《千金》论曰∶小儿出腹六、七日后，其血气收敛成肉，则口舌喉颊里清净也。若喉里、舌上有物，如芦箨
盛水状，有肿起着颊里及上 ，如此者名重 。有着齿龈上者名重龈，皆刺去血汁也。
茅先生∶小儿生下有中重 、重舌形候。重 为上 肉浓者是，重舌为舌上更加一重白。满口生疮，此为
心热。此候乃心家大热壅滞，遂如此。所治者先用朱砂膏（方见惊积门中）涂舌上，然用牛黄膏（
方见膈热门中）奶上吮下，一
日下三服牛黄膏，如此调理，二日即愈。
张涣∶婴儿初生六、七日间，胎毒上攻，血气不敛。重 、重龈、喉舌上有物、如芦箨盛水状者名垂痈。
有气胀起者，急以绵缠长针，留刃处如粟米许以刺之，令儿气泻，出青黄血水。用盐汤洗拭，急用如圣散。
（方与《圣惠》牛黄散同。见本门中）。
《圣惠》治小儿重 ，重龈肿痛，口中涎出，宜服牛黄散。（张涣名如圣散。）
牛黄 白龙脑 朱砂（各一分） 太阴元精石（一两） 铅霜（半两）
上件药同细研为散，每度用药半钱。先于肿起处以铍针铍破出血，用盐汤洗拭口，然后掺药于口中，神效。
《圣惠》又方
上用驴乳、猪乳各一合，相和，煎至一合，时时与儿服之。
《圣惠》又方
元明粉 太阴元精石（各一分） 铅霜（半分）
上件药同研令细，少少敷之。
《万全方》小儿初生，口中有物胀起，有着颊里及上 者名重 。有着齿龈上者名重龈，皆刺去血汁。
上用蛇蜕皮烧灰，细研，敷之。
《万全》又方
上用田中蜂房烧灰，细研，敷之。
《万全》又方
上用 煤，水调涂之。（三方皆与《圣惠》同。）
《千金方》论述说：婴儿出生后六、七天，其气血收敛形成肌肉组织，此时口腔、舌头、咽喉和面颊内部应当保持清净。如果咽喉里、舌头上有异物，形状像芦笋皮包裹着水一样，并且肿胀突起至面颊内部及上颚，这种情况称为重腭（软腭重叠肿胀）。如果病变位于齿龈上，则称为重龈（牙龈重叠肿胀），都需要用针刺破以排出瘀血。
茅先生指出：新生儿出生时若有重腭、重舌的形态表现。重腭是指上颚肉质增厚；重舌是指舌面上再长出一层白色的肉赘。若满口生疮，这是心经有热所致。这种症状是由于心家大热壅滞引起的。治疗时先用朱砂膏（见惊积门）涂抹在舌上，然后用牛黄膏（见膈热门）让婴儿吮吸或涂于奶头上服用，每天分三次服用牛黄膏，这样调理，两天即可痊愈。
张涣认为：婴儿初生六、七天之间，胎毒向上攻冲，导致气血不能收敛。重腭、重龈、喉舌上有如芦箨盛水状的异物，称为垂痈。如果有气胀起的情况，急需用绵线缠绕长针，保留刀刃部分约粟米大小来刺破患处，使婴儿的气泄出，排出青黄色的血水。之后用盐汤清洗擦拭，并立即使用如圣散（此方与《圣惠方》中的牛黄散相同，见本门中）。
《圣惠方》治疗小儿重腭、重龈肿痛，口中流涎，适宜服用牛黄散（张涣称之为如圣散）。
药物组成：牛黄、白龙脑、朱砂（各一分）、太阴元精石（一两）、铅霜（半两）。
将上述药物共同细研成散剂，每次用药半钱。先在肿胀处用铍针刺破出血，用盐汤清洗口腔，然后将药粉撒入口中，效果神奇。
《圣惠方》又一方：
取驴乳、猪乳各一合，混合后煎煮至一合，不时给婴儿服用。
《圣惠方》又一方：
元明粉、太阴元精石（各一分）、铅霜（半分）。
将上述药物共同研磨极细，少量敷于患处。
《万全方》记载：小儿初生，口中有物胀起，位于面颊内部及上颚的称为重腭。位于齿龈上的称为重龈，均需刺破以去除瘀血。
上方用法：取蛇蜕皮烧成灰，细研后敷于患处。
《万全方》又一方：
取田间的蜂房烧成灰，细研后敷于患处。
《万全方》又一方：
取灶心土（煤），用水调匀后涂抹。（以上三方均与《圣惠方》相同。）
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: Six or seven days after birth, an infant's qi and blood converge to form flesh, at which point the mouth, tongue, throat, and inner cheeks should remain clear. If there are foreign substances in the throat or on the tongue, resembling reed husks holding water, accompanied by swelling protruding into the cheeks and upper palate, this condition is termed *Chong E* (Double Palate/Soft Palate Hypertrophy). If the lesion is located on the gums, it is called *Chong Yin* (Double Gums/Gingival Hypertrophy); both require pricking with a needle to drain the blood.
Master Mao notes: Newborns may present with morphological signs of *Chong E* or *Chong She* (Double Tongue). *Chong E* refers to thickened tissue in the upper palate; *Chong She* refers to an additional layer of white tissue appearing on the tongue. Ulcers covering the entire mouth indicate Heart Heat. This syndrome arises from excessive heat and stagnation in the Heart organ. Treatment begins by applying Zhusha Gao (Cinnabar Paste, see section on Fright and Accumulation) to the tongue, followed by administering Niuhuang Gao (Calculus Bovis Paste, see section on Diaphragm Heat) via breastfeeding or topical application on the nipple. Administer Niuhuang Gao three times daily; with such regulation, recovery occurs within two days.
Zhang Huan posits: Between six and seven days after birth, fetal toxins attack upward, preventing the convergence of qi and blood. Conditions such as *Chong E*, *Chong Yin*, and foreign bodies in the throat and tongue resembling reed husks holding water are termed *Chui Yong* (Drooping Abscess). In cases of Qi distension and swelling, urgently wrap a long needle with cotton, leaving only a millet-grain-sized blade exposed, to prick the area. This allows the infant's qi to escape and expels greenish-yellow bloody fluid. Cleanse with saline solution and immediately apply Rusheng San (Holy Sage Powder, identical to Niuhuang San in *Shenghui Fang*, see relevant section).
*Shenghui Fang* treats infantile *Chong E* and *Chong Yin* with swelling, pain, and salivation, recommending Niuhuang San (called Rusheng San by Zhang Huan).
Ingredients: Calculus Bovis (Niuhuang), Borneolum Syntheticum (Bailongnao), Cinnabar (Zhusha) (each 1 fen), Taoyin Yuanjingshi (Taoyin Crystal Stone) (1 liang), Qianshuang (Lead Frost) (0.5 liang).
Grind all ingredients finely into a powder. Each dose uses half a qian. First, puncture the swollen area with a bi-needle (Bi-zhen) to release blood, cleanse the mouth with saline, then sprinkle the powder into the mouth for miraculous effect.
Another prescription from *Shenghui Fang*:
Mix one he of donkey milk and one he of pig milk, boil until reduced to one he, and administer frequently to the infant.
Another prescription from *Shenghui Fang*:
Yuanmingfen (Mirabilite), Taoyin Yuanjingshi (each 1 fen), Qianshuang (0.5 fen).
Grind these ingredients finely and apply sparingly to the affected area.
*Wanquan Fang* records: When newborns have swelling in the mouth protruding into the cheeks and upper palate, it is called *Chong E*. When located on the gums, it is called *Chong Yin*; both require pricking to remove stagnant blood.
Application: Burn snake skin to ash, grind finely, and apply to the site.
Another prescription from *Wanquan Fang*:
Burn honeycombs found in fields to ash, grind finely, and apply.
Another prescription from *Wanquan Fang*:
Use Zaoxin Tu (Caosin/Cauline Soil), mix with water, and apply topically. (These three prescriptions are identical to those in *Shenghui Fang*.)