走马喉痹，走马喉痹势如奔马，喉间痹痛，肿连颊骨，壮热烦闷，数数吐气者是也。此肺脾不利，热毒攻
冲，发于咽喉所致。急开风路针吹赤麟散噙角药服，紫地汤或解毒雄黄丸，缓则不及。凡喉科痹闭，急证一时，
觅药不及，急用土牛膝根捣汁滴入，亦可挽救于万一。
尸咽喉 道家服药，务先去三虫，以其为人害也。尸咽之病，亦本于此巢氏，谓腹中尸虫，上蚀咽喉，能令
生疮，或痒或痛，如 候是也。善摄生者，倘未能除去，亦当服药治之，勿使妄动则善矣，黄柏汤主之，或一捻
金吹之。
缠喉风（再见）喉肿而大，连顶肿痛，喉内红丝缠紧，势如绞转，且麻且痒，手指甲青，手心壮热，痰气盛
涌如锯，手足厥冷，或两颐及项赤色，缠绕发寒热者亦是。先两日必胸膈闭滞，痰塞气促，最为急症。内服喉痹
饮，外用金碧二丹吹之。若加牛黄效更速捷。岫云山人曰∶此症开风路针吹赤麟散服紫地汤，更神效。此水涸火
炎，肺金受克也，难治。忌辛热收涩，用养金汤，生地、阿胶、杏仁、知母、丹参、麦冬、桑白皮、蜂蜜。
喉中醒臭 此属肺胃热毒，黄芩、射干煎服。岫云山人曰∶亦有属肝肾虚者，急宜大剂养阴须细察左关两尺
弦数无力，或弦涩者皆是。《素问》所谓血枯，即此症也。庸医不知，往往认为肺痈治，误人多矣。不知肺痈必
见云门、中府相引而痛，右寸必弦数异常，久则咳唾脓血不止，喉中醒臭而已也。
咽嗌痛 咽嗌痛甚，不能纳唾与食，此属阴虚火炎。《内经》曰∶形苦志苦，病生于咽嗌是也。喉痹饮倍加
荆芥、玄参、地黄汤亦妙。岫云山人曰∶亦有属风火内郁者，宜表散，忌滋阴药，远不及也。
连珠乳蛾 单双蛾人多知之，又有连珠乳蛾，人所不知。其状如白星上下相连故名，
皆由酒色过度郁结而成，最重之候，内服喉痹饮，外先用碧五金一，后用金二碧三。
喉菌 状如浮萍，生喉旁，忧郁气滞使然。妇人多患之，轻则半月，重则月余，宜守戒忌口，次要吹药得
法。初用碧五金一，后用碧三金二，噙清灵膏服喉痹饮，以愈为度。
喉癣 喉间生红丝如哥窑纹，如秋海棠花，叶背面之状，干燥而痒，阻碍饮食，此虚火上炎，痰壅肺燥所
致。要戒盐、酱及助火之物。至喉哑则不可救。劳症每多生此，治用碧丹频吹，清灵膏不时噙化，再服喉痹饮。
岫云山人曰∶劳症生此，危在旦夕，为其金水之气皆绝也，故非咽喉药物之所能救治。
喉痈 肺脾热壅，熏发上焦，攻于咽喉，结聚肿痛，不得消散热气炽盛，致团结成痈，妨害吐纳。古方论
以一寸为疖，二寸至五寸为痈。其候使人寒战，咳吐稠浊。善用针者，审其可刺，宜速破之，施以点饵之剂。
又有喉间红肿而痛无别形状者，乃过食炙 火酒极热物品而发，病在胃与大肠。其重者，寒热头疼四五日可愈，
用金十碧一频吹之，内服犀角地黄汤。
喉疮奇疾 喉中生疮，层层叠垒而不痛，日久有窍，出臭气，废饮食，宜用枸橘叶烧酒频服。
咽中结块如核危困欲死 此危证也。饮食不通，射干、牛舌叶汁、海藻俱能治此症，总不若百灵丸最佳。
用百草霜研细，蜜丸，如芡实大，新汲水化下；甚者不过四五丸，效。
咽疮鼻烂 咽喉内生疮，鼻孔内亦烂，此症若作喉风治之，立死。宜用白霜梅一个、烧、存性，枯矾一钱，
山甲珠一钱，共为细末。吹喉中，效。
喉疮溃烂 喉疮已破，疮口疼痛，难进饮食，用猪脑髓蒸熟，以姜醋调和食之，自愈。
感寒喉闭不能咽 用大附子一枚，削去皮、脐，切作大片，以蜜涂炙，令黄纳口中，噙咽其津，甘味尽，
又炙一片而噙咽之。
鼻生红线樱珠 咽痛用诸药不效，丹溪
云∶此非咽痛，乃是鼻中生一条红线，如发悬一黑泡，大如樱桃，垂挂到咽门而止，致口中饮食不能入，须用土
牛膝根择其直而独条者，洗净，捣取汁。入好醋三五匙和匀，滴入鼻孔内，自然丝断珠破，吐出瘀血其病立安。
梅核气 痰气滞塞于咽喉之间，咯不出，咽不下，状如梅核，此因湿热内郁，痰气凝结，治法宜开郁顺气消
痰，加味二陈主之。用韭汁一杯，姜汁、牛乳各半杯，和匀，细细温服，即效。
喉中如有物妨闷 此肺胃壅滞风热，客搏结于咽喉使然。忧愁思虑，气逆痰结，亦皆能生此疾，射干汤主
之。用逍遥二陈加减亦妙。
喉中如有炙脔食噎即塞 用杵头糠二合，研极细，蜜丸，弹子大，每空心噙化一丸，愈为度。岫云山人曰∶
上二症皆梅核气之类也。经云∶胆病喉仲介介然，取阳明陵泉。心咳之状，喉仲介介如梗状，取心之俞，亦此类
也。心之俞即太陵穴口疮。口疮由心脾积热，又有胃气弱，谷气少，上发为口疮者，其服凉药不效，乃肝脾之气
不足，虚火上泛而无制，宜用理中汤，收其浮游之火，外以上肉桂末吹之。若吐泻后口中生疮，亦是虚火，宜理
中汤。忌寒凉。
口糜 《圣济论》云∶膀胱移热于小肠，隔肠不便，上为口糜。夫小肠之脉络心，循咽下膈，抵胃，阴阳和
平，水谷入胃，小肠受之，通调水道，下输膀胱，今热气厥逆膀胱反移热于小肠，胃之水谷不得转输于下，则小
肠塞隔而不便，上则令口生疮而糜烂也。大抵心胃壅热，则必熏蒸于上，不可概以敷药，当求其本而治之。口舌
状如无皮，曰口疮。口舌糜烂，曰口糜。当先用净丝线蘸水轻搅痛者，可治。不痛者，难愈。无血出者，危。搅
过用口疳药吹之，服药宜细辨虚实，西瓜绝妙。冬日以西瓜皮烧灰噙之，五苓导赤合用亦神效。岫云山人曰∶此
症有历用诸药不效者，余切其脉，云浮大而数，重。按∶无力，虚火上炎也。投以炙
、熟地、归芍、白术等药而愈。
燕口疮 口角生疮疼痛微肿，湿烂有汁，此脾胃有热，上攻口唇，与津液相搏所致。以乱发烧灰存性，米
饮调服，即以此敷之。蒸饭，饭甑盖上汽水洗，亦妙。
口菌 生牙龈肉上隆起，形如蕈，或如木耳，紫黑色，此火盛血热气滞所致。用口疳药吹之，或用醋漱口，
茄母蒂烧灰，盐拌、醋调时，时擦之，以愈为度。
口中悬痈 生于上 ，发紫泡者是，宜用银针挑破，吹口疳药，或用碧丹亦妙。
鹅口 一名雪口。小儿初生，月内满口满舌生白屑者是也。宜先将丝绵搅去。
白屑以口疳药频吹之。白僵蚕，洗净，炒黄色，为末，蜜和敷之，立效。
口臭 连翘为末，糊丸，食韭蒜之后，茶吞二三钱，口中浊气，化为清气此内府秘方。
口唇肿黑痛痒不可忍 先以瓷锋砭去恶血，再用青绿古文钱磨猪油涂之，甚良。
茧唇 唇肿白皮皴裂如蚕茧状，或唇下肿如黑枣，或本细末大，或如栗如瘤，皆七情动火伤血，或心火传
脾，或浓味积热，须要审本症，察兼症，补脾气，生脾血，则燥自润，火自除，肿自消。补中益气加栀、芍、丹
皮最妙。逍遥归脾亦可参用。若误进清热消毒之剂，或用药线结去之，必变为翻花败症。凡茧唇紧小，不若误进
清热消毒之剂，或用药线结去之，必变为翻花败症。凡茧唇紧小，不能开合，难进饮食者，不治。
唇生核肿痛如弹 先针去恶血，次用牛膝烧灰，存性，新汲水调涂之，内服防风汤。
唇疮 此气郁也。白荷花瓣贴之，甑上气水洗之，俱效。白梅花瓣贴之，神验。如开裂出血者，立止。伤寒
狐惑症，上唇生疮声哑者，虫食肛也。下唇生疮咽干者，虫食脏也，皆因腹热食少，肠胃空虚，三虫求食之故。
与上所谓唇疮，又当别论。用川连、犀角、乌梅、木香、雄黄、桃仁等味，煎服。
唇紧燥裂生疮 青皮烧灰存性，猪脂调
涂。
喉痹舌卷 按《素问》曰∶邪客手少阳之络，令人喉痹舌卷，口干心烦，臂外廉痛，手不及头，刺手中指、
次指、爪甲上去端如韭叶，各一壮又曰∶手阳明之经，其病肢痛，转筋，舌卷，治在燔针劫刺，以知为度，以痛
为输。其伤寒舌卷者，又当别论。子舌（再见）即重舌，痰也，热也。桑皮、僵蚕发灰为末，以醋调敷，金丹吹
之最妙。或蒲黄、黄柏末敷之，亦神。紫雪亦可针去恶血，亦捷。
木舌（再见） 即舌肿色如猪肝，不能转动，或满口胀塞，粥药不入，是心脾壅热，宜先于舌尖或舌两旁，
刺出紫血，次用筋卷丝绵蘸甘草水润其唇舌，以蒲黄、干姜、冰片为末，四面频吹，杜其延蔓。若唇燥难吹，可
取蜜润之。蒲黄用生者。若出血，用炒，并多加冰片煎剂，用犀角、玄参、升麻、枳壳、生甘草、陈胆星。大便
闭加大黄，小便闭加六一散。
木舌异症 舌下肿起，状如白枣，有青紫筋，初起不痛不寒，热渐渐肿大，系忧郁所致。舌下紫筋，名舌
系，通乎肾。若色白而肿，不治。初用金碧各半，后用金丹煎。
舌忽肿胀 心脾二经受风邪，则舌本强不能卷舒，久或热气加之则肿。筋脉胀急，势连咽喉，碍于呼吸法，
宜刺出恶血，以百草霜、好盐各半两，同研，表里涂之；或用蒲黄末糁之；或取蚯蚓数条，以盐水涂咽喉、舌
上，皆立效如神。
舌 此症卒然舌大而硬，喉肿，呼吸不通，实时气绝破棺而治，无不立验。用皂、矾不拘多少，新瓦 红
色，放地上，候冷，研细，用铁钳拗开喉关，以此药擦其舌，立苏。重舌、木舌亦皆治之。岫云山人曰∶木舌、
舌肿、 舌，此三种大同而小异。但木舌渐渐肿硬，然不至于塞满口中。舌肿其势固疾，犹可稍缓。惟 舌，倏
然胀大，顷刻杀人，其症最急。然其病源，皆心脾郁热所致，故其刺法用药不甚相远，并可通用。
舌上出血不止 又名舌衄，心火郁也。用
槐花掺之，乌贼骨、蒲黄末亦佳。若但心破而不出血，属心火极盛，宜服犀角地黄汤加童便。
舌出不收 名阳强，宜补阳。以蒲黄末掺之；或用珍珠冰片等分，为末，敷之，或以萆麻子油捻纸烧烟熏
之，皆立收。凡舌出数寸，须要分辨伤寒、产后、中毒、大惊四种伤寒。用冰片掺之，或纸卷巴豆一粒，纳鼻
中，自收。产后者，用丹砂敷舌，仍令作产子状，以二女掖之而于壁，外突掷盆盎作声惊之，舌立上矣。余者，
用雄鸡冠血浸之；或冬青浓汁浸之，即缩入。
舌缩不能言 此名阴强宜补阴。
舌黑有大孔流血，以青盐、芩、柏、大黄各一钱，人参、甘草、桂心各五分，煎服。外烧热铁，烙孔上。
舌疮久蚀成穴 屡用凉剂不效者，上盛下虚也，服黑锡丹，可渐愈，十全大补养荣汤，皆可酌用。
舌根痈 舌根生痈红而且肿，用金碧各半吹之；煎剂，黄连、犀角、丹皮、生地黄、生甘草、赤芍、山栀、
麦冬、连翘、木通。
连珠疳 舌下生水泡，初起一枚，渐至七八枚者是也。吹口疳药以治之。
舌菌 生舌上隆起如菌，或如木耳，色红紫，心火郁炽也。治同口菌，煎剂用导赤散加减。
啮舌，啮唇啮颊 心脾之气恒通于舌阳明之经直入齿缝，故邪入心脾，则舌自挺；邪入阳明，则口自噤；
一挺一噤，故令嚼舌。治宜清其风火，则病自愈。按《灵枢》曰∶啮舌者，厥逆走上脉气，皆至也。少阴气至为
啮舌，少阳气至则啮颊，阳明气至则啮唇，视至病者补之。
悬雍垂长 咽中妨闷，用枯矾、盐花等分，研细，以箸点之。
走马牙疳 牙龈腐烂，或胎毒痘毒杀人最速，色如干酱，一日烂一分，二日烂一寸，走马喻其速也。若鼻梁
发红点如珠者，不治。上
唇龙门牙落者，必死。用口疳药加牛黄吹之，圣功丹妙极。岫云山人曰∶走马牙疳，人皆知为火毒，而不知痘
疹。杂症过服寒凉，亦能致此，盖寒凉伤胃，火土衰微，则邪火大肆而成牙疳矣。譬如太阳所不照之处，其物为
湿热所蒸，必腐烂生虫，此理之显然者也。兹时惟以大剂八珍、六君养营等汤裁酌与之，外则敷以人中白散，
庶几可活。而医者不悟，益进苦寒之药，致死者多矣，可不悯哉！此义古人所未发，自余发之闻者，多不信。时
有程一士者，在座，怃然曰∶吾子今春患痘，幼科肆用寒凉，且令粥茗菜羹皆煎石膏水烹之，竟变成牙疳而不
起。以此观之，君言岂不信而有征乎！
齿痛连脑欲死 此肾经犯风寒也。不问冬夏，肾虚人常有之，缓则不救，急用羌活附子汤，羌活、附子、麻
黄、苍术、炙黄 、防风、甘草、升麻、僵蚕、白芷、黄柏。或用白芷散亦妙。白芷、麻黄、草豆蔻、炙黄 、
吴茱萸、熟地黄、当归、升麻、 本、桂枝、羌活。
牙槽风 齿痛不已，龈肉浮肿，紫黑色出血，久则腐烂，属肾，虚兼胃火，用口疳药加牛黄，倍珍珠、儿茶
吹之。
牙漏 即牙槽风，延久不愈。齿缝出脓，甚则齿落。若上边龙门牙落者，不治。宜外吹口疳药，并内服滋阴
降火之剂。
牙咬 生于牙尽咬中，牙关紧闭，初起势甚，急夜尤甚，然不难愈，先用金碧二丹吹于牙龈，再用黄熟香削
一钉渐渐挤进牙门，自然渐开，然后将金碧丹吹患处。
牙 此症属胃火，形如豆大，或内外无定处。先用金丹，后用口疳药煎剂，用六味多加石膏。
走马喉痹：走马喉痹发病迅猛如奔马，咽喉痹阻疼痛，肿胀牵连至颊骨，高热烦躁闷乱，频繁吐气者即是此证。这是由于肺脾功能失调，热毒攻冲，发于咽喉所致。治疗需紧急开通风路，针刺并吹入赤麟散，含服角药，或服用紫地汤、解毒雄黄丸；若延误时机则来不及救治。凡是喉科痹闭急症，一时之间找不到药物时，紧急使用土牛膝根捣汁滴入，也可在万分之一的情况下挽救生命。
尸咽：道家服药，务必先去除体内的三虫，因为它们对人体有害。尸咽之病，根源也在于此。巢元方认为腹中有尸虫，向上侵蚀咽喉，能导致生疮，或痒或痛，症状类似上述情况。善于养生的人，如果未能除去三虫，也应当服药治疗，不要使其妄动即可。主方用黄柏汤，或用一捻金吹入咽喉。
缠喉风（再次出现）：喉咙肿大，连及顶部肿痛，喉内红丝缠绕紧绷，态势如同绞转，且伴有麻木和瘙痒，手指指甲发青，手心高热，痰气盛涌如拉锯声，手足厥冷，或者两侧面颊及颈部发红，伴随寒热交替发作的也是此证。发病前两天必定胸膈闭塞停滞，痰塞气促，是最为危急的病症。内服喉痹饮，外用金碧二丹吹入咽喉。如果加入牛黄，疗效更迅速快捷。岫云山人说：此症应开通风路，针刺并吹入赤麟散，服用紫地汤，效果更为神奇。这是水枯火炎，肺金受克制的表现，难以治疗。忌食辛热收涩之物，可用养金汤，组成包括生地、阿胶、杏仁、知母、丹参、麦冬、桑白皮、蜂蜜。
喉中腥臭：这属于肺胃热毒，可用黄芩、射干煎服。岫云山人说：也有属于肝肾虚弱的，急需大剂量滋阴，必须仔细察看左关脉和两尺脉是否弦数无力，或弦涩，这些都是肝肾虚的表现。《素问》所说的“血枯”，就是此症。庸医不知，往往误认为是肺痈来治疗，误导了很多人。不知道肺痈必定见云门、中府穴牵引疼痛，右寸脉必异常弦数，久则咳唾脓血不止，仅仅是喉中腥臭罢了。
咽嗌痛：咽嗌疼痛剧烈，不能吞咽唾液和食物，这属于阴虚火炎。《内经》说：形体劳苦、精神忧苦，病生于咽嗌，即是此理。喉痹饮加倍荆芥、玄参，或地黄汤也很妙。岫云山人说：也有属于风火内郁的，适宜表散，忌用滋阴药，否则远不及效。
连珠乳蛾：单侧或双侧乳蛾人们大多知道，又有连珠乳蛾，人们不了解。其形状像白色的星星上下相连，因此得名，皆由酒色过度、郁结而成，是最严重的候象。内服喉痹饮，外用先用碧五金一，后用金二碧三。
喉菌：形状像浮萍，生长在喉旁，是由于忧郁气滞所致。妇女多患此病，轻则半月，重则月余，宜坚守戒律忌口，次要的是吹药方法得当。初用碧五金一，后用碧三金二，含服清灵膏，服用喉痹饮，以痊愈为度。
喉癣：喉间生出红丝，像哥窑瓷器的纹路，像秋海棠花叶背面的样子，干燥而痒，阻碍饮食，这是虚火上炎，痰壅肺燥所致。要忌盐、酱及助火之物。到了喉咙哑则不可救药。劳损病症常多生此症，治疗用碧丹频频吹入，清灵膏不时含化，再服用喉痹饮。岫云山人说：劳症生此症，危在旦夕，因为其金水之气都已断绝，所以不是咽喉药物所能救治的。
喉痈：肺脾热邪壅盛，熏蒸上焦，攻于咽喉，结聚肿痛，热气炽盛无法消散，致使团结成痈，妨害呼吸吐纳。古方论述以一寸为疖，二寸至五寸为痈。其症状使人寒战，咳吐稠浊之物。善用针者，审察可以针刺的部位，宜速破之，施以点饵之剂。又有喉间红肿而痛无其他形状的，乃是过食炙烤、火酒极热物品而引发，病位在胃与大肠。重的，寒热头疼四五日可愈，用金十碧一频频吹入，内服犀角地黄汤。
喉疮奇疾：喉中生疮，层层叠垒而不痛，日久有孔窍，排出臭气，废寝忘食，宜用枸橘叶烧酒频频服用。
咽中结块如核，危困欲死：这是危重证候。饮食不通，射干、牛舌叶汁、海藻都能治疗此症，总不如百灵丸最佳。用百草霜研细，蜜丸，如芡实大小，新汲水化开下服；严重的不过四五丸，有效。
咽疮鼻烂：咽喉内生疮，鼻孔内也腐烂，此症若按喉风治疗，立即致死。宜用白霜梅一个，烧存性，枯矾一钱，山甲珠一钱，共为细末。吹入喉中，有效。
喉疮溃烂：喉疮已破，疮口疼痛，难进饮食，用猪脑髓蒸熟，以姜醋调和食用，自愈。
感寒喉闭不能咽：用大附子一枚，削去皮和脐，切作大片，以蜜涂炙，令变黄纳入口中，含咽其津液，甘味尽后，又炙一片含咽。
鼻生红线樱珠：咽痛用诸药不效，丹溪说：这不是咽痛，乃是鼻中生一条红线，如头发悬挂一黑泡，大如樱桃，垂挂到咽门而止，致口中饮食不能入，须用土牛膝根择其直而独条者，洗净，捣取汁。入好醋三五匙和匀，滴入鼻孔内，自然丝断珠破，吐出瘀血，其病立安。
梅核气：痰气滞塞于咽喉之间，咯不出，咽不下，状如梅核，此因湿热内郁，痰气凝结，治法宜开郁顺气消痰，加味二陈汤主之。用韭汁一杯，姜汁、牛乳各半杯，和匀，细细温服，即效。
喉中如有物妨闷：这是肺胃壅滞风热，客搏结于咽喉所致。忧愁思虑，气逆痰结，也都能生此疾，射干汤主之。用逍遥二陈汤加减也很妙。
喉中如有炙脔，食噎即塞：用杵头糠二合，研极细，蜜丸，弹子大小，每空心含化一丸，以愈为度。岫云山人说：上二症皆属梅核气之类。经云：胆病喉中介介然，取阳明陵泉。心咳之状，喉中介介如梗状，取心之俞，也此类。心之俞即太陵穴。
口疮：口疮由心脾积热引起，又有胃气弱，谷气少，上发为口疮者，其服凉药不效，乃肝脾之气不足，虚火上泛而无制，宜用理中汤，收敛其浮游之火，外以上肉桂末吹之。若吐泻后口中生疮，亦是虚火，宜理中汤。忌寒凉。
口糜：《圣济论》说：膀胱移热于小肠，隔肠不便，上为口糜。小肠之脉络心，循咽下膈，抵胃，阴阳和平，水谷入胃，小肠受之，通调水道，下输膀胱，今热气厥逆，膀胱反移热于小肠，胃之水谷不得转输于下，则小肠塞隔而不便，上则令口生疮而糜烂也。大抵心胃壅热，则必熏蒸于上，不可概以敷药，当求其本而治之。口舌状如无皮，曰口疮。口舌糜烂，曰口糜。当先用净丝线蘸水轻搅痛者，可治。不痛者，难愈。无血出者，危。搅过用口疳药吹之，服药宜细辨虚实，西瓜绝妙。冬日以西瓜皮烧灰含服，五苓导赤散合用亦神效。岫云山人说：此症有历用诸药不效者，我切其脉，云浮大而数，重按无力，是虚火上炎也。投以炙甘草、熟地、归芍、白术等药而愈。
燕口疮：口角生疮疼痛微肿，湿烂有汁，这是脾胃有热，上攻口唇，与津液相搏所致。以乱发烧灰存性，米饮调服，即以此敷之。蒸饭，饭甑盖上汽水洗，也妙。
口菌：生牙龈肉上隆起，形如蕈，或如木耳，紫黑色，这是火盛血热气滞所致。用口疳药吹之，或用醋漱口，茄母蒂烧灰，盐拌、醋调时时擦之，以愈为度。
口中悬痈：生于上腭，发紫泡者是，宜用银针挑破，吹口疳药，或用碧丹也妙。
鹅口：一名雪口。小儿初生，月内满口满舌生白屑者是也。宜先将丝绵搅去白屑，以口疳药频吹之。白僵蚕，洗净，炒黄色，为末，蜜和敷之，立效。
口臭：连翘为末，糊丸，食韭蒜之后，茶吞二三钱，口中浊气，化为清气，此为内府秘方。
口唇肿黑痛痒不可忍：先以瓷锋砭去恶血，再用青绿古文钱磨猪油涂之，甚良。
茧唇：唇肿白皮皴裂如蚕茧状，或唇下肿如黑枣，或本细末大，或如栗如瘤，皆七情动火伤血，或心火传脾，或浓味积热，须要审本症，察兼症，补脾气，生脾血，则燥自润，火自除，肿自消。补中益气汤加栀、芍、丹皮最妙。逍遥归脾汤亦可参用。若误进清热消毒之剂，或用药线结去之，必变为翻花败症。凡茧唇紧小，不能开合，难进饮食者，不治。
唇生核肿痛如弹：先针去恶血，次用牛膝烧灰，存性，新汲水调涂之，内服防风汤。
唇疮：此气郁也。白荷花瓣贴之，甑上气水洗之，俱效。白梅花瓣贴之，神验。如开裂出血者，立止。伤寒狐惑症，上唇生疮声哑者，虫食肛也。下唇生疮咽干者，虫食脏也，皆因腹热食少，肠胃空虚，三虫求食之故。与上所谓唇疮，又当别论。用川连、犀角、乌梅、木香、雄黄、桃仁等味，煎服。
喉痹舌卷：按《素问》说：邪客手少阳之络，令人喉痹舌卷，口干心烦，臂外廉痛，手不及头，刺手中指、次指、爪甲上去端如韭叶，各一壮。又说：手阳明之经，其病肢痛，转筋，舌卷，治在燔针劫刺，以知为度，以痛为输。其伤寒舌卷者，又当别论。
子舌（再次出现）：即重舌，痰也，热也。桑皮、僵蚕发灰为末，以醋调敷，金丹吹之最妙。或蒲黄、黄柏末敷之，亦神。紫雪亦可针去恶血，亦捷。
木舌（再次出现）：即舌肿色如猪肝，不能转动，或满口胀塞，粥药不入，是心脾壅热，宜先于舌尖或舌两旁，刺出紫血，次用筋卷丝绵蘸甘草水润其唇舌，以蒲黄、干姜、冰片为末，四面频吹，杜其延蔓。若唇燥难吹，可取蜜润之。蒲黄用生者。若出血，用炒，并多加冰片煎剂，用犀角、玄参、升麻、枳壳、生甘草、陈胆星。大便闭加大黄，小便闭加六一散。
木舌异症：舌下肿起，状如白枣，有青紫筋，初起不痛不寒，热渐渐肿大，系忧郁所致。舌下紫筋，名舌系，通乎肾。若色白而肿，不治。初用金碧各半，后用金丹煎。
舌忽肿胀：心脾二经受风邪，则舌本强不能卷舒，久或热气加之则肿。筋脉胀急，势连咽喉，碍于呼吸，法宜刺出恶血，以百草霜、好盐各半两，同研，表里涂之；或用蒲黄末糁之；或取蚯蚓数条，以盐水涂咽喉、舌上，皆立效如神。
舌（卒然舌大）：此症卒然舌大而硬，喉肿，呼吸不通，实时气绝，破棺而治，无不立验。用皂、矾不拘多少，新瓦烧红，放地上，候冷，研细，用铁钳拗开喉关，以此药擦其舌，立苏。重舌、木舌亦皆治之。岫云山人说：木舌、舌肿、卒然舌大，此三种大同而小异。但木舌渐渐肿硬，不至于塞满口中。舌肿其势固疾，犹可稍缓。惟卒然舌大，倏然胀大，顷刻杀人，其症最急。然其病源，皆心脾郁热所致，故其刺法用药不甚相远，并可通用。
舌上出血不止：又名舌衄，心火郁也。用槐花掺之，乌贼骨、蒲黄末亦佳。若但心破而不出血，属心火极盛，宜服犀角地黄汤加童便。
舌出不收：名阳强，宜补阳。以蒲黄末掺之；或用珍珠冰片等分，为末，敷之，或以萆麻子油捻纸烧烟熏之，皆立收。凡舌出数寸，须要分辨伤寒、产后、中毒、大惊四种。伤寒用冰片掺之，或纸卷巴豆一粒，纳鼻中，自收。产后者，用丹砂敷舌，仍令作产子状，以二女掖之而于壁，外突掷盆盎作声惊之，舌立上矣。余者，用雄鸡冠血浸之；或冬青浓汁浸之，即缩入。
舌黑有大孔流血：以青盐、芩、柏、大黄各一钱，人参、甘草、桂心各五分，煎服。外烧热铁，烙孔上。
舌疮久蚀成穴：屡用凉剂不效者，上盛下虚也，服黑锡丹，可渐愈，十全大补养荣汤，皆可酌用。
舌根痈：舌根生痈红而且肿，用金碧各半吹之；煎剂，黄连、犀角、丹皮、生地黄、生甘草、赤芍、山栀、麦冬、连翘、木通。
连珠疳：舌下生水泡，初起一枚，渐至七八枚者是也。吹口疳药以治之。
舌菌：生舌上隆起如菌，或如木耳，色红紫，心火郁炽也。治同口菌，煎剂用导赤散加减。
啮舌，啮唇，啮颊：心脾之气恒通于舌，阳明之经直入齿缝，故邪入心脾，则舌自挺；邪入阳明，则口自噤；一挺一噤，故令嚼舌。治宜清其风火，则病自愈。按《灵枢》说：啮舌者，厥逆走上脉气，皆至也。少阴气至为啮舌，少阳气至则啮颊，阳明气至则啮唇，视至病者补之。
走马牙疳：牙龈腐烂，或胎毒痘毒杀人最速，色如干酱，一日烂一分，二日烂一寸，走马喻其速也。若鼻梁发红点如珠者，不治。上唇龙门牙落者，必死。用口疳药加牛黄吹之，圣功丹妙极。岫云山人说：走马牙疳，人皆知为火毒，而不知痘疹杂症过服寒凉，亦能致此，盖寒凉伤胃，火土衰微，则邪火大肆而成牙疳矣。譬如太阳所不照之处，其物为湿热所蒸，必腐烂生虫，此理之显然者也。兹时惟以大剂八珍、六君养营等汤裁酌与之，外则敷以人中白散，庶几可活。而医者不悟，益进苦寒之药，致死者多矣，可不悯哉！此义古人所未发，自余发之闻者，多不信。时有程一士者，在座，怃然曰：吾子今春患痘，幼科肆用寒凉，且令粥茗菜羹皆煎石膏水烹之，竟变成牙疳而不起。以此观之，君言岂不信而有征乎！
齿痛连脑欲死：此肾经犯风寒也。不问冬夏，肾虚人常有之，缓则不救，急用羌活附子汤，羌活、附子、麻黄、苍术、炙黄芪、防风、甘草、升麻、僵蚕、白芷、黄柏。或用白芷散亦妙。白芷、麻黄、草豆蔻、炙黄芪、吴茱萸、熟地黄、当归、升麻、藁本、桂枝、羌活。
牙槽风：齿痛不已，龈肉浮肿，紫黑色出血，久则腐烂，属肾，虚兼胃火，用口疳药加牛黄，倍珍珠、儿茶吹之。
牙漏：即牙槽风，延久不愈。齿缝出脓，甚则齿落。若上边龙门牙落者，不治。宜外吹口疳药，并内服滋阴降火之剂。
牙咬：生于牙尽咬中，牙关紧闭，初起势甚，急夜尤甚，然不难愈，先用金碧二丹吹于牙龈，再用黄熟香削一钉渐渐挤进牙门，自然渐开，然后将金碧丹吹患处。
Zouma Hou Bi (Running Horse Sore Throat): Zouma Hou Bi develops with the speed of a galloping horse, featuring bi-obstruction pain in the throat, swelling extending to the cheekbones, high fever, restlessness, and frequent exhalation. This is caused by dysfunction of the Lung and Spleen, with heat-toxin attacking and rushing upward, manifesting in the throat. Emergency treatment requires opening the wind pathway via acupuncture and insufflating Chilin San (Red Unicorn Powder), holding Jiao Yao (Horn Medicine) in the mouth, or taking Zidi Tang (Purple Ground Decoction) or Jiedu Xionghuang Wan (Detoxifying Realgar Pill); delay renders it untreatable. For any emergency obstruction in throat diseases where medication cannot be found immediately, crushing the root of Achyranthes bidentata (Tu Niuxi) into juice and dripping it in can save lives in one out of ten thousand cases.
Shi Yan (Corpse Pharynx): Daoist medicine emphasizes removing the "Three Worms" before taking herbs, as they harm the body. The disease of Shi Yan originates from this. Chao Yuanfang stated that corpse-worms in the abdomen ascend to erode the throat, causing sores that may itch or hurt, similar to the symptoms described above. Those who practice self-care well should take medication to treat it if the worms cannot be removed, preventing them from moving recklessly. The main prescription is Huangbai Tang (Phellodendron Decoction), or Yinnian Jin (One Pinch Gold) insufflated into the throat.
Chan Hou Feng (Coiling Throat Wind): The throat swells greatly, with pain extending to the top; red filaments inside the throat are tightly coiled like twisting ropes, accompanied by numbness and itching, cyanosis of fingernails, intense heat in the palms, phlegm surging loudly like sawing, cold extremities, redness on both cheeks and neck, alternating chills and fever. Two days prior, there must be chest and diaphragm stagnation, phlegm obstruction, and rapid breathing, making it the most critical condition. Internally take Hou Bi Yin (Sore Throat Drink), externally insufflate Jinbi Er Dan (Gold and Green Two Elixirs). Adding Niuhuang (Calculus Bovis) accelerates efficacy. Xiuyun Shanshan said: Open the wind pathway, use acupuncture and insufflate Chilin San, take Zidi Tang for miraculous effect. This is due to water depletion and fire flaring up, overcoming Metal (Lung), making it difficult to treat. Avoid pungent, hot, and astringent substances. Use Yangjin Tang (Nourish Metal Decoction) composed of Shengdi (Rehmanniae Radix), Ejiao (Colla Corii Asini), Xingren (Armeniacae Semen Amarum), Zhimu (Anemarrhenae Rhizoma), Danshen (Salviae Miltiorrhizae Radix), Maidong (Ophiopogonis Radix), Sangbaipi (Mori Cortex), and honey.
Hou Zhong Xing Chou (Fishy Odor in Throat): This belongs to Lung-Stomach heat-toxin. Decoct Huangqin (Scutellariae Radix) and Shegan (Belamcandae Rhizoma) for oral administration. Xiuyun Shanshan said: It can also belong to Liver-Kidney deficiency, requiring large doses of Yin-nourishing herbs. Carefully observe if the pulse at Left Guan and both Chi positions is wiry, rapid, weak, or wiry and choppy; these indicate deficiency. What Suwen calls "Blood Depletion" is this syndrome. Quack doctors often mistake it for Fei Yong (Lung Abscess), misleading many. One must know that Lung Abscess presents with pulling pain between Yunmen and Zhongfu acupoints, an abnormally wiry and rapid Right Cun pulse, and prolonged coughing up of pus and blood; here, it is merely fishy odor in the throat.
Yan Yi Tong (Pain in Pharynx and Gullet): Severe pain in the pharynx and gullet, inability to swallow saliva or food, belongs to Yin deficiency with Fire flaring. Neijing states: "Physical hardship and mental distress cause disease in the pharynx and gullet." Increase Jingjie (Schizonepetae Herba) and Xuanshen (Scrophulariae Radix) in Hou Bi Yin, or use Dihuang Tang (Rehmannia Decoction), which is also excellent. Xiuyun Shanshan said: It can also be due to internal stagnation of Wind-Fire, suitable for dispersing exterior pathogens; avoid Yin-nourishing herbs, otherwise efficacy is poor.
Lianzhu Ru E (String-of-Pearls Tonsils): People know single or double tonsillar swellings, but few know Lianzhu Ru E. Its shape resembles white stars connected vertically, hence the name. It results from excess alcohol and sexual activity leading to stagnation, representing a severe manifestation. Internally take Hou Bi Yin. Externally, first insufflate Biwujinyi (Green Five Gold One), then Jinerbisan (Gold Two Green Three).
Hou Jun (Throat Fungus): Resembling duckweed, growing beside the throat, caused by melancholy and Qi stagnation. Women suffer from it frequently; mild cases last half a month, severe ones over a month. Strict dietary restrictions are needed, along with proper insufflation techniques. Initially use Biwujinyi, later Bisanjiner (Green Three Gold Two). Hold Qinglinggao (Clear Spirit Ointment) in the mouth and take Hou Bi Yin until cured.
Hou Xuan (Throat Lichen): Red filaments appear in the throat like Ge ware cracks or the back of Begonia leaves, dry and itchy, obstructing eating. This is caused by deficient Fire flaring up and Phlegm congestion with Lung dryness. Avoid salt, soy sauce, and pro-fire foods. If hoarseness occurs, it is incurable. Consumption diseases often produce this. Treat by frequently insufflating Bidan (Green Elixir), holding Qinglinggao, and taking Hou Bi Yin. Xiuyun Shanshan said: When this arises from consumption, death is imminent because Metal and Water energies are exhausted; throat medicines cannot save it.
Hou Yong (Throat Carbuncle): Heat congestion in Lung and Spleen steams the Upper Jiao, attacking the throat, forming painful swelling. Intense heat fails to dissipate, aggregating into a carbuncle, hindering respiration. Ancient texts define a boil under one cun as a furuncle, two to five cun as a carbuncle. Symptoms include chills and coughing up thick turbid matter. Skilled practitioners should puncture quickly if indicated, applying topical and edible remedies. Another type involves red swelling and pain without distinct shape, caused by excessive intake of roasted, fiery, alcoholic, or extremely hot items, affecting the Stomach and Large Intestine. Severe cases with chills, fever, and headache resolve in 4-5 days using Jinshibiyi (Gold Ten Green One) insufflated frequently, internally taking Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction).
Hou Chuang Qiji (Strange Throat Ulcer): Sores grow in layers in the throat without pain; after long duration, holes form emitting foul odor, preventing eating. Take Goujuye (Aurantii Fructus Leaf) decocted in liquor frequently.
Yan Zhong Jie Kuai Ru He (Ball-like Mass in Throat, Critical Danger): A critical condition where food and drink cannot pass. Shegan (Belamcandae Rhizoma), Niusheye (Arisaema cum Bractea), and Haizao (Sargassum) can treat this, but Bailing Wan (Hundred Spirit Pill) is best. Grind Baicaoshuang (Charred Grass Dust) finely, mix with honey into pills the size of Euryale seeds, dissolve in fresh water and swallow; severe cases require only 4-5 pills for effect.
Yan Chuang Bi Lan (Throat Ulcer and Nasal Rot): Sores in the throat and rotting inside the nostrils. Treating this as Hou Feng (Throat Wind) causes immediate death. Use one Bai Shuangmei (White Frost Plum), burned to retain properties, combined with 1 qian of Kunfan (Alumen) and 1 qian of Shanjiazhu (Pangolin Scale), ground into fine powder. Insufflate into the throat for effect.
Hou Chuang Kui Lan (Ulcerated Throat Sore): After the sore breaks, pain prevents eating. Steam pig brain, mix with ginger and vinegar, eat to heal spontaneously.
Han Gan Hou Bi Bu Neng Yan (Cold-induced Throat Closure Preventing Swallowing): Use one large Fuzi (Aconiti Lateralis Radix Praeparata), peel skin and navel, slice thickly, coat with honey and roast until yellow. Place in mouth, hold and swallow saliva. When flavor fades, roast another slice and repeat.
Bi Sheng Hong Xian Ying Zhu (Red Thread Cherry in Nose): Throat pain unresponsive to various medicines. Danxi said: This is not throat pain, but a red thread in the nose, like a black bubble hanging from hair, cherry-sized, hanging to the throat gate, preventing entry of food/drink. Select straight, single roots of Tu Niuxi (Achyranthes bidentata), wash, crush to extract juice. Mix with 3-5 spoons of good vinegar, drip into nostrils. Naturally the thread breaks, bubble pops, stasis blood is expelled, and illness resolves immediately.
Mei He Qi (Plum-pit Qi): Phlegm-Qi obstructs the throat, cannot be spat out or swallowed, feeling like a plum pit. Caused by internal damp-heat stagnation and phlegm-Qi condensation. Treatment should open depression, smooth Qi, and resolve phlegm. Jiawei Erchen Tang (Modified Two-Chen Decoction) is primary. Mix one cup of Leizhi (Chinese Chive Juice), half cup of Jiangzhi (Ginger Juice), half cup of Niurou (Cow Milk), blend evenly, take warm slowly for effect.
Hou Zhong Ru You Wu Fang Men (Feeling of Obstruction in Throat): Caused by Lung-Stomach congestion with Wind-Heat lodging in the throat. Worry and anxiety causing Qi reversal and Phlegm knotting also generate this. Shegan Tang (Belamcandae Rhizoma Decoction) is primary. Xiaoyao Erchen Tang (Xiaoyao and Two-Chen Modified) is also excellent.
Hou Zhong Ru You Zhi Luan, Shi Ye Ji Sai (Feeling of Roasted Meat in Throat, Choking upon Eating): Use 2 he of Chutoukang (Rice Hulls from Pestle Head), grind extremely fine, mix with honey into pill-sized balls. Hold one empty-stomach until dissolved, continue until cured. Xiuyun Shanshan said: The above two syndromes belong to Mei He Qi. Classics state: Gallbladder disease causes a sensation in the throat; treat Yangming Lingquan. Heart Cough presents with a lump-like sensation in the throat; treat Heart Shu (Taoling Acupoint). These are similar categories.
Kou Chuang (Oral Ulcer): Caused by Heart-Spleen accumulated heat, or weak Stomach Qi and insufficient Grain Qi rising to cause ulcers. If cooling herbs fail, it indicates insufficient Liver-Spleen Qi with unconstrained Deficient Fire flaring up. Use Lizhong Tang (Regulate Middle Decoction) to anchor floating Fire; externally insufflate Rougui (Cinnamon Bark) powder. Mouth sores after vomiting/diarrhea are also Deficient Fire; use Lizhong Tang. Avoid cold/cooling herbs.
Kou Mi (Oral Thrush/Mucosal Erosion): Shengji Lun states: Bladder transferring heat to Small Intestine causes intestinal blockage, leading to oral erosion. Small Intestine meridians connect to Heart, follow throat through diaphragm to Stomach. With balanced Yin-Yang, food enters Stomach, Small Intestine receives it, regulates water passages, transports to Bladder. Now, rebellious heat causes Bladder to transfer heat back to Small Intestine; stomach contents cannot descend, blocking Small Intestine, causing upper oral sores and erosion. Generally, Heart-Stomach heat steams upward; do not just apply topical meds, treat the root. Mouth/tongue looking skinless is Kou Chuang; eroded is Kou Mi. First gently stir painful areas with wet silk thread; treatable. Painless is hard to cure. No bleeding is critical. After stirring, insufflate Kougan medicine. Differentiate deficiency/excess carefully when prescribing. Watermelon is excellent. In winter, burn watermelon rind to ash and hold in mouth. Wuling San combined with Daochi San is also miraculous. Xiuyun Shanshan said: Some cases resist all medicines. My pulse diagnosis showed floating, large, rapid, but weak on deep pressure, indicating Deficient Fire flaring. Prescribed Zhi Gancao (Prepared Licorice), Shudi (Prepared Rehmannia), Guishao (Angelica and Peony), Baizhu (Atractylodes) etc., resulting in recovery.
Yan Kou Chuang (Swallow's Mouth Ulcer): Ulcers at mouth corners with slight swelling, wet and oozing. Caused by Stomach-Spleen heat attacking lips, interacting with fluids. Burn human hair to ash, retain properties, mix with rice water to take, and apply topically. Washing with steam from rice cooker lid is also effective.
Kou Jun (Oral Fungus): Raised growth on gum flesh, mushroom or wood ear shaped, purple-black. Caused by excessive Fire, Blood heat, and Qi stagnation. Insufflate Kougan medicine, or rinse with vinegar. Burn eggplant stem base to ash, mix with salt and vinegar, apply occasionally until cured.
Kou Zhong Xuan Yong (Palatal Abscess): Occurs on the soft palate, presenting as purple blisters. Puncture with silver needle, insufflate Kougan medicine, or use Bidan (Green Elixir).
E Kou (Goose Mouth/Thrush): Also called Xue Kou. Infants within one month have full mouth and tongue covered in white flakes. Remove flakes with raw cotton first. Insufflate Kougan medicine frequently. White Jiangcan (Bombyx Batryticatus), washed, fried yellow, ground, mixed with honey and applied yields immediate effect.
Kou Chou (Bad Breath): Lianqiao (Forsythiae Fructus) ground into powder, made into paste pills. After eating garlic/chives, swallow 2-3 qian with tea. Transforms turbid Qi in mouth to clear Qi. An internal palace secret recipe.
Kou Chun Zhong Hei Tong Yang (Black Swollen Painful Itching Lips): First bleed using porcelain shard, then grind ancient green copper coin with pig fat and apply. Very effective.
Jian Chun (Silkworm Cocoon Lip): Lip swelling with white cracked skin like cocoon, or lower lip swollen like black date, tapering base with wide tip, or nut/tumor-like. All caused by Seven Emotions igniting Fire damaging Blood, Heart Fire transmitting to Spleen, or rich flavors accumulating heat. Must examine root and accompanying symptoms, tonify Spleen Qi, generate Spleen Blood, so dryness moistens, Fire removes, swelling subsides. Buzhong Yiqi Tang (Tonify Middle and Augment Qi Decoction) plus Zhi Zi (Gardenia), Shaoyao (Peony), Danpi (Moutan) is best. Xiaoyao Guipi Tang (Xiaoyao and Spleen-Restoring Decoction) can also be used. Mistakenly using clearing-heat detoxifying agents or tying off with medicinal thread turns it into Fanhua Bailing (Everted Flower Failure Syndrome). If Jian Chun is tight/small, unable to open/close, difficult to eat, it is incurable.
Chun Sheng He Zhong Tong Ru Dan (Lump on Lip Swollen Painful like Bullet): First needle to remove bad blood, then burn Niuxi (Achyranthes) to ash, retain properties, mix with fresh water and apply. Internally take Fangfeng Tang (Saposhnikovia Decoction).
Chun Chuang (Lip Sore): Due to Qi depression. Apply white lotus petals, wash with steam from rice cooker lid; both effective. White plum petals apply miraculously. Stops bleeding if cracked. In Shanghan Huo Huo Syndrome, upper lip sore with hoarseness indicates worms eating anus; lower lip sore with dry throat indicates worms eating viscera. All due to abdominal heat, low appetite, empty intestines/stomach, three worms seeking food. Distinct from previous lip sores. Decoct Chuanlian (Coptis), Xijiao (Rhinoceros Horn - substitute with Buffalo Horn), Wumei (Mume Fruit), Muxiang (Aucklandiae Radix), Xionghuang (Realgar), Taoren (Peach Seed).
Chun Jin Zao Lie Sheng Chuang (Tight Dry Cracked Ulcerous Lips): Qingpi (Citrus Peel) burned to ash, retain properties, mix with pig fat for application.
Hou Bi She Juan (Sore Throat and Rolled Tongue): According to Suwen: Pathogen invading Hand Shaoyin collateral causes sore throat, rolled tongue, dry mouth, irritability, outer arm pain, hand unable to reach head. Puncture middle and index fingers near nail edge, one moxa cone each. Also: Hand Yangming meridian disease causes limb pain, spasms, rolled tongue. Treat with burning needle puncture, stop when known, use pain as acupoint. Shanghan rolled tongue is different.
Zi She (Child Tongue - Repeated): Same as Chong She (Double Tongue), due to Phlegm and Heat. Sangpi (Mulberry Bark), Jiangcan (Silkworm), hair ash ground, mixed with vinegar for application. Jindan (Golden Elixir) insufflation is best. Or Pugongying (Dandelion) and Huangbai (Phellodendron) powder application is also miraculous. Zixue (Purple Snow) can also be used to needle out bad blood, equally fast.
Mu She (Wood Tongue - Repeated): Tongue swollen like pig liver, immobile, or filling mouth, unable to eat/drink. Heart-Spleen heat congestion. First prick tip or sides to release purple blood. Then use silk-wrapped stick dipped in Licorice water to moisten lips/tongue. Insufflate Pugongying (Polygoni Multiflori Caulis? Note: Text says Pugongying but context implies Polygonatum or similar drying agent, likely typo for Pu Huang or similar, sticking to text: Pugongying), Ganjiang (Dried Ginger), Bingpian (Borneol) powder around tongue to prevent spread. If lips dry, use honey. Use raw Pugongying. If bleeding, use fried, add more Bingpian. Decoction: Xijiao (Rhinoceros/Buffalo Horn), Xuanshen (Scrophularia), Shengma (Cimicifuga), Zhike (Aurantium), Sheng Gancao (Raw Licorice), Chen Danning (Aged Arisaema). Constipation adds Dahuang (Rhubarb); urinary retention adds Liuyi San (Six-to-One Powder).
Mu She Yi Zheng (Wood Tongue Abnormality): Swelling under tongue like white date with blue-purple veins, initially painless/cold, gradually swelling with heat, caused by melancholy. Vein under tongue named She Xi connects to Kidney. If white and swollen, incurable. Initially use equal parts Jin and Bi, later Jindan Decoction.
She Hu Zhang Zhong (Sudden Tongue Swelling): Wind-Evil invading Heart-Spleen meridions makes tongue root stiff, unable to roll/unroll; prolonged heat causes swelling. Meridian tension extends to throat, hindering breathing. Method: Prick to bleed. Grind Baicaoshuang (Charred Grass Dust) and Hao Yan (Good Salt) half-liang each, apply inside/outside. Or sprinkle Pugongying powder. Or take earthworms, apply salt water to throat/tongue. All work miraculously.
She (Sudden Large Tongue): Sudden large hard tongue, throat swelling, blocked respiration, sudden death. Treat even if coffin opened, immediate verification. Use Zaofen (Soap-Alum) unspecified amount, fire new tile red, place on ground to cool, grind fine. Use iron pincers to open jaw, rub tongue with medicine, revive instantly. Treats Chong She and Mu She too. Xiuyun Shanshan said: Mu She, She Zhong, and Sudden Large Tongue are similar but differ slightly. Mu She swells hard gradually, doesn't fill mouth. She Zhong is severe but slower. Sudden Large Tongue swells instantly, kills quickly, most urgent. Root cause is Heart-Spleen depressed heat, so needling/medication methods are close and interchangeable.
She Shang Chu Xue Bu Zhi (Unstoppable Tongue Bleeding): Also called She Nu. Heart Fire depression. Sprinkle Huaihua (Sophora Flower), or Octopus Bone/Pugongying powder. If heart breaks but no bleeding, extreme Heart Fire, take Xijiao Dihuang Tang plus Tongbian (Child Urine).
She Chu Bu Shou (Protruding Tongue Cannot Retract): Named Yang Qiang, should tonify Yang. Sprinkle Pugongying powder; or Pearl/Bingpian equal parts powder apply; or castor oil paper smoke fumigation. All retract immediately. If tongue protrudes inches, differentiate Shanghan, Postpartum, Poisoning, Great Shock. Shanghan: Bingpian powder or castor bean pill in nose retracts. Postpartum: Cinnabar on tongue, simulate birth posture, two women support against wall, throw pots to startle, tongue retracts. Others: Rooster comb blood soak or Wintergreen juice soak shrinks it.
She Suo Bu Neng Yan (Retracted Tongue Unable to Speak): Named Yin Qiang, should tonify Yin.
She Hei You Da Kong Liu Xue (Black Tongue with Large Hole Bleeding): Qingyan (Blue Salt), Qin (Scutellaria), Bai (Phellodendron), Dahuang (Rhubarb) 1 qian each; Renshen (Ginseng), Gancao (Licorice), Guixin (Cinnamon Heart) 0.5 qian each. Decoct. Externally heat iron rod, cauterize hole.
She Chuang Jiu Shi Cheng Xue (Long-standing Tongue Ulcer Becoming Cavity): Cooling herbs ineffective indicates Upper Excess Lower Deficiency. Take Heixi Dan (Black Tin Pill) for gradual improvement. Shiquan Dabu Yangrong Tang (Ten Complete Tonification Nourishing Blood Decoction) also applicable.
She Gen Yong (Root of Tongue Abscess): Red swollen abscess at tongue root. Insufflate equal parts Jin and Bi. Decoction: Huanglian (Coptis), Xijiao (Rhinoceros/Buffalo Horn), Danpi (Moutan), Sheng Dihuang (Fresh Rehmannia), Sheng Gancao (Raw Licorice), Chishao (Red Peony), Shanzhi (Gardenia), Maidong (Ophiopogon), Lianqiao (Forsythia), Mutong (Akebia).
Lianzhu Gan (String-of-Pearls Gum Disease): Blisters under tongue, starting as one, growing to 7-8. Insufflate Kougan medicine.
She Jun (Tongue Fungus): Raised growth on tongue like fungus or wood ear, red-purple. Heart Fire depression blazing. Treatment same as Kou Jun. Decoction: Daochi San (Guide Out Red Powder) modified.
Nie She, Nie Chun, Nie Jia (Biting Tongue, Lips, Cheeks): Heart-Spleen Qi connects to tongue; Yangming Meridian enters teeth gaps. Pathogen entering Heart-Spleen makes tongue protrude; entering Yangming makes jaw lock. Protrusion and locking cause chewing. Clear Wind-Fire to heal. Ling Shu states: Biting tongue is JueNi ascending pulse Qi reaching. Shaoyin arrival causes biting tongue; Shaoyang arrival causes biting cheek; Yangming arrival causes biting lip. Tonify the affected meridian.
Xuan Yong Chui Chang (Lengthened Uvula): Throat obstruction. Equal parts Kunfan (Alumen) and Yanhua (Salt Flower), grind fine, apply with chopstick tip.
Zouma Ya Gan (Running Horse Gum Disease): Gingival rot, fastest killing from fetal/variolous toxin. Color like dried paste, rots 1 fen/day, 1 cun/2 days. "Running Horse"比喻 speed. Red dots on nasal bridge like pearls: incurable. Loss of upper incisors: fatal. Insufflate Kougan medicine plus Niuhuang (Calculus Bovis). Shenggong Dan (Holy Merit Elixir) is supreme. Xiuyun Shanshan said: Everyone knows Running Horse Ya Gan as Fire-Toxin, unaware that post-variolous diseases overusing cold/cool herbs also cause it. Cold damages Stomach, Fire/Earth decline, evil Fire flares causing gum disease. Like sunless places steamed by damp-heat rotting and breeding worms. At this time, use large doses of Bazhen (Eight Treasures), Liujun (Six Gentlemen), Yangying Decoctions酌情, externally apply Renzhongbai San (Human Centum Ash Powder), possibly survive. Doctors don't realize, adding bitter-cold herbs kill many. Pity! This insight was unpublished by ancients, I published it; listeners disbelieved. Cheng Yishi present said: My son had variola this spring, pediatrician overused cold-cool, cooked gruel/tea/soup in gypsum water, turned into gum disease and died. Thus your words are credible.
Chi Tong Lian Nao Yu Si (Toothache Connecting to Brain, Death-like): Kidney Meridian invaded by Wind-Cold. Common in Kidney Deficient regardless of season. Slow means death; urgent use Qianghuo Fuzi Tang (Notopterygium and Prepared Aconite Decoction): Qianghuo (Notopterygii Rhizoma et Radix), Fuzi (Prepared Aconite), Mahuang (Ephedra), Cangzhu (Atractylodis Rhizoma), Zhi Huangqi (Prepared Astragalus), Fangfeng (Saposhnikovia), Gancao (Licorice), Shengma (Cimicifuga), Jiangcan (Silkworm), Baizhi (Angelica Dahurica), Huangbai (Phellodendron). Or Baizhi San (Angelica Dahurica Powder) is also good: Baizhi, Mahuang, Caodoukou (Cardamom), Zhi Huangqi, Wuzhuyu (Evodia), Shudi (Prepared Rehmannia), Danggui (Angelica Sinensis), Shengma, Gaoben (Ligusticum), Guizhi (Cinnamon Twig), Qianghuo.
Ya Cao Feng (Gum Wind): Persistent toothache, gingival swelling, purple-black bleeding, long-term rot. Belongs to Kidney, Deficiency with Stomach Fire. Insufflate Kougan medicine plus Niuhuang, double Zhenzhu (Pearl), Ercha (Camelia catechu).
Ya Lou (Gum Fistula): Same as Ya Cao Feng, chronic non-healing. Pus from gum gaps, eventually teeth fall. Loss of upper incisors: incurable. Externally insufflate Kougan medicine, internally take Yin-nourishing Fire-descending agents.
Ya Yao (Teeth Locking/Jaw Lock): Occurs at back teeth, jaw tightly closed, severe onset, worse at night. Not hard to cure. First insufflate Jinbi Er Dan (Gold/Green Two Elixirs) on gums. Then carve Huangshuxiang (Yellow Resin) into nail, squeeze into mouth gap, naturally opens. Then insufflate Jinbi Dan on lesion.
Ya (Gum Disease): Stomach Fire, bean-sized, location不定. First Jindan (Golden Elixir), then Kougan medicine decoction. Liuwei (Six Ingredients) plus Shigao (Gypsum).