小儿舌上偶生疮肿者。由风毒邪热。搏于血气。随其虚处。着而生病也。发于舌上紫肿者。名曰紫舌胀。若
肿粗大木闷而硬者。名曰木舌胀。若风湿相搏而生疮者。名曰舌疮。若风多而舌肿如吹泡者。名曰鼓舌。其紫
舌木舌鼓舌肿甚者。则满口溢出。闭塞气门。皆能杀人。
治紫舌肿 取羊乳饮之。
又方 治如前。以新鲫鱼。薄起肉片子。顿舌上。数数易之。
治舌上生疮。不能饮乳。 以白矾研末。和鸡子置醋中。涂儿足底。一七愈。
又方 治如前。以蒲黄敷之。
又方 以桑白皮汁。涂乳上吮服。
又方 治如前。以胡粉细研。用猪筒骨中髓调敷之。日三。
治木舌肿硬。满口逡巡。气闭则杀人。 以釜底煤和盐等分。以酒调。表里涂舌。须臾即悄。无酒亦得。
又方 治如前。
川朴硝(半两) 真紫雪(一分) 白盐(半分)
上和研匀细。每用半钱。入竹沥三两。滴白汤少许。调涂舌上。咽津不妨。
治舌卒肿如吹泡。满溢出。气不得通。奈无可治。 以半夏十枚。汤洗去滑尽。以苦酒一升。煮取五合。稍
稍含漱之。不得咽津。戟人咽喉。加以生姜一两。同煮亦得。
又方 煎甘草浓汁含之。
又方 以糖醋满口含之。良。
又方 治紫舌木鼓。肿满闭气。诸药不效。当用此救。在舌两边。以指刮破。或以铍刀决破。出其毒血。慎
勿伤舌下中央脉也。若血出不止。已及数升者。烧铁篦烙疮数过已。绝之。烧铁篦约度。不可太过。
小儿舌头上偶尔生出疮肿,是由于风毒邪热,与血气相搏结,随着身体的虚弱之处,停留而引发疾病。发于舌头上的紫红色肿胀,称为“紫舌胀”;如果肿胀粗大、麻木闷痛且坚硬,称为“木舌胀”;如果是风湿邪气相搏结而生出的疮疡,称为“舌疮”;如果是风邪偏盛导致舌头肿胀如同吹起的气泡,称为“鼓舌”。那些紫舌、木舌、鼓舌肿胀严重的,会充满口腔并溢出,闭塞气道(气门),都能导致死亡。
治疗紫舌肿胀:取羊乳让患儿饮用。
另一个方子:治疗方法同上。用新鲜的鲫鱼,将鱼肉片成薄片,频频敷在舌头上,多次更换。
治疗舌上生疮,不能喝奶:将白矾研成粉末,与鸡蛋混合后放入醋中,涂抹在孩子的脚底,七天可愈。
另一个方子:治疗方法同上。用蒲黄粉外敷患处。
另一个方子:用桑白皮的汁液,涂抹在乳头或乳房上让患儿吮吸服用。
另一个方子:治疗方法同上。将胡粉细研,用猪筒骨中的骨髓调和后敷在患处,每天三次。
治疗木舌肿胀坚硬,满口蔓延,气机闭塞则会导致死亡:用锅底灰(釜底煤)和盐各等分,用酒调匀,内外涂擦舌头,片刻即可消退,没有酒也可以。
另一个方子:治疗方法同上。
川朴硝(半两)、真紫雪(一分)、白盐(半分)。
以上三味药混合研匀极细。每次取半钱,加入竹沥三两,滴入少许白开水,调匀后涂在舌上,吞咽津液无妨。
治疗舌头突然肿胀如吹起的气泡,满溢出口,气机不通,无奈无药可治时:用半夏十枚,用水汤洗去滑腻之物,用苦酒(醋)一升,煮取五合,慢慢含漱,不可吞咽津液。若刺激咽喉,可加生姜一两同煮也可。
另一个方子:煎煮浓甘草汁含漱。
另一个方子:用糖醋满口含漱,效果良好。
另一个方子:治疗紫舌、木舌、鼓舌,肿胀满溢闭塞气机,各种药物无效时,应当用此法急救。在舌头两侧,用手指刮破,或用铍刀切开,排出毒血。务必不要损伤舌头中央下方的血脉。如果出血不止,已经流出数升之多,可用烧红的铁篦子烙烫疮口数次以止血。烧红的铁篦子要适度,不可太过猛烈。
Occasional sores and swellings on the tongue of infants are caused by wind-toxin and pathogenic heat clashing with blood and qi, lodging in areas of deficiency to induce disease. When purple swelling occurs on the tongue, it is named "Purple Tongue Distension" (Zi She Zhang). If the swelling is coarse, large, numb, stifling, and hard, it is named "Wooden Tongue Distension" (Mu She Zhang). If sores arise from the clash of wind-dampness, it is named "Tongue Sores" (She Chuang). If excessive wind causes the tongue to swell like a blown blister, it is named "Drum Tongue" (Gu She). Severe cases of Purple, Wooden, or Drum Tongue distension may overflow the entire mouth, blocking the air gate (vital opening), all of which can be fatal.
To treat Purple Tongue Distension: Administer sheep milk for drinking.
Another prescription: Treat as above. Take fresh crucian carp, slice the meat thinly, and frequently apply slices to the tongue, changing them often.
To treat sores on the tongue preventing nursing: Grind alum into powder, mix with an egg yolk, place in vinegar, and apply to the sole of the child's foot. It will heal within seven days.
Another prescription: Treat as above. Apply Puhuang (Corydalis Rhizome) powder externally.
Another prescription: Apply juice from Mulberry Root Bark (Sangbaipi) to the nipple/breast for the infant to suckle.
Another prescription: Treat as above. Finely grind Hufen (Lead Carbonate), mix with marrow from pig femur bones, and apply to the lesion three times daily.
To treat Wooden Tongue distension and hardness spreading throughout the mouth, where qi blockage leads to death: Mix equal parts of Fu Di Mei (soot from the bottom of a cauldron) and salt. Blend with wine and apply internally and externally to the tongue; relief comes quickly. Wine is optional.
Another prescription: Treat as above.
Chuan Puxiao (Natrii Sulfas), Zhen Zixue (True Purple Snow), Bai Yan (White Salt).
Mix and grind these three ingredients uniformly to a fine powder. Use half a qian each time, add 3 liang of Zhuli (Bamboo Sap), drop in a little white boiled water, mix well, and apply to the tongue. Swallowing saliva is permissible.
In cases of sudden tongue swelling like a blown blister, overflowing the mouth, with blocked qi and no other remedies available: Take ten Banxia (Pinellia Tuber), wash thoroughly with hot water to remove slipperiness. Boil in Ku Jiu (bitter wine/vinegar) one sheng until reduced to five ge. Gargle slowly, do not swallow saliva. If irritating the throat, adding one liang of Shengjiang (Fresh Ginger) for boiling is also acceptable.
Another prescription: Decoct concentrated Licorice Root (Gancao) juice and gargle.
Another prescription: Gargle with sugar-vinegar mixture; this is effective.
Another prescription: For Purple, Wooden, or Drum Tongue where swelling blocks qi and other medicines fail, use this rescue method. On both sides of the tongue, scrape open with fingers or incise with a Pi Dao (scalpel) to drain toxic blood. Be careful not to damage the central vein under the tongue. If bleeding does not stop and amounts to several sheng, cauterize the sores several times with a red-hot iron comb to arrest bleeding. The heating of the iron comb must be moderate, not excessive.