《圣惠方》云∶热者怕冷水,宜用牙硝、姜黄、雄黄、荆芥等治之。冷者怕热汤,宜用
干姜、荜茇等治之。不怕冷热乃风牙,以猪牙皂角、僵蚕、蜂房、草乌治之。有孔者为虫牙
,宜雄黄、锻石、砂糖等治之。用药了,皆以温水漱之。
薛立斋曰∶齿痛,若因手足阳明经湿热,用东垣清胃散。若因风寒入脑,脑痛齿亦痛,
用羌活附子汤。若因思虑伤脾,用归脾汤。若因郁火所致,用越鞠丸。若因酒面炙爆而
发,用清胃散。若因饮食伤脾,用六君子汤。若因劳伤元气,用补中益气汤。若因脾胃素弱
,用六君子、当归、升麻。若因肾经阴虚,用六味丸。若因肾经阳虚,用八味丸。若阴阳俱
虚,用十补丸。若脾肾虚寒,用安肾丸。徐用诚先生云∶凡齿痛恶寒热等证,属足、手阳明
经。齿摇断脱,属足少阴经。齿蚀肿痛出血,皆胃火所致也,亦有诸经错杂之邪与外因为患
者。
《医统》云∶宋·汪丞相之宠,好食浓味。一日,热大作,齿间壅出有肉,渐大胀满,
口不能闭,水浆不入。一医用生地黄汁一碗,牙皂角数挺,火上炙热,蘸汁令尽,为末,敷
壅肉上,随即消缩,不日而愈。
足内踝二尖(治上牙痛,灸之)、足三里(治上齿痛,灸四十九壮)、手三间(治下齿痛,
灸七壮)、列缺(灸七壮,永不发)、合谷(齿龋灸之)、内庭(下牙痛,针灸皆可)、阳谷(治上
牙痛,在手外踝骨尖,左灸右,右灸左,十一壮,屡验神效)、太渊(治风牙)、肩 (七
壮,随左右灸之)、耳垂下尽骨上穴(灸三壮,痛即止,如神)。
一法治一切牙痛∶以草量手中指,至掌后横纹止,将草折作四分,去三留一,于横纹后
量臂中,随痛左右灸三壮,即愈。
一、经验法∶于耳前鬓发尖内有动脉处,随痛左右用小艾炷灸五七壮,神效。亦不必贴
膏药。如再发,再灸,即可断根。
The *Shenghui Fang* (Prescriptions of the Holy Benefit Bureau) records: Toothache sensitive to cold water should be treated with Yaxiao (Natrii Sulfas), Jianghuang (Curcumae Longae Rhizoma), Xionghuang (Realgar), and Jingjie (Schizonepetae Herba). Toothache sensitive to hot water should be treated with Ganjiang (Zingiberis Rhizoma) and Bibo (Piperis Kadsurae Fructus). Toothache insensitive to both hot and cold is Wind Toothache, treated with Zhuya Zaojiao (Gleditsiae Sinensis Spina), Jiangcan (Bombyx Batryticatus), Fengfang (Vespa), and Caowu (Aconiti Kusnezoffii Radix). Toothache with cavities is Worm Toothache (Dental Caries), treated with Xionghuang (Realgar), Duanshi (Calamina), and Shatang (Saccharum). After medication, rinse with warm water.
Xue Lizhai stated: For toothache caused by Damp-Heat in the Hand and Foot Yangming Meridians, use Qingwei San (Stomach-Clearing Powder) from Dongyuan. If caused by Wind-Cold invading the brain, resulting in headache and toothache, use Qianghuo Fuzi Tang (Notopterygii and Aconiti Decoction). If caused by excessive worry injuring the Spleen, use Guipi Tang (Restore the Spleen Decoction). If caused by Stagnant Fire, use Yueju Wan (Resolve Depression Pill). If triggered by alcohol, wheat products, or roasted/fried foods, use Qingwei San (Stomach-Clearing Powder). If caused by dietary injury to the Spleen, use Liujunzi Tang (Six Gentlemen Decoction). If caused by fatigue damaging Yuan Qi (Original Qi), use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If due to inherent weakness of the Spleen and Stomach, use Liujunzi Tang (Six Gentlemen Decoction) combined with Danggui (Angelicae Sinensis Radix) and Shengma (Cimicifugae Rhizoma). If due to Yin Deficiency of the Kidney Meridian, use Liuwei Wan (Six-Ingredient Pill with Rehmannia). If due to Yang Deficiency of the Kidney Meridian, use Bawei Wan (Eight-Ingredient Pill). If both Yin and Yang are deficient, use Shibu Wan (Ten-Nourishing Pill). If there is Cold-Deficiency of the Spleen and Kidney, use Anshen Wan (Kidney-Anchoring Pill). Mr. Xu Yongcheng stated: Toothache accompanied by aversion to cold and fever belongs to the Hand and Foot Yangming Meridians. Loose, broken, or lost teeth belong to the Foot Shaoyin Meridian. Dental erosion, swelling, pain, and bleeding are all caused by Stomach Fire, though sometimes mixed pathogenic factors from various meridians and external causes are involved.
The *Yitong* states: The favored concubine of Prime Minister Wang of the Song Dynasty had a preference for rich and strong flavors. One day, intense Heat erupted, causing gum tissue to swell and protrude, gradually enlarging until the mouth could not close, preventing the intake of even liquids. A physician used one bowl of raw Shengdihuang juice (Rehmanniae Radix Recens Juice) and several pieces of Ya Zaojiao (Gleditsiae Sinensis Spina), heated them over fire, allowed the spines to absorb the juice completely, ground them into powder, and applied it to the swollen tissue. It subsided immediately, and she recovered within a few days.
Neiruan Erjian (Two points at the medial malleolus) treats upper toothache; moxa application. Zusanli (ST36) treats upper toothache; moxa 49 cones. Sanjian (LI3) treats lower toothache; moxa 7 cones. Lieque (LU7); moxa 7 cones, prevents recurrence permanently. Hegu (LI4) treats dental caries toothache; moxa application. Neiting (ST44) treats lower toothache; acupuncture or moxa. Yanggu (SI5) treats upper toothache, located at the tip of the lateral malleolus; treat left side on right, right side on left; 11 cones, frequently effective. Taiyuan (LU9) treats Wind Toothache. Jianyu (LI15); 7 cones, apply according to the side of pain. A point below the earlobe at the end of the bone; moxa 3 cones, pain stops immediately, as if by magic.
One method for all types of toothache: Measure a grass blade along the middle finger to the distal palmar crease. Fold the grass into four parts, discard three, keep one. Use this length to measure from the wrist crease up the arm. Apply moxa 3 cones on the side corresponding to the pain. Cure follows.
Another empirical method: Locate the artery in the temple area near the front hairline. Apply small moxa cones 5 to 7 times on the side of the pain. Highly effective. No need for plasters. If it recurs, re-moxa to eradicate the root cause.