夫急疳者。由风热蕴积。脾肺壅滞。邪毒之气。冲注口齿。遂成疳也。其候。唇口忽变
青白。齿龈肿满。脓血俱出。朽烂疼痛。唇颊边有赤白色。或有黑脉。即须针却恶血。不然
烙之
治急疳蚀齿龈。唇口坏烂肿痛。黄矾散方。
黄矾 青矾 白矾（烧令汁尽） 白狗粪灰 莽草 雄黄（细研各半两） 石胆（细研）
莨菪
上件药。捣罗为末。都研令匀。先以盐浆水漱口。三两度。于上点之。日三用。有涎勿
咽。
治急疳。唇口赤疮出者。用石胆散方。
石胆（半两） 鲫鱼（一枚长三寸者开肚满填盐烧鱼焦） 雄黄（一分）
上都研如面。先以泔汤洗口。及疮上。用散贴之。每日三五上。夜后漱口后贴之。其疮
便
治急疳。齿龈肿痛有虫。齿根朽烂疼痛。宜用虾蟆灰散方。
虾蟆灰（细研） 青黛（细研） 柑子皮 细辛 白鸡粪 麝香（细研） 干姜 薰陆
香（以
上各
上件药。捣罗为末。都研令匀。以绵裹如杏仁大。安于肿痛处。日三换之。神效。有涎
旋旋
治急疳。齿根。唇颊。 上。疮出渐多。宜用雄黄散方。
雄黄（一分） 石胆（半两） 乱发（半两烧灰） 人粪灰（一分） 麝香（一钱） 鲫
鱼（三寸
者肚
上都细研为散。先用盐汤漱三五口。后于疮上贴之。有涎即旋旋吐却。
治急疳。虫蚀牙齿。连牙床骨。损坏疼痛。地龙散方。
干地龙（烧灰） 黄矾 白矾（烧令汁尽） 青矾 巴豆（去皮心研纸压去油） 石胆 人
粪
灰（
上件都细研为散。以绵裹少许。纳于 孔中。如孔子。以针纳药。一日一度换之。
待恶物碎骨出尽为度。
治急疳。口中及齿龈肿。并口鼻有疮。麝香散方。
麝香（一分细研） 雄黄（一分细研） 人乳（一合） 白矾（半两烧令汁尽） 石胆
（细研）
川升
上件药。都令匀。以绵裹如杏仁大含之。如有肿烂处涂之。
治急疳。虫蚀牙齿彻骨碎。宜用青矾散方。
青矾 黄矾 石胆 干地龙（烧灰各一分）
上件药。都研为末。以绵裹纳在 孔中。每日一度换。得恶血及碎骨。出尽为度。
治牙齿急疳。蚀颊骨。疼痛不可忍。宜用青黛散方。
青黛（二两细研） 雄黄（细研） 青矾 黄矾 白矾 莨菪子（炒令黑色） 附子（生
去皮
脐）
上件药。捣罗为末。都入乳钵内。研令匀。每取一小豆许。点于齿疳上。有汁勿咽。
治牙齿急疳。出脓血不止。角蒿散方。
角蒿 细辛 川升麻（各半两） 地骨皮 牛膝（去苗各一分）
上件捣罗为散。每用半钱。掺于湿纸片上贴之。以瘥为度。
治牙齿急疳疼痛。齿龈生疮。石胆散方。
石胆（三分细研） 雄黄 乱发灰 人粪灰（各一分） 鲫鱼（一枚长三寸者开肚纳盐
烧为
灰）上件捣细罗为散。先以甘草汤洗疮后。即敷此药半钱于疮上。日三四度。有涎即吐却。
治走马疳。蚀落牙齿。龈肿有脓水。宜用药绵方。
麝香（一钱） 砒霜（少许） 莽草末（半钱） 蛤粉（一两） 蟾酥（一字） 螺子
青黛（一字）
上件药。都研为末。别用故绵半分。剪长一寸。碎擘。以药掺在绵内。时入水少许相和。
揉令匀。阴干。有患者。用盐浆水揩漱三五度。用少许药绵。塞在牙根。以针按绵子。入齿
缝
治牙齿走马疳。干蟾散方。
干蟾（一枚烧灰） 龙柏花 地骨皮 没药（各一分） 麝香（一钱）
上件药。捣细罗为散。每有口齿疳疮蚀破者。先以硝石少许掺之。相次以此药半钱。敷
于患
治急疳三矾散方。
青矾 黄矾（各半两） 白矾灰（一分） 麝香（一钱）
上件药。同研如粉。每用半钱。敷于疮上。有涎即吐却。
又方。
牛膝（烧灰） 石胆 麝香（各一分）
上件药。同研如粉。临卧时。先漱口。后掺药于牙缝上。不过三两上效。
又方。
天灵盖（一分末） 羊齐花（一分干者捣为末）
上件药。同研令细。先以绵拭去脓水。然后以散掺之。以瘥为度。
又方。
上用砒霜半两。以醋调稀如糊。于茶碗子内。慢火熬搅令不着底。待醋干。即刮下。每
用
Acute Gan (severe dental caries with tissue necrosis) arises from the accumulation and stagnation of wind-heat pathogens, causing obstruction and stasis in the Spleen and Lungs. The qi of pathogenic toxins rushes upward and floods into the mouth and teeth, thereby forming Gan disease. Its manifestations include sudden discoloration of the lips and oral cavity to cyanotic white, swelling and fullness of the gingiva, simultaneous discharge of pus and blood, rotting and pain of the teeth, red-and-white patches on the sides of the lips and cheeks, or the presence of black meridians/vessels. At this stage, it is necessary to prick the area with a needle to drain the evil blood; otherwise, cauterization should be employed.
For treating acute Gan eroding the teeth and gingiva, with ulceration, swelling, and pain of the lips and mouth, use Huangfan San (Yellow Alum Powder).
Ingredients: Huangfan (Calcanite), Qingfan (Green Vitriol), Baifan (White Alum, calcined until juices run out), Bai Gou Fen Hui (Ash of white dog feces), Mangcao (Radix Daphnes), Xionghuang (Realgar, finely ground, each half tael), Shidan (Chalcanthite, finely ground), Langdang (Datura seed).
Preparation and Administration: Pound and sieve the above ingredients into powder, mix thoroughly, and grind evenly. First, rinse the mouth with salted water three to five times. Then, apply the powder to the affected area. Use three times daily. If saliva is produced, do not swallow it.
For treating acute Gan with red sores erupting on the lips and mouth, use Shidan San (Chalcanthite Powder).
Ingredients: Shidan (Chalcanthite, half tael), Ji Yu (Crucian carp, one fish three cun long, belly opened and filled with salt, then burnt until charred), Xionghuang (Realgar, one fen).
Preparation and Administration: Grind the above ingredients into a fine powder like flour. First, wash the mouth and sores with rice water. Apply the powder to the sores. Use three to five times daily, applying after rinsing the mouth at night. The sores will heal.
For treating acute Gan with swollen and painful gingiva infested by worms, and rotten, painful tooth roots, use Xia Ma Hui San (Toad Ash Powder).
Ingredients: Xia Ma Hui (Toad ash, finely ground), Qingdai (Indigo Naturalis, finely ground), Gan Zi Pi (Tangerine peel), Xixin (Asarum), Bai Ji Fen (White chicken feces), Shexiang (Musk, finely ground), Gan Jiang (Dried Ginger), Xunlu Xiang (Frankincense, equal parts).
Preparation and Administration: Pound and sieve the above ingredients into powder, mix thoroughly, and grind evenly. Wrap the powder in cotton to form a pill the size of an apricot kernel. Place it on the swollen and painful area. Change three times daily. It is highly effective. Spit out any saliva immediately.
For treating acute Gan with sores gradually increasing on the tooth roots, lips, and upper cheeks, use Xionghuang San (Realgar Powder).
Ingredients: Xionghuang (Realgar, one fen), Shidan (Chalcanthite, half tael), Luan Fa (Tangled hair, half tael, burnt to ash), Ren Fen Hui (Human feces ash, one fen), Shexiang (Musk, one qian), Ji Yu (Crucian carp, three cun long, belly opened, filled with salt, burnt to ash).
Preparation and Administration: Finely grind the above ingredients into a powder. First, rinse the mouth with salt water three to five times. Then, apply the powder to the sores. Spit out any saliva immediately.
For treating acute Gan where worms erode the teeth, affecting the alveolar bone, causing damage and pain, use Di Long San (Earthworm Powder).
Ingredients: Gan Di Long (Dried Earthworm, burnt to ash), Huangfan (Calcanite), Baifan (White Alum, calcined until juices run out), Qingfan (Green Vitriol), Badou (Croton seed, skin and heart removed, ground and pressed between paper to remove oil), Shidan (Chalcanthite), Ren Fen Hui (Human feces ash).
Preparation and Administration: Finely grind the above ingredients into a powder. Wrap a small amount in cotton and insert it into the cavity, similar to filling a hole. Push the medicine in with a needle. Change once daily. Continue until all foul matter and broken bones are expelled.
For treating acute Gan with swelling in the mouth and gingiva, and sores in the mouth and nose, use Shexiang San (Musk Powder).
Ingredients: Shexiang (Musk, one fen, finely ground), Xionghuang (Realgar, one fen, finely ground), Ren Ru (Human milk, one he), Baifan (White Alum, half tael, calcined until juices run out), Shidan (Chalcanthite, finely ground), Chuan Shengma (Cimicifugae Rhizoma).
Preparation and Administration: Mix the above ingredients evenly. Wrap in cotton to form a pill the size of an apricot kernel and hold it in the mouth. Apply to any swollen or ulcerated areas.
For treating acute Gan where worms erode the teeth deeply into the bone causing fragmentation, use Qingfan San (Green Vitriol Powder).
Ingredients: Qingfan (Green Vitriol), Huangfan (Calcanite), Shidan (Chalcanthite), Gan Di Long (Dried Earthworm, burnt to ash, each one fen).
Preparation and Administration: Grind the above ingredients into powder. Wrap in cotton and insert into the cavity. Change once daily. Continue until all evil blood and broken bones are expelled.
For treating dental acute Gan eroding the cheekbone with unbearable pain, use Qingdai San (Indigo Naturalis Powder).
Ingredients: Qingdai (Indigo Naturalis, two liang, finely ground), Xionghuang (Realgar, finely ground), Qingfan (Green Vitriol), Huangfan (Calcanite), Baifan (White Alum), Langdang Zi (Datura seed, stir-fried until black), Fuzi (Aconite Root, raw, skin and navel removed).
Preparation and Administration: Pound and sieve the above ingredients into powder, place in a mortar, and grind evenly. Take a small amount the size of a mung bean and apply it to the dental Gan. Do not swallow any juice.
For treating dental acute Gan with continuous discharge of pus and blood, use Jiao Hao San (Kochia Herb Powder).
Ingredients: Jiao Hao (Kochia herb), Xixin (Asarum), Chuan Shengma (Cimicifugae Rhizoma, each half tael), Digupi (Phellodendri Cortex), Niuxi (Achyranthis Bidentatae Radix, stems removed, each one fen).
Preparation and Administration: Pound and sieve the above ingredients into powder. Take half a qian each time, sprinkle onto a piece of wet paper, and apply it. Continue until healed.
For treating dental acute Gan pain and gingival sores, use Shidan San (Chalcanthite Powder).
Ingredients: Shidan (Chalcanthite, three fen, finely ground), Xionghuang (Realgar), Luan Fa Hui (Ash of tangled hair), Ren Fen Hui (Human feces ash, each one fen), Ji Yu (Crucian carp, one fish three cun long, belly opened, filled with salt, burnt to ash).
Preparation and Administration: Pound and sieve the above ingredients into powder. First, wash the sore with Licorice Decoction, then apply half a qian of this powder to the sore. Use three to four times daily. Spit out any saliva.
For treating Zou Ma Gan (gangrenous stomatitis) with fallen teeth, swollen gingiva, and purulent discharge, use Yao Mian (Medicated Cotton).
Ingredients: Shexiang (Musk, one qian), Pishuang (Arsenic Trioxide, a little), Mang Cao Mo (Powder of Radix Daphnes, half a qian), Ha Fen (Concha Meretricis, one liang), Chan Su (Toad Venom, one zi), Luo Zi Qing Dai (Indigo Naturalis from snail shell, one zi).
Preparation and Administration: Grind the above ingredients into powder. Take half a fen of old cotton, cut into one-cun lengths, and tear apart. Mix the powder into the cotton, add a little water, knead evenly, and dry in the shade. For patients, rinse the mouth three to five times with salted water. Insert a small amount of the medicated cotton into the gum root, press the cotton ball into the interdental space with a needle.
For treating dental Zou Ma Gan, use Gan Chan San (Dried Toad Powder).
Ingredients: Gan Chan (Dried Toad, one, burnt to ash), Long Bai Hua (Flower of Platycladi Cacumen), Digupi (Phellodendri Cortex), Moyao (Myrrha, each one fen), Shexiang (Musk, one qian).
Preparation and Administration: Pound and sieve the above ingredients into powder. Whenever there is an ulcerated oral or dental Gan sore, first sprinkle a little Shi Xiao San (Niter Powder), then apply half a qian of this medicine to the affected area.
For treating acute Gan, use San Fan San (Three Alums Powder).
Ingredients: Qingfan (Green Vitriol), Huangfan (Calcanite, each half tael), Baifan Hui (Ash of White Alum, one fen), Shexiang (Musk, one qian).
Preparation and Administration: Grind the above ingredients together into a fine powder. Take half a qian each time and apply to the sore. Spit out any saliva.
Another prescription.
Ingredients: Niuxi (Achyranthis Bidentatae Radix, burnt to ash), Shidan (Chalcanthite), Shexiang (Musk, each one fen).
Preparation and Administration: Grind the above ingredients together into a fine powder. Before going to bed, rinse the mouth first, then sprinkle the powder into the interdental spaces. It will take effect within three to five applications.
Another prescription.
Ingredients: Tian Ling Gai (Skull cap of human, one fen, powdered), Yang Qi Hua (Capitulum of Oryza sativa var. glutinosa, one fen, dried and powdered).
Preparation and Administration: Grind the above ingredients finely. First, wipe away pus and fluid with cotton, then sprinkle the powder on the area. Continue until healed.
Another prescription.
Ingredients: Pishuang (Arsenic Trioxide, half tael).
Preparation and Administration: Mix with vinegar to a thin paste consistency. Slowly boil and stir in a tea bowl over low heat, ensuring it does not stick to the bottom. When the vinegar evaporates, scrape off the residue. Use each time...