痰包每在舌下生，结肿绵软似匏形，痛胀舌下妨食语，火稽痰涎流注成。
【注】此证生于舌下，结肿如匏，光软如绵，塞胀舌下，有防饮食言语，色黄木痛，由
火稽痰涎流注而成。宜用立剪当包上剪破，出痰涎如鸡子清，稠粘不断，拭净，搽冰硼散，
服加味二陈汤。忌煎炒、火酒等物。
加味二陈汤
陈皮 半夏（制） 白茯苓 黄芩（各八分） 黄连 薄荷 甘草（生，各五分）
水二盅，姜三片，煎八分，食前服。
【方歌】加味二陈疗痰包，结肿舌下形如匏，二陈汤加芩连薄，姜煎服下自然消。
冰硼散（见口部鹅口疮）
舌衄心火血分炎，舌上生孔似铁尖，或如箸头其色紫，甚黑腐烂血出泉。
【注】此证系舌上忽生孔，小者如针尖，大者如箸头，其孔色紫属热甚，色黑防腐烂，
血出如泉涌，由心火上炎，以致血热妄行而成。宜服升麻汤，兼搽必胜散甚效。
升麻汤
升麻 小蓟根 茜根（各一两五钱） 艾叶（七钱五分） 寒水石（三两）
共研，每三钱，水一盅，煎七分澄去渣，入生地黄汁一羹匙，再煎二滚，温服。或加
炒侧柏叶五钱亦可。
【方歌】升麻舌衄心火炎，小蓟茜根各两半，艾叶七钱五分加，寒水三两同研烂。
必胜散
螺青（另研） 蒲黄（炒，各一钱）
共合一处研细，搽于患处，后用温盐汤漱口。
【方歌】必胜心热血妄行，舌生小孔涌血红，螺青研末蒲黄炒，同匀搽之自归经。
痰包（舌下腺囊肿）通常生长在舌下，结块肿胀，质地绵软，形状像匏瓜。患者感到舌下疼痛胀满，妨碍进食和说话，这是由火热之邪煎熬痰涎，流注凝聚而成的。
【注】此证候生于舌下，结块肿胀如匏瓜状，表面光滑柔软如棉絮，堵塞在舌下，影响饮食和言语，颜色发黄且感觉木痛，是由火邪煎熬痰涎流注而成。适宜用剪刀直接剪破包块，流出类似鸡蛋清的痰涎，粘稠不断，擦拭干净后，涂抹冰硼散，内服加味二陈汤。忌食煎炒食物、烈性酒等物。
加味二陈汤
陈皮 半夏（制） 白茯苓 黄芩（各八分） 黄连 薄荷 甘草（生，各五分）
加水两盅，生姜三片，煎至八分，饭前服用。
【方歌】加味二陈汤治疗痰包，结块肿胀在舌下形状如匏瓜，二陈汤中加入黄芩、黄连、薄荷，加姜煎服自然消散。
冰硼散（见口部鹅口疮章节）
舌衄（舌出血）多因心火炽盛于血分，舌上生出孔洞，小的似铁针尖，大的如筷子头，颜色紫暗，严重的发黑腐烂，血液涌出如泉水。
【注】此证候是舌上突然生出孔洞，小的如针尖，大的如筷子头，孔洞颜色紫暗属于热势极盛，颜色发黑则伴有腐烂，血液涌出如泉涌，是由心火上炎，导致血热妄行而形成的。适宜服用升麻汤，同时外涂必胜散，效果显著。
升麻汤
升麻 小蓟根 茜根（各一两五钱） 艾叶（七钱五分） 寒水石（三两）
共同研磨，每次取三钱，加水一盅，煎至七分，澄清去渣，加入一勺生地黄汁，再煮沸两次，温服。也可以加入炒侧柏叶五钱。
【方歌】升麻汤治疗舌衄因心火炎，小蓟、茜根各一两半，艾叶七钱五分加入，寒水石三两一同研烂。
必胜散
螺青（另研） 蒲黄（炒，各一钱）
混合在一起研磨细末，涂抹于患处，之后用温盐水漱口。
【方歌】必胜散治疗心热血妄行，舌生小孔涌出血红，螺青研成粉末配合炒蒲黄，均匀涂抹使血液归经。
Tanbao (Sublingual Gland Cyst) usually develops under the tongue, presenting as a swollen nodule that is soft and cotton-like in texture, resembling a calabash. The patient experiences pain and distension under the tongue, interfering with eating and speaking; this condition is formed by the accumulation and flow of phlegm and saliva due to the scorching action of Fire pathogenic factors.
[Note] This syndrome manifests under the tongue as a swelling resembling a calabash, smooth and soft like cotton, obstructing the sublingual space and hindering diet and speech. It appears yellowish with a numb sensation, caused by the flow and accumulation of phlegm-saliva scorched by Fire. It is appropriate to puncture the cyst directly with scissors, allowing the discharge of viscous fluid resembling egg white. After wiping clean, apply Bingpeng San (Ice and Borax Powder), and internally administer Jiawei Erchen Tang (Modified Two-Aged Phlegm Decoction). Avoid fried foods and strong alcohol.
Jiawei Erchen Tang (Modified Two-Aged Phlegm Decoction)
Chenpi (Aged Tangerine Peel) Banxia (Prepared Pinellia Rhizome) Baifuling (Poria with Hostwood) Huangqin (Scutellaria Root) (each 8 fen) Huanglian (Coptis Rhizome) Bohe (Mint) Gancao (Raw Licorice Root) (each 5 fen)
Add two cups of water and three slices of fresh ginger, decoct until reduced to eight-tenths of the volume, and take before meals.
[Fangge] Jiawei Erchen treats Tanbao, nodules under the tongue shaped like a calabash; adding Scutellaria, Coptis, and Mint to the Two-Aged Phlegm formula, decocted with ginger for natural resolution.
Bingpeng San (See Mouth Section: Thrush)
She nü (Lingual Hemorrhage) often results from Heart Fire blazing in the Blood level. Holes appear on the tongue, small ones resembling iron needle tips, larger ones like chopstick heads. The color may be purple; in severe cases, it turns black with rotting tissue, and blood gushes out like a spring.
[Note] This syndrome involves sudden holes appearing on the tongue, ranging from needle-tip size to chopstick-head size. Purple color indicates extreme heat; black color indicates rotting. Blood gushing like a spring is caused by Heart Fire flaming upward, leading to reckless bleeding due to Heat in the Blood. It is appropriate to consume Shengma Tang (Cimicifuga Decoction) and externally apply Bisheng San (Invincible Victory Powder) for significant effect.
Shengma Tang (Cimicifuga Decoction)
Shengma (Cimicifuga Rhizome) Xiaoji Gen (Small Thistle Root) Qian Gen (Rubia Root) (each 1.5 qian) Aiye (Mugwort Leaf) (0.75 qian) Hanshuishi (Calcitum) (3 liang)
Grind together. Take 3 qian per dose, add one cup of water, decoct until reduced to seven-tenths, clarify and remove dregs. Add one spoonful of fresh Shengdihuang juice (Rehmanniae Radix Praeparata Juice), boil twice more, and take warm. Alternatively, add 5 qian of Chao Ce Baiye (Stir-fried Biota Tops).
[Fangge] Shengma treats She nü from Heart Fire blazing; Small Thistle and Rubia each 1.5 liang, add Mugwort 0.75 liang, grind together with 3 liang Calcitum.
Bisheng San (Invincible Victory Powder)
Luqing (Calamine) (separately ground) Puhuang (Pollen Typhae) (stir-fried, each 1 qian)
Mix and grind into fine powder, apply to the affected area, then rinse mouth with warm salt water.
[Fangge] Bisheng San treats reckless bleeding from Heart Heat and Blood; when small holes on the tongue gush red blood, Calamine powder mixed with stir-fried Pollen Typhae applied evenly restores blood to its vessels.