《巢氏病源》小儿鹅口候∶小儿初生，口里白屑起，乃至舌上生疮如鹅之口里，谓之鹅口。此由在胎时受谷
气盛，心脾热气熏发于口故也。
《千金》论曰∶凡小儿初出腹，有鹅口者，其舌上有白屑如米，剧者鼻外（外，一作中）亦有之。此由儿在胞胎中，
受谷气盛故也。或妊娠时嗜糯米使之。
茅先生论∶小儿生下有喉痹、木舌、鹅口候。喉中忽壅一块肉瘤闭却喉，此为喉痹。及身大热，舌硬都不
转得，为木舌。口更开殊不合，满口都黄如膏，此名鹅口。此三个候，皆因热甚生风，风盛壅热毒，至此为实
积实热。得此候所治者，先用积实牛黄丸（方见实热门中）微与通；吐恶涎后，用匀气散；（方见胃
气不和门中。）然用天竺黄散（方见实热门中）夹牛黄膏（方见膈热门中）与服即愈。如见喉内加空响似锯及眼视面青黑，
不下奶食，死候。《葛氏肘后》治新生出腹鹅口方。
上以发缠箸，沾井华水拭之，三日一如此便脱去。不脱可煮粟茭汁令浓，以绵缠箸拭之。如春夏无粟茭，
粟木皮亦得。
用井华水法（《千金》作粟茯，治法皆与葛氏同。）
后徐王神效方 治小儿鹅口噤。
矾石 朱砂（末。各半分）
右二物合研极细，敷舌上。药烈，唯薄薄敷之，日三。以冷水洗舌，以发拭白垢也（《外台秘要》方同。）
《千金》治小儿鹅口，不能饮乳方。
上用鹅屎汁沥儿口中。（《圣惠》取白鹅粪，以水绞取汁。）
《千金》又方
上用黍米汁涂之。（《子母秘录》用黍米汁。）
《千金》又方
上用取小儿父母乱发，净洗缠桃枝，沾取井华水，东向向日以发拭口中。得口中白乳以置水中，七过沥洗，
三朝作之。（《圣惠》云∶以指缠乱发，蘸温水拣之，三日勿绝，效矣。）
《简要济众》治小儿鹅口方。
上用马牙硝细研，于舌上掺之，日三、五度(《圣惠》云∶调于舌下涂之。)
《子母秘录》∶小儿鹅口方。
上用桑白皮汁和胡粉敷之。
《子母秘录》∶小儿鹅口不乳方。
上用鸡 黄皮烧末，乳和服。
《千金》治小儿鹅口方。
上用柘根净洗，细锉五升。无根，只以弓材亦佳。水一斗，煮取二升去滓，更煎取五合。频频拭齿口即瘥。
张涣∶婴儿初生七日内胎毒者，其舌上有白屑如米连舌上，下有膜如石榴子大，令儿语不发如鹅口状，名曰鹅
口。保命散方
朱砂（研细，水飞，令干） 白矾（烧灰。各一分） 马牙硝（半两，细研）
上同再研细，每服一字。取白鹅粪以水搅取汁，调涂舌上、颌颊内。未用药时，先以手指缠乱发揩拭舌上
垢，然后使药敷之。
《孔氏家传》治小儿鹅口方。
上以桑汁，用新绵惹之。(日华子用桑东行根研汁。)
《巢氏病源》中关于小儿鹅口的论述：新生儿口腔内出现白色碎屑，甚至舌头上生出疮疡，形状像鹅的嘴巴，这被称为鹅口。这是因为胎儿在母体内时，受谷气过盛，心脾的热气熏蒸上发于口所致。
《千金方》论述说：凡是新生儿刚出生时患有鹅口的，其舌头上有像米粒一样的白色碎屑，病情严重的，鼻孔外部（另一种版本作“中部”）也有。这是由于婴儿在胞胎中受谷气过盛造成的。或者是母亲在妊娠期间嗜食糯米导致的。
茅先生论述：新生儿出生后可能出现喉痹、木舌、鹅口这三种证候。喉咙中突然堵塞一块肉瘤封闭了咽喉，这叫喉痹。身体高热，舌头僵硬完全不能转动，这叫木舌。嘴巴张得特别大合不拢，满口都黄得像膏脂一样，这叫鹅口。这三种证候，都是因为热邪极盛生风，风势旺盛壅滞热毒，至此形成实积实热。遇到这些证候需要治疗时，先用积实牛黄丸（方剂见实热门中）少量给予以通泄；吐出恶涎后，再用匀气散（方剂见胃气不和门中）。然而使用天竺黄散（方剂见实热门中）配合牛黄膏（方剂见膈热门中）服用即可痊愈。如果看到喉内有空洞响声像拉锯一样，以及眼睛看向面色青黑，不吃奶食，这是死证。《葛氏肘后方》治疗新生儿鹅口的方子。
以上方法用头发缠在筷子上，蘸取井华水擦拭患处，三天一次这样操作就会脱落。如果不脱落，可以煮粟茭汁使其浓稠，用棉布缠在筷子上擦拭。如果在春夏季节没有粟茭，粟木皮也可以。
使用井华水的方法（《千金方》作粟茯，治疗方法都与葛氏相同。）
矾石 朱砂（研末。各半分）
将上述两味药混合研磨至极细，敷在舌头上。药性猛烈，只需薄薄地敷一层，每天三次。用冷水清洗舌头，用头发擦拭白色垢腻（《外台秘要》中的方子与此相同。）
《千金方》治疗小儿鹅口，不能吸吮乳汁的方子。
以上方法用鹅屎汁滴入婴儿口中。（《圣惠方》取白鹅粪，用水绞取汁液。）
《千金方》又一方
以上方法用黍米汁涂抹患处。（《子母秘录》用黍米汁。）
《千金方》又一方
以上方法取婴儿父母的乱发，洗净后缠绕在桃枝上，蘸取井华水，面向东方对着太阳，用头发擦拭婴儿口腔。将擦下的口中白色乳垢放入水中，沥洗七次，连续做三天。（《圣惠方》说：用手指缠着乱发，蘸温水拣拭，三天不要间断，就会见效。）
《简要济众方》治疗小儿鹅口的方子。
以上方法用马牙硝细细研磨，撒在舌头上，每天三到五次（《圣惠方》说：调和后涂在舌下。）
《子母秘录》：治疗小儿鹅口的方子。
《子母秘录》：治疗小儿鹅口不吃奶的方子。
以上方法用鸡卵黄皮烧成粉末，用乳汁调和服用。
《千金方》治疗小儿鹅口的方子。
以上方法取柘根洗净，细切五升。如果没有根，只用弓材也很好。用水一斗，煮取二升去渣，再煎取五合。频繁擦拭牙齿和口腔即可痊愈。
张涣：婴儿出生后七天内胎毒发作的，其舌头上有像米粒一样的白色碎屑连着舌头，下方有像石榴籽大小的膜，导致婴儿说话不出声，呈现鹅口状，名叫鹅口。保命散方
朱砂（研细，水飞，晾干） 白矾（烧成灰。各一分） 马牙硝（半两，细研）
以上药物共同再次研磨细，每次服用一字量。取白鹅粪用水搅动取汁，调匀后涂在舌头、下巴和脸颊内侧。未用药之前，先用手指缠着乱发揩拭舌头上的垢腻，然后再使药物敷贴。
《孔氏家传》治疗小儿鹅口的方子。
According to *Chao Shi Bing Yuan* (Pathogenesis of Diseases by Master Chao) regarding the syndrome of Goose Mouth in infants: When a newborn infant has white flakes appearing in the mouth, extending to sores on the tongue resembling the inside of a goose's beak, this is called "Goose Mouth" (E Kou). This condition arises because, during gestation, the fetus received an excess of grain qi, causing heat from the Heart and Spleen to steam upward and manifest in the mouth.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) states: For any newborn suffering from Goose Mouth, there are white flakes like rice grains on the tongue; in severe cases, these may also appear outside the nostrils (some versions say "middle"). This is due to the infant receiving excessive grain qi while in the womb. It may also result from the mother consuming glutinous rice excessively during pregnancy.
Master Mao discusses: Newborns may present with three syndromes: Throat Bi (obstruction), Wood Tongue, and Goose Mouth. If a lump suddenly blocks the throat, it is called Throat Bi. If the body is highly feverish and the tongue is stiff and immobile, it is called Wood Tongue. If the mouth opens abnormally wide and the entire mouth is yellow like paste, it is called Goose Mouth. All three syndromes are caused by extreme heat generating wind, where strong wind stagnates heat toxins, resulting in solid accumulation of excess heat. For treatment, first administer a small amount of Zhishi Niuhuang Wan (Real-Heat Section) to promote unblocking; after vomiting out foul saliva, use Yunqi San (Stomach Qi Disharmony Section). However, administering Tianzhu Huang San (Real-Heat Section) combined with Niuhuang Gao (Diaphragm Heat Section) will lead to recovery. If hollow sounds like sawing are heard in the throat, the face appears cyanotic/black, and the infant refuses milk, this indicates a fatal prognosis. The *Ge Shi Zhou Hou Fang* (Emergency Prescriptions by Ge Hong) for treating newborn Goose Mouth:
Take hair wrapped around a chopstick, dip it well-water (Jing Hua Shui - water drawn at dawn), and wipe the affected area. Repeat this every three days until the lesions fall off. If they do not detach, boil sorghum stalk juice until thick, wrap cotton around a chopstick, and wipe. In spring and summer when sorghum stalks are unavailable, sorghum bark can be used instead.
Method for using well-water (*Qian Jin Fang* refers to millet fungus; treatment methods are identical to Ge Shi's).
Later Xu Wang Shen Xiao Fang for treating infant Goose Mouth with Trismus:
Alumen (Fan Shi) Cinnabar (Zhu Sha, powdered. Each 0.5 fen)
Grind these two ingredients together until extremely fine, and apply thinly on the tongue. The medication is potent, so apply only a thin layer, three times daily. Wash the tongue with cold water and wipe away white debris with hair (The formula in *Wai Tai Mi Yao* is the same.)
*Qian Jin Fang* for treating infant Goose Mouth where the infant cannot suckle milk:
Drip juice from goose feces into the infant's mouth. (*Sheng Hui Fang* takes white goose feces and wrings out the juice with water.)
*Qian Jin Fang*, another formula:
Apply juice from broomcorn millet. (*Zi Mu Mi Lu* uses broomcorn millet juice.)
*Qian Jin Fang*, another formula:
Take the disordered hair of the infant's parents, wash it cleanly, wrap it around a peach branch, dip it in well-water, face east towards the sun, and use the hair to wipe the infant's mouth. Place the removed white milky debris into water, rinse seven times, and perform this for three consecutive days. (*Sheng Hui Fang* states: Wrap disordered hair around a finger, dip in warm water, and pick/wipe; do not stop for three days, and it will be effective.)
*Jian Yao Ji Zhong Fang* for treating infant Goose Mouth:
Finely grind Natrii Sulfas (Ma Ya Xiao), sprinkle onto the tongue, three to five times daily. (*Sheng Hui Fang* states: Mix and apply under the tongue.)
*Zi Mu Mi Lu*: Formula for infant Goose Mouth:
Apply juice from Morus alba root bark (Sang Bai Pi) mixed with lead carbonate (Hu Fen) to the affected area.
*Zi Mu Mi Lu*: Formula for infant Goose Mouth refusing milk:
Burn chicken eggshell membrane (Ji Nei Jin/Huang Pi) to ash, mix with milk, and administer orally.
*Qian Jin Fang* for treating infant Goose Mouth:
Cleanly wash Ziziphus jujuba var. spinosa root (Zhe Gen), finely cut five sheng. If roots are unavailable, bow wood is also suitable. Boil in one dou of water until reduced to two sheng, remove dregs, and further decoct to obtain five he. Frequently wipe the teeth and mouth until healed.
Zhang Huan: Within seven days after birth, if fetal toxicity manifests, white flakes like rice grains appear on the tongue connected to the tongue body, with a membrane the size of a pomegranate seed underneath, preventing speech and presenting as Goose Mouth. This is named Goose Mouth. Baoming San Formula:
Cinnabar (Zhu Sha, ground fine, levigated with water, dried) Alum (Bai Fan, burnt to ash. Each 1 fen) Natrii Sulfas (Ma Ya Xiao, half liang, finely ground)
Re-grind all ingredients together until fine. Take one zi dose each time. Take white goose feces, stir with water to extract juice, mix with medicine, and apply to the tongue, chin, and inner cheeks. Before applying medicine, first use a finger wrapped with disordered hair to wipe the debris off the tongue, then apply the medication.
*Kong Shi Jia Chuan* for treating infant Goose Mouth:
Use mulberry juice, apply with fresh cotton wadding. (Ri Hua Zi suggests grinding the east-facing root of the mulberry tree to extract juice.)