自舌上起一小泡，发一个，又一个，甚者七八个，连珠而生，舌黄，舌上肿痛，独生舌
中者，名为舌杨梅，俱属心火。治用口疳药吹之。
舌肿大如煎熟猪肝，不能转动，是忧郁所致。又有一种，生舌根下，状如白枣，即重舌
，有
按∶此属阴症，治宜大辛温，蒸动肾阳方可。若用寒凉，便误。】
一名雪口。初生月内小儿，满口舌上白屑，如蛾口样者，故名之。形如腐衣，后变黄色
，转如黑色者，不治。若口如鱼口，或作鸦声者，难治。此心脾积热，又名迷口。【谔按∶此症
余用柳华散吹，另以真青布湿薄荷水拭之，极效。】
初生小儿，胎内已受热毒，见风而生，但看牙根上有白色，如脆骨者是。此症初发，必
打喷嚏，含乳在口，或吞或吐，而不吮，其病已深，若不急治，入腹而死。凡百日后，不患此
生于上颚，形如紫李子样，坠下抵舌，其人口不能言，舌不能伸，头不能低，仰面而立
，鼻中时出红涕，若不速治，至毒入脑，即死。又有一种（坚俱虫毒风），上颚略肿，水食不下，
状如鸡子，如破烂穿颚，即名天穿，不治。（景华按∶坚俱一二字，文理不通，想传钞之误
，姑存之备考。）
舌面上长出一个小水泡，发一个又接着长一个，严重的有七八个，像连珠一样生长，舌苔黄，舌体肿痛。如果只在舌头中间单独生出的，叫做“舌杨梅”，这些都属于心火亢盛所致。治疗时使用口疳药吹入患处。
舌头肿大得像煮熟的猪肝，不能转动，这是由忧郁情绪导致的。还有一种情况，生在舌根下方，形状像白枣，这就是重舌。【按语：这属于阴证，治疗应当用大辛大温的药物，蒸动肾阳才可以。如果使用寒凉药物，就会误治。】
另一种叫雪口。初生一个月内的婴儿，满口和舌头上布满白色屑状物，像鹅口疮的样子，所以叫这个名字。形态像腐烂的衣服，后来变成黄色，再转为黑色的，无法治愈。如果口腔像鱼嘴张开，或者发出乌鸦叫声的，难以治疗。这是心脾积热所致，又名迷口。【谔按语：此症我使用柳华散吹入，另外用真青布蘸薄荷水擦拭，效果极好。】
初生婴儿，胎内已经受热毒，见到风邪而发病，只要看牙根上有白色，像脆骨一样的就是。此症初发时，必定打喷嚏，含着乳头在口中，或吞或吐，但不吸吮，说明病已深入，如果不紧急治疗，病邪入腹就会导致死亡。凡是出生一百天后的婴儿，不会患此病。
生于上颚，形状像紫李子样，下垂抵住舌头，患者口不能言，舌不能伸出，头不能低下，只能仰面站立，鼻中时常流出红色鼻涕，如果不迅速治疗，毒气入脑，就会死亡。还有一种（坚俱虫毒风），上颚略微肿胀，水食难下，形状像鸡蛋，像破烂穿透上颚，这就名叫天穿，无法治愈。（景华按语：“坚俱”二字文理不通，猜想是传抄错误，姑且保留以备考据。）
口腔内部及咽喉红肿，赤红如肝脏肿胀，口中有物体吐出，气逆闭塞，不能饮食，这是凶险的病症。
随经络发作，或在口，或在舌，没有固定位置，溃烂长久不愈合的就是这种（需认定经络部分）。【谔按语：结毒随症状表现不同，并不一定都是喉症。】
A small blister arises on the surface of the tongue; one appears, followed by another. In severe cases, there may be seven or eight, growing in a string of pearls (Lianzhu). The tongue coating is yellow, and the tongue is swollen and painful. If it occurs exclusively in the center of the tongue, it is named "Tongue Yangmei" (Plum Kernel Tongue), all of which belong to Heart Fire (Xin Huo) hyperactivity. Treatment involves blowing mouth ulcer medicine (Kougan Yao) into the lesion.
The tongue is swollen as large as a cooked pig's liver and cannot move; this is caused by melancholy (Youyu). Another type arises under the root of the tongue, resembling a white date, known as Chongshe (Double Tongue). [Commentary: This belongs to Yin Syndrome (Yin Zheng); treatment should employ greatly pungent and warm herbs to stimulate Kidney Yang (Shen Yang). Using cold-cooling herbs would be a mistake.]
Another name is Xuekou (Snow Mouth). Infants within their first month of life present with white debris covering the entire mouth and tongue, resembling Goose Mouth Ulcer (E Kou), hence the name. The appearance resembles rotting cloth; if it later turns yellow and then black, it is incurable. If the mouth opens like a fish's mouth or produces sounds like a crow, it is difficult to treat. This is caused by accumulated heat in the Heart and Spleen (Xin Pi Ji Re) and is also known as Mikou (Confused Mouth). [E's Commentary: For this condition, I used Liuhua San (Willow Flower Powder) blown into the mouth, and additionally wiped with real green cloth moistened with mint water, yielding excellent results.]
Newborns who have already absorbed heat-toxin in the womb develop this upon exposure to wind. One can identify it by looking for white spots on the gum roots that resemble brittle bone. At the onset, the infant must sneeze; holding the nipple in the mouth but swallowing or spitting without sucking indicates the disease has penetrated deeply. If not treated urgently, the pathogen enters the abdomen leading to death. Infants older than 100 days do not suffer from this disease.
Arising in the hard palate, shaped like a purple plum, hanging down to touch the tongue, the patient cannot speak, extend the tongue, or lower the head, standing only with the face upward. Red nasal discharge occurs intermittently. If not treated rapidly, the toxin enters the brain causing death. Another type (Jianju insect-toxin wind), where the hard palate is slightly swollen, preventing intake of water and food, resembling an egg or a torn perforation through the palate, is named Tianchuan (Heavenly Piercing), which is incurable. [Jinghua's Commentary: The characters "Jianju" make no logical sense, likely a transcription error; retained here for reference.]
The interior of the mouth and throat are red and swollen like a distended liver; material is vomited from the mouth, Qi rebellion causes closure, and eating/drinking is impossible. This is a ominous syndrome (Xiong Zheng).
It erupts along the meridians, occurring either in the mouth or on the tongue, without a fixed location, characterized by chronic non-healing ulcers (identify the specific meridian involved). [E's Commentary: Jiedu (Syphilitic Toxin) presents with various symptoms and is not necessarily limited to throat conditions.]