舌坐莲花六七尖。心家风火抟相炎。莫将斯症寻常看。日久缠绵最可嫌。
舌下浮肿多痰涎初生一二瓣渐至五六瓣形似莲花。凡两边尖瓣者可用刀若中间一瓣尖者。切不可用刀。盖人舌
下中间俱有一筋。直连上下。乃心之苗。所以切不可用刀者。恐误伤筋。则枉人命匪浅也。先用角药调敷舌下取痰
涎。再将冰硼散挑上。服紫地散。重加连翘。症甚者。外用气针自然取效。
枢扶氏曰。莲花证乃蕴热乘风而发于心。舌本属心。又为心之苗。心火上炎。或思虑太过或酒后当风受寒。以
致风痰相搏。而成是症也。
合架风生齿尽头。牙关紧闭病难休。若还不识针刀法。患者如何得便瘳。
此症生在上下牙床两根头勾合之处。起一红核肿痛。牙关紧闭不能开口先用角药调噙。次用破皮刀切红肿处。
吹冰硼散赤麟散可用消芦散熏之。
风名角架不为嘉肿痛须知药可加。昧却个中真妙诀。任他肘后秘方夸。
是症生上下牙床尽处。根上浮肿。以致闭口不便两齿难合咀嚼艰难。初起生在一边或延生两边者治法同合架风。
可用破皮刀切肿处。即效。
爆骨搜牙疾势骄声声痛楚费推敲。金针已度根据方法。功效随收心莫焦。
牙匡之上逐齿红肿骨中极痛不可忍者。名为爆骨搜牙。若通牙床上红肿。或在外牙床肿者。或在内牙床红肿。
口内作烧生痰名搜牙风。若有面红肿者。恐成粟房风症。部位虽分内外。法宜同治。先用角药调噙。吹冰硼散。服
紫地汤。次以针挑牙缝中有红紫血管者。即要挑断出血。若爆骨搜牙。每齿肿处俱要用破皮针。针出血即效。如症
在牙床内者必须肿起牙上。方可用刀。
舌头表面出现六七颗像莲花花瓣一样的突起。这是心经的风邪与火热之邪相互搏结、燃烧所致。不要将此病视为寻常小症，若拖延日久，缠绵难愈，最为令人厌恶。
舌下浮肿并伴有大量痰涎。初生时有一两个瓣状物，逐渐发展到五六个瓣状物，形状类似莲花。凡是位于两侧尖端的瓣状物，可以用刀切开；如果是中间的一个尖端瓣状物，则绝对不可用刀。因为人的舌下中间都有一条筋脉，直通上下，这是心的外候（苗窍）。之所以绝对不可用刀，是担心误伤筋脉，那样会严重危及生命。首先用角药调敷在舌下以祛除痰涎，然后再用冰硼散挑涂患处，内服紫地散，并重加连翘。病情严重的，外用气针治疗即可自然见效。
枢扶氏说：莲花证是由于体内蕴积的热邪乘受风邪而发于心。舌本属于心，又是心的外候。心火上炎，或者因思虑过度，或者酒后当风受寒，导致风痰相互搏结，从而形成此症。
合架风生于牙齿尽头处，牙关紧闭，病情难以停止。如果还不了解针刀疗法，患者如何能得以痊愈？
此症生在上下牙床两根头勾合之处，起一个红肿疼痛的硬结，导致牙关紧闭无法开口。先用角药调匀含漱，接着用破皮刀切开红肿处，吹入冰硼散，赤麟散也可使用，可用消芦散熏蒸。
风名角架并非吉兆，肿痛须知用药可加重（注：此处原文“药可加”结合语境及后文“昧却个中真妙诀”，意指若不懂其中奥妙，随意用药或延误治疗会导致病情加重/复杂化，或指需用特定药物加强治疗，此处直译为“肿痛须知需酌情增加药物治疗力度”或保留原意“肿痛须知药物可叠加使用以增效”，鉴于中医古籍常警示误治，此处依字面翻译为“肿痛须知需配合药物治疗”更为稳妥，但原文“药可加”亦有“病情加重”之意，结合下文“任他肘后秘方夸”之讽刺，此处理解为：若不明医理，即便有秘方也无用，或者指单纯靠药物可能不够，需针刀。参考前文“莫将斯症寻常看”，此处更倾向于强调治疗的复杂性。暂按字面意思：肿痛须知需加强药物治疗）。不明白其中的真正奥妙诀窍，任凭他夸赞《肘后方》里的秘方也没用。
此症生在上下牙床的尽头处，根部浮肿，导致闭口不便，两齿难以咬合，咀嚼困难。初起时生在一侧，或蔓延至两侧的，治疗方法同合架风。可用破皮刀切开肿处，立即见效。
爆骨搜牙疾势凶猛，声声痛楚让人费尽心思推敲。金针已传授根据方法，功效随即收取，心中不必焦急。
牙床之上逐齿红肿，骨头中极度疼痛难以忍受的，名为爆骨搜牙。如果通体牙床上红肿，或在外部牙床肿的，或在内部牙床红肿的，口内感觉烧灼并生痰，名为搜牙风。如果有面部红肿的，恐怕会发展成粟房风症。部位虽然分为内外，治疗方法应当相同。先用角药调匀含漱，吹入冰硼散，服用紫地汤。其次用针挑断牙缝中有红紫色血管的地方，必须挑断使其出血。若是爆骨搜牙，每个牙齿肿胀处都要用破皮针，针刺出血即见效。如果病症在牙床内部，必须肿胀隆起到牙齿上，才可以动刀。
The tongue surface presents with six or seven protrusions resembling lotus petals. This condition arises from the entanglement and combustion of wind-pathogen and fire-heat within the Heart meridian. Do not regard this syndrome as a trivial ailment; if left untreated for a long time, it becomes lingering and intractable, which is most vexing.
Swelling occurs under the tongue accompanied by excessive phlegm-saliva. Initially, one or two petal-like formations appear, gradually increasing to five or six, shaped like a lotus flower. For those located at the lateral tips, incision with a knife may be used. However, for the single central tip formation, incision with a knife is strictly prohibited. This is because there is a tendon connecting vertically above and below in the center of the sublingual region, which is the sprout (manifestation) of the Heart. The prohibition against using a knife is to avoid accidental injury to the tendon, which could result in severe harm or death. First, apply Jiaoyao (Horn Medicine) paste sublingually to resolve phlegm-saliva. Then, use Bingpeng San (Ice and Borax Powder) applied with a probe. Administer Zidi San internally, adding heavy doses of Qiaoliao (Forsythiae Fructus). For severe cases, external treatment with Qi Zhen (Qi Needle) yields natural efficacy.
Shu Fu Shi stated: The Lotus Syndrome develops when latent heat combines with wind-pathogen and affects the Heart. The root of the tongue belongs to the Heart and serves as its manifestation. When Heart-fire flares upward, due to excessive mental exertion or catching cold after drinking while exposed to wind, wind and phlegm interact to produce this syndrome.
Hejia Feng (Combined Frame Wind) arises at the extremities of the teeth, characterized by locked jaw and persistent difficulty. If the needle-knife method is unrecognized, how can the patient recover?
This lesion occurs where the roots of the upper and lower alveolar ridges interlock, presenting as a red, swollen, and painful nodule, causing trismus (locked jaw) and inability to open the mouth. First, rinse with dissolved Jiaoyao (Horn Medicine). Next, incise the swollen area with a Pipo Dao (Skin-Breaking Knife), insufflate Bingpeng San (Ice and Borax Powder), and Chilin San (Red Kirin Powder) may also be used. Xiluo San (Reed Root Powder) fumigation is applicable.
Named "Jiaojia Feng" (Frame Corner Wind), it is not auspicious. Regarding swelling and pain, one must know that medication dosage/intensity may need adjustment. Ignoring the true secret of this condition renders even the praised prescriptions from *Zhouhou Beiji Fang* useless.
This lesion occurs at the extremities of the upper and lower alveolar ridges, with root swelling causing difficulty in closing the mouth, inability to occlude teeth, and masticatory dysfunction. Whether initially unilateral or spreading bilaterally, the treatment is identical to Hejia Feng. Incise the swelling with a Pipo Dao (Skin-Breaking Knife) for immediate effect.
Baogu Souya (Exploding Bone Searching Tooth) disease has a fierce onset, with constant pain requiring careful deliberation. The Golden Needle method has been transmitted; follow the protocol, and efficacy will be achieved promptly, so do not be anxious.
When each tooth along the alveolar ridge shows redness and swelling, accompanied by unbearable deep bone pain, it is named Baogu Souya. Generalized redness and swelling of the alveolar ridge, whether external or internal, accompanied by a burning sensation in the mouth and phlegm production, is named Souya Feng (Searching Tooth Wind). If facial swelling is present, caution is advised as it may develop into Sulifeng (Millet House Wind). Although locations differ internally or externally, the treatment principles are the same. First, rinse with Jiaoyao (Horn Medicine), insufflate Bingpeng San (Ice and Borax Powder), and administer Zidi Tang internally. Subsequently, use a needle to puncture and sever any red-purple blood vessels found in the interdental spaces until bleeding occurs. For Baogu Souya, a Pipenzhen (Skin-Breaking Needle) must be used on every swollen tooth site; bleeding upon needling indicates efficacy. If the lesion is internal to the alveolar ridge, it must swell up to the tooth surface before a knife can be used.