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Commentary: The condition of Wind Gan (Wind-type periodontal disease) presents with symptoms such as vacuity and swelling of the alveolar ridge and gums, loosening of teeth, erosion of tooth roots, putrefaction with foul odor and subsequent tooth loss. It may also attack downward causing ulceration of the gums and cheeks, with discharge of pus and blood. This is characteristic of Wind Gan. This pathology arises primarily from the deficiency of Qi in the Hand-Yangming Large Intestine Meridian and Foot-Yangming Stomach Meridian. Wind pathogenic factors and heat toxins accumulate in the Stomach over a long period, steaming upward to the chest region, and attacking the mouth and teeth, thereby giving rise to this disease.

Chenxiang San (Agarwood Powder) for treating Wind Gan, gum swelling, and floating teeth:
Agarwood (1 fen, crushed), Musk (half liang, ground), Cortex Lycii (1 liang), Radix Angelicae Sinensis (sliced and dried), Rhizoma Cimicifugae, Ramulus Cinnamomi (deprived of coarse bark, each half liang), Radix Saposhnikoviae (deprived of forked roots, half liang), Rhizoma Chuanxiong (3 fen), Cortex Cinnamomi (deprived of coarse bark, 1 fen), Radix Glycyrrhizae (roasted and crushed), Cortex Phellodendri (deprived of coarse bark, honey-roasted, each half liang), Natrii Sulfas (ground, 1 liang).
The above eleven ingredients are pounded and ground into a powder, mixed thoroughly. Each time, use one qian bi (measure), apply it to the tooth root; or wrap it in cotton like a large pellet, hold it in the mouth to dissolve and swallow saliva.

Duhuo Tang (Angelica Pubescens Decoction) for treating Wind Gan:
Radix Angelicae Pubescentis (deprived of rhizome head), Radix Angelicae Sinensis (sliced and dried), Semen Pruni Armeniacae (soaked in hot water, skin and pointed ends removed, twin kernels discarded, stir-fried), Rhizoma Ligustici (deprived of seedlings and soil), Radix Rehmanniae Preparata (dried, each 1 fen), Radix Glycyrrhizae (crushed and roasted), Radix Asari (deprived of seedlings and leaves, each half liang).
The above seven ingredients are coarsely pounded and sieved. Each time, use three qian bi, add one zhan (measure) of water, boil for more than ten boils. Rinse the mouth while hot, spit out when cool.

Qianshi San (Euryale Seed Powder) for treating Wind Gan with exposed gums, continuous bleeding, tooth loss, and bad breath:
Fructus Euryales (dried), Ramulus Mori (crushed), Ramulus Sophorae (crushed), Ramulus Salicis (crushed), Sal, Fructus Gleditsiae Sinensis (crushed, each 1 sheng), Radix Rehmanniae Preparata (dried), Cortex Lycii (each 1 jin).
The above eight ingredients are placed in a new clay pot, covered with a bowl, sealed tightly with paper fibers and salt mud, dried in the sun, and fired in charcoal until red-hot. After cooling, take out, pound and sieve into fine powder. Immediately add a small amount of Musk. Rub teeth with it, rinse with warm water. Use in the morning, at noon, and before bed.

Niusu Gao (Bovine Butter Ointment) for treating Wind Gan dental caries and various oral diseases:
Butyrum Bovis (half jin), Cera (2 liang), Realgar (ground), Cinnabaris (ground), Radix Veratri (deprived of rhizome head), Rhizoma Chuanxiong, Radix Angelicae Dahuricae, Rhizoma Cimicifugae (each half liang), Anguilla (one piece), Semen Pruni Armeniacae (soaked in hot water, skin and pointed ends removed, twin kernels discarded, bran-roasted), Rhizoma Ligustici (deprived of seedlings and soil, each 1 liang).
The above eleven ingredients are first heated in a pan until the bovine butter boils. Add the Anguilla and fry until yellow and cooked. Remove the fish, then add the remaining herbs. When the Semen Pruni Armeniacae turns red, filter through cotton to remove dregs. Place in a porcelain vessel, add powdered Realgar and Cinnabaris, stir continuously until cooled into an ointment. Apply a small amount to the affected area each time.

Ganjiang San (Dried Ginger Powder) for treating Wind Gan with worm erosion, loose teeth, protrusion, and dull pain:
Rhizoma Zingiberis Preparatum (processed), Alumen (calcined), Fructus Cnidii (lightly stir-fried), Radix Glycyrrhizae (roasted and crushed), Radix Asari (deprived of seedlings and leaves), Fructus Schisandrae Chinensis (deprived of eyes and closed-mouth ones, stir-fried until sweat appears), Radix Aconiti Lateralis Preparata (processed until cracked, skin and umbilicus removed), Ramulus Cinnamomi (deprived of forked roots, each 1 liang), Radix Veratri (deprived of rhizome head, 1 fen).
The above nine ingredients are pounded and sieved into a powder. Each time, use one qian bi, mix with hot wine. Rinse mouth with hot liquid, spit out when cool. Three times daily.

Shengma San (Rhizoma Cimicifugae Powder) for treating Wind Gan and toothache due to worm erosion:
Rhizoma Cimicifugae, Radix Angelicae Sinensis (roasted and sliced), Ramulus Cinnamomi (deprived of forked roots, each 1 liang), Rhizoma Ligustici (deprived of seedlings and soil), Radix Glycyrrhizae (roasted and crushed), Radix Angelicae Dahuricae, Radix Asari (1 liang), Rhizoma Chuanxiong (1 liang), Cortex Lycii (1 liang), Radix Angelicae Pubescentis (1 liang).
The above ten ingredients are pounded and sieved into a coarse powder. Each time, use five qian, add two large zhan of water, boil down to one zhan. Remove dregs, hold in mouth while hot, spit out when cool.

Kaichi San (Tooth-Rubbing Powder) for treating dental Wind Gan with bleeding and pain:
Radix Asari (half liang), Fructus Tribuli (half liang, lightly stir-fried), Nidus Vespae (half liang, lightly stir-fried), Rhizoma Cimicifugae (half liang), Ramulus Sophorae et Salicis (thickness of chopsticks, length two cun, thirty-seven stalks each, charred without burning too much), Cortex Phellodendri (half liang, crushed), Alumen (half liang, half calcined until juice is gone, half raw, finely ground).
The above eight ingredients are pounded and sieved into a fine powder, mixed evenly. Store in a porcelain box. Before use, rinse mouth with hot salt water three to five times. Then use as a tooth-rubbing medicine. Stop if slight pain is felt on the gums. Spit out saliva.

Heshi San (Nemateloides Powder) for treating dental Wind Gan with pus and blood discharge, and worms in tooth roots:
Semen Nemateloidis (half liang), Radix Asari (half liang), Nidus Vespae (half liang, burned to ash), Calomelas (1 fen), Musk (1 fen, finely ground).
The above five ingredients, excluding Musk and Calomelas, are pounded and sieved into a fine powder. Then add Musk and Calomelas, grinding them evenly into the previous powder. Each time before bed, cut paper into willow leaf shapes, apply medicine, and paste on the affected area.

Fangfeng San (Saposhnikovia Powder) for treating Wind Gan with exposed gums, purulent discharge, and foul odor:
Ramulus Cinnamomi (deprived of forked roots), Radix Notopterygii (deprived of rhizome head), Cortex Sophorae Flavescentis (inner bark), Radix Scutellariae (deprived of black heart), Cortex Lycii, Radix Angelicae Sinensis (sliced and dried, each 3 fen), Rhizoma Cimicifugae (1 liang).
The above seven ingredients are pounded and sieved into a powder. Each time, use three qian bi, add one zhan of water, add a little salt, boil for three to five boils. Rinse mouth with hot liquid, spit out when cool. Continue until healed.

Shengma Xixin San (Rhizoma Cimicifugae and Radix Asari Powder) for treating Wind Gan with itching and pain, eroding gums and causing ulceration:
Rhizoma Cimicifugae, Radix Asari (deprived of seedlings and leaves), Rhizoma Ligustici (deprived of seedlings and soil), Ramulus Cinnamomi (deprived of forked roots), Rhizoma Chuanxiong, Natrii Sulfas (ground, each 1 liang), Radix Glycyrrhizae (roasted and crushed, half liang).
The above seven ingredients are pounded and ground into a powder. Take a small amount and apply to the itchy teeth area. Also take one qian bi, wrap in cotton, hold in mouth to dissolve and swallow saliva. It is best to keep the medicinal taste continuous.

Zaojiao San (Gleditsia Powder) for treating Wind Gan with exposed gums and bad breath:
Fructus Gleditsiae Sinensis (skin removed, roasted dry, one ting), Sand (ground), Alumen (boiled until juice is dry), Radix Nartheci, Radix Asari (deprived of seedlings and leaves, each 1 fen), Sal Flos (ground), Cortex Sophorae Flavescentis (inner bark, crushed, each half liang).
The above seven ingredients are pounded and ground into a powder. First rub teeth with salt, then apply one qian of the powder to the affected area.

Gansong San (Narthecium Powder) for treating Wind Gan with worm erosion consuming flesh:
Radix Narthecii (1 fen), Ren Suillus Porci (thinly sliced, roasted dry, a pair), Radix Aloe (ground, half liang), Calomelas (ground, 1 fen).
The above four ingredients are pounded and ground into a powder. Before bed, first rinse mouth cleanly with grain water, then apply medicine to the affected area. Spit out saliva.

Laoya San (Teeth-Firming Powder) for treating Wind Gan with bleeding and floating teeth:
Fructus Gleditsiae Sinensis (five ting burned to retain nature, ten ting if small), Radix Aconiti Lateralis (one piece, raw), Resina Commiphora (ground, half liang), Musk (ground, a little).
The above four ingredients are pounded and ground into a powder. Use as usual for rubbing teeth, gargle after a while. Frequent use is excellent.

Lilu Wan (Veratrum Pill) for treating Wind-Worm Gan erosion and toothache:
Radix Veratri (deprived of rhizome head, 1 fen), Fructus Schisandrae Chinensis (deprived of eyes and closed-mouth ones, stir-fried until sweat appears, half liang), Musk (ground, a little), Radix Aconiti Lateralis Preparata (processed until cracked, skin and umbilicus removed, 1 fen).
The above four ingredients are pounded and sieved into powder. Melt wax and mix to form pills the size of hemp seeds. Each time, wrap one pill in cotton, insert into the worm hole. Spitting saliva brings immediate effect.

Gouqi Tang (Cornus Officinalis Decoction) for treating Wind Gan where gum and flesh separate, causing pain preventing eating:
Radix Corni Officinalis (finely crushed), Ramulus Sophorae (finely crushed), Ramulus Salicis (finely crushed, each one handful), Semen Sojae Nigrum (coarsely pounded, three he).
The above four ingredients are together in a pan, lightly stir-fried until yellow. Each time, use five qian bi, add one zhan of wine and one zhan of water, boil together for more than ten boils. Remove dregs, rinse mouth with hot liquid, spit out when cool.

Niuxi San (Achyranthes Powder) for treating tooth itch and Wind Gan:
Radix Achyranthis Bidentatae (burned to ash), Radix Asari (deprived of seedlings and leaves, each 1 liang), Flos Caryophylli (3 fen).
The above three ingredients are pounded and sieved into powder, then ground finer. Each time, use one qian bi, apply to the affected area. Three times daily.

Qingdai San (Indigo Naturalis Powder) for treating dental Gan eroding cheek bones and breaking them, also indicated for lower body Gan hemorrhoids:
Caulis et Folium Indigoferae Tinctoriae (ground, 2 liang), Realgar (ground), Cupri Sulfas (ground), Ferritum Flavum (calcined and ground), Alumen (calcined and ground), Semen Hyoscyami (roasted until fragrant), Radix Aconiti Lateralis Preparata (processed until cracked, skin and umbilicus removed), Radix Sophorae Flavescentis, Radix Asari (deprived of seedlings and leaves), Radix Veratri (deprived of rhizome head), Musk (ground), Radix Glycyrrhizae (roasted, each 1 liang).
The above twelve ingredients are pounded and sieved into a fine powder, ground as fine as flour. Wrap in cotton and apply to teeth. For hemorrhoids, wrap in cotton and insert into the lower orifice. If there are worms in the lower orifice, soak Radix Glycyrrhizae and Radix Sophorae Flavescentis (each 1 liang) to make a decoction, mix with half a qian bi of the powder, and irrigate to stop the condition.

Yanlü San (Salt Green Powder) for treating dental Gan and worm-eroded teeth falling off in pieces:
Calamine (ground), Radix Coptidis (deprived of roots), Musk (ground, each 1 fen),胆矾 (Calcinated Alum/Stone Gall - *Note: Shidan usually refers to Chalcanthite/Copper Sulfate in ancient texts, but contextually often grouped with minerals here. WHO term: Cupri Sulfas*), Cupri Sulfas (ground, half fen).
The above four ingredients are pounded and ground extremely fine. Wrap in cotton, bite on the painful tooth hole to heal. Not exceeding ten applications.