清胃散
防风 天花粉 黄芩 熟石膏 浓朴（姜制） 枳壳 黄连 陈皮 甘草 水煎服。
又方 以西牛黄一厘涂舌上，即止。
冯鲁瞻曰∶舌喑者，中风而舌不转运，舌强不能言是也。经曰∶喉咙者，气之所
以上下。会厌者，声音之户。舌者，声音之机。唇者，声音之扇。横骨者，神气所
使，主发舌者也。然心之本脉，系于舌根，脾之络脉，系于舌傍，肝脉循阴器，络于
舌本，少阴之脉之喉咙，系舌本。足四经之脉，皆上于舌，邪中其经，则痰涎闭其
脉道，舌不能转运而为之喑矣。有喉喑者，劳嗽失音，即喉咙哑是也。故喉喑者，喉
中之声嘶，而舌本能言，舌喑者，舌本不
能言，而喉中之声如故，中风而舌喑者，舌与喉俱病，而音声不能发于会厌也。然有
外感内伤之因。外感者，风寒火热之邪也。经曰∶诸热暴喑，皆属于火。内伤者，心
肺肾三经致病，亦多由痰火壅塞上窍，气血两虚，不能上荣，则舌机不转也。有肾
虚而气不归源，内夺而胞络内绝，不能上接清阳之气者；有元气不足，肺无所资者；
有血衰而心失所养者。盖心为声音之主，肺为声音之户，肾为声音之根。经曰∶三焦
之气，通于喉咙，气弱则不能上通矣。治者能于根本用力，则丹田清阳之气，自能
宣扬振作，故古人每以独参汤、地黄饮子取效也。然中风不语之证有六∶有失音不
语者；有舌强不语者；有神昏不语者；有口噤不语者；有舌纵语涩不语者；有舌麻
语謇不语者。可不详欤！
清胃散
由防风、天花粉、黄芩、熟石膏、浓朴（姜制）、枳壳、黄连、陈皮、甘草组成，用水煎煮后服用。
另一个方子：取西牛黄一厘涂抹在舌上，症状即可停止。
冯鲁瞻说：舌喑（舌头僵硬导致言语不清），是指中风后舌头不能灵活转动，舌体强硬无法说话。医经记载：喉咙是气上下通行的通道。会厌是声音发出的门户。舌头是声音产生的机关。嘴唇是声音的扇子。横骨受神气的支配，主要控制舌头的运动。然而心的本脉，连接于舌根；脾的络脉，连接于舌旁；肝脉循行经过阴器，联络于舌本；少阴经脉经过喉咙，连接于舌本。足部四条经脉，都上行至舌部，邪气中伤这些经脉，就会导致痰涎闭塞脉道，舌头不能灵活转动从而出现失音的症状。有喉喑这一说法，是指因劳嗽导致的失音，也就是喉咙嘶哑。所以喉喑是喉咙中的声音嘶哑，但舌头本身仍能说话；而舌喑是舌头本身不能说话，但喉咙里的声音依然如故。中风导致的舌喑，则是舌头和喉咙都患病，声音无法从会厌发出。这其中有外感和内伤的病因。外感方面，是风寒火热等邪气所致。医经说：各种热病导致的突然失音，都属于火邪。内伤方面，是心、肺、肾三经致病，也多由痰火壅塞上部窍道，气血两虚，不能上行荣养，导致舌机不转。有的因肾虚而气不归源，内部亏损导致胞络内绝，不能向上承接清阳之气；有的元气不足，肺脏缺乏滋养；有的血衰导致心脏失去供养。大概心是声音的主宰，肺是声音的门户，肾是声音的根本。医经说：三焦之气，通达于喉咙，气弱则不能向上通畅。治疗者如果在根本上下功夫，那么丹田的清阳之气，自然能够宣扬振作，所以古人常用独参汤、地黄饮子来取得疗效。然而中风不语的证候有六种：有失音不语的；有舌强不语的；有神昏不语的；有口噤不语的；有舌纵语涩不语的；有舌麻语謇不语的。能不详细辨别吗！
Qingwei San (Clear the Stomach Powder)
Composed of Fangfeng (Saposhnikoviae Radix), Tianhuafen (Trichosanthis Radix), Huangqin (Scutellariae Radix), Shushigao (Prepared Gypsum Fibrosum), Nongpo (Magnoliae Officinalis Cortex processed with ginger juice), Zhike (Aurantii Fructus Immaturus), Huanglian (Coptidis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Gancao (Glycyrrhizae Radix et Rhizoma). Decoct in water and take orally.
Another prescription: Apply one li of Xiniuhuang (Calculus Bovis from Western Cattle) to the tongue; the symptom will cease immediately.
Feng Luzhan stated: Sheyin (tongue aphasia) refers to a condition where, following wind-stroke, the tongue cannot move freely, resulting in a stiff tongue and inability to speak. The Classics state: The Houlong (throat) is the passage through which Qi ascends and descends. The Huiyan (epiglottis) is the door of sound. The She (tongue) is the mechanism of sound. The Chun (lips) are the fan of sound. The Henggou (transverse bone) is directed by Shenqi (spiritual energy) and primarily governs the movement of the tongue. However, the main meridian of the Heart connects to the root of the tongue; the collateral meridians of the Spleen connect to the sides of the tongue; the Liver meridian circulates around the genitalia and connects to the root of the tongue; the Shaoyin meridian passes through the throat and connects to the root of the tongue. The meridians of the four foot channels all ascend to the tongue. When pathogenic factors strike these meridians, phlegm and saliva block the meridian pathways, causing the tongue to lose its mobility and resulting in aphasia. There is also Houyin (throat aphasia), which refers to loss of voice due to chronic coughing, i.e., hoarseness of the throat. Thus, Houyin involves hoarseness of the voice in the throat while the tongue remains capable of speech; Sheyin involves the inability of the tongue to articulate while the voice in the throat remains normal. In wind-stroke-induced Sheyin, both the tongue and throat are diseased, preventing sound from being emitted from the epiglottis. This arises from either external contraction or internal injury. External contraction involves pathogenic factors such as wind-cold, wind-heat, or fire. The Classics state: All sudden cases of aphasia due to heat belong to Fire. Internal injury involves pathology of the Heart, Lung, and Kidney channels, often caused by phlegm-fire obstructing the upper orifices, combined with deficiency of both Qi and Blood, failing to nourish the upper body, thereby impairing tongue mobility. Some cases arise from Kidney deficiency causing Qi to fail to return to its source, with internal depletion severing the Bao Luo (uterine/microcosmic network), preventing the upward connection of Qingyang Qi (clear Yang Qi). Others result from insufficiency of Yuanqi (original Qi), leaving the Lung without support; still others stem from blood deficiency, causing the Heart to lack nourishment. Generally, the Heart is the master of sound, the Lung is the door of sound, and the Kidney is the root of sound. The Classics state: The Qi of the Sanjiao (Triple Burner) communicates with the throat; if Qi is weak, it cannot ascend smoothly. If the practitioner addresses the root cause, the Qingyang Qi of the Dantian (lower abdomen) will naturally be promoted and invigorated. Therefore, ancient physicians often achieved success using Dushen Tang (Single Ginseng Decoction) and Dihuang Yinzi (Rehmannia Infusion). However, there are six types of aphasia due to wind-stroke: those with loss of voice and inability to speak; those with a stiff tongue and inability to speak; those with unconsciousness and inability to speak; those with locked jaws and inability to speak; those with tongue flaccidity, slurred speech, and inability to speak clearly; and those with tongue numbness and hesitant speech. How can one fail to distinguish them in detail!