论曰，齿龋之病，由风热邪气，客于手足阳明二经，其状龈肿，或脓出而臭，久则侵蚀
，齿龈宣露，一名风龋。
治齿龋龈肿，脓出疼痛。独活丸方
独活（去芦头） 防风（去叉） 黄芩（去黑心） 零陵香 芎 细辛（去苗叶） 当
归（切
焙各半两） 沉香（锉） 鸡舌香 升麻 甘草（炙锉各一两）
上一十一味，捣罗为末，熔蜡和丸，如小豆大，用绵裹一粒，于痛处含化咽津，消尽即
再用。
治齿龋疼痛。虾蟆散方
干虾蟆（一枚烧灰） 麝香（研半钱） 柑皮 细辛（去苗叶各半两） 白鸡屎（烧灰）
青黛
（研） 干姜（炮） 雄黄（研各一分）
上八味，捣罗为散，绵裹如黍米大，纳虫孔中，无虫孔者，贴一字于患处，有涎即吐。
治牙齿风龋疼痛，虫蚀挺出。矾石汤方
白矾（烧灰） 藜芦（去芦头） 干姜（炮） 白术 蜀椒（去目并闭口者炒出汗） 附
子（去
皮脐生用） 甘草（炙锉各半两） 防风（去叉） 细辛（去苗叶各三分） 蛇床子（一分）
上一十味，捣为粗末，每用三钱匕，清酒一升，煎三五沸，热漱冷吐，日二三度。
治牙齿风龋疼痛。蜀椒汤方
蜀椒（去目并闭口者炒出汗） 芎 细辛（去苗叶） 升麻 莽草 防风（去叉） 黄
芩（
去黑心各一分）
上七味，粗捣筛，每用五钱匕，水二盏，煎三五沸，去滓热漱冷吐。
治牙齿风龋，宣露疼痛疳慝藜芦散方
藜芦（去芦头） 莽草（各半两） 细辛（去苗叶） 垣衣 盐（各一两） 棘刺（四
十九枚有
钩者）
上六味捣末，水调成剂，以荞麦面四两，和作饼子，裹之烧令通赤，于醋中蘸过焙干，
再捣罗为散，用柳杖子咬头令软， 散置齿间，良久温水漱，早晨临卧用之。
治龋齿痛，及虫蚀。白附子散方
白附子（炮） 知母（焙） 细辛（去苗叶） 高良姜（各一分） 芎 （三分）
上五味，捣罗为散，每用半钱匕，量患处贴之，有涎即吐，日三五度。
治牙齿风龋疼痛。麝香散方
麝香（研） 砂（研各半钱） 细辛（去苗叶） 青黛（研） 升麻（各一分）
上五味，捣研为散，先以针拨开风虫处，点药于虫孔中，药行痛即止。
治龋齿龈肿，出脓汁。白矾散方
白矾（一分烧灰） 蟾酥（半分） 麝香（半分） 雄黄（半分） 干虾蟆（一枚焚灰）
熊蟾（
一分）
上六味，捣罗为细末，每用半钱，敷牙根。
治牙齿风龋疼痛。白附子散方
白附子（一分生使） 莽草（一分） 细辛（一分） 芎 （一分） 高良姜（一分锉）
上五味，捣罗为散，以绵裹少许，着龋齿上，有汁勿咽。
治牙齿风龋疼痛，解骨槽毒瓦斯。牛膝散方
牛膝（一两烧为灰）
上一味，捣罗为末，以少许着齿间含之。
又方
上取郁李根一握切，水一盏，煎至六分，去滓热含之，吐出虫长六分黑头虫出，即瘥。
治牙齿风龋，疼痛作臭，血出脓。雄黄煎方
雄黄（研） 葶苈（纸上炒为末各一钱） 麝香（研半钱） 芦荟（研半分）
上四味，先以腊月猪脂三两，煎化去滓，次下葶苈末，煎少顷，次下三味研药，搅勿住
手，候凝成煎，瓷合盛，先刮齿令净，针出恶血，以绵拭干，涂煎，仍用铁篦子熨烙，日三
两度，次用后方。
芎 升麻 本（去苗土各半两） 独活（去芦头） 细辛（去苗叶各一分）
上五味，捣罗为散，量患处贴之。
治牙齿风龋疼痛。松脂汤方
松脂（二两） 皂荚（炙去皮子一挺） 盐（一分）
上三味，粗捣筛，每服五钱匕，水二盏，煎五七沸去滓，热滓冷吐。
治牙齿风龋疼痛。乌头汤方
乌头（炮制去皮脐） 独活（去芦头） 郁李仁（汤去皮各半两）
上三味，锉如麻豆，每用五钱匕，好酒一升，绵裹药，于酒中浸一宿，煎十余沸，热漱
冷吐。
治牙齿风龋疼痛。乌头丸方
乌头（炮制去皮脐半两） 五灵脂（一两）
上二味，捣罗为末，以醋一升，煮大枣二十枚，醋尽为度，取枣肉和药，丸如绿豆大，
用绵裹一丸，于痛处咬，勿咽津。
治牙齿风龋肿痛，脓汁不止。细辛汤方
细辛（去苗叶） 附子（去皮脐生用各半两） 芎 （一两）
上三味，锉如麻豆，每服五钱匕，水二盏，煎十余沸，去滓热漱冷吐。
治牙齿风龋。吴茱萸丸方
吴茱萸（汤洗焙干炒） 夜明砂（炒各一分）
上二味，捣罗为末，以蟾酥和丸，如麻子大，绵裹一丸，于痛处咬，勿咽津，以瘥为度
治牙齿风龋，隐痛动摇，齿龈宣露。柳枝汤方
柳枝（一握锉） 地骨皮（一两） 细辛（一两） 防风（一两去芦头） 杏仁（一两
汤浸去皮
尖去双仁） 盐（半两） 蔓荆子（一两） 生地黄（一两锉）
上八味，都细锉如麻豆，和匀，每用一两，水一大盏半，同煎至一盏，去滓热含，就
于患处良久，倦即吐之，含尽为度，日二，尽此一剂永瘥，更不再发。
Commentary states that the disease of dental caries (dental caries) is caused by wind-heat pathogenic factors invading the Hand and Foot Yangming meridians. The manifestations include swollen gums, or pus discharge with foul odor. If prolonged, it erodes the teeth, leading to exposed tooth roots, also known as wind caries (wind caries).
Duhuo Wan Formula for treating dental caries with gum swelling and painful pus discharge:
Radix Angelicae Pubescentis (Duhuo, 独活) [remove rhizome], Radix Saposhnikoviae (Fangfeng, 防风) [remove branched tips], Radix Scutellariae (Huangqin, 黄芩) [remove blackened heart], Herba Linglingxiang (Linglingxiang, 零陵香), Rhizoma Chuanxiong (Chuanxiong, 川芎), Radix Asari (Xixin, 细辛) [remove seedlings and leaves], Radix Angelicae Sinensis (Danggui, 当归) [slice and bake, each half liang], Lignum Agarwood (Chenxiang, 沉香) [chopped], Flos Caryophylli (Jitixiang, 鸡舌香), Radix Cimicifugae (Shengma, 升麻), Radix Glycyrrhizae Preparata (Zhi Gancao, 炙甘草) [roasted and chopped, each one liang].
The above eleven ingredients are pounded into powder, mixed with melted beeswax to form pills the size of small beans. Wrap one pill in cotton, hold it at the painful site to dissolve and swallow saliva. Replace when the effect dissipates.
Xiaha San Powder for treating dental caries pain:
Dry Bufo bufo gargarizans (Gan Xiamahu, 干虾蟆) [one piece, burnt to ash], Moschus (Shexiang, 麝香) [ground, half qian], Pericarpium Citri Reticulatae (Ganpi, 柑皮), Radix Asari (Xixin, 细辛) [remove seedlings and leaves, each half liang], Excrementum Galli Album (Bai Jishi, 白鸡屎) [burnt to ash], Folium Isatidis (Qingdai, 青黛) [ground], Rhizoma Zingiberis Preparatum (Ganjiang, 干姜) [processed], Realgar (Xionghuang, 雄黄) [ground, each one fen].
The above eight ingredients are pounded and sieved into powder. Wrap a portion the size of millet seeds in cotton and insert it into the carious cavity. If no cavity exists, apply in a linear shape to the affected area. Spit out any saliva produced.
Fanshi Tang Decoction for treating wind caries pain and worm erosion exposing cavities:
Alumen (Baifan, 白矾) [burnt to ash], Radix Veratri (Lilu, 藜芦) [remove rhizome], Rhizoma Zingiberis Preparatum (Ganjiang, 干姜), Rhizoma Atractylodis Macrocephalae (Baizhu, 白术), Fructus Zanthoxyli (Shujiao, 蜀椒) [remove eyes and closed ones, stir-fry until sweat appears], Radix Aconiti Lateralis Preparata (Fuzi, 附子) [remove skin and umbilicus, use raw], Radix Glycyrrhizae Preparata (Zhi Gancao, 炙甘草) [roasted and chopped, each half liang], Radix Saposhnikoviae (Fangfeng, 防风) [remove branched tips], Radix Asari (Xixin, 细辛) [remove seedlings and leaves, each three fen], Semen Cnidii (Shechuangzi, 蛇床子) [one fen].
The above ten ingredients are pounded into coarse powder. Each time use three qian bi, add one sheng of clear wine, boil for three to five boils. Rinse mouth while hot, spit out when cool. Two to three times daily.
Shujiao Tang Decoction for treating wind caries pain:
Fructus Zanthoxyli (Shujiao, 蜀椒) [remove eyes and closed ones, stir-fry until sweat appears], Rhizoma Chuanxiong (Chuanxiong, 川芎), Radix Asari (Xixin, 细辛) [remove seedlings and leaves], Radix Cimicifugae (Shengma, 升麻), Herba Siegesbeckiae (Mangcao, 莽草), Radix Saposhnikoviae (Fangfeng, 防风) [remove branched tips], Radix Scutellariae (Huangqin, 黄芩) [remove blackened heart, each one fen].
The above seven ingredients are coarsely pounded and sieved. Each time use five qian bi, add two zhan of water, boil for three to five boils. Strain, rinse mouth while hot, spit out when cool.
Lilu San Powder for treating wind caries, exposed roots, pain, and gan toxicity:
Radix Veratri (Lilu, 藜芦) [remove rhizome], Herba Siegesbeckiae (Mangcao, 莽草) [each half liang], Radix Asari (Xixin, 细辛) [remove seedlings and leaves], Vestimentorum Muralium Residuum (Yuanyi, 垣衣), Sal (Yan, 盐) [each one liang], Spina Rhamni (Jici, 棘刺) [forty-nine pieces with hooks].
The above six ingredients are pounded into powder. Mix with water to form a paste. Use four liang of buckwheat flour to make cakes, wrap the medicine in them, burn until thoroughly red, dip in vinegar, dry-roast, then pound and sieve into powder. Soften the tip of a willow stick by biting, place the powder between teeth, wait a long time, then rinse with warm water. Use in the morning and before bed.
Baifuzi San Powder for treating caries pain and worm erosion:
Rhizoma Typhonii (Baifuzi, 白附子) [processed], Radix Anemarrhenae (Zhimu, 知母) [baked], Radix Asari (Xixin, 细辛) [remove seedlings and leaves], Rhizoma Alpiniae Officinarum (Gaoliangjiang, 高良姜) [each one fen], Rhizoma Chuanxiong (Chuanxiong, 川芎) [three fen].
The above five ingredients are pounded and sieved into powder. Each time use half qian bi, apply according to the affected area. Spit out saliva. Three to five times daily.
Shexiang San Powder for treating wind caries pain:
Moschus (Shexiang, 麝香) [ground], Sand (Sha, 砂) [ground, each half qian], Radix Asari (Xixin, 细辛) [remove seedlings and leaves], Folium Isatidis (Qingdai, 青黛) [ground], Radix Cimicifugae (Shengma, 升ma) [each one fen].
The above five ingredients are pounded and ground into powder. First, use a needle to open the area affected by wind-worms, apply the medicine into the cavity. When the medicine acts, pain stops.
Baifan San Powder for treating caries gum swelling and pus discharge:
Alumen (Baifan, 白矾) [one fen, burnt to ash], Secretio Bufonis (Chansu, 蟾酥) [half fen], Moschus (Shexiang, 麝香) [half fen], Realgar (Xionghuang, 雄黄) [half fen], Dry Bufo bufo gargarizans (Gan Xiamahu, 干虾蟆) [one piece, burnt to ash], Bear Toad Secretion (Xion Chan, 熊蟾) [one fen].
The above six ingredients are pounded and sieved into fine powder. Each time use half qian, apply to the gum root.
Baifuzi San Powder for treating wind caries pain:
Rhizoma Typhonii (Baifuzi, 白附子) [one fen, used raw], Herba Siegesbeckiae (Mangcao, 莽草) [one fen], Radix Asari (Xixin, 细辛) [one fen], Rhizoma Chuanxiong (Chuanxiong, 川芎) [one fen], Rhizoma Alpiniae Officinarum (Gaoliangjiang, 高良姜) [one fen, chopped].
The above five ingredients are pounded and sieved into powder. Wrap a small amount in cotton, place on the carious tooth. Do not swallow any fluid.
Niuxi San Powder for treating wind caries pain and resolving bone槽 toxic qi:
Radix Achyranthis Bidentatae (Niuxi, 牛膝) [one liang, burnt to ash].
The above single ingredient is pounded and sieved into powder. Take a small amount, place between teeth and hold.
Another Prescription:
Take one handful of Radix Pruni Armeniacae (Yuli Gen, 郁李根), chop it, add one zhan of water, boil to six parts. Strain, hold hot in mouth. Spit out worms six fen long with black heads; the disease will heal.
Xionghuang Jian Ointment for treating wind caries, painful foul odor, bleeding and pus:
Realgar (Xionghuang, 雄黄) [ground], Semen Lepidii (Tingli, 葶苈) [stir-fried on paper into powder, each one qian], Moschus (Shexiang, 麝香) [ground, half qian], Rhizoma Aloe (Luhui, 芦荟) [ground, half fen].
The above four ingredients: First, melt three liang of pig fat from the twelfth lunar month, strain. Add Tingli powder, boil briefly. Then add the other three ground medicines, stir constantly until it congeals into an ointment. Store in a porcelain container. First scrape teeth clean, prick to release bad blood, wipe dry with cotton, apply ointment. Still use an iron comb to cauterize/iron, two to three times daily. Then use the following formula.
Rhizoma Chuanxiong (Chuanxiong, 川芎), Radix Cimicifugae (Shengma, 升麻), Radix Ligustici (Ben, 本) [remove seedlings and soil, each half liang], Radix Angelicae Pubescentis (Duhuo, 独活) [remove rhizome], Radix Asari (Xixin, 细辛) [remove seedlings and leaves, each one fen].
The above five ingredients are pounded and sieved into powder. Apply according to the affected area.
Songzhi Tang Decoction for treating wind caries pain:
Resina Pini (Songzhi, 松脂) [two liang], Fructus Gleditsiae Sinensis (Zaojia, 皂荚) [roasted, remove skin and seeds, one rod], Sal (Yan, 盐) [one fen].
The above three ingredients are coarsely pounded and sieved. Each dose five qian bi, add two zhan of water, boil five to seven boils, strain. Hold hot dregs in mouth, spit out when cool.
Wutou Tang Decoction for treating wind caries pain:
Radix Aconiti Carmichaelii Preparata (Wutou, 乌头) [processed, remove skin and umbilicus], Radix Angelicae Pubescentis (Duhuo, 独活) [remove rhizome], Semen Pruni Armeniacae (Yuliren, 郁李仁) [soaked in water, remove skin, each half liang].
The above three ingredients are chopped like hemp seeds. Each time use five qian bi, add one sheng of good wine. Wrap medicine in cotton, soak in wine overnight. Boil for more than ten boils. Rinse mouth while hot, spit out when cool.
Wutou Wan Pills for treating wind caries pain:
Radix Aconiti Carmichaelii Preparata (Wutou, 乌头) [processed, remove skin and umbilicus, half liang], Resina Trogopterori (Wulingzhi, 五灵脂) [one liang].
The above two ingredients are pounded into powder. Use one sheng of vinegar to cook twenty large dates until vinegar is exhausted. Take date flesh, mix with medicine, form pills the size of mung beans. Wrap one pill in cotton, chew at the painful site, do not swallow saliva.
Xixin Tang Decoction for treating caries gum swelling and continuous pus discharge:
Radix Asari (Xixin, 细辛) [remove seedlings and leaves], Radix Aconiti Lateralis Preparata (Fuzi, 附子) [remove skin and umbilicus, use raw, each half liang], Rhizoma Chuanxiong (Chuanxiong, 川芎) [one liang].
The above three ingredients are chopped like hemp seeds. Each dose five qian bi, add two zhan of water, boil for more than ten boils. Strain, rinse mouth while hot, spit out when cool.
Wuzhuyu Wan Pills for treating wind caries:
Fructus Evodiae (Wuzhuyu, 吴茱萸) [washed in water, baked dry, stir-fried], Faeces Tarsi Galli (Yeming Sha, 夜明砂) [stir-fried, each one fen].
The above two ingredients are pounded into powder. Mix with Secretio Bufonis (Chansu, 蟾酥) to form pills the size of sesame seeds. Wrap one pill in cotton, chew at the painful site, do not swallow saliva. Continue until healed.
Liuzhi Tang Decoction for treating wind caries, dull pain, mobility, and exposed roots:
Ramulus Salicis (Liuzhi, 柳枝) [one handful, chopped], Cortex Lycii (Digupi, 地骨皮) [one liang], Radix Asari (Xixin, 细辛) [one liang], Radix Saposhnikoviae (Fangfeng, 防风) [one liang, remove rhizome], Semen Pruni Armeniacae (Xingren, 杏仁) [one liang, soaked in water, remove skin and sharp end, remove double kernels], Sal (Yan, 盐) [half liang], Fructus Viticis (Manjingzi, 蔓荆子) [one liang], Radix Rehmanniae Recens (Sheng Dihuang, 生地黄) [one liang, chopped].
The above eight ingredients are finely chopped like hemp seeds, mixed evenly. Each time use one liang, add one and a half zhan of water, boil to one zhan. Strain, hold hot in mouth, keep at the affected site for a long time, spit out when tired. Continue until finished. Twice daily. Finish this dose for permanent cure, no recurrence.