舌疮 吴茱萸研末，酒调涂两足心。
口舌生疮。（《秘录》）
黄柏 白僵蚕（各一钱） 枳壳（烧灰） 山豆根 苏薄荷 甘草（各五分） 冰片（三厘）
共为末。一日掺三次，第一日稍快，次日全愈。
又方
黄连（二钱） 菖蒲（一钱） 水煎服。
小儿舌疮不能饮乳（《幼科良方》） 白矾和鸡蛋置醋中，涂儿足底，二七日愈。
舌证主方（奎光）
黄连 黑山栀 木通 犀角 连翘 生地 牡丹皮 甘草 麦门冬 赤芍
水煎服。（如兼口唇，必加熟石膏少泻脾火；如有肺火兼有痰，加川贝母；便秘加玄明粉、大黄、枳壳。）
小儿口舌生疮 桑树皮中白汁涂之，即效。
舌疮鹅口重舌
青黛 朴硝（各一钱） 龙脑（一字）
为末。鹅翎搽上少许。
《心法》曰∶舌疳者，由心脾毒火所致。其证最恶，初如豆，次加菌，头大蒂小，又
名舌菌。疼痛红烂无皮，朝轻暮重，急用北庭丹点之，自然消缩而愈。若失于调治，
以致 肿，突如泛莲；或有状如鸡冠，舌本短缩，不能伸舒，妨碍饮食言语，时流
臭涎；再因怒气上冲，忽然崩裂，出血不止，久久延及项颔，肿如结核，坚硬 痛，
皮色如常，顶软一点色黯木红；破后时流臭水，腐如烂绵，其证虽破，坚硬肿痛仍
前不退，此为绵溃。甚至透舌穿腮，汤水漏出，是以又名瘰 风也。盖舌本属心，舌
边属脾，因心绪烦扰则生火，思虑伤脾则气郁，郁甚而成斯疾。其证外势颇类喉风，
但喉风则咽喉常肿，汤水不能下咽；此证咽喉不肿，可以下咽汤水，胃中亦思饮食。
因舌不能转运，迭送饮食，故每食不能充足，致令胃中空虚，而怯证悉添，日渐衰
败，颔下肿核。初起宜用导赤汤加黄连，外用锦地罗蘸醋磨敷；虚者归脾汤；便溏者
归芍异功汤。自古治法虽多，然此一证，百无一生，纵施药饵，不过苟延岁月而已。
口舌生疮。（出自《秘录》）
黄柏、白僵蚕（各一钱）、枳壳（烧成灰）、山豆根、苏薄荷、甘草（各五分）、冰片（三厘）。
以上药物共同研磨成粉末。每日掺敷三次，第一天症状稍缓解，第二天完全痊愈。
小儿舌疮不能吸吮乳汁（出自《幼科良方》）：将白矾与鸡蛋置于醋中，涂抹于小儿足底，十四天后痊愈。
舌证主方（奎光）：
黄连、黑山栀、木通、犀角、连翘、生地、牡丹皮、甘草、麦门冬、赤芍。
用水煎煮后服用。（如果兼有口唇病变，必须加入少量熟石膏以清泻脾火；如果有肺火且伴有痰，加入川贝母；便秘则加入玄明粉、大黄、枳壳。）
舌疮、鹅口、重舌：
青黛、朴硝（各一钱）、龙脑（一字）。
研磨成粉末。用鹅毛管蘸取少许药粉搽涂患处。
《医宗金鉴·心法要诀》说：舌疳，是由心脾毒火所致。这种病症最为凶险，起初像豆粒大小，随后长出菌状物，头大蒂小，又名舌菌。疼痛、发红、溃烂无皮，早晨轻晚上重，急需使用北庭丹点涂，自然消退而愈。如果延误治疗，导致肿胀突出，如同泛起的莲花；或者形状像鸡冠，舌体短缩，不能伸展，妨碍饮食和言语，时常流出臭涎；再加上怒气上冲，突然崩裂，出血不止，久而久之蔓延至颈部和下颌，肿块如结核般坚硬疼痛，皮肤颜色正常，顶部有一点软处颜色暗红发木；破溃后时常流出臭水，腐烂像烂棉絮一样，虽然破溃，但坚硬肿痛依然不退，这称为绵溃。甚至穿透舌头穿破脸颊，汤水漏出，因此又名瘰疬风。大概舌体属于心，舌边属于脾，因为心绪烦扰则生火，思虑伤脾则气机郁结，郁结严重而形成此病。其外在形势颇类似喉风，但喉风则是咽喉经常肿胀，汤水不能下咽；此证咽喉不肿，可以下咽汤水，胃中也想吃东西。因为舌头不能灵活转运食物，反复送食，所以每次进食都不能充足，导致胃中空虚，从而怯弱之症全部出现，日渐衰败，下颌出现肿核。初起适宜使用导赤汤加黄连，外用锦地罗蘸醋磨碎外敷；虚证者用归脾汤；大便溏泄者用归芍异功汤。自古以来治疗方法虽多，然而这一病症，百人中无一人生还，即使施用药物，也不过是苟延残喘而已。
Tongue Ulcers: Grind *Evodiae Fructus* (Wuzhuyu) into powder, mix with wine, and apply to the soles of both feet.
Mouth and tongue ulcers. (From *Milu*)
*Rhizoma Phellodendri Amurensis* (Huangbai), *Bombyx Batryticatus* (Baijiangcan) (each 1 qian), *Fructus Aurantii* (Zhiqiao) (burned to ash), *Radix Sophorae Tonkinensis* (Shandougen), *Folium Menthae Haplocalycis* (Subohetie), *Radix Glycyrrhizae Uralensis* (Gancao) (each 5 fen), *Borneolum Syntheticum* (Bingpian) (3 li).
Grind all ingredients together into powder. Apply three times a day; symptoms alleviate slightly on the first day and completely heal by the second day.
Another prescription:
*Coptidis Rhizoma* (Huanglian) (2 qian), *Rhizoma Acori Tatarinowii* (Changpu) (1 qian), decoct in water and take orally.
Infant tongue ulcers preventing breastfeeding (From *Youke Liangfang*): Mix *Alumen* (Baifan) with an egg, place in vinegar, and apply to the infant's soles. Heal within fourteen days (two seven-day periods).
Main Prescription for Tongue Disorders (Kui Guang):
*Coptidis Rhizoma* (Huanglian), *Gardeniae Fructus* (Heishanzhi), *Akebiae Caulis* (Mutong), *Rhinocerotis Cornu* (Xijiao), *Forsythiae Fructus* (Lianqiao), *Rehmanniae Radix Preparata* (Shengdi), *Paeoniae Radix Rubra* (Mudanpi), *Radix Glycyrrhizae Uralensis* (Gancao), *Ophiopogonis Radix* (Maimendong), *Paeoniae Radix Rubra* (Chishao).
Decoct in water and take orally. (If accompanied by lip lesions, add a small amount of *Gypsum Fibrosum* (Shushigao) to clear and drain Spleen fire; if Lung fire is present with phlegm, add *Fritillariae Thunbergii Bulbus* (Chuanbeimu); for constipation, add *Natrii Sulfas Purgatus* (Xuanmingfen), *Rhei Radix et Rhizoma* (Dahuang), and *Fructus Aurantii* (Zhiqiao)).
Infant mouth and tongue ulcers: Apply the white sap from mulberry tree bark to the affected area; immediate effect.
Tongue ulcers, Goose-mouth disease, Heavy tongue:
*Indigo Naturalis* (Qingdai), *Mirabilite* (Piaoxiao) (each 1 qian), *Borneolum Syntheticum* (Longnao) (1 zi).
Grind into powder. Apply a small amount using a goose feather.
The *Xinfa* states: Shegan (tongue ulceration) is caused by toxic fire of the Heart and Spleen. This condition is extremely severe. Initially, it resembles a bean, then grows into a mushroom-like shape, with a large head and small stalk, also known as "tongue fungus." It causes pain, redness, and ulceration without skin. Symptoms are lighter in the morning and heavier in the evening. Urgently apply Beitanning points to the lesion, which will naturally shrink and heal. If treatment is delayed, swelling protrudes like a floating lotus; or it may resemble a rooster's comb, with the tongue root shortened and unable to extend, hindering diet and speech, and causing frequent flow of foul saliva. Furthermore, due to anger rushing upward, sudden rupture occurs with unceasing bleeding. Over time, this spreads to the neck and jaw, forming hard, painful nodules resembling tubercles. The skin color remains normal, but there is a soft spot at the apex that is dark red and numb. After rupture, foul fluid flows intermittently, and the tissue rots like rotten cotton. Although ruptured, the hardness, swelling, and pain remain unchanged; this is called "cotton-like ulceration" (Miankui). In extreme cases, it penetrates through the tongue and cheek, causing leakage of fluids, hence also named "scrofulous wind" (Luofeng). Generally, the tongue body belongs to the Heart, and the tongue edges belong to the Spleen. Mental agitation generates fire, while overthinking injures the Spleen and causes Qi stagnation. Severe stagnation leads to this disease. Its external appearance closely resembles throat wind (Houfeng), but in throat wind, the throat and pharynx are constantly swollen, preventing swallowing of liquids; in this condition, the throat and pharynx are not swollen, allowing swallowing of liquids, and the stomach desires food. Because the tongue cannot transport food effectively, repeated attempts to eat result in insufficient intake, leading to an empty stomach, exacerbating deficiency syndromes, gradual decline, and submandibular nodules. At the onset, use Daochi Tang added with Huanglian; externally, apply Jindiluo ground with vinegar. For deficiency patterns, use Guipi Tang. For loose stools, use Guishao Yicheng Tang. Although many treatments have existed since ancient times, this condition is almost invariably fatal (one in a hundred survives). Even with medication, it merely prolongs life temporarily.