夫大人小儿重舌候者。心脾有热故也。心候于舌而主血。脾之络脉又出舌下。心火脾土
二脏
舌。
方
红雪煎（出圣济总录）治心脾有热生重舌。
羚羊角（镑） 升麻 吴蓝 黄芩（去心） 芍药 人参 大青 淡竹叶（切各一两） 槟
榔
（为
碎煎）
葛根（各一两椎碎） 朴硝（研一升） 桑根白皮（一两） 枳壳（去瓤麸炒三分） 麝香
（研半两）
甘
五
升
煎
甚者蜜水调下一钱匕。食后服之。
石膏煎（出圣济总录）治心脾积热生重舌。及时行阴黄。丹石发动一切热毒。
石膏 凝水石 滑石（并碎各一斤） 郁金（研） 犀角镑屑（各一两） 黄芩（去黑
心五两）
升麻（三两） 山栀子（去皮二两） 黄连（去须三两） 芒硝（研一斤） 马牙硝（研半
两） 上先
以
五升。澄清。次入犀角、郁金、草药等。再煎至七升。去滓再煎。先下芒硝煎三两沸。次下
马牙硝搅令化。不住手搅良久。用一新瓦盆盛贮一两日凝结。每服一钱匕。用蜜水调下。大
人
牛黄散（出圣济总录）治重舌。
牛黄（研） 人参（各半两） 白茯苓（去黑皮三分） 大黄（锉炒半两） 当归（切
焙一分）
甘草（炙半两） 丹砂（研一分） 麝香（研半两） 上为细散。每服半钱匕。温水调下。
甚者加
至一钱匕。食后服。
朴麝散（出圣济总录）治重舌。及天行阴黄。丹石发动一切热毒。
朴硝（研五两） 麝香（研一分） 黄芩（去黑心半两） 山栀子（去皮一两） 甘草
（炙一分）
淡
入铛
中
一
如金
牛黄散（出圣惠方）治重舌。口中涎出水浆不收。
牛黄 龙脑 朱砂（各一分） 太阴玄精石（二两） 上细研为散。每度用药一（半）
钱。先
于重
芝隐方（出海上方）治重舌。或不能言。
干姜 蒲黄 上等分为末。干搽即愈。盖二药阴阳得中。宋度宗春月欲赏花饮宴。不意
一夜
黄柏汤 治舌肿及重舌。
黄柏 甘草（炙锉各一两） 上粗捣筛。每服三钱。水一盏。煎至七分。去滓。食后温
服。
治重舌
皂角刺（烧灰为末） 朴硝（少许细碾为末） 上先以手蘸水搽口内。并舌上下。将药
掺在
舌上
治重舌口中涎出方（出圣惠方）
驴乳（一升） 猪乳（一升） 上相和。煎至半升。不拘时候。服半匙。
蒲黄散（出危氏方）治重舌上戴。妨碍不能言。口中涎出。
用新真蒲黄罗细。数敷之。吐出又敷之立消。亦治舌肿。敷舌上。不过数上。愈。须真
者可
即愈
治重舌（出经验良方）
用竹沥渍黄柏。随时点舌上。
朴硝散（出经验良方）治重舌喉痹。
用朴硝、黄丹细散。掺重舌上。用竹筒以半钱许吹入喉中。即破吐涎而愈。甚者不过两
次。
又方（出经验良方）
用五灵脂一两。去砂石为细末。用米醋一大碗煎。旋噙漱口即安。
又方（出经验良方）
用皂角四五皮不蛀者。去皮弦炙令干。地上出火毒。荆芥穗少许。二味为细末。米醋调
涂肿
治重舌木舌（出危氏方）
用川乌尖、巴豆为末。米醋调刷患处即效。木舌须先服胜金散。开关窍。
治重舌口中涎出水浆不收（出圣惠方）
用簸箕舌烧为灰。细研。以温酒调下一钱。
又方（出圣惠方）
用伏龙肝研如粉。以牛蒡汁调敷之。效。
又方（出圣惠方）
用蛇蜕皮烧灰研令细。以少许敷之。效。一方治小儿重舌。烧蛇蜕皮为末。唾和涂舌上。
瘥
治重舌口中涎出方（出圣惠方）
上取田中蜂房。烧灰细研。以好酒和敷喉下。立愈。
杏仁膏（出圣惠方）治口舌热干。或舌上生苔。语言不真。
升麻 杏仁（去皮尖） 甘草（炙各一两） 黑豆（五十粒去皮） 上为细末。入白蜜
五合。
生地
薄荷蜜煎（出澹寮方）治舌上生苔。苔干涩语话不真。
白蜜 薄荷自然汁（各等分） 上以生姜片先蘸水揩洗。再用朱砂、雄黄、硼砂、脑、
麝
为末
治大人小儿重舌肿起舌下。（出鲍氏方）
用地鳖虫和薄荷研汁。帛包捻舌下肿处。
重舌极证（出鲍氏方）
用指去爪。先于舌下筋上捺至根。渐渐深捺入。如此三次。又用指蘸水。取项后燕窠小
坑中
半夏酒 治重舌满口。
上用半夏二十枚。水煮过。再于水中泡片时。乘热用好酒一升。浸。密封头良久。取酒
乘热
则
病
术亦疏耳。岂可以人试伎乎哉。一方用羌活。得汗则愈。
归荆汤（出指南方）治风痉昏迷。吐沫抽掣。背脊强直。产后中痉通用。
当归 荆芥穗（各等分） 上为末。每服二钱。水一盏。酒少许。煎七分灌下。如牙关
紧。
用
大人和小孩出现重舌症状，是因为心脾有热。心开窍于舌并主司血液，脾的络脉又出于舌下。
方剂：红雪煎（出自《圣济总录》），治疗心脾有热导致的重舌。
羚羊角（镑片）、升麻、吴蓝、黄芩（去心）、芍药、人参、大青、淡竹叶（切段，各一两）、槟榔（捣碎）、葛根（各一两，捣碎）、朴硝（研细，一升）、桑根白皮（一两）、枳壳（去瓤，麸炒，三分）、麝香（研细，半两）、甘草（五两）。以上药材用水十升，煎煮至五升，澄清。若病情严重，用蜜水调服一钱匕。饭后服用。
石膏煎（出自《圣济总录》），治疗心脾积热导致的重舌，以及时行阴黄、丹石发动引起的一切热毒。
石膏、凝水石、滑石（均捣碎，各一斤）、郁金（研细）、犀角（镑屑，各一两）、黄芩（去黑心，五两）、升麻（三两）、山栀子（去皮，二两）、黄连（去须，三两）、芒硝（研细，一斤）、马牙硝（研细，半两）。先将前几味药用水十升，煎煮至五升，澄清。然后加入犀角、郁金、草药等，再煎至七升，去渣，再次煎煮。先下芒硝，煎煮两三沸，再下马牙硝，搅拌使其溶解，持续搅拌良久。用一个新的瓦盆盛装，放置一两日使其凝结。每次服用一钱匕，用蜜水调服。成人剂量稍增。
牛黄散（出自《圣济总录》），治疗重舌。
牛黄（研细）、人参（各半两）、白茯苓（去黑皮，三分）、大黄（锉碎炒制，半两）、当归（切，焙干，一分）、甘草（炙，半两）、丹砂（研细，一分）、麝香（研细，半两）。以上药材制成细散。每次服用半钱匕，温水调服。病情严重者加至一钱匕，饭后服用。
朴麝散（出自《圣济总录》），治疗重舌，以及天行阴黄、丹石发动引起的一切热毒。
朴硝（研细，五两）、麝香（研细，一分）、黄芩（去黑心，半两）、山栀子（去皮，一两）、甘草（炙，一分）、淡竹叶（一把）。将上述药材放入铛中，用水三升，煎煮至一升，如金色。去渣，温服。
牛黄散（出自《圣惠方》），治疗重舌，口中流涎，饮食无法收摄。
牛黄、龙脑、朱砂（各一分）、太阴玄精石（二两）。以上药材细研为散。每次用药半钱。先在重舌处涂抹。
芝隐方（出自《海上方》），治疗重舌，或不能言语。
干姜、蒲黄，上等分为末。干搽患处即可痊愈。因为这两味药阴阳得中。宋度宗春天想赏花饮宴，不料一夜之间……（原文此处中断）
黄柏汤，治疗舌肿及重舌。
黄柏、甘草（炙，锉碎，各一两）。以上药材粗捣筛。每次服用三钱，水一盏，煎至七分，去渣，饭后温服。
治重舌方：
皂角刺（烧灰为末）、朴硝（少许，细碾为末）。先用蘸水的手擦拭口腔内及舌头上下，然后将药粉掺在舌上。
治重舌口中流涎方（出自《圣惠方》）：
驴乳（一升）、猪乳（一升）。两者混合，煎至半升。不拘时候，服用半匙。
蒲黄散（出自《危氏方》），治疗重舌上戴，妨碍言语，口中流涎。
用新鲜真蒲黄，罗筛细粉，多次敷贴患处。吐出后再敷，立即消散。也治疗舌肿，敷在舌上。不过多次敷贴，即可痊愈。必须用真品才有效，否则无效。
治重舌方（出自《经验良方》）：
用竹沥浸泡黄柏，随时点涂在舌上。
朴硝散（出自《经验良方》），治疗重舌喉痹。
用朴硝、黄丹细散，掺在重舌上。用竹筒取半钱许药粉吹入喉中，即破溃吐涎而愈。病情严重者不超过两次。
又方（出自《经验良方》）：
用五灵脂一两，去除砂石，研为细末。用米醋一大碗煎煮，随时含漱即安。
又方（出自《经验良方》）：
用皂角四五张，不蛀者，去皮弦，炙令干燥，除去火毒。加少许荆芥穗，二味研为细末，用米醋调涂肿胀处。
治重舌木舌方（出自《危氏方》）：
用川乌尖、巴豆为末，米醋调刷患处即效。木舌必须先服胜金散，以开关窍。
治重舌口中流涎，饮食无法收摄方（出自《圣惠方》）：
用簸箕舌（一种菌类）烧为灰，细研，以温酒调服一钱。
又方（出自《圣惠方》）：
用伏龙肝研如粉，以牛蒡汁调敷之，有效。
又方（出自《圣惠方》）：
用蛇蜕皮烧灰研令细，以少许敷之，有效。一方治疗小儿重舌，烧蛇蜕皮为末，用唾液调和涂在舌上，病愈。
治重舌口中流涎方（出自《圣惠方》）：
取田中蜂房，烧灰细研，用好酒调和敷在喉下，立即痊愈。
杏仁膏（出自《圣惠方》），治疗口舌热干，或舌上生苔，语言不清。
升麻、杏仁（去皮尖）、甘草（炙，各一两）、黑豆（五十粒，去皮）。以上为细末，入白蜜五合，生地……（原文此处中断）
薄荷蜜煎（出自《澹寮方》），治疗舌上生苔，苔干涩，语话不清。
白蜜、薄荷自然汁（各等分）。以上用生姜片先蘸水揩洗，再用朱砂、雄黄、硼砂、冰片、麝香……为末……（原文此处中断）
治大人小儿重舌肿起舌下（出自《鲍氏方》）：
用地鳖虫和薄荷研汁，用帛包裹捻舌下肿处。
重舌极证（出自《鲍氏方》）：
用手指去掉指甲，先在舌下筋上按压至根部，渐渐深按入。如此三次。又用手指蘸水，取项后燕窠小坑中……（原文此处中断）
半夏酒，治疗重舌满口。
上用半夏二十枚，水煮过，再于水中泡片刻，趁热用好酒一升，浸渍，密封头部良久，取酒趁热……则……病……（原文此处中断）
术亦疏耳。岂可以人试伎乎哉。一方用羌活，得汗则愈。
归荆汤（出自《指南方》），治疗风痉昏迷，吐沫抽掣，背脊强直，产后中痉通用。
当归、荆芥穗（各等分）。以上为末，每服二钱，水一盏，酒少许，煎七分灌下。如牙关紧闭……用……（原文此处中断）
Adults and children presenting with the symptom of "chong she" (double tongue) are caused by heat in the Heart and Spleen. The Heart opens into the tongue and governs blood, while the collaterals of the Spleen emerge from under the tongue.
Formula: Hong Xue Jian (Red Snow Decoction) [from *Shengji Zonglu*], treating chong she caused by heat in the Heart and Spleen.
Lingyang Jiao (Antelope Horn), Shengma (Cimicifugae Rhizoma), Wulan (Isatidis Folium), Huangqin (Scutellariae Radix, heart removed), Shaoyao (Paeoniae Radix), Renshen (Ginseng Radix), Daqing (Indigo Naturalis), Danzhuye (Lophatheri Herba, cut, each 1 liang); Binglang (Arecae Semen, crushed); Gegen (Puerariae Radix, each 1 liang, crushed); Puxiao (Natrii Sulfas, ground, 1 sheng); Sanggen Baipi (Mori Cortex, 1 liang); Zhike (Aurantii Fructus, pith removed, bran-fried, 3 fen); Shexiang (Moschus, ground, 0.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma, 5 liang). Decoct these ingredients in 10 sheng of water until reduced to 5 sheng, then clarify. For severe cases, mix 1 qianbi with honey water and take orally. Take after meals.
Shigao Jian (Gypsum Decoction) [from *Shengji Zonglu*], treating chong she due to accumulated heat in the Heart and Spleen, as well as epidemic yin jaundice and all heat toxins triggered by cinnabar and sulfur preparations.
Shigao (Gypsum Fibrosum), Ningshuishi (Natron), Huashi (Talcum) (all crushed, 1 jin each); Yujin (Curcumae Radix, ground); Xijiao (Rhinocerotis Cornu, shaved, each 1 liang); Huangqin (Scutellariae Radix, black heart removed, 5 liang); Shengma (Cimicifugae Rhizoma, 3 liang); Shanzhizi (Gardeniae Fructus, skin removed, 2 liang); Huanglian (Coptidis Rhizoma,须 removed, 3 liang); Mangxiao (Natrii Sulfas, ground, 1 jin); Mayaxiao (Natrii Sulfas crystallized, ground, 0.5 liang). First, decoct the initial ingredients in 10 sheng of water until reduced to 5 sheng, then clarify. Then add Xijiao, Yujin, and herbal medicines, and decoct again until reduced to 7 sheng. Strain and decoct again. Add Mangxiao first, boil for two or three boils, then add Mayaxiao, stirring to dissolve. Stir continuously for a long time. Store in a new earthenware pot for one or two days until it solidifies. Take 1 qianbi per dose, mixed with honey water. Adult dosage may be increased slightly.
Niuhuang San (Calculus Bovis Powder) [from *Shengji Zonglu*], treating chong she.
Niuhuang (Calculus Bovis, ground), Renshen (Ginseng Radix) (each 0.5 liang); Bai Fuling (Poria, black skin removed, 3 fen); Dahuang (Rhei Radix et Rhizoma, cut and fried, 0.5 liang); Danggui (Angelicae Sinensis Radix, cut and dried, 1 fen); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang); Dansha (Cinnabaris, ground, 1 fen); Shexiang (Moschus, ground, 0.5 liang). Grind all ingredients into a fine powder. Take 0.5 qianbi per dose, mixed with warm water. For severe cases, increase to 1 qianbi. Take after meals.
Puxie San (Sodium Sulfate and Moschus Powder) [from *Shengji Zonglu*], treating chong she, as well as epidemic yin jaundice and all heat toxins triggered by cinnabar and sulfur preparations.
Puxiao (Natrii Sulfas, ground, 5 liang); Shexiang (Moschus, ground, 1 fen); Huangqin (Scutellariae Radix, black heart removed, 0.5 liang); Shanzhizi (Gardeniae Fructus, skin removed, 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen); Danzhuye (Lophatheri Herba, one handful). Place the above ingredients in a pan, add 3 sheng of water, and decoct until reduced to 1 sheng, resembling gold color. Strain and take warm.
Niuhuang San (Calculus Bovis Powder) [from *Shenghui Fang*], treating chong she, salivation, and inability to retain food and fluids.
Niuhuang (Calculus Bovis), Longnao (Borneolum Syntheticum), Zhusha (Cinnabaris) (each 1 fen); Taiyin Xuanjingshi (Calcitum, 2 liang). Grind all ingredients finely into a powder. Use half a qian of medicine per application. Apply directly to the affected area on the tongue.
Zhiyin Fang (Zhiyin Formula) [from *Haishang Fang*], treating chong she or inability to speak.
Ganjiang (Zingiberis Rhizoma), Puhuang (Typhae Pollen), equal parts, ground into powder. Apply dry powder to the site; recovery will follow. This is because these two herbs balance yin and yang. Emperor Duzong of Song wished to enjoy flowers and banquets in spring, but unexpectedly... (text breaks off here).
Huangbai Tang (Phellodendri Decoction), treating tongue swelling and chong she.
Huangbai (Phellodendri Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, each 1 liang). Coarsely grind and sieve the above ingredients. Take 3 qian per dose, with one sheng of water, decoct until 0.7 sheng remains. Strain and take warm after meals.
Formula for treating chong she:
Zaojiaoci (Gleditsiae Spina, burnt to ash and ground), Puxiao (Natrii Sulfas, a small amount, finely ground). First, wet hands with water and wipe the inside of the mouth and upper and lower surfaces of the tongue. Then sprinkle the powder onto the tongue.
Formula for treating chong she with salivation [from *Shenghui Fang*]:
Luru (Asini Lactis, 1 sheng), Zhuru (Porci Lactis, 1 sheng). Mix and decoct until reduced to 0.5 sheng. Take half a spoonful at any time.
Puhuang San (Typhae Pollen Powder) [from *Weishi Fang*], treating chong she protruding upwards, obstructing speech, and salivation.
Use fresh, authentic Puhuang (Typhae Pollen), sifted finely. Apply multiple times to the site. If saliva is expelled, apply again; resolution will be immediate. Also treats tongue swelling; apply to the tongue. After a few applications, recovery occurs. Authentic material is required for efficacy.
Formula for treating chong she [from *Jingyan Liangfang*]:
Soak Huangbai (Phellodendri Cortex) in Zhuli (Bambusae Caulis in Taedia) and apply drops to the tongue as needed.
Puxiao San (Sodium Sulfate Powder) [from *Jingyan Liangfang*], treating chong she and throat obstruction.
Use finely ground Puxiao (Natrii Sulfas) and Huangdan (Minii Oxidum). Sprinkle onto the chong she. Using a bamboo tube, blow about half a qian of the powder into the throat. The swelling will break, saliva will be expelled, and recovery will follow. Severe cases require no more than two applications.
Another formula [from *Jingyan Liangfang*]:
Take 1 liang of Wulingzhi (Trogopterori Faeces), remove sand and stones, and grind into a fine powder. Decoct in a large bowl of rice vinegar. Swish and spit out as needed for relief.
Another formula [from *Jingyan Liangfang*]:
Take four or five pieces of Zaojiao (Gleditsiae Fructus) that are not worm-eaten. Remove the skin and strings, bake until dry, and eliminate fire toxicity. Add a small amount of Jingjie Sui (Schizonepetae Spica). Grind both into a fine powder and mix with rice vinegar to apply to the swollen area.
Formula for treating chong she and mu she (wooden tongue) [from *Weishi Fang*]:
Grind Chuanwu Jian (Aconiti Kusnezoffii Radix tip) and Badou (Crotonis Fructus) into powder. Mix with rice vinegar and brush on the affected area for effect. For mu she, first administer Shengjin San (Golden Victory Powder) to open the orifices.
Formula for treating chong she with salivation and inability to retain food/fluids [from *Shenghui Fang*]:
Burn Bosqis She (a type of fungus) to ash, grind finely, and mix with warm wine to take 1 qian.
Another formula [from *Shenghui Fang*]:
Grind Fulonggan (Dragon's Liver) into powder. Mix with Niubangzi juice (Arctii Fructus juice) and apply. Effective.
Another formula [from *Shenghui Fang*]:
Burn Shedepi (Ophichthidis Cutis Corneata) to ash and grind finely. Apply a small amount. Effective. Another method for pediatric chong she: burn Shedepi to powder, mix with saliva, and apply to the tongue. Recovery follows.
Formula for treating chong she with salivation [from *Shenghui Fang*]:
Take bee nests from fields, burn to ash, and grind finely. Mix with good wine and apply below the throat. Immediate recovery.
Xingren Gao (Apricot Kernel Paste) [from *Shenghui Fang*], treating heat and dryness in the mouth and tongue, coating on the tongue, and unclear speech.
Shengma (Cimicifugae Rhizoma), Xingren (Pruni Armeniaci Semen Amaram, skin and tip removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Heidou (Sojae Semen Nigrum, 50 grains, skin removed). Grind into fine powder. Add Baimi (Apis Mellifera Melle, 0.5 he). Shengdi... (text breaks off here).
Bohe Mi Jian (Peppermint Honey Decoction) [from *Danliao Fang*], treating coating on the tongue, dry and rough texture, and unclear speech.
Baimi (Apis Mellifera Melle), Bohe Zijiran (Menthae Haplocalycis Juice) (equal parts). First, wipe the area with ginger slices dipped in water. Then use Zhusha (Cinnabaris), Xionghuang (Realgar), Pengsha (Borax), Naobing (Borneolum Syntheticum), Shexiang (Moschus)... grind into powder... (text breaks off here).
Formula for treating adult and pediatric chong she swelling under the tongue [from *Baoshi Fang*]:
Grind Dibiechong (Eupolyphaga seu Steleophaga) with Bohe (Menthae Haplocalycis Herba) to extract juice. Wrap in cloth and press/twist the swollen area under the tongue.
Severe case of chong she [from *Baoshi Fang*]:
Remove fingernails. Press firmly on the tendons under the tongue towards the root, pressing deeper gradually. Repeat this three times. Then dip fingers in water and take... (text breaks off here).
Banxia Jiu (Pinellia Wine), treating chong she filling the mouth.
Take 20 Banxia (Pinelliae Tuber). Boil in water, then soak briefly in water. While hot, immerse in 1 sheng of good wine. Seal tightly and let stand for a long time. Take the wine while hot... then... illness... (text breaks off here).
The technique is also sparse. How can one test skills on a person? Another formula uses Qianghuo (Notopterygii Rhizoma et Radix); sweating leads to recovery.
Guijing Tang (Angelica and Schizonepeta Decoction) [from *Zhinan Fang*], treating wind spasm with coma, foaming, convulsions, and rigidity of the back and spine. Generally applicable for postpartum wind spasm.
Danggui (Angelicae Sinensis Radix), Jingjie Sui (Schizonepetae Spica) (equal parts). Grind into powder. Take 2 qian per dose, with one sheng of water and a little wine, decoct until 0.7 sheng remains and administer. If the jaw is tight... use... (text breaks off here).