（附论）
夫齿 谓如疳 虫蚀之证。齿根宣露坏烂。脓血俱出。口内气息。盖缘脏腑壅滞。熏发
上焦
齿虽
客
方
附子散
治 齿。齿紫黑。皴痒臭烂。
附子（炮裂去皮脐） 升麻 桂（去粗皮） 细辛（去苗叶） 麻黄（去根节） 人参 干
姜
（炮）
少许。贴
于齿患龈
治齿 方。
用苦参三两锉。以水三中盏。煎至一盏。去滓。热含冷吐。
莨菪子散（出圣惠方）
治齿 作孔。有虫疼痛。
莨菪（一分水淘去浮者微炒） 细辛 鲫鱼（烧灰） 黄连（各一分） 人粪灰（一两）
甘草
（半
每取少许。
以
麝香散（出圣济总录）
治齿 。
麝香（研） 白矾（研） 蒲黄 细辛（去苗叶） 丁香（各半两） 附子（炮裂去皮
脐一分） 青黛
白矾散（出圣济总录）
治风 口疮。
白矾（研灰烧半两） 升麻（一两） 细辛（去苗叶一两） 丹砂（研一两） 麝香（研
半钱） 甘草
细辛散（出圣惠方）
治齿 。齿根腐烂动摇。
细辛（二两） 川升麻（二两） 地骨皮（二两） 角蒿（二两） 牛膝（三两去苗） 生
地黄（五两）
先荆芥盐汤漱
蔷薇根膏
治齿 。
蔷薇根（二两） 地骨皮（一两） 葱根（一两） 胡粉（一两） 蜡（一分） 上锉。
以水二大
盏
子
黄矾散（出圣济总录）
治疳 。齿根宣露。
黄矾（烧研一分） 麝香 干蛤壳（烧灰研一分） 防风（去皮） 独活（去芦头各一
两） 上
罗为
敷 齿方。（出肘后方）
细辛 当归 甘草（炙） 蛇床子（各一两） 青葙子 上捣。以绵裹如大豆。着齿上。
日三。
皂角散（出圣济总录）
治齿疳风 。
皂荚（不 者二两） 凝水石（捣末二两） 升麻（一两同皂荚瓶子内固济留一孔烧令
烟绝取出
细辛散（出圣济总录）
治齿 。
细辛（去苗叶） 叶胆酥（炙干） 瓜蒂 黄连（去须各一两） 上为末。每用一钱。
涂贴齿
龈上
藜芦散（出圣惠方）
治齿风 。疼痛不止。
藜芦（去芦头） 蜀椒（去目并闭口炒出汗） 附子（炮裂去皮脐各一分） 麝香（研
一钱）
上为
大。
治疗齿痛。不问虫风者。及 齿。
大黄（一两） 莽草（一两） 腊肉（羊脂） 蜀葵茎（两枝） 上捣大黄等二味为末。
消羊
脂。以
葶苈煎（出圣惠方）
治齿 。
苦葶苈末 地龙末（各一分） 麝香（半钱研细） 腊月猪脂（三两） 上先煎猪脂。
令化去
滓。次入诸药。煎十余沸。于瓷合中盛。以柳枝点药。于火上炙令热。烙牙齿缝
中。
青黛散（出圣惠方）
治齿 。日夜疼痛不止。
青黛（一两） 柑子皮（一两） 干虾蟆（一枚五月五日烧灰） 上为细末。以生地黄
汁。调
贴龈
苦参汤（出圣济总录）
治齿疳。及口生疮。眼涩体重。虫食脏腑。
苦参（切） 桃白皮（切） 槐白皮（切各一两） 上捣筛。每用五钱。以水二盏。煎
十余沸。
去
治齿 熨烙方。（出圣惠方）
臭黄（半钱细研） 猪脂（一两） 槐枝（五茎） 上煎猪脂。入臭黄末。及热以绵裹
槐枝点
取药
治齿 宣露。（出圣惠方）
角蒿灰 胡桐律（各一两） 麝香（一钱） 上都细研令匀。夜后敷于齿根令满。来日
早以盐汤
白矾散（出圣惠方）
治齿龈肿。有脓血出。
白矾 杏仁（二七枚汤浸去皮尖研） 蚺蛇胆一钱 上细研。先以青布揩齿龈。令血出。
嗍令
白矾散（出圣惠方）
治疳 。齿根血出。
白矾（烧灰研三分） 蚺蛇胆（研一钱） 上研匀。先以布揩齿。令血尽。每用半钱。
掺于
患处
治齿 揩齿药方。
雄黄（一分） 白矾（一两） 上相和。铫子中熬。令黄烟尽。研为末。每日未洗面。
先
捻少
又方（出圣惠方）
猪牙皂荚（一两烧灰） 麝香（一钱研细） 上相和细研。将用揩齿。夜卧时。即贴于
龈上。
治 齿虫齿。积年不瘥。从少至老。（出千金方）
用雀麦草。一名杜姥草。似牛毛草。以苦瓠叶四十枝净洗。露一宿。平旦取草锉。长二
寸。
炮
者
蜗牛方（出圣惠方）
治齿 并有虫。
用蜗牛壳三十枚。烧灰细研。每用揩牙。良。
治口臭及 齿肿痛。（出肘后方）
用细辛煮取浓汁。热含冷吐。瘥。一方常用剔牙。
治 齿及口疮虫食。
取紫蓝烧作灰。以敷涂之。日三五度取瘥。
治疳 。食口齿及下部。
飞廉蒿烧灰。捣筛为末。以两钱着痛处。甚痛忍之。若不痛非疳也。下部虫如马尾大。
拘缠
硫黄烙方（出圣惠方）
治 生疮。
用硫黄一分。以旧针铧头一枝。于炭火中烧令赤。捻硫黄着上。更入少许猪脂相和。熬
令沸
治 齿（出永类钤方）
桔梗 薏苡仁 上等分为末点服。小儿亦可用。白芷川芎末蜜丸。食后噙化。生银杏食
后嚼一
治口齿风 肿疼。牙根浮烂恶臭。热毒脓血。（出本草）
以蜀升麻水煎。绵沾拭疮上。
治牙齿 痛。（出本草）
以留师蜜食之。
治 齿。（出本草）
以鼠李根煮浓汁含之。
治 齿脊骨有疳虫。（出本草）
以牛李煮汁浓。含之。更空服一盏。可灌此汁于有虫处。
治齿 疳疮。（出本草）
用灰 烧为灰。口含及纳齿孔中。杀虫瘥。
治 齿（出本草）
以杏仁烧令烟尽。细研如绵。急纳 齿孔中良。
(Attached Discussion)
The term "Chi Gan" (Tooth Worm Disease/Gum Erosion) refers to conditions resembling erosion by "Gan worms". It manifests with exposed, rotting tooth roots, simultaneous discharge of pus and blood, and foul breath in the mouth. This is likely due to stagnation and obstruction within the Zang-Fu organs, causing heat to steam upwards to the Upper Jiao (Upper Burner). Although the teeth are susceptible to external pathogens, formulas for treatment are attached here.
Fuzi San (Aconite Powder)
Treats Chi Gan (Tooth Worm Disease). Symptoms include teeth turning purple-black, wrinkled and itchy gums, and foul-smelling rot.
Ingredients: Fuzi (Prepared Aconiti Lateralis Radix Praeparata), Shengma (Cimicifugae Rhizoma), Guizhi (Cinnamomi Ramulus), Xixin (Asari Radix et Rhizoma), Mahuang (Ephedrae Herba), Renshen (Ginseng Radix et Rhizoma), Jiangjiang (Zingiberis Rhizoma). Use a small amount of these ingredients and apply them to the affected gum area.
Formula for Treating Chi Gan (Tooth Worm Disease).
Take 3 liang of Kushen (Sophorae Flavescentis Radix), chop it finely. Add 3 medium bowls of water and decoct until 1 bowl remains. Strain the dregs. Hold the hot liquid in the mouth and spit it out after it cools.
Langdanzi San (Henbane Seed Powder) (From *Shenghui Fang*)
Treats Chi Gan (Tooth Worm Disease) forming holes, with pain caused by worms.
Ingredients: Langdanzi (Hyoscyami Semen), Xixin (Asari Radix et Rhizoma), Ji Yu (Carassii Auratus), Huanglian (Coptidis Rhizoma) [each 1 fen], Ren Fen Hui (Ash of Human Excrement) [1 liang], Gancao (Glycyrrhizae Radix et Rhizoma) [half 1 liang]. Take a small amount each time... [text missing]...
Shexiang San (Musk Powder) (From *Shengji Zonglu*)
Treats Chi Gan (Tooth Worm Disease).
Ingredients: Shexiang (Moschi), Baifan (Alumen), Puhuang (Typhae Pollen), Xixin (Asari Radix et Rhizoma), Dingxiang (Caryophylli Flos) [each half 1 liang], Fuzi (Prepared Aconiti Lateralis Radix Praeparata) [1 fen], Qingdai (Indigo Naturalis)...
Baifan San (Alumen Powder) (From *Shengji Zonglu*)
Treats Mouth Sores caused by Wind-Toxicity.
Ingredients: Baifan (Alumen) [half 1 liang], Shengma (Cimicifugae Rhizoma) [1 liang], Xixin (Asari Radix et Rhizoma) [1 liang], Dansha (Cinnabar) [1 liang], Shexiang (Moschi) [half 1 qian], Gancao (Glycyrrhizae Radix et Rhizoma)...
Xixin San (Asari Powder) (From *Shenghui Fang*)
Treats Chi Gan (Tooth Worm Disease). Symptoms include rotting and loose tooth roots.
Ingredients: Xixin (Asari Radix et Rhizoma) [2 liang], Chuan Shengma (Cimicifugae Rhizoma) [2 liang], Digupi (Bark of Lycii Radix) [2 liang], Jiaohao (Artemisiae Scopariae Herba) [2 liang], Niuxi (Achyranthis Bidentatae Radix) [3 liang], Sheng Dihuang (Rehmanniae Radix Recens) [5 liang]. First rinse the mouth with a decoction of Jingjie (Schizonepetae Herba) and salt.
Qiangweigen Gao (Rose Root Paste)
Treats Chi Gan (Tooth Worm Disease).
Ingredients: Qiangweigen (Radix Rosae Rugosae) [2 liang], Digupi (Bark of Lycii Radix) [1 liang], Conggen (Scallion Root) [1 liang], Hufen (Lead Carbonate) [1 liang], La (Beeswax) [1 fen]. Chop the above ingredients. Add 2 large bowls of water... [text missing]...
Huangfan San (Yellow Alum Powder) (From *Shengji Zonglu*)
Treats Gan Erosion. Symptoms include exposed tooth roots.
Ingredients: Huangfan (Calcar Sulfuris) [1 fen], Shexiang (Moschi), Gan Hake (Dried Clam Shell Ash) [1 fen], Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix) [each 1 liang]. The above... [text missing]...
Fu Chi Fang (Powder for Applying to Teeth) (From *Zhouhou Fang*)
Ingredients: Xixin (Asari Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chuangzi (Cnidii Fructus), Qingxiangzi (Celosiae Semen) [each 1 liang]. Pound into a powder. Wrap in cotton cloth like a soybean size and place on the teeth. Three times daily.
Zaojiao San (Soap Pod Powder) (From *Shengji Zonglu*)
Treats Chi Gan Feng (Wind in Tooth Worm Disease).
Ingredients: Zaojia (Gleditsiae Fructus) [2 liang], Ningshuishi (Stibnite) [2 liang], Shengma (Cimicifugae Rhizoma) [1 liang, placed together with soap pods in a bottle, sealed tightly leaving one hole, burned until smoke ceases, then taken out...] [text missing]...
Xixin San (Asari Powder) (From *Shengji Zonglu*)
Treats Chi Gan (Tooth Worm Disease).
Ingredients: Xixin (Asari Radix et Rhizoma), Yedan Su (Leaf Gall Butter), Gudi (Melonis Fructus Semen), Huanglian (Coptidis Rhizoma) [each 1 liang]. Make into a powder. Use 1 qian each time. Apply to the gums.
Lilu San (Veratrum Powder) (From *Shenghui Fang*)
Treats Chi Feng (Wind in Teeth). Unceasing pain.
Ingredients: Lilu (Veratri Radix), Shujiao (Zanthoxyli Pericarpium), Fuzi (Prepared Aconiti Lateralis Radix Praeparata) [each 1 fen], Shexiang (Moschi) [1 qian]. Make into... [text missing]... Large.
For treating toothache, regardless of whether it is caused by worms or wind, and... [text missing]...
Ingredients: Dahuang (Rhei Radix et Rhizoma) [1 liang], Maocao (Polygoni Arsenorii Herba), Larou (Preserved Meat/Sheep Fat), Shukui Jing (Malvae Stems) [2 branches]. Pound Dahuang and the other ingredient into a powder. Melt sheep fat, and... [text missing]...
Tingli Jian (Descurainia Decoction) (From *Shenghui Fang*)
Treats Chi Gan (Tooth Worm Disease).
Ingredients: Ku Tingli (Descurainiae Semen), Dilong (Pheretima) [each 1 fen], Shexiang (Moschi) [half 1 qian, finely ground], Zhu Zhi (Pig Fat from the twelfth lunar month) [3 liang]. First melt the pig fat. Remove... [text missing]... dregs. Then add all medicines and boil for about ten boils. Store in a porcelain container. Dip a willow branch in the medicine, heat it over fire, and cauterize the gaps between teeth.
Qingdai San (Indigo Powder) (From *Shenghui Fang*)
Treats Chi Gan (Tooth Worm Disease). Unceasing pain day and night.
Ingredients: Qingdai (Indigo Naturalis) [1 liang], Gan Zi Pi (Citrus Reticulatae Pericarpium) [1 liang], Gan Xia Wa (Dried Toad) [1 piece, burned to ash on the fifth day of the fifth lunar month]. Make into a fine powder. Mix with juice of Sheng Dihuang (Rehmanniae Radix Recens)... [text missing]... and apply to the gums.
Kushen Tang (Sophora Decoction) (From *Shengji Zonglu*)
Treats Chi Gan (Tooth Worm Disease). Also treats mouth sores, dry and heavy eyes, heavy body, and worms eating the Zang-Fu organs.
Ingredients: Kushen (Sophorae Flavescentis Radix), Tao Bai Pi (Pruni Persicae Cortex), Huai Bai Pi (Meliae Cortex) [each 1 liang]. Pound and sieve. Use 5 qian each time. Add 2 bowls of water and boil for about ten boils. Remove... [text missing]...
Yun Lao Fang for Treating Chi Gan (Tooth Worm Disease) (From *Shenghui Fang*)
Ingredients: Chouhuang (Realgar) [half 1 qian, finely ground], Zhu Zhi (Pig Fat) [1 liang], Huaizhi (Locust Twig) [5 stems]. Melt the pig fat. Add Chouhuang powder. While hot, wrap the locust twig in cotton cloth to dip... [text missing]... take the medicine.
Treating Chi Gan (Tooth Worm Disease) with exposed roots (From *Shenghui Fang*)
Ingredients: Jiaohao Hui (Ash of Artemisiae Scopariae Herba), Hutonglv (Populi Gemma) [each 1 liang], Shexiang (Moschi) [1 qian]. Finely grind and mix evenly. Apply to the tooth roots at night to fill them completely. Rinse with salt water the next morning... [text missing]...
Baifan San (Alumen Powder) (From *Shenghui Fang*)
Treats swollen gums with pus and blood discharge.
Ingredients: Baifan (Alumen), Xingren (Armeniacae Semen Amarum) [14 pieces, soaked in water, skin and tip removed, ground], Ran She Dan (Python Bile) [1 qian]. Finely grind. First wipe the gums with green cloth to induce bleeding. Suck... [text missing]...
Baifan San (Alumen Powder) (From *Shenghui Fang*)
Treats Gan Erosion. Bleeding from tooth roots.
Ingredients: Baifan (Alumen) [burned to ash and ground, 3 fen], Ran She Dan (Python Bile) [ground, 1 qian]. Grind evenly. First wipe the teeth with cloth until bleeding stops. Use half 1 qian each time. Sprinkle on... [text missing]...
Formula for Brushing Teeth to Treat Chi Gan (Tooth Worm Disease).
Ingredients: Xionghuang (Realgar) [1 fen], Baifan (Alumen) [1 liang]. Mix well. Roast in a crucible until yellow smoke disappears. Grind into powder. Before washing face daily... [text missing]... pinch a little...
Another Formula (From *Shenghui Fang*)
Ingredients: Zhuya Zaojia (Tooth-like Soap Pod) [1 liang, burned to ash], Shexiang (Moschi) [1 qian, finely ground]. Mix and grind finely. Use for brushing teeth. At bedtime, apply to the gums.
Treats Dental Caries (Tooth Worms). Chronic cases not healing, from youth to old age (From *Qianjin Fang*).
Use Que Mai Cao (Setaria Viridis Herb), also known as Du Lao Cao, resembling ox hair grass. Wash 40 leaves of Ku Hu Ye (Benincasae Folium) cleanly. Dew overnight. At dawn, chop the grass into 2-inch pieces... [text missing]... processed ones.
Wo Niu Fang (Snail Formula) (From *Shenghui Fang*)
Treats Chi Gan (Tooth Worm Disease) with worms.
Use 30 snail shells. Burn to ash and grind finely. Use to brush teeth. Effective.
Treats Bad Breath and... [text missing]... swelling and pain (From *Zhouhou Fang*).
Decoct Xixin (Asari Radix et Rhizoma) to obtain a thick liquid. Hold hot and spit out when cool. Cured. Another method suggests using dental picks regularly.
Treats... [text missing]... and mouth sores eaten by worms.
Take Zi Lan (Baphicacanthis Cusia) and burn to ash. Apply externally. Do this 3-5 times a day until cured.
Treats Gan Erosion. Eating the mouth, teeth, and lower parts.
Burn Fei Lian Hao (Cardui Thistle Herb) to ash. Pound and sieve into powder. Apply 2 qian to the painful area. It may cause severe pain; endure it. If there is no pain, it is not Gan disease. Worms in the lower part are as large as horse tails, entangling... [text missing]...
Liu Huang Lao Fang (Sulfur Cauterization Formula) (From *Shenghui Fang*)
Treats... [text missing]... sores.
Use 1 fen of Liu Huang (Sulfur). Take an old needle plowshare. Heat it red-hot in charcoal fire. Press the sulfur onto it. Add a little pig fat and mix. Boil... [text missing]...
Treats... [text missing]... (From *Yonglei Qianfang*)
Jiegeng (Platycodonis Radix) and Yiyiren (Coicis Semen). Equal parts, make into powder and take orally. Can be used for children. Bai Zhi (Angelicae Dahuricae Radix) and Chuan Xiong (Ligustici Chuanxiong Rhizoma) mixed with honey into pills. Retain in mouth after meals. Chew one raw Yin Xing (Ginkgo Seed) after meals... [text missing]...
Treats Oral and Dental Wind... [text missing]... swelling and pain. Floating and rotting tooth roots with foul odor. Heat-toxin with pus and blood (From *Bencao*).
Decoct Shu Shengma (Cimicifugae Rhizoma) in water. Moisten cotton with the decoction and wipe the sores.
Treats Tooth... [text missing]... pain (From *Bencao*).
Eat Liu Shi Mi (Retained Teacher's Honey).
Treats... [text missing]... (From *Bencao*).
Decoct Shu Li Gen (Franchetinae Radix) to obtain a thick liquid and hold in mouth.
Treats... [text missing]... spinal bone having Gan worms (From *Bencao*).
Decoct Niu Li (Cow Plum) to obtain a thick liquid. Hold in mouth. Drink one bowl on an empty stomach. This liquid can be poured into areas with worms.
Treats Chi Gan Sores (From *Bencao*).
Use... [text missing]... ash burned to ash. Hold in mouth and insert into tooth holes. Kills worms and cures.
Treats... [text missing]... (From *Bencao*).
Burn Xingren (Armeniacae Semen Amarum) until smoke ceases. Grind finely like cotton. Quickly insert into... [text missing]... tooth holes. Good.