小儿牙齿病者。由风热邪毒。干于手太阳之经。随经入于龈龋。
搏于血气。则生宣烂。又云。因恣食酸甘肥腻油面诸物。致有细粘渍着牙根。久不刷掺去之。亦发为疳宣烂。
龈作臭气恶血。若风湿相搏。则为牙痈。如风毒入于牙中。与正气交争。则为风痛。有虫动 齿。则为 病。
更有一证疳。 口鼻牙齿者。名曰走马疳。别具疳疮门下收之外。叙方于后。
治牙齿宣烂。臭气有血。皂角一挺。肥好者连皮。羊胫骨一挺。并于炭火烧烟尽。以盆覆之候冷。用纸一
张。铺湿地上顿药。出火毒一夜。为末。如常揩牙用之。三上瘥。
又方 治如前。芜荑半两炒黑。白矾半两生。为细末。入麝香少许拌匀。先以水漱口齿净。然后用少许揩
牙。
又方 治如前。以风化锻石一块。大火中 通赤。取出放冷为末。每用少许。旋入麝香少许。敷牙根疮上。
桃红散
治牙痈肿烂脓血。
朱砂（一钱研水飞） 绿豆粉（一两） 硼砂（半钱） 脑 麝（各一字）
上为末。每用一字敷患处。或揩贴之。
麝香散
治如前。
铜绿（半钱） 绿豆粉（一两） 胆矾（半钱火 过用） 脑子（一字）
上为末。入麝少许研匀。每服一字。擦贴患处。有涎即吐。
甘露散
治小儿胃热。牙龈宣露出血。口臭脸肿。赤眼口疮。不欲乳食。肌体烦热。及疮疹已未发。皆可服。
熟干地黄 生干地黄 天门冬（去心） 麦门冬（去心） 枇杷叶（刷去毛净） 枳壳（麸炒去穣） 苦参
石斛（去根） 山茵陈 甘草（各等分）
上为末。每服二钱。水一盏。煎至半盏。去滓温服。食后。量大小加减。
治小儿牙宣。常有鲜血。龈缝臭秽。 砒黄一钱。麝香半钱。同研细。以纸条子生油涂过。掺药在上。少少
用末。剪作小纸棋子。看大小用。插在病处缝内。
治小儿牙齿宣疳 以黄连为末。入麝研匀。贴病处。亦治口疮。
治风 牙疼 以马鞭草煎汤。含漱之。
又方 治如前。
莽草 升麻 细辛（去苗） 甘草（各一分）
上粗锉。水一碗。煎数沸。盥漱之。冷即吐。别含漱。
本散
治如前。
本（去芦） 白附子 川芎 莽草（各半两先内末） 青黛（一钱） 芦荟（一钱） 麝香（一
字并各研）
上拌匀细。每服一字或半字。揩患处。
又方 治如前。以肥皂一个去子。满填盐在内。炭火烧烟尽。放冷研细。每用一字或半钱。揩患处。有涎即
吐。
Dental diseases in children are caused by wind-heat pathogenic factors and toxic pathogens invading the Hand-Taiyang meridian, following the meridian into the gums and tooth roots. The pathogens contend with blood and qi, leading to gingival ulceration (gingival rot). Another view states that excessive consumption of sour, sweet, fatty, greasy, fried foods, and wheat products causes fine sticky residues to adhere to the tooth roots. If these are not brushed or rinsed away for a long time, they can also cause gum ulceration associated with gan syndrome (childhood malnutrition syndrome). In such cases, the gums emit a foul odor and discharge foul blood. If wind-dampness contends together, it forms a dental abscess (ya yong); if wind-toxin enters the teeth and contends with healthy qi, it causes wind-toothache; if worms move within the teeth, it results in dental caries (chu chi). Additionally, there is a type of gan syndrome manifesting as lesions in the mouth, nose, and teeth, known as "Zou Ma Gan" (Horse-Gangrene). This condition is discussed separately under the section on Gan sores; relevant prescriptions are listed below.
Prescription for treating gingival ulceration, bad breath, and bleeding: Take one stick of Gleditsiae Fructus (Zaojiao), preferably large and fat, retaining the skin, and one stick of Os Tibiae (Yangjinggu). Burn them together in charcoal until smoke ceases. Cover with a basin to cool. Place the medicine on a sheet of paper laid on wet ground to remove fire toxicity overnight. Grind into powder. Use as usual for brushing teeth. Three applications will cure the condition.
Another prescription, treating as above: Take 0.5 liang of Terminalia chebula Retz. (Wuyi) stir-fried until black, and 0.5 liang of Alum (Baifan) raw. Grind into fine powder, add a small amount of Moschus (Shexiang), and mix well. First rinse the mouth and teeth clean with water, then use a small amount to brush the teeth.
Yet another prescription, treating as above: Take a piece of Calcined Alumen (Fenghua Duanshi), heat strongly in a fire until red hot, remove, let cool, and grind into powder. Use a small amount each time, immediately adding a little Moschus (Shexiang), and apply to the gum ulcers.
Taohong San (Peach Red Powder)
Treats dental abscess swelling, ulceration, pus, and blood.
Ingredients: Cinnabar (Zhusha) 1 qian, prepared by water flotation and grinding; Mung Bean Starch (Lvdou Fen) 1 liang; Borax (Pengsha) 0.5 qian; Borneolum Syntheticum (Naobing) and Moschus (Shexiang), each 1 zi.
Grind all ingredients into powder. Apply 1 zi to the affected area each time, or rub and apply.
Shexiang San (Musk Powder)
Treats as above.
Ingredients: Viridicuprum (Tonglv) 0.5 qian; Mung Bean Starch (Lvdou Fen) 1 liang; Chalcanthite (Danfan) 0.5 qian, calcined; Borneolum Syntheticum (Naozi) 1 zi.
Grind into powder, add a small amount of Moschus (Shexiang), and grind evenly. Apply 1 zi to the affected area each time. Spit out saliva if produced.
Ganlu San (Sweet Dew Powder)
Treats pediatric stomach heat causing gingival ulceration and bleeding, bad breath, facial swelling, red eyes, oral ulcers, reluctance to nurse or eat, body irritability and heat, and can be taken whether pox/rashes have erupted or not.
Ingredients: Radix Rehmanniae Preparata (Shu Dihuang), Radix Rehmanniae Recens (Sheng Dihuang), Asparagi Radix (Tianmendong, decentered), Ophiopogonis Radix (Mendong, decentered), Folium Eriobotryae (Pipaye, brushed clean of hairs), Aurantium Fructus Pericarpium (Zhike, bran-fried, pith removed), Sophorae Radix (Kushen), Dendrobii Caulis (Shihu, roots removed), Artemisia capillaris Thunb. (Shanyinchén), Glycyrrhizae Radix et Rhizoma (Gancao), equal parts.
Grind into powder. Take 2 qian each time, add 1 zhan of water, decoct until half a zhan remains, strain, and take warm after meals. Adjust dosage according to age and size.
Treatment for pediatric gingival recession (Ya Xuan) with frequent fresh blood and foul smell in gum fissures: Take 1 qian of Realgar (Pi Huang) and 0.5 qian of Moschus (Shexiang), grind finely together. Coat a paper strip with raw oil, sprinkle the powder onto it. Take a small amount of powder, cut into small paper squares according to size, and insert into the diseased gum fissure.
Treatment for pediatric dental gan syndrome: Grind Coptidis Rhizoma (Huanglian) into powder, mix evenly with Moschus (Shexiang), and apply to the affected area. Also treats oral ulcers.
Treatment for wind-induced toothache: Decoct Stem and Leaf of Verbena officinalis L. (Mabiancao) in water, hold in mouth and gargle.
Another prescription, treating as above:
Ingredients: Polygala Root (Mangcao), Cimicifugae Rhizoma (Shengma), Saposhnikoviae Radix (Xixin, de-tipped), Glycyrrhizae Radix et Rhizoma (Gancao), each 1 fen.
Coarsely chop, add 1 bowl of water, boil several times, gargle. Spit out when cool, replace with fresh decoction.
Ben San (Ligusticum Powder)
Treats as above.
Ingredients: Ligustici Rhizoma et Radix (Ben, de-rhizome), Typhonii Rhizoma (Baifuzi), Ligustici Chuanxiong Rhizoma (Chuanxiong), Polygala Root (Mangcao), each 0.5 liang (first made into powder); Indigo Naturalis (Qingdai) 1 qian; Aloe (Luhui) 1 qian; Moschus (Shexiang) 1 zi (all ground separately).
Mix evenly and grind finely. Apply 1 zi or 0.5 zi to the affected area each time.
Another prescription, treating as above: Take 1 soap pod, remove seeds, fill with salt, burn in charcoal until smoke ceases, cool, and grind finely. Apply 1 zi or 0.5 qian to the affected area each time. Spit out saliva if produced.