) (each 1 liang).
Grind into powder, mix with tea water, and apply to the affected area.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See Neck Section)
Bawei Wan (Eight Ingredients Pill) (See Hand and Foot Section)
Siwu Tang (Four Substances Decoction) (See Head Section)