舌证发于心脾经，其证皆由积热成。重舌舌下血脉胀，痰核舌上一核生。重 生于
口上 ，时觉心烦梅子形，舌疔舌上生紫 。其形如豆寒热增。
【注】此证无论大人、小儿，俱可以生。重舌者，由心、脾蕴热，循经上冲舌本，遂
令舌下血脉胀起，如小舌状，故名重舌，宜用冰硼散搽之。痰核者，心、脾痰涎郁热，舌
上生核，强硬作痛，宜用衣针点破，搽冰硼散，内服加味二陈汤。重 者，心、脾有热，
以致上 生疮，形如梅子，外无寒热，内时作烦，此属热极，禁用针刺，宜服黄连解毒
汤加桔梗，不时用紫雪散噙化。舌疔者，心脾火毒，舌生紫 ，其形如豆，坚硬寒热，疼
痛应心，初起宜用蟾酥丸含于舌下，随化随咽，或再服三粒，以解内毒；甚者刺之，服
黄连解毒汤，兼搽紫雪散，及徐徐咽之即愈。
紫雪散
犀角（镑） 羚羊角（镑） 石膏 寒水石 升麻（各一两） 元参（二两） 甘草（生，八钱）
沉香（锉） 木香（锉，各五钱）
水五碗，煎药剩汤一碗，将渣用绢滤去，将汤再煎滚，投提净朴硝三两六钱，文火慢
煎，水气将尽，欲凝结之时，倾入碗内，下朱砂、冰片各三钱，金铂一百张，各预研细
和匀，将药碗安入凉水盆中，候冷凝如雪为度。大人每用一钱，小儿二分，十岁者五分，
徐徐咽之即效。或用淡竹叶、灯心煎汤，化服亦可。咽喉肿痛等证，吹之亦效。
【方歌】紫雪散医积热效，沉木犀羚元参草，寒水升膏朴硝加，朱铂冰研入内搅。
冰硼散（见口部鹅口疮）
加味二陈汤（见痰包）
黄连解毒汤（见耳部黑疔）
蟾酥丸（见疔疮门）
舌部的病症发源于心经和脾经，其病证皆由体内积热所致。重舌表现为舌下的血脉肿胀；痰核表现为舌上长出一个硬结；重疔生于口上（此处指口腔上部或唇齿间），患者时常感到心烦，形状像梅子；舌疔长在舌上，呈现紫色斑点，形状像豆子，伴有寒热症状加重。
【注】此病证无论成人还是小儿都可能发生。重舌，是由于心、脾蕴藏热邪，顺着经络上冲至舌根，导致舌下血脉肿胀隆起，状如小舌头，因此称为重舌，适宜使用冰硼散外搽。痰核，是心、脾的痰涎郁结化热，在舌上生出硬结，质地强硬且疼痛，适宜用衣针点破患处，外搽冰硼散，内服加味二陈汤。重疔，是心、脾有热，导致口腔上部生疮，形状像梅子，外部没有寒热症状，但内部时常感到烦闷，这属于热极之症，严禁使用针刺，适宜服用黄连解毒汤加桔梗，并随时含化紫雪散。舌疔，是心脾火毒炽盛，舌上生出紫色斑点，形状像豆子，质地坚硬，伴有寒热及剧烈疼痛（痛感连心），初起时适宜用蟾酥丸含于舌下，随融化随吞咽，或者再服三粒，以解除体内毒素；病情严重者需刺破排脓，服用黄连解毒汤，同时外搽紫雪散并徐徐咽下即可痊愈。
紫雪散配方：犀角（镑片）一两，羚羊角（镑片）一两，石膏一两，寒水石一两，升麻一两，元参二两，甘草（生用）八钱，沉香（锉碎）五钱，木香（锉碎）五钱。
煎煮方法：用水五碗，煎药至剩余药汤一碗，将药渣用绢布滤去，将药汤再次煮沸，投入提净朴硝三两六钱，用文火慢煎，待水分将尽、药液即将凝结时，倒入碗中，加入朱砂、冰片各三钱，金箔一百张，预先研细混合均匀，将药碗放入凉水盆中，等待冷却凝固如雪为止。成人每次服用一钱，小儿二分，十岁儿童五分，徐徐咽下即见效。也可以用淡竹叶、灯心草煎汤，化开药粉服用亦可。咽喉肿痛等病症，吹入药粉也有效。
【方歌】紫雪散治疗积热疗效好，沉香、木香、犀角、羚羊角、元参、甘草，加上寒水石、升麻、石膏、朴硝，朱砂、金箔、冰片研细混入搅匀。
Tongue disorders originate from the Heart and Spleen meridians, and all such conditions arise from accumulated heat. Heavy tongue (Chong She) presents with swelling of the blood vessels under the tongue; Phlegm nodule (Tan He) presents with a nodule growing on the tongue; Chong Ding manifests in the upper oral cavity, accompanied by frequent mental restlessness, resembling a plum shape; Ling Ding grows on the tongue, appearing as purple spots, shaped like beans, with aggravated chills and fever.
[Note] This disorder can occur in both adults and children. Heavy tongue is caused by heat accumulation in the Heart and Spleen, which follows the meridians upward to the root of the tongue, causing the blood vessels under the tongue to swell and protrude like a small tongue, hence the name "Heavy Tongue." It is suitable for topical application of Bingpeng San. Phlegm nodule results from phlegm-fluids stagnating and transforming into heat in the Heart and Spleen, forming a hard, painful nodule on the tongue. It is suitable to puncture the nodule with a clothing needle, apply Bingpeng San topically, and administer Jiawei Erchen Tang orally. Chong Ding is caused by heat in the Heart and Spleen leading to sores in the upper oral cavity, resembling a plum. There are no external chills or fever, but internal mental restlessness occurs frequently; this belongs to extreme heat. Needle puncture is strictly prohibited. It is suitable to take Huanglian Jiedu Tang with Jiegeng, and constantly dissolve Zixue San in the mouth. Ling Ding is caused by fire-toxin in the Heart and Spleen, producing purple spots on the tongue shaped like beans, which are hard, accompanied by chills, fever, and severe pain radiating to the heart. In the early stage, it is suitable to hold Chansu Wan under the tongue, swallowing it as it dissolves, or taking three more pills to resolve internal toxins; for severe cases, puncture is required, followed by taking Huanglian Jiedu Tang, applying Zixue San externally, and slowly swallowing it until recovery.
Zixue San Formula: Xijiao (Rhinocerotis Cornu, sliced) 1 liang, Lingyangjiao (Capricornis Subviridis Cornu, sliced) 1 liang, Shigao (Gypsum Fibrosum) 1 liang, Hanshuishi (Hanshui Shi) 1 liang, Shengma (Cimicifugae Rhizoma) 1 liang, Yuanshen (Scrophulariae Radix) 2 liang, Gancao (Glycyrrhizae Radix et Rhizoma, raw) 8 qian, Chenxiang (Aquilariae Lignum Resinatum, ground) 5 qian, Muxiang (Aucklandiae Radix, ground) 5 qian.
Decoction method: Use five bowls of water, decoct until one bowl of liquid remains. Filter out the dregs using silk cloth. Boil the liquid again, add Tijing Puxiao (Natrii Sulfas purificatus) 3 liang 6 qian, and simmer slowly over low heat. When the water is nearly evaporated and the liquid is about to congeal, pour it into a bowl. Add Zhusha (Cinnabaris) and Bingpian (Borneolum Syntheticum), each 3 qian, and 100 sheets of Jinbo (Folium Aurii), previously ground fine and mixed evenly. Place the medicine bowl in a basin of cold water and wait until it cools and solidifies like snow. Adults should take 1 qian per dose, children 2 fen, and ten-year-old children 5 fen. Swallow slowly for effect. Alternatively, decoct Danzhuye (Phyllostachys Viridis Folium) and Dengxincao (Junci Medullae) in water to dissolve and take the powder. Blowing the powder into the throat is also effective for sore throat and swelling.
[Formula Song] Zixue San effectively treats accumulated heat; Chenxiang, Muxiang, Xijiao, Lingyangjiao, Yuanshen, Gancao; add Hanshuishi, Shengma, Shigao, Puxiao; grind Zhusha, Jinbo, Bingpian and mix inside.
Bingpeng San (See Mouth Section: Oral Thrush)
Jiawei Erchen Tang (See Phlegm Package Section)
Huanglian Jiedu Tang (See Ear Section: Black Carbuncle)
Chansu Wan (See Carbuncle and Furuncle Section)