重舌涎出，水浆不入。（《圣惠方》）
玄精石（二两） 牛黄 朱砂 冰片（各一分）
研末。以针舌上去血，盐汤漱，掺末咽津。效验如神。
重舌、木舌、紫舌。
黄连 连翘 山栀 黄芩 木通 荆芥 薄荷（各一钱） 牛蒡子（一钱） 甘草（五分）
灯心十根，煎服。
当归连翘汤 治心脾有热，重舌、木舌。
当归尾 连翘（各三钱） 川白芷（二钱） 大
黄甘草（各一钱） 水煎服。
消毒犀角饮 治内蕴热邪，咽膈不利，重舌、木舌，一切热毒。
鼠粘子（微炒，四钱） 荆芥 黄芩 甘草（各一钱） 防风 犀角（各五钱） 水煎服。
陈实功曰∶木舌、紫舌，亦由心火而发。用飞盐加冰片少许，勤搽出涎自愈。（《正宗》）
冯鲁瞻曰∶木舌者，因脏腑壅热，心脾积热，其气上冲。是以舌肿尖大，塞满
口中，若不急治，则致害人。更不可用手去按，按则舌根乃损，长成语言不正。如
至啼叫无声，面色频变而惊疼者，不治。然舌固属心脾，但肝脉亦络舌本，故伤寒邪
传厥阴，则舌卷囊缩，概可见矣。（《锦囊》）
张宪伯曰∶舌忽胀大，硬肿塞满，实时气绝，名曰 舌。（《闲抄》）
窦汉卿曰∶木舌症硬如穿山甲，见人舌做一拳。外证憎寒壮热，语言謇涩，此
心经受热。心者舌之本，因心而病。治法以小刀点紫黑处，煎药内多加山栀。山栀
乃泻火之要品也。（《全书》）
又曰∶木舌、乳娥，此证为因心经热毒，或因酒后温床浓被，以致热气攻于心
经。故生单娥及舌胀而紫，吐出风痰，急用三棱针刺舌下金津、玉液二穴，及刺乳
娥，俱破出血痰，即用胆硝丹吹入喉中，仍服荆防败毒散。
又曰∶一妇人木舌胀满口，诸药罔效，以 针砭之五七次肿减，三日方平，血出
盈斗。服药同前。
又曰∶舌上有白苔结硬，必作木舌。用前法治之。
又曰∶凡舌证白苔坚硬，药味不得入者，揩拭洁净，用竹刀刮舌，然后用药。
又曰∶舌卷大不得吞咽，皆由热毒冲上。急用紫雪加冰麝掺舌上，再用冰片散
吹之。
汪省之曰∶舌胀色紫如肝，名曰紫舌。凡舌转掉不仁，名曰木舌，此乃因心火而发。（《理例》）
奎光曰∶木舌者，舌肿大如煮熟猪肝，不能转动。又有一肿生舌根下，状如白枣，
有青紫筋，不能速愈。初起不疼，不发寒热，渐渐肿大，速治可愈。迟则难痊，皆由忧郁所致。
又曰∶治口舌证，吹药后，如舌上无涎，或如干橘核者，不治。
又曰∶凡遇口舌糜烂无血出者，不治。
又曰∶凡舌肿大，用生石膏加冰片敷。如出血者石膏炒用。
又曰∶舌肿胀满口，吐舌在外，难以纳药者，用僵蚕、牙皂制过为极细末，用
少许吹鼻中，口自开，痰涎自出。用箸绕丝绵蘸甘草汤润其舌。用四味口疳药多加冰片频吹。
又曰∶木舌，初则金丹、碧丹同用，（方载咽喉门。）后则单用金丹内服煎药。
张仲景曰∶伤寒舌肿者，难治。
骆潜庵曰∶舌肿如木，名曰木舌，乃风热盛也。宜延寿丹。
重舌伴有唾液流出，导致无法进食水浆。（出自《圣惠方》）
玄精石（二两）、牛黄、朱砂、冰片（各一分）。
研成细末。用针刺破舌头排出瘀血，用盐水漱口，然后将药末撒在患处，吞咽津液。疗效神奇。
治疗重舌、木舌、紫舌的方剂：
黄连、连翘、山栀、黄芩、木通、荆芥、薄荷（各一钱），牛蒡子（一钱），甘草（五分）。
加灯心草十根，煎汤服用。
当归连翘汤：治疗心脾有热引起的重舌、木舌。
当归尾、连翘（各三钱），川白芷（二钱），大黄、甘草（各一钱）。水煎服。
消毒犀角饮：治疗体内蕴积热邪，咽喉膈部不利，出现重舌、木舌，以及一切热毒病症。
鼠粘子（微炒，四钱），荆芥、黄芩、甘草（各一钱），防风、犀角（各五钱）。水煎服。
陈实功说：木舌、紫舌，也是由心火引发的。使用飞盐加入少许冰片，频繁涂抹，使涎液流出即可自愈。（出自《外科正宗》）
冯鲁瞻说：木舌，是因为脏腑壅滞发热，心脾积热，热气上冲所致。因此舌头肿胀，尖端变大，塞满口中。如果不紧急治疗，会导致死亡。更不可用手去按压，按压则损伤舌根，导致日后语言不正。如果发展到啼哭无声，面色频繁变化且惊恐疼痛的，属于不治之症。然而舌头虽然属心脾，但肝脉也络系于舌本，所以伤寒邪气传入厥阴经时，会出现舌卷缩、睾丸收缩的症状，这就可以推见了。（出自《医宗金鉴·锦囊秘录》）
张宪伯说：舌头突然胀大，坚硬肿胀塞满口腔，随即气息断绝，名叫木舌。（出自《闲抄》）
窦汉卿说：木舌症状坚硬如穿山甲鳞片，看人的舌头像握成拳头一样。外证表现为憎寒壮热，语言謇涩，这是心经受热所致。心是舌的根本，因心而致病。治疗方法是用小刀点刺紫黑色的部位，煎药内多加山栀。山栀是泻火的要药。（出自《针灸全书》）
又说：木舌、乳蛾，此证是因为心经热毒，或者因为酒后睡在温暖的床铺和厚重的被子里，导致热气攻于心经。所以产生单侧乳蛾及舌头肿胀发紫，吐出风痰。紧急时用三棱针刺舌下的金津穴、玉液穴两个穴位，以及刺破乳蛾，都要刺破出血排痰，然后立即将胆硝丹吹入喉中，再服用荆防败毒散。
又说：有一位妇人患木舌胀满口腔，各种药物无效，用砭针放血五六次后肿胀减轻，三天后才平复，出血量盈斗。服药方法同上。
又说：舌上有白色苔垢结硬，必定会发展为木舌。用前面的方法治疗。
又说：凡是舌证白苔坚硬，药物味道无法进入的，先揩拭干净，用竹刀刮舌，然后再用药。
又说：舌卷缩肿大无法吞咽，都是由热毒冲上所致。紧急时用紫雪加冰片、麝香掺在舌上，再用冰片散吹入。
汪省之说：舌头肿胀颜色紫红如肝脏，名叫紫舌。凡是舌头转动不灵活、麻木不仁的，名叫木舌，这都是因心火引发。（出自《理例》）
奎光说：木舌，舌头肿大如同煮熟的猪肝，不能转动。又有一种肿物生在舌根下，形状像白枣，有青紫色的筋络，不能迅速痊愈。初起时不疼，不发寒热，逐渐肿大，及时治愈可愈。拖延则难痊愈，这都是由忧郁所致。
又说：治疗口舌病症，吹药后，如果舌上没有涎液，或者像干橘核一样干燥的，属于不治之症。
又说：凡是遇到口舌糜烂但没有出血的，属于不治之症。
又说：凡是舌头肿大，用生石膏加冰片敷贴。如果出血的，石膏需炒过后使用。
又说：舌头肿胀塞满口腔，舌头伸出在外，难以纳入药物的，用僵蚕、牙皂制成极细末，取少许吹入鼻中，嘴巴自然张开，痰涎自行流出。用筷子缠绕丝绵蘸甘草汤润湿舌头。用四味口疳药多加冰片频繁吹入。
Tongue swelling with saliva discharge, preventing the intake of water and food. (From *Shenghui Fang*)
Xuanjing Shi (Nephrite Stone) (2 liang), Niuhuang (Calculus Bovis), Zhusha (Cinnabar), Bingpian (Borneolum Syntheticum) (each 1 fen).
Grind into powder. Prick the tongue with a needle to remove blood, rinse with salt water, sprinkle the powder on the lesion, and swallow the saliva. The effect is miraculous.
For Chong She (Double Tongue), Mu She (Wooden Tongue), Zi She (Purple Tongue):
Huanglian (Rhizoma Coptidis), Lianqiao (Fructus Forsythiae), Shanzhi (Fructus Gardeniae), Huangqin (Radix Scutellariae), Mutong (Caulis Akebiae), Jingjie (Herba Schizonepetae), Bohe (Herba Menthae) (each 1 qian), Niubangzi (Fructus Arctii) (1 qian), Gancao (Radix Glycyrrhizae) (5 fen).
Add ten stalks of Dengxin Cao (Medulla Junci) and decoct for oral administration.
Danggui Lianqiao Tang (Angelica Tail and Forsythia Decoction): Treats Chong She (Double Tongue) and Mu She (Wooden Tongue) caused by heat in the Heart and Spleen.
Danggui Wei (Tail of Radix Angelicae Sinensis), Lianqiao (Fructus Forsythiae) (each 3 qian), Chuan Baizhi (Radix Angelicae Dahuricae) (2 qian), Dahuang (Radix et Rhizoma Rhei), Gancao (Radix Glycyrrhizae) (each 1 qian). Decoct in water and take orally.
Xiaodu Xijiao Yin (Detoxifying Rhinoceros Horn Drink): Treats internal accumulation of pathogenic heat, obstruction in the throat and diaphragm, presenting as Chong She (Double Tongue) or Mu She (Wooden Tongue), and all types of heat toxins.
Niubangzi (Fructus Arctii) (lightly stir-fried, 4 qian), Jingjie (Herba Schizonepetae), Huangqin (Radix Scutellariae), Gancao (Radix Glycyrrhizae) (each 1 qian), Fangfeng (Radix Saposhnikoviae), Xijiao (Cornu Rhinocerotis) (each 5 qian). Decoct in water and take orally.
Chen Shigong stated: Mu She (Wooden Tongue) and Zi She (Purple Tongue) also arise from Heart Fire. Apply Feiyan (Sublimed Salt) mixed with a small amount of Bingpian (Borneolum Syntheticum) frequently; once saliva discharges, it will heal itself. (From *Waike Zhengzong*)
Feng Luzhan stated: Mu She (Wooden Tongue) results from congestion and heat in the zang-fu organs, with accumulated heat in the Heart and Spleen causing Qi to rush upward. Consequently, the tongue swells, the tip becomes large, and it fills the mouth. If not treated urgently, it can be fatal. One must not press it with hands, as this damages the root of the tongue, leading to speech impediments later. If the patient reaches a state of silent crying, frequent changes in facial expression, and惊痛 (frightful pain), it is incurable. Although the tongue belongs to the Heart and Spleen, the Liver meridian also connects to the root of the tongue. Thus, when Shaoyin cold damage pathogens transmit to the Jueyin meridian, tongue retraction and testicular contraction occur, which illustrates this point. (From *Jinnang*)
Zhang Xianbo stated: When the tongue suddenly swells, becomes hard and swollen, filling the mouth, and breath ceases immediately, it is called Mu She (Wooden Tongue). (From *Xianchao*)
Dou Hanqing stated: In Mu She (Wooden Tongue), the condition is hard like pangolin scales, and the visible tongue resembles a clenched fist. External signs include aversion to cold with high fever, and slurred speech. This indicates heat in the Heart Meridian. The Heart is the root of the tongue; disease arises from the Heart. The treatment method involves pricking purple-black areas with a small knife and adding Shanzhi (Fructus Gardeniae) to the decoction, as Shanzhi is a key herb for purging fire. (From *Quan Shu*)
He also stated: Mu She (Wooden Tongue) and Ru E (Goat's Throat/Tonsillitis) are caused by heat-toxin in the Heart Meridian, or by lying in warm beds and thick quilts after drinking alcohol, causing heat to attack the Heart Meridian. This leads to unilateral Ru E and tongue swelling turning purple, with wind-phlegm being spat out. Urgently prick the Jinjin (Metal Fluid) and Yuye (Jade Liquid) acupoints under the tongue with a three-edged needle, and puncture the Ru E, ensuring blood and phlegm are discharged. Immediately blow Danxiao Dan (Gallbladder Nitre Powder) into the throat, and subsequently administer Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxins).
He also stated: A woman suffered from Mu She (Wooden Tongue) filling her mouth, with no effect from various medicines. After using bian needles (stone needles) for bloodletting five or seven times, the swelling subsided, and she recovered fully in three days, with a large volume of blood discharged. Medication followed the previous prescription.
He also stated: If there is white coating on the tongue that is hard and crusted, it will inevitably develop into Mu She (Wooden Tongue). Treat with the aforementioned methods.
He also stated: Whenever tongue conditions present with hard white coating preventing the entry of medicinal taste, wipe clean first, scrape the tongue with a bamboo knife, and then apply medication.
He also stated: Tongue retraction and swelling preventing swallowing are all due to heat-toxin rushing upward. Urgently apply Zixue (Purple Snow) mixed with Bingpian (Borneolum Syntheticum) and Shexiang (Moschus) to the tongue, and follow with blowing Bingpian San (Borneol Powder).
Wang Shengzhi stated: Tongue swelling with purple color resembling liver tissue is called Zi She (Purple Tongue). Whenever the tongue moves stiffly and feels numb, it is called Mu She (Wooden Tongue); this arises from Heart Fire. (From *Lili*)
Kui Guang stated: Mu She (Wooden Tongue) presents as the tongue swelling as large as a cooked pig liver, unable to move. Another type involves swelling under the root of the tongue, shaped like a white date, with green-purple veins, which does not heal quickly. Initially, there is no pain or aversion to cold/fever; it gradually swells. Prompt treatment leads to recovery; delay makes it difficult to cure. All cases are caused by depression.
He also stated: In treating mouth and tongue disorders, if after blowing medicine there is no saliva on the tongue, or if it appears dry like an orange pit, it is incurable.
He also stated: Whenever mouth and tongue ulceration occurs without bleeding, it is incurable.
He also stated: For general tongue swelling, apply raw Shigao (Gypsum Fibrosum) mixed with Bingpian (Borneolum Syntheticum). If bleeding is present, use roasted Shigao.
He also stated: When the tongue is swollen, filling the mouth, and protruding outward, making it difficult to administer oral medication, use Jiangcan (Bombyx Batryticatus) and Yazao (Gleditsia Sinensis Fruit) processed into fine powder. Blow a small amount into the nose; the mouth will open naturally, and phlegm-saliva will discharge. Use chopsticks wrapped with silk cotton dipped in Gancao Tang (Licorice Decoction) to moisten the tongue. Frequently blow Siwei Kougan Yao (Four-Ingredient Mouth Ulcer Medicine) with added Bingpian (Borneolum Syntheticum).
He also stated: For Mu She (Wooden Tongue), initially use Jindan (Golden Pill) and Bidan (Green Pill) together (formula recorded in the Throat Gate section); later, use Jindan (Golden Pill) alone internally along with decoctions.
Zhang Zhongjing stated: Tongue swelling caused by Shanghan (Cold Damage) is difficult to treat.
Luo Qian'an stated: Tongue swelling resembling wood is called Mu She (Wooden Tongue), caused by excess Wind-Heat. Yan Shou Dan (Longevity Pill) is appropriate.