牙疔为牙缝中肿起一粒。痛连 项。或兼麻痒。或破流血水。异于常症者。疔也。用竹签挑破。以见鲜血
为度。搽拔疔散。再以蟾酥丸噙之服之。或灸神授穴二七壮。
牙痈为牙床上坚肿疼痛。身发寒热。势盛如常者。痈也。初宜贵金丸下之。蟾酥丸噙之。或灸外踝骨尖
三壮。或刺破搽冰硼散。如初时坚肿。破流脓水。久不收口者。多骨也。必俟骨尖刺出。摇则内动。方可取
出。其口自愈。
贵金丸（见首卷） 蟾酥丸（见疔毒门）
走马牙疳。疳者迅速之为也。故有鼻疳、唇疳、舌疳、喉疳之称。其症牙根作烂。随变黑腐。臭秽难闻。由肝
胃二经虚火。热极上攻所致。宜芦荟消疳散、三黄香黛散。以清府热。人参茯苓粥以养胃气。外用手法。
取去腐肉。内见红肉流鲜血者为吉。如顽肉不脱。腐黑复生。牙落无血。穿腮破唇。 肿外发。身热不退。
臭秽不止。用药罔效者。俱为不治。
芦荟消疳散
芦荟 银柴胡 胡黄连 黑玄参 牛蒡子 羚羊角 桔梗 栀子 石膏（各五分） 薄荷叶（四分）
升麻（三分） 甘草（三分）
用水二钟。淡竹叶十片。煎六分。食远服。
三黄香黛散
牛黄 黄连 大黄（酒蒸） 木香 青黛（各等分）
上为末。用淡竹叶、薄荷煎汤。调服。
人参茯苓粥 必先服此。以养胃气。
人参 茯苓
为末。每用一钟。同米二钟。煮粥食之。先用盐汤漱口。
洗牙疳方
先用麻油通口噙漱。觉无油气。吐之。如式六七次。次以百沸汤入盐、醋。漱吐三四次。再次以绵胭脂
拭干。然后上药。此秘法也。
再生散 治走马牙疳。牙落鼻崩。久不愈者。
土鳖（四十九个 存性） 山豆根 人中白（ ） 辰砂（飞各二钱）
上为细末。先割净腐肉。用前法洗净。拭干掺之。七日内长肉如旧。
大牙散 治走马牙疳烂极者。
象牙梳（油透者 存性为末） 加冰片掺之。
一用蝼蛄、雄黄、黄柏等分。为末掺之。
一用 乌鸦头、龙骨、枯矾、赤石脂、焙黄铅粉、麝香为末干掺。或用油调。
牛黄生肌散 治牙疳。臭烂穿腮者。
牛黄（五分） 珍珠 琥珀 人中白 胡黄连 乳香 没药（各一钱） 儿茶（二钱） 硼砂（五分）
冰片（三分）
上为末。掺用。
勒马听徽散 治牙疳臭烂者。神验。
白砒（一分） 麝香（三分） 青黛（飞一两） 青绵（一根扯碎）
清油拌匀收之。用时。先以清米泔水漱口净。次以针尖挑些须塞牙齿根缝内。
青莲膏 治走马牙疳。
白砒（一分） 轻粉（一钱） 青黛（二钱） 乳香（一钱） 麝香（五分）
上为细末。用香油调薄。摊纸上。用捶捶实。阴干收之。每于卧时。漱净口。拭干。随疮大小剪药封之。至
晓去药。漱净吐之。三上。效。
Yading (Dental Ding) presents as a single swelling arising from the gum crevice. The pain radiates to the neck. It may be accompanied by numbness and itching, or it may ulcerate and discharge bloody fluid. Different from common symptoms, this is Ding (a type of acute suppurative infection). Use a bamboo splinter to puncture it, stopping when fresh blood appears. Apply Baling San (Pluck-out Ding Powder). Then hold or swallow Chansu Wan (Toad Venom Pill). Alternatively, moxa-shen Shouchu acupoint for fourteen burns.
Ya Yong (Dental Carbuncle) presents as hard swelling and pain on the gingiva. The body exhibits chills and fever. The condition is vigorous like ordinary cases; this is Yong (carbuncle). In the early stage, Guijin Wan (Noble Gold Pill) should be used to purge. Hold Chansu Wan (Toad Venom Pill). Alternatively, moxa-shen Waihuai Gujian (Lateral Malleolus Tip) for three burns. Or puncture and apply Bingpeng San (Ice and Borax Powder). If initially hard and swollen, and after ulceration discharges pus and fails to heal for a long time, it is Duogu (Multiple Bone Syndrome). One must wait until the bone tip protrudes and moves internally upon shaking before extraction. The wound will heal spontaneously.
Guijin Wan (See Volume 1) Chansu Wan (See Ding Du Section)
Zouma Yagan (Galloping Dental Gangrene). "Gan" refers to rapid progression. Hence there are names such as Bi Gan (Nasal Gangrene), Chun Gan (Lip Gangrene), She Gan (Tongue Gangrene), and Hou Gan (Throat Gangrene). Its symptoms include rotting of the dental roots, turning black and necrotic, with a foul odor difficult to bear. It is caused by deficiency fire in the Liver and Stomach meridians, where extreme heat attacks upward. Lvxiao Gansan Powder (Aloe Vera Anti-Gangrene Powder) and Sanhuang Xiangdai San (Three-Yellow Incense Indigo Powder) are suitable to clear internal heat. Renshen Fuling Zhou (Ginseng and Poria Porridge) is used to nourish Stomach Qi. Externally, manual techniques are used to remove necrotic tissue; seeing red flesh bleeding fresh blood is auspicious. If stubborn flesh does not detach, black necrosis recurs, teeth fall out without bleeding, cheeks perforate, lips rupture, swelling spreads outward, fever persists, foul odor continues, and medication is ineffective, all are considered incurable.
Lvxiao Gansan Powder
Lvxiao (Aloe Vera) Yin Chaihu (Stellaria Root) Hu Huanglian (Coptis Chinensis var. Wutai) Hei Xuanshen (Black Scrophularia Root) Niubangzi (Arctium Fruit) Lingyangjiao (Antelope Horn) Jiegeng (Platycodon Root) Zhizi (Gardenia Fruit) Shigao (Gypsum Fibrosum) (each 0.5 fen) Boheye (Mint Leaf) (0.4 fen)
Shengma (Bupleurum Root) (0.3 fen) Gancao (Licorice Root) (0.3 fen)
Use two zhong of water, ten slices of Danzhuye (Bamboo Leaf), decoct until six fen remains. Take far after meals.
Sanhuang Xiangdai San
Niuhuang (Calculus Bovis) Huanglian (Coptidis Rhizoma) Dahuang (Rhei Radix et Rhizoma steamed with wine) Muxiang (Aucklandiae Radix) Qingdai (Indigo Naturalis) (each equal parts)
Grind into fine powder. Decoct Danzhuye (Bamboo Leaf) and Bohe (Mint) in water, mix the powder with the decoction, and take orally.
Renshen Fuling Zhou
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria)
Grind into powder. Each time use one zhong, cook with two zhong of rice into porridge and eat. First rinse mouth with salt water.
Xi Yagan Fang (Washing Dental Gangrene Formula)
First, hold Sesame Oil (Sesami Oleum) in the mouth to rinse and spit. Repeat this method six or seven times until no oily sensation remains. Next, use boiling water with salt and vinegar to rinse and spit three or four times. Then wipe dry with Mian Yanzhi (Cotton Carmine). Finally, apply medicine. This is a secret method.
Zaisheng San (Regeneration Powder) Treats Zouma Yagan (Galloping Dental Gangrene). Cases with fallen teeth, collapsed nose bridge, and non-healing wounds.
Tubie (Eupolyphaga Steleophaga preserved) Shandougen (Sophorae Tonkinensis Radix) Renzhongbai (Calculus Humanis) Chen Sha (Cinnabaris flown, each 2 qian)
Grind into fine powder. First cut away necrotic tissue thoroughly. Clean using the aforementioned method, wipe dry, and sprinkle powder. Flesh regenerates within seven days as before.
Daya San (Great Tooth Powder) Treats severe Zouma Yagan (Galloping Dental Gangrene).
Xiangyasuo (Ivory Comb oil-permeated, preserved, ground to powder) Add Bingpian (Borneolum Syntheticum) and sprinkle.
One method uses Lougu (Scutigera coleoptrata), Xionghuang (Realgar), Huangbai (Phellodendri Cortex) in equal parts, grind to powder and sprinkle.
Another method uses Wuyuatou (Corvus corone head), Longgu (Fossilia Os Mastodi et Scapulae), Kufan (Alumen Exsiccatum), Chishizhi (Halloysit Rubrum), Beihuang Qianfen (Calcined Lead White Powder), Shexiang (Moschus), grind to powder for dry sprinkling. Or mix with oil.
Niuhuang Shengji San (Calculus Bovis Tissue-Regenerating Powder) Treats Yagan (Dental Gangrene). Cases with foul rot and cheek perforation.
Niuhuang (Calculus Bovis) (0.5 fen) Zhenzhu (Pearl) Hupo (Amber) Renzhongbai (Calculus Humanis) Hu Huanglian (Coptis Chinensis var. Wutai) Ruxiang (Olibanum) Moyao (Myrrha) (each 1 qian) Ercha (Terminalia Chebula Retz.) (2 qian) Pengsha (Borax) (0.5 fen)
Bingpian (Borneolum Syntheticum) (0.3 fen)
Grind to powder. Sprinkle for use.
Le Ma Ting Hui San (Horse Listening to Whistle Powder) Treats foul and rotting Yagan (Dental Gangrene). Divine efficacy.
Baipi (White Arsenic) (0.1 fen) Shexiang (Moschus) (0.3 fen) Qingdai (Indigo Naturalis flown) (1 liang) Qingmian (Green Cotton torn apart) (one root)
Mix evenly with Qingyou (Pure Oil) and store. When using, first rinse mouth cleanly with clear rice water. Then use the tip of a needle to pick up a small amount and insert into the tooth root crevice.
Qinglian Gao (Green Lotus Ointment) Treats Zouma Yagan (Galloping Dental Gangrene).
Baipi (White Arsenic) (0.1 fen) Qingfen (Calomel) (1 qian) Qingdai (Indigo Naturalis) (2 qian) Ruxiang (Olibanum) (1 qian) Shexiang (Moschus) (0.5 fen)
Grind into fine powder. Mix thinly with Sesame Oil (Sesami Oleum), spread on paper, hammer solid. Dry in shade and store. Every night before sleep, rinse mouth clean, wipe dry, cut medicine according to wound size, and apply. Remove medicine at dawn, rinse mouth and spit. Three applications yield results.