《圣惠》云∶其候唇口痒痛，牙齿峭黑，舌上生疮，脑中干热，龈肉赤烂，颊肿
齿疼，热毒熏蒸，口多臭气。
按∶此即走马疳之轻而慢者，《圣惠》形容似太过。治法宜清胃散、甘露饮内
服，外用五倍子（炒黑）、绿矾（烧红）、人中白等分，入米片少许揩牙，或加槟榔末杀虫亦得。
《谭氏殊圣》治小儿大人牙疳诸恶疮方
黄丹（飞过） 乳香 白矾（飞） 坯子胭脂（各一钱） 轻粉 麝香（少许）
上件为细末。看疮大人，临时用药，先用浆水洗疮净上药，干掺。
《聚宝方》黄矾散 治大人小儿齿龈宣露，骨槽风，小儿急疳龈肉烂，恶肿痛。
黄矾（一两，研入甘锅，烧通赤） 生干地黄 梧桐律 川升麻（各半两） 干虾蟆头（二枚，炙焦）
上五味，为末。每用半钱干贴，良久吐津，甘草水漱口，一、两服立效。一方，用熟干地黄及蟾头烧灰。
《刘氏家传方》治小儿口中疳疮，皆下部有虫，烧大麻子烟熏之。
《庄氏家传》治小儿牙疳坏烂方
百药煎 坯子胭脂
上各等分，为细末，罗过。贴患处。
《吴氏家传》青霞散 治小儿口齿疳。
虾蟆（一个，烧灰） 甘草（炙） 青黛（各一分）
上研为细末，更入真麝少许。或儿满口有疮臭烂落下牙齿者，以鸡翎扫上立效。
凡用，先以盐汤漱口了，干拭用。
安师传治小儿口齿并喉 疳疮如白膜者
用轻粉黄丹等分，乳汁和，涂疮上。实时如壳退下。
治小儿疳蚀动唇齿及疮生方
蟾头（一个，大者，烧灰） 麝香（半钱）
上研匀如粉。掺于疮上立效。
治小儿唇口及齿根宣露牙龈生疮臭烂方
葶苈（炒） 胡黄连（各二钱） 黄丹（半两）
上为末。每半钱于牙龈上贴之，不得咽津。（庄氏第十二候用此）
秘方治牙疳腐烂及下疳疮
海巴（白者二个，赤者一个） 银朱 轻粉（各五分） 海螵蛸（一分） 真珠（二分） 龙骨（二分）
共为细末。用冷茶漱净，将药敷上。
According to the *Shenghui Fang* (Prescriptions from the Holy Benefit Hall): The symptoms include itching and pain in the lips and mouth, teeth becoming black and brittle, sores on the tongue, a sensation of dryness and heat in the head, redness and ulceration of the gingiva, swelling of the cheeks with toothache. This is caused by the steaming effect of heat-toxin, resulting in foul breath.
Commentary: This refers to the mild and slow-progressing form of Zouma Gan (a rapidly developing and corrosive oral disease). The description in the *Shenghui Fang* seems somewhat exaggerated. The treatment method should involve internal administration of Qingwei San (Stomach-Clearing Powder) or Ganlu Yin (Sweet Dew Decoction), and external application of equal parts of Wu Bei Zi (Galla Chinensis, stir-fried until black), Lv Fan (Green Vitriol, heated until red-hot), and Ren Zhong Bai (Calcinata Urinae Humanae). Add a small amount of rice flakes, grind together, and use to rub the teeth. Alternatively, adding Bin Lang Fen (Areca Seed Powder) to kill parasites is also effective.
*Tan Shi Shu Sheng* (Miraculous Sages Discussed by Tan) prescription for treating various malignant sores of Gan disease in children and adults:
Huang Dan (Lead Oxide, refined via sublimation) 1 qian, Ru Xiang (Boswelliae Resina) 1 qian, Bai Fan (Alumen, refined) 1 qian, Pi Zi Yan Zhi (Raw Rouge) 1 qian, Qing Fen (Calomel) a little, She Xiang (Moschus) a little.
Grind all ingredients into a fine powder. Adjust dosage according to whether the patient is an adult or child. First wash the sore clean with Jiang Shui (fermented grain water), then apply the medicine as a dry powder (gan chan).
Ju Bao Fang (Treasure Gathering Formulas) Huang Fan San (Yellow Alum Powder) for treating receding gums exposing roots in adults and children, Gu Cao Feng (alveolar osteomyelitis), acute Gan disease in children causing gingival ulceration, and malignant swelling and pain.
Huang Fan (Yellow Alum, 1 liang, ground and placed in a gan pot, heated until red-hot) 1 liang, Sheng Gan Di Huang (Rehmanniae Radix Preparata, dried raw) 0.5 liang, Wu Tong Lv (Cortex Firmiana) 0.5 liang, Chuan Sheng Ma (Bupleuri Radix) 0.5 liang, Gan Xia Ma Tou (Dried Toad Head, roasted until scorched) 2 pieces.
Grind the above five herbs into a powder. Apply half a qian of the powder directly to the affected area. After some time, expectorate saliva, rinse mouth with Gan Cao (Licorice Root) water. One or two applications yield immediate results. Another version uses Shu Gan Di Huang (Rehmanniae Radix Preparata, cooked) and ash from roasted toad heads.
Liu Shi Jia Chuan Fang (Family-Transmitted Formula of the Liu Family) for treating oral Gan sores in children, attributing them to parasites in the lower body. Smoke the area with smoke generated from burning Da Ma Zi (Cannabis Fructus).
Zhuang Shi Jia Chuan (Family Tradition of Zhuang) prescription for treating necrotic and ulcerative dental Gan in children:
Bai Yao Jian (Myrobalan Ferment) equal part, Pi Zi Yan Zhi (Raw Rouge) equal part.
Grind both into a fine powder and sieve. Apply to the affected site.
Wu Shi Jia Chuan (Family Tradition of Wu) Qing Xia San (Blue Clouds Powder) for treating oral and dental Gan in children.
Xia Ma (Toad, one piece, calcined to ash) 1 fen, Zhi Gan Cao (Roasted Glycyrrhizae Radix et Rhizoma) 1 fen, Qing Dai (Indici Folium) 1 fen.
Grind into a fine powder, adding a small amount of Zhen She Xiang (Moschus). If the child has widespread oral ulcers with foul odor and rotting leading to tooth loss, sweep the powder onto the lesions using a chicken feather for immediate effect.
Before use, rinse the mouth with salt water and dry thoroughly before application.
Master An’s transmitted prescription for treating oral, dental, and pharyngeal Gan sores appearing like white membranes in children:
Use equal parts of Qing Fen (Calomel) and Huang Dan (Lead Oxide). Mix with milk and apply to the sores. The lesion will peel off immediately like a shell.
Prescription for treating Gan erosion affecting lips and teeth and generating sores in children:
Chan Tou (Toad Head, one large piece, calcined to ash) 1 piece, She Xiang (Moschus) 0.5 qian.
Grind evenly into a powder. Sprinkle onto the sores for immediate effect.
Prescription for treating receding gums exposing roots, and foul-smelling, rotting sores on the lips, mouth, and tooth roots in children:
Chao Ting Li (Semen Lepidii seu Descurainiae, stir-fried) 2 qian, Hu Huang Lian (Picrorhizae Rhizoma) 2 qian, Huang Dan (Lead Oxide) 0.5 liang.
Grind into a powder. Apply half a qian to the gums each time. Ensure the patient does not swallow saliva. (This formula is used in Zhuang's Twelfth Manifestation).
Secret Prescription for treating necrotic dental Gan and Chancre (Xia Gan):
Hai Ba (Sea Bean, two white ones, one red one) 2 white + 1 red, Yin Zhu (Vermilion) 0.5 qian, Qing Fen (Calomel) 0.5 qian, Hai Piao Xiao (Sepiae Endoconcha) 1 fen, Zhen Zhu (Margarita) 2 fen, Long Gu (Fossilia Ossis Mastodi) 2 fen.
Grind all into a fine powder. Rinse mouth with cold tea, then apply the medication.