（附舌 附唇）
脾开窍于口。饮食浓味。则脾气凝滞。加之七情烦扰过度。则心火炎盛。而口疮生矣。
大要有
实热。有虚热。脉洪而数乃实热。脉洪而虚浮。中气不足。又口中味有觉苦甜酸辛咸淡涩不
同。宜细辨之。口苦兼生疮者。心热也。若谋虑不决而苦者。胆热也。口甜者。脾热也。口
酸者。肝热也。亦有饮食停滞而作酸者。口辛者。肺热也。口咸者。肾热也。口淡者。脾虚
也。口麋者。膀胱移热小肠也。口臭者。积热蕴于胸膈。而冲于口也。又有飞丝入口。治各
不同。
清膈汤 治口疮作痛。上焦实热。
黄连 黄柏 枳壳 石膏 玄参 大黄（各三钱） 甘草（一钱）
水煎不拘时服。
千金衔化丸 治上焦实热。口内溃烂。饮食难进。
玄明粉 石膏（ 红黄连煎汁淬如此九次） 玄参（各二两） 白硼砂 薄荷叶 黄柏（各
四钱） 冰片（五分）
上为末。生蜜为丸。如龙眼大。每服一丸。衔化。外用珍宝散掺上即愈。
甘露汤 治中焦虚火。服凉药反盛者。
人参 白术 升麻 附子 黄 丹皮（各二钱）
枣二枚。煎八分。食远服。
紫金丹 治下焦阴火炎上。日晡潮热。口内起泡。
黄柏 知母 当归 生地 天门冬 麦门冬 玄参 白芍（各等分）
上为细末。如弹子大。衔化润下。
珍宝散
珍珠（二钱） 硼砂 青黛（各一钱） 冰片（五分） 黄连 人中白（各二钱 过）
上为细末。凡口内诸疮皆可掺之。
济急饮 治飞丝入口。令人口舌生泡。
紫苏叶细嚼。白汤咽下。如此数次。即愈。
清火育心汤 治口苦。
黄连 远志 茯神 人参（各一钱五分） 麦门冬 枣仁 地骨皮（各八分）
水煎温服。
清脾抑火汤 治口甜。
黄连 青皮 黄芩 黄柏（各二钱）
灯心三十茎。食远服。
清金饮 治口辛。
百部 黄芩 桑皮（各一钱） 桔梗 枳壳 麦门冬 石膏（各二钱）
水煎温服。
苓术饮 治口淡。
白茯苓 云术 人参（各二钱） 白芍 山药 芡实 甘草（各一钱）
黑枣二枚。食远服。
调肝饮。治口酸。
小柴胡 甘草 当归 青皮 龙胆草 枳壳（各二钱）
水煎温服。
滋肾丸 治口咸。
当归 生地 人参（各一两） 杜仲 石斛 枸杞子 山茱萸 破故纸（各二两） 五味
子（八钱） 何首乌 龟板胶（各一两五钱）
上为末。炼蜜为丸。每服三钱。空心滚汤下。
效验汤 治口麋。
陈皮 麦门冬 桔梗（各一钱） 玄明粉 木通 黄柏 山栀 连翘 生地（各二钱）
水煎温服。
清气丸 治口臭。
青皮 黄连 黄芩 甘草（各五钱） 石膏 檀香（各一两）
上为末。蜜丸如弹子大。每服一丸。细嚼滚汤下。
（附舌 附唇）
脾开窍于口。饮食浓味。则脾气凝滞。加之七情烦扰过度。则心火炎盛。而口疮生矣。
大要有
实热。有虚热。脉洪而数乃实热。脉洪而虚浮。中气不足。又口中味有觉苦甜酸辛咸淡涩不
同。宜细辨之。口苦兼生疮者。心热也。若谋虑不决而苦者。胆热也。口甜者。脾热也。口
酸者。肝热也。亦有饮食停滞而作酸者。口辛者。肺热也。口咸者。肾热也。口淡者。脾虚
也。口麋者。膀胱移热小肠也。口臭者。积热蕴于胸膈。而冲于口也。又有飞丝入口。治各
不同。
清膈汤 治口疮作痛。上焦实热。
黄连 黄柏 枳壳 石膏 玄参 大黄（各三钱） 甘草（一钱）
水煎不拘时服。
千金衔化丸 治上焦实热。口内溃烂。饮食难进。
玄明粉 石膏（ 红黄连煎汁淬如此九次） 玄参（各二两） 白硼砂 薄荷叶 黄柏（各
四钱） 冰片（五分）
上为末。生蜜为丸。如龙眼大。每服一丸。衔化。外用珍宝散掺上即愈。
甘露汤 治中焦虚火。服凉药反盛者。
人参 白术 升麻 附子 黄 丹皮（各二钱）
枣二枚。煎八分。食远服。
紫金丹 治下焦阴火炎上。日晡潮热。口内起泡。
黄柏 知母 当归 生地 天门冬 麦门冬 玄参 白芍（各等分）
上为细末。如弹子大。衔化润下。
珍宝散
珍珠（二钱） 硼砂 青黛（各一钱） 冰片（五分） 黄连 人中白（各二钱 过）
上为细末。凡口内诸疮皆可掺之。
济急饮 治飞丝入口。令人口舌生泡。
紫苏叶细嚼。白汤咽下。如此数次。即愈。
清火育心汤 治口苦。
黄连 远志 茯神 人参（各一钱五分） 麦门冬 枣仁 地骨皮（各八分）
水煎温服。
清脾抑火汤 治口甜。
黄连 青皮 黄芩 黄柏（各二钱）
灯心三十茎。食远服。
清金饮 治口辛。
百部 黄芩 桑皮（各一钱） 桔梗 枳壳 麦门冬 石膏（各二钱）
水煎温服。
苓术饮 治口淡。
白茯苓 云术 人参（各二钱） 白芍 山药 芡实 甘草（各一钱）
黑枣二枚。食远服。
调肝饮。治口酸。
小柴胡 甘草 当归 青皮 龙胆草 枳壳（各二钱）
水煎温服。
滋肾丸 治口咸。
当归 生地 人参（各一两） 杜仲 石斛 枸杞子 山茱萸 破故纸（各二两） 五味
子（八钱） 何首乌 龟板胶（各一两五钱）
上为末。炼蜜为丸。每服三钱。空心滚汤下。
效验汤 治口麋。
陈皮 麦门冬 桔梗（各一钱） 玄明粉 木通 黄柏 山栀 连翘 生地（各二钱）
水煎温服。
清气丸 治口臭。
青皮 黄连 黄芩 甘草（各五钱） 石膏 檀香（各一两）
上为末。蜜丸如弹子大。每服一丸。细嚼滚汤下。
(Attached: Tongue and Lips)
The Spleen opens into the mouth. If one consumes rich and heavy flavors, then the Spleen Qi (Spleen energy) becomes stagnant. Coupled with excessive disturbance from the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright), the Heart Fire (Heart heat pathogen) flares up intensely, resulting in the formation of Mouth Ulcers (oral sores).
Generally, there are two types: Excess Heat and Deficiency Heat. A pulse that is Surging (Hong) and Rapid (Shu) indicates Excess Heat. A pulse that is Surging but Empty and Floating, accompanied by insufficient Middle Qi (Middle Jiao energy), indicates Deficiency Heat. Furthermore, tastes in the mouth may vary—Bitter, Sweet, Sour, Pungent, Salty, Bland, or Astringent—and these must be carefully differentiated.
A bitter taste accompanied by sores indicates Heart Heat. A bitter taste arising from indecisive planning or worry indicates Gallbladder Heat. A sweet taste indicates Spleen Heat. A sour taste indicates Liver Heat; however, it can also result from food stagnation. A pungent taste indicates Lung Heat. A salty taste indicates Kidney Heat. A bland taste indicates Spleen Deficiency. A sticky/musty taste indicates Heat transferring from the Bladder to the Small Intestine. Bad breath (Halitosis) results from accumulated heat harbored in the Chest and Diaphragm, rushing upwards to the mouth. Additionally, if foreign filaments enter the mouth, treatment varies accordingly.
Qing Ge Tang (Clear the Diaphragm Decoction) treats painful Mouth Ulcers caused by Excess Heat in the Upper Jiao.
Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Aurantii Fructus (Zhike), Gypsum Fibrosum (Shigao), Scrophulariae Radix (Xuanshen), Rhei Radix et Rhizoma (Dahuang) (each 3 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (1 qian).
Decoct in water and take at any time.
Qian Jin Xian Hua Wan (Thousand Gold Lozenge Pill) treats Excess Heat in the Upper Jiao, oral ulceration, and difficulty eating.
Mirabilite (Xuanmingfen), Gypsum Fibrosum (Shigao) [steeped nine times in decoction of Coptidis Rhizoma], Scrophulariae Radix (Xuanshen) (each 2 liang), Borax (Baibingsha), Menthae Haplocalycis Herba (Boheye), Phellodendri Cortex (Huangbai) (each 4 qian), Borneolum Syntheticum (Bingpian) (0.5 fen).
Grind into powder, form pills with raw honey, size of a longan fruit. Take one pill per dose, let it dissolve in the mouth. Apply Zhenbao San externally for cure.
Gan Lu Tang (Sweet Dew Decoction) treats Deficient Fire in the Middle Jiao, where cooling herbs exacerbate the condition.
Personis Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Cimicifugae Rhizoma (Shengma), Aconiti Lateralis Radix Praeparata (Fuzi), Astragali Radix (Huangqi), Moutan Cortex (Danpi) (each 2 qian).
Add two Jujubae Fructus (Zao), decoct until 80% remains. Take well after meals.
Zijin Dan (Purple Gold Pill) treats Yin Fire flaming upward from the Lower Jiao, tidal fever in the afternoon (Rib hour), and blistering inside the mouth.
Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shengdi), Asparagi Radix (Tianmendong), Ophiopogonis Radix (Maidong), Scrophulariae Radix (Xuanshen), Paeoniae Radix Alba (Baishao) (equal parts).
Grind into fine powder, form pills like a bullet. Let them dissolve in the mouth to moisten and descend.
Zhenbao San (Precious Treasure Powder)
Pearl (Zhenzhu) (2 qian), Borax (Pengsha), Indigo Naturalis (Qingdai) (each 1 qian), Borneolum Syntheticum (Bingpian) (0.5 fen), Coptidis Rhizoma (Huanglian), Numbia (Renzhongbai) (each 2 qian, processed).
Grind into fine powder. Can be applied to all kinds of oral sores.
Ji Ji Yin (Urgent Relief Drink) treats filaments entering the mouth, causing blisters on the tongue and lips.
Chew Perillae Folium (Zisuye) finely, swallow with plain warm water. Repeat several times until cured.
Qing Huo Yu Xin Tang (Clear Fire Nourish Heart Decoction) treats bitter taste in the mouth.
Coptidis Rhizoma (Huanglian), Polygalae Radix (Yuanzhi), Poria (Fushen), Personis Radix (Renshen) (each 1.5 qian), Ophiopogonis Radix (Maidong), Ziziphi Spinosae Semen (Zaoren), Cortex Lycii (Digupi) (each 0.8 fen).
Decoct in water and take warm.
Qing Pi Yi Huo Tang (Clear Spleen Suppress Fire Decoction) treats sweet taste in the mouth.
Coptidis Rhizoma (Huanglian), Citri Reticulatae Pericarpium (Qingpi), Scutellariae Radix (Huangqin), Phellodendri Cortex (Huangbai) (each 2 qian).
Add thirty stems of Junci Medulla (Dengxin), take well after meals.
Qing Jin Yin (Clear Metal Drink) treats pungent taste in the mouth.
Stemonae Radix (Baiibu), Scutellariae Radix (Huangqin), Mori Cortex Sangbark (Sangpi) (each 1 qian), Platycodonis Radix (Jiegeng), Aurantii Fructus (Zhike), Ophiopogonis Radix (Maidong), Gypsum Fibrosum (Shigao) (each 2 qian).
Decoct in water and take warm.
Ling Zhu Yin (Poria and Atractylodes Drink) treats bland taste in the mouth.
Poria (Baifuling), Atractylodis Rhizoma (Yunzhu), Personis Radix (Renshen) (each 2 qian), Paeoniae Radix Alba (Baishao), Dioscoreae Rhizoma (Shanyao), Euryales Semen (Qianshi), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian).
Add two black Jujubae Fructus (Heizao), take well after meals.
Tiao Gan Yin (Regulate Liver Drink) treats sour taste in the mouth.
Xiao Chai Hu Tang (Minor Bupleurum Decoction), Glycyrrhizae Radix et Rhizoma (Gancao), Angelicae Sinensis Radix (Danggui), Citri Reticulatae Pericarpium (Qingpi), Gentianae Radix (Longdancao), Aurantii Fructus (Zhike) (each 2 qian).
Decoct in water and take warm.
Zi Shen Wan (Nourish Kidney Pill) treats salty taste in the mouth.
Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shengdi), Personis Radix (Renshen) (each 1 liang), Eucommiae Cortex (Duzhong), Dendrobii Caulis (Shihu), Lycii Fructus (Gouqizi), Corni Fructus (Shanzhuyu), Cistanches Herba (Poguzhi) (each 2 liang), Schisandrae Fructus (Wuweizi) (8 qian), Polygoni Multiflori Radix (Heshouwu), Testudinis Carapacis et Plastratis Colla (Guibanjiao) (each 1.5 liang).
Grind into powder, form pills with refined honey. Take 3 qian per dose with boiling water on an empty stomach.
Xiao Yan Tang (Effective Verification Decoction) treats sticky/musty taste in the mouth.
Citri Reticulatae Pericarpium (Chenpi), Ophiopogonis Radix (Maidong), Platycodonis Radix (Jiegeng) (each 1 qian), Mirabilite (Xuanmingfen), Akebiae Caulis (Mutong), Phellodendri Cortex (Huangbai), Gardeniae Fructus (Shanzhi), Forsythiae Fructus (Lianqiao), Rehmanniae Radix Preparata (Shengdi) (each 2 qian).
Decoct in water and take warm.
Qing Qi Wan (Clear Qi Pill) treats bad breath (Halitosis).
Citri Reticulatae Pericarpium (Qingpi), Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao) (each 5 qian), Gypsum Fibrosum (Shigao), Santalum Album Wood (Tanxiang) (each 1 liang).
Grind into powder, form pills with honey, size of a bullet. Take one pill per dose, chew finely with boiling water.