《圣惠》论∶夫脾脉络于舌，舌者，心之候。若脏腑壅滞，心脾积热，邪热之气随脉上冲于舌本，则令舌肿
胀，渐渐粗大。若不早疗，满塞口中，故谓之木舌。小儿尤多斯疾也。
《千金》论云∶夫小儿木舌，其状舌渐粗大，若舌大满口，当塞杀儿也。
《仙人水鉴》小儿百日内，口中有木舌方。
木舌要可待黄葵，更入铅牙两相知，（黄丹也。）点之七遍立便可，神方不暇药多期。
《圣惠》治小儿木舌方。
上以鲤鱼切作片子，贴于舌上，效。
《圣惠》又方
上用 煤，醋和，涂舌上。当脱涎膜，又涂之，以涎膜尽，舌如故，即止。
《圣惠》又方
紫雪（一分） 竹沥（半合）
上研紫雪为末，用竹沥调下一字，日三、五服。
《圣惠》又方
衣中白鱼（五枚） 川朴硝（一分） 盐（少许）
上件药捣，细罗为散。少少敷之。
《圣惠》治心脾热毒，生木舌，肿满妨闷。宜服大黄散方
川大黄（一两，锉，微炒） 犀角（屑） 射干 川升麻 玄参 大青 络石 木通（
锉） 甘草（炙微赤，锉。以上各三分）
上件药捣，筛为散。每服五钱，以水一大盏，煎至五分去滓，不计时候温服。
《圣惠》治心脾壅热，生木舌肿胀。宜服元参散方
元参 川升麻 川大黄（锉碎，微炒） 犀角（屑。各三分） 甘草（炙微赤，锉，半两）
上件药捣，筛为散。每服三钱，以水一大中盏，煎至五分去滓，不计时候温服。
《圣惠》治木舌热肿，渐大满口。宜含马牙硝丸方
马牙硝（三分，细研） 川大黄（锉碎，微炒） 大阴元精石 铅霜 麝香（各细
研） 寒水石（各半两） 甘草（一分，炙微赤，锉） 白矾（半分，烧灰）
上件药捣，罗为末，入研了药令匀，炼蜜和丸如小弹子大。常含一丸咽津。
《圣惠》治热毒攻心脾，致生木舌肿痛，兼咽喉不利。射干散方
射干 川升麻 木通（锉） 马蔺（微炒） 甘草（炙微赤，锉） 漏芦（以上
各三分） 当归 川大黄（锉碎，微炒） 桂心（各半两）
上件药捣，筛为散。每服五钱，以水一大盏，煎至五分去滓，不计时候温服。
《圣惠》又方
犀角（屑） 黄芩 木通（锉。各一两半） 漏芦 川升麻 麦门冬（去心） 羚羊角（屑。各一两）
上件药捣，筛为散。每服五钱，以水一大盏，煎至五分去滓，不计时候温服。
《养生必用》治木舌方。
大青患鱼胆（北方谓之青患，亦云谓浓鱼，似鲤鱼，头尖，鳞青黑，身狭长。用胆一枚，入五铢。钱乙文
∶在胆内线扎定，外面墨涂三次，挂梁上阴干。）
上每用少许，冷水化开服。
张涣川消散 治小儿木舌方。
川朴硝（半两） 紫雪（一分） 盐（半分）
上件研匀细。每服半钱，入竹沥三、两点，白汤调，涂舌上，咽津无妨。
《圣惠方》论述：脾的经络联络于舌，舌是心的外候。如果脏腑气机壅滞，心脾积热，邪热之气顺着经络上冲至舌根，就会导致舌头肿胀，逐渐变得粗大。如果不尽早治疗，舌头肿大充满口腔，所以称为木舌。小儿尤其容易患这种病。
《千金方》论述说：小儿木舌的症状是舌头逐渐变粗变大，如果舌头大到塞满口腔，可能会危及生命（导致窒息死亡）。
《仙人水鉴》记载了小儿百日内治疗木舌的方子。
木舌症可以等待黄葵（此处指黄丹），再加入铅牙（即黄丹）两者配合，点涂七次立刻见效，神效之方不需要等待药物多日配制。
《圣惠方》治疗小儿木舌的方子。
取鲤鱼切成片状，贴敷在舌头上，有效。
《圣惠方》另一个方子
用煤（烟炱），与醋调和，涂抹在舌头上。应当脱去涎膜，再次涂抹，直到涎膜完全脱落，舌头恢复原状，就停止。
《圣惠方》又一个方子
紫雪（一分） 竹沥（半合）
将紫雪研成粉末，用竹沥调服一字量，每日服用三到五次。
《圣惠方》又一个方子
衣中白鱼（五枚） 川朴硝（一分） 盐（少许）
将上述药物捣碎，过细筛制成散剂。少量撒敷患处。
《圣惠方》治疗心脾热毒，生木舌，肿胀满闷妨碍呼吸的方子。宜服用大黄散方
川大黄（一两，锉碎，微炒） 犀角（屑） 射干 川升麻 玄参 大青 络石 木通（锉碎） 甘草（炙至微赤，锉碎。以上各三分）
将上述药物捣碎，过筛制成散剂。每次服用五钱，用水一大盏，煎煮至五分，去渣，不限时候温服。
《圣惠方》治疗心脾壅热，生木舌肿胀的方子。宜服用元参散方
元参 川升麻 川大黄（锉碎，微炒） 犀角（屑。各三分） 甘草（炙至微赤，锉碎，半两）
将上述药物捣碎，过筛制成散剂。每次服用三钱，用水一中盏，煎煮至五分，去渣，不限时候温服。
《圣惠方》治疗木舌热肿，逐渐变大塞满口腔的方子。宜含服马牙硝丸方
马牙硝（三分，细研） 川大黄（锉碎，微炒） 大阴元精石 铅霜 麝香（各细研） 寒水石（各半两） 甘草（一分，炙至微赤，锉碎） 白矾（半分，烧成灰）
将上述药物捣碎，过筛制成粉末，加入已研好的药物混合均匀，用炼蜜和丸如小弹子大小。经常含服一丸，咽下津液。
《圣惠方》治疗热毒攻心脾，导致生木舌肿痛，兼有咽喉不利的方子。射干散方
射干 川升麻 木通（锉碎） 马蔺（微炒） 甘草（炙至微赤，锉碎） 漏芦（以上各三分） 当归 川大黄（锉碎，微炒） 桂心（各半两）
将上述药物捣碎，过筛制成散剂。每次服用五钱，用水一大盏，煎煮至五分，去渣，不限时候温服。
《圣惠方》又一个方子
犀角（屑） 黄芩 木通（锉碎。各一两半） 漏芦 川升麻 麦门冬（去心） 羚羊角（屑。各一两）
将上述药物捣碎，过筛制成散剂。每次服用五钱，用水一大盏，煎煮至五分，去渣，不限时候温服。
《养生必用》治疗木舌的方子。
大青鱼胆（北方称为青患，也称浓鱼，像鲤鱼，头尖，鳞青黑，身狭长。用一枚胆，放入五铢钱内。钱乙注：在胆内线扎定，外面涂墨三次，挂在梁上阴干。）
每次取少许，用冷水化开服用。
张涣川消散 治疗小儿木舌方。
川朴硝（半两） 紫雪（一分） 盐（半分）
将上述药物研匀细。每次服用半钱，加入竹沥三、两点，用白开水调匀，涂抹在舌头上，咽下津液无妨。
According to the *Shenghui Fang* (Prescriptions from the Imperial Medical Bureau): The spleen meridians connect to the tongue, and the tongue is the external manifestation of the heart. If the viscera are obstructed and stagnant, with accumulated heat in the heart and spleen, pathogenic heat qi ascends along the meridians to the root of the tongue, causing the tongue to swell and gradually become coarse and enlarged. If not treated early, the swollen tongue fills the mouth, hence it is called "Wood Tongue" (Mu She). This condition is particularly common in infants and children.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: The manifestation of Wood Tongue in children is the gradual enlargement of the tongue. If the tongue becomes so large as to fill the entire mouth, it may cause suffocation and death.
The *Xianren Shuijian* (Immortal's Water Mirror) records a prescription for treating Wood Tongue in infants within their first hundred days.
For Wood Tongue, one may wait for Huangkui (here referring to Minium/Huangdan), combine it with Qianya (also Minium), apply it seven times for immediate effect; this divine prescription does not require long preparation periods for multiple herbs.
*Shenghui Fang* prescription for treating pediatric Wood Tongue.
Take carp, slice it, and apply the slices to the tongue. Effective.
Another prescription from *Shenghui Fang*.
Use Mei (soot/carbon), mix with vinegar, and apply to the tongue. It should shed the mucus membrane; reapply until the mucus membrane is completely removed and the tongue returns to normal, then stop.
Another prescription from *Shenghui Fang*.
Zixue (Purple Snow) (1 fen) Zhuli (Bamboo Juice) (0.5 he)
Grind Zixue into powder, mix with Zhuli, and administer a dose equivalent to "one character" (approx. 0.5-1g), taken three to five times daily.
Another prescription from *Shenghui Fang*.
Yizhong Baiyu (Silverfish found in clothes) (5 pieces) Chuan Puxiao (Sodium Sulfate/Thenardite) (1 fen) Yan (Salt) (a little)
Pound the above ingredients, sift through a fine sieve to make a powder. Apply sparingly to the affected area.
*Shenghui Fang* prescription for treating Heart-Spleen Heat-Toxin causing Wood Tongue, swelling, fullness, and distress. One should take Dahuang San (Rhubarb Powder).
Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, sliced, slightly stir-fried) Xijiao (Rhino Horn - note: substitute with legal alternatives or Buffalo Horn in modern practice) (shredded) Shegan (Belamcanda Rhizome) Chuan Shengma (Cimicifugae Rhizoma) Xuanshen (Scrophulariae Radix) Daqing (Isatidis Folium) Luoshi (Trachelospermi Caulis) Mutong (Akebiae Caulis) (sliced) Gancao (Glycyrrhizae Radix et Rhizoma) (stir-baked until slightly red, sliced. All above 3 qian)
Pound the above ingredients, sift to make a powder. Take 5 qian per dose, decoct with one large cup of water until reduced to 0.5 cup, strain, and take warm at any time.
*Shenghui Fang* prescription for treating Heart-Spleen Obstructive Heat causing Wood Tongue swelling. One should take Yuanshen San (Scrophularia Powder).
Yuanshen (Scrophulariae Radix) Chuan Shengma (Cimicifugae Rhizoma) Chuan Dahuang (Rhei Radix et Rhizoma) (sliced, slightly stir-fried) Xijiao (Rhino Horn) (shredded. Each 3 qian) Gancao (Glycyrrhizae Radix et Rhizoma) (stir-baked until slightly red, sliced, 0.5 liang)
Pound the above ingredients, sift to make a powder. Take 3 qian per dose, decoct with one medium-large cup of water until reduced to 0.5 cup, strain, and take warm at any time.
*Shenghui Fang* prescription for treating Wood Tongue heat-swelling, gradually enlarging to fill the mouth. One should hold Ma Ya Xiao Wan (Halloysitum Pill) in the mouth.
Ma Ya Xiao (Natrii Sulfas crystallized) (3 qian, finely ground) Chuan Dahuang (Rhei Radix et Rhizoma) (sliced, slightly stir-fried) Da Yin Yuan Jing Shi (Halloysitum) Qianshuang (Plumbi Subcarbonas) Shexiang (Moschus) (each finely ground) Hanshui Shi (Aqua Calcitae) (each 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, stir-baked until slightly red, sliced) Bai Fan (Alumen) (0.5 fen, calcined to ash)
Pound the above ingredients, sift into powder, mix thoroughly with the already-ground ingredients, and bind with refined honey to form pills the size of small marbles. Frequently hold one pill in the mouth and swallow the saliva.
*Shenghui Fang* prescription for treating Heat-Toxin attacking the Heart and Spleen, causing Wood Tongue swelling and pain, accompanied by throat discomfort. Shegan San (Belamcanda Powder).
Shegan (Belamcanda Rhizome) Chuan Shengma (Cimicifugae Rhizoma) Mutong (Akebiae Caulis) (sliced) Malin (Iris lactea var. chinensis Rhizome) (slightly stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma) (stir-baked until slightly red, sliced) Loulu (Euphorbiae Pekinensis Radix) (all above 3 qian) Danggui (Angelicae Sinensis Radix) Chuan Dahuang (Rhei Radix et Rhizoma) (sliced, slightly stir-fried) Guixin (Cinnamomi Cortex) (each 0.5 liang)
Pound the above ingredients, sift to make a powder. Take 5 qian per dose, decoct with one large cup of water until reduced to 0.5 cup, strain, and take warm at any time.
Another prescription from *Shenghui Fang*.
Xijiao (Rhino Horn) (shredded) Huangqin (Scutellariae Radix) Mutong (Akebiae Caulis) (sliced. Each 1.5 liang) Loulu (Euphorbiae Pekinensis Radix) Chuan Shengma (Cimicifugae Rhizoma) Maimendong (Ophiopogonis Tuber) (heart removed) Lingyangjiao (Saiga Antelope Horn - note: substitute with legal alternatives or Buffalo Horn in modern practice) (shredded. Each 1 liang)
Pound the above ingredients, sift to make a powder. Take 5 qian per dose, decoct with one large cup of water until reduced to 0.5 cup, strain, and take warm at any time.
*Yangsheng Biyong* (Essentials for Nourishing Life) prescription for treating Wood Tongue.
Da Qing Yu Dan (Gallbladder of Isospondylus fish) (In the north called Qinghuan, also known as Nongyu, resembling carp, with a pointed head, dark green-black scales, and a slender body. Use one gallbladder, place inside a five-zhu coin. Note by Qian Yi: Tie securely inside the gallbladder, mark the outside with ink three times, hang on a beam to dry in the shade.)
Take a small amount each time, dissolve in cold water, and take orally.
Zhang Huan's Chuanxiao San (Chuanxiao Powder) prescription for treating pediatric Wood Tongue.
Chuan Puxiao (Sodium Sulfate/Thenardite) (0.5 liang) Zixue (Purple Snow) (1 fen) Yan (Salt) (0.5 fen)
Grind the above ingredients uniformly into a fine powder. Take 0.5 qian per dose, add three or two drops of Zhuli (Bamboo Juice), mix with plain boiled water, apply to the tongue, and swallowing the saliva is harmless.