巢氏云∶心候于舌而主血，脾络脉又出舌下，心火脾土二脏，子母也。有热即
血气俱盛，其状，附舌下近舌根，形如舌而短，名重舌。指爪摘断及苇刀子割法，
见前拭口法条。《惠眼》鹅口、重舌、重 、口疮，皆上焦热，因受胎时大受极热，
急以鸡内金为末干掺口内，及朱砂膏、地黄膏、轮流掺之，仍服天竺黄散。
地黄膏
郁金（皂荚水煮干，切，焙） 豆粉（各半两） 甘草（一分，炙） 马牙硝（研，一钱）
生地黄汁、蜂蜜对合，熬成膏和药。每服两皂子大，香熟水含化，或鹅翎扫口内。
金朱饮 治惊壮热，伤寒伏热，上焦虚热，重舌口鼻生疮致赤眼方。（本名天竺黄散）
川郁金（锉，皂荚水煮干。细者、如胆状，佳） 天竺黄 甘草（炙） 马牙硝（各半两）
朱砂（一分，研） 蝉壳（十四个，水洗去土） 麝香（少许）
上为末。每服半钱至一钱，蜜汤调下。
《千金》治法，总前垂痈门。刺去血汁后，盐汤洗拭，一字散涂刷，法同前条。
茅先生云∶心热壅滞，先用朱砂膏（见惊积门）涂舌上，后用牛黄膏（见膈热门。）
《圣惠》牛黄散 （一方，无前三味，有玄明粉）
牛黄 白龙脑 朱砂（各一分） 铅霜（半两） 太阴玄精石（一两）
上细研为散。先于肿处、以针铍破出血，盐汤洗拭口后，掺药，神效。
巢元方说：心在舌上有所表现，并主管血液；脾的络脉也出于舌下。心和脾两脏，是母子关系（心为母，脾为子）。如果有热邪，就会导致血和气都亢盛。其症状表现为：在舌下靠近舌根处，长出像舌头一样但较短小的赘生物，称为重舌。用手指甲掐断或用苇叶刀割除的方法，见前面“拭口法”条目中。《惠眼经》记载：鹅口疮、重舌、重龈、口疮，都是上焦有热所致，这是因为胎儿在母体内时受到极大的热邪影响。应立即将鸡内金研成细末，干燥后撒入口内，以及使用朱砂膏、地黄膏，轮流撒布，同时仍要服用天竺黄散。
地黄膏
配方：郁金（用皂荚水煮熟后晒干，切片，焙干）半两，豆粉半两，甘草（炙）一分，马牙硝（研细）一钱。
制法：取生地黄汁和蜂蜜各半，混合熬制成膏，再加入上述药粉调和。每次服用如皂角子大小的量，用温热的熟水含化，或者用鹅毛翎扫涂于口内。
金朱饮 治疗受惊壮热、伤寒伏热、上焦虚热，以及因重舌、口鼻生疮导致眼睛发红的方剂。（原名天竺黄散）
配方：川郁金（锉碎，用皂荚水煮干。质地细的、形状像胆一样的为佳）半两，天竺黄半两，甘草（炙）半两，马牙硝（研细）半两，朱砂（研细）一分，蝉蜕（十四个，水洗去土）少许，麝香少许。
制法：以上药物研成细末。每次服用半钱至一钱，用蜜汤调服。
《千金方》的治疗方法，总括在前面的“垂痈门”中。针刺放出瘀血后，用盐汤清洗擦拭，再涂刷一字散，方法同前条。
茅先生云：心热壅滞，先用朱砂膏（见惊积门）涂在舌上，后用牛黄膏（见膈热门）。
《圣惠方》牛黄散 （一方，没有前三味药，含有玄明粉）
配方：牛黄一分，白龙脑一分，朱砂（研细）一分，铅霜半两，太阴玄精石一两。
制法：以上药物细细研磨成散剂。先在肿胀处，用针或铍刀刺破出血，用盐汤清洗擦拭口部后，撒上药粉，效果神奇。
Chao Yuanfang stated: The Heart manifests in the tongue and governs blood; the collateral vessels of the Spleen also emerge from under the tongue. The Heart and the Spleen are mother and child organs (the Heart is the mother, the Spleen is the child). When heat pathogens are present, both blood and Qi become hyperactive. The manifestation is a swelling attached to the underside of the tongue near the root, shaped like a tongue but shorter, named Chong She (Double Tongue). Methods for cutting it off with fingernails or reed knives can be found in the preceding section on "Mouth Wiping Method." The *Huiyan Jing* records that E Kou (Goose Mouth), Chong She (Double Tongue), Chong Yin (Double Gums), and Kou Chuang (Oral Ulcers) are all caused by Heat in the Upper Jiao, resulting from excessive heat exposure during fetal development. One should immediately apply powdered Ji Nei Jin (Chicken Gizzard Lining) dry into the mouth, as well as apply Zhu Sha Gao (Cinnabar Ointment) and Di Huang Gao (Rehmannia Ointment) alternately, while still administering Tian Zhu Huang San (Bambusae Caulis in Silicea Powder).
Di Huang Gao (Rehmannia Ointment)
Ingredients: Yu Jin (Curcumae Radix, boiled in soap pod water until dry, sliced, and roasted) 0.5 liang, Dou Fen (Bean Flour) 0.5 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 1 fen, Ma Ya Xiao (Natrii Sulfas Crystallizatus) 1 qian.
Preparation: Mix Sheng Di Huang Zhi (Fresh Juice of Rehmanniae Radix) and Feng Mi (Honey) in equal parts, boil down to an ointment consistency, then mix with the medicinal powders. Take an amount the size of a soap seed each time, dissolve in warm cooked water, or sweep into the mouth with a goose feather.
Jin Zhu Yin (Gold and Cinnabar Drink)
Indications: Treats fright-induced high fever, latent heat from Shang Han (Cold Damage), deficiency-heat in the Upper Jiao, and red eyes caused by Chong She (Double Tongue) and oral/nasal ulcers. (Originally named Tian Zhu Huang San).
Ingredients: Chuan Yu Jin (Curcumae Radix, crushed, boiled in soap pod water until dry; fine texture resembling gallbladder shape is preferred) 0.5 liang, Tian Zhu Huang (Bambusaе Caulis in Silicea) 0.5 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma, fried) 0.5 liang, Ma Ya Xiao (Natrii Sulfas Crystallizatus) 0.5 liang, Zhu Sha (Cinnabaris, pulverized) 1 fen, Chan Ke (Periostracum Cicadae) 14 pieces (washed clean of soil), She Xiang (Moschus) a small amount.
Preparation: Pulverize all ingredients into a fine powder. Take 0.5 qian to 1 qian each time, mixed with honey water for administration.
The treatment method in *Qian Jin Fang* is summarized in the preceding chapter on "Drooping Carbuncles." After acupuncture to drain blood, wash and wipe with salt water, then apply Yi Zi San (One-Character Powder) by brushing, following the same method as the previous section.
Mr. Mao stated: For stagnation due to Heart Heat, first apply Zhu Sha Gao (Cinnabar Ointment; see Fright Accumulation Chapter) to the tongue, then apply Niu Huang Gao (Calculus Bovis Ointment; see Diaphragm Heat Chapter).
Sheng Hui Fang Niu Huang San (Calculus Bovis Powder)
(One variation lacks the first three ingredients and contains Xuan Ming Fen instead.)
Ingredients: Niu Huang (Calculus Bovis) 1 fen, Bai Long Nao (Borneolum Syntheticum) 1 fen, Zhu Sha (Cinnabaris, pulverized) 1 fen, Qian Shuang (Plumbii Carbonas) 0.5 liang, Tai Yin Xuan Jing Shi (Selenitum) 1 liang.
Preparation: Finely grind all ingredients into a powder. First, puncture the swollen area with a needle or scalpel to release blood, wash and wipe the mouth with salt water, then sprinkle the powder. This yields miraculous effects.