\r胃毒小舌\p05-c14a66.bmp\r
此症因毒结胃家。发于小舌、形如前症。胃脉沉而洪大者，真结
毒也，临症者不可忽之。亦有红肿烂者，治法亦同。用十八味神药同玉
枢丹，每日一钱。土茯苓每日用四两，煎汤代水，多
吃为贵。服一月后，如不愈，合结毒紫金丹一料，冲
玉枢丹同服，亦用土茯苓汤下。早晚各三钱收功。
\r积热小舌\p05-c14a67.bmp\r
此症因肝胃二经火毒飞腾。所以小舌长硬，白
衣裹满，咽物不下，右关之脉浮大者也。用六味汤
加∶山栀（一钱） 连翘（二钱） 酒炒黄芩（二钱） 黄柏（钱八分） 生
石膏（三钱） 滑石（二钱） 赤芍（一钱） 葛根（一钱） 木通（一钱） 河
车（二钱）。吹金不换，后服玉枢丹，二、三服无有不愈。
\r纯白小舌\p05-c14a68.bmp\r
此症因胃家积毒，小舌忽变白色，软大而痛。
右关之脉洪沉。先用玉枢丹，每服七分，十服或五
服。再用土茯苓煎汤代水，后用广疮药二十一服，银
花汤送下。如胃脉不沉，反浮洪者，作火症治。用六味汤加∶生石膏（三钱） 酒炒
黄芩（二钱） 山栀（一钱） 车前子（二钱） 木通（一钱） 滑石（二钱） 葛
根（二钱二分） 天花粉（一钱五分） 山豆根（二钱二分），二三服。即
此一症，两治之法也。临症必详脉理，然后下药为妥。
此症是由于毒邪结聚于胃部所致。发病部位在小舌，形态与前述病症相似。若患者胃脉呈现沉而洪大的特征，则为真正的毒邪结聚，临证时不可轻视。也有出现红肿溃烂的情况，治疗方法也相同。使用十八味神药配合玉枢丹，每日服用一钱。土茯苓每日用量四两，煎汤代替水饮用，以多服为佳。服药一个月后，如果病情未愈，则配合结毒紫金丹一料，冲服玉枢丹一同服用，同样用土茯苓汤送下。早晚各服三钱，以此收功。
此症是由于肝、胃二经的火毒炽盛所致。因此小舌变得长且硬，表面被白色假膜包裹满布，吞咽困难，右手关部脉象浮大。使用六味汤加味：山栀（一钱）、连翘（二钱）、酒炒黄芩（二钱）、黄柏（八分）、生石膏（三钱）、滑石（二钱）、赤芍（一钱）、葛根（一钱）、木通（一钱）、紫河车（二钱）。外用金不换吹喉，随后内服玉枢丹，服用二三剂即可痊愈。
此症是由于胃中积毒，导致小舌突然变为白色，质地软大且疼痛。右手关部脉象洪大而沉。先用玉枢丹，每次服用七分，服用五到十剂。再用土茯苓煎汤代替水，之后服用广疮药二十一剂，用金银花汤送下。如果胃脉不沉，反而呈现浮洪之象，则按火症治疗。使用六味汤加味：生石膏（三钱）、酒炒黄芩（二钱）、山栀（一钱）、车前子（二钱）、木通（一钱）、滑石（二钱）、葛根（二钱二分）、天花粉（一钱五分）、山豆根（二钱二分），服用二三剂。针对这一病症，有两种不同的治法。临证时必须详细辨析脉理，然后用药才稳妥。
Epiglottis Poisoned by Stomach Toxin
This condition arises from toxin accumulation and knotting in the Stomach. It manifests on the uvula (soft palate appendage), with a morphology similar to the previously described syndrome. If the Stomach pulse is deep and surging, it indicates true toxin knotting; clinicians must not disregard this. In cases presenting with redness, swelling, and ulceration, the treatment method remains the same. Administer Eighteen-Ingredient Divine Medicine combined with Yushu Dan (Jade Pivot Pill), one qian daily. Use forty taels of Smilax Glabra Rhizome (Tufuling) daily, decocted as a substitute for water, with greater quantity being preferable. After one month of administration, if there is no improvement, combine one dose of Jiedu Zijin Dan (Purple Gold Pill for Resolving Toxins) with Yushu Dan, taken together and washed down with Smilax Glabra Rhizome decoction. Take three qian morning and evening to conclude the treatment.
Accumulated Heat Epiglottis Syndrome
This condition is caused by the rampant fire-toxin in the Liver and Stomach meridians. Consequently, the uvula becomes elongated and hard, covered completely with white coating, making swallowing difficult, and the Right Guan pulse is floating and large. Prescribe Liuwei Tang (Six-Ingredient Decoction) with additions: Gardenia Fruit (Shanzhi, 1 qian), Forsythia Fruit (Lianqiao, 2 qian), Scutellaria Root (Huangqin) stir-fried with wine (2 qian), Phellodendron Bark (Huangbai, 0.8 qian), Raw Gypsum Sherd (Sheng Shigao, 3 qian), Talcum (Huashi, 2 qian), Red Peony Root (Chishao, 1 qian), Kudzu Root (Gegen, 1 qian), Akebia Stem (Mutong, 1 qian), Human Placenta (Heche, 2 qian). Apply Jinbuhuan (Golden Immortal Powder) via insufflation into the throat, followed by internal administration of Yushu Dan (Jade Pivot Pill). Two or three doses will invariably result in recovery.
Pure White Epiglottis Syndrome
This condition results from accumulated toxin in the Stomach, causing the uvula to suddenly turn white, becoming soft, enlarged, and painful. The Right Guan pulse is surging and deep. First, administer Yushu Dan (Jade Pivot Pill), seven fen per dose, for five to ten doses. Subsequently, use Smilax Glabra Rhizome (Tufuling) decoction as a substitute for water, followed by administering twenty-one doses of Guangchuang Yao (Broad Sore Medicine), taken with Silver Flower (Jinyinhua) decoction. If the Stomach pulse is not deep but instead floating and surging, treat it as a Fire syndrome. Prescribe Liuwei Tang (Six-Ingredient Decoction) with additions: Raw Gypsum Sherd (Sheng Shigao, 3 qian), Scutellaria Root (Huangqin) stir-fried with wine (2 qian), Gardenia Fruit (Shanzhi, 1 qian), Plantago Seed (Cheqianzi, 2 qian), Akebia Stem (Mutong, 1 qian), Talcum (Huashi, 2 qian), Kudzu Root (Gegen, 2.2 qian), Trichosanthes Root (Tianhuafen, 1.5 qian), Sophora Root (Shandougen, 2.2 qian), for two or three doses. This single syndrome thus has two distinct treatment methods. Clinicians must carefully analyze the pulse principles before prescribing medication to ensure appropriateness.