巢氏云∶心候于舌而主血,脾络脉又出舌下,心火脾土二脏,子母也。有热即
血气俱盛,其状,附舌下近舌根,形如舌而短,名重舌。指爪摘断及苇刀子割法,
见前拭口法条。《惠眼》鹅口、重舌、重 、口疮,皆上焦热,因受胎时大受极热,
急以鸡内金为末干掺口内,及朱砂膏、地黄膏、轮流掺之,仍服天竺黄散。
地黄膏
郁金(皂荚水煮干,切,焙) 豆粉(各半两) 甘草(一分,炙) 马牙硝(研,一钱)
生地黄汁、蜂蜜对合,熬成膏和药。每服两皂子大,香熟水含化,或鹅翎扫口内。
金朱饮 治惊壮热,伤寒伏热,上焦虚热,重舌口鼻生疮致赤眼方。(本名天竺黄散)
川郁金(锉,皂荚水煮干。细者、如胆状,佳) 天竺黄 甘草(炙) 马牙硝(各半两)
朱砂(一分,研) 蝉壳(十四个,水洗去土) 麝香(少许)
上为末。每服半钱至一钱,蜜汤调下。
《千金》治法,总前垂痈门。刺去血汁后,盐汤洗拭,一字散涂刷,法同前条。
茅先生云∶心热壅滞,先用朱砂膏(见惊积门)涂舌上,后用牛黄膏(见膈热门。)
《圣惠》牛黄散 (一方,无前三味,有玄明粉)
牛黄 白龙脑 朱砂(各一分) 铅霜(半两) 太阴玄精石(一两)
上细研为散。先于肿处、以针铍破出血,盐汤洗拭口后,掺药,神效。
巢元方说:心开窍于舌并主宰血液,脾的络脉也出于舌下,心和脾两脏是母子关系。如果有热邪,就会导致血和气都亢盛,其症状表现为附着在舌下靠近舌根处,形状像舌头但较短小,称为重舌(舌下肿胀如小舌)。用手指甲掐断或用苇叶刀割除的方法,见前面“拭口法”条目中。《惠眼经》中提到鹅口疮、重舌、重龈和口疮,都是上焦有热所致,因为胎儿在母体内时受到极大的热邪影响,应立即将鸡内金研成粉末干掺入口内,以及朱砂膏、地黄膏轮流掺入,同时服用天竺黄散。
地黄膏
配方:郁金(用皂荚水煮干,切片,焙干)、豆粉(各半两)、甘草(一分,炙烤)、马牙硝(研细,一钱)。
制法:取生地黄汁与蜂蜜混合,熬制成膏状,再调和药末。每次服用如皂角子大小的量,用香熟的水含化,或者用鹅毛翎扫涂口腔内部。
金朱饮 治疗受惊壮热、伤寒伏热、上焦虚热,以及因重舌、口鼻生疮导致赤眼的方剂。(原名天竺黄散)
配方:川郁金(锉碎,用皂荚水煮干。细小的、形状像胆状的为佳)、天竺黄、甘草(炙烤)、马牙硝(各半两)、朱砂(一分,研细)、蝉壳(十四个,水洗去土)、麝香(少许)。
制法:以上药物研为细末。每次服用半钱至一钱,用蜜汤调服。
《千金方》的治疗法则,总括在前面的“垂痈门”中。针刺放出血液后,用盐汤清洗擦拭,涂刷一字散,方法同前条。
茅先生说:心热壅滞,先用朱砂膏(见惊积门)涂抹舌上,后用牛黄膏(见膈热门)。
《圣惠方》牛黄散 (一方,没有前三味药,含有玄明粉)
配方:牛黄、白龙脑、朱砂(各一分)、铅霜(半两)、太阴玄精石(一两)。
制法:以上药物细细研磨成散剂。先在肿胀处,用针或铍刀刺破出血,用盐汤清洗擦拭口腔后,掺入药粉,效果神奇。
Chao Yuanfang stated: The Heart opens into the tongue and governs blood, while the collateral vessels of the Spleen also emerge from under the tongue. The Heart and Spleen are in a mother-son relationship. If heat pathogens are present, both blood and qi will become hyperactive. The manifestation is swelling attached to the sublingual area near the root of the tongue, shaped like a tongue but shorter, known as *Chong She* (Double Tongue). Methods for cutting with fingernails or using a reed knife are described in the preceding section on "Mouth Wiping Method." The *Hui Yan Jing* states that *E Kou* (Goose Mouth Thrush), *Chong She* (Double Tongue), *Chong Yin* (Double Gums), and mouth ulcers are all caused by heat in the Upper Jiao, resulting from excessive heat exposure during fetal development. One should immediately sprinkle dry powder of *Ji Nei Jin* (Chicken Gizzard Membrane) into the mouth, and alternatively apply *Zhusha Gao* (Cinnabar Ointment) and *Dihuang Gao* (Rehmannia Ointment), while also administering *Tianzhu Huang San* (Bambusa Textilis Decoction Powder).
*Dihuang Gao* (Rehmannia Ointment)
Ingredients: *Yujin* (Curcuma Radix, boiled in soap pod water until dry, sliced, and dried), *Dou Fen* (Bean Starch) (each 0.5 liang), *Gancao* (Licorice Root, roasted) (1 fen), *Mayaxiao* (Natrii Sulfas) (ground, 1 qian).
Preparation: Mix fresh *Sheng Dihuang Zhi* (Juice of Rehmanniae Radix) and honey, boil down to form an ointment, then mix with the medicinal powders. Take an amount the size of a soap pod each time, dissolve it in warm fragrant water, or sweep it into the oral cavity with a goose feather.
*Jinzhu Yin* (Gold-Cinnabar Drink)
Indications: Treats fright-induced high fever, latent heat from *Shanghan* (Cold Damage), deficiency heat in the Upper Jiao, and red eyes caused by *Chong She* (Double Tongue) and ulcers in the mouth and nose. (Originally named *Tianzhu Huang San*).
Ingredients: *Chuan Yujin* (Curcumae Radix, crushed, boiled in soap pod water until dry; small ones resembling gallbladders are best), *Tianzhu Huang* (Bambusa Textilis Decoction), *Gancao* (Licorice Root, roasted), *Mayaxiao* (Natrii Sulfas) (each 0.5 liang), *Zhusha* (Cinnabar, ground) (1 fen), *Chan Qiao* (Periostracum Cicadae) (14 pieces, washed to remove soil), *Shexiang* (Moschus) (a small amount).
Preparation: Grind the above ingredients into a fine powder. Take 0.5 to 1 qian each time, mixed with honey water.
The treatment methods in *Qianjin Fang* are summarized in the preceding chapter on "Ptotic Abscesses." After acupuncture to drain blood, wash and wipe with salt water, then apply *Yizi San* (One-Character Powder); the method is the same as the preceding section.
Mr. Mao stated: For stagnation of Heart heat, first apply *Zhusha Gao* (Cinnabar Ointment) [see Fright Accumulation Chapter] to the tongue, then apply *Niuhuang Gao* (Calculus Bovis Ointment) [see Diaphragm Heat Chapter].
*Shenghui Fang* Niuhuang San (Calculus Bovis Powder)
(One variation lacks the first three ingredients and contains *Xuanming Fen* instead.)
Ingredients: *Niuhuang* (Calculus Bovis), *Bai Long Nao* (Borneolum Syntheticum), *Zhusha* (Cinnabar) (each 1 fen), *Qianshuang* (Plumbum Subacetatum) (0.5 liang), *Taiyin Xuanjing Shi* (Selenite) (1 liang).
Preparation: Grind the above ingredients finely into a powder. First, puncture the swollen area with a needle or lancet to release blood, wash and wipe the oral cavity with salt water, then sprinkle the powder. This yields miraculous results.