《巢氏病源》小儿舌上疮候∶心候于舌,若心脏有热,则舌上生疮也。
《本草》治小儿舌上生疮,饮乳不得。
上以白矾和鸡子置醋中,涂足底二七即愈。
《千金》治小儿舌上疮方。
上以蜂房烧灰,屋间尘各等分,和匀敷之。
《千金》又方
又以桑白汁涂乳,与儿饮之。
《千金》又方
上以羊蹄骨中生髓,和胡粉敷之。
《千金》∶舌主心脏,热即应舌生疮裂破,引唇揭赤,升麻煎泄热方。
蜀升麻 射干(各三两) 柏叶(切,一升) 大青(二两) 苦竹叶(切) 地黄汁(各五合) 生芦根 蔷薇
根白皮(各五两) 生元参汁(三合) 赤蜜(八合)
上十味 咀,以水四升,煮取一升,去滓,下元参汁,令两沸,次下地黄汁,两沸,次下蜜,煎取一升七
合,绵惹取汁安舌上含,细细咽之。
《外台》∶《短剧》小儿舌上疮方。
上以乌贼鱼骨烧末。以鸡子黄和涂之,至喉咽舌下遍敷,即瘥止。
《婴孺》治小儿舌疮方。
上烧葵根为灰,每用少许敷之。
张锐《鸡峰方》治口舌生疮久不瘥。
上野蔷薇根锉碎。每用一匙头,以水二盏同煎至六分,去滓,热含,冷即吐了。
《张氏家传》治大人、小儿口舌上生疮方。
龙脑(半分) 寒水石(半两,烧,细研)
上每掺于舌上少许。
《吉氏家传》治生下来三、五日烂舌上白疮,吃奶啼叫,敷涎膏方。
黄丹(一分) 轻粉(一钱) 蜜(少许)
上三味同匀,去饭上蒸一度,鹅毛扫入口舌上,一二次安。
《巢氏病源》中关于小儿舌上疮的论述:心开窍于舌,如果心脏有热邪,就会导致舌头上生疮。
《本草》记载治疗小儿舌头上生疮、喝奶困难的方法。
以上述方法(指前文提到的白矾和鸡蛋在醋中处理),将药涂在脚底,涂抹七次即可痊愈。
《千金方》治疗小儿舌上疮的方剂。
以上述方法,将蜂房烧成灰,与屋檐下的灰尘各取等份,混合均匀后敷在患处。
《千金方》又一方
再用桑树的白色汁液涂抹乳头,让婴儿吸吮饮用。
《千金方》又一方
以上述方法,取羊蹄骨中间的骨髓,混合胡粉敷在患处。
《千金方》指出:舌由心所主,若有热邪则应在舌上生疮、破裂,牵引嘴唇红肿翘起。此为升麻煎泄热方。
蜀地升麻 射干(各三两) 柏叶(切碎,一升) 大青(二两) 苦竹叶(切碎) 地黄汁(各五合) 生芦根 蔷薇根白皮(各五两) 生玄参汁(三合) 赤蜜(八合)
以上十味药材,咬碎或锉碎,用水四升,煮取一升药液,去掉药渣,加入玄参汁,煮沸两次,接着加入地黄汁,煮沸两次,再加入蜂蜜,煎取一升七合药液。用绵絮蘸取药汁涂在舌上含漱,细细咽下。
《外台秘要》引用《短剧》中治疗小儿舌上疮的方剂。
以上述方法,将乌贼鱼骨烧成粉末。用鸡蛋黄调和涂抹,直至咽喉、舌头下方全部敷到,即可痊愈停止。
《婴孺书》治疗小儿舌疮的方剂。
以上述方法,将葵菜根烧成灰,每次取少许敷在患处。
张锐《鸡峰普济方》治疗口舌生疮长久不愈。
以上述方法,野蔷薇根锉碎。每次取一匙头量,与水两盏同煎至六分水量,去掉药渣,趁热含漱,变冷后即吐出。
《张氏家传》治疗大人、小儿口舌上生疮的方剂。
龙脑(半分) 寒水石(半两,烧过,细研)
以上每取少许撒在舌上。
《吉氏家传》治疗出生后三、五天舌上出现白色烂疮,吃奶时啼哭叫唤,敷涎膏的方剂。
黄丹(一分) 轻粉(一钱) 蜜(少许)
以上三味药混合均匀,放在饭上蒸一次,用鹅毛扫入口舌上,一至二次即可安愈。
According to *Chao Shi Bing Yuan* (Source of Diseases by Master Chao) regarding the syndrome of sores on the tongue in infants and children: The heart opens into the tongue; if there is heat in the Heart, sores will arise on the tongue.
*Ben Cao* records treatments for infants and children with sores on the tongue who are unable to suckle milk.
Apply the aforementioned preparation (white alum and egg processed in vinegar) to the soles of the feet. Apply seven times, and it will heal.
*Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) provides a formula for treating sores on the tongue in infants and children.
Take bee comb (Apis cerana nest), burn it to ash, and mix it with an equal amount of dust from the eaves. Mix evenly and apply topically.
*Qian Jin Fang*, another prescription
Apply the white juice of mulberry bark to the nipple, allowing the infant to suckle and drink it.
*Qian Jin Fang*, another prescription
Take the marrow from the bones of sheep hooves, mix it with Bai Fen (Lead Carbonate, historically used but toxic; modern context implies a specific traditional powder, often associated with lead or zinc compounds in ancient texts, here kept as Hufen/White Powder), and apply topically.
*Qian Jin Fang* states: The tongue is governed by the Heart. Heat manifests as sores and fissures on the tongue, drawing the lips to become red and swollen. This is the Shengma Decoction to drain heat.
Sheng Ma (Rhizoma Cimicifugae) [3 liang], She Gan (Radix Belamcandae) [3 liang], Bai Ye (Cacumen Platycladi) [1 sheng, cut], Da Qing (Radix Isatidis) [2 liang], Ku Zhu Ye (Folium Bambusae) [cut], Di Huang Zhi (Succus Rehmanniae Recens) [5 he], Sheng Lu Gen (Rhizoma Phragmitis Recens) [5 liang], Qiang Wei Gen Bai Pi (Cortex Rosae Rugosae Albus) [5 liang], Xuan Shen Zhi (Succus Scrophulariae Recens) [3 he], Chi Mi (Mel Rubrum) [8 he].
These ten ingredients are crushed. Boil in four sheng of water until one sheng remains. Strain out the dregs. Add Xuan Shen Zhi and boil twice. Then add Di Huang Zhi and boil twice. Finally, add the honey and simmer until one sheng and seven he remain. Dip cotton wool in the decoction, apply to the tongue, hold in the mouth, and swallow slowly.
*Wai Tai Mi Yao* (Prescriptions from the Imperial Library) cites *Duan Ju* regarding a formula for sores on the tongue in infants and children.
Burn Sepia Shell (Os Sepiae) to powder. Mix with Egg Yolk (Ovi Collyrium) and apply. Spread thoroughly over the throat, tongue, and sublingual area. It will heal immediately.
*Ying Ru Shu* provides a formula for treating sores on the tongue in infants and children.
Burn Kai Gen (Radix Malvae) to ash. Take a small amount and apply topically each time.
Zhang Rui’s *Ji Feng Pu Ji Fang* treats chronic sores in the mouth and tongue that do not heal.
Crush Wild Rose Root (Radix Rosae Rugosae). Use one spoonful per dose. Boil with two cups of water until reduced to six-tenths. Strain. Hold the hot liquid in the mouth; spit it out when it cools.
*Zhang Shi Jia Chuan* provides a formula for sores in the mouth and tongue of adults and children.
Long Nao (Borneolum Syntheticum) [0.5 fen], Han Shui Shi (Arseniosum Hydroxidum Rubrum / Calcined Arsenolite) [0.5 liang, calcined and finely ground].
Sprinkle a small amount onto the tongue each time.
*Ji Shi Jia Chuan* provides a formula for applying paste to treat white, ulcerated sores on the tongue appearing three to five days after birth, accompanied by crying during feeding.
Huang Dan (Minium / Lead Tetroxide) [1 fen], Qing Fen (Calomel / Mercurous Chloride) [1 qian], Mi (Mel) [a little].
Mix these three ingredients evenly. Steam once over rice. Apply to the mouth and tongue using a goose feather brush. One or two applications will suffice.