（附论）
夫手阳明支脉入于齿。风邪客于经脉。流滞齿根。肿脓汁出。愈而更发。谓之齿漏疳也。
方
棘刺散（出圣惠方）
治齿漏疳。脓血出。齿龈宣露。气臭不能饮食。
棘刺（半两烧灰） 青葙子（三两） 当归 干姜（炮炙锉） 香附子 鸡舌香 细辛 川
升麻（
青黛散（出百选方）
治齿露疳。出脓水不止。
青黛 胡桐泪 胡黄连 芦荟（各半两） 虾蟆（一枚烧灰） 麝香（一分） 上同为
末。研
匀。
麝香散（出百一选方）
治齿漏。疳虫蚀齿。龈臭烂。
麝香 青矾（烧赤） 黄矾（烧枯各一分） 芦荟（半两） 上同于乳钵内。细研为散。
先以
绵拭
龈
丁香散（出圣惠方）
治齿露疳宣露。及骨槽风。脓血不止。
丁香（一分） 生地黄（五两以竹刀子切于铜器内令黑色） 干虾蟆（一分炙） 莨菪
子（半
两炒
之。
有
铜青散（出圣惠方）
治齿露疳。
铜青（两字） 谷精草末（二钱） 砒霜（半钱） 马齿苋灰（二字） 上于乳钵内研
令细。临
卧时
即
鲫鱼散（出圣惠方）
治齿漏疳宣露。脓血出。
大鲫鱼（一枚） 砒霜（一分） 干地黄末（一两） 上将割破鲫鱼腹。去肠。入砒霜
及地黄
末。
钱。
神功丸（出东垣兰室方）
\x治多食肉人。口臭不可近。牙疳蚀牙。齿肉将脱。牙齿落。血不止
黄连（去须择净秤一两酒洗） 缩砂仁（半钱） 生甘草（三钱） 藿香叶（一钱） 木
香（一
钱）
同为细
末。水
及血崩
者。及
(Attached Discussion)
The branch meridian of Hand-Yangming enters the teeth. Wind-pathogen lodges in the meridians, flows and stagnates at the tooth roots, causing swelling, suppuration, and discharge of pus. The condition recurs after healing, which is termed Chi Lou Gan (Tooth Fistula and Ulceration).
Prescriptions
Jici San (Spine Thorn Powder), from *Shenghui Fang*
Treats Chi Lou Gan with discharge of pus and blood, recession of gingiva exposing the teeth root, foul breath, and inability to eat.
Jici (Spine Thorn) (half liang, burnt to ash) Qingxiangzi (Qingxiang Seed) (three liang) Danggui (Angelicae Sinensis Radix) Ganjiang (Dried Ginger) (processed, roasted, and cut into pieces) Xiangfuzi (Cyperi Rhizoma) Jishe Xiang (Safflower/Styrax - note: traditionally Clove bud or similar aromatic, here likely referring to a specific aromatic herb, kept as Jishe Xiang) Xixin (Asari Radix et Rhizoma) Chuan Shengma (Cimicifugae Rhizoma) [Text missing dosage/continuation]
Qingdai San (Indigo Naturalis Powder), from *Baixuan Fang*
Treats Chi Lu Gan with continuous discharge of pus and water.
Qingdai (Indigo Naturalis) Hutong Lei (Tamarisci Ramulus Exudate) Huhuanglian (Coptidis Rhizoma variant) Lushui (Aloe) (each half liang) Xama (Bufo Toad) (one piece, burnt to ash) Shexiang (Musk) (one fen) The above are ground together into powder and mixed evenly.
Shexiang San (Musk Powder), from *Baiyi Xuann Fang*
Treats Chi Lou. Gan worms erode the teeth; gums are foul and rotting.
Shexiang (Musk) Qingfan (Green Alum) (burnt until red-hot) Huangfan (Yellow Alum) (burnt until dry/crisp, each one fen) Lushui (Aloe) (half liang) The above are finely ground into powder in a mortar. First use... [Text interrupted] cotton to wipe the gums... [Text interrupted]
Dingxiang San (Clove Powder), from *Shenghui Fang*
Treats Chi Lu Gan with exposed gums. Also treats Gu Cao Feng (Bone Trench Wind) with continuous discharge of pus and blood.
Dingxiang (Caryophylli Flos) (one fen) Sheng Dihuang (Rehmanniae Radix Nova) (five liang, sliced with a bamboo knife and processed in a copper vessel until black) Gan Xama (Dried Bufo Toad) (one fen, roasted) Langdangzi (Daturae Semen) (half liang, stir-fried... [Text interrupted]) You... [Text interrupted]
Tongqing San (Verdigris Powder), from *Shenghui Fang*
Treats Chi Lu Gan.
Tongqing (Verdigris) (one liang, text says "two characters" likely error for one liang) Gujingcao End (Gymnosporiae Herba Powder) (two qian) Pishuang (Arsenic Trioxide) (half qian) Machixian Hui (Portulacae Herba Ash) (one liang, text says "two characters" likely error for one liang) The above are ground finely in a mortar. Before going to bed... [Text interrupted] then... [Text interrupted]
Jiyu San (Crucian Carp Powder), from *Shenghui Fang*
Treats Chi Lou Gan with exposed gums. Discharge of pus and blood.
Large Jiyu (Crucian Carp) (one fish) Pishuang (Arsenic Trioxide) (one fen) Gan Dihuang End (Dried Rehmanniae Radix Powder) (one liang) The above: Cut open the belly of the crucian carp, remove intestines, insert Pishuang and Dihuang powder... [Text interrupted] Qian. [Text interrupted]
Shengong Wan (Divine Efficacy Pill), from Li Dongyuan's *Lanshi Cangbian*
Treats individuals who consume much meat. Severe halitosis making them unapproachable. Ya Gan (Dental Ulceration) erodes teeth; gingival tissue is about to detach; teeth fall out; bleeding does not stop.
Huanglian (Coptidis Rhizoma) (remove roots, clean, weigh one liang, wash with wine) Suosharen (Amomi Fructus Rotundus) (half qian) Sheng Gancao (Glycyrrhizae Radix et Rhizoma Recens) (three qian) Huoxiang Ye (Agastachis Folium) (one qian) Muxiang (Aucklandiae Radix) (one qian)
The above are ground into fine powder, mixed with water... [Text interrupted] and bloody leukorrhea... [Text interrupted] cases. And... [Text interrupted]