大人、小儿重舌，乃心火妄动发之。当以线针点刺患上，令出恶血，内服解毒泻心汤，外以冰硼散搽之。
又有紫舌、木舌亦由心火而发，用飞盐及冰片少许，勤搽出涎自愈。又有痰气结于舌上，成核作痛硬强者，用
线针点破出血，用冰硼散搽之，服后药。
黄连泻心汤
黄连泻心汤芩连 荆芥山栀牛子攒
薄荷甘草连翘等 木通加上效如拈
治大人、小儿心火妄动，结成重舌、木舌、紫舌，胀肿坚硬，语言不利者，并宜服之。
黄连 山栀 荆芥 黄芩 连翘 木通 薄荷 牛蒡子（各一钱） 甘草（五分）
水二钟，灯心二十根，煎八分，食后服。
针刺法∶治重舌、木舌、紫舌等疾，肿胀疼痛，硬强不语；又兼舌根并两齿合缝尽处作肿，瘀肉涂塞，
口噤难开，俱用此法刺之。用粗线斜扎在箸头上，在患处点刺出血，红紫毒轻，紫黑毒重，患甚者数十点皆可；
血尽温汤漱之。甚者金锁匙，轻者冰硼散搽患上，流去热涎，内服凉膈散、清凉饮，俱可选用。
金锁匙 冰硼散 凉膈散 四顺清凉饮（俱见咽喉门）
胎瘤者，初生小儿头上、胸乳间肿起，大者如馒，小似梅李，此皆胎中瘀血凝滞而成。须候儿盈月外，方
可用针刺破，内如赤豆汁则安，内服五福化毒丹。
五福化毒丹
五福化毒丹连桔 青黛人参赤茯苓
玄参胆草牙硝片 甘草朱砂金箔呈
治小儿蕴积胎毒，以及诸疮、瘾疹、伤风斑症，口舌生疮，痰涎壅盛，谵语烦躁，夜睡不宁者并效。
玄参 桔梗 赤茯（各二两） 人参（三钱） 黄连 龙胆草 青黛 牙硝（各一两） 甘草（五钱）
冰片（五分） 朱砂（三钱） 金箔（二十张，为衣）
上为末，炼蜜丸芡实大，每服一丸，薄荷灯心汤化服。及治疮疹后余毒上攻，口齿涎血臭秽，以生地黄汁
化下，如无地黄，竹叶灯心汤亦可用。
【重舌】
成年人与儿童的重舌病，是由于心火妄动引发的。应当用线针点刺患处，放出恶血，内服解毒泻心汤，外用冰硼散涂抹。
又有紫舌、木舌，也是由心火引发。可用飞盐及少许冰片，频繁涂抹以引出涎液，即可自愈。又有痰气结聚于舌上，形成硬块且疼痛坚硬者，用线针点破出血，使用冰硼散涂抹，并服用后文所述的药物。
黄连泻心汤：
方歌：黄连泻心汤芩连，荆芥山栀牛子攒；薄荷甘草连翘等，木通加上效如拈。
主治：治疗成年人与儿童因心火妄动，凝结成重舌、木舌、紫舌，导致肿胀坚硬、语言不利者，均适宜服用此方。
组成：黄连、山栀、荆芥、黄芩、连翘、木通、薄荷、牛蒡子（各一钱），甘草（五分）。
用法：水二钟，灯心二十根，煎至八分，饭后服用。
针刺法：治疗重舌、木舌、紫舌等疾病，表现为肿胀疼痛、僵硬不语；又兼有舌根及两齿合缝尽处肿胀，瘀肉堵塞，口噤难以张开，均使用此法进行针刺。用粗线斜扎在筷子头上，在患处点刺出血。若血色红紫，说明毒邪较轻；若色紫黑，说明毒邪较重；病情严重者，可多点刺出数十个点；待血排尽后，用温汤漱口。病情严重者可敷金锁匙，轻者涂冰硼散以引出热涎，内服凉膈散或清凉饮，均可选用。
注：金锁匙、冰硼散、凉膈散、四顺清凉饮（均见咽喉门章节）。
【胎瘤】
胎瘤，是指初生婴儿头部、胸部及乳间肿起，大的像馒头，小的似梅李，这都是因为胎中瘀血凝滞而成。必须等到婴儿满月之后，才可用针刺破。若流出物如赤豆汁状，则病情安稳，内服五福化毒丹。
五福化毒丹：
方歌：五福化毒丹连桔，青黛人参赤茯苓；玄参胆草牙硝片，甘草朱砂金箔呈。
主治：治疗小儿蕴积的胎毒，以及各类疮疡、瘾疹、伤风斑症，口舌生疮，痰涎壅盛，谵语烦躁，夜间睡眠不宁者，均有疗效。
组成：玄参、桔梗、赤茯（各二两），人参（三钱），黄连、龙胆草、青黛、牙硝（各一两），甘草（五钱），冰片（五分），朱砂（三钱），金箔（二十张，作为包衣）。
用法：以上药材研为细末，用炼蜜制成如芡实大小的丸药。每次服用一丸，用薄荷灯心汤送服。此外，还用于治疗疮疹后的余毒上攻，导致口齿间涎血臭秽者，可用生地黄汁化开送服；若无生地黄，用竹叶灯心汤也可。
[Chong She (Double Tongue)]
Chong She (double tongue) in adults and children is caused by the reckless movement of Heart Fire. The affected area should be pricked with a thread needle to release foul blood. Internally, Jiedu Xiexin Tang (Detoxifying Decoction for Purging Heart Fire) should be taken, and externally, Bingpeng San (Borneol and Borax Powder) should be applied.
Zi She (purple tongue) and Mu She (wooden tongue) are also caused by Heart Fire. Fei Yan (calcined salt) and a small amount of Bingpian (Borneol) should be frequently applied to induce the discharge of saliva, which will lead to self-healing. If phlegm-qi stagnates on the tongue, forming a hard, painful nodule, it should be broken open with a thread needle to release blood, followed by the application of Bingpeng San and the administration of the subsequent herbal formula.
Huanglian Xiexin Tang (Coptis Decoction for Purging the Heart):
Verse: Huanglian Xiexin Tang contains Huangqin and Huanglian; Jingjie, Shanzhi, and Niuzi gather together; Bohe, Gancao, and Lianqiao are equal parts; adding Mutong makes the effect swift as if plucked.
Indications: This formula is suitable for adults and children whose reckless Heart Fire condenses into Chong She, Mu She, or Zi She, resulting in swelling, hardness, and difficulty in speech.
Composition: Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Jingjie (Schizonepetae Herba), Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis), Bohe (Menthae Haplocalycis Herba), Niuzi (Arctii Fructus) (each 1 qian); Gancao (Licorice Root) (0.5 qian).
Administration: Decoct 2 zhong of water with 20 roots of Dengxin (Junci Medullia) until reduced to 0.8 zhong; take after meals.
Acupuncture Method: Used for treating Chong She, Mu She, and Zi She, characterized by swelling, pain, stiffness, and inability to speak; additionally, when there is swelling at the base of the tongue and the junction where the two teeth meet, with瘀肉 (fleshy growths) blocking the mouth, causing trismus (lockjaw) and difficulty opening the mouth, this method should be used. Tie a coarse thread diagonally around the head of a chopstick, prick the affected area to release blood. Red-purple blood indicates mild toxicity; purple-black blood indicates severe toxicity. In severe cases, dozens of pricks may be necessary. After bleeding stops, rinse the mouth with warm water. For severe cases, apply Jin Suo Chi (Golden Lock Key); for mild cases, apply Bingpeng San to discharge hot saliva. Internally, Liangge San (Cooling the Diaphragm Powder) or Qingliang Yin (Clearing and Cooling Drink) can be selected.
Note: Jin Suo Chi, Bingpeng San, Liangge San, and Sishun Qingliang Yin (all see the Throat Section).
[Tai Liu (Fetal Tumor)]
Tai Liu refers to swellings appearing on the head, chest, or between the breasts of newborn infants. They range from large like steamed buns to small like plums or apricots. These are all formed by the stagnation of fetal blood stasis. One must wait until the infant is over one month old before using acupuncture to puncture them. If the discharge resembles red bean juice, the condition is stable; internally, Wufu Huadu Dan (Five Blessings Detoxifying Pill) should be administered.
Wufu Huadu Dan (Five Blessings Detoxifying Pill):
Verse: Wufu Huadu Dan contains Lian and Jie; Qingdai, Renshen, and Chi Fuling; Xuanshen, Danshen, Yaxiaopian; Gancao, Zhusha, and Jinbo present.
Indications: Effective for infants with accumulated fetal toxins, various sores, urticaria, wind-heat macular eruptions, mouth and tongue ulcers, excessive phlegm-saliva, delirious speech, irritability, and restless sleep at night.
Composition: Xuanshen (Scrophulariae Radix), Jiegeng (Platycodonis Radix), Chi Fu (Red Poria) (each 2 liang); Renshen (Ginseng Radix et Rhizoma) (3 qian); Huanglian (Coptidis Rhizoma), Longdancao (Gentianae Radix), Qingdai (Indigo Naturalis), Yaxiao (Natrii Sulfas) (each 1 liang); Gancao (Licorice Root) (5 qian); Bingpian (Borneolum Syntheticum) (0.5 fen); Zhusha (Cinnabaris) (3 qian); Jinbo (Gold Leaf) (20 sheets, used as coating).
Administration: Grind the above ingredients into powder. Form pills using refined honey, sized like Euryale Seed (Qianshi). Take one pill per dose, dissolved in Bohe Dengxin Tang (Mint and Juncus Decoction). Additionally, it treats residual toxins attacking upward after sores and rashes, causing foul-smelling bloody saliva in the mouth and teeth. Dissolve with Sheng Dihuang Zhi (Fresh Rehmannia Juice); if Fresh Rehmannia is unavailable, Zhuye Dengxin Tang (Bamboo Leaf and Juncus Decoction) may also be used.