《巢氏病源》小儿重舌候∶小儿重舌者，心脾热故也。心候于舌，而主于血，脾之络脉，又出舌下。心火脾
土二脏，母子也。有热即血气俱盛，其状附舌下，进舌根，生形如舌而短，故谓之重舌。
《千金》论曰∶小儿出腹六、七日后，其血气收敛成肉，则口舌喉颊里清净也。若喉里舌上有物，如芦箨盛
水状，有肿起着舌下，如此者名重舌，皆刺去血汁也。
《惠眼观证》∶凡生下中鹅口、重舌、重 、口疮，皆上焦热所致。此亦受胎时，大受极热。急以鸡内金为
末，干掺口内，及以朱砂膏、（方见惊热门中。）地黄膏（方见本门中）。轮流掺之，仍以天竺黄散服之。（方见本门中。）
《惠眼观证》地黄膏 治初生儿鹅口、重舌、重 方。
郁金（皂荚水煮干，切细，焙干用） 豆粉（各半两） 甘草（一分，炙） 马牙硝（研、一钱）
上用生地黄汁及蜂糖对合，入盏内约二分许，熬成膏，和成药。每服两皂子大，香熟水含化；或鹅翎扫涂
口内亦得。
《惠眼观证》金朱饮子 治惊、壮热，伤寒伏热，上焦虚热；重舌，口鼻生疮疹，致赤眼方。（本名天竺黄散。）
川郁金（锉碎，皂荚水煮干，细者如胆肚极佳） 天竺黄 甘草（炙） 牙硝（别研。各半两） 朱砂（一
分，研） 蝉壳（十四个，水浸去土） 麝香（少许）
上为末。每服半钱至一钱，以蜂糖熟水调下，此药除烦退热。
《葛氏肘后》治卒重舌方。
上烧蛇蜕皮为末，唾和，涂舌上瘥。（姚和众方同。只干敷。《婴孺》方同，用醋调，沾舌下。）
葛氏又法
上用釜下土，苦酒和，涂舌下。（《千金》、《婴孺》皆云∶釜丹下土。）
《千金》治小儿重舌方。
上用田中蜂房烧灰，酒和涂喉下愈。
《千金》又方
上以衣鱼涂舌上。（《千金翼》及《婴孺》方皆烧灰，研，敷。）
《千金》又方
上用三家屠肉，切令如指大，摩舌上，儿立能啼。（《婴孺》首用此方。）
《千金》又方
上用赤小豆末，醋和涂舌上。
《千金》又方
上烧簸箕灰，敷舌上。（《圣惠》簸箕尖烧灰，细研。）
《千金》又方
上用黄柏，以竹沥渍取，细细点舌上良。
《千金翼》治重舌，舌强不能收乳方。
上取鹿角末如大豆许，安舌上，日三即瘥。
《千金翼》治小儿重舌，舌生疮涎出方。
上以蒲黄敷舌上，不过三度愈。
《外台》∶《古今录验》疗小儿重舌欲死方。
上以乱发烧灰，末之，敷舌上甚佳。（张涣用猪脂和，涂之。）
姚和众治小儿重舌方。
上用马牙硝涂舌下，日三度。
《子母秘录》治小儿重舌方。
上用黄丹如豆大，内管中以安舌下。
《子母秘录》治小儿重舌方。
上用乌贼鱼骨烧灰，和鸡子黄，敷喉及舌上。
《子母秘录》治小儿童舌方。
上用蜣螂烧，研未，和唾，敷舌上。
孟诜治小儿重舌方。
上用小豆煮汁，和鹿角灰，安重舌下，日三度。
日华子治小儿重舌、鹅口疮方。
上用鹿角炙，熨之。
《圣惠》治小儿重舌，及口中生疮涎出方。
上用白羊尿，涂少许口中，瘥。
《圣惠》又方
上用桑根上取汁，涂口中，瘥。
《圣惠》又方
桂心（一分） 白矾（半两）
上件药捣，罗为末。每用少许，干敷舌下，日三上。
《圣惠》治小儿重舌、口中生疮涎出。蒲黄散方
蒲黄 露蜂房（微炙。各一分） 白鱼（一钱）
上件药都研令匀。用少许酒调，敷重舌、口中疮上，日三用之。
《圣惠》治小儿重舌、舌肿方。
上取牯牛乳，少许与饮之。
《圣惠》治小儿重舌方。
上以桂心半两为末，生姜汁相和令匀。每用少许涂舌下，日再涂之。
《圣惠》又方
上用甑带，烧灰细研，敷舌下。
《圣惠》又方
上用桑根白皮一两，细锉，以水一大盏，煎至五分去滓，渐渐以匙子抄少许，令儿吮之。
《圣惠》又方
上用釜底墨，水调，涂舌下。
《婴孺》治重舌方。
上取木兰皮一尺，广四寸，去皮皴，切细，以苦酒一升煮半升。适寒温浸两手，食久小歇，须臾干，复渍
两足，干，复渍之，大良。（《子母秘录》用醋一升煮木兰皮取汁，注重舌上。）
《婴孺》治小儿心极热，口中生疮、重舌、鹅口方。
上用柘根枝叶五升，以水一斗煮二升，去滓；煎五合，细细敷疮上。无根柘弓材亦可。
张涣乌鱼散方 治重舌病。
乌鱼骨（一两，烧灰） 干蜣螂（烧灰） 蒲黄（研。各半两） 枯白矾（一分，研）
上件同研为粉。每服半钱，以鸡子黄调，涂舌下，咽津无妨。
《千金》灸法∶治重舌。灸行间，随年壮穴，在足大指歧中。
《千金》又灸法∶两足外踝上三壮。
《千金翼》∶小儿重舌，灸左足踝七壮。（《婴孺》方灸三壮。）
《外台》∶《古今录验》疗儿重舌欲死。灸右足踝三壮，立愈。又灸左右并良。（《千金》云∶灸两足外踝。）
《婴孺》治重舌。以儿置其内，东向门中，灸其舌三炷。
《巢氏病源》中关于小儿重舌的论述：小儿出现重舌，是因为心脾有热。心开窍于舌，且主司血液；脾的络脉，也出于舌下。心和脾（属土）两脏，是母子关系。一旦有热邪，气血就会同时亢盛，其症状表现为附着在舌下，延伸至舌根，生长出形状像舌头但较短小的赘生物，所以称为重舌。
《千金方》论述说：小儿出生六、七天后，其气血收敛形成肌肉组织，此时口腔、舌头、咽喉和面颊内部应当保持清净。如果喉咙里或舌上有异物，像芦管中盛水那样的状态，有肿胀物突起在舌下，这种情况叫做重舌，都需要用针刺破放出瘀血。
《惠眼观证》记载：凡是新生儿患有鹅口疮、重舌、重腭（双腭）、口疮，都是上焦热邪所致。这也是因为胎儿在母体内时，受到了极大的热邪影响。应立即将鸡内金研成粉末，干燥地撒入口内，并使用朱砂膏（方剂见惊热门中）和地黄膏（方剂见本门中），轮流涂抹。同时服用天竺黄散（方剂见本门中）。
《惠眼观证》地黄膏：治疗初生婴儿鹅口疮、重舌、重腭的方剂。
郁金（用皂荚水煮干，切碎，焙干后使用）半两，豆粉半两，甘草一分（炙烤），马牙硝一钱（研磨）。
以上药物用新鲜生地黄汁和蜂蜜混合，放入盏中约二分量的药液，熬制成膏状，调和成药。每次服用如皂角子大小的药量，用温热的熟水含化；或者用鹅毛蘸药涂抹口腔也可以。
《惠眼观证》金朱饮子：治疗惊风、壮热、伤寒伏热、上焦虚热；以及重舌、口鼻生疮疹导致赤眼的方剂。（原名天竺黄散。）
川郁金（锉碎，用皂荚水煮干，质地细嫩如胆肚者最佳），天竺黄，甘草（炙烤），牙硝（单独研磨，各半两），朱砂一分（研磨），蝉蜕十四个（用水浸泡去除泥土），麝香少许。
以上药物研成粉末。每次服用半钱至一钱，用蜂蜜和温水调服，此药能除烦退热。
《葛氏肘后方》治疗突发重舌的方剂。
将蛇蜕皮烧成粉末，用唾液调和，涂抹在舌上即可痊愈。（姚和众的方子相同，只是干敷。《婴孺书》的方子相同，用醋调和，沾湿舌下。）
《千金方》治疗小儿重舌的方剂。
取田间的蜂房烧成灰，用酒调和，涂抹在喉下即可痊愈。
《千金方》又一首方剂：
取三家屠宰场的肉，切成手指大小，摩擦舌上，婴儿立刻就能啼哭。（《婴孺书》首先使用此方。）
《千金方》又一首方剂：
用黄柏，以竹沥浸泡提取药汁，细细地点涂在舌上效果良好。
《千金翼方》治疗重舌，舌强直不能吸吮乳汁的方剂。
取鹿角末，如大豆大小，放在舌上，每天三次即可痊愈。
《千金翼方》治疗小儿重舌，舌上生疮流涎的方剂。
用蒲黄敷在舌上，不超过三次即可痊愈。
《外台秘要》引用《古今录验》治疗小儿重舌危重欲死的方剂。
用乱发烧成灰，研成粉末，敷在舌上非常好。（张涣用猪脂调和涂抹。）
《子母秘录》治疗小儿重舌的方剂。
用黄丹如豆子大小，装入管中，置于舌下。
《子母秘录》治疗小儿重舌的方剂。
用乌贼骨烧成灰，与鸡蛋黄调和，敷在咽喉及舌上。
《子母秘录》治疗小儿童舌的方剂。
用屎壳郎烧制，研成粉末，与唾液调和，敷在舌上。
孟诜治疗小儿重舌的方剂。
用小豆煮汁，与鹿角灰调和，放置在重舌下，每天三次。
《圣惠方》治疗小儿重舌，及口中生疮流涎的方剂。
用白羊尿，在口中涂抹少许，即可痊愈。
《圣惠方》另一首方剂：
取桑根上的汁液，涂抹在口中，即可痊愈。
《圣惠方》又一首方剂：
桂心一分，白矾半两。
以上药物捣碎，过筛成粉末。每次用少许，干敷在舌下，每天三次。
《圣惠方》治疗小儿重舌、口中生疮流涎的蒲黄散方剂：
蒲黄，露蜂房（微炙烤，各一分），白鱼一钱。
以上药物都研磨均匀。用少许酒调匀，敷在重舌、口中疮面上，每天使用三次。
《圣惠方》治疗小儿重舌、舌肿的方剂。
取公牛乳，给婴儿少量饮用。
《圣惠方》治疗小儿重舌的方剂。
用桂心半两研成粉末，与生姜汁调和均匀。每次用少许涂抹在舌下，每天两次涂抹。
《圣惠方》又一首方剂：
取桑根白皮一两，切碎，用水一大盏，煎至五分，去渣滓，渐渐用勺子舀少许，让婴儿吮吸。
《婴孺书》治疗重舌的方剂。
取木兰皮一尺，宽四寸，去皮皱，切碎，用醋一升煮至半升。待温度适宜时浸泡双手，吃久稍作休息，片刻变干后，再浸泡双脚，干了再浸泡，效果很好。（《子母秘录》用醋一升煮木兰皮取汁，重点涂抹在舌上。）
《婴孺书》治疗小儿心火极热，口中生疮、重舌、鹅口的方剂。
取柘树根枝叶五升，用水一斗煮至二升，去渣滓；再煎至五合，细细地敷在疮面上。没有柘树根枝也可用柘弓材代替。
张涣乌鱼散方：治疗重舌病。
乌鱼骨一两（烧成灰），干蜣螂（烧成灰），蒲黄（研磨，各半两），枯白矾一分（研磨）。
以上药物共同研磨成粉。每次服用半钱，用鸡蛋黄调和，涂抹在舌下，吞咽津液无妨。
《千金方》灸法：治疗重舌。灸行间穴，根据患儿年龄决定灸几壮，穴位在足大趾歧骨间。
《千金翼方》：小儿重舌，灸左足踝七壮。（《婴孺书》方灸三壮。）
《外台秘要》引用《古今录验》治疗小儿重舌危重欲死。灸右足踝三壮，立即痊愈。又灸左右两侧均好。（《千金方》说：灸两足外踝。）
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the condition of double tongue in infants: The occurrence of double tongue (a swelling resembling a second tongue under the main tongue) in children is caused by heat in the Heart and Spleen. The Heart opens into the tongue and governs blood; the collateral vessels of the Spleen also emerge from beneath the tongue. The Heart and the Spleen (Earth element) have a mother-son relationship. When heat is present, both Qi and Blood become hyperactive. The manifestation involves growth attached beneath the tongue, extending to the root, forming a structure similar to a tongue but shorter, hence termed "double tongue."
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) states: Six or seven days after birth, an infant's Qi and Blood converge to form flesh, at which point the oral cavity, tongue, throat, and cheeks should remain clear. If there are foreign substances in the throat or on the tongue, resembling water held within a reed sheath, with swelling protruding beneath the tongue, this is called double tongue. Such cases require pricking to release blood stasis.
*Hui Yan Guan Zheng* records: Conditions such as thrush (oral candidiasis), double tongue, double palate, and mouth sores in newborns are all caused by heat in the Upper Jiao (Upper Burner). This results from excessive heat exposure during fetal development. Immediately powder Ji Nei Jin (Gallus Gallus Domesticus Brisson Gizzard Lining) and dry-dust it into the mouth. Apply Zhusha Gao (Cinnabar Ointment) (formula seen in the Convulsion Section) and Dihuang Gao (Rehmannia Ointment) (formula seen in this section) alternately. Additionally, administer Tianzhu Huang San (Bambusa Textilis Calamus Powder) internally.
*Dihuang Gao* from *Hui Yan Guan Zheng*: A formula for treating thrush, double tongue, and double palate in newborns.
Jin Yu (Curcuma aromatica Rhizome), boiled with Gleditsia Sinensis Fruit juice until dry, cut finely, and dried (0.5 liang); Dou Fen (Starch) (0.5 liang); Gan Cao (Licorice Root), roasted (1 fen); Ma Ya Xiao (Natrii Sulfas) (1 qian, ground).
Mix these with fresh Sheng Di Huang Juice (Rehmanniae Radix Fresh Juice) and bee honey. Place approximately 2 fen of liquid mixture in a cup and boil down to an ointment consistency. Take a dose the size of a soap bean, dissolve in warm cooked water; or apply with a goose feather quill inside the mouth.
*Jin Zhu Yin Zi* from *Hui Yan Guan Zheng*: Treats convulsions, high fever, latent heat from cold damage, deficiency heat in the Upper Jiao; as well as double tongue, mouth/nose sores/rashes causing red eyes. (Originally named Tianzhu Huang San.)
Chuan Yu Jin (Curcuma aromatica Rhizome), crushed, boiled with Gleditsia Sinensis Fruit juice until dry (fine texture like gall bladder lining is best); Tian Zhu Huang (Bambusa Textilis Calamus); Gan Cao (Licorice Root), roasted; Ya Xiao (Natrii Sulfas), separately ground (each 0.5 liang); Zhu Sha (Cinnabaris) (1 fen, ground); Chan Ke (Cicada Slough) (14 pieces, soaked in water to remove dirt); She Xiang (Moschus) (a small amount).
Grind all into powder. Take 0.5 to 1 qian per dose, mixed with honey and warm water. This medicine clears irritability and reduces fever.
*Ge Shi Zhou Hou Fang* (Emergency Prescriptions Held in the Elbow of Ge Hong) for sudden onset of double tongue:
Burn snake slough into powder, mix with saliva, and apply to the tongue. It will heal. (Yao Hezhong's formula is the same, applied dry. *Ying Ru*'s formula is the same, mixed with vinegar to moisten under the tongue.)
Another method by Ge Shi:
Take earth from under the cooking pot, mix with vinegar, and apply under the tongue. (*Qian Jin* and *Ying Ru* refer to this as Fu Dan Xia Tu - earth from under the furnace.)
*Qian Jin Fang* for pediatric double tongue:
Burn honeycombs found in fields to ash, mix with wine, and apply under the throat. It heals.
Another *Qian Jin Fang*:
Apply Yi Yu (Silverfish/Ctenolepisma longicaudata) to the tongue.
Another *Qian Jin Fang*:
Take meat from three different butcher shops, cut into finger-sized pieces, and rub on the tongue. The infant will immediately cry. (*Ying Ru* uses this formula first.)
Another *Qian Jin Fang*:
Use powder of Chi Xiao Dou (Adzuki Bean), mixed with vinegar, applied to the tongue.
Another *Qian Jin Fang*:
Burn winnowing basket ashes, apply to the tongue. (*Sheng Hui* specifies burning the tip of the basket, grinding finely.)
Another *Qian Jin Fang*:
Use Huang Bo (Phellodendri Cortex), soak in Zhu Li (Bamboo Sap) to extract juice, and dot finely onto the tongue. Good results.
*Qian Jin Yi Fang* for double tongue and stiff tongue unable to suckle:
Take Lu Jiao Mo (Deer Antler Powder), size of a soybean, place on the tongue. Three times daily leads to recovery.
*Qian Jin Yi Fang* for pediatric double tongue with sores and salivation:
Apply Pu Huang (Typhae Pollen) to the tongue. Recovery occurs within three applications.
*Wai Tai Mi Yao* (Prescriptions Kept Behind the Pillow) citing *Gu Jin Lu Yan*: For severe double tongue in infants nearing death:
Burn disordered hair to ash, grind to powder, and apply to the tongue. Very effective. (Zhang Huan mixes with pig fat for application.)
Yao Hezhong for pediatric double tongue:
Apply Ma Ya Xiao (Natrii Sulfas) under the tongue, three times daily.
*Zi Mu Mi Lu* for pediatric double tongue:
Place Huang Dan (Lithargyrum) the size of a bean inside a tube, positioned under the tongue.
Another *Zi Mu Mi Lu* for pediatric double tongue:
Burn Hai Piao Xiao (Sepiae Endoconcha) to ash, mix with Ji Zi Huang (Egg Yolk), and apply to the throat and tongue.
*Zi Mu Mi Lu* for pediatric child-tongue (tongue tie/swelling):
Burn Qiang Lang (Scarabaeus), grind to powder, mix with saliva, and apply to the tongue.
Meng Shen for pediatric double tongue:
Boil Dou (Beans) to make juice, mix with Lu Jiao Hui (Deer Antler Ash), place under the double tongue, three times daily.
Ri Hua Zi for pediatric double tongue and thrush:
Roast Lu Jiao (Deer Antler) and use for moxibustion/ironing therapy.
*Sheng Hui Fang* for pediatric double tongue and mouth sores with salivation:
Apply Bai Yang Niao (White Goat Urine) sparingly inside the mouth. It heals.
Another *Sheng Hui Fang*:
Extract juice from Sang Gen (Mulberry Root) and apply inside the mouth. It heals.
Another *Sheng Hui Fang*:
Gui Xin (Cinnamomi Cortex) 1 fen; Bai Fan (Alumen) 0.5 liang.
Pound and sieve these medicines into powder. Use a small amount, dry-dust under the tongue, three times daily.
*Sheng Hui Fang* Pu Huang San for pediatric double tongue and mouth sores with salivation:
Pu Huang (Typhae Pollen); Lu Feng Fang (Apis Nest), lightly roasted (each 1 fen); Bai Yu (Silverfish) 1 qian.
Grind all medicines evenly. Mix with a little wine, apply to the double tongue and mouth sores, three times daily.
*Sheng Hui Fang* for pediatric double tongue and swollen tongue:
Give Gu Niu Nai (Ox Milk) to drink in small amounts.
Another *Sheng Hui Fang* for pediatric double tongue:
Grind Gui Xin (Cinnamomi Cortex) 0.5 liang into powder, mix evenly with Sheng Jiang Zhi (Fresh Ginger Juice). Apply sparingly under the tongue twice daily.
Another *Sheng Hui Fang*:
Burn Zheng Dai (Steamer Strap), grind finely to ash, apply under the tongue.
Another *Sheng Hui Fang*:
Take Sang Gen Bai Pi (Mori Cortex) 1 liang, cut finely. Decoct with one large cup of water until reduced to two-fifths. Strain. Gradually spoon small amounts for the infant to suck.
Another *Sheng Hui Fang*:
Use Fu Di Mo (Furnace Bottom Ink/Soot), mix with water, apply under the tongue.
*Ying Ru* for double tongue:
Take Mu Lan Pi (Magnolia Bark) one chi long, four cun wide. Remove rough skin, cut finely. Decoct with one sheng of Ku Jiu (Vinegar) until reduced to half a sheng. When temperature is suitable, soak hands. After eating and resting slightly, when dry, soak feet. Repeat until dry. Very effective. (*Zi Mu Mi Lu* uses one sheng of vinegar to decoct Mu Lan Pi for juice, focusing application on the tongue.)
*Ying Ru* for infant extreme Heart Heat, mouth sores, double tongue, and thrush:
Take Zhe Gen Ye Zhi (Toona sinensis Branches and Leaves) five sheng. Decoct with ten dou of water until reduced to two sheng. Strain. Further reduce to five he. Apply finely to sores. If roots/branches are unavailable, Zhe Gong Cai (Bow material) can be used.
Zhang Huan's Wu Yu San for double tongue disease:
Wu Yu Gu (Sepiae Endoconcha) 1 liang (burned to ash); Gan Qiang Lang (Dry Scarabaeus) (burned to ash); Pu Huang (Typhae Pollen) (ground, each 0.5 liang); Ku Bai Fan (Dried Alumen) 1 fen (ground).
Grind together into powder. Take 0.5 qian per dose, mix with Ji Zi Huang (Egg Yolk), apply under the tongue. Swallowing saliva is harmless.
*Moxibustion Methods from Qian Jin Fang*: For double tongue. Moxa Xing Jian (LR2), number of moxa cones based on age. Location: between the big toe and second toe.
Another *Qian Jin Fang* Moxibustion Method:
Three cones on each outer ankle.
*Qian Jin Yi Fang*: For pediatric double tongue, moxa left ankle seven cones. (*Ying Ru* uses three cones.)
*Wai Tai Mi Yao* citing *Gu Jin Lu Yan*: For severe double tongue in infants. Moxa right ankle three cones, immediate recovery. Moxa both sides is also good. (*Qian Jin* says: moxa both outer ankles.)
*Ying Ru* for double tongue: Place the infant inside, facing east towards the door, moxa the tongue three cones.