（附∶瘰 风）
舌疳心脾毒火成，如豆如菌痛烂红，渐若泛莲难饮食，绵溃久变瘰 风。
【注】此证由心、脾毒火所致。其证最恶，初如豆，次如菌，头大蒂小，又名舌菌。疼
痛红烂无皮，朝轻暮重，急用北庭丹点之，自然消缩而愈。若失于调治，以致 肿，突如
泛莲，或有状如鸡冠，舌本短缩，不能伸舒，
妨碍饮食言语，时津臭涎，再因怒气上冲，忽然崩裂，血出不止，久久延及项颔，肿如结
核，坚硬 痛，皮色如常，顶软一点，色暗木红，破后时津臭水；腐如烂棉，其证虽破，
坚硬肿痛，仍前不退，此为绵溃，甚至透舌穿腮，汤水漏出，是以又名瘰 风也。盖舌
本属心，舌边属脾，因心绪烦扰则生火，思虑伤脾则气郁，郁甚而成斯疾。其证外势，颇
类喉风，但喉风咽喉常肿，汤水不能下咽；此证咽喉不肿，可以下咽汤水，胃中亦思饮食，
因舌不能转动，迭送硬食，故每食不能充足，致令胃中空虚，而怯证悉添，日渐衰败。初
起宜服导赤汤加黄连，虚者服归脾汤，热甚者服清凉甘露饮合归脾汤，便溏者服归芍异
功汤。颔下肿核，初起宜用锦地罗蘸醋磨浓敷之，溃后宜水澄膏贴之。自古治法虽多，然
此证百无一生，纵施药饵，不过苟延岁月而已。
清溪秘传北庭丹
番 砂 人中白（各五分） 瓦上青苔 瓦松 溏鸡矢（各一钱）
用倾银罐子二个，将药装在罐内，将口对严，外用盐泥封固，以炭火 红，待三炷
香为度；候冷开罐，将药取出，入麝香、冰片各一分，共研细末。用瓷针刺破舌菌，用
丹少许点上，用以蒲黄盖之。
【方歌】北庭丹点舌菌生，瓦松溏鸡矢人中，瓦上青苔番 末，罐封火 入麝冰。
归芍异功汤
人参 白术（土炒） 广陈皮 白芍（酒炒） 当归（身，各一钱） 白茯苓（二钱）
甘草（炙，五分）
灯心五十寸，水煎空心服。
【方歌】归芍异功扶脾气，健胃又能止泻利，四君归芍广陈皮，引加灯心是良剂。
水澄膏
朱砂（水飞，二钱） 白芨 白蔹 五倍子 郁金（各一两） 雄黄 乳香（各五钱）
上为细末，米醋调浓，以浓纸摊贴之。
【方歌】水澄膏贴溃核验，水飞朱砂末二
钱，及蔹郁金雄黄乳，五倍同研用醋摊。
导赤汤（见口部口糜）
归脾汤（见乳部乳中结核）
清凉甘露饮（见唇部茧唇）
（附：瘰疬、风疮）
舌疳是由心、脾毒火形成的，症状像豆粒或菌类，疼痛、溃烂、发红，逐渐发展像泛开的莲花，导致难以饮食，长期溃烂不愈最终演变为瘰疬风疮。
【注】此证由心、脾的毒火所致。病情最为凶险，初起时像豆粒，随后像菌类，头大蒂小，又名舌菌。疼痛、红肿、溃烂无皮，早晨轻晚上重，急需使用北庭丹点涂患处，自然消退痊愈。如果失于调理治疗，导致肿胀突出像泛开的莲花，或者有形状像鸡冠的，舌体短缩，不能伸展，妨碍饮食和言语，时常流出臭秽的津液唾液，再加上怒气上冲，突然崩裂，出血不止，久而久之蔓延到颈部和下颌，肿块像结核一样，坚硬且疼痛，皮肤颜色正常，顶部软一点，颜色暗红呈木色，破溃后时常流出臭秽的水液；腐烂像烂棉花，虽然破溃，但坚硬肿痛依然不退，这称为绵溃，甚至穿透舌头和脸颊，汤水漏出，因此又名为瘰疬风疮。大概舌本属于心，舌边属于脾，因为心绪烦扰则生火，思虑伤脾则气郁，郁结严重而形成此病。其外在症状，颇类似喉风，但喉风咽喉常肿胀，汤水不能下咽；此证咽喉不肿，可以下咽汤水，胃中也想吃东西，因为舌不能转动，反复送硬食入口，所以每次吃饭都不能吃饱，导致胃中空虚，而虚弱病症全部增加，日渐衰败。初起宜服用导赤汤加黄连，体虚者服用归脾汤，热势严重者服用清凉甘露饮合归脾汤，大便溏稀者服用归芍异功汤。下颌下的肿核，初起宜用锦地罗蘸醋磨浓敷贴，溃破后宜用水澄膏贴敷。自古以来治疗方法虽多，然而此证百无一活，即使施用药物，也不过是苟延残喘而已。
清溪秘传北庭丹
番朱砂、人中白（各五分），瓦上青苔、瓦松、溏鸡矢（各一钱）。
用两个倾银罐子，将药装在罐内，将口对严，外用盐泥封固，用炭火烧至通红，以三炷香的时间为度；等冷却后开罐，将药取出，加入麝香、冰片各一分，共同研成细末。用瓷针刺破舌菌，用少许丹药点上，然后用蒲黄覆盖。
【方歌】北庭丹点舌菌生，瓦松溏鸡矢人中，瓦上青苔番朱末，罐封火煅入麝冰。
归芍异功汤
人参、白术（土炒）、广陈皮、白芍（酒炒）、当归（身，各一钱）、白茯苓（二钱）、甘草（炙，五分）。
灯心五十寸，水煎，空腹服用。
【方歌】归芍异功扶脾气，健胃又能止泻利，四君归芍广陈皮，引加灯心是良剂。
水澄膏
朱砂（水飞，二钱）、白芨、白蔹、五倍子、郁金（各一两）、雄黄、乳香（各五钱）。
以上研为细末，米醋调浓，用厚纸摊贴。
(Attached: Scrofula and Wind Sores)
Tongue Gan (Ulcer of the Tongue) is formed by toxic fire in the Heart and Spleen. It resembles a bean or a mushroom, presenting with pain, ulceration, and redness. As it gradually progresses to resemble a blooming lotus, it makes eating difficult. Prolonged ulceration eventually transforms into Scrofula (Lymphatic Tuberculosis) and Wind Sores.
[Note] This condition is caused by toxic fire in the Heart and Spleen. The prognosis is dire. Initially, it appears like a bean, then like a mushroom, with a large head and small stalk, also known as Tongue Mushroom (Glossitis fungoides). It presents with pain, redness, ulceration, and loss of skin integrity. Symptoms are lighter in the morning and heavier in the evening. Beiting Dan (Northern Court Powder) should be applied immediately to the lesion for natural resolution and cure. If neglected or improperly treated, swelling may protrude resembling a blooming lotus, or take the shape of a rooster's comb. The tongue body becomes short and retracted, unable to extend, hindering speech and swallowing. Foul-smelling saliva is frequently discharged. Additionally, if anger rises upward, sudden rupture may occur with uncontrollable bleeding. Over time, this spreads to the neck and mandible, where lumps form like tubercles—hard, painful, with normal skin color but a slightly soft apex that is dark red and woody. After rupture, foul-smelling fluid is discharged; the tissue rots like cotton. Although ulcerated, hardness, pain, and swelling persist without receding, termed "Cotton-like Ulceration" (Mian Kui). In severe cases, it penetrates through the tongue and cheek, causing leakage of fluids when drinking, hence also named Scrofula Wind Sore. Generally, the root of the tongue belongs to the Heart, and the sides belong to the Spleen. Mental agitation generates Fire, while excessive worry injures the Spleen leading to Qi stagnation. Severe stagnation results in this disease. Externally, its presentation closely resembles Throat Wind (Hou Feng), but in Throat Wind, the throat is often swollen preventing swallowing; here, the throat is not swollen, allowing liquids to pass, and appetite remains. However, due to the tongue's inability to move, hard food cannot be processed effectively, leading to insufficient intake, empty stomach, exacerbation of deficiency syndromes, and gradual decline. At onset, Daochi Tang (Drain the Heart Decoction) with Huanglian (Coptis Rhizome) is indicated. For deficiency patterns, Guipi Tang (Restore the Spleen Decoction) is used. For severe heat, Qingliang Ganlu Yin (Cooling Sweet Dew Drink) combined with Guipi Tang is prescribed. For loose stools, Guishao Yigong Tang (Guishao Extraordinary Efficacy Decoction) is suitable. For submandibular nodules at onset, Jindiluo (Radix Speranskiae) ground thickly with vinegar should be applied externally. After ulceration, Shuicheng Gao (Water-Clarified Ointment) should be applied. Although many treatments have existed since ancient times, this condition is almost invariably fatal; even with medication, survival is merely prolonged temporarily.
Qingxi Secretly Transmitted Beiting Dan
Fan Zhusha (Parrot Sand/Red Lead variant), Renzhongbai (Human Tooth Ash) (each 0.5 fen); Wasang Qingtai (Green Moss on Roof Tiles), Wasong (Tile Pine), Tang Jishi (Chicken Manure from Wet Places) (each 1 qian).
Use two silver jars. Place the herbs inside, seal the mouths tightly together, and seal the exterior with salt mud. Heat over charcoal fire until red hot. Continue for the duration of three incense sticks. Allow to cool, open the jar, remove the medicine, add Shexiang (Musk) and Bingpian (Borneol) (each 1 fen), and grind into fine powder. Use a porcelain needle to puncture the Tongue Mushroom, apply a small amount of the powder, and cover with Huangpu (Polygoni Multiflori Caulis).
[Formula Verse] Beiting Dan treats Tongue Mushroom growth,
With Tile Pine, Chicken Droppings, and Human Ash.
Roof Moss and Red Lead powder,
Sealed in jar, fired with Musk and Borneol added.
Guishao Yigong Tang
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Guang Chenpi (Citri Reticulatae Pericarpium), Baishao (Paeoniae Radix Alba, stir-fried with wine), Danggui (Angelicae Sinensis Radix, body portion) (each 1 qian), Baifuling (Poria), Gancao (Licorice Root, honey-fried) (0.5 fen).
Dengxin (Junci Medullae) 50 cun, decocted in water, taken on an empty stomach.
[Formula Verse] Guishao Yigong supports Spleen Qi,
Strengthens Stomach and stops diarrhea.
Si Jun Zi plus Guishao and Chenpi,
With Dengxin as guide, it is a good remedy.
Shuicheng Gao
Zhusha (Cinnabar, water-triturated, 2 qian), Baiji (Bletillae Rhizoma), Bailian (Pancracii Bulbus), Wubeizi (Galla Chinensis), Yujin (Curcumae Radix) (each 1 liang), Xionghuang (Realgar), Ruxiang (Olibanum) (each 5 qian).
Grind all into fine powder. Mix thickly with Rice Vinegar. Apply on thick paper as a plaster.
[Formula Verse] Shuicheng Gao applied to ulcerated nodules,
Water-triturated Cinnabar two qian.
Baiji, Bailian, Yujin, Realgar, and Frankincense,
Ground together with Wubeizi, spread with vinegar.
Daochi Tang (See Mouth Section: Oral Thrush)
Guipi Tang (See Breast Section: Breast Nodules)
Qingliang Ganlu Yin (See Lip Section: Callous Lip)