《心法》曰∶舌疔者，乃心脾火毒。舌生紫泡，其形如豆，坚硬寒热，疼痛应心
而起。宜用蟾酥丸含放舌下，随化随咽；或再服三丸，以解内毒。甚者刺之，服黄连
解毒汤，兼搽紫雪，徐徐咽之。
陈实功曰∶舌上痰核，乃痰气结于舌上，成核作痛。硬强者，用线针点破出血，冰硼散搽之。（《正宗》）
窦汉卿曰∶舌上生一疮，其形如杨梅，故谓之重 。外证无寒热，但作事烦心。先
以甘桔汤多加山栀，后服黄连解毒汤，再吹药。不宜用刀。（《全书》）
《心法》曰∶心脾热极，上 生疮，形
如梅子，外无寒热，内时作烦，名曰重 。宜黄连解毒汤加桔梗，常以紫雪噙化。
冯鲁瞻曰∶其证生于颊里及上 者，即名重 。
天南星散 治重 重龈
天南星（生，去皮、脐）
研极细末。用醋调涂男左女右脚心，浓皮纸贴。如干再用醋润。
陈实功曰∶舌下痰包者，乃痰饮乘火流行，凝注舌下，结成瓠肿，绵软不硬，有
妨言语，作痛不安。治当用利剪当包剪出黄痰，若鸡蛋清，稠粘难断，捺尽，以冰
硼散搽之，内服二陈汤加芩、连、薄荷。（《正宗》）
冯鲁瞻曰∶小儿产下，舌下有膜如石榴子样，连于舌根，令儿言语不发不转，可
以指甲摘破，令血出即活。用烧矾研细敷半绿豆许。若血出无害，不止，烧发灰掺
之，或用猪脂涂之。（《锦囊》）
伍氏曰∶若不摘去，其孩必哑。
《医宗心法》说：舌疔，是心脾两经的火毒所致。舌头生出紫色水泡，形状像豆子一样，质地坚硬，伴有寒热症状，疼痛放射至心脏部位而发作。适宜使用蟾酥丸含在舌下，随着药丸融化随唾液咽下；或者再服用三丸，以解除体内的毒素。病情严重的，可以用针刺破患处，服用黄连解毒汤，同时外搽紫雪丹，慢慢咽下。
陈实功说：舌上痰核，是痰气凝结在舌头上，形成硬块并引起疼痛。如果肿块坚硬强壮，用线针点破使其出血，然后搽上冰硼散。（出自《外科正宗》）
窦汉卿说：舌上生出一个疮疡，形状像杨梅，所以称为重舌。外部没有寒热症状，只是做事时感到心烦意乱。先用甘桔汤多加山栀，随后服用黄连解毒汤，再吹入药物。不宜用刀切割。（出自《外科全书》）
《医宗心法》说：心脾热邪极盛，向上熏蒸导致舌下生疮，形状像梅子，外部没有寒热症状，内部时常感到烦闷，名叫重舌。适宜用黄连解毒汤加桔梗，经常含化紫雪丹。
天南星散 治疗重舌和重龈
天南星（生品，去皮、去脐）
研磨成极细的粉末。用醋调和涂抹于男性左脚心、女性右脚心，用厚皮纸贴敷。如果变干了，再用醋润湿。
陈实功说：舌下痰包，是痰饮趁着火邪流行，凝结注滞于舌下，结成葫芦状的肿胀，质地绵软不硬，妨碍言语，引起疼痛不安。治疗应当用利剪直接剪开肿包，挤出黄色的痰液，如同鸡蛋清一样，稠粘难以切断，将其按捺排尽后，以冰硼散搽涂患处，内服二陈汤加黄芩、黄连、薄荷。（出自《外科正宗》）
冯鲁瞻说：小儿出生时，舌下有薄膜像石榴籽的样子，连接在舌根处，导致婴儿不能说话或发音不清，可以用指甲摘破，让血液流出即可痊愈。用烧过的明矾研成细粉，敷上约半粒绿豆大小的量。如果出血后无害但血流不止，可以用烧焦的头发灰掺撒止血，或者用猪脂涂抹。（出自《外科锦囊》）
The *Yizong Xinfa* states: She Ding (tongue carbuncle) is caused by fire-toxin in the Heart and Spleen. A purple blister forms on the tongue, resembling a bean in shape, hard in texture, accompanied by aversion to cold and fever, with pain radiating to the heart region upon onset. It is advisable to use Chan Su Wan (Toad Venom Pill), placing it under the tongue to dissolve and swallow gradually; or take three more pills to resolve internal toxins. In severe cases, puncture with a needle, administer Huanglian Jiedu Tang (Coptis Decoction for Detoxification), and apply Zixue (Purple Snow) externally, swallowing slowly.
Chen Shigong stated: Tan He (phlegm nodule) on the tongue results from phlegm-qi stagnation on the tongue, forming a nodule that causes pain. If hard and firm, puncture with a thread needle to induce bleeding, then apply Bingpeng San (Ice and Borax Powder). (*Waike Zhengzong*)
Dou Hanqing stated: A sore forms on the tongue, resembling a bayberry, hence termed Chong She (Double Tongue). There are no external signs of cold or fever, only mental restlessness during activities. First, administer Ganjie Tang (Licorice and Platycodon Decoction) with added Zhizi (Gardenia); subsequently take Huanglian Jiedu Tang (Coptis Decoction for Detoxification), followed by insufflation of medicine. Cutting with a knife is contraindicated. (*Waike Quan Shu*)
The *Yizong Xinfa* states: Extreme heat in the Heart and Spleen steams upward, causing sores under the tongue, shaped like a plum. There are no external cold or fever symptoms, but internal restlessness occurs frequently. This is named Chong She (Double Tongue). It is suitable to use Huanglian Jiedu Tang (Coptis Decoction for Detoxification) with Jiegeng (Platycodon Root), and frequently hold Zixue (Purple Snow) in the mouth to dissolve.
Feng Luzhan stated: When this condition arises in the inner cheek and under the tongue, it is named Chong She (Double Tongue).
Tian Nan Xing San (Arisaema Powder) treats Chong She (Double Tongue) and Chong Yin (Double Gums).
Tian Nan Xing (Arisaema Rhizoma, raw, peeled, umbilicus removed)
Grind into an extremely fine powder. Mix with vinegar and apply to the sole of the left foot in males or the right foot in females. Cover with thick skin paper. If dry, re-moisten with vinegar.
Chen Shigong stated: Xia Tan Bao (sublingual phlegm cyst) occurs when phlegm-fluid follows the flow of fire-evil, condensing and accumulating under the tongue, forming a gourd-shaped swelling. It is soft and not hard, impedes speech, and causes painful discomfort. Treatment requires using sharp scissors to cut open the cyst directly, squeezing out yellow phlegm which resembles egg white—thick, sticky, and difficult to sever. Press until empty, then apply Bingpeng San (Ice and Borax Powder) externally. Internally, administer Erchen Tang (Two-Aged Phlegm Decoction) with Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), and Bohe (Mentha Haplocalyx). (*Waike Zhengzong*)
Feng Luzhan stated: Upon birth, some infants have a membrane under the tongue resembling a pomegranate seed, attached to the root of the tongue, preventing the infant from speaking or articulating clearly. This can be ruptured with fingernails to allow blood to flow, restoring function. Apply finely ground calcined Mingfan (Alumen) about half the size of a mung bean. If bleeding stops without harm but continues excessively, apply ash from burnt hair, or smear with pig fat. (*Waike Jinang*)
Wu Shi stated: If not removed, the child will inevitably become mute.