木舌者，舌肿渐渐粗大满口，不急治，即塞杀人也。〔曾〕木舌者，舌肿硬而
妨乳食，此为风热盛也，以当归散、泻黄散、玉露饮，皆可服之，次消黄散点擦舌
上。盖舌者，心之管，心热则生疮破裂，肝壅则血出如涌，脾闭则白胎如雪，热则
肿满，风则强木，口合不开，四肢壮热，气喘语塞，即其候也。治法，凉解上焦及
心肝脾三经邪热，疏风化痰，初用百解散加五和汤，水姜灯心煎投，次以牛蒡汤同
当归散，入生地黄水姜煎服。治法用《局方》中紫雪二钱半，竹沥半合和之，时时
抹入口中，自消。百草霜、滑石、芒硝、为末，酒调敷。
泻黄散（脾） 玉露饮（积热）
消黄散 治风热上攻，舌硬肿大不消。
风化朴硝 真蒲黄（各半两）
上，蒲黄晒干为末，同朴硝乳钵内细研匀。每用一字或半钱，点揩舌上下。
百解散（急惊） 五和汤（失血） 牛蒡汤（咽喉）
川硝散 治小儿木舌。
朴硝（一两） 真紫雪（五钱） 食盐（二钱半）
上为细末。每服五分，入竹沥三两点，用白汤调涂舌上。咽津无妨。
《本草》治小儿舌上疮，饮乳不得。以白矾和鸡子置醋中，涂足底，二七即愈。《千
金方》以蜂房烧灰、屋间尘各等分，和匀，敷之。又以桑白汁涂乳，与儿饮
之。又以羊蹄骨中生体和胡粉敷之。《外台·短剧》以乌贼鱼骨烧末，鸡子黄
和，涂之。《婴孺》烧葵根为灰，每日少许敷之。《张鸡峰方》野蔷薇根，锉碎，
每用一匙头，以水二盏，煎至六分，去滓，热含，冷即吐了。治口舌生疮，久
不瘥。
木舌，是指舌头肿胀并逐渐变大，直至充满整个口腔，如果不及时救治，会导致窒息死亡。〔曾氏〕认为：木舌表现为舌头肿胀僵硬，妨碍吃奶和进食，这是由于风热邪气亢盛所致，可以服用当归散、泻黄散或玉露饮，随后用消黄散点涂擦拭舌面。因为舌是心之苗窍（心之外候），心热则生疮破裂，肝气壅滞则出血如涌，脾气闭塞则舌苔白厚如雪，热盛则肿胀满口，风盛则舌体强硬如木，导致口不能张开，伴有四肢壮热、气喘、言语不清等症状，这些都是其证候表现。治疗方法为：清解上焦及心、肝、脾三经的邪热，疏风化痰。初期使用百解散加五和汤，加水、生姜、灯心草煎服；随后用牛蒡汤配合当归散，加入生地黄、生姜煎服。治疗也可采用《太平惠民和剂局方》中的紫雪二钱半，与竹沥半合混合，时时涂抹入口中，症状自会消除。或者将百草霜、滑石、芒硝研为细末，用酒调匀后外敷。
泻黄散（主治脾经伏火） 玉露饮（主治积热）
消黄散 主治风热上攻导致的舌体僵硬肿大不消退。
风化朴硝 真蒲黄（各半两）
以上药物，将蒲黄晒干研为细末，同朴硝在乳钵内细细研磨均匀。每次取一字或半钱的量，点涂揩擦舌头的上下部位。
百解散（主治急惊风） 五和汤（主治失血） 牛蒡汤（主治咽喉病）
川硝散 主治小儿木舌。
朴硝（一两） 真紫雪（五钱） 食盐（二钱半）
以上药物研为细末。每次服用五分，加入竹沥两三滴，用温水调匀后涂抹于舌上。吞咽津液无妨。
〔朱丹溪〕说：舌上生出如微粒状的疮疹，用桑白皮汁外敷，两三次即可见效。
《本草》记载治疗小儿舌上生疮，无法吸吮乳汁的方法：将白矾与鸡蛋一起放入醋中浸泡，涂抹于足底，十四天后即可痊愈。《千金方》主张将蜂房烧成灰、屋檐下的灰尘各等分，混合均匀后外敷。又或用桑白皮汁涂抹乳头，让婴儿吮吸。又或用羊蹄骨中间的髓混合胡粉外敷。《外台秘要·短剧方》主张将乌贼鱼骨烧成粉末，与鸡蛋黄混合后涂抹。《婴孺书》主张将葵根烧成灰，每日取少许外敷。《张鸡峰方》主张取野蔷薇根，切碎，每次取一匙头，用水两盏，煎至六分，去渣，趁热含漱，冷后即吐出。此法治疗口舌生疮，久治不愈者。
Mu She (Wooden Tongue) refers to the condition where the tongue swells and gradually enlarges until it fills the entire oral cavity. If not treated urgently, it can lead to suffocation and death. [Zeng] states that Mu She presents as a swollen and stiff tongue that interferes with suckling and eating; this is caused by excessive Wind-Heat. One may administer Danggui San (Angelica Powder), Xiehuang San (Drain Spleen Powder), or Yulu Yin (Jade Dew Decoction), followed by applying Xiaohuang San (Drain Yellow Powder) to wipe the tongue surface. The tongue is considered the sprout of the Heart; Heart Heat generates sores and rupture, Liver stagnation causes bleeding like a gush, Splei obstruction results in white coating like snow, Heat causes swelling and fullness, and Wind causes stiffness resembling wood, leading to an inability to open the mouth. Accompanying symptoms include high fever in the four limbs, panting, and speech impediment, which are characteristic signs. The treatment method involves cooling and resolving pathogenic heat in the Upper Jiao and the three meridians of the Heart, Liver, and Spleen, while dispersing Wind and transforming Phlegm. Initially, use Baijie San (Hundred Resolutions Powder) combined with Wuhe Tang (Five Harmonies Decoction), decocted with water, ginger, and Dengxincao (Juncus Effusus). Subsequently, use Niubang Tang (Arctium Decoction) together with Danggui San, added with Sheng Dihuang (Fresh Rehmannia Root) and ginger for oral administration. Alternatively, one may use Zi Xue (Purple Snow) from the *Ju Fang* (Formulas of the Bureau) two qian half, mixed with Banhe (half he) of Zhuli (Bamboo Juice), applied frequently into the mouth, which will resolve spontaneously. Another method involves grinding Baicaoshuang (Charred Herb Ash), Huashi (Talcum), and Mangxiao (Mirabilite) into powder, mixing with wine, and applying externally.
Xiehuang San (Targeting Spleen) Yulu Yin (Targeting Accumulated Heat)
Xiaohuang San Treats Wind-Heat attacking upward, causing stiff and swollen tongue that does not subside.
Fenghua Puxiao (Weathered Mirabilite) Zhen Puhuang (True Lygodii Spores) (each half liang)
Dry the Puhuang, grind into fine powder, and mix thoroughly with Puxiao in a mortar. Use one zi or half qian each time, dabbing and wiping the upper and lower surfaces of the tongue.
Baijie San (Targeting Acute Convulsion) Wuhe Tang (Targeting Blood Loss) Niubang Tang (Targeting Throat)
Chuanxiao San Treats pediatric Mu She.
Puxiao (One liang) Zhen Zi Xue (True Purple Snow) (Five qian) Yan Shi (Salt) (Two qian half)
Grind all into fine powder. Take five fen per dose, add two or three drops of Zhuli (Bamboo Juice), mix with warm water, and apply to the tongue. Swallowing saliva is harmless.
[Danxi] stated: For granule-like sores appearing on the tongue, apply juice from Sangbaipi (Morus Alba Bark); two or three applications yield excellent results.
The *Bencao* records a treatment for pediatric sores on the tongue preventing suckling: Mix Baifan (Alum) with a chicken egg, place in vinegar, and apply to the sole of the foot; healing occurs after fourteen days (two sevens). The *Qianjin Fang* suggests burning Fengfang (Honeycomb) to ash and collecting dust from room corners in equal parts, mixing them evenly for application. Another method is to apply Sangbaipi juice to the nipple for the infant to suck. Yet another is to mix Yangti Guzhongsheng (Medulla from Sheep's Hoof Bone) with Hufen (Lead White) for external application. The *Waitai Duanju* recommends burning Ouyu Gu (Cuttlefish Bone) to powder, mixing with Ji Dan Huang (Egg Yolk), and applying. The *Yingru* text suggests burning Kuigen (Malva Root) to ash and applying a small amount daily. The *Zhang Jifeng Fang* prescribes Ye Qiangweigen (Wild Rose Root), chopped finely; take one spoonful, decoct with two cups of water until reduced to six-tenths, strain, and gargle while hot; spit out when cool. This treats persistent mouth and tongue sores.