论曰小儿口齿疳者，由脏腑壅热，乳食不调，内有疳虫，上蚀于口齿故也，其候唇口痒
痛。牙齿峭黑，舌上生疮，脑中干热，龈肉赤烂，颊肿齿疼，热毒熏蒸，口多臭气。故曰口
齿疳也。
治小儿牙疳龈肿，及牙齿诸疾。九仙膏方
猪牙皂荚（二挺烧存性） 白矾（研二两） 绿矾（研一两半） 黄柏（去粗皮） 苦
楝根（白皮各
以水银同一处用无灰酒
上九味，捣研细，以好酒三升调药，用慢火熬成膏，瓷合内盛，勿令泄气，小儿患口疳
，即
丸，
治小儿疳蚀唇颊齿牙，浮动宣露口臭。丹砂散方
丹砂 雄黄（各一钱） 麝香 腻粉（各半钱） 青黛 晚蚕蛾 芦荟 胡黄连（末各
一钱）
上八味，各研为细散，再一处拌匀，每用二字，干贴患处。
治小儿齿疳宣露，脓血不止。角蒿升麻散方
角蒿 细辛（去苗叶） 升麻 地骨皮（锉焙） 麻黄（去根节焙） 牛膝（锉等分）
上六味，捣罗为散，每用少许，敷齿龈，或以水调药，涂在纸上贴，尤妙。
治小儿口疳臭腐。麒麟竭散方
麒麟竭 胡桐泪 白矾（各半两） 铅丹（一分）
上四味，先销白矾作汁，次入铅丹，候干同余药，研为散敷齿。不过三两上瘥。
治小儿疳蚀损口齿，臭秽不可近者。抵圣散方
铜绿（一分） 蛤粉（半两） 麝香（二钱）
上三味，同研为散，干贴，口齿臭秽者，用盐水净洗拭干，每日一度贴之，三上必效，
贴了药，少顷口角有涎出者可医，如无涎出者，不可治。
治小儿牙疳口臭。三灵散方
绿矾（研） 白矾（烧汁尽各半两） 麝香（一钱）
上三味并细研，每用少许，贴牙龈上，不计时候。
治小儿牙疳疮。胡桐泪散方
胡桐泪（一两） 铜绿（一钱） 麝香（少许）
上三味，同研令匀，每用药少许，以鸡翎扫之。
治小儿齿疳绝妙方
麝香（一钱） 蟾酥 轻粉（各半两）
上三味，同一处研细，滴水拈如丁香样，每用少许化破，揩牙立效。
治小儿齿疳，牙龈腐烂，恶血口臭，牙齿脱落。蟾灰散方
虾蟆（一枚烧灰留性） 青橘皮（汤浸去白焙） 甘草（锉） 青黛（研各一分）
上四味，捣研为散，入麝香少许，或小儿满口臭烂，落下牙齿，用鹅毛扫于疮上，立差
治小儿牙宣，常有鲜血不止，龈臭烂者。方
砒黄（一钱） 麝香（半钱）
上二味，同研极细，先用纸条子，以生油涂过，掺药末在上，剪作大片，如棋子大，看
大小用插在烂动处。
治小儿风 牙疼。二圣散方
威灵仙 白茯苓（去黑皮各一两）
上二味，捣罗为散，每用药一钱匕，水一盏，醋半盏，葱白一握切，煎至六分，热渫冷
吐。
冷小儿口齿疳，唇口痒痛，齿龈肿黑，宣露摇动。黄芩散方
黄芩（去黑心） 升麻 黄连（去须） 大青 虾蟆（烧灰） 角蒿（灰各一分） 黄
柏（去
上七味，捣罗为细散，每用一字匕，贴齿 上，有涎即吐，如患干湿癣，以口脂和涂
疮上，或腊月猪脂和、亦得。
治小儿口齿鼻舌生疮。芦荟散方
芦荟（研） 胡粉（研各半两） 真珠（研水飞过） 蜗牛壳（去土） 盐绿（研） 青
黛（研） 黄芩（去黑心一两半） 麝香（研一分）
上八味，捣研为散细如面，先用甘草汤洗，及漱口了，将此散绵裹贴齿龈上，涂亦得
，有涎吐出。勿咽。
治小儿口齿疳，唇口痒痛，龈肉赤黑色，气息臭秽，牙齿摇动。蜗牛散方
蜗牛（干者） 白狗粪灰 虾蟆（灰各一分） 麝香（研少许）
上四味，捣研为散，每用一字匕，吹鼻中，并蜜和涂齿上、即瘥。
治小儿口齿疳，穿蚀口鼻手足肌肉，俗名走马急疳。方
砒霜 粉霜（二味各研极细） 锻石（罗过研细）
上三味等分相合，左右研转，令极腻如面，每以鸡羽尖摭少许，扫疮上，其疮即干。慎
勿多用，恐入腹中，有大毒、慎之。
治小儿齿疳虫 方
五倍子（炙为末） 铅丹（研各一分）
上二味和匀，以绵裹贴齿龈上，涂亦得。
Discussion states: Pediatric oral and dental gan (gangrenous stomatitis) is caused by the accumulation of heat in the zang-fu organs, improper regulation of milk and food, the presence of gan parasites internally, which ascend to erode the mouth and teeth. The manifestations include itching and pain in the lips and mouth, blackened teeth, sores on the tongue, dryness and heat in the head, redness and ulceration of the gingiva, swelling of the cheeks with toothache, steaming of heat-toxins, and foul breath. Hence it is called oral and dental gan.
To treat pediatric dental gan, gingival swelling, and various diseases of the teeth. Nine Immortals Ointment Formula (Jiuxian Gao Fang):
*Zhu Ya Zao Jia* (Gleditsiae Sinensis Fructus Spina, two pods, burned until carbonized but retaining nature), *Bai Fan* (Alumen, two liang, ground), *Lv Fan* (Melanterite, one and a half liang, ground), *Huang Bo* (Phellodendri Cortex, coarse skin removed), *Ku Lian Gen Bai Pi* (Meliae Radicis Cortex Albus, amount as needed). These are processed together with *Shui Yin* (Hydrargyrum) using unfermented wine.
The above nine ingredients are pounded and ground finely. Three sheng of good wine is used to mix the medicine, simmered over slow fire into an ointment, stored in a porcelain jar, ensuring no leakage of air. For pediatric oral gan, pills are formed for use.
To treat pediatric gan eroding the lips, cheeks, and teeth, with loose and exposed teeth and bad breath. Cinnabar Powder Formula (Dansha San Fang):
*Dansha* (Cinnabaris), *Xionghuang* (Realgar, each one qian), *She Xiang* (Moschus), *Ni Fen* (Calomelas, each half qian), *Qing Dai* (Indigo Naturalis), *Wan Can E* (Bombyx Batryticatus), *Lu Hui* (Aloe), *Hu Huang Lian* (Coptidis Rhizoma alternative/Huahuanglian, powder, each one qian).
The above eight ingredients are each ground into fine powder, mixed evenly. Apply two zi (approx. 2g) dry to the affected area each time.
To treat pediatric dental gan with loose and exposed teeth and continuous pus and blood. Jiaohao Shengma Powder Formula (Jiaohao Shengma San Fang):
*Jiao Hao* (Artemisiae Scopariae Herba), *Xi Xin* (Asari Radix et Rhizoma, remove seedlings and leaves), *Sheng Ma* (Cimicifugae Rhizoma), *Di Gu Pi* (Lycii Cortex, chopped and dried), *Ma Huang* (Ephedrae Herba, remove roots and nodes, dried), *Niu Xi* (Achyranthis Bidentatae Radix, chopped, equal parts).
The above six ingredients are pounded and sieved into a powder. Apply a small amount to the gingiva each time; or mix with water, apply to paper, and paste, which is especially effective.
To treat pediatric oral gan with foul odor and putrefaction. Qilinjie Powder Formula (Qilinjie San Fang):
*Qilin Jie* (Dracaenae Sangue), *Hu Tong Lei* (Tamarisci Cacumen exudate), *Bai Fan* (Alumen, each half liang), *Qian Dan* (Minium, one fen).
The above four ingredients: first melt *Bai Fan* into liquid, then add *Qian Dan*. When dry, grind together with the remaining medicines into a powder to apply to the teeth. Recovery occurs within three applications.
To treat pediatric gan eroding and damaging the mouth and teeth, with unbearable foul odor. Disheng Powder Formula (Disheng San Fang):
*Tong Lv* (Malachite), *Ge Fen* (Concha Meretricis et Cyprinae, half liang), *She Xiang* (Moschus, two qian).
The above three ingredients are ground together into a powder for dry application. If the mouth and teeth are foul, wash thoroughly with salt water and wipe dry. Apply once daily. It will be effective after three applications. After applying the medicine, if saliva appears at the corners of the mouth within a short while, it is curable; if no saliva appears, it is incurable.
To treat pediatric dental gan and bad breath. Sanling Powder Formula (Sanling San Fang):
*Lv Fan* (Melanterite, ground), *Bai Fan* (Alumen, burned until juice is gone, each half liang), *She Xiang* (Moschus, one qian).
The above three ingredients are finely ground. Apply a small amount to the gums each time, regardless of timing.
To treat pediatric dental gan sores. Hutonglei Powder Formula (Hutonglei San Fang):
*Hu Tong Lei* (Tamarisci Cacumen exudate, one liang), *Tong Lv* (Malachite, one qian), *She Xiang* (Moschus, a little).
The above three ingredients are ground uniformly. Apply a small amount of medicine each time, sweeping it onto the lesion with a chicken feather.
Exquisite Formula for Pediatric Dental Gan:
*She Xiang* (Moschus, one qian), *Chan Su* (Venenum Bufonis), *Qing Fen* (Calomelas, each half liang).
The above three ingredients are ground finely together. Add drops of water and roll into shapes like cloves. Use a small amount each time, dissolve, and rub on the teeth for immediate effect.
To treat pediatric dental gan, rotting gums, foul blood and breath, and tooth loss. Chanhuai Powder Formula (Chanhuai San Fang):
*Xia Ma* (Ranae Venenum/Bufonius, one piece, burned to ash retaining nature), *Qing Ju Pi* (Citri Reticulatae Periculum Viride, soaked in water, white pith removed, dried), *Gan Cao* (Glycyrrhizae Radix et Rhizoma, chopped), *Qing Dai* (Indigo Naturalis, ground, each one fen).
The above four ingredients are pounded and ground into a powder, adding a little *She Xiang*. If the child has full-mouth foul rot and lost teeth, sweep onto the sores with a goose feather for immediate recovery.
To treat pediatric ya xuan (gingival recession/hemorrhage) with continuous fresh blood bleeding and rotten, smelly gums. Formula:
*Pi Huang* (Arsenicum Rubrum), *She Xiang* (Moschus, half qian).
The above two ingredients are ground extremely fine. First, coat a paper strip with raw oil, sprinkle the powder on it, cut into large pieces the size of chess pieces. Insert according to the size into the rotten, mobile area.
To treat pediatric wind-induced toothache. Ersheng Powder Formula (Ersheng San Fang):
*Wei Ling Xian* (Spatholobi Caulis), *Bai Fu Ling* (Poria, remove black skin, each one liang).
The above two ingredients are pounded and sieved into a powder. Use one qian bi of medicine per dose, with one sheng of water, half sheng of vinegar, and a handful of chopped scallion whites. Decoct to six-tenths. Rinse hot and spit out when cool.
To treat pediatric oral and dental gan, itching and pain in lips and mouth, swollen and blackened gums, loose and shaking teeth. Huangqin Powder Formula (Huangqin San Fang):
*Huang Qin* (Scutellariae Radix, remove black heart), *Sheng Ma* (Cimicifugae Rhizoma), *Huang Lian* (Coptidis Rhizoma, remove mustaches), *Da Qing* (Isatidis Folium), *Xia Ma* (Ranae Venenum/Bufonius, burned to ash), *Jiao Hao* (Artemisiae Scopariae Herba, ash, each one fen), *Huang Bo* (Phellodendri Cortex, remove coarse skin).
The above seven ingredients are pounded and sieved into a fine powder. Apply one zi bi amount to the gums each time; spit out if saliva is produced. If suffering from wet or dry tinea, mix with lip balm and apply to sores, or mix with pig fat from the twelfth lunar month, which is also acceptable.
To treat pediatric oral, dental, nasal, and lingual sores. Lu Hui Powder Formula (Lu Hui San Fang):
*Lu Hui* (Aloe, ground), *Hu Fen* (Lead Carbonate, ground, each half liang), *Zhen Zhu* (Margarita, ground, washed with water), *Wo Niu Ke* (Cochleae Concha, remove soil), *Yan Lv* (Chlorocuprum, ground), *Qing Dai* (Indigo Naturalis, ground), *Huang Qin* (Scutellariae Radix, remove black heart, one and a half liang), *She Xiang* (Moschus, ground, one fen).
The above eight ingredients are pounded and ground into a powder finer than flour. First wash with Licorice decoction and rinse mouth. Then wrap this powder in cotton and apply to the gums, or smear it. Saliva will be produced and expectorated. Do not swallow.
To treat pediatric oral and dental gan, itching and pain in lips and mouth, reddish-black gingiva, foul breath, and loose teeth. Wo Niu Powder Formula (Wo Niu San Fang):
*Wo Niu* (Cochlea, dried), *Bai Gou Fen Hui* (Ash of white dog feces), *Xia Ma* (Ranae Venenum/Bufonius, ash, each one fen), *She Xiang* (Moschus, ground, a little).
The above four ingredients are pounded and ground into a powder. Blow one zi bi amount into the nose each time, and mix with honey to apply to the teeth for recovery.
To treat pediatric oral and dental gan that perforates and erodes muscles of the mouth, nose, hands, and feet, commonly known as "running horse acute gan." Formula:
*Pi Shuang* (Arsenicum), *Fen Shuang* (Sublimated Calomel/White Precipitate - both ground extremely fine separately), *Duan Shi* (Calcined Lime, sieved and ground fine).
The above three ingredients are mixed in equal parts and ground back and forth until extremely smooth like flour. Dip the tip of a chicken feather in a small amount and sweep onto the sores to dry them. Be extremely cautious not to use too much, as it may enter the stomach and is highly toxic.
Formula for Pediatric Dental Gan Parasites:
*Wu Bei Zi* (Galla Chinensis, roasted and powdered), *Qian Dan* (Minium, ground, each one fen).
The above two ingredients are mixed evenly, wrapped in cotton, and applied to the gums, or can be smeared.