〔垣〕夫齿者，肾之标。口者，脾之窍。诸经多有会于口者，其牙齿是手足阳明之所过，上断隶于坤土，
乃足阳明胃之脉所贯络也，止而不动，下断嚼物，动而不休，手阳明大肠之脉所贯络也。手阳明恶寒饮而喜热，
足阳明喜寒而恶热，故其病不一。牙者，肾之标，亦喜寒。寒者坚牢痛，热甚则齿动龈 袒脱，作痛不已，
故所治疗不同也。有恶热而作痛者，有恶寒而作痛者，有恶寒又恶热而作痛者，有恶寒饮少热饮多而作痛者，
有恶热饮少寒饮多而作痛者，有牙齿动摇而作痛者，有齿袒而作痛者，有齿断为疳所蚀缺少血出而作痛者，
有齿断肿起而作痛者，有脾胃中有风邪，但觉风而作痛者，有牙上多为虫所蚀，其齿缺少而色变，为虫牙痛
者，有胃中气少，不能于寒袒露其齿作痛者，有牙齿疼痛而秽臭之气不可近者，痛既不一，岂可一药而尽之哉。
〔丹〕牙大痛。必用胡椒、荜茇，能散其中浮热，监以升麻、寒水石，佐以辛凉，薄荷、荆芥、细辛之类。
牙痛用清凉药便痛甚者，从治之。
荜茇 川椒 薄荷 荆芥 细辛 樟脑 青盐
上为末，擦牙上。
〔洁〕治牙寒疼。
露蜂房小椒（去目，炒，各等分）
上为粗末，煎漱，禁语言。
〔垣〕牢牙地黄散 治牙齿寒痛。
麻黄 黄连 羊胫骨灰（各一钱） 升麻（一钱半） 草豆蔻皮（一钱二分） 吴茱萸（一钱） 益智仁
归身（各四分） 本（二分） 防己 生地 人参 熟地 羌活（各三分） 黄 白芷（各五分）
上为细末，擦牙上，先漱口净，然后用药。
〔世〕治牙痛百药不效。用荔枝壳烧灰存性，擦牙痛处，累验。一云荔枝核亦可。
〔《外》〕治牙痛。独囊蒜煨，乘热截用头以熨痛上，转易之，亦治虫痛。
〔丹〕齿痛。茱萸酒煎含之。（《食疗》）
〔垣〕馘鬼散 治风热牙恶。昔刘经历之内子，年三十余，病齿痛不可忍，须骑马外行，口吸凉风
则痛止，至家则痛复作，家人以为祟，祈祷于巫师而不能愈。遂求治于先师，问其故，曰∶此病乃湿热
而邪也。足阳明贯于上齿，手阳明贯于下齿，阳明多血多气，又加以膏粱之味，助其湿热，故为此痛。
因立一方，不须骑马，当令风寒之气常生于齿间，以黄连、梧桐律之苦寒，新薄荷叶、荆芥穗之辛凉，四
味相合而作风寒之气，治其湿热。更以升麻之苦平，引入阳明经为使。牙齿，骨之余，以羊胫骨灰补
之为佐。麝香少许入内为引。用为细末，擦之神妙。又以调胃承气去芒硝加黄连，以治其本，服之下三五
行，其病良愈，不复作。
清胃汤 治因服补胃热药，致上下牙疼痛不可忍，牵引头脑，满面发热，大痛。阳明之别络入脑，
（在《本经》十五络中。）喜寒恶热，乃手阳明经中热盛而作，其齿喜冷恶热。
地黄（生，三分） 升麻（一钱） 牡丹皮（五分） 归身（三分） 拣黄连（六分，不好，加二分，夏倍
之）
上五味，同为细末，顿作一服，水煎至一半，去渣，候冷细呷之，即效。
〔丹〕阳明热牙疼。
大黄（烧灰，存性） 香附（烧存性）
上为末，入青盐少许，无时擦之。
〔《草》〕淳于意医齐中大夫病龋齿，灸左手阳明脉，苦参汤日漱三升，五六日愈。
〔丹〕卒牙痛。苦竹一茎，烧一头，得汗多者，揩痛处，立安。（《姚氏方》）
〔《经》〕患牙痛。含山豆根一片于痛处。
〔《广》〕治牙齿疼痛。取槐树白皮一握，切作一升煮，去渣，着盐少许，适温寒含之，日三易。
〔丹〕当归龙胆散 治寒热牙痛。
升麻 麻黄（各一钱） 生地 白芷 羊胫骨灰（各五分） 草龙胆 黄连（各一钱） 归梢（五分）
草豆蔻（一钱）
上为细末，擦之神效。
益智木律散 治寒热牙疼。
草豆蔻（二钱二） 益智 归身 熟地 羊胫骨灰（各五分） 木律（二分） 升麻（钱半） 黄连（四分）
上细末擦之。如寒牙疼，不用木律。
草豆蔻散 治寒多热少，牙齿疼痛。
草豆蔻（一钱二） 黄连（钱半） 升麻（钱半） 细辛叶 防风（各二分） 熟地 羊胫骨灰（各五分）
归身（七分）
上件为细末，牙痛处擦之。
立效散 治牙齿痛不可忍，及头脑项背痛，微恶寒饮，大恶热饮，其脉上中下三部阳虚阴盛，是五脏内盛，六
腑阳道脉微小，小便滑数，立效。
防风（一钱） 升麻（七分） 甘草（炙，三分） 细辛（二分） 草龙胆（酒洗，四钱）
上 咀，顿作一服，水二大盏，煎至一盏，去渣，以匙抄在口中炸痛处，少时立止。如多恶热饮，更
加龙胆草一钱。此法不定，随寒热多少临时加减。如更恶风作痛，加草豆蔻、黄连各五分，勿加龙胆草。
〔垣〕细辛散 治寒邪风邪犯脑痛，齿亦痛。
麻黄（去节，三钱） 桂枝 羊胫骨灰（各二钱半） 羌活（钱半） 草豆蔻（钱半） 柴胡 升麻 防风
白芷（各二分） 本 苍术（各三分） 归身（四分） 细辛（少许）
上为细末，先漱后擦之，神效。
白芷散 治大寒犯脑，牙齿疼痛。
麻黄（去节） 草豆蔻（各一钱半） 黄 桂枝（各二钱半） 吴茱萸 白芷（各四分） 本（三分）
羌活（八分） 归身 熟地（各五分） 升麻（一钱）
上为细末，先用水漱洗，以药擦之。
蝎梢散 治大寒犯脑，牙疼。
麻黄（钱半，去节） 桂枝 归身 柴胡 白芷（各二分） 升麻 防风 本 黄 （各三分）
羌活（五分） 羊胫骨灰（二钱半） 草豆蔻（皮，一钱） 蝎梢（少许）
上为末，用如前法。
〔垣〕神功丸、牢牙散、调胃承气减硝加黄连诸方，皆治平昔多食肉人，口臭，牙齿动摇欲落，或
血出不止，乃内伤湿热膏粱之疾也。（方见热条及齿摇龈露）
〔子和〕泽州李继之，忽患牙痛，皱眉不语。栾景先曰∶曾记戴人云，阳明经热有余也，宜大下之。
乃付舟车丸七十粒，服毕，遇数知友留饮，强饮热酒数杯，药为盐酒所发，尽吐之，吐毕而痛止。
李大服曰∶戴人神仙也。不三五日，又痛，再服前药百余粒，大下数行乃愈。
〔丹〕牙痛而肿。
软石膏 升麻 细辛 大黄 白芷 防风 羌活 连翘 川椒 青盐 龙胆 荆芥 香附（各等分）
上为细末，搽患处。
〔垣〕治虫散 治大寒犯脑，牙齿疼痛，及嗍风作痛，虫痛，胃经湿热肿痛。
麻黄（去节） 羌活 草豆蔻仁（各五分） 吴茱萸（八分） 本 白芷（各三分） 黄 升麻（各一钱）
归身 益智仁 黄连（各四分） 桂枝（一分） 羊胫骨灰 熟地（各二分）
上细末，先用温水净漱口，搽之。
〔世〕独活散 治牙根肿痛。
川芎 独活 羌活 防风（各半两） 细辛 荆芥 薄荷 生地（各二两）
上 咀，每服二钱，水一盏，煎八分温服。
〔无〕一妇人牙痛，治疗不效，口颊皆肿。以金沸草散大剂煎汤熏漱而愈。（方见舌门。）
八味丸 治虚壅牙痛浮肿。（方见治法肾虚条。）
〔《简》〕治牙齿肿痛。用白矾一两烧灰，大露蜂房一两，微炙为散，每服用二钱，以水一盏半，煎
十余沸，乘热炸牙，冷即吐之。
运气齿痛皆属热。经云∶少阴在泉，热淫所胜，齿痛 肿，治以咸寒是也。
〔世〕治牙齿痛。用茄蒂烧灰存性为末，敷痛处，累验。如无茄蒂，用糟茄亦可。
〔丹〕治牙齿痛。
常山 大戟 防风 细辛 荆芥 枇杷叶 何首乌 薄荷 葱根须 川椒
上煎汤漱之，极效。
〔《竹》〕追风散 治诸般牙痛。
贯众 鹤虱 荆芥（各等分）
上 咀，每用二钱，加川椒五十粒，水一盏，煎七分，去渣热漱，吐去药，立效。
〔《千》〕治牙痛。以苍耳子五升，水一斗，煎五升，热含之，疼即吐，吐后复含，不过三剂，瘥。
茎叶亦得。牙痛，用胡荽子浓煎汤漱之。
〔丹〕齿痛。省藤打碎含之咽津。（本草木部有省藤治齿疼。）
〔世〕治牙齿疼痛。蟾酥用银朱掺和为丸，如萝卜子大，每用一丸，搽上患处，便不疼。至三丸，吐浓
涎数口，全愈。
定痛散 治牙风疼痛，立效。
细辛（生，半两） 白芷（生） 川乌头（生。各一两） 乳香（三钱）
上为末，每少许，擦牙痛处，引涎吐之。须臾，以盐水灌漱。
一方，无白芷、川乌，有全蝎、草乌。
〔《家藏》〕雄黄定痛膏 治牙齿疼痛。
大蒜（二枚） 细辛（去苗） 硼硝（另研。各二钱） 雄黄（另研，一钱） 猪牙皂角（四锭）
上为末，同大蒜一处捣为膏，丸如桐子大。每用一丸，将绵子裹药，左边牙疼放在左耳，右边牙疼放
在右耳，良久痛止。一丸可治数人。
透关散 治牙疼。
蜈蚣头 蝎梢（去毒） 草乌尖（如麦粒大者） 川乌底（如钱薄者。各七枚） 雄黄（如麦大、七粒，
另研） 胡椒（七粒）
上细末，用纸捻子蘸醋点药少许，于火上炙干，塞两耳内，闭口少时，即效。
〔世〕又方治牙疼。用巴豆一粒，煨黄熟，去壳。用蒜一瓣，切一头作盖，剜去中心，安巴豆在内，以盖
合之，用绵裹，随患处左右塞耳中。
上塞耳三法。前一法治热疼，后二法治寒疼也。
〔无〕牢牙散 去风冷蛀龋宣露，用之甚效。
槐枝 柳枝（各长四寸，四十九枝） 皂角（不蛀者，七茎） 盐（四十文重）
上同入瓷瓶内，黄泥固济，糠火烧一夜，候冷取出，研细用如常法。有庵主年七十余，云祖上多患齿
疼脱落，得此方效，数世用之，齿白齐密，乃良方也。
〔垣〕白牙散
升麻（一钱） 羊胫骨灰（二钱） 白芷（七分） 石膏（一钱半） 麝香（少许）
上为细末，先用温水漱口，擦之，妙。
麝香刷牙散
麝香（一分） 升麻（一钱） 黄连（二钱） 白豆蔻 羊胫骨灰 草豆蔻（各三钱半） 归身 防己（酒浸）
人参（各三分） 生地 熟地
（各二分） 没石子（三枚） 五倍子（一个）
上为细末，用如前法擦之，神效。
〔丹〕刷牙方
羊胫骨灰（一两） 升麻（一钱） 黄连（一钱）
上为末擦之。
〔《灵》〕齿痛不恶清饮，取足阳明，恶清饮，取手阳明。
针灸齿痛不恶清饮，取足阳明，上齿痛亦如之。经云∶邪客于足阳明之络，令人鼽衄，上齿寒，刺足中
指次指爪甲上与肉交者各一 ，左刺右，右刺左。又云∶邪客五脏之间，缪传引上齿，齿唇寒痛，视其手背脉
血者去之，足阳明中指爪甲上一 ，手大指次指爪甲上一 ，立已。左取右，右取左。王注谓足大指次指为
中指也。
齿痛恶清饮，取手阳明，下齿痛亦如之。经云∶大肠手阳明之脉，入下齿中，是动则病齿痛颈肿，视盛虚
热寒陷下调之。又云∶手阳明之别，名曰偏历，去腕三寸，别入太阴，虚则齿寒痹隔，取之所别也。又云∶齿
龋刺手阳明不已，刺其脉入齿中者立已是也。
〔丹〕治齿痛。金钗股火烧针痛处，即止。（《蜀本》）
〔《撮》〕牙痛牙槽∶吕细（即太溪穴，补三呼，灸之治上牙痛。） 二间（一分，沿皮向后三分，灸之，
治下牙痛。） 委中（六分，泻六呼。）
〔世〕牙痛∶足内踝两尖（灸，治上牙。） 龙玄（在列缺上青脉中，灸之，治下牙。） 又法∶承浆 风府
〔《摘》〕又法∶合谷 内庭（不应，取昆仑，治上牙。）
〔《甲》〕齿痛，颧 及三间主之。上齿龋，兑端及耳门主之。口中下齿痛，恶寒 肿，商阳主之。齿龋
痛恶清，三间主之。齿龋痛，合谷主之。口齿痛，温溜主之。齿龋痛，听会及冲阳主之。失欠，下齿龋，下牙痛，
肿，下关主之。上齿龋痛恶寒者，上关主之。下齿龋则上齿痛，掖门主之。齿痛，四渎主之。上齿龋肿，目
窗主之。上齿龋痛，恶风寒，正营主之。牙齿龋痛，浮白及完骨主之。齿牙不可嚼，龈肿，角孙主之。
上齿牙龋疼，阳谷主之。齿龋痛，少海主之。
〔《撮》〕风牙疼∶太渊（一分，灸七壮。）
〔《灵》〕龋齿痛，按其阳之来，有过者独热，在左左热，在右右热，在上上热，在下下热。（论疾诊尺篇）
[Li Dongyuan] Teeth are the external manifestation of the Kidney (Shen). The mouth is the orifice of the Spleen (Pi). Many meridians converge in the mouth. The teeth are traversed by the Hand-Yangming Large Intestine Meridian and Foot-Yangming Stomach Meridian. The upper teeth belong to Kun Earth (Spleen and Stomach) and are connected by the Foot-Yangming Stomach Meridian; they remain still. The lower teeth chew food, moving constantly, and are connected by the Hand-Yangming Large Intestine Meridian. The Hand-Yangming Meridian dislikes cold drinks and prefers heat, while the Foot-Yangming Meridian prefers cold and dislikes heat; thus, their pathologies differ. As an external sign of the Kidney, teeth also prefer cold. Cold causes firmness and pain; excessive heat causes tooth mobility and gingival recession, leading to persistent pain. Therefore, treatments vary. Some have pain due to aversion to heat, some due to aversion to cold, some due to both, some due to aversion to cold but drinking more hot liquids, some due to aversion to heat but drinking more cold liquids, some due to tooth mobility, some due to gingival recession, some due to caries with bleeding, some due to swelling, some due to wind pathogens in the Spleen and Stomach triggered by wind exposure, some due to虫牙 (tooth decay) causing discoloration and loss, some due to Stomach Qi deficiency failing to resist cold exposure, and some accompanied by foul odor. Since pains differ, can one medicine treat all?
[Zhu Danxi] For severe toothache, use Hu Jiao (Piperis Longi Fructus) and Bi Bo (Long Pepper Fruit) to disperse floating heat, monitored by Sheng Ma (Cimicifugae Rhizoma) and Han Shui Shi (Gypsum Fibrosum), assisted by acrid-cool herbs like Bo He (Menthae Haplocalycis Herba), Jing Jie (Schizonepetae Spica), and Xi Xin (Asari Radix et Rhizoma). If cooling medicines worsen the pain, apply the "conforming treatment" (Fan Zuo / counteracting method).
Bi Bo, Chuan Jiao (Zanthoxyli Pericarpium), Bo He, Jing Jie, Xi Xin, Zhang Nao (Borneolum Syntheticum), Qing Yan (Halitum).
Grind into fine powder and apply to teeth.
[Zhang Jiegu] Treats cold-induced toothache.
Lu Feng Fang (Rhodophylli Nidus), Xiao Jiao (Zanthoxyli Pericarpium, remove eyes, stir-fry, equal parts).
Grind into coarse powder, decoct for gargling, avoid speaking.
[Li Dongyuan] Lao Ya Di Huang San (Solidify Teeth Rehmannia Powder), treats cold-induced toothache.
Ma Huang (Ephedrae Herba), Huang Lian (Coptidis Rhizoma), Yang Jing Gu Hui (Ash of Sheep Tibia Bone), each 1 qian; Sheng Ma (Cimicifugae Rhizoma) 1.5 qian; Cao Dou Kou Pi (Cardamomi Fructus Pericarpium) 1.2 qian; Wu Zhu Yu (Evodiae Fructus) 1 qian; Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Dang Gui Shen (Angelicae Sinensis Radix) each 4 fen; Gao Ben (Ligustici Chuanxiong Rhizoma) 2 fen; Fang Ji (Stephaniae Tetrandrae Radix), Sheng Di Huang (Rehmanniae Radix), Ren Shen (Ginseng Radix), Shu Di Huang (Rehmanniae Radix Praeparata), Qiang Huo (Notopterygii Rhizoma et Radix) each 3 fen; Huang Qi (Astragali Radix), Bai Zhi (Angelicae Dahuricae Radix) each 5 fen.
Grind into fine powder, apply to teeth after rinsing mouth thoroughly.
[Popular Formula] Treats toothache unresponsive to other medicines. Use Lychee shell carbonized (Li Zhi Ke Tan), apply to painful area; effective repeatedly. Lychee seed may also be used.
*[Tai Ping Hui Min He Ji Ju Fang]* Treats toothache. Roast a single-clove garlic, cut one end, and apply warm compress to the painful area, alternating. Also treats虫牙 (tooth decay) pain.
[Zhu Danxi] Toothache. Decoct Wu Zhu Yu (Evodiae Fructus) in wine and gargle. (*Shi Liao Ben Cao*)
[Li Dongyuan] Guo Gui San (Ghost-Slaying Powder), treats wind-heat toothache. Formerly, the wife of Liu Jing Li, aged thirty-something, suffered unbearable toothache, needing to ride outside inhaling cool air to relieve pain, which returned indoors. Family thought it was demonic possession; prayers failed. Seeking my teacher's help, he diagnosed: Damp-Heat pathogen. Foot-Yangming enters upper teeth, Hand-Yangming enters lower teeth. Yangming has abundant blood and Qi; rich diet exacerbates damp-heat. Prescription: Do not need to ride; create a sensation of wind-cold in teeth using bitter-cold Huang Lian (Coptidis Rhizoma) and Wu Tong Lv (Sophorae Tonkinensis Fructus), plus acrid-cool Bo He (Menthae Haplocalycis Herba) and Jing Jie Sui (Schizonepetae Spica). Add Sheng Ma (Cimicifugae Rhizoma) as guide to Yangming meridian. Teeth are surplus of bone; supplement with Yang Jing Gu Hui (Ash of Sheep Tibia Bone) as assistant. Add Musk (She Xiang) as guide. Apply powder. Also use Tiao Wei Cheng Qi Tang minus Mang Xiao plus Huang Lian to treat root cause; after 3-5 bowel movements, cured.
Qing Wei Tang (Clear Stomach Decoction), treats unbearable upper/lower toothache radiating to head, facial heat, caused by taking warming tonics. Yangming collateral enters brain (see *Ben Jing* 15 collaterals); prefers cold, dislikes heat. Heat excess in Hand-Yangming.
Sheng Di Huang (Rehmanniae Radix) 3 fen, Sheng Ma (Cimicifugae Rhizoma) 1 qian, Mu Dan Pi (Moutan Cortex) 5 fen, Dang Gui Shen (Angelicae Sinensis Radix) 3 fen, selected Huang Lian (Coptidis Rhizoma) 6 fen (add 2 fen if poor quality, double in summer).
Grind five herbs to fine powder, take once. Decoct in water to half volume, strain, drink cool slowly. Effective immediately.
[Zhu Danxi] Yangming heat toothache.
Da Huang (Rhei Radix et Rhizoma, charred to ash, retain nature), Xiang Fu (Cyperi Rhizoma, charred to retain nature).
Grind to powder, add little Qing Yan (Halitum), apply anytime.
*[Chunyu Yi Case]* Chunyu Yi treated Minister of Qi suffering from dental caries. Moxibusted Left Hand-Yangming meridian, gargled with Ku Shen (Sophorae Flavescentis Radix) decoction three sheng daily; cured in 5-6 days.
[Zhu Danxi] Sudden toothache. Burn one end of a stem of Ku Zhu (Bambusa Textilis), use exudate to rub painful area; immediate relief. (*Yao Shi Fang*)
*[Experience Formula]* Toothache. Hold a slice of Shan Dou Gen (Sophorae Tonkinensis Radix) at painful site.
*[Guang Ji Fang]* Treats toothache. Take Huai Bai Pi (Moriae Cortex), boil one handful in enough water to reduce to one sheng, strain, add little salt, gargle at appropriate temperature, change three times daily.
[Zhu Danxi] Dang Gui Long Dan San (Angelica Gentian Powder), treats mixed cold-heat toothache.
Sheng Ma (Cimicifugae Rhizoma), Ma Huang (Ephedrae Herba) each 1 qian; Sheng Di Huang (Rehmanniae Radix), Bai Zhi (Angelicae Dahuricae Radix), Yang Jing Gu Hui (Ash of Sheep Tibia Bone) each 5 fen; Cao Long Dan (Gentianae Macrophytae Radix), Huang Lian (Coptidis Rhizoma) each 1 qian; Dang Gui Shao (Angelicae Sinensis Radix Tip) 5 fen; Cao Dou Kou (Cardamomi Fructus) 1 qian.
Grind to powder, apply; miraculous effect.
Yi Zhi Mu Lv San (Alpinia Sophora Powder), treats mixed cold-heat toothache.
Cao Dou Kou (Cardamomi Fructus) 2.2 qian; Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Dang Gui Shen (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata), Yang Jing Gu Hui (Ash of Sheep Tibia Bone) each 5 fen; Mu Lv (Sophorae Tonkinensis Fructus) 2 fen; Sheng Ma (Cimicifugae Rhizoma) 1.5 qian; Huang Lian (Coptidis Rhizoma) 4 fen.
Grind to powder, apply. If cold toothache, omit Mu Lv.
Cao Dou Kou San (Cardamom Powder), treats cold-dominant heat-minor toothache.
Cao Dou Kou (Cardamomi Fructus) 1.2 qian; Huang Lian (Coptidis Rhizoma), Sheng Ma (Cimicifugae Rhizoma) each 1.5 qian; Xi Xin Ye (Asari Folium), Fang Feng (Saposhnikoviae Radix) each 2 fen; Shu Di Huang (Rehmanniae Radix Praeparata), Yang Jing Gu Hui (Ash of Sheep Tibia Bone) each 5 fen; Dang Gui Shen (Angelicae Sinensis Radix) 7 fen.
Grind to powder, apply to painful area.
Li Xiao San (Instant Effect Powder), treats unbearable toothache radiating to head/neck/back, slight aversion to cold drinks, extreme aversion to hot drinks. Pulse shows upper/middle/lower Yang deficiency and Yin excess, internal organ excess, six fu organs' yang channels weak, slippery frequent urination.
Fang Feng (Saposhnikoviae Radix) 1 qian; Sheng Ma (Cimicifugae Rhizoma) 7 fen; Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 3 fen; Xi Xin (Asari Radix et Rhizoma) 2 fen; Jiu Xi Cao Long Dan (Wine-washed Gentianae Macrophytae Radix) 4 qian.
Cut into pieces, take once. Decoct two large bowls of water to one bowl, strain. Spoon liquid onto painful area in mouth; stops quickly. If extreme aversion to hot drinks, add Long Dan Cao (Gentianae Radix) 1 qian. Adjust based on cold/heat ratio. If wind aggravates pain, add Cao Dou Kou (Cardamomi Fructus) and Huang Lian (Coptidis Rhizoma) 5 fen each, omit Long Dan Cao.
[Li Dongyuan] Xi Xin San (Asari Powder), treats headache and toothache from wind-cold invading brain.
Ma Huang (Ephedrae Herba, remove joints) 3 qian; Gui Zhi (Cinnamomi Ramulus), Yang Jing Gu Hui (Ash of Sheep Tibia Bone) each 2.5 qian; Qiang Huo (Notopterygii Rhizoma et Radix), Cao Dou Kou (Cardamomi Fructus) each 1.5 qian; Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Fang Feng (Saposhnikoviae Radix), Bai Zhi (Angelicae Dahuricae Radix) each 2 fen; Gao Ben (Ligustici Chuanxiong Rhizoma), Cang Zhu (Atractylodis Rhizoma) each 3 fen; Dang Gui Shen (Angelicae Sinensis Radix) 4 fen; Xi Xin (Asari Radix et Rhizoma)少许.
Grind to powder, rinse mouth then apply; miraculous.
Bai Zhi San (Angelica Dahurica Powder), treats severe cold invading brain causing toothache.
Ma Huang (Ephedrae Herba, remove joints), Cao Dou Kou (Cardamomi Fructus) each 1.5 qian; Huang Qi (Astragali Radix), Gui Zhi (Cinnamomi Ramulus) each 2.5 qian; Wu Zhu Yu (Evodiae Fructus), Bai Zhi (Angelicae Dahuricae Radix) each 4 fen; Gao Ben (Ligustici Chuanxiong Rhizoma) 3 fen; Qiang Huo (Notopterygii Rhizoma et Radix) 8 fen; Dang Gui Shen (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata) each 5 fen; Sheng Ma (Cimicifugae Rhizoma) 1 qian.
Grind to powder, rinse mouth with water then apply.
Xie Shao San (Scorpion Tip Powder), treats severe cold invading brain causing toothache.
Ma Huang (Ephedrae Herba, remove joints) 1.5 qian; Gui Zhi (Cinnamomi Ramulus), Dang Gui Shen (Angelicae Sinensis Radix), Chai Hu (Bupleuri Radix), Bai Zhi (Angelicae Dahuricae Radix) each 2 fen; Sheng Ma (Cimicifugae Rhizoma), Fang Feng (Saposhnikoviae Radix), Gao Ben (Ligustici Chuanxiong Rhizoma), Huang Qi (Astragali Radix) each 3 fen; Qiang Huo (Notopterygii Rhizoma et Radix) 5 fen; Yang Jing Gu Hui (Ash of Sheep Tibia Bone) 2.5 qian; Cao Dou Kou Pi (Cardamomi Fructus Pericarpium) 1 qian; Xie Shao (Scorpion Tip)少许.
Grind to powder, apply as above.
[Li Dongyuan] Shen Gong Wan, Lao Ya San, Tiao Wei Cheng Qi Tang minus Mang Xiao plus Huang Lian, etc., treat those who eat much meat: bad breath, loose teeth, bleeding gums. This is internal injury from damp-heat due to rich diet. (See Heat section and Loose Teeth/Gingival Recession section).
*[Zhang Zihe]* Li Ji Zhi of Zezhou suddenly had toothache, frowning silent. Luan Jingxian said: Dai Ren (Zhang Zihe) said this is Yangming heat excess, should purge heavily. Prescribed Zhou Che Wan 70 pills. After taking, friends offered hot wine; medicine expelled via vomiting due to salt/wine interaction. Pain stopped. Li Da Fu said: Dai Ren is immortal. Three days later pain returned, took 100+ pills, purged several times, then cured.
[Zhu Danxi] Toothache with swelling.
Ruan Shi Gao (Gypsum Fibrosum), Sheng Ma (Cimicifugae Rhizoma), Xi Xin (Asari Radix et Rhizoma), Da Huang (Rhei Radix et Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Lian Qiao (Forsythiae Fructus), Chuan Jiao (Zanthoxyli Pericarpium), Qing Yan (Halitum), Long Dan (Gentianae Radix), Jing Jie (Schizonepetae Spica), Xiang Fu (Cyperi Rhizoma) equal parts.
Grind to powder, apply to affected area.
[Li Dongyuan] Zhi Chong San (Anti-Worm Powder), treats severe cold invading brain, toothache, lockjaw, worm-toothache, stomach meridian damp-heat swelling.
Ma Huang (Ephedrae Herba, remove joints), Qiang Huo (Notopterygii Rhizoma et Radix), Cao Dou Kou Ren (Cardamomi Fructus Semen) each 5 fen; Wu Zhu Yu (Evodiae Fructus) 8 fen; Gao Ben (Ligustici Chuanxiong Rhizoma), Bai Zhi (Angelicae Dahuricae Radix) each 3 fen; Huang Qi (Astragali Radix), Sheng Ma (Cimicifugae Rhizoma) each 1 qian; Dang Gui Shen (Angelicae Sinensis Radix), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Huang Lian (Coptidis Rhizoma) each 4 fen; Gui Zhi (Cinnamomi Ramulus) 1 fen; Yang Jing Gu Hui (Ash of Sheep Tibia Bone), Shu Di Huang (Rehmanniae Radix Praeparata) each 2 fen.
Grind to powder, rinse mouth with warm water then apply.
[Popular Formula] Du Huo San (Angelica Pubescens Powder), treats gum swelling/pain.
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Du Huo (Angelicae Pubescentis Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix) each 0.5 liang; Xi Xin (Asari Radix et Rhizoma), Jing Jie (Schizonepetae Spica), Bo He (Menthae Haplocalycis Herba), Sheng Di Huang (Rehmanniae Radix) each 2 liang.
Cut into pieces, take 2 qian per dose, decoct in one bowl water to 0.8 bowl, take warm.
[Anonymous] Woman with toothache unresponsive to treatment, cheek swollen. Used Jin Fei Cao San (Boil Plantain Herb Powder) strong decoction for fumigation/gargling; cured. (See Tongue Section).
Ba Wei Wan (Eight-Ingredient Pill), treats deficiency-stagnation toothache with edema. (See Kidney Deficiency Treatment Section).
*[Jian Yao Ji Zhong Fang]* Treats tooth swelling/pain. Use Bai Fan (Alumen) 1 liang calcined to ash, Lu Feng Fang (Rhodophylli Nidus) 1 liang lightly roasted, grind to powder. Take 2 qian per dose, decoct in 1.5 bowls water for 10 boils. Apply hot to teeth, spit out when cool.
In Luck Theory, toothache belongs to heat. Classic says: Shaoyin in泉 (subterranean position), heat excess causes toothache/swelling; treat with salty-cold.
[Popular Formula] Treats toothache. Use Qie Di (Eggplant Stem End) carbonized to powder, apply to pain; effective. If unavailable, use fermented eggplant.
[Zhu Danxi] Treats toothache.
Chang Shan (Dichroae Radix), Da Ji (Euphorbiae Pekinensis Radix), Fang Feng (Saposhnikoviae Radix), Xi Xin (Asari Radix et Rhizoma), Jing Jie (Schizonepetae Spica), Pi Pa Ye (Loquat Leaf), He Shou Wu (Polygoni Multiflori Radix), Bo He (Menthae Haplocalycis Herba), Cong Gen Xu (Scallion Root Hair), Chuan Jiao (Zanthoxyli Pericarpium).
Decoct for gargling; very effective.
*[Zhu Zhai Yi Shu]* Zhui Feng San (Wind-Chasing Powder), treats various toothaches.
Guan Zhong (Cyati Fern Rhizome), He Ni (Nepetae Chinensis Herba), Jing Jie (Schizonepetae Spica) equal parts.
Cut into pieces, take 2 qian, add 50 Chuan Jiao (Zanthoxyli Pericarpium) grains, decoct in one bowl water to 0.7 bowl, strain, gargle hot, spit out. Immediate effect.
*[Qian Jin Fang]* Treats toothache. Cang Er Zi (Xanthii Fructus) 5 sheng, water 1 dou, decoct to 5 sheng. Gargle hot, spit when painful, repeat. Cured within 3 doses. Stems/leaves usable. For toothache, decoct Hu Su Zi (Coriandri Fructus) thick for gargling.
[Zhu Danxi] Toothache. Smash Sheng Teng (Calamus Vine), hold in mouth swallow saliva. (Botanical section mentions Calamus for toothache).
[Popular Formula] Treats toothache. Chan Su (Toad Venom) mixed with Yin Zhu (Realgar Red) into pills size of radish seed. One pill applied to site stops pain. Three pills induce vomiting of thick phlegm; fully cured.
Ding Tong San (Pain-Stopping Powder), treats wind-toothache, instant effect.
Xi Xin (Asari Radix et Rhizoma, raw) 0.5 liang, Bai Zhi (Angelicae Dahuricae Radix, raw), Chuan Wu Tou (Aconiti Radix Preparata, raw) each 1 liang, Ru Xiang (Olibanum) 3 qian.
Grind to powder, apply small amount to painful tooth to draw saliva/spit. Rinse with salt water shortly after.
Alternative formula: No Bai Zhi/Chuan Wu, uses Quan Xie (Scorpion) and Cao Wu (Aconiti Radix).
*[Jia Zang Fang]* Xiong Huang Ding Tong Gao (Realgar Pain-Stopping Ointment), treats toothache.
Da Suan (Allium Sativum Bulb) 2 cloves, Xi Xin (Asari Radix et Rhizoma, remove leaves), Peng Xiao (Saltpeter) separately ground each 2 qian, Xiong Huang (Realgar) separately ground 1 qian, Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus) 4 pieces.
Grind powders, mash with garlic into ointment, roll into paulownia seed-sized pills. Wrap one pill in cotton, place in left ear for left toothache, right ear for right. Pain stops after time. One pill treats multiple people.
Tou Guan San (Pass-Through Powder), treats toothache.
Wu Gong (Centipede Head), Xie Shao (Scorpion Tip, remove poison), Cao Wu Jian (Aconiti Radix Tip, wheat-grain size), Chuan Wu Di (Aconiti Radix Base, coin-thin) each 7 pieces, Xiong Huang (Realgar, wheat-size) 7 grains separately ground, Hu Jiao (Piperis Longi Fructus) 7 grains.
Grind to powder. Dip paper twist in vinegar, dip in powder, dry over fire, insert into both ears, close mouth briefly. Immediate effect.
[Popular Formula] Another formula for toothache. Ba Dou (Crotonis Fructus) 1 grain, roasted yellow/shell removed. Garlic clove 1, cut top as lid, hollow center, insert Ba Dou, replace lid, wrap in cotton, insert into ear on affected side.
The above three ear-insertion methods: First treats heat-pain, latter two treat cold-pain.
[Anonymous] Lao Ya San (Solidify Teeth Powder), expels wind-cold/carries/recession, very effective.
Huai Zhi (Locust Branch), Liu Zhi (Willow Branch) each 4 cun, 49 branches; Zao Jiao (Gleditsiae Sinensis Fructus) non-bitten 7 stems; Salt weight equivalent to 40 coins.
Put in porcelain jar, seal with yellow mud, burn with chaff overnight. Cool, grind fine, use normally. A monk >70 years old said ancestors had loose/falling teeth; this formula worked for generations, keeping teeth white/neat. Good formula.
[Li Dongyuan] Bai Ya San (White Tooth Powder)
Sheng Ma (Cimicifugae Rhizoma) 1 qian, Yang Jing Gu Hui (Ash of Sheep Tibia Bone) 2 qian, Bai Zhi (Angelicae Dahuricae Radix) 7 fen, Shi Gao (Gypsum Fibrosum) 1.5 qian, She Xiang (Moschus)少许.
Grind to powder, rinse mouth with warm water then apply; excellent.
She Xiang Shua Ya San (Musk Tooth-Cleaning Powder)
She Xiang (Moschus) 1 fen, Sheng Ma (Cimicifugae Rhizoma) 1 qian, Huang Lian (Coptidis Rhizoma) 2 qian, Bai Dou Kou (Amomi Fructus Rotundus), Yang Jing Gu Hui (Ash of Sheep Tibia Bone), Cao Dou Kou (Cardamomi Fructus) each 3.5 qian; Dang Gui Shen (Angelicae Sinensis Radix), Fang Ji (Stephaniae Tetrandrae Radix wine-soaked), Ren Shen (Ginseng Radix) each 3 fen; Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Praeparata) each 2 fen; Mei Shi Zi (Myrobalan) 3 pieces, Wu Bei Zi (Galla Chinensis) 1 piece.
Grind to powder, apply as before; miraculous.
[Zhu Danxi] Tooth-Cleaning Formula
Yang Jing Gu Hui (Ash of Sheep Tibia Bone) 1 liang, Sheng Ma (Cimicifugae Rhizoma) 1 qian, Huang Lian (Coptidis Rhizoma) 1 qian.
Grind to powder, apply.
*[Ling Shu]* Toothache not averse to cool drinks: treat Foot-Yangming. Averse to cool drinks: treat Hand-Yangming.
Acupuncture for toothache: Not averse to cool drinks, select Foot-Yangming points; upper toothache same. Classic: Pathogen in Foot-Yangming collateral causes rhinorrhea/epistaxis, upper tooth cold. Puncture point between claw and flesh on second toe of foot, one on each side, cross-needling (left-right/right-left). Also: Pathogen transmitting to upper teeth causing lip/tooth cold pain. Remove blood from dorsal hand vessels. Puncture point on nail of Foot-Yangming second toe and Hand-Yangming second finger, one each. Immediate cure. Cross-needling. Wang Bing notes "middle finger" refers to second toe.
Toothache averse to cool drinks: select Hand-Yangming; lower toothache same. Classic: Large Intestine Hand-Yangming meridian enters lower teeth; movement disease causes toothache/neck swelling. Regulate based on excess/deficiency/heat/cold. Also: Hand-Yangming Luo named Pian Li, 3 cun from wrist, diverges to Taiyin. Deficiency causes cold/blocked teeth. Treat at divergence point. Also: If caries puncture Hand-Yangming fails, puncture vessel entering teeth; immediate cure.
[Zhu Danxi] Treats toothache. Heat gold hairpin pin, touch painful spot; stops immediately. (*Shu Ben Cao*)
*[Cuo Yao]* Toothache/Gum: Lv Xi (Tai Xi Point, tonify 3 calls, moxa for upper toothache). Er Jian (2 Fen, along skin backward 3 fen, moxa for lower toothache). Wei Zhong (6 Fen, sedate 6 calls).
[Popular Formula] Toothache: Zu Nei An Liang Jian (Two tips of medial malleolus, moxa for upper teeth). Long Xuan (Blue vein above Lie Que, moxa for lower teeth). Another method: Cheng Jiang, Feng Fu.
*[Zhai Yuan Fang]* Another method: He Gu, Nei Ting (If ineffective, select Kun Lun for upper teeth).
*[Jia Yi Jing]* Toothache: Quan Liao and Er Jian govern. Upper caries: Dui Duan and Er Men govern. Lower toothache with cold/swelling: Shang Yang govern. Caries averse to cool: Er Jian govern. Caries: He Gu govern. Mouth/tooth pain: Wen Liu govern. Caries: Ting Hui and Chong Yang govern. Yawning, lower caries/pain/swelling: Xia Guan govern. Upper caries averse to cold: Shang Guan govern. Lower caries causing upper pain: Ye Men govern. Toothache: Si Du govern. Upper caries swelling: Mu Chuang govern. Upper caries averse to wind/cold: Zheng Ying govern. Caries: Fu Bai and Wan Gu govern. Teeth unable to chew, gum swelling: Jiao Sun govern. Upper tooth caries pain: Yang Gu govern. Caries pain: Shao Hai govern.
*[Cuo Yao]* Wind toothache: Tai Yuan (1 Fen, moxa 7 moxibullions).
*[Ling Shu]* Caries pain: Press yang coming areas; only pathological ones feel hot. Left side hot on left, right on right, up on up, down on down. (*Lun Ji Zhen Chi Pian*)