[总诀]胃主牙床肾主牙，补虚清热各专家。倘因风化生虫 ，抵穴探巢外治夸。
牙齿疼痛，由于生虫蚀剥者，风湿热所化也。宜外用乌梅化虫散。
乌梅（三枚） 川椒（一钱） 干姜（一钱） 黄连（二钱） 细辛（五分） 黄柏（一钱） 石膏（三
钱） 枯矾（五分） 明雄（一钱） 铅粉（一钱）
歌曰∶虫蚀牙疼姜与辛，椒连黄柏石膏遵。
乌梅再入枯矾碾，铅粉雄黄药要真。
（伯未按∶若因风寒而痛者，以细辛嵌齿缝中。）
牙齿肿痛，或兼口舌皆痛者，胃经之风火也。宜清热去风汤。
枯芩（三钱） 石膏（三钱） 知母（二钱） 枳壳（一钱） 丹皮（三钱） 白芍（三钱） 白芷（二
钱） 防风（二钱） 银花（三钱） 连翘（二钱） 山豆根（二钱） 甘草（一钱） 牛膝（一钱） 牛蒡
子（一钱）
歌曰∶胃经风火肿伤牙，知芍膏芩牛蒡加。
枳膝丹防甘草引，豆翘白芷与银花。
（伯未按∶可用冰硼搽肿处，或针刺出血少许，勿令化脓。）
牙痛不肿，或肿不利凉药者，肾中之虚火也。宜加减八味丸。
熟地（三钱） 山药（三钱） 云苓（三钱） 泽泻（三钱） 丹皮（三钱） 山茱萸（三钱） 白芍（三
钱） 牛膝（一钱） 麦冬（三钱） 安桂（八分） 骨碎补（三钱） 附子（一钱五分）
歌曰∶牙疼不肿肾虚浮，地药苓丹桂附求。
碎补山萸冬共泽，芍同牛膝降兼收。
（伯未按；外治法用生附子、熟地同捣，敷足底心。）
[General Verse] The Stomach governs the gums, and the Kidney governs the teeth; tonifying deficiency and clearing heat each have their specialties. If tooth decay is caused by wind transforming into worms, external treatments that reach the lesion are highly praised.
Toothache caused by worm erosion and decay results from the transformation of wind-dampness-heat. External application of Wumei Huachong San (Mume Pill for Expelling Worms) is suitable.
Wumei (Fructus Mume, three pieces) Chuanjiao (Sichuan Pepper, one qian) Ganjiang (Dried Ginger, one qian) Huanglian (Coptis Rhizome, two qian) Xixin (Asarum Root, five fen) Huangbai (Phellodendron Bark, one qian) Shigao (Gypsum Fibrosum, three qian) Kufan (Alumen Calcined, five fen) Mingxiong (Realgar, one qian) Qianfen (Lead Powder, one qian)
The verse states: For toothache caused by worm erosion, use Ginger and Asarum; follow the principles of Sichuan Pepper, Coptis, Phellodendron, and Gypsum.
Add Mume and Alumen Calcined, grind them together; ensure the Lead Powder and Realgar are authentic.
(Ber An's Note: If the pain is due to wind-cold, embed Asarum Root in the tooth gap.)
Tooth swelling and pain, or accompanied by mouth and tongue pain, is caused by wind-fire in the Stomach meridian. Qingre Qufeng Tang (Heat-Clearing and Wind-Expelling Decoction) is suitable.
Kuqin (Scutellaria Root, dried, three qian) Shigao (Gypsum Fibrosum, three qian) Zhimu (Anemarrhena Rhizome, two qian) Zhike (Aurantium Fruit, one qian) Danpi (Moutan Cortex, three qian) Baishao (White Peony Root, three qian) Baizhi (Angelica Dahurica Root, two qian) Fangfeng (Saposhnikovia Root, two qian) Yinhua (Lonicera Flower, three qian) Lianqiao (Forsythia Fruit, two qian) Shandougen (Sophorae Tonkinensis Radix et Rhizoma, two qian) Gancao (Licorice Root, one qian) Niuxi (Achyranthes Root, one qian) Niubangzi (Arctium Fruit, one qian)
The verse states: Wind-fire in the Stomach meridian causes tooth swelling and injury; add Anemarrhena, White Peony, Gypsum, Scutellaria, and Arctium.
Use Aurantium, Achyranthes, Moutan, Saposhnikovia, and Licorice as guides; add Sophorae Tonkinensis, Forsythia, Angelica Dahurica, and Lonicera.
(Ber An's Note: Bingpeng San (Ice Borax Powder) can be applied to the swollen area, or acupuncture can be used to bleed slightly; do not allow suppuration.)
Toothache without swelling, or where swelling does not respond well to cooling medicines, is caused by deficient fire in the Kidney. Jiajian Bawei Wan (Modified Eight-Ingredient Pill) is suitable.
Shudi (Prepared Rehmannia Root, three qian) Shanyao (Dioscorea Rhizome, three qian) Yunling (Poria, three qian) Zexie (Alisma Rhizome, three qian) Danpi (Moutan Cortex, three qian) Shanzhuyu (Cornus Fruit, three qian) Baishao (White Peony Root, three qian) Niuxi (Achyranthes Root, one qian) Maidong (Ophiopogon Tuber, three qian) Angui (Cinnamon Twig, eight fen) Gusuibu (Drynaria Rhizome, three qian) Fuzi (Aconite Lateral Root, one qian five fen)
The verse states: Toothache without swelling indicates deficient floating fire from Kidney deficiency; seek treatment with Rehmannia, Dioscorea, Poria, Moutan, Cinnamon, and Aconite.
Combine Drynaria, Cornus, Ophiopogon, and Alisma; pair White Peony with Achyranthes to descend rebellious Qi and astringe.
(Ber An's Note: For external treatment, mash Raw Aconite and Prepared Rehmannia together and apply to the sole of the foot.)