论曰肾生骨髓，齿者、骨之余，而髓之所养也，足少阴经虚，气血不能荣养骨髓，故因
呼吸风冷，或漱寒水，则令齿痛而不已。
治肾虚齿痛。天雄散方
天雄（炮裂去皮脐） 当归（切焙） 细辛（去苗叶） 附子（炮裂去皮脐） 甘草（炙
锉） 干
姜（炮） 生地黄（切焙） 苦参 藜芦（去苗各半两）
上九味，捣罗为细散，揩贴齿痛处，日三五上，勿咽津，每药尽即以水漱。
治肾脏虚，食冷热物，齿皆痛。地黄丸方
生地黄（切焙一两） 白茯苓（去黑皮） 防风（去叉） 独活（去芦头） 枸杞子 山
芋（各
半两）
上六味，捣罗为细末，炼蜜丸如梧桐子大，空心煎枣汤，下十丸至十五丸。
治肾虚牙齿龈肿，膈上热。柴胡汤方
柴胡（去苗一两） 枳壳（去瓤麸炒） 浓朴（去粗皮生姜汁炙烟尽各三分） 黄连（去
须半
两）
上四味，粗捣筛，每用五钱匕，水二盏，煎至一盏，去滓食后，分二服。
治肾虚齿痛。戌盐汤方
戎盐（一分） 地骨皮（一两） 细辛（去苗叶半两） 生地黄（切焙一两）
上四味，粗捣筛，每服五钱匕，水一盏，煎十余沸，去滓热渫，日三。
治肾虚气攻牙齿血出，牙龈痒痛，揩齿。骨碎补散方
骨碎补（炒黑色二两）
上一味，捣罗为细散，盥漱后，揩齿根下，良久吐之，临卧再用，咽津不妨。
治肾虚齿痛，揩齿黑髭。无食子散方
无食子 干马齿苋 莲子草 石榴皮 巨胜子 生地黄 柳皮（取白） 羌活（去芦头）
诃
黎勒皮 牛膝（去苗） 生姜皮 生胡桃皮 白芷（各一分） 青盐（半两） 皂荚（一挺
不者
去皮炙）
上一十五味，锉如麻豆大，瓷瓶子盛，密盖泥封头，炭火烧令赤，候冷取出，捣罗为
细散，更以湿纸摊，用盆盖一复时，出火毒，每用柳枝汤漱口毕揩齿
治肾虚齿痛，揩牙乌髭鬓，驻颜。鸡草汤方
鸡肠草 白矾（碎） 诃黎勒皮 香子 旱莲子 晚蚕砂 青盐 茜根 皂荚（各一
两）
麻 （半两）
上一十味，除矾并青盐 香蚕砂外，各锉长半寸，用藏瓶一枚，开口入诸药在内，纸筋
盐泥固济，以炭火半秤， 尽火放冷，取出研如粉，早晨食后夜卧，揩三两上，顷之漱口。
治肾虚齿痛，乌髭鬓，揩齿。地黄散方
生地黄（沉水肥好者细切焙三两） 升麻（锉一两） 诃黎勒（捣二枚） 白盐花（半
分） 麻
末（第一遍打者四合） 粟 饭（一大合） 丹砂（一两细研临烧时以沙牛粪汁调之免飞
上）
上七味拌匀，以净沙瓶中盛，密封泥裹阴干，以炭火七斤，烧炭尽，取药细研为散，每
欲用先以生姜一块，烂嚼吐却，以左手指揩三五遍，就点药揩十数遍，含津不吐，两手取津
，涂髭发，待辛辣定则咽之，兼治香港脚肠风。
治肾虚齿痛，揩齿乌髭。莽草散方
莽草 生姜 干漆 猪牙皂荚 胡麻子（乌麻是） 生地黄 菟丝子
上七味，各四两，锉如麻豆大，入藏瓶内，盐泥固济，火 一日后，入地一尺二寸深
，埋三复时取出，露三夜，不得着日气，研罗为细散，用如齿药法揩牙。
治肾虚齿痛。三枝散方
槐枝 柳枝 桑枝（各七两焙干） 麻 （七两将一枚取中心者） 晚蚕砂（五两） 青
盐（
三两半）
上六味，除蚕砂青盐外，锉如麻豆大，盐泥固济，一罐子，曝干后，入诸药在内敞口，
于地坑子内，四面炭火簇烧，令通赤，食时用柳枝搅拨转，烧令均匀，烟尽去炭火。用湿纸
三五重，盖罐口，候冷出药，研为散，瓷合盛，每日揩齿，日久良。
治肾虚齿痛。揩齿麝香散方
麝香（研一分） 小豆面（微炒三两） 蜀椒（去闭口并目炒出汗为末一两） 青盐（研
一两）
Discussion states: The Kidney generates marrow, and teeth are the surplus of bone, nourished by marrow. When the Foot-Shaoyin (Kidney) meridian is deficient, Qi and Blood fail to nourish the marrow. Consequently, exposure to wind-cold during respiration or rinsing with cold water can cause persistent toothache.
Treatment for toothache due to Kidney deficiency. Tianxiong Powder Formula
Tianxiong (Pao, cracked, skin and navel removed) Danggui (sliced and dried) Xixin (seedlings and leaves removed) Fuzi (Pao, cracked, skin and navel removed) Gancao (roasted and crushed) Ganjiang (Pao) Shengdihuang (sliced and dried) Kushen Lulü (seedlings removed, each half liang)
The above nine herbs are pounded, sifted into a fine powder, and applied to the painful teeth. Use three to five times daily. Do not swallow saliva; rinse with water after each application.
Treatment for toothache caused by eating hot or cold foods when the Kidney organ is deficient. Dihuang Pill Formula
Shengdihuang (sliced and dried, one liang) Baifuling (black skin removed) Fangfeng (forked parts removed) Duohuo (radicle removed) Gouqizi Shanyu (each half liang)
The above six herbs are pounded, sifted into a fine powder, and made into pills the size of paulownia seeds using refined honey. Take ten to fifteen pills on an empty stomach with decocted jujube soup.
Treatment for swollen gums and heat above the diaphragm due to Kidney deficiency affecting the teeth. Chaihu Decoction Formula
Chaihu (seedlings removed, one liang) Zhike (pulp removed, stir-fried with bran) Houpo (rough bark removed, stir-fried with ginger juice until smoke ceases, each three qian) Huanglian (fibers removed, half liang)
The above four herbs are coarsely crushed and sieved. For each dose, use five qianbi (measure), add two zhan of water, and decoct to one zhan. Strain and take in two divided doses after meals.
Treatment for toothache due to Kidney deficiency. Rongyan Decoction Formula
Rongyan (one fen) Digupi (one liang) Xixin (seedlings and leaves removed, half liang) Shengdihuang (sliced and dried, one liang)
The above four herbs are coarsely crushed and sieved. For each dose, use five qianbi, add one zhan of water, boil for about ten boils, strain, and use warm for gargling/rinsing three times daily.
Treatment for bleeding gums, itchy and painful gums, and tooth brushing due to Kidney deficiency causing Qi to attack the teeth. Gusui Bu Powder Formula
Gusui Bu (stir-fried until black, two liang)
The above single herb is pounded, sifted into a fine powder. After washing and rinsing, apply to the gum roots. Spit out after a while. Repeat before sleep. Swallowing saliva is permissible.
Treatment for toothache due to Kidney deficiency and darkening of facial hair. Wushi Zi Powder Formula
Wushi Zi Gan Machixian Lianzicao Shiliupi Jushengzi (Sesamum indicum var. nigrum) Shengdihuang Liupi (white part taken) Qianghuo (radicle removed) Helilepi Niuxi (seedlings removed) Jiangshengpi Sheng Hutaopi Baizhi (each one fen) Qingyan (half liang) Zaojiao (one strip, remove skin from inferior ones and roast)
The above fifteen herbs are chopped like hemp seeds, placed in a porcelain bottle, tightly covered, and sealed with mud. Roast over charcoal until red-hot. Cool, remove, pound, and sift into a fine powder. Spread on wet paper and cover with a basin for one shichen to eliminate fire toxicity. Before use, rinse mouth with Liu Zhi Tang (Willow Branch Decoction), then brush teeth.
Treatment for toothache due to Kidney deficiency, darkening of teeth, beard, and temples, and preserving youth. Jichang Cao Decoction Formula
Jichangcao Baifan (crushed) Helilepi Bichengqie (Xiangzi) Hanlianzi Wancansha Qingyan Qianggen Zaojiao (each one liang) Ma (half liang)
Except for Baifan, Qingyan, Bichengqie, and Wancansha, chop the remaining herbs into half-inch segments. Place in a storage bottle, seal with paper paste and salt mud. Roast with half a sheng of charcoal until exhausted. Cool, grind to powder. Brush teeth three to five times after morning meal and before night rest, then rinse mouth.
Treatment for toothache due to Kidney deficiency, darkening of teeth, beard, and temples. Dihuang Powder Formula
Shengdihuang (submersible, plump, finely sliced and dried, three liang) Shengma (chopped, one liang) Helile (pounded, two fruits) Baiyanhua (half fen) Mamo (first pressing, four he) Sumi Fan (one large he) Dansha (one liang, finely ground; mix with sand cow dung juice when roasting to prevent volatilization)
Mix the above seven ingredients evenly. Store in a clean sand bottle, seal tightly with mud, and dry in shade. Roast with seven jin of charcoal until exhausted. Grind the medicine into a fine powder. Before use, chew a piece of fresh ginger and spit it out. Rub the teeth three to five times with the left hand, then apply the powder and rub ten-plus times. Retain saliva in the mouth, do not spit. Use both hands to collect saliva and apply to beard and hair. Swallow once the pungency subsides. Also treats podagra and intestinal wind.
Treatment for toothache due to Kidney deficiency and darkening of beard. Mangcao Powder Formula
Mangcao Shengjiang Ganqi Zhu Ya Zaojiao Humazi (black sesame) Shengdihuang Tusizi
Each of the above seven herbs is four liang. Chop like hemp seeds, place in a storage bottle, seal with salt mud. Roast for one day, then bury in earth at a depth of one chi two cun for three days and nights. Remove and air-dry for three nights, avoiding direct sunlight. Grind into a fine powder. Use as a dental powder to brush teeth.
Treatment for toothache due to Kidney deficiency. Sanzhi Powder Formula
Huai Zhi (Locust branch) Liu Zhi (Willow branch) Sang Zhi (Mulberry branch) (each seven liang, dried by baking) Ma (seven liang, take the center one) Wancansha (five liang) Qingyan (three liang half)
Except for Wancansha and Qingyan, chop the other herbs like hemp seeds. Seal in a jar with salt mud. After drying, place all herbs in an open-mouthed jar inside a pit. Surround with charcoal fire until red-hot. Stir with a willow branch during cooking to ensure even heating. Remove fire when smoke ceases. Cover the jar mouth with three to five layers of wet paper. Cool, remove medicine, grind into powder, and store in a porcelain box. Brush teeth daily; effective over time.
Treatment for toothache due to Kidney deficiency. Shexiang Powder Formula for Brushing Teeth
Shexiang (ground, one fen) Xiaodou Mian (lightly roasted, three liang) Shujiao (remove closed-mouth and eyes, roast until sweat appears, grind to powder, one liang) Qingyan (ground, one liang)