口中上 皮肿起。如囊盛水。名曰重 。牙床肿起。名曰重龈。俱以大针刺破去血。用蒲黄敷之。
耳内肿及耳外肿。耳外出脓。或间一日脓一出。或间二日脓一出。治宜用黄鳝。以刀斩断。滴血入耳数次。
或用天保采薇汤。
重舌者。舌下根复生如小舌也。木舌者。其舌肿硬填口也。皆由心脾热极。治用黄连、灶心土、木通、连翘
等分煎。犀角磨水和药服之。用朴硝、紫雪、白盐每五分。用竹沥调敷。即愈。
余于丙午科。同从弟铎再从侄谟乡试白下。侄忽患重舌。弟伴向外科。用刀刺破。流出如鸡蛋清。归寓又肿。
如此两回不愈。予执舌乃心苗立方。用黄连、黄芩、木通、枳壳、甘草二剂。舌消一半。喉痰忽壅。余揣必是误
用黄芩之弊。盖心火刑肺。肺已不安。误将肺泻。焉不痰壅。于是去黄芩。加五味二钱。一剂并愈。此因苗治脏。
照症立方。见药不可误用之一验也。
此候由肾气不足。两腿细小。膝骨肿大。如鹤膝之状。治宜屈膝散。或用六味地黄丸加牛膝、鹿茸。又有泻痢久而
成此症者。红肿作痛成脓。治用补中益气汤。如肿硬不痛而色白者。治不愈也。
四肢上或身上一处肿痛。或移动他处。色红不圆块。参差肿起。按之滚热。便是痛风。治用羌活、独活、五加皮、
威灵仙、秦艽、防风、桂枝、前胡。如下体。加牛膝。各一钱。煎服。数剂自愈。
邑庠方玉相幼子。左手左足各曲贴肉。痛屈不伸。用前方煎服五剂愈。如大人。须用酒煮。每夜尽量饮。每味一两
五钱。煮酒约五六斤。饮毕即愈。此余创方。屡效不爽。
口腔上腭黏膜肿胀隆起，像囊袋里盛着水一样，这种病名叫“重腭”。牙龈红肿隆起，名叫“重龈”。这两种情况都用大针刺破排出瘀血，然后敷上蒲黄粉。
耳内肿胀并波及耳外，或者耳外流脓，有时隔一天出一次脓，有时隔两天出一次脓。治疗适宜用黄鳝，用刀将其斩断，将滴出的血滴入耳中数次。或者使用天保采薇汤。
重舌病，是指舌头根部又长出一个小舌头样子的赘生物。木舌病，是指舌头肿胀变硬，填满口腔。这两种病都是由心脾热毒极盛引起的。治疗可用黄连、灶心土、木通、连翘等量煎煮，再用犀角磨成的水送服药物。另外，取朴硝、紫雪、白盐各五分，用竹沥调匀后外敷患处，即可痊愈。
我在丙午年科举考试期间，与堂弟夏铎、再从侄夏谟一同在南京参加乡试。我的侄子突然患上重舌病。他的弟弟带他去看外科医生，医生用刀刺破患处，流出像鸡蛋清一样的液体。回到住处后伤口又肿起来。这样反复两次都没有治愈。我坚持认为“舌为心之苗”，据此制定方剂，用了黄连、黄芩、木通、枳壳、甘草，服用两剂后，舌肿消退了一半。但随后喉咙里的痰突然壅塞严重。我推测这一定是误用黄芩造成的弊端。因为心火刑克肺金，肺脏已经不安稳，如果错误地泻肺，怎么会不导致痰液壅塞呢？于是去掉黄芩，加入二钱五味子，服用一剂后病症全部痊愈。这是因为根据“苗治脏”的理论，对照症状制定方剂，这是见到用药不可误用的一个验证案例。
这种证候是由于肾气不足，导致两条小腿细小，膝盖骨骼肿大，形状像鹤膝一样。治疗适宜用屈膝散，或者使用六味地黄丸加牛膝、鹿茸。又有因长期腹泻痢疾而发展成这种病症的，表现为红肿疼痛化脓，治疗用补中益气汤。如果肿块坚硬且不痛，颜色发白的，属于难治之症。
四肢或身体某一处出现肿痛，或者疼痛位置游走不定，皮肤色红但不是圆块状，而是参差不齐地肿胀隆起，按压时感觉滚烫，这就是痛风。治疗用羌活、独活、五加皮、威灵仙、秦艽、防风、桂枝、前胡，每味药各一钱，煎汤服用，几剂后即可自愈。
县学学生方玉相的小儿子，左手和左脚都弯曲紧贴肉体，疼痛导致无法伸直，用上述前方煎服五剂后痊愈。如果是成年人，必须用酒煮药，每晚尽量多喝。每味药一两五钱，煮酒大约五六斤，喝完即愈。这是我创制的方子，多次使用效果显著，从未失误。
The mucous membrane of the hard palate swells and protrudes, resembling a sac filled with water; this condition is named *Chong E* (Repetitive Palate). The gums swell and protrude, named *Chong Yin* (Repetitive Gums). Both conditions are treated by puncturing with a large needle to drain blood, followed by applying *Puhuang* (Cattail Pollen) powder.
Swelling occurs inside and outside the ear, or pus discharges from the ear. Pus may discharge every other day or every two days. Treatment is suitable using *Huangshan* (Eel): cut it with a knife and drip its blood into the ear several times. Alternatively, use *Tianbao Caiwei Tang* (Tianbao Caiwei Decoction).
*Chong She* (Repetitive Tongue) refers to a small tongue-like growth emerging from the root of the tongue. *Mu She* (Wooden Tongue) refers to the tongue swelling and becoming stiff, filling the mouth. Both result from extreme heat in the Heart and Spleen. Treatment uses equal parts of *Huanglian* (Coptis Rhizome), *Zaoxintu* (Furnace Hearth Earth), *Mutong* (Akebia Caulis), and *Lianqiao* (Forsythia Fruit) decocted, taken with water prepared from grinding *Xijiao* (Rhinoceros Horn). Additionally, apply *Puxiao* (Natrii Sulfas), *Zixue* (Purple Snow), and *Baiyan* (White Salt), each 0.5 fen, mixed with *Zhuli* (Bamboo Sap) for external application; recovery will follow.
In the Bingwu year, during the imperial examinations, I was in Nanjing with my cousin Xia Duo and second cousin once removed Xia Mo. My nephew suddenly suffered from *Chong She*. His brother took him to a surgeon, who pierced it with a knife, draining fluid resembling egg white. Upon returning to our lodging, it swelled again. This repeated twice without healing. I adhered to the theory that "the tongue is the sprout of the Heart" and formulated a prescription using *Huanglian*, *Huangqin* (Scutellaria Root), *Mutong*, *Zhiqiao* (Aurantii Fructus), and *Gancao* (Licorice Root). After two doses, the tongue swelling reduced by half. However, phlegm suddenly obstructed the throat. I deduced this was due to the misuse of *Huangqin*. Since Heart Fire insults Lung Metal, the Lung was already unstable; mistakenly purging the Lung would inevitably cause phlegm obstruction. Thus, I removed *Huangqin* and added 2 qian of *Wuweizi* (Schisandra Berry). After one dose, the illness resolved completely. This demonstrates the principle of treating the Zang organs via their sprouts and serves as a verification that medications must not be misused.
This syndrome arises from insufficiency of Kidney Qi, resulting in thin lower legs and swollen knee bones, resembling the shape of a crane's knee (*He Xi*). Treatment is suitable with *Quxi San* (Knee-Bending Powder) or *Liujun Dihuang Wan* (Six-Ingredient Rehmannia Pill) supplemented with *Niuxi* (Achyranthes Root) and *Lurong* (Deer Antler Velvet). Another variant develops from prolonged dysentery, presenting with redness, swelling, pain, and suppuration; treat with *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction). If the swelling is hard, painless, and pale in color, it is difficult to cure.
Swelling and pain occur on the limbs or a specific area of the body, potentially migrating to other locations. The skin is red but not round; the swelling is irregular and jagged. Pressing reveals intense heat; this is *Tong Feng* (Wind-Pain/Gout). Treatment uses *Qianghuo* (Notopterygii Rhizoma et Radix), *Duhuo* (Angelicae Pubescentis Radix), *Wujia Pi* (Acanthopanacis Cortex), *Weilingxian* (Syneilesis Herba), *Qinjiao* (Gentianae Macrophyllae Radix), *Fangfeng* (Saposhnikoviae Radix), *Guizhi* (Cinnamomi Ramulus), and *Qianhu* (Peucedani Radix), each 1 qian, decocted and taken orally. Several doses will lead to spontaneous recovery.
The young son of Fang Yuxiang, a county student, had his left hand and left foot curled tightly against his flesh, unable to extend due to pain. He was cured after five doses of the aforementioned formula. For adults, the herbs must be decocted in wine, consumed to capacity each night. Use 1.5 liang of each herb, boiling in approximately 5–6 jin of wine. Recovery follows completion of the drink. This is a formula I created, which has proven consistently effective.