（附论）
夫热病发汗吐下之后。表里俱虚。毒瓦斯未除。伏热在脏。热毒乘虚。攻于心脾。上焦烦
壅。头痛咽干。故口舌生疮也。
方
犀角散（出圣惠方）治热病口疮。心神烦躁。大小便壅滞。宜服。
犀角屑 甘草（炙微赤锉各半两） 黄连（去须） 川大黄（锉碎微炒） 黄芩 川朴
硝（各
一两） 川升麻（七分） 麦门冬（一两半去心焙） 上为粗散。每服三钱。以水一中盏。
煎至
六分。去滓温服。如人行十余里再服。以利为度。
川升麻散（出圣惠方）治热病口疮。壮热头痛。心神烦躁。宜服。
川升麻 玄参 黄连（去须） 大青 知母 黄芩（各一两） 柴胡（一两半去苗） 甘
草
（炙微赤锉） 地骨皮（各三分） 上为粗散。每服三钱。以水一中盏。入淡竹叶三七片。
煎至
六分。去滓。不计时候。温服。
大青散（出圣惠方）治热病。心脏壅热。口内生疮。宜服。
大青 沙参（去芦头） 川升麻 川大黄（锉碎微炒各一分） 黄芩 枳壳（麸炒微黄
各半
两） 生干地黄（一两） 川朴硝（三分） 上为散。每服四钱。以水一中盏。煎至六分。
去滓。
不计时候。温服。
犀角煎（出圣惠方）治热病。咽喉赤肿。口内生疮。不能下食。宜服。
犀角屑 川升麻 川大黄（锉碎微炒） 黄药子 马牙硝 黄柏（锉各半两） 上为散。
以
水四大盏。煎至一大盏。去滓。入蜜三合。相和。更煎一两沸。放温。徐徐含咽。
龙胆煎（出圣惠方）治热病。口疮发歇。疼痛不可忍。宜涂。
龙胆草（去芦头） 黄连（去须） 川升麻 槐白皮（锉） 大青（各一两） 竹叶 蔷
薇根
（锉各三两） 上细锉。都以水五大盏。煎至一大盏。去滓。入蜜三合。漫火煎成膏。涂于
疮
上。有涎吐之。
石膏煎（出圣惠方）治热病口疮。洗心除热。去喉中鸣。宜服。
石膏（半斤细研） 蜜 地黄汁（各一中盏） 上以水三大盏。先煮石膏取一盏。乃纳
蜜及
地黄汁复煎。取一盏。去滓。每服抄一匙。含咽。
治热病口疮。久不愈方。
天门冬（一两半去心焙） 升麻 玄参（各一两） 上为末。炼蜜和丸如弹子大。每服
以新
绵薄裹一丸。含咽津。
又方（出圣惠方）
川升麻 黄药子（各一两） 川大黄（一两半锉碎微炒） 黄丹（半两） 上为末。炼
蜜和丸
如弹子大。每服以新绵薄裹一丸。含咽津。
治热病。口疮赤肿。疼痛不可忍。（出圣惠方）
黄柏（一两末） 腻粉（一钱） 马牙硝（一两末） 上件药相和令匀。每服少许。贴
于疮上。
有涎吐却。日三两次上用。
治热病。口疮赤肿。疼痛不可忍方。（出圣惠方）
蔷薇根（二两锉） 黄柏（一两半锉） 马牙硝（一两） 上件药。都以水二大盏半。
煎至一
盏半。去滓。温含冷吐。
治热病口疮不饮方。（出圣惠方）
牛膝（去苗） 角蒿（各一两） 黄柏（半两锉） 上细锉。都以水二大盏。煎取一盏
半。去
滓。温含冷吐。
治热病口疮方。（出圣惠方）
黄连（一分去须） 槐白皮 甘草根（各半两） 上细锉。用水一大盏。煎取一盏半。
去滓。
温含冷吐。
石胆散（出圣惠方）治热病。口舌生疮。
石胆（半两） 马牙硝（一两） 黄连（半两去须） 龙脑（一钱） 黄柏（锉） 角
蒿（各一两）
上为细散。入龙脑、石胆、马牙硝、等。更研细。每取半钱。用新绵薄裹。含良久。有涎即
吐之。
酥蜜煎（出圣惠方）治热病热盛。口中生疮。
酥 蜜（各三合） 大青（一两） 上先将大青捣罗为末。入酥蜜中。搅和匀。慢火煎
三两
沸。入净器盛。不计时候。含一茶匙。
【附论】
热病在发汗、催吐或泻下治疗之后，表证与里证均呈现虚损状态。体内的毒邪尚未清除，伏留的热邪藏于脏腑之中。热毒趁机体虚弱之际，侵袭心脾两脏，导致上焦气机烦闷壅滞，出现头痛、咽喉干燥等症状，从而导致口腔和舌头上生疮。
方剂
犀角散（出自《圣惠方》）：治疗热病引起的口疮。症见心神烦躁，大小便不通畅。适宜服用。
药材：犀角屑、甘草（炙至微红并切碎，各半两）、黄连（去除须根）、川大黄（切碎并微炒）、黄芩、川朴硝（各一两）、川升麻（七分）、麦门冬（一两半，去心后焙干）。
制法与用法：将上述药物捣成粗散。每次服用三钱，加水一中盏，煎煮至剩余六分药液，滤去药渣，温服。如果步行约十里路的时间后再次服用，以大便通畅为度。
川升麻散（出自《圣惠方》）：治疗热病引起的口疮。症见高热、头痛、心神烦躁。适宜服用。
药材：川升麻、玄参、黄连（去除须根）、大青、知母、黄芩（各一两）、柴胡（一两半，去苗）、甘草（炙至微红并切碎）、地骨皮（各三分）。
制法与用法：将上述药物捣成粗散。每次服用三钱，加水一中盏，加入淡竹叶三十余片，煎煮至剩余六分药液，滤去药渣，不限时间，温服。
大青散（出自《圣惠方》）：治疗热病。症见心脏壅滞有热，口腔内生疮。适宜服用。
药材：大青、沙参（去芦头）、川升麻、川大黄（切碎并微炒，各一分）、黄芩、枳壳（麸炒至微黄，各半两）、生干地黄（一两）、川朴硝（三分）。
制法与用法：将上述药物研为散剂。每次服用四钱，加水一中盏，煎煮至剩余六分药液，滤去药渣，不限时间，温服。
犀角煎（出自《圣惠方》）：治疗热病。症见咽喉红肿，口腔内生疮，无法进食。适宜服用。
药材：犀角屑、川升麻、川大黄（切碎并微炒）、黄药子、马牙硝、黄柏（切碎，各半两）。
制法与用法：将上述药物研为散剂。加水四大盏，煎煮至一大盏，滤去药渣，加入蜂蜜三合，混合均匀，再煮沸一两分钟，放温后，慢慢含咽。
龙胆煎（出自《圣惠方》）：治疗热病。口疮时发时止，疼痛难忍。适宜涂抹。
药材：龙胆草（去芦头）、黄连（去除须根）、川升麻、槐白皮（切碎）、大青（各一两）、竹叶、蔷薇根（切碎，各三两）。
制法与用法：将上述药物细细切碎，全部加水五大盏，煎煮至一大盏，滤去药渣，加入蜂蜜三合，用微火煎制成膏状，涂抹于疮面上。若有唾液分泌，则吐出。
石膏煎（出自《圣惠方》）：治疗热病口疮。具有清心除热、消除喉中鸣响的功效。适宜服用。
药材：石膏（半斤，细研）、蜜、地黄汁（各一中盏）。
制法与用法：加水三大盏，先煮石膏取出一盏药液，然后加入蜜及地黄汁，再次煎煮，取出一盏药液，滤去药渣。每次取一匙，含咽。
治疗热病口疮，久治不愈的方剂。
药材：天门冬（一两半，去心后焙干）、升麻、玄参（各一两）。
制法与用法：将上述药物研为末，用炼蜜调和，制成如弹子大小的丸剂。每次取一丸，用新棉布薄薄包裹，含在口中，让津液慢慢吞咽。
又一方（出自《圣惠方》）
药材：川升麻、黄药子（各一两）、川大黄（一两半，切碎并微炒）、黄丹（半两）。
制法与用法：将上述药物研为末，用炼蜜调和，制成如弹子大小的丸剂。每次取一丸，用新棉布薄薄包裹，含在口中，让津液慢慢吞咽。
治疗热病，口疮红肿，疼痛难忍。（出自《圣惠方》）
药材：黄柏（一两，研末）、腻粉（一钱）、马牙硝（一两，研末）。
制法与用法：将上述药物混合均匀。每次取少许，贴敷于疮面上。若有唾液分泌，则吐出。每日使用二至三次。
治疗热病，口疮红肿，疼痛难忍的方剂。（出自《圣惠方》）
药材：蔷薇根（二两，切碎）、黄柏（一两半，切碎）、马牙硝（一两）。
制法与用法：将上述药物全部加水二大盏半，煎煮至一盏半，滤去药渣，温热含漱，冷却后吐出。
治疗热病口疮且不饮水的方剂。（出自《圣惠方》）
药材：牛膝（去苗）、角蒿（各一两）、黄柏（半两，切碎）。
制法与用法：将上述药物细细切碎，全部加水两大盏，煎取一盏半，滤去药渣，温热含漱，冷却后吐出。
治疗热病口疮的方剂。（出自《圣惠方》）
药材：黄连（一分，去除须根）、槐白皮、甘草根（各半两）。
制法与用法：将上述药物细细切碎，用水一大盏，煎取一盏半，滤去药渣，温热含漱，冷却后吐出。
石胆散（出自《圣惠方》）：治疗热病，口舌生疮。
药材：石胆（半两）、马牙硝（一两）、黄连（半两，去除须根）、龙脑（一钱）、黄柏（切碎）、角蒿（各一两）。
制法与用法：将上述药物研为细散，加入龙脑、石胆、马牙硝等，再次研磨细腻。每次取半钱，用新棉布薄薄包裹，含在口中良久，有唾液即吐出。
酥蜜煎（出自《圣惠方》）：治疗热病热盛，口中生疮。
药材：酥、蜜（各三合）、大青（一两）。
制法与用法：先将大青捣碎过筛为末，加入酥蜜中，搅拌均匀，用慢火煎煮三沸，装入干净容器中，不限时间，每次含一茶匙。
[Attached Discussion]
After the treatment of heat diseases with sweating, vomiting, or purging methods, both the exterior and interior aspects become deficient. The pathogenic toxins have not been eliminated, and latent heat remains hidden within the zang-fu organs. The heat-toxin takes advantage of this deficiency to attack the Heart and Spleen, causing stagnation and oppression in the Upper Jiao (Upper Burner), resulting in headache, dry throat, and consequently, sores on the mouth and tongue.
Formulas
Xijiao San (Rhino Horn Powder) [From *Shenghui Fang*]: Treats oral ulcers caused by heat diseases. Symptoms include mental restlessness and agitation, and obstruction/stagnation of urination and defecation. Suitable for administration.
Ingredients: Rhinoceros Horn fragments (Xijiao), Licorice Root (Gancao, roasted until slightly red and chopped, each 0.5 liang), Coptis Rhizome (Huanglian, remove roots), Rhubarb (Chuan Dahuang, chopped and lightly stir-fried), Scutellaria Root (Huangqin), Mirabilite (Chuan Puxiao, each 1 liang), Cimicifuga Rhizome (Chuan Shengma, 0.7 fen), Ophiopogon Tuber (Mendong, 1.5 liang, heart removed and baked).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 3 qian per dose, add one zhongzhan of water, decoct until six parts remain, filter out the dregs, and take warm. If taken after walking for about ten li, repeat until bowel movement is unobstructed.
Chuan Shengma San (Cimicifuga Rhizome Powder) [From *Shenghui Fang*]: Treats oral ulcers caused by heat diseases. Symptoms include high fever, headache, mental restlessness, and agitation. Suitable for administration.
Ingredients: Cimicifuga Rhizome (Chuan Shengma), Scrophularia Root (Xuanshen), Coptis Rhizome (Huanglian, remove roots), Isatis Leaf (Daqing), Anemarrhena Rhizome (Zhimu), Scutellaria Root (Huangqin, each 1 liang), Bupleurum Root (Chaihu, 1.5 liang, remove seedlings), Licorice Root (Gancao, roasted until slightly red and chopped), Cortex Lycii (Dugupi, each 3 fen).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 3 qian per dose, add one zhongzhan of water, add thirty-plus slices of light bamboo leaves, decoct until six parts remain, filter out the dregs, and take warm at any time.
Daqing San (Isatis Leaf Powder) [From *Shenghui Fang*]: Treats heat diseases. Symptoms include heat stagnation in the Heart and oral ulcers. Suitable for administration.
Ingredients: Isatis Leaf (Daqing), Codonopsis Root (Shashen, remove rhizome head), Cimicifuga Rhizome (Chuan Shengma), Rhubarb (Chuan Dahuang, chopped and lightly stir-fried, each 1 fen), Scutellaria Root (Huangqin), Aurantium Fructus (Zhike, bran-roasted until slightly yellow, each 0.5 liang), Rehmannia Root (Sheng Gan Dihuang, 1 liang), Mirabilite (Chuan Puxiao, 3 fen).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose, add one zhongzhan of water, decoct until six parts remain, filter out the dregs, and take warm at any time.
Xijiao Jian (Rhino Horn Decoction) [From *Shenghui Fang*]: Treats heat diseases. Symptoms include redness and swelling of the throat, oral ulcers, and inability to eat. Suitable for administration.
Ingredients: Rhinoceros Horn fragments (Xijiao), Cimicifuga Rhizome (Chuan Shengma), Rhubarb (Chuan Dahuang, chopped and lightly stir-fried), Dioscorea Hypoglauca Rhizome (Huangyaozi), Niter (Mayaxiao), Phellodendron Bark (Huangbai, chopped, each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Add four dalians of water, decoct until one dalian remains, filter out the dregs, add three he of honey, mix well, boil for one or two more boils, let cool to warm, and slowly hold in the mouth to swallow.
Longdan Jian (Gentian Decoction) [From *Shenghui Fang*]: Treats heat diseases. Oral ulcers that come and go, with unbearable pain. Suitable for external application.
Ingredients: Gentian Root (Longdancao, remove rhizome head), Coptis Rhizome (Huanglian, remove roots), Cimicifuga Rhizome (Chuan Shengma), Catalpa Bark (Huai Baipi, chopped), Isatis Leaf (Daqing, each 1 liang), Bamboo Leaves (Zhuye), Rosa Rugosa Root (Qiangweigen, chopped, each 3 liang).
Preparation and Administration: Finely chop the above ingredients, add five dalians of water, decoct until one dalian remains, filter out the dregs, add three he of honey, and simmer over low fire to form a paste. Apply to the sores. Spit out saliva if produced.
Shigao Jian (Gypsum Decoction) [From *Shenghui Fang*]: Treats oral ulcers caused by heat diseases. Clears the Heart and removes heat, eliminates ringing in the throat. Suitable for administration.
Ingredients: Gypsum (Shigao, 0.5 jin, finely ground), Honey (Mi), Rehmannia Juice (Dihuang Zhi, each one zhongzhan).
Preparation and Administration: Add three dalians of water, first decoct the gypsum to obtain one dalian of liquid, then add honey and Rehmannia juice, decoct again to obtain one dalian, filter out the dregs. Take one spoonful per dose, hold in the mouth and swallow.
Formula for treating persistent oral ulcers caused by heat diseases that do not heal for a long time.
Ingredients: Asparagus Tuber (Tianmendong, 1.5 liang, heart removed and baked), Cimicifuga Rhizome (Shengma), Scrophularia Root (Xuanshen, each 1 liang).
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey to make pills the size of a bullet. Wrap one pill thinly in new cotton cloth per dose, hold in the mouth, and swallow with saliva.
Another Formula [From *Shenghui Fang*]
Ingredients: Cimicifuga Rhizome (Chuan Shengma), Dioscorea Hypoglauca Rhizome (Huangyaozi, each 1 liang), Rhubarb (Chuan Dahuang, 1.5 liang, chopped and lightly stir-fried), Lead Monoxide (Huangdan, 0.5 liang).
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey to make pills the size of a bullet. Wrap one pill thinly in new cotton cloth per dose, hold in the mouth, and swallow with saliva.
Treating heat diseases, red and swollen oral ulcers with unbearable pain. [From *Shenghui Fang*]
Ingredients: Phellodendron Bark (Huangbai, 1 liang, powdered), Calomelas (Nifen, 1 qian), Niter (Mayaxiao, 1 liang, powdered).
Preparation and Administration: Mix the above ingredients evenly. Take a small amount per dose and apply to the sore. Spit out saliva. Use two to three times a day.
Formula for treating heat diseases, red and swollen oral ulcers with unbearable pain. [From *Shenghui Fang*]
Ingredients: Rosa Rugosa Root (Qiangweigen, 2 liang, chopped), Phellodendron Bark (Huangbai, 1.5 liang, chopped), Niter (Mayaxiao, 1 liang).
Preparation and Administration: Add two and a half dalians of water to the above ingredients, decoct until one and a half dalians remain, filter out the dregs. Hold warm in the mouth and spit out when cool.
Formula for treating heat disease oral ulcers without drinking water. [From *Shenghui Fang*]
Ingredients: Achyranthes Root (Niuxi, remove seedlings), Kochia Seedling (Jiaohao, each 1 liang), Phellodendron Bark (Huangbai, 0.5 liang, chopped).
Preparation and Administration: Finely chop the above ingredients, add two dalians of water, decoct to obtain one and a half dalians, filter out the dregs. Hold warm in the mouth and spit out when cool.
Formula for treating heat disease oral ulcers. [From *Shenghui Fang*]
Ingredients: Coptis Rhizome (Huanglian, 1 fen, remove roots), Catalpa Bark (Huai Baipi), Licorice Root (Gancao Gen, each 0.5 liang).
Preparation and Administration: Finely chop the above ingredients, add one dalian of water, decoct to obtain one and a half dalians, filter out the dregs. Hold warm in the mouth and spit out when cool.
Shidan San (Stone Gall Powder) [From *Shenghui Fang*]: Treats heat diseases, oral and lingual ulcers.
Ingredients: Stone Gall (Shidan, 0.5 liang), Niter (Mayaxiao, 1 liang), Coptis Rhizome (Huanglian, 0.5 liang, remove roots), Borneol (Longnao, 1 qian), Phellodendron Bark (Huangbai, chopped), Kochia Seedling (Jiaohao, each 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder, add Borneol, Stone Gall, Niter, etc., and grind again until fine. Take half a qian per dose, wrap thinly in new cotton cloth, hold in the mouth for a long time, and spit out saliva.
Sumi Jian (Butter and Honey Decoction) [From *Shenghui Fang*]: Treats heat diseases with excessive heat, oral ulcers.
Ingredients: Butter (Su), Honey (Mi, each three he), Isatis Leaf (Daqing, 1 liang).
Preparation and Administration: First crush and sieve Isatis Leaf into powder, add to butter and honey, mix evenly, simmer over low fire for three boils, store in a clean container. Hold one tea spoonful in the mouth at any time.