齿病者，有风、有火，亦有阳明湿热，俱能致之。风痛者，遇风发作浮肿，随后生痛，以消风散治之；火
痛者，则齿根必 扯腮颧，阵阵作痛，时发时止，以冰硼散擦之，出涎自愈；阳明经湿热作痛者，其患腮颧浮
肿，甚者牵引太阳，疼连颏项，口中热气，大便结燥，当宜凉膈散加石膏治之。又肿高软者，内必有脓，用针
刺破，出脓自愈。有齿龈腐烂，出血不止者，内服犀角地黄汤，外搽人中白散。又小儿钻齿疳，牙根尖穿出齿
根肉外，芒刺嘴唇作痛，用披针挑破牙面好肉，以手取出本牙，出血不止以湿纸换贴二、三次，其血自止。必
兼戒浓味，其牙复生如旧。
凉膈散
凉膈散中用石膏 山栀薄荷共连翘
黄芩甘草淡竹叶 还有大黄岂可逃
治阳明经湿热上攻，致牙根、腮、项作肿多痛者。
连翘 山栀 黄芩 薄荷（各一钱） 甘草（五分） 大黄（二钱） 朴硝（一钱五分） 石膏（一钱
五分） 淡竹叶（三十片）
上水二钟，煎八分，入蜜三匙和匀，食远服。
清中散
清中散内牡丹皮 生地黄连甘草归
升麻还与山栀子 胃经积热效堪推
治胃经积热，牙齿或牙龈肿痛，或牵引头脑作痛，或面热耳红，并皆治之。
当归 黄连 生地 山栀（各一钱） 牡丹皮（六分） 升麻（八分） 甘草（五分）
上水二钟，煎八分，食远服。
荜茇散
荜茇散中真阿魏 麝香冰片共相根据
虫牙风痛皆堪点 管教时刻乐嘻嘻
治风湿虫牙作肿疼痛，如阳明内热作疼勿用。
荜茇 真阿魏（各二钱） 冰片 麝香（各一分）
上为细末，每用半豆许，擦放牙根痛缝中，吐去热涎，温汤漱之，再搽即愈。
又∶牙疼方
牙疼方中君荜茇 蟾酥必定与川椒
飞盐加入同来点 诸般牙痛实时消
荜茇（一钱） 蟾酥（二分） 川椒（五分） 飞盐（三分）
上共为末，用草桔咬毛蘸药搽点痛牙根上妙。
犀角地黄汤
犀角地黄汤芍药 更兼一味牡丹皮
阳明积热皆堪服 止血还须用此医
治阳明积热，牙龈腐烂，出血不止，及诸吐血、衄血、呕血通治之。
犀角（镑） 生地 白芍 牡丹皮（各等分）
每五钱，水二钟，煎八分，不拘时服。面色痿黄、大便黑者，更宜服之。又牙缝中无辜出血者亦妙。
止血四生汤
止血四生汤荷叶 生艾柏枝地黄列
用水同煎饮一钟 诸般血症登时别
生荷叶 生艾 生柏叶 生地黄（各三钱）
水二钟，煎一钟，食后温服，临入童便一杯更妙。
人中白散（见口疳门）
消风散（见疥疮门）
Diseases of the teeth may be caused by Wind (Feng), Fire (Huo), or Damp-Heat in the Yangming Meridian, all of which can lead to such conditions. Pain caused by Wind manifests as swelling upon exposure to wind, followed by pain; it is treated with Xiaofeng San (Eliminate Wind Powder). Pain caused by Fire involves the tooth roots pulling on the cheeks and zygomatic bones, with paroxysmal pain that comes and goes; it is treated by applying Bingpeng San (Ice and Borax Powder) to the area, and self-healing occurs after saliva is discharged. Pain caused by Damp-Heat in the Yangming Meridian presents with swelling of the cheeks and zygomatic bones; in severe cases, it radiates to the Taiyang region, with pain extending to the chin and neck, a sensation of heat in the mouth, and dry, constipated stool; this should be treated with Liangge San (Cool the Diaphragm Powder) plus Shigao (Gypsum Fibrosum). If the swelling is high, soft, and protruding, pus must be present internally; it should be punctured with a needle, and self-healing occurs after pus drainage. For rotting gums with unceasing bleeding, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) is taken internally, while Renzhongbai San (Human Ashes Powder) is applied externally. In children suffering from Zuanchi Gan (Drilling Tooth Caries), where the root tip pierces through the gum tissue causing sharp pain like thorns pricking the lips, a lancet is used to pierce the healthy tissue on the tooth surface, and the affected tooth is extracted manually. If bleeding persists, wet paper patches are changed two or three times until bleeding stops naturally. A strict diet avoiding rich flavors is required for the tooth to regenerate as before.
Liangge San (Cool the Diaphragm Powder)
Liangge San contains Shigao (Gypsum Fibrosum), Shanzhi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Danzhuye (Lophatheri Herba), and Dahuang (Rhei Radix et Rhizoma).
It treats swelling and pain in the tooth roots, cheeks, and neck caused by Damp-Heat attacking upward from the Yangming Meridian.
Ingredients: Lianqiao (Forsythiae Fructus), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian); Dahuang (Rhei Radix et Rhizoma) (2 qian); Puxiao (Natrii Sulfas) (1.5 qian); Shigao (Gypsum Fibrosum) (1.5 qian); Danzhuye (Lophatheri Herba) (30 leaves).
Decoct the ingredients in two zhong of water until reduced to eight parts, add three spoons of honey, mix well, and take after meals.
Qingzhong San (Clear the Middle Powder)
Qingzhong San contains Mudanpi (Moutan Cortex), Shengdihuang (Rehmanniae Radix), Huanglian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma), and Shanzhi (Gardeniae Fructus). It is highly effective for accumulated Heat in the Stomach Meridian.
It treats swelling and pain of the teeth or gums, pain radiating to the head, facial heat, and red ears caused by accumulated Heat in the Stomach Meridian.
Ingredients: Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma), Shengdihuang (Rehmanniae Radix), Shanzhi (Gardeniae Fructus) (each 1 qian); Mudanpi (Moutan Cortex) (0.6 qian); Shengma (Cimicifugae Rhizoma) (0.8 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Decoct the ingredients in two zhong of water until reduced to eight parts, and take after meals.
Bibo San (Piperis Longi Powder)
Bibo San relies on Zhenawei (Styrax), combined with Muxiang (Moschus) and Bingpian (Borneolum Syntheticum).
It is suitable for application in dental caries and Wind-induced pain, ensuring relief.
It treats swelling and pain caused by Wind-Dampness and dental caries; do not use if the pain is due to internal Heat in the Yangming Meridian.
Ingredients: Bibo (Piperis Longi Fructus), Zhenawei (Styrax) (each 2 qian); Bingpian (Borneolum Syntheticum), Muxiang (Moschus) (each 0.1 qian).
Grind into a fine powder. Use an amount equivalent to half a bean, apply into the painful gap at the tooth root, spit out hot saliva, rinse with warm water, and reapply for cure.
Additionally: Toothache Formula
The principal herb in this Toothache Formula is Bibo (Piperis Longi Fructus), combined with Chansu (Toad Venom) and Chuanjiao (Zanthoxyli Pericarpium). Feiyan (Refined Salt) is added for topical application to instantly alleviate various types of toothache.
Ingredients: Bibo (Piperis Longi Fructus) (1 qian), Chansu (Toad Venom) (0.2 qian), Chuanjiao (Zanthoxyli Pericarpium) (0.5 qian), Feiyan (Refined Salt) (0.3 qian).
Grind together into a powder. Apply to the painful tooth root using a grass stalk dipped in the medicine for excellent results.
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction)
Xijiao Dihuang Tang contains Shaoyao (Paeoniae Radix Alba) and Mudanpi (Moutan Cortex).
It is suitable for accumulated Heat in the Yangming Meridian and is essential for stopping bleeding.
It treats rotting gums with unceasing bleeding, as well as hematemesis, epistaxis, and hematemesis caused by accumulated Heat in the Yangming Meridian.
Ingredients: Xijiao (Rhino Horn, processed into slices), Shengdihuang (Rehmanniae Radix), Baishao (Paeoniae Radix Alba), Mudanpi (Moutan Cortex) (equal parts).
Take 5 qian, decoct in two zhong of water until reduced to eight parts, and take at any time. It is particularly suitable for patients with sallow complexion and black stools. It is also effective for unexplained bleeding from the gum spaces.
Zhixue Sisheng Tang (Four Raw Herbs Hemostatic Decoction)
Zhixue Sisheng Tang contains He Ye (Nelumbinis Folium), Sheng Ai Ye (Artemisiae Argyi Folium), Bai Zhi (Platycladi Cacumen), and Dihuang (Rehmanniae Radix).
Decoct in water and drink one zhong; various blood disorders will be resolved immediately.
Ingredients: Sheng He Ye (Fresh Nelumbinis Folium), Sheng Ai Ye (Fresh Artemisiae Argyi Folium), Sheng Bai Ye (Fresh Platycladi Cacumen), Sheng Dihuang (Fresh Rehmanniae Radix) (each 3 qian).
Decoct in two zhong of water until reduced to one zhong. Take warm after meals. Adding one cup of Tongbian (Child's Urine) before bed enhances efficacy.
Renzhongbai San (Human Ashes Powder) (See section on Mouth Ulcers)
Xiaofeng San (Eliminate Wind Powder) (See section on Scabies)