有妇人产子，舌出不能收，人以为舌胀也，谁知是难产心惊之故乎。夫舌乃心
之苗，心气安而舌安，心气病而舌病，产子而胞胎已破，子不能产，欲顾子而母命
恐亡，欲全母而子命难保，其心中惊恐，自必异于常时，心气既动，心火必不宁矣。
胎胞之系，原通于心，用力产子，而心为之惧，故子下而舌亦出也。舌出不收，心
气过升之故，治法必须降气为主。古人有以恐胜之者，然舌出由于心惊，复因惊以
增其恐，吾恐愈伤心气矣，虽舌骤收，未必不随收而随出也，故降气必须补心，而
不可增其恐。方用助气镇心丹∶
人参（三钱） 茯神（二钱） 菖蒲（五分） 朱砂（一钱，不可火制） 五味子（一钱）
水煎含漱，久之然后咽下。一剂即收，二剂全愈。
此方用朱砂以镇心，又得人参以生气，气旺则火自归心，火归而焰息，舌亦随焰而自收矣，
何必增其恐惧，而气始下哉。
此症亦可用敛舌神丹∶
人参（一两） 五味子（一钱） 麦冬（二钱） 附子（一片） 菖蒲 良姜（各三分） 水煎
含漱咽下，一剂即收。
人有舌下牵强，手大指、次指不仁，两臂麻木，或大便闭结，或皮肤赤晕，人以为风热之病
也，谁知是恼怒所致，因郁而成者乎。夫舌本属阳明胃经之土，而大肠之脉，散居舌下，舌下牵强，是
阳明胃与大肠之病也。然非无因而至，因肝气不伸，木克胃土，则土虚而不能化食，遂失养于臂
指经络之间，而麻木不仁之症生。臂指经络失养，何能外润于皮肤乎，此赤晕之所以起也。胃土
受肝木之克，则胃气大燥，无血以资大肠，因热以生风，肠中秘结，益失其传导之职矣。治法
必须通大
肠而健胃，又必平肝以补血。方用八珍汤加减治之。
人参（一钱） 当归（五钱） 白芍（五钱） 柴胡（一钱） 陈皮（五分） 甘草（一钱） 槐角（一钱）
白术（一钱） 熟地（五钱） 半夏（五分） 茯苓（一钱） 水煎服。二剂轻，四剂又轻，十剂全愈。
八珍汤补气补血之方也，加入柴胡以舒肝，增入槐角以清火，肝之郁解，而胃
之气自旺，胃气旺，而转输自畅矣。
此症用颐养汤亦妙∶
当归（一两） 香附 茯神 丹皮 玄参（各三钱） 柏子仁 沙参 黄芩（各二钱） 远志（五分）
麦冬（五钱） 甘草（一钱） 水煎服。四剂愈。
有一位妇女在分娩后，舌头伸出无法收回，人们都认为是舌体肿胀所致，哪里知道这是因难产导致心中惊恐的缘故呢。舌为心之苗窍，心气安宁则舌体安宁，心气有病则舌体生病。分娩时胎膜已破，胎儿不能顺利产出，想要顾及胎儿却担心母亲性命不保，想要保全母亲却难以保住胎儿性命，此时心中惊恐，自然异于平常时候。心气既已动荡，心火必然不安宁。胎胞的系带原本与心相通，用力分娩而心生畏惧，所以胎儿娩出后舌头也随之伸出。舌头伸出不能收回，是心气过度上逆的缘故，治疗方法必须以降气为主。古人有用恐惧来克制的方法，然而舌头伸出是由于心惊，如果再用惊骇来增加她的恐惧，恐怕会更加损伤心气，即使舌头突然收回，也未必不会随即再次伸出，所以降气必须配合补益心气，而不能增加恐惧。方剂用助气镇心丹：人参（三钱）、茯神（二钱）、石菖蒲（五分）、朱砂（一钱，不可用火炮制）、五味子（一钱），水煎后含漱，过一段时间后咽下。服用一剂即可收回，两剂完全痊愈。
此方用朱砂来镇心安神，又得人参来补气，气旺则火自归于心，火归位则焰息，舌头也随着火势平息而自然收回了，何必增加恐惧感，气才能下行呢。
此症也可以用敛舌神丹：人参（一两）、五味子（一钱）、麦冬（二钱）、附子（一片）、石菖蒲、高良姜（各三分），水煎后含漱并咽下，一剂即可收回。
有人舌头根部牵引僵硬，手大拇指和食指麻木不仁，双臂麻木，或者大便闭结不通，或者皮肤出现红色晕斑，人们以为是风热之病，哪里知道这是由恼怒引起，因气郁而形成的呢。舌本属于足阳明胃经所主的土，而大肠的经脉散布在舌下，舌根牵引僵硬，是足阳明胃经与大肠经的病变。然而这并非无端发生，是因为肝气不舒展，肝木克制胃土，导致土虚不能消化食物，进而使手臂手指的经络失去滋养，产生麻木不仁的症状。手臂手指的经络失去滋养，怎么能向外滋润皮肤呢？这就是赤晕产生的原因。胃土受肝木克制，导致胃气大燥，没有血液来资助大肠，因热而生风，肠道中秘结不通，进一步丧失了传导的功能。治疗方法必须通利大肠且健运脾胃，又必须平抑肝木以补血。方剂用八珍汤加减治疗。人参（一钱）、当归（五钱）、白芍（五钱）、柴胡（一钱）、陈皮（五分）、甘草（一钱）、槐角（一钱）、白术（一钱）、熟地黄（五钱）、半夏（五分）、茯苓（一钱），水煎服。服用两剂症状减轻，四剂更轻，十剂完全痊愈。
八珍汤是补气补血的方剂，加入柴胡以疏肝，增入槐角以清火，肝之郁结解开，胃气自然旺盛，胃气旺盛，转输功能自然通畅。
此症用颐养汤也很妙：当归（一两）、香附、茯神、牡丹皮、玄参（各三钱）、柏子仁、沙参、黄芩（各二钱）、远志（五分）、麦冬（五钱）、甘草（一钱），水煎服。四剂痊愈。
A woman, after giving birth, had her tongue protruding and unable to retract. People assumed it was due to tongue swelling, but who would know that this was actually caused by fright resulting from difficult labor? The tongue is the sprout of the Heart (Xin, 心). When Heart Qi is tranquil, the tongue is tranquil; when Heart Qi is diseased, the tongue is diseased. During childbirth, with the amniotic sac ruptured and the fetus unable to be delivered, the mother worries about saving the child while fearing for her own life, or wishes to save herself while finding it hard to preserve the child's life. Her heart is filled with fear and panic, which naturally differs from her usual state. Once Heart Qi is agitated, Heart Fire (Xin Huo, 心火) inevitably becomes restless. The ligaments connecting the uterus are originally connected to the Heart. Due to the exertion of labor and the fear in the Heart, once the fetus is delivered, the tongue also protrudes. The inability to retract the protruding tongue is due to excessive rising of Heart Qi. The treatment method must focus primarily on descending Qi. Ancients used fear to counteract fear, but since the tongue protrusion stems from fright, adding more shock would only increase her fear, potentially further damaging Heart Qi. Even if the tongue suddenly retracts, it might protrude again immediately. Therefore, descending Qi must be combined with tonifying the Heart, without increasing fear. Use the formula Zhuqi Zhenxin Dan (Assist Qi and Calm Heart Decoction): Ren Shen (Ginseng Radix et Rhizoma, 3 qian), Fu Shen (Poria with Hostwood, 2 qian), Chang Pu (Rhizoma Acori Tatarinowii, 0.5 qian), Zhu Sha (Cinnabar, 1 qian, not processed by fire), Wu Wei Zi (Schisandrae Fructus, 1 qian). Decoct in water, hold in the mouth for rinsing, swallow after some time. One dose results in retraction; two doses lead to full recovery.
This formula uses Zhu Sha (Cinnabar) to calm the Heart, and together with Ren Shen (Ginseng Radix et Rhizoma) to generate Qi. When Qi is vigorous, Fire returns to the Heart. Once Fire returns, the flame subsides, and the tongue naturally retracts as the fire subsides. Why is it necessary to increase fear so that Qi descends?
This condition can also be treated with Lianshe Shendan (Retract Tongue Divine Elixir): Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Wu Wei Zi (Schisandrae Fructus, 1 qian), Mai Dong (Ophiopogonis Tuber, 2 qian), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 slice), Chang Pu (Rhizoma Acori Tatarinowii), Liang Jiang (Zingiberis Officinalis Rhizoma, each 0.3 fen). Decoct in water, hold in the mouth for rinsing and swallow. One dose results in retraction.
Another case involves a patient with stiffness and pulling sensation at the root of the tongue, numbness in the thumb and index finger, numbness in both arms, constipation, or red halos on the skin. People assume this is a Wind-Heat disorder, but who would know it is caused by anger and formed through Qi stagnation? The root of the tongue belongs to the Earth element governed by the Stomach Meridian of Foot-Yangming. The meridians of the Large Intestine scatter under the tongue. Stiffness at the tongue root indicates pathology in the Stomach and Large Intestine meridians. However, this does not occur without cause. It arises because Liver Qi fails to extend smoothly. Wood (Liver) overacts on Earth (Stomach), causing Earth deficiency and inability to transform food. Consequently, the meridians of the arms and fingers lose nourishment, leading to numbness. Since the arm and finger meridians lack nourishment, they cannot moisten the skin externally, which explains the appearance of red halos. When Stomach Earth is overacted upon by Liver Wood, Stomach Qi becomes excessively dry. Without blood to assist the Large Intestine, heat generates wind, leading to intestinal constipation and loss of its conduction function. The treatment must unblock the Large Intestine and strengthen the Stomach, while pacifying the Liver to nourish Blood. Use Bazen Tang (Eight Treasures Decoction) with modifications: Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Dang Gui (Angelicae Sinensis Radix, 5 qian), Bai Shao (Paeoniae Radix Alba, 5 qian), Chai Hu (Bupleuri Radix, 1 qian), Chen Pi (Citri Reticulatae Pericarpium, 0.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Huai Jiao (Aucubae Fructus, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Shu Di Huang (Rehmanniae Radix Praeparata, 5 qian), Ban Xia (Pinelliae Tuber, 0.5 qian), Fu Ling (Poria, 1 qian). Decoct in water and take orally. Two doses reduce symptoms; four doses reduce them further; ten doses lead to full recovery.
Bazen Tang (Eight Treasures Decoction) is a formula for tonifying Qi and Blood. Adding Chai Hu (Bupleuri Radix) soothes the Liver, and adding Huai Jiao (Aucubae Fructus) clears Heat. Once Liver stagnation is resolved, Stomach Qi naturally prospers. When Stomach Qi prospers, transportation and transformation become smooth.
Yiyang Tang (Nourishing Decoction) is also excellent for this condition: Dang Gui (Angelicae Sinensis Radix, 1 liang), Xiang Fu (Cyperi Rhizoma), Fu Shen (Poria with Hostwood), Mu Dan Pi (Moutan Cortex), Xuan Shen (Scrophulariae Radix, each 3 qian), Bai Zi Ren (Biota Seed), Sha Shen (Glehniae Radix or Adenophorae Radix), Huang Qin (Scutellariae Radix, each 2 qian), Yuan Zhi (Polygalae Radix, 0.5 fen), Mai Dong (Ophiopogonis Tuber, 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian). Decoct in water and take orally. Four doses lead to recovery.