（附论）
唇生核之候。大概与唇疮紧唇相类。然其肿至于生核者。盖足阳明与太阴为表里。脏腑
俱有
故生
方
防风汤
治脾胃蕴积热气。为风冷相搏。唇边生核。结硬疼痛。
防风（去皮半两） 菊花（一两） 升麻 独活（去芦头） 知母（焙） 黄芩（去黑
心） 玄参
甘草（炙锉） 麦门冬（
煎至七分。去滓。食后服。
升麻散
治风热在脾胃。唇肿生核结聚。
川升麻（一两） 白蔹（三分） 玄参（三分） 木通（三分锉） 羚羊角屑（三分） 漏
芦（三分）
芩（三分） 枳壳（半
仁麸炒微黄） 上为散。每
松脂膏
治脾胃热毒。唇上生结核。肿痛。
松脂（一两） 白胶香（一两） 薰陆香（一两） 蜡（一两） 当归末（一两） 甘
草末（一两） 猪
次下松脂、白胶、薰陆
匀。贮于瓷盒中。每用少许。涂贴唇上。
地黄煎
治脾风热。唇生疮。
生地黄（汁一升） 生麦门冬（去心） 葳蕤（各四两） 细辛（去苗叶） 甘草（炙）
芎 白
一宿。取出。更
盛贮。每以少许
升麻饮
治脾胃有热。风冷相乘。唇肿生核疼痛。
升麻 前胡（去芦头） 犀角（镑各半两） 龙胆 青竹皮 葛根（锉各一分） 薏苡
仁甘草（
独活散
治唇上生恶核肿。由脾胃热壅滞。
独活（三分） 川升麻（三分） 沉香（三分） 桑寄生（三分） 连翘（三分） 犀
角屑（三分） 汉
散。每服三钱。水一中盏
治唇生肿核涂贴。
松脂（半两） 川大黄（一分） 白蔹（一分） 赤小豆（一分） 胡粉（一分） 上
为细末。以鸡子
薏苡仁汤
治风肿在脾。唇口 动。或生结核。或为浮肿。
薏苡仁（炒） 防己 赤小豆（炮） 甘草（炙各等分） 上 咀。每服四钱。水一盏
半。生姜
黄连散
治脾胃积热。风冷乘之。唇肿结核。
升麻 黄连（去须） 龙胆（各一两） 上捣罗为散。绵裹如弹子大。临卧。以新汲水
浸过。含
恶实散
治唇肿生核。
恶实（炒） 乌梅（去核各半两） 甘草（炙锉一分） 上捣罗为散。每服三钱。童子
小便一盏。
又方
治唇生核。
上用猪屎平量一升。投水绞取汁。温服。
又方
治唇生核。肿痛如弹。
牛膝（烧灰存性研） 上先以针刺出恶血。次用药少许。以新汲水调涂核上。此药亦能
治紧唇
又方
疗唇里忽生丸核稍大。
上以刀锋决之。令血出瘥。
（附论）
唇部生核的症状。大体上与唇疮、紧唇相似。然而，其肿胀发展到形成硬结的，是因为足阳明胃经与足太阴脾经互为表里，脏腑均有热邪蕴积，所以才会生成硬结。
防风汤
治疗脾胃中蕴积的热气，因风冷之邪相互搏结，导致唇边生出硬结，坚硬且疼痛。
药物组成：防风（去皮，半两）、菊花（一两）、升麻、独活（去芦头）、知母（焙干）、黄芩（去掉黑心部分）、玄参、甘草（炙后锉碎）、麦门冬（去心）。
煎服法：以上药物用水煎煮至七分量，滤去药渣，饭后服用。
升麻散
治疗风热邪气在脾胃，导致嘴唇肿胀、生出硬结并聚集在一起。
药物组成：川升麻（一两）、白蔹（三分）、玄参（三分）、木通（三分，锉碎）、羚羊角屑（三分）、漏芦（三分）、黄芩（三分）、枳壳（半两，麸炒至微黄）。
用法：将上述药物研为散剂。每次服用三钱，用酒调下。
松脂膏
治疗脾胃热毒，导致嘴唇上生出结核，伴有肿痛。
药物组成：松脂（一两）、白胶香（一两）、薰陆香（乳香，一两）、蜡（一两）、当归末（一两）、甘草末（一两）、猪脂（适量）。
制作与用法：先将猪脂熔化，然后依次加入松脂、白胶香、薰陆香，搅拌均匀。储存在瓷盒中。每次取少量，涂抹贴在嘴唇患处。
地黄煎
治疗脾经风热，导致嘴唇生疮。
药物组成：生地黄（取汁一升）、生麦门冬（去心）、葳蕤（玉竹，各四两）、细辛（去苗叶）、甘草（炙）、川芎、白芷。
制作与用法：将药材浸泡一夜，取出后煎煮浓缩。盛放在容器中储存。每次取少量含服或涂敷。
升麻饮
治疗脾胃有热，风冷之邪乘虚侵袭，导致嘴唇肿胀、生出硬结并疼痛。
药物组成：升麻、前胡（去芦头）、犀角（镑片，各半两）、龙胆、青竹皮、葛根（锉碎，各一分）、薏苡仁、甘草。
煎服法：水煎服。
独活散
治疗嘴唇上生出恶性的硬结肿胀，这是由于脾胃热邪壅滞所致。
药物组成：独活（三分）、川升麻（三分）、沉香（三分）、桑寄生（三分）、连翘（三分）、犀角屑（三分）、汉防己（三分）。
用法：将上述药物研为散剂。每次服用三钱，用水一盏煎煮后服用。
又方
治疗嘴唇生肿胀硬结，用于涂贴。
药物组成：松脂（半两）、川大黄（一分）、白蔹（一分）、赤小豆（一分）、胡粉（一分）。
制作与用法：将上述药物研为细末，用鸡蛋清调和，涂贴于患处。
薏苡仁汤
治疗风邪湿肿在脾，导致唇口跳动，或者生出结核，或者出现浮肿。
药物组成：薏苡仁（炒）、防己、赤小豆（炮制）、甘草（炙，各等分）。
煎服法：将药物捣碎如粗末。每次服用四钱，用水一盏半，生姜五片，煎煮后服用。
黄连散
治疗脾胃积热，风冷之邪乘袭，导致嘴唇肿胀、生出结核。
药物组成：升麻、黄连（去须）、龙胆（各一两）。
用法：将上述药物捣罗成散剂，用棉布包裹如弹子大小。临睡前，用新汲井水浸湿，含在口中。
恶实散
治疗嘴唇肿胀、生出硬结。
药物组成：恶实（牛蒡子，炒）、乌梅（去核，各半两）、甘草（炙后锉碎，一分）。
用法：将上述药物捣罗成散剂。每次服用三钱，用童子小便一盏送服。
又方
治疗嘴唇生硬结。
药物组成：猪屎平量一升。
用法：加水绞取汁液，温服。
又方
治疗嘴唇生硬结，肿痛如同弹丸。
药物组成：牛膝（烧灰存性，研细）。
用法：先用针刺破患处放出恶血，然后取少量药粉，用新汲井水调匀，涂在硬结上。此药也能治疗紧唇。
(Attached Discussion)
The manifestation of nodules forming on the lips is generally similar to lip sores (lip ulcers) and tight lips. However, when the swelling progresses to form hard nodules, it is because the Foot-Yangming Stomach Meridian and the Foot-Taiyin Spleen Meridian are exterior-interiorly related, and heat pathogens accumulate in both the Zang and Fu organs, thus leading to the formation of nodules.
Fangfeng Tang (Saposhnikovia Decoction)
Indicated for heat accumulation in the Spleen and Stomach, where wind-cold pathogens contend with each other, causing nodules to form on the lip margins, presenting as hard, painful swellings.
Ingredients: Fangfeng (Radix Saposhnikoviae, half tael), Juhua (Flos Chrysanthemi, one tael), Shengma (Rhizoma Cimicifugae), Duhuo (Radix Angelicae Pubescentis, remove rhizome head), Zhimu (Rhizoma Anemarrhenae, baked), Huangqin (Radix Scutellariae, remove black heart), Xuanshen (Radix Scrophulariae), Gancao (Radix Glycyrrhizae, roasted and crushed), Maimendong (Radix Ophiopogonis, remove heart).
Preparation and Administration: Decoct the ingredients in water until three-sevenths of the volume remains, strain, and take after meals.
Shengma San (Cimicifuga Powder)
Indicated for wind-heat pathogens in the Spleen and Stomach, causing lip swelling, nodule formation, and aggregation.
Ingredients: Chuan Shengma (Rhizoma Cimicifugae, one tael), Bailian (Bulbus Iridis Tectorii, three qian), Xuanshen (Radix Scrophulariae, three qian), Mutong (Caulis Akebiae, three qian, crushed), Lingyangjiaoxie (Cornu Saigae Tataricae powder, three qian), Loulu (Radix Radicis Cynanchi Stauntoniae, three qian), Huangqin (Radix Scutellariae, three qian), Zhike (Fructus Aurantii, half tael, bran-fried until slightly yellow).
Administration: Grind the above ingredients into a powder. Take three qian per dose, mixed with wine.
Songzhi Gao (Pine Rosin Ointment)
Indicated for heat-toxins in the Spleen and Stomach, causing tubercles on the lips accompanied by swelling and pain.
Ingredients: Songzhi (Pini Resina, one tael), Baijiaoxiang (Resina Liquidambaris, one tael), Xunluxiang (Resina Olibani, one tael), La (Cera Flava, one tael), Danggui mo (Powder of Radix Angelicae Sinensis, one tael), Gancao mo (Powder of Radix Glycyrrhizae, one tael), Zhu Zhi (Searcum Porcinum, appropriate amount).
Preparation and Administration: Melt the pig fat first, then sequentially add Songzhi, Baijiaoxiang, and Xunluxiang, stirring evenly. Store in a porcelain box. Apply a small amount externally to the affected area of the lips.
Dihuang Jian (Rehmannia Electuary)
Indicated for wind-heat in the Spleen, causing lip sores.
Ingredients: Sheng Dihuang (Radix Rehmanniae Recens, juice one sheng), Sheng Maimendong (Radix Ophiopogonis, remove heart), Weirui (Rhizoma Polygonati Odorati, four liang each), Xixin (Herba Asari, remove seedlings and leaves), Gancao (Radix Glycyrrhizae, roasted), Chuanxiong (Rhizoma Chuanxiong), Baizhi (Radix Angelicae Dahuricae).
Preparation and Administration: Soak the herbs overnight, then decoct and concentrate. Store in a container. Take a small amount to hold in the mouth or apply topically.
Shengma Yin (Cimicifugia Drink)
Indicated for heat in the Spleen and Stomach, where wind-cold pathogens invade, causing lip swelling, nodule formation, and pain.
Ingredients: Shengma (Rhizoma Cimicifugae), Qianhu (Radix Peucedani), Xijiao (Cornu Rhinocerotis, shaved, half tael each), Longdan (Radix Gentianae), Qing Zhupi (Cortex Phyllostachys Viridis), Gegen (Radix Puerariae, crushed, one fen each), Yiyiren (Semen Coicis), Gancao (Radix Glycyrrhizae).
Administration: Decoct in water and drink.
Duhuo San (Angelica Pubescens Powder)
Indicated for malignant nodules and swelling on the lips, caused by stagnation due to heat pathogens in the Spleen and Stomach.
Ingredients: Duhuo (Radix Angelicae Pubescentis, three qian), Chuan Shengma (Rhizoma Cimicifugae, three qian), Chenxiang (Lignum Aquilariae Resinatum, three qian), Sangjisheng (Ramulus Taxilli, three qian), Lianqiao (Fructus Forsythiae, three qian), Xijiaoxie (Cornu Rhinocerotis powder, three qian), Hanfangji (Radix Stephaniae Tetrandrae, three qian).
Administration: Grind the above ingredients into a powder. Take three qian per dose, decocted in one zhan of water.
Another Prescription
For treating swollen nodules on the lips, for external application.
Ingredients: Songzhi (Pini Resina, half tael), Chuan Dahuang (Radix et Rhizoma Rhei, one fen), Bailian (Bulbus Iridis Tectorii, one fen), Chixiaodou (Semen Phaseoli Angularis, one fen), Hufen (Cerussa, one fen).
Preparation and Administration: Grind the above ingredients into a fine powder, mix with egg white, and apply to the lesion.
Yiyiren Tang (Coix Seed Decoction)
Indicated for wind-dampness swelling in the Spleen, causing twitching of the lips and mouth, or formation of tubercles, or edema.
Ingredients: Yiyiren (Semen Coicis, stir-fried), Fangji (Radix Stephaniae Tetrandrae), Chixiaodou (Semen Phaseoli Angularis, processed), Gancao (Radix Glycyrrhizae, roasted, equal parts).
Preparation and Administration: Crush the herbs into coarse pieces. Take four qian per dose, decoct in one and a half zhan of water with five slices of Shengjiang (Rhizoma Zingiberis Recens).
Huanglian San (Coptis Powder)
Indicated for accumulated heat in the Spleen and Stomach, invaded by wind-cold, causing lip swelling and nodules.
Ingredients: Shengma (Rhizoma Cimicifugae), Huanglian (Rhizoma Coptidis, remove stamens), Longdan (Radix Gentianae, one tael each).
Administration: Grind into a powder, wrap in cotton cloth like a bullet size. Before sleep, soak in fresh well water and hold in the mouth.
Eshi San (Arctium Powder)
Indicated for lip swelling and nodule formation.
Ingredients: Eshi (Fructus Arctii, stir-fried), Wumei (Fructus Mume, remove pits, half tael each), Gancao (Radix Glycyrrhizae, roasted and crushed, one fen).
Administration: Grind into a powder. Take three qian per dose, taken with one zhan of urine from a young boy.
Another Prescription
For treating nodules on the lips.
Ingredients: Pig manure, measured at one sheng.
Administration: Add water, squeeze to extract juice, and take warm.
Another Prescription
For treating nodules on the lips, with swelling and pain resembling a bean.
Ingredients: Niuxi (Radix Achyranthis Bidentatae, burnt to ash and retained nature, ground).
Administration: First prick the lesion with a needle to release bad blood, then apply a small amount of medicine mixed with fresh well water to the nodule. This prescription also treats tight lips.
Another Prescription
For treating sudden formation of slightly large pill-like nodules inside the lips.
Administration: Incise with a knife blade to allow blood to flow out, which will lead to recovery.