弄舌时时口内摇，心脾发热口唇焦，烦热舌干大使秽，泻黄导赤并能疗。
[注]
儿热口中摇动者，因心脾有热，以致唇焦舌干烦热便秽，
光用泻黄散，次用泻心导赤汤。
(泻黄散) 藿香叶 山栀子炒 石膏煆 防风 甘草生 引用灯心水煎服。
(方歌)
弄舌泻黄散最神，藿香叶配山栀仁，甘草防风石膏煆，临时煎服人灯心。
(泻心导赤汤)方见吐舌。
%
初生门
舌下肿突似舌形，心脾积热上攻冲，内服宜以清热饮，外敷凉心功最灵。
[注]
重舌者，因舌下近舌根处其肿形似舌，故名重舌，
此心脾之热，宜服清热饮外吹凉心散。
(清热饮) 黄连生 生地 木通 甘草生 连翘去心 莲子
引用淡竹叶水煎，时时灌入口中
(方歌)
清热饮内用黄连，生地莲子木通甘，连翘更加淡竹叶一同煎服自然安。
(凉心散) 青黛 硼砂 黄蘖 黄连人乳拌晒 人中白各二钱煆过
风化硝一钱 冰片二分
以上为极细末，吹之甚效。
%
初生门
木舌心脾积热成，肿胀木硬证多凶，外用川硝敷舌上，内服泻心导赤灵。
[注]
木舌一证，皆因心脾积热而成，
盖脾之脉络在舌下，又舌为心苗，遇火上冲，令儿舌肿满木硬，不能转动，
故名木舌，
外用川硝散敷舌上，内服泻心导赤汤，若不急治，必致难救。
(川硝散) 朴硝五分 真紫雪二分 盐一分 以上为细末，以竹沥调敷舌上。
(泻心导赤散)方见吐舌
%
初生门
弄舌证表现为舌头在口中不时地摇动，这是由于心脾有热，导致口唇焦干、心烦发热、舌体干燥以及大便秽臭，使用泻黄散和导赤散都能治疗。
[注]
小儿因体内有热而在口中摇动舌头，是因为心脾积热，导致嘴唇焦干、舌头干燥、心烦发热、大便秽臭，
应当先用泻黄散，随后用泻心导赤汤。
(泻黄散) 藿香叶、炒山栀子、煅石膏、防风、生甘草，引用灯心草水煎服。
(方歌)
治疗弄舌的泻黄散最为神奇，藿香叶配伍山栀仁，甘草与防风及煅石膏，临时煎服时加入灯心草。
(泻心导赤汤) 方剂见“吐舌”条下。
初生门
重舌证表现为舌下肿胀突起，形状像另一个舌头，这是心脾积热上冲所致，内服宜用清热饮，外敷凉心散功效最灵验。
[注]
所谓重舌，是因为在舌下靠近舌根处出现肿胀，形状像舌头，所以名叫重舌，
这是心脾之热引起的，适宜服用清热饮并外吹凉心散。
(清热饮) 生黄连、生地、木通、生甘草、去心的连翘、莲子，
引用淡竹叶水煎，时时灌入口中。
(方歌)
清热饮中含有黄连、生地、莲子、木通和甘草，再加连翘和淡竹叶一同煎服，自然安宁。
(凉心散) 青黛、硼砂、黄柏、与人乳拌晒过的黄连、人中白各二钱（经煅制），
风化硝一钱，冰片二分。
以上药物研成极细末，吹入患处非常有效。
初生门
木舌证由心脾积热而成，表现为舌头肿胀、僵硬如木，病情多凶险，外用川硝散敷于舌上，内服泻心导赤散疗效灵验。
[注]
木舌这一病症，都是由于心脾积热造成的，
因为脾的脉络在舌下，且舌为心之苗窍，遇到火气上冲，导致小儿舌头肿胀满溢、僵硬如木，不能转动，
所以名叫木舌，
外用川硝散敷在舌上，内服泻心导赤汤，如果不紧急治疗，必定导致难以救治。
(川硝散) 朴硝五分，真紫雪二分，盐一分，以上研为细末，用竹沥调匀敷在舌上。
(泻心导赤散) 方剂见“吐舌”条下。
初生门
The condition of "playing tongue" (Nong She) is characterized by the tongue frequently shaking within the mouth. This is caused by heat in the Heart and Spleen, resulting in dry and scorched lips, irritability with fever, a dry tongue, and foul-smelling stool. Both Xiehuang San (Spleen-Draining Powder) and Daochi Tang (Guide Out Red Decoction) can treat this.
[Note]
When an infant shakes its tongue due to internal heat, it is because of accumulated heat in the Heart and Spleen, leading to scorched lips, dry tongue, irritability with fever, and foul stool.
One should first use Xiehuang San (Spleen-Draining Powder), followed by Xiexin Daochi Tang (Heart-Draining Guide-Out Red Decoction).
(Xiehuang San) Huoxiang Ye (Leaf of Agastache rugosa), Shanzhizi Chao (Fried Gardenia jasminoides fruit), Shigao Huan (Calcined Gypsum fibrosum), Fangfeng (Radix Saposhnikoviae), Gancao Sheng (Raw Glycyrrhizae Radix et Rhizoma). Use Dengxincao (Junci Medulla) as a guiding herb, decoct in water and take orally.
(Prescription Song)
Xiehuang San for playing tongue is most miraculous;
Huoxiang Ye paired with Shanzhiren (Gardenia seed);
Gancao, Fangfeng, and calcined Shigao;
Decoct temporarily and take orally with Dengxincao.
(Xiexin Daochi Tang) See the entry for "Protruding Tongue" (Tu She).
Chapter: Newborns
The condition of "double tongue" (Chong She) presents with swelling protruding from under the tongue, resembling another tongue shape. This is caused by accumulated heat in the Heart and Spleen attacking upwards. Internally, one should take Qingre Yin (Heat-Clearing Drink); externally, applying Liangxin San (Heart-Cooling Powder) yields the best results.
[Note]
"Double tongue" refers to swelling near the root of the tongue that resembles a tongue, hence the name.
This is due to heat in the Heart and Spleen; it is appropriate to take Qingre Yin and apply Liangxin San externally via insufflation.
(Qingre Yin) Huanglian Sheng (Raw Coptidis Rhizoma), Shengdi (Rehmanniae Radix Preparata), Mutong (Akebiae Caulis), Gancao Sheng (Raw Glycyrrhizae Radix et Rhizoma), Lianqiao Qu Xin (Forsythiae Fructus, heart removed), Lianzi (Nelumbinis Semen).
Use Danzhuyez (Leaf of Lophatherum gracile) as a guiding herb, decoct in water, and instill into the mouth occasionally.
(Prescription Song)
Qingre Yin contains Huanglian, Shengdi, Lianzi, Mutong, and Gancao;
Add Lianqiao and Danzhuye, decoct together, and naturally peace will ensue.
(Liangxin San) Qingdai (Indigo Naturalis), Pengsha (Borax), Huangbo (Phellodendri Cortex), Huanglian Ban Shairenru (Coptidis Rhizoma mixed with human milk and dried), Renzhongbai (Calcinatus Ureae), each 2 qian (calcined);
Fenghuaxiao (Effloresced Natrii Sulfatis) 1 qian;
Bingpian (Borneolum Syntheticum) 2 fen.
Grind all above into an extremely fine powder and insufflate; it is very effective.
Chapter: Newborns
The condition of "wooden tongue" (Mu She) is formed by accumulated heat in the Heart and Spleen. The symptoms include swelling and stiffness like wood, indicating a often ominous prognosis. Externally, apply Chuanxiao San (Mirabilite Powder) to the tongue; internally, take Xiexin Daochi San (Heart-Draining Guide-Out Red Powder) which is effective.
[Note]
The condition of wooden tongue is entirely caused by accumulated heat in the Heart and Spleen.
Since the meridians of the Spleen are located under the tongue, and the tongue is the sprout of the Heart, when fire attacks upwards, it causes the infant's tongue to swell, become full, stiff like wood, and unable to move,
hence named wooden tongue.
Apply Chuanxiao San externally to the tongue, and take Xiexin Daochi Tang internally. If not treated urgently, it will inevitably lead to untreatable conditions.
(Chuanxiao San) Puxiao (Natrii Sulfatis) 5 fen, Zhen Zixue (True Purple Snow) 2 fen, Yan (Sal) 1 fen. Grind the above into a fine powder, mix with Zhuli (Bambusae Succus) to apply on the tongue.
(Xiexin Daochi San) See the entry for "Protruding Tongue" (Tu She).
Chapter: Newborns