\r舌上珠\p05-c14a61.bmp\r
此症因心脾积热，舌生白泡，大小不一，六脉洪大。
急挑破出血，搽金不换，服三黄汤加∶石膏（五钱） 河车（二钱）
地丁草（一钱），兼服玉枢丹（五分）一服。如六脉迟细者，不可用前药。
\r舌下珠\p05-c14a62.bmp\r
舌下珠，因脾肾两虚之症。六味汤加∶盐水炒玄参
生地 盐水炒知母 黄柏 木通等分治之，搽金不换，余药照前。
\r左雀舌\p05-c14a63.bmp\r
左雀舌，因多食煎炒炙 之物，所以积热毒于
胃，故发于舌之旁生一小舌，相近牙根。初起将针
挑破，以去其血，吹金不换。六味汤加三黄汤、凉
膈散治之。如久之必烂，用龙骨生肌散收功。（三黄汤、
凉膈散、龙骨生肌散三方，俱第二卷查用。）
\r右雀舌\p05-c14a64.bmp\r
此症起亦积毒，治法于前，大同小异，用六味汤加犀角地黄
汤治之。（犀角地黄汤在第二卷查用，搽药同前。）
（五症图说）
\r胃火小舌\p05-c14a65.bmp\r
此症因脾家火毒郁久而发。小舌白点烂，胃脉浮洪。治用六味汤
加∶生石膏（四两） 酒炒黄芩（二钱） 花粉（三钱） 葛根
（二钱） 山栀（一钱） 一二服无有不愈。吹金不换药，
兼服柏枝汁法。此乃多食炙 醇酒浓味，或鱼骨刺伤。
非结毒之比也。惟胗脉之时，胃部浮洪者火症，沉实者毒，须明辨之。
舌上珠
此症因心脾积热，导致舌头上生出白色水泡，大小不一，六脉呈现洪大之象。
紧急挑破水泡使其出血，外搽金不换药，内服三黄汤并加入：石膏（五钱）、紫河车（二钱）、地丁草（一钱），同时服用玉枢丹（五分）一次。如果六脉表现为迟细，则不可使用上述药物。
舌下珠
舌下珠，是因脾肾两虚所致的病症。使用六味地黄汤并加入：盐水炒制的玄参、生地、盐水炒制的知母、黄柏、木通等量药材进行治疗，外搽金不换药，其余用药方法参照前文。
左雀舌
左雀舌，因过多食用煎炸烧烤之物，导致热毒积聚于胃，从而在舌头旁边靠近牙根处生出一小舌。初起时应用针挑破以排出血液，吹入金不换药。使用六味汤合三黄汤、凉膈散治疗。如果日久必然溃烂，则用龙骨生肌散收功。（三黄汤、凉膈散、龙骨生肌散三方，均在第二卷中查阅使用。）
右雀舌
此症起因也是积毒，治疗方法与前文大同小异，使用六味汤加犀角地黄汤治疗。（犀角地黄汤在第二卷中查阅使用，外搽药物同前。）
（五种病症图示说明）
胃火小舌
此症因脾胃之火毒郁结日久而发作。小舌出现白点且溃烂，胃脉呈现浮洪之象。治疗使用六味汤并加入：生石膏（四两）、酒炒黄芩（二钱）、天花粉（三钱）、葛根（二钱）、山栀（一钱），服用一二剂没有不痊愈的。吹入金不换药，兼服柏枝汁法。此乃因多食烧烤、烈酒及浓味食物，或因鱼骨刺伤所致。这与结毒不同。只有在诊察脉象时，胃部脉象浮洪者为火证，沉实者为毒证，必须明确辨别。
Pearl on the Tongue (She Shang Zhu)
This condition arises from accumulated heat in the Heart and Spleen, resulting in white blisters of varying sizes on the tongue, with the six pulses appearing surging (Hong Da).
Promptly puncture to bleed, apply Jin Bu Huan powder externally, and internally administer San Huang Tang (Three Yellows Decoction) supplemented with: Shi Gao (Gypsum Fibrosum, 5 qian), Zi He Che (Placenta Humana, 2 qian), and Di Ding Cao (Viola Yedoensis Herb, 1 qian). Concurrently take one dose of Yu Shu Dan (Jade Pivot Pill, 0.5 fen). If the six pulses are slow and fine (Chi Xi), the aforementioned medicines must not be used.
Pearl under the Tongue (She Xia Zhu)
Pearl under the tongue is a condition caused by deficiency of both the Spleen and Kidney. Treat with Liu Wei Tang (Six-Ingredient Rehmannia Decoction) supplemented with equal parts of Xuan Shen (Scrophulariae Radix) stir-fried with salt water, Sheng Di (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma) stir-fried with salt water, Huang Bo (Phellodendri Cortex), and Mu Tong (Akebiae Caulis). Apply Jin Bu Huan powder externally; other medications follow the previous instructions.
Left Sparrow's Tongue (Zuo Que She)
Left sparrow's tongue results from excessive consumption of fried, roasted, or grilled foods, leading to the accumulation of heat and toxins in the Stomach. Consequently, a small tongue-like growth appears on the side of the tongue, near the gum roots. In the initial stage, puncture with a needle to drain blood and insufflate Jin Bu Huan powder. Treat with Liu Wei Tang combined with San Huang Tang (Three Yellows Decoction) and Liang Ge San (Cooling the Diaphragm Powder). If it persists for a long time, it will inevitably ulcerate; use Long Gu Sheng Ji San (Dragon Bone Muscle-Generating Powder) to conclude treatment. (San Huang Tang, Liang Ge San, and Long Gu Sheng Ji San are all referenced in Volume II.)
Right Sparrow's Tongue (You Que She)
This condition also originates from accumulated toxins. The treatment method is largely similar to the preceding case, with minor differences. Use Liu Wei Tang (Six-Ingredient Rehmannia Decoction) supplemented with Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction). (Xi Jiao Di Huang Tang is referenced in Volume II; external application remains the same as before.)
(Illustrated Explanations of Five Conditions)
Stomach Fire Small Tongue (Wei Huo Xiao She)
This condition erupts due to fire-toxin stagnating in the Spleen and Stomach for a prolonged period. The uvula presents white spots and ulceration, while the Stomach pulse appears floating and surging (Fu Hong). Treatment involves Liu Wei Tang (Six-Ingredient Rehmannia Decoction) supplemented with: Sheng Shi Gao (Raw Gypsum Fibrosum, 4 liang), Huang Qin (Scutellariae Radix) stir-fried with wine (2 qian), Hua Fen (Trichosanthis Radix, 3 qian), Ge Gen (Puerariae Lobatae Radix, 2 qian), and Shan Zhi (Gardeniae Fructus, 1 qian). One or two doses invariably lead to recovery. Insufflate Jin Bu Huan powder and concurrently consume Bai Zhi Zhi (Cypress Branch Juice). This condition stems from excessive intake of grilled foods, strong alcohol, and rich flavors, or injury from fish bones. It differs from "Jie Du" (condyloma/acquired syphilis). During pulse diagnosis, a floating and surging pulse at the Stomach position indicates a Fire syndrome, whereas a deep and solid pulse indicates Toxin; these must be clearly distinguished.