（附音声）
口舌生疮。皆有上焦热壅所致。宜如圣汤或口梗汤加黄芩一钱。仍用杏花散掺之。未效
则参
以四香饮。有声音不出之人。服冷剂愈失声。乃是肾经虚寒。投附子之剂数枚方可。此不可
不识。
下虚上盛。致口舌生疮。若用镇隧之药以降阳汤宜盐水下养正丹或黑锡丹。仍于临卧。
热汤洗足。炒探净吴茱萸小撮拭足了。便以炒热致足心。用片扎之。男左女右。
曾有舌上病疮。久蚀成穴。累服凉剂不效。后来有教服黑锡丹。遂得渐愈。此亦下虚故
上盛也。
外有舌暴肿胀。名曰重舌。一味真蒲黄末掺之。
又有舌无故常自痹者。不可作风治。由心血不足。理中汤加熟附半钱。当归钱半。
齿痛。见诸痛门齿痛证。其他齿患不一。自有口齿专科。牙衄见衄门。
（附发背）
发散诸般毒。多碾白芙蓉叶入草乌叶少许。蜜调敷。重者。加入南星末。凡诸毒用膏药
欲散。搓入麝香欲溃。搓入雄黄。
一应毒证。已作渴。或脓过多。防其为渴。宜于千金内补散之外。兼进八味丸。用五味
者佳。
发热恶寒。状如伤寒而痛者。其痛处欲为痈疽。痈属腑。故生浅。皮薄而肿高。疽属脏
故生
深。皮浓而肿坚。又有轻于痈疽者。名曰疖毒。痈壅也。疽沮也。疖节也。言气血壅滞沮节
也。并威灵仙饮微利之。或五香连翘散。佐以复元通气散。若脓血结成。不可发散。已溃未
溃
宜小托里散。或千金内补散、加木香羌活白芍药乌药等分。渴加栝蒌根。此数药皆治阳
证。若阴证宜于千金内补散。减防风桔梗之半。倍加白术。未效更加熟附。与诸药煎服尤佳
外有服金石以助欲。至精气既衰。药毒偏胜。金石与肺同类。肺附于肾。所以多成发背
之疾
又有好鳖为 亦至发背。盖鳖之阳气皆聚于上甲。所以上甲可入药也。治法同前。若毒发
于阴。而又未可用附桂诸药剂。外疼内寒。宜五香汤。
毒之初发。并宜酒调复元。通气散。或病在下者。酒糊丸。通气散。却用木香汤吞下。
治诸毒方结成者。以皂角树上所生之葚。磨乌醋调涂。此葚须预藏在烟阁头。缓急取用
患背疮人及诸毒已溃后。血去过多。津液少者。宜换肌散。毒初发。头疼体痛。乍寒乍
热。恐挟外邪。宜香苏饮。加川芎白芷防风当归陈皮之类。
病消渴之人多生毒。此乃津液已耗。虚阳外发。内外俱虚。此为极病。凡消渴愈后生毒
毒愈后消渴。皆非可治之病也。
痈疽疖。此毒总名。亦举其大概耳。其他证状不一。名称亦异。未溃之际。增寒壮热。
狂言
妄语。如见鬼神。脓去已多而大热不休者。似为难治。盖毒之得脓。犹伤寒病证之得汗。汗
已而反大热。则为坏伤寒矣。若淋洗贴敷。自属外科。痈疽发背已溃。出脓过多。而羸瘦者
芎归汤。凡所服药。并不可用白术。能生脓故也。未溃与初发阴证用之却可。
若其人呕不喜食。不可用千金内补散。滞其脾。恐挟外邪。未溃者。二陈汤加芎。或不
换金正气散。已溃者。谷神加禾饮。
又一方治毒并不喜食。于不换金正气散加白茯苓半夏等分。人参木香减半。亦名正气散
患痈毒人。脓血已溃。所去过多。津液。枯竭。多病于渴。纵有发热燥扰等证。不可以
治者。用益荣生津之剂若大热不止者难治。
肠痈。即肠中生痈也。腹中 痛。其始发热恶寒。证状难辨。因下脓血乃觉。或小腹肿
满。或小便涩滞。或脓从脐出。宜吞太乙膏。
疮毒久不干。成漏者。忍冬草浸酒常服。
疮毒而大便坚者。升麻和气饮。和消毒饮。加以身上发热甚者。消毒饮和败毒散。
有火邪逼身。及因炙后遍身发为赤核。肿痛漩盘。用荆防汤浸取洗。
露名为羊核。生取石菖蒲烂研 之。仍以石首胶一两许。火 存性。研为末。酒调服
有不敷药时大痛。敷即不痛。有不敷药时不痛。敷之则痛。盖寒热风湿并忧怒等气。积
而内
攻。则痛不禁药拔出之。故不痛也。血死阴毒在中。愈服愈深。愈不觉痛。药发之于外。故
反痛也。
（附音声）
口腔和舌头上生疮，都是由上焦热邪壅滞所致。适宜使用如圣汤或口梗汤加一钱黄芩。同时用杏花散撒敷患处。如果无效，则配合使用四香饮。对于那些声音出不来的人，服用寒凉药物反而导致失声，这是肾经虚寒的表现，必须投用附子制剂数枚才能治愈。这一点不可不认识到。
下元虚损而上部实盛，导致口腔和舌头生疮。如果使用镇坠类药物以降阳汤送服养正丹或黑锡丹。并且在临睡前，用热水洗脚，取少量炒干净的吴茱萸擦拭脚心，随即用炒热的吴茱萸敷贴脚心，并用布带扎紧。男性敷左脚，女性敷右脚。
曾经有患者舌上生疮，长期腐蚀形成溃疡孔穴，多次服用凉药无效。后来有人建议服用黑锡丹，于是逐渐痊愈。这也是因为下元虚损导致上部实盛的原因。
另外有舌头突然肿胀的情况，名叫重舌（双舌）。只用一味真蒲黄粉末撒敷即可。
又有舌头无故经常麻木的，不能当作风证治疗。这是由于心血不足，应用理中汤加半钱熟附子、一钱半当归。
牙齿疼痛，参见诸痛门中的齿痛证。其他牙齿疾病不一而足，自有口齿专科处理。牙衄（牙龈出血）见衄血门。
（附发背）
发散各种毒邪，多将白芙蓉叶碾碎，加入少许草乌叶，用蜂蜜调匀外敷。病情重的，加入南星粉末。凡是各种毒邪，想用膏药使其消散，就搓入麝香；想使其溃破，就搓入雄黄。
所有毒证，如果已经口渴，或者脓液过多，为了防止其因津液亏损而口渴，应在千金内补散之外，兼服八味丸，使用含有五味子的版本更佳。
出现发热恶寒，症状像伤寒但伴有疼痛的，其疼痛部位即将发展为痈疽。痈属于腑病，所以生成较浅，皮肤薄且肿起高突；疽属于脏病，所以生成较深，皮肤厚且肿硬坚实。又有比痈疽轻的，名叫疖毒。痈是壅塞的意思；疽是阻滞的意思；疖是结节的意思。指气血壅滞阻滞于关节之处。均用威灵仙饮轻微通利大便，或用五香连翘散，佐以复元通气散。如果脓血已经结成，不可再发散。无论已溃或未溃，适宜用小托里散，或千金内补散加木香、羌活、白芍药、乌药等分。口渴加栝蒌根。这几味药都是治疗阳证的。如果是阴证，适宜在千金内补散基础上，减去一半的防风、桔梗，加倍加入白术。如果无效，再加熟附子，与诸药煎服效果尤佳。
另外有服用金石类丹药以助性欲的人，到了精气既衰，药毒偏胜之时。金石与肺同类，肺依附于肾，所以容易形成发背之疾。
又有喜好食鳖的人也容易导致发背。因为鳖的阳气都聚集在上甲，所以上甲可以入药。治疗方法同前。如果毒邪发于阴分，而又暂时不能使用附子、肉桂等药剂，表现为外疼内寒，适宜用五香汤。
毒邪初发时，均宜用酒调服复元通气散。或者病位在下部的，将通气散制成酒糊丸，却用木香汤吞服。
治疗各种毒邪方结成者，用皂角树上生长的葚子，磨乌醋调涂。这种葚子须预先藏在烟阁头部，以便缓急时取用。
患背疮人及各类毒邪已溃后，血液流失过多，津液减少者，适宜用换肌散。毒邪初发，头疼体痛，忽冷忽热，恐怕挟带外邪，适宜用香苏饮，加川芎、白芷、防风、当归、陈皮之类。
患有消渴病的人多生毒疮。这是因为津液已耗损，虚阳外发，内外俱虚，这属于极难治疗的病症。凡是消渴病愈后生毒疮，或毒疮愈后复发消渴，都不是可治之病。
痈疽疖，这是毒邪的总称，也只是列举其大概情况罢了。其他症状不一，名称也各异。在未溃破之际，出现增寒壮热，胡言乱语，如见鬼神，脓液排出很多而大热不退的，似乎难以治疗。大概毒邪得脓，就像伤寒病证得汗一样。汗出之后反而大热，就是坏伤寒了。至于淋洗贴敷，自然属于外科范畴。痈疽发背已溃破，流出脓液过多而身体消瘦者，用芎归汤。凡所服用的药物，均不可用白术，因为白术能生脓的缘故。未溃破和初发阴证时使用却可以。
如果其人呕吐不喜欢进食，不可用千金内补散，以免阻滞脾气。恐怕挟带外邪，未溃者，用二陈汤加川芎，或不换金正气散。已溃者，用谷神加禾饮。
又一方治疗毒邪患者都不喜欢进食，在不换金正气散中加入白茯苓、半夏等分，人参、木香减半，也叫正气散。
患痈毒的人，脓血已溃破，流失过多，津液枯竭，多病口渴。纵然有发热燥扰等症状，不可以按常规治疗，应使用益荣生津的药剂。如果大热不止者，难治。
肠痈，即肠道中生痈。腹中疼痛，起初发热恶寒，症状难以辨别，直到排出脓血才发觉。或者小腹肿胀满闷，或者小便涩滞不畅，或者脓液从脐部流出，适宜吞服太乙膏。
疮毒久不愈合，形成瘘管者，忍冬草浸酒常服。
疮毒而大便干燥坚硬者，用升麻和气饮，合消毒饮。加上身上发热严重的，用消毒饮合败毒散。
有火邪逼迫身体，以及因艾灸后遍身发出赤核，肿痛漩涡盘结，用荆防汤浸泡取汁清洗。
露（一种皮肤病名）名叫羊核。生取石菖蒲烂研涂抹它。仍以石首鱼胶一两许，火煅存性，研为末，酒调服。
有不敷药时剧烈疼痛，敷药后就不痛的；有不敷药时不痛，敷药反而痛的。这是因为寒热风湿并忧怒等气，积聚而内攻，则疼痛不禁受药物拔出，所以不痛。血死阴毒在中，越服药毒邪越深入，越不觉痛。药物将其发之于外，所以反而痛。
(Attached: Voice and Speech)
Sores in the mouth and tongue are all caused by heat stagnation in the Upper Jiao (Upper Burner). It is appropriate to use Rusheng Tang or Koukeng Tang with one qian of Huangqin (Scutellariae Radix). Additionally, apply Xinghua San externally. If there is no effect, then combine with Sixiang Yin. For those who cannot produce sound, taking cold-natured medicines leads to loss of voice; this is due to deficiency-cold of the Kidney Meridian. Several doses of Fuzi (Aconiti Lateralis Radix Praeparata) preparations must be administered to cure this. This point must not be overlooked.
Deficiency in the Lower Yuan (Lower Origin) and excess in the Upper part lead to sores in the mouth and tongue. If using sedative drugs to descend Yang, administer Yangzheng Dan or Heixi Dan with Yangjiang Tang taken with salt water. Furthermore, before sleep, wash feet with hot water, take a small pinch of stir-fried, clean Wuzhuyu (Evodiae Fructus), wipe the sole of the foot, then immediately apply stir-fried Wuzhuyu to the sole of the foot and bind it tightly. Apply to the left foot for men and the right foot for women.
There was once a patient with sores on the tongue that eroded into ulcers over time. Multiple courses of cooling medicines were ineffective. Later, someone advised taking Heixi Dan, leading to gradual recovery. This is also due to deficiency in the lower causing excess in the upper.
Additionally, sudden swelling of the tongue is called Chongshe (Double Tongue). Use only Zhen Puhuang (Polygoni Typhonii Pollen) powder applied externally.
There are cases where the tongue feels numb spontaneously without cause; this should not be treated as Wind syndrome. It is due to insufficiency of Heart Blood. Use Lizhong Tang with half a qian of Shufu (Prepared Aconite) and 1.5 qian of Danggui (Angelicae Sinensis Radix).
Toothache, see Toothache Syndrome in the Chapter on Various Pains. Other dental ailments vary and have their own specialized departments. Gingival bleeding (Yanu) see Hemorrhage Chapter.
(Attached: Back Carbuncle)
To disperse various toxic pathogens, grind Bai Furong Ye (Hibisci Mutabilis Folium) extensively, add a little Caowu Ye (Aconiti Kusnezoffii Radix Folium), and mix with honey for external application. For severe cases, add Nanxing (Arisaematis Rhizoma) powder. For all kinds of toxic pathogens, if using plasters to disperse them, rub in Shexiang (Moschus); if intending to induce suppuration, rub in Xionghuang (Realgar).
For all toxic syndromes, if thirst has already appeared, or if pus discharge is excessive, to prevent thirst due to fluid depletion, besides Qianjin Neibu San, concurrently administer Bawei Wan (Eight-Ingredient Pill with Rehmannia Root), preferably containing Wuweizi (Schisandrae Chinensis Fructus).
Fever and aversion to cold, resembling Taiyang disease but accompanied by pain, indicate that the painful area is developing into a carbuncle or deep abscess. Carbuncles belong to the Fu organs, thus they develop superficially, with thin skin and high swelling. Abscesses belong to the Zang organs, thus they develop deeply, with thick skin and firm swelling. There are also milder forms than carbuncles and abscesses, named Jiedu (Boil/Carbuncle). "Yong" means congestion; "Ju" means obstruction; "Jie" means nodule. It refers to Qi and Blood congestion and obstruction at joints. Treat all with Weilingxian Yin to mildly promote bowel movement, or Wuxiang Liaoqiao San, assisted by Fuyuan Tongqi San. If pus and blood have formed, do not use dispersing methods. Whether ulcerated or not, Xiaotuoli San is appropriate, or Qianjin Neibu San added with Muxiang (Aucklandiae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Baishao (Paeoniae Radix Alba), and Wuyao (Linderae Radix) in equal parts. Add Gualougen (Trichosanthis Radix) for thirst. These herbs treat Yang syndromes. For Yin syndromes, start with Qianjin Neibu San, reduce Fangfeng (Saposhnikoviae Radix) and Jiegeng (Platycodonis Radix) by half, and double Baizhu (Atractylodis Macrocephalae Rhizoma). If ineffective, add Shufu. Decocting these together yields better results.
Additionally, those who ingest mineral pills to aid libido, when essence and Qi are depleted and drug toxicity becomes dominant, may suffer from Back Carbuncle. Minerals share affinity with the Lung. The Lung attaches to the Kidney, hence such diseases often arise.
Those fond of eating turtle meat may also develop Back Carbuncle. This is because the Yang Qi of the turtle gathers in the upper shell, which is why the upper shell can be used in medicine. Treatment is the same as above. If the toxin manifests in the Yin aspect and Fuzi/Rougui preparations cannot yet be used, presenting with external pain and internal cold, Wuxiang Tang is appropriate.
At the initial onset of toxins, generally administer Fuyuan Tongqi San mixed with wine. Or if the disease is located in the lower body, make Tongqi San into pills with wine paste, and swallow with Muxiang Tang.
To treat forming toxic nodules, use mulberries from the Soapberry tree (Zaojiao Shu), ground and mixed with black vinegar for topical application. These mulberries must be stored in advance in a smoky room for emergency use.
Patients with back sores and other toxic ulcers who have lost excessive blood and have reduced body fluids should use Huanji San. For initial onset of toxins with headache, body ache, alternating chills and fever, suspecting exterior pathogen involvement, use Xiangsu Yin added with Chuanxiong (Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium), etc.
Patients with Xiao Ke (Wasting-Thirst) often develop toxic sores. This is due to consumed body fluids, floating deficient Yang, and deficiency inside and out. This is an extreme condition. Sores developing after Xiao Ke resolves, or Xiao Ke recurring after sores heal, are generally untreatable.
Yong, Ju, and Jie are general terms for toxins, listing only the broad categories. Other symptoms and names vary. Before ulceration, if there is increased chills and high fever, delirious speech, seeing ghosts, and persistent high fever despite significant pus discharge, it seems difficult to treat. Essentially, toxin producing pus is like Taiyang disease producing sweat. If high fever persists after sweating, it is a deteriorated Taiyang disease. Washing and dressing belong to surgery. For ulcerated Back Carbuncle with excessive pus discharge and emaciation, use Xiong Gui Tang. None of the taken medicines should contain Baizhu, as it promotes pus formation. However, it is suitable for non-ulcerated cases and initial Yin syndromes.
If the patient vomits and lacks appetite, do not use Qianjin Neibu San, as it may obstruct Spleen Qi. Suspecting exterior pathogen involvement, for non-ulcerated cases, use Erchen Tang added with Chuanxiong, or Buhuanjin Zhengqi San. For ulcerated cases, use Gushen Jiahe Yin.
Another prescription for toxic patients lacking appetite adds Baifuling (Poria) and Banxia (Pinelliae Rhizoma) in equal parts to Buhuanjin Zhengqi San, with Ren Shen (Ginseng Radix) and Muxiang halved. Also called Zhengqi San.
For patients with toxic ulcers who have ulcerated and lost excessive pus/blood, resulting in dried-up fluids and frequent thirst, even if there are fever and restlessness, do not treat conventionally. Use formulas that nourish Ying and generate fluids. If high fever persists, it is difficult to treat.
Chang Yong (Intestinal Abscess) is an abscess growing in the intestine. Abdominal pain occurs. Initially, there is fever and aversion to cold, making symptoms hard to distinguish. It is recognized only after passing pus and blood. Or there is lower abdominal swelling and fullness, or dysuria, or pus discharging from the umbilicus. Swallow Taiyi Gao.
For chronic toxic sores that fail to heal and become fistulas, drink wine infused with Rendongcao (Lonicerae Japonicae Caulis) regularly.
For toxic sores with dry and hard stools, use Shengma Heqi Yin combined with Xiaodu Yin. If accompanied by severe body fever, combine Xiaodu Yin with Baidu San.
For Fire Evil forcing its way through the body, or red nodules appearing all over the body after moxibustion, with swelling, pain, and vortex-like patterns, wash with Jingfang Tang infusion.
Lu (a type of skin lesion) is called Yanghe. Take fresh Shichangpu (Acori Tatarinowii Rhizoma), grind thoroughly, and apply. Also, take about one liang of Shishoujiao (Corean Shellfish Glue), calcine until charred on the outside but raw inside, grind into powder, and take with wine.
Some cases experience severe pain without medication, which stops upon application. Others feel no pain without medication, but pain increases upon application. This is because Cold, Heat, Dampness, Wind, along with emotions like anger, accumulate and attack internally. When the drug draws the pathogen out, pain ceases. Conversely, if dead blood and Yin toxin remain inside, continued medication drives the toxin deeper, causing less pain. When the drug pushes the toxin outward, pain increases.