牙衄牙宣。为牙缝中出血也。若胃经实热者。则血出如涌。口必臭而齿不动。宜清胃汤。甚者调胃承气
汤下之。孰若用酒制大黄末三钱。以枳壳五钱煎汤。少加童便调服。下黑粪而愈。是治脉洪有力。阳明
之热盛也。若胃经虚火者。宜二参汤。及补中益气汤加黄连、丹皮。肾经虚者。血则点滴而出。齿亦悠悠
然而痛。口不臭而齿动或齿落。治宜安肾。有火者六味地黄丸。无火者八味地黄丸。俱加猴姜。随手而
应。肝气盛者兼服芦荟丸。俱外兼蒺藜汤、玄胡散、荔枝盐等。擦之漱之。
二参汤 治牙衄属虚火者。
人参 玄参（各二钱或五七钱）
水煎服。
蒺藜汤 治牙衄。及牙痛根肿动摇者。
白蒺藜（一两为粗末）
水二钟。煎一钟。入食盐一撮漱之。
玄胡散 治牙宣。
玄胡索生为末。用前汤漱过。以此敷之。
荔枝盐 治牙痛牙宣。更坚齿明目。
荔枝一个。攒一孔。入食盐七分。花椒三分。以满为度。纸包泥固。炭火 存性。为末。早晚擦之。
补中益气汤 六味地黄丸 八味地黄丸（俱见溃疡） 芦荟丸（见疳疮门）
攒齿疳者。为牙根肉内钻出。骨尖如刺。而作痛也。小儿多有之。用铍针刺开好肉。取出本牙。如出血不
止。以湿纸换贴二次。自止。戒浓味。其牙复生如旧。
Tooth bleeding (Yan Nu) and gingival recession with bleeding (Ya Xuan) refer to bleeding from the interdental spaces. If caused by excess heat in the Stomach channel, blood flows out like a gush, accompanied by foul breath while the teeth remain firm. Qingwei Tang (Stomach-Clearing Decoction) is indicated; for severe cases, Tiaowei Chengqi Tang (Regulate the Stomach and Order the Qi Decoction) may be used to purge. Alternatively, one may use three qian of Rhizoma Rhei Preparatum (prepared with wine), mixed with a decoction of Fructus Aurantii (Zhi Ke, five qian) and a small amount of infant urine (Tong Bian), taken orally. Healing occurs after the passage of black stools. This method treats conditions characterized by a surging and forceful pulse, indicating excessive heat in the Yangming channel. If caused by deficiency fire in the Stomach channel,ershenshen Tang (Two-Shen Decoction) or Buzhong Yiqi Tang (Decoction for Reinforcing the Middle and Augmenting Qi) added with Radix Scutellariae (Huang Lian) and Cortex Moutan (Dan Pi) are indicated. In cases of Kidney channel deficiency, blood oozes drop by drop, accompanied by lingering pain in the teeth, without foul breath, but with loose or falling teeth. Treatment should focus on stabilizing the Kidneys. For those with fire, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is used; for those without fire, Shendi Dihuang Wan (Eight-Ingredient Pill with Rehmannia) is used. Both should be combined with Rhizoma Drynariae (Hou Jiang, also known as Gusuibu). These treatments yield immediate results. For those with excessive Liver qi, Lulu Wan (Aloe Pill) should be taken concurrently. Externally, Jili Tang (Tribulus Decoction), Xuanhu San (Cyperus Powder), and Lizhi Yan (Lychee Salt) can be applied for rubbing or rinsing.
Ershen Tang: Treats tooth bleeding due to deficiency fire.
Radix Ginseng (Renshen) and Radix Scrophulariae (Xuanshen) (each 2 qian, or 5–7 qian).
Decoct in water and take orally.
Jili Tang: Treats tooth bleeding, as well as toothache with swollen and mobile gingival roots.
Spina Tribuli (Bai Jili) (1 liang, ground into coarse powder).
Decoct in two zhong of water until one zhong remains. Add a pinch of salt and use for rinsing.
Xuanhu San: Treats Ya Xuan (gingival recession with bleeding).
Raw Rhizoma Cyperi Rotundi (Xuanhusuo) ground into powder. Rinse the mouth with the aforementioned Jili Tang, then apply this powder to the affected area.
Lizhi Yan: Treats toothache and Ya Xuan; further strengthens teeth and improves vision.
Take one Lychee fruit, pierce a hole, insert 0.7 fen of salt and 0.3 fen of Fructus Zanthoxyli (Huajiao), filling it completely. Wrap in paper, seal with mud, and calcine over charcoal fire until preserved in nature. Grind into powder. Rub onto teeth morning and evening.
Buzhong Yiqi Tang, Liuwei Dihuang Wan, Shendi Dihuang Wan (see Ulcer section), Lulu Wan (see Gan Chuang section).
Cuan Chi Gan refers to bone spicules protruding from within the gingival flesh, resembling needles, causing pain. This condition is common in children. Use a Bi needle to puncture the surrounding tissue, extract the involved tooth. If bleeding does not stop, apply wet paper patches, changing them twice, and the bleeding will cease naturally. Avoid rich and greasy foods. The tooth will regenerate as before.