【方歌】齿〔匿〕齿内生小虫，胃经瘀湿风火凝，口臭只缘胃火
盛，齿根腐烂出血脓。
【注】此证系齿肉生虫，由胃经瘀湿风火凝聚而成。齿根胀痛
腐烂，时出脓血，若口臭甚者，胃火盛极上攻所致也，
宜服玉池散，外用雀麦连梃一把，苦瓠三十片洗净，将
麦剪长二寸，以瓠叶里作五包，广一寸，厚五分，三年
陈醋渍之，至日中时，以两包火中炮炙令热，纳口中熨
齿外，冷更易之。取包置水中，解视之即有虫长三分，
老者黄色，新者白色，其效如神。
方剂：玉池散
组成：当归 白芷
升麻 防风
甘草 地骨皮
川芎 细辛
〔高〕本 槐花
生姜三片，黑豆三十粒，水煎去渣，候温含漱，冷
则吐之。若用此方煎服，更效。
【方歌】玉池疏风疗虫牙，津脓根烂漱服佳，归芷升防甘地骨，
芎辛姜〔高〕豆槐花。
【方歌】齿龋风热客阳明，牙龈肿痛出臭脓，遇风痛甚久宣露，
白马悬蹄塞入灵。
【注】此证由风热客于手、足阳明二经而成。初起牙龈宣肿觉
痛，遇风痛甚，常作金口吸气之状，牙龈腐孔，时出臭
脓，久则龈齿宣露。初宜服清胃汤加羌活，外用白马悬
蹄少许，以绵裹之，塞入脓孔甚效。
又方：清胃汤（见牙衄）
【方歌】紫舌胀属心经火，热盛血壅肿硬疼，舌肿满口宜针刺，
血色紫重色红轻。
【注】此证由心经火盛血壅，以致舌肿满口，坚硬疼痛。宜用
衣针扎箸头上，露锋分许，当舌刺数十刺，令血出，红
色者轻，紫色者重。随以温水漱口，搽冰硼散，内用凉
膈散去朴硝、大黄，加牛蒡子、荆芥，倍用栀子，服之
甚效。
方剂：冰硼散（见口部鹅口疮）
凉膈散（见面部面发毒）
[Verse] Chi Ni (Tooth Decay with Worms): Small worms grow inside the teeth. This is caused by the condensation of blood stasis, dampness, wind, and fire in the Stomach Meridian. Bad breath is solely due to excessive Stomach Fire, leading to rotting of the tooth roots, bleeding, and pus discharge.
[Commentary] This syndrome involves worms growing in the gingival flesh, formed by the condensation of blood stasis, dampness, wind, and fire in the Stomach Meridian. The tooth roots swell, ache, and rot, occasionally discharging pus and blood. If bad breath is severe, it is caused by extreme Stomach Fire attacking upwards. It is appropriate to take Yu Chi San (Jade Pool Powder). For external use, take one bunch of Setaria italica (Millet) with stems, thirty slices of bitter bottle gourd (Cucurbita ficifolia), washed clean. Cut the millet stems into two-cun lengths, wrap them in five small packets using the gourd leaves, each packet one cun wide and five fen thick. Soak them in three-year-old aged vinegar. At noon, take two packets, roast them in fire until hot, place them in the mouth to warm the exterior of the teeth, and replace them when they cool. Place the packets in water, unwrap, and inspect; immediately, worms about three fen long will appear. Older worms are yellow, newer ones are white. The efficacy is miraculous.
Formula: Yu Chi San (Jade Pool Powder)
Composition: Angelicae Radix (Danggui), Angelicae Dahuricae Radix (Baizhi), Cimicifugae Rhizoma (Shengma), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao), Buxi Cortex (Digupi), Chuanxiong Rhizoma (Chuanxiong), Asari Radix (Xixin), Ligustici Rhizoma et Radix (Gaoben), Sophorae Flos (Huaihua). Three slices of Zingiberis Rhizoma Recens (Fresh Ginger), thirty black soybeans (Heidou). Decoct in water, strain, and hold in the mouth while warm; spit out when cold. If this formula is decocted and taken internally, the effect is even better.
[Verse] Yu Chi San: Disperses wind to treat dental caries; holding in the mouth or taking internally is excellent for salivary issues, pus, root rot. Ingredients include Danggui, Baizhi, Shengma, Fangfeng, Gancao, Digupi, Chuanxiong, Xixin, Jiang (Ginger), Dou (Soybean), Huaihua.
[Verse] Chi Qu (Dental Caries): Wind-heat pathogenic factors lodge in the Yangming Meridians, causing gingival swelling, pain, and discharge of foul-smelling pus. Pain worsens upon exposure to wind; over time, the gums recede exposing the teeth. Placing a "White Horse Hanging Hoof" (Baima Xuanti) into the cavity is very effective.
[Commentary] This syndrome is caused by wind-heat pathogenic factors lodging in the Hand and Foot Yangming Meridians. Initially, the gums swell and hurt; pain intensifies with wind. Patients often make a sucking-in motion like a metal mouth. The gums develop rotting holes that discharge foul pus. Over time, the gums recede, exposing the teeth. Initially, it is appropriate to take Qing Wei Tang (Clear the Stomach Decoction) plus Qianghuo (Notopterygii Rhizoma et Radix). For external use, wrap a small amount of Baima Xuanti (equine hoof) in cotton and insert it into the pus cavity; this is very effective.
Another Formula: Qing Wei Tang (See Ya Nu section)
[Verse] Zi She Zhang (Purple Swollen Tongue): Belongs to excessive fire in the Heart Meridian. Excessive heat causes blood congestion, resulting in a swollen, hard, and painful tongue. When the tongue swells to fill the mouth, acupuncture is suitable. Purple blood color indicates severe condition; red indicates mild condition.
[Commentary] This syndrome is caused by excessive fire in the Heart Meridian and blood congestion, leading to the tongue swelling to fill the mouth, becoming hard and painful. It is appropriate to stick a needle onto the head of a chopstick, exposing the tip by about one fen. Prick the tongue dozens of times to allow blood to flow out. Red blood color indicates a mild condition; purple indicates a severe condition. Subsequently, rinse the mouth with warm water, apply Bing Peng San (Ice and Borax Powder) externally, and take Liang Ge San (Cool the Diaphragm Decoction) without Puxiao (Mirabilite) and Dahuang (Rhubarb), adding Niubangzi (Arctii Fructus) and Jingjie (Schizonepetae Herba), and doubling the dosage of Zhizi (Gardeniae Fructus). Taking this is very effective.
Formula: Bing Peng San (Ice and Borax Powder) (See Kou Bu E Chuang section)
Liang Ge San (Cool the Diaphragm Decoction) (See Mian Bu Mian Fa Du section)