白术，甘草，当归、荆芥，加生地。大黄(煨)。麻
黄、赤芍、薄荷叶，生姜引。
碧雪散
蒲黄、 青黛、 硼砂、 火硝、生甘草，各等分为细末，
吹之。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
连翘、 山栀仁、大黄、 薄荷叶、 黄芩、 甘草、 芒
硝，姜汁少许引。
西 江 月
小儿重舌木舌，心脾蕴热攻中，舌下生舌两重重，木舌大硬
肿痛。急用针刺去血，何妨鲜血流红，枯矾搽上有神功，解熟消风
可用。
上片牙属胃，下片牙属大肠，齿属肾。
凡齿生迟者，肾气不足也。盖肾主骨，齿者骨之余。肾不足
则髓亏，髓亏则不能充乎齿，所以齿生迟也。以地黄丸治之。
上下齿床[39]肿者，此阳明实热也。凉膈散以酒蒸大黄为
君，加知母、石膏、升麻为佐，频频含咽。
重龈者，肾脏积热。附龈肿痛，谓之重龈。以针刺去其血，
用盐汤洗净，黄柏末敷之。
小儿多食肉，牙齿臭息不可近者，此阳明有热也。内服神效
丸，外用姜汁荆沥含咽。
牙疳者，状如狐惑，初作臭气，次则牙齿黑，甚则龈肉烂而
出血，名日宣露。此由肾热， 气奔上焦。故以走马为喻，当速
治之。若上下唇破鼻穿，牙齿落者，此名崩砂。气哨痰潮，饮食
减少，则不可治。当内服黄柏丸，外用如圣散敷之。
咬牙者，风热也。由阳明、大肠二经积热，热则生风，故令
相击而作声，必于梦中者，盖动则风散于表，静则风归于里也。
宣风散主之。
上唇生疮，虫食其脏，曰惑。下唇生疮，虫食其肛，曰狐。
出伤寒指掌之言。狐感者，取其进退犹豫之义。
咬牙，惟痘疹中有此者为危，余无大害。亦有因病战栗，鼓颔
而斗牙者，治其病则自止矣。
牙齿落而不再生者，由于舌舐之故，其肉顽厚，用针刺出
血，以鼠骨散擦之，即生。
文蛤散
治牙疳。
雄黄、枯矾各五分，五倍子二钱，蚕退纸 (烧灰存
性)一钱，共为末，先以米泔水洗净，以药搽上，一日
三、四次，以愈为度。
[Baoming San] (also known as Zhufan San)
Take Cinnabar (Zhusha) and White Calcined Alum (Baikufan), each 5 qian, and Niter (Yaxiao) 5 qian. Grind them together into a fine powder and apply it to the surface of the tongue.
Grind Coptis Rhizome (Huanglian) into powder, mix with honey water, and take orally.
[Formula 3] Atractylodes Macrocephala Rhizome (Baizhu), Licorice Root (Gancao), Angelica Sinensis Radix (Danggui), Schizonepeta Spike (Jingjie), add Rehmannia Root (Shengdihuang); Rhubarb (Dahuang, prepared by roasting); Ephedra Herb (Mahuang), Red Peony Root (Chishao), Mint Leaf (Bohoye), use Fresh Ginger Juice (Shengjiang) as a guide herb.
[Bixue San]
Polygonum Multiflorum Seed (Puhuang), Indigo Naturalis (Qingdai), Borax (Pengsha), Fire Niter (Huoxiao), Raw Licorice Root (Shenggancao), in equal parts, grind into a fine powder and insufflate into the affected area.
[Formula 6] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 7] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 8] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 9] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 10] Forsythia Fruit (Lianqiao), Gardenia Seed (Shanzhiren), Rhubarb (Dahuang), Mint Leaf (Boheye), Scutellaria Root (Huangqin), Licorice Root (Gancao), Mirabilite (Mangxiao), add a small amount of Ginger Juice (Jiangzhi) as a guide herb.
[Xijiang Yue]
Pediatric patients presenting with Chongshe (double tongue/swelling under the tongue resembling a second tongue) and Mutong (wooden tongue/stiff and swollen tongue) suffer from heat accumulation in the Heart and Spleen attacking the center. A second layer forms under the tongue, causing the tongue to become stiff, hard, swollen, and painful. Urgently puncture with a needle to release blood; the flow of fresh red blood is acceptable. Applying Calcined Alum (Kufan) has miraculous effects, resolving heat toxicity and eliminating wind pathogens.
The upper teeth belong to the Stomach, the lower teeth belong to the Large Intestine, and the teeth themselves belong to the Kidney.
Delayed tooth eruption indicates insufficient Kidney Qi. The Kidney governs bone, and teeth are considered the surplus of bone. Insufficient Kidney Qi leads to marrow deficiency; deficient marrow fails to nourish the teeth, resulting in delayed eruption. Treat with Dihuang Wan (Rehmannia Pill).
Swelling of the upper and lower gingiva indicates Excess Heat in the Yangming channel. Use Liangge San (Cool the Diaphragm Powder), with Wine-processed Rhubarb (Jiu Zheng Dahuang) as the sovereign drug, supplemented by Anemarrhena Rhizome (Zhimu), Gypsum (Shigao), and Bupleurum Root (Shengma) as minister drugs. Frequently gargle and swallow.
Chongyin (gingival swelling covering the tooth root) is caused by accumulated heat in the Kidney. Swelling and pain of the gums are termed Chongyin. Puncture with a needle to release blood, clean with salt water, and apply Powder of Phellodendron Bark (Huangbai).
Excessive meat consumption in children can cause severe halitosis from the teeth, indicating Heat in the Yangming channel. Internally administer Shenxiao Wan (Miraculous Effect Pill); externally, gargle and swallow with Ginger Juice (Jiangzhi) and Thunberg Fritillary Bulb juice (Jingli).
Yagan (gangrenous stomatitis) resembles the symptoms of Huhu disease. Initially, there is foul odor, followed by blackening of the teeth. In severe cases, the gingiva rots and bleeds, named Xuanlu. This is due to Kidney heat rushing to the Upper Jiao. It is compared to a "running horse" to signify rapid progression, requiring immediate treatment. If the upper and lower lips crack, the nose perforates, or teeth fall out, it is named Bingsha. Accompanied by shortness of breath, phlegm surging, and reduced appetite, it becomes incurable. Internally administer Huangbai Wan (Phellodendron Pill); externally apply Rusheng San (Like-Sage Powder).
Teeth grinding (bruxism) is caused by Wind-Heat. Accumulated heat in the Yangming and Large Intestine channels generates wind when heated excessively, causing teeth to clash and produce sound. This typically occurs during sleep because movement scatters wind to the exterior, while stillness allows wind to return to the interior. Treat primarily with Xuanfeng San (Dispel Wind Powder).
Sores on the upper lip where worms erode the viscera are called Huo (Confusion). Sores on the lower lip where worms erode the anus are called Hu (Fox). This terminology is derived from *Shanghan Zhangzhang* (Guiding Palms for Cold Damage). The terms Fox and Confusion imply hesitation and indecision.
Bruxism is critical only when occurring in the context of variola (smallpox/variolae); otherwise, it poses no major harm. There are also cases of teeth chattering due to illness-induced tremors; treating the underlying disease will stop it naturally.
Teeth falling out without regrowth is caused by the tongue licking the wound, leading to thickened, stubborn tissue. Puncture with a needle to release blood, then apply Shugu San (Rat Bone Powder) to stimulate regrowth.
[Wenge San]
Treats Yagan (gangrenous stomatitis).
Realgar (Xionghuang) and Calcined Alum (Kufan), each 5 fen; Chinese Gall (Wubeizi) 2 qian; Silkworm Cocoon Paper (Can tui zhi, burnt to ash but retaining its nature) 1 qian. Grind into powder. First, wash the affected area with rice washing water, then apply the medicine. Apply three to four times daily until healed.