【方歌】唇风多在下唇生，阳明胃经风火攻，初起发痒色红肿，
久裂流水火燎疼。
【注】此证多生下唇，由阳明胃经风火凝结而成。初起发痒，
色红作肿，日久破裂流水，疼如火燎，又似无皮，如风
盛则唇不时〔目闰〕动。俱内以双解通圣散服之，外以
黄连膏抹之自愈。
方剂：双解通圣散
组成：防风 荆芥
当归 白芍（酒炒）
连翘（去心） 白术（土炒）
川芎 薄荷
麻黄 栀子（各五钱）
黄芩 石膏（〔火段〕）
桔梗（各一两） 甘草（生，二两）
滑石（三两）
共研粗末，每用五钱，水一钟半，煎八分，澄渣，
温服。
【方歌】双解通圣胃火风，疏表清里膏防荆，归芍连翘芩术桔，
麻黄栀草薄滑芎。
又方：黄连膏（见鼻部鼻疮）
【方歌】牙衄牙缝内出血，胃肾二经虚实热，实多口臭牙坚牢，
虚者反此当分别。
【注】此证由热而成。当分虚实，无论大人小儿，若胃经实热
者，则血出如涌，口必臭而牙不动，宜服清胃汤，甚则
服调胃承气汤，或用酒制大黄末三钱，以枳壳五钱煎汤
，少加童便调服，下黑粪即愈。若胃经虚火者，牙龈腐
烂，淡血渗流不已，宜服二参汤及补中益气汤，加黄连
、丹皮；若肾经虚者，血则点滴而出，牙亦微痛，口不
臭而牙动，或落者，治宜滋肾，有火者六味地黄丸，无
火者七味地黄丸，俱加猴姜，随手应效。若疳积气盛兼
服芦荟丸。外俱用小蓟散擦牙，随用青竹茹醋浸一宿，
含漱甚效。
方剂：清胃汤
组成：石膏（〔火段〕，四钱） 黄芩
生地（各一钱） 丹皮（一钱五分）
黄连 升麻（各一钱）
水二钟，煎八分，食后服。
【方歌】清胃阳明实火结，口臭相兼齿衄血，芩连生地升麻膏，
丹皮同煎功效捷。
又方：调胃承气汤
组成：大黄（酒浸，四钱） 芒硝（三钱）
甘草（炙，二钱）
水三钟，煎一钟，去渣，少少温服。
【方歌】调胃承气实火攻，齿衄口臭用之灵，酒浸大黄芒硝草，
胃热煎服立刻清。
又方：二参汤
组成：人参 元参（各等分）
水煎温服。
【方歌】二参汤医虚火泛，龈腐渗流血水淡，人参元参各等分，
水煎服下有神验。
又方：芦荟丸
组成：芦荟 子青皮
白雷丸 白芜荑
川黄连 胡黄连
鹤虱草（各一两） 木香（三钱）
麝香（一钱）
共研末，蒸饼糊丸如麻子大，每服一钱，空心清米
汤送下。
【方歌】芦荟丸医积气盛，木麝青皮胡黄连，芜荑雷丸鹤虱草，
川连同末蒸饼丸。
又方：小蓟散
组成：小蓟 百草霜
蒲黄（微炒） 香附子（醋浸晒干）
上研细末，用搽牙上，半刻时，温茶漱之。
【方歌】小蓟散搽牙衄方，蒲黄微炒百草霜，香附同研为细末，
搽牙止血功效强。
又方：补中益气汤（见溃疡门）
六味地黄丸（见面部雀斑）
七味地黄丸（即桂附地黄丸减去附子。见面部颊疡）
[Prescription Song] Cheilosis (inflammation of the lips) often occurs on the lower lip, caused by wind-fire pathogens attacking the Yangming Stomach Meridian. Initially, it presents with itching, redness, and swelling; if prolonged, it leads to cracking, oozing fluid, and pain as severe as a burning sensation.
[Annotation] This condition mostly affects the lower lip, resulting from the coagulation of wind-fire pathogens in the Yangming Stomach Meridian. Initially, there is itching, redness, and swelling. Over time, the skin cracks and exudes fluid, causing pain akin to burning, appearing as if the skin is missing. If wind pathogens are predominant, the lips may twitch or tremble frequently. Internally, administer Shuangjie Tongsheng San (Double-Resolving Holy Guardian Powder), which has effects of resolving both exterior and interior pathogens. Externally, apply Huanglian Gao (Coptis Ointment). The condition will heal spontaneously.
Formula: Shuangjie Tongsheng San (Double-Resolving Holy Guardian Powder)
Composition: Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba, stir-fried with wine), Lianqiao (Forsythiae Fructum, heart removed), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bohe (Menthae Haplocalycis Herba), Mahuang (Ephedrae Herba), Zhizi (Gardeniae Fructus) — each 5 qian; Huangqin (Scutellariae Radix), Shigao (Gypsum Fibrosum, calcined); Jiegeng (Platycodonis Radix) — each 1 liang; Gancao (Glycyrrhizae Radix et Rhizoma, raw, 2 liang); Huashi (Talcum, 3 liang).
Grind all ingredients into coarse powder. For each dose, use 5 qian, add 1.5 zhong of water, decoct until 0.8 zhong remains. Clarify the dregs and take warm.
[Prescription Song] Shuangjie Tongsheng San addresses stomach fire and wind, dispersing the exterior and clearing the interior. It contains Fangfeng, Jingjie, Danggui, Baishao, Lianqiao, Huangqin, Baizhu, Jiegeng, Mahuang, Zhizi, Gancao, Bohe, Huashi, and Chuanxiong.
Another Formula: Huanglian Gao (Coptis Ointment) (See "Nasal Section" for Nasal Sores).
[Prescription Song] Ya Nu (Dental Epistaxis/Gingival Bleeding) refers to bleeding within the gum margins, involving deficiency-excess heat patterns of the Stomach and Kidney meridians. Excess patterns typically present with halitosis and firm teeth; deficiency patterns present oppositely and should be differentiated.
[Annotation] This condition arises from heat pathogens. Differentiation between excess and deficiency is essential. Whether in adults or children, if it is an excess heat pattern of the Stomach Meridian, blood flows out like a gushing spring, accompanied by bad breath and stable teeth. Qingwei Tang (Stomach-Clearing Decoction) is appropriate. For severe cases, Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction) may be used, or 3 qian of Dahuang (Rhei Radix et Rhizoma, processed with wine) powdered, mixed with a decoction of Zhiqiao (Aurantii Fructus, 5 qian) and a small amount of Tongbian (Child's Urine), taken orally. Healing occurs upon the passage of black stool. If it is a deficiency fire pattern of the Stomach Meridian, the gums rot, and pale blood seeps continuously. Ershen Tang (Two Shen Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) should be administered, added with Huanglian (Coptidis Rhizoma) and Danpi (Moutan Cortex). If it is a deficiency pattern of the Kidney Meridian, blood drips out drop by drop, teeth ache slightly, there is no bad breath, but teeth are loose or even fall out. Treatment should nourish the Kidney Yin. If there is fire, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is used; if there is no significant fire, Qiwei Dihuang Wan (Seven-Ingredient Pill with Rehmannia) is used. Both formulas should be added with Houjiang (Drynariae Rhizoma). Efficacy is usually immediate. If accompanied by excessive accumulation qi due to pinworms/accumulation, Lushui Wan (Aloe Pill) should be taken concurrently. Externally, Xiaoji San (Small Thistle Powder) should be applied to the teeth. Subsequently, Qingzhuru (Bamboo Sap from Green Bamboo) soaked in vinegar overnight should be held in the mouth and rinsed, which is very effective.
Formula: Qingwei Tang (Stomach-Clearing Decoction)
Composition: Shigao (Gypsum Fibrosum, calcined, 4 qian), Huangqin (Scutellariae Radix), Shengdi (Rehmanniae Radix Preparata) — each 1 qian; Danpi (Moutan Cortex, 1.5 qian); Huanglian (Coptidis Rhizoma), Shengma (Cimicifugae Rhizoma) — each 1 qian.
Add 2 zhong of water, decoct until 0.8 zhong remains. Take after meals.
[Prescription Song] Qingwei Tang treats Yangming Stomach excess fire accumulation, accompanied by halitosis and dental bleeding. It contains Huangqin, Huanglian, Shengdi, Shengma, Shigao, and Danpi. Decocting them together yields rapid efficacy.
Another Formula: Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction)
Composition: Dahuang (Rhei Radix et Rhizoma, soaked in wine, 4 qian), Mangxiao (Natrii Sulfas, 3 qian); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian).
Add 3 zhong of water, decoct until 1 zhong remains. Remove dregs and take warm in small amounts.
[Prescription Song] Tiaowei Chengqi Tang attacks excess fire, effective for dental bleeding and halitosis. It contains wine-soaked Dahuang, Mangxiao, and Gancao, quickly clearing stomach heat when decocted and taken.
Another Formula: Ershen Tang (Two Shen Decoction)
Composition: Renshen (Ginseng Radix et Rhizoma), Yuanshen (Scrophulariae Radix) — equal parts.
Decoct in water and take warm.
[Prescription Song] Ershen Tang treats floating deficiency fire, presenting with rotting gums and pale bloody discharge. Equal parts of Renshen and Yuanshen are decocted in water, yielding miraculous results.
Another Formula: Lushui Wan (Aloe Pill)
Composition: Lushui (Aloe), Zi Qingpi (Citri Reticulatae Pericarpium Viride), Baireiwan (Wormseeds), Baiwuyi (Chrysanthemi Indici Flos), Chuan Huanglian (Coptidis Rhizoma), Hu Huanglian (Picrorhizae Rhizoma), Heshicao (Dawsoniae Root) — each 1 liang; Muxiang (Aucklandiae Radix, 3 qian); Shexiang (Moschus, 1 qian).
Grind into fine powder. Use steamed bread paste to form pills the size of hemp seeds. Take 1 qian per dose, swallowed with clear rice soup on an empty stomach.
[Prescription Song] Lushui Wan treats excessive accumulation qi. It contains Muxiang, Shexiang, Qingpi, Hu Huanglian, Wuyi, Leiwann, Heshicao, and Chuan Huanglian, formed into pills with steamed bread.
Another Formula: Xiaoji San (Small Thistle Powder)
Composition: Xiaoji (Cirsii Herba), Baicaoshuang (Carbonized Rice Husk), Puhuang (Typhae Pollen, lightly stir-fried), Xiangfuzi (Cyperi Rhizoma, soaked in vinegar and sun-dried).
Grind all into fine powder. Apply to the teeth. After a short while, rinse with warm tea.
[Prescription Song] Xiaoji San is a formula for applying to teeth to stop bleeding. It contains lightly stir-fried Puhuang and Baicaoshuang. Xiangfuzi is ground together into fine powder. Applying it to the teeth strongly stops bleeding.
Another Formula: Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See "Ulcer Section").
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) (See "Facial Freckles Section").
Qiwei Dihuang Wan (Seven-Ingredient Pill with Rehmannia) (This is Guifu Dihuang Wan minus Fuzi. See "Facial Cheek Ulcers Section").