（附论）
舌生疮者。心脾经蕴热所致也。盖以口属心。心者火。脾者土。火积热传之脾土。二脏
俱蓄
方
升麻煎（出千金方）舌主心脏。热即应舌生疮。裂破引唇揭赤。服泄热。
蜀升麻 射干（各三两） 柏叶（切一升） 大青（二两） 苦竹叶（切） 地黄（汁
各五合） 赤蜜
以水四升煮取一升
去滓。下玄参汁。一两沸。次下地黄汁。两沸。次下蜜。煎取一升七合。绵裹取汁。安
舌上
升麻柴胡汤（出危氏方）
治心脾虚热上攻。舌上生疮。舌强。颊两边肿痛。
柴胡 升麻 芍药 栀子仁 木通（各一两） 黄芩 大青 杏仁（去皮尖各三分） 石
膏（
一。渣
玄参升麻汤（出济生方）
治心脾壅热。舌上生疮。木舌舌肿。或连颊两项肿痛。
玄参 赤芍药 升麻 犀角 桔梗 管仲 黄芩 甘草（各等分） 上 咀。每服四钱。
以
铅丹膏
治舌上生疮。
生地黄汁（三合） 蜜（三合） 铅丹（一两半） 杏仁（去皮尖双仁别研如面七十粒）
上和一处
吐津。
乌黄散（出仁斋直指方）
疗卒肿舌疮。
上用乌贼鱼骨、蒲黄等分。为末。敷舌上良。
（附论）
病源。足太阴为脾之经。其气通于口。足阳明为胃之经。手阳明为大肠之经。此二经并
夹于
之肥疮。亦名燕口疮。
口吻疮者。有其疮发于唇吻之间。疼痛微肿。此由脾胃有热。随气熏发。上攻于口唇。
与津液相搏所致也。
唇舌焦燥。口破生疮者。盖心脾受热所致也。以水浸黄连。暖而饮之。或用黄连阿胶丸。
以
应
方
芎辛丸（出千金方）
吻治口疮。
栀子 甘草（各十八铢） 细辛（二十铢） 芎 （一两） 桂心（二十铢） 上为末。
蜜丸。食
芎芷丸（出千金方）
治口吻疮。
芎 白芷 橘皮 桂心 枣肉（各一两半） 上为末。蜜和为丸。食后服一十五丸。
又含之以瘥为度。此方甚验。
芎 丸
治口吻疮。
芎 （二两） 白芷 陈橘皮（浸去皮白） 黄连（去须各半两） 上为末。炼蜜丸如
梧桐子大
乱发灰散
治口吻生疮。及口旁恶疮。
乱发（灰） 黄连（去须） 故絮（灰各一两） 干姜（炮半两） 上为散。再研匀。
不拘多少敷疮
桑脂散
治口吻疮。
上用桑条嫩枝。于铁上烧灰待用。鹅脂和敷之。
槟粉散
治口吻边生疮。浸淫不效。（一名立效散）
槟榔（烧存性） 轻粉（少许） 上为细末。入敷疮口上立愈。一方用蒸饭甑上滴泪调
敷之。
乌金散
治口吻疮。
上取蜣螂三枚烧灰。细研为散。敷之。
治口吻疮。
用越瓜为灰。敷之。
治口吻疮。
取经年葵根。欲腐者弥佳。烧作灰。及热敷之。
治口吻疮。
用楸白皮湿贴之。三四度瘥。一方用叶为末。敷疮。
治吻疮。
用新炊饭了甑。及热以唇口向甑。唇上熨之二十七下。三两日疮止。
治口吻恶疮。及喉中口舌生疮。
上用黄柏以蜜涂炙。研罗为末。敷疮上效。亦以削如鸭舌含之。
杏仁散
治口吻生疮。
杏仁（一分汤浸去皮尖双仁） 铅霜（半分） 麝香（少许） 上先研杏仁令细。次入
铅霜、麝香
槟榔散
治口吻生白疮。
上槟榔二枚烧灰存性。细研敷之妙。日三五度。
治燕吻方。
以白杨枝。铁上烧取脂。及热敷之。
又方
以木履尾。纳 灰中令热。取挂两吻。各二十七遍。
治吻上燕口疮。
取百家箸头烧为灰。敷疮上。
治吻上 疮。
取 几上屑。烧敷之。瘥。
治小吻疮。
用桑叶研取白汁。敷之。
（附论）
舌头上生疮，是由心经和脾经蕴积热邪所致。因为口属于心，心属火，脾属土，火产生的积热传送给脾土，导致这两脏都蓄积了……
方剂：
升麻煎（出自《千金方》）：舌头主应心脏，有热就会在舌头上生疮，裂开并牵引嘴唇揭起发红，服用此方可泄去热邪。
蜀升麻、射干（各三两）、柏叶（切一升）、大青（二两）、苦竹叶（切碎）、地黄（取汁各五合）、赤蜜。
用水四升煮取一升药液。
去掉药渣，加入玄参汁，煮沸一次；接着加入地黄汁，煮沸两次；再加入蜂蜜，煎取一升七合药液。用绵布包裹药渣取汁，含在舌上。
升麻柴胡汤（出自《危氏方》）：
治疗心脾虚热向上攻冲，舌头上生疮，舌头僵硬，脸颊两侧肿痛。
柴胡、升麻、芍药、栀子仁、木通（各一两）、黄芩、大青、杏仁（去皮尖各三分）、石膏（……）。
玄参升麻汤（出自《济生方》）：
治疗心脾壅滞之热，舌头上生疮，木舌（舌头肿胀僵硬如木），或者牵连脸颊及项部肿痛。
玄参、赤芍药、升麻、犀角、桔梗、管仲、黄芩、甘草（各等分）。将药材捣碎成粗末，每次服用四钱。
铅丹膏：
治疗舌头上生疮。
生地黄汁（三合）、蜂蜜（三合）、铅丹（一两半）、杏仁（去皮尖双仁另研如面粉状七十粒）。
混合在一起，吐出津液后敷用。
乌黄散（出自《仁斋直指方》）：
治疗突然肿起的舌疮。
以上用乌贼鱼骨、蒲黄各等分，研为细末，敷在舌上效果良好。
（附论）
病因病机：足太阴脾经，其气通于口。足阳明胃经、手阳明大肠经，这两条经脉并夹于……的肥疮，也叫做燕口疮。
口吻疮，是指疮发于嘴唇和嘴角之间，疼痛且轻微肿胀。这是由于脾胃有热，随着气机上熏发散，向上攻冲到口唇，与津液相互搏结所致。
嘴唇和舌头焦燥，口腔破损生疮，是因为心脾受热所致。用水浸泡黄连，温热后饮用，或者使用黄连阿胶丸。
方剂：
芎辛丸（出自《千金方》）：
治疗口疮。
栀子、甘草（各十八铢）、细辛（二十铢）、川芎（一两）、桂心（二十铢）。以上研为细末，用蜂蜜制成丸药，饭后服用。
芎芷丸（出自《千金方》）：
治疗口吻疮。
川芎、白芷、橘皮、桂心、枣肉（各一两半）。以上研为细末，用蜂蜜调和制成丸药，饭后服用十五丸。另外含服，以痊愈为度。此方非常灵验。
芎丸：
治疗口吻疮。
川芎（二两）、白芷、陈橘皮（浸透去皮留白）、黄连（去须各半两）。以上研为细末，炼蜜制成梧桐子大小的丸药。
乱发灰散：
治疗口吻生疮，以及口旁恶疮。
乱发（烧灰）、黄连（去须）、旧棉絮（烧灰各一两）、干姜（炮制半两）。以上研为散剂，再研磨均匀。不拘多少，敷在疮口上。
桑脂散：
治疗口吻疮。
以上取桑树嫩枝，在铁器上烧成灰待用，用鹅脂调和敷用。
槟粉散：
治疗口吻边生疮，浸淫扩散无效。（又名立效散）
槟榔（烧至存性）、轻粉（少许）。以上研为细末，掺入疮口上立即痊愈。另一方法是用蒸饭甑盖上滴下的冷凝水调敷。
乌金散：
治疗口吻疮。
以上取蜣螂三枚烧成灰，细细研磨成散剂，敷用。
治疗口吻疮的方法：
取经年的葵根，快要腐烂的最好，烧成灰，趁热敷用。
治疗口吻疮的方法：
用楸树的白皮湿润贴敷，三四次即可痊愈。另一方用楸树叶研末敷疮。
治疗吻疮的方法：
用刚蒸完饭的热饭甑，趁热将嘴唇靠近饭甑，熨烫嘴唇二十七下，两三天后疮止。
治疗口吻恶疮，以及喉中、口舌生疮的方法：
以上用黄柏涂蜜炙烤，研磨过筛成细末，敷在疮上有效。也可以削成鸭舌形状含在口中。
杏仁散：
治疗口吻生疮。
杏仁（一分，汤浸去皮尖双仁）、铅霜（半分）、麝香（少许）。以上先研磨杏仁使其细腻，再放入铅霜、麝香……
槟榔散：
治疗口吻生白疮。
以上取槟榔二枚烧成灰存性，细细研磨敷用，效果奇妙。每日三五次。
又一方：
用木屐尾，纳入……灰中令其发热，取出挂在两个嘴角，各挂二十七遍。
治疗吻上……疮的方法：
取……几上的屑，烧后敷用，可愈。
(Attached Discussion)
Sores on the tongue are caused by heat accumulation in the Heart and Spleen meridians. The mouth belongs to the Heart; the Heart corresponds to Fire, and the Spleen to Earth. Heat accumulated from Fire is transmitted to the Earth of the Spleen, causing both organs to accumulate...
Formulas:
Shengma Decoction (from *Qianjin Fang*): The tongue corresponds to the Heart; heat manifests as sores on the tongue, with cracking that pulls the lips upward and reddens them. Taking this formula drains heat.
* Shengma (Rhizoma Cimicifugae), Shegan (Radix Belamcandae) (each 3 liang);
* Baiye (Cacumen Platycladi) (1 sheng, cut);
* Daqing (Radix Isatidis) (2 liang);
* Ku Zhuye (Folium Bambusae) (cut);
* Dihuang (Radix Rehmanniae) (juice, each 5 he);
* Chi Mi (Red Honey).
Boil in 4 sheng of water until 1 sheng remains. Strain the dregs, add Xuan Shen juice (Radix Scrophulariae), boil once; then add Dihuang juice, boil twice; finally add honey, simmer until 1.7 sheng remains. Wrap the residue in silk cloth to extract the juice, and hold it against the tongue.
Shengma Chaihu Tang (Cinnamon Twig and Bupleurum Decoction) (from *Wei Shi Fang*):
Treats deficiency-heat of the Heart and Spleen attacking upwards, causing sores on the tongue, stiffness of the tongue, and swelling and pain on both sides of the cheeks.
* Chaihu (Radix Bupleuri), Shengma (Rhizoma Cimicifugae), Shaoyao (Radix Paeoniae Lactiflorae), Zhizi Ren (Semen Gardeniae), Mutong (Caulis Akebiae) (each 1 liang);
* Huangqin (Radix Scutellariae), Daqing (Radix Isatidis);
* Xingren (Semen Armeniacae Amarum) (skin and tip removed, each 3 fen);
* Shigao (Gypsum Fibrosum)...
Xuan Shen Shengma Tang (Scrophularia and Cimicifuga Decoction) (from *Ji Sheng Fang*):
Treats congestive heat of the Heart and Spleen, sores on the tongue, "wooden tongue" (swelling and stiffness of the tongue resembling wood), or swelling and pain extending to the cheeks and neck.
* Xuan Shen (Radix Scrophulariae), Chi Shaoyao (Radix Paeoniae Rubra), Shengma (Rhizoma Cimicifugae), Xijiao (Cornu Rhinocerotis - *Note: Substitute with Rhinoceros Horn alternative in modern practice*), Jiegeng (Radix Platycodonis), Guanzhong (Rhizoma Dryopteris Crassirhizomatis), Huangqin (Radix Scutellariae), Gancao (Radix Glycyrrhizae) (equal parts). Coarsely crush the herbs. Take 4 qian per dose.
Qiandan Ointment:
Treats sores on the tongue.
* Sheng Dihuang Zhi (Juice of Fresh Radix Rehmanniae) (3 he);
* Mi (Honey) (3 he);
* Qiandan (Lapis Plumbi Subacetatus) (1.5 liang);
* Xingren (Semen Armeniacae Amarum) (skin and tip removed, double-kernel, ground separately into flour-like consistency, 70 kernels).
Mix together. Spit out saliva and apply.
Wuhuang San (Black-Yellow Powder) (from *Ren Zhi Zhi Zhi Fang*):
Treats sudden swelling and sores of the tongue.
Use Wuzhe Yu Gu (Os Sepiae) and Puhuang (Pollen Typhae) in equal parts. Grind into powder and apply to the tongue for good effect.
(Attached Discussion)
Etiology: The Foot-Taiyin Spleen Meridian connects with the mouth. The Foot-Yangming Stomach Meridian and Hand-Yangming Large Intestine Meridian run alongside...肥疮 (fatty sores), also known as Yan Kou Chuang (Swallow-Mouth Sores).
Kou Wen Chuang (Mouth and Corner Sores) refers to sores appearing between the lips and corners of the mouth, characterized by pain and slight swelling. This is caused by heat in the Spleen and Stomach, which follows the qi mechanism to steam and diffuse upwards, attacking the lips and combining with body fluids.
Dryness and scorching of the lips and tongue, with oral ulcers, are caused by heat in the Heart and Spleen. Soak Huanglian (Radix Coptidis) in water, warm it, and drink it, or use Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pills).
Formulas:
Xiong Xin Wan (Ligusticum and Asarum Pills) (from *Qianjin Fang*):
Treats mouth sores.
* Zhizi (Fructus Gardeniae), Gancao (Radix Glycyrrhizae) (each 18 zhu);
* Xixin (Herba Asari) (20 zhu);
* Xiong (Rhizoma Chuanxiong) (1 liang);
* Guixin (Cortex Cinnamomi) (20 zhu). Grind into powder. Mix with honey to form pills. Take after meals.
Xiong Zhi Wan (Ligusticum and Angelica Pills) (from *Qianjin Fang*):
Treats mouth and corner sores.
* Xiong (Rhizoma Chuanxiong), Baizhi (Radix Angelicae Dahuricae), Ju Pi (Pericarpium Citri Reticulatae), Guixin (Cortex Cinnamomi), Zao Rou (Sarcandra Jujubae) (each 1.5 liang). Grind into powder. Mix with honey to form pills. Take 15 pills after meals. Also hold in the mouth until healed. This formula is very effective.
Xiong Wan (Ligusticum Pills):
Treats mouth and corner sores.
* Xiong (Rhizoma Chuanxiong) (2 liang);
* Baizhi (Radix Angelicae Dahuricae);
* Chen Ju Pi (Aged Pericarpium Citri Reticulatae) (soaked, skin removed, white pith kept);
* Huanglian (Radix Coptidis) (must removed, each 0.5 liang). Grind into powder. Mix with refined honey to form pills the size of paulownia seeds.
Luafa Hui San (Hair Ash Powder):
Treats sores on the mouth and corners, as well as malignant sores beside the mouth.
* Luafa (Ash of tangled hair);
* Huanglian (Radix Coptidis) (must removed);
* Gu Xu (Ash of old cotton wadding) (each 1 liang);
* Gan Jiang (Rhizoma Zingiberis Recens) (processed, 0.5 liang). Grind into a powder and mix evenly. Apply an appropriate amount to the sore.
Sang Zhi San (Mulberry Sap Powder):
Treats mouth and corner sores.
Take tender branches of mulberry trees and burn them to ash on iron. Mix with goose fat (E Zhi) and apply.
Bing Fen San (Betel Nut Powder):
Treats sores at the corners of the mouth that spread and do not respond to treatment. (Also known as Li Xiao San / Instant Effect Powder).
* Bing Lang (Areca Seed) (burned until carbonized but retaining nature);
* Qing Fen (Calomelas) (a small amount). Grind into fine powder. Sprinkle onto the sore opening for immediate healing. Another method uses condensation dripping from the lid of a rice steamer to mix and apply.
Wu Jin San (Black Gold Powder):
Treats mouth and corner sores.
Take three dung beetles (Qiang Lang), burn to ash, grind finely into powder, and apply.
Method to treat mouth and corner sores:
Burn Yue Gua (Melon) to ash and apply.
Method to treat mouth and corner sores:
Take kuni root (Kui Gen) aged one year, preferably nearly rotten. Burn to ash and apply while hot.
Method to treat mouth and corner sores:
Apply wet bark of Qiu tree (Qiu Bai Pi). Heal in 3-4 applications. Another method uses leaves ground into powder applied to the sore.
Method to treat corner sores:
Use a rice steamer immediately after cooking rice. While hot, expose the lips to the steam/heat of the steamer, pressing/warming the lips 27 times. The sore will stop within 2-3 days.
Method to treat malignant sores of the mouth/corners, and sores in the throat, mouth, and tongue:
Coast Huangbai (Cortex Phellodendri) with honey, roast, grind, and sieve into powder. Apply to the sore for efficacy. Alternatively, shape like a duck's tongue and hold in the mouth.
Xing Ren San (Almond Powder):
Treats sores on the mouth and corners.
* Xing Ren (Semen Armeniacae Amarum) (1 fen, soaked in hot water, skin and tip removed, double-kernel);
* Qian Shuang (Plumbum Subcarbonas) (0.5 fen);
* She Xiang (Moschus) (a small amount). First grind Xing Ren finely, then add Qian Shuang and She Xiang...
Bing Lang San (Betel Nut Powder):
Treats white sores on the mouth and corners.
Take two Areca Seeds, burn to ash retaining their nature, grind finely, and apply. Excellent effect. Apply 3-5 times daily.
Method to treat Yan Wen (Swallow-Corner Sores):
Burn White Yang branch (Bai Yang Zhi) on iron to extract oil. Apply while hot.
Another Method:
Place the heel of a wooden clog into ... ash to make it hot. Take it and hang it on both corners of the mouth, 27 times each.
Method to treat Yan Kou Chuang (Swallow-Mouth Sores) on the corners:
Take the tips of chopsticks from 100 families, burn to ash, and apply to the sore.
Method to treat ... sores on the corners:
Take dust/debris from ... tables, burn, and apply. Heals.
Method to treat small corner sores:
Grind Sang Ye (Folium Mori) to extract white juice and apply.