小儿舌上初起如豆，渐大如茵，疼痛红烂无病，朝轻暮重，由心脾热毒所致。古法用 砂、人中白各五分，瓦
上青苔、瓦松、溏鸡粪，各一钱，用倾银罐子二个。将药装入封固，外用盐泥再封一层，以炭火 红，待三炷香为
度，候冷开罐取出，再加顶上梅花冰片、麝香各一分，共研细末。临用时，先以磁针刺破血菌，用药少许点之，
再以蒲黄末盖之，内服二陈汤加黄连、黄芩、薄荷，有效。
〔真按〕舌菌恶症，先用外治之法，以吴茱萸三钱研末，好醋调敷两脚心，用布捆紧，对时一换，其效如神。
或用蜘蛛丝搓作线一条，打圈套在菌根上，其丝自渐收紧，收至极痛，不得不忍耐片时，菌落血出，以百草霜敷之，
内以六味地黄汤加槐花三钱煎服尤效。
小儿舌频向口中摇动者，因心脾有热，以致唇焦舌干，烦热
便秽。古法主泻黄散（如藿香叶、炒栀子、 石膏、防风、生甘草、灯芯为引），次主泻心导赤汤（如木通、生
地、黄连、生甘草、灯芯为引），煎服。
〔真按〕弄舌一症，有舌微吐而又收者，谓之弄舌。经云∶吐舌属实，弄舌属虚。因脾胃津液不足，而有
虚热，或渴欲饮水，面无赤色，不可误认为实热，但用四君子汤加木香、藿香、葛根治之。若久病得之则难治。
更有舌长卷左右两边，兀兀摇动者，此名蛇舌风，只用雄黄精一大块，点之数次即安。
小儿舌头上起初长出像豆子大小的赘生物，逐渐增大如菌状，伴有疼痛、发红溃烂，无其他全身疾病症状，早晨症状较轻，傍晚加重，这是由心脾热毒引起的。古法使用砂（朱砂）、人中白各五分，瓦上青苔、瓦松、溏鸡粪各一钱，准备两个倾银罐子。将药物装入并密封固定，外层再用盐泥封一层，用炭火煅烧至通红，以点燃三炷香的时间为度，待冷却后打开罐子取出药粉，再加入顶上的梅花冰片、麝香各一分，共同研磨成细末。使用时，先用磁针刺破血性菌体，取少量药粉点涂患处，再以蒲黄末覆盖其上，内服二陈汤加黄连、黄芩、薄荷，有疗效。
〔真按〕舌菌属于恶症，先采用外治法，用吴茱萸三钱研成粉末，用好醋调匀敷在双脚脚心，用布捆紧，每隔一段时间更换一次，效果神奇。或者用蜘蛛丝搓成一条线，打圈套在菌体根部，丝线会逐渐收紧，收至极度疼痛时不得不忍耐片刻，菌体脱落出血，用百草霜敷贴患处，内服六味地黄汤加槐花三钱煎服尤为有效。
小儿舌头频繁向口中摇动，是因为心脾有热，导致嘴唇焦枯、舌头干燥，烦热且大便秽臭。古法主要使用泻黄散（包含藿香叶、炒栀子、石膏、防风、生甘草，以灯芯为引），其次使用泻心导赤汤（包含木通、生地、黄连、生甘草，以灯芯为引），煎煮后服用。
〔真按〕弄舌这一症状，表现为舌头微微伸出又缩回，称为弄舌。经典医籍记载：吐舌属实证，弄舌属虚证。由于脾胃津液不足，产生虚热，或者口渴想喝水，面色不红，不可误认为是实热，只需用四君子汤加木香、藿香、葛根来治疗。如果是久病出现此症则难以治愈。更有舌头伸长卷曲到左右两边，兀兀摇动的情况，这名叫蛇舌风，只用雄黄精一大块，点涂数次即可安宁。
The child's tongue initially presents with a growth resembling a bean, gradually enlarging to the shape of a fungus (She Jun), accompanied by pain, redness, and ulceration, without other systemic diseases. The symptoms are lighter in the morning and heavier in the evening, caused by heat-toxin in the Heart and Spleen. Ancient methods use Cinnabar (Shā) and Human White (Rénzhōngbái), each 0.5 fen; moss from roof tiles (Wǎshàng Qīngtái), Selaginella uncinata (Wǎsōng), and soft chicken manure (Táng Jīfèn), each 1 qian. Two silver crucibles are prepared. The herbs are placed inside, sealed tightly, and then covered with another layer of salt mud. They are calcined over charcoal fire until red-hot, for the duration of three incense sticks. After cooling, the crucible is opened, and the contents are taken out. Plum Blossom Borneol (Méihuā Bīngpiàn) and Musk (Shèxiāng), each 1 fen, are added, and everything is ground into a fine powder. Before application, the blood-filled fungal growth is pricked with a porcelain needle, a small amount of powder is applied, and then covered with Polygonum multiflorum seed powder (Púhuáng). Internally, Erchen Tang (Two-Aged Decoction) is administered with additions of Coptis Rhizome (Huánglián), Scutellaria Root (Huángqín), and Mint (Bòhe), which is effective.
[True Commentary] She Jun (Fungus on Tongue) is a malignant condition. Initially, external treatment is used: 3 qian of Evodia Fruit (Wúzhūyú) is ground into powder, mixed with good vinegar, and applied to both soles of the feet, bound tightly with cloth, and changed every few hours; the effect is miraculous. Alternatively, spider silk is twisted into a thread, looped around the base of the fungal growth, and tightened gradually. When it becomes extremely painful, one must endure it for a moment until the growth falls off and bleeds. Then, Suotak (Baicaoshuang) is applied topically. Internally, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill Decoction) with 3 qian of Sophora Flower (Huáihuā) decocted and taken orally is particularly effective.
When a child's tongue frequently flicks into the mouth, it is due to heat in the Heart and Spleen, resulting in dry lips, dry tongue, irritability, fever, and foul-smelling stool. Ancient methods primarily prescribe Xiehuang San (Drain Yellow Powder, containing Agastache Leaf (Huòxiāng Yè), stir-fried Gardenia Seed (Chǎo Zhīzi), Gypsum Fibrosum (Shígāo), Saposhnikovia Root (Fángfēng), Raw Licorice Root (Shēng Gāncǎo), with Centipede Grass (Dēngxīn) as an guide), followed by Xiexin Daochi Tang (Drain Heart and Guide Out Redness Decoction, containing Akebia Caulis (Mùtōng), Raw Rehmannia Root (Shēng Dì), Coptis Rhizome (Huánglián), Raw Licorice Root (Shēng Gāncǎo), with Centipede Grass (Dēngxīn) as an guide), decocted and taken orally.
[True Commentary] The symptom of Nongshe (Playing with Tongue) involves the tongue slightly protruding and retracting. The Classics state: Protruding tongue (Tu She) belongs to excess syndromes, while playing with tongue (Nong She) belongs to deficiency syndromes. It is caused by insufficient fluids in the Spleen and Stomach leading to deficient heat, or thirst with desire to drink water, without a red complexion. It should not be mistaken for excess heat. Treatment should solely employ Sijunzi Tang (Four Gentlemen Decoction) with added Costus Root (Mùxiāng), Agastache Leaf (Huòxiāng), and Kudzu Root (Gégēn). If this occurs after a long illness, it is difficult to treat. Furthermore, if the tongue extends and curls to both sides, trembling visibly, this is named Sheshé Feng (Snake Tongue Wind). Only a large piece of Realgar Essence (Xiónghuáng Jīng) should be applied topically several times to bring relief.