一论木舌。乃舌肿硬不柔和。脾经实火也。
泻黄散 治木舌、弄舌。
藿香叶（七分） 山栀（一钱） 软石膏（五分） 防风（四分） 甘草（七分）
上锉一剂。水煎。不拘时服。
一治木舌。
百草霜 芒硝 滑石
上为末。酒调敷之。
一论小儿舌微露而即收。名弄舌。属心脾亏损。用补脾散补之。舌舒长而收缓。名舒
舌。乃
心脾积热。少用前泻黄散主之。兼口舌生疮。作渴饮冷。胃经实热。用泻黄散。作渴畏冷。
属脾经虚热。用四君子汤。食少作渴。或大便不实。脾胃虚弱也。用吐泻门七味白术散 若
午后甚者。脾血虚也。四物汤多加参、术、茯苓末。应用内伤门补中益气汤。大病未已。而
弄舌者凶。
弄舌微微露即收。得于病后最难瘳。出长收缓名舒舌。热在心脾不用忧。
补脾散 治弄舌。
人参 白术（去芦各一钱） 白芍（酒炒） 茯苓（各八分） 陈皮 川芎（各六分） 黄 （
盐炒） 当归（酒炒） 甘草（炙各四分）
上锉。每剂三钱。生姜煎服。
一论牙疳者。阳明之热也。小儿齿肿流涎。腮肿走马牙疳等症。
清胃升麻汤
升麻 川芎 白芍 半夏（汤泡各七分） 干葛 防风（去芦） 黄连（酒炒） 生甘草（各
五分） 软石膏（煨一钱） 白术（七分） 白芷（三分）
上锉。水煎热服。能漱口。即含漱而吐之。漱药不用白术、半夏。
一治小儿走马牙疳。一时腐烂即死。用妇人溺桶白垢。火 一钱许。入铜绿三分。麝
香一分半。敷之立效。
立效散 治走马牙疳。
青黛 黄柏 枯矾 五倍子（各一钱）
上药共为细末。用米泔水先漱口内。将药末掺入患处。
一论小儿走马牙疳。牙根臭烂。侵蚀唇鼻。先用甘草汤洗皮令血出。涂之。亦理身上肥
疮。但是疳疮。用之立效。
玉蟾散
蚵 。即虾蟆不鸣不跳者是。用黄泥裹。火 焦。二钱半。青黛二钱。麝香少许。黄连二
钱半。
上为细末。湿则干掺。干则香油调抹之。
一论木舌。乃舌肿硬不柔和。脾经实火也。
论述木舌（一种以舌体肿胀僵硬、转动不灵为特征的病证）。这是由脾经实火（脾胃脏腑中邪热炽盛）所致。
泻黄散 治木舌、弄舌。
藿香叶（七分） 山栀（一钱） 软石膏（五分） 防风（四分） 甘草（七分）
将上述药材锉碎为一剂。加水煎煮。不拘泥于特定时间服用。
一治木舌。
百草霜 芒硝 滑石
将上述药物研为细末。用酒调匀后外敷患处。
一论小儿舌微露而即收。名弄舌。属心脾亏损。用补脾散补之。舌舒长而收缓。名舒
舌。乃
心脾积热。少用前泻黄散主之。兼口舌生疮。作渴饮冷。胃经实热。用泻黄散。作渴畏冷。
属脾经虚热。用四君子汤。食少作渴。或大便不实。脾胃虚弱也。用吐泻门七味白术散 若
午后甚者。脾血虚也。四物汤多加参、术、茯苓末。应用内伤门补中益气汤。大病未已。而
弄舌者凶。
论述小儿舌头微微伸出随即收回的症状，称为弄舌（一种以舌体时伸时缩为特征的病证）。这属于心脾两脏气血亏损。使用补脾散进行补益治疗。如果舌头舒展较长且收回缓慢，称为舒舌（一种以舌体伸长不收为特征的病证）。这是由于心脾积热（心脾两脏热邪积聚）所致。少量使用前述的泻黄散为主方治疗。若伴有口腔和舌头上生疮、口渴想喝冷水，这是胃经实热（胃腑邪热炽盛），使用泻黄散。若口渴但畏惧寒冷，属于脾经虚热（脾脏阳气不足导致的虚热），使用四君子汤。若食欲减退、口渴，或者大便稀溏不成形，这是脾胃虚弱（脾胃功能低下），使用《吐泻门》中的七味白术散。如果在午后症状加重，是脾血虚（脾脏血液亏虚），使用四物汤并加入人参、白术、茯苓的粉末。应当参考《内伤门》中的补中益气汤。在大病尚未痊愈的情况下，出现弄舌症状的预后不良（凶险）。
弄舌微微露即收。得于病后最难瘳。出长收缓名舒舌。热在心脾不用忧。
弄舌表现为微微伸出随即收回。若在疾病后期出现，最难治愈。舌头伸出较长且收回缓慢称为舒舌。若是心脾有热引起的舒舌，不必担忧。
补脾散 治弄舌。
人参 白术（去芦各一钱） 白芍（酒炒） 茯苓（各八分） 陈皮 川芎（各六分） 黄 （
盐炒） 当归（酒炒） 甘草（炙各四分）
将上述药材锉碎。每剂取三钱。加生姜煎服。
一论牙疳者。阳明之热也。小儿齿肿流涎。腮肿走马牙疳等症。
论述牙疳（一种以牙龈腐烂出血为主要特征的病证），这是阳明经（主要指足阳明胃经）的热邪所致。小儿牙齿肿胀、流口水，腮部肿胀，以及走马牙疳（一种发病迅速、病情危重的牙疳类型）等症状。
清胃升麻汤
升麻 川芎 白芍 半夏（汤泡各七分） 干葛 防风（去芦） 黄连（酒炒） 生甘草（各
五分） 软石膏（煨一钱） 白术（七分） 白芷（三分）
将上述药材锉碎。加水煎煮后热服。若能漱口，可将药液含在口中漱洗后吐出。用于漱口的药方中不使用白术和半夏。
一治小儿走马牙疳。一时腐烂即死。用妇人溺桶白垢。火 一钱许。入铜绿三分。麝
香一分半。敷之立效。
一方治疗小儿走马牙疳。此病发作迅速，片刻间牙龈腐烂即可致死。使用妇女尿桶内壁的白色污垢（溺桶白垢），烧制成炭约一钱，加入铜绿三分，麝香一分半。将此药粉外敷患处，立即见效。
立效散 治走马牙疳。
青黛 黄柏 枯矾 五倍子（各一钱）
将上述药物共同研为细末。先用米泔水（淘米水）漱口，然后将药末撒布在患处。
一论小儿走马牙疳。牙根臭烂。侵蚀唇鼻。先用甘草汤洗皮令血出。涂之。亦理身上肥
疮。但是疳疮。用之立效。
论述小儿走马牙疳。牙根发臭腐烂，侵蚀嘴唇和鼻子。先用甘草汤清洗患处皮肤，使其出血，然后涂抹药物。此法也能治疗身上的肥疮（一种慢性化脓性皮肤病）。只要是疳疮（由疳积引起的疮疡），使用此方立即见效。
玉蟾散
蚵 。即虾蟆不鸣不跳者是。用黄泥裹。火 焦。二钱半。青黛二钱。麝香少许。黄连二
钱半。
将上述药物研为细末。如果患处湿润，则干掺药粉；如果患处干燥，则用香油调匀后涂抹。
One discussion on Wood Tongue (a condition characterized by a swollen, stiff tongue with limited mobility). This is caused by Excess Fire in the Spleen Meridian.
Xiehuang San (Drain the Yellow Powder) treats Wood Tongue and Playing Tongue.
Huo Xiang Ye (Agastache Leaf, 7 fen), Shan Zhi (Gardenia Fruit, 1 qian), Ruan Shi Gao (Soft Gypsum, 5 fen), Fang Feng (Saposhnikovia Root, 4 fen), Gan Cao (Licorice Root, 7 fen).
Crush these ingredients into one dose. Decoct in water. Take at any time without restriction.
Another treatment for Wood Tongue.
Bai Cao Shuang (Soot from Hundred Herbs), Mang Xiao (Mirabilite), Hua Shi (Talcum).
Grind these into powder. Mix with wine and apply externally.
One discussion on children's tongue slightly protruding and immediately retracting is called Playing Tongue (a condition characterized by intermittent protrusion and retraction of the tongue). This belongs to Deficiency and Damage of the Heart and Spleen. Use Bupi San (Tonify the Spleen Powder) to tonify it. If the tongue extends long and retracts slowly, it is called Relaxed Tongue (a condition characterized by prolonged protrusion of the tongue). This is due to Accumulated Heat in the Heart and Spleen. Use a small amount of the aforementioned Xiehuang San as the main formula. If accompanied by sores in the mouth and tongue, thirst, and desire to drink cold liquids, this is Excess Heat in the Stomach Meridian. Use Xiehuang San. If there is thirst but aversion to cold, this belongs to Deficient Heat in the Spleen Meridian. Use Sijunzi Tang (Four Gentlemen Decoction). If there is poor appetite, thirst, or loose stools, this is Spleen and Stomach Weakness. Use Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) from the Vomiting and Diarrhea section. If symptoms worsen in the afternoon, this is Spleen Blood Deficiency. Use Siwu Tang (Four Substances Decoction) with added powder of Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala), and Fu Ling (Poria). It is appropriate to apply Bushen Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) from the Internal Injury section. If a serious illness has not yet resolved and Playing Tongue appears, the prognosis is ominous.
Playing Tongue slightly protrudes and immediately retracts. Acquired after illness, it is hardest to cure. Extending long and retracting slowly is named Relaxed Tongue. Heat in the Heart and Spleen need not cause worry.
Bupi San (Tonify the Spleen Powder) treats Playing Tongue.
Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala, de-rhizome, each 1 qian), Bai Shao (White Peony Root, stir-fried with wine), Fu Ling (Poria, each 8 fen), Chen Pi (Tangerine Peel), Chuan Xiong (Ligusticum Rhizome, each 6 fen), Huang Qi (Astragalus Root, salt-stir-fried), Dang Gui (Angelica Sinensis, stir-fried with wine), Gan Cao (Licorice Root, honey-roasted, each 4 fen).
Crush these ingredients. Each dose is 3 qian. Decoct with fresh ginger and take orally.
One discussion on Ya Gan (Gum Gangrene, a condition characterized by foul-smelling, rotting gums) is Heat in the Yangming Meridian. Children may present with swollen teeth, drooling, swollen cheeks, and conditions such as Zouma Ya Gan (Running Horse Gum Gangrene, a rapidly progressing and severe form of gum gangrene).
Qingwei Shengma Tang (Clear the Stomach and Ascend Ma Decoction)
Sheng Ma (Cimicifuga Rhizome), Chuan Xiong (Ligusticum Rhizome), Bai Shao (White Peony Root), Ban Xia (Pinellia Tuber, soaked in boiling water, each 7 fen), Gan Ge (Pueraria Root), Fang Feng (Saposhnikovia Root, de-rhizome), Huang Lian (Coptis Rhizome, wine-stir-fried), Sheng Gan Cao (Raw Licorice Root, each 5 fen), Ruan Shi Gao (Soft Gypsum, roasted, 1 qian), Bai Zhu (Atractylodes Macrocephala, 7 fen), Bai Zhi (Angelica Dahurica, 3 fen).
Crush these ingredients. Decoct in water and take hot. If capable of rinsing the mouth, hold the decoction in the mouth to rinse and then spit it out. Do not use Bai Zhu or Ban Xia in the mouthwash preparation.
Another treatment for children's Zouma Ya Gan. This condition causes rapid rotting and can lead to death quickly. Use the white scale from a woman's urinal. Calcine about 1 qian. Add Tong Lv (Malachite, 3 fen) and She Xiang (Musk, 1.5 fen). Apply externally for immediate effect.
Lixiao San (Immediate Effect Powder) treats Zouma Ya Gan.
Qing Dai (Indigo Naturalis), Huang Bo (Phellodendron Bark), Ku Fan (Alum, calcined), Wu Bei Zi (Chinese Gall, each 1 qian).
Grind all medicines into fine powder. First rinse the mouth with rice water. Then sprinkle the powder onto the affected area.
One discussion on children's Zouma Ya Gan. The gum roots are foul and rotting, eroding the lips and nose. First wash the skin with Gan Cao Tang (Licorice Decoction) until bleeding occurs, then apply medication. This method also treats Fei Chuang (Fatty Sores, a type of chronic suppurative skin disease) on the body. For any Gan Chuang (Gangrene Sores, ulcers resulting from Gan syndrome), use this formula for immediate effect.
Yuchan San (Jade Toad Powder)
He Chan (Toad). Specifically, the toad that does not croak or jump. Wrap in yellow mud. Calcine until charred. 2.5 qian. Qing Dai (Indigo Naturalis, 2 qian). She Xiang (Musk, a little). Huang Lian (Coptis Rhizome, 2.5 qian).
Grind into fine powder. If the lesion is moist, sprinkle dry powder; if dry, mix with sesame oil and apply.