奎光曰∶牙痈,一名牙蜞风。初起一小块,生于牙龈肉上,或上或下,或内或
外,其状高肿红 ,寒热疼痛者是也。牙痈,牙龈红肿,但口能开合;若牙咬则牙
关紧闭,口不能开,以此为辨。如牙痈肿痛,龈肉突出,先用金丹碧丹(方载咽喉门。)吹
入牙龈,外用黄熟香削成凿子样,从容放进牙关垫住,则牙关渐开,即将金丹吹入患处。
又曰∶牙痈专用口疳药最稳。(方载咽喉门)
《心法》曰∶牙痈久不收口,如过服寒凉者,必生多骨,候骨尖刺出,摇则离动,
始可取出,其口方敛。
陈实功曰∶牙疔生于牙缝之中,顶高突起,痛连腮项,破则流血。先宜针刺,照
疔疮门施治。(《正宗》)
奎光曰∶牙HT 属胃火,发于牙龈,如豆大,或内或外,发无定处。治宜先用金
丹碧丹,吹牙消散,后用口疳药,(方俱载咽喉门。)加薄荷、冰片吹之。煎药内加石膏、连翘。
奎光曰∶牙咬证,生于牙齿尽龈中,牙不能开,牙关紧闭。此证初起势甚,至夜
尤甚,形状虽凶,尚在可治。宜先用金丹、碧丹吹入牙龈,外用黄熟香削块垫牙,俟
齿开时,再吹金丹。(方载咽喉门)
Kui Guang stated: Ya Yong (Tooth Abscess), also known as Ya Qi Feng, initially presents as a small lump growing on the gingival tissue. It may appear above or below, inside or outside. Its characteristics include high swelling, redness, and accompanying chills, fever, and pain. In Ya Yong, the gums are red and swollen, but the mouth can open and close; in contrast, if it is Ya Yao (Trismus/Jaw Locking), the jaw is tightly closed, and the mouth cannot open. This serves as the distinguishing feature. If there is swelling, pain, and protrusion of the gingival tissue due to Ya Yong, first use Jin Dan Bi Dan (prescription recorded in the Throat Section) insufflated into the gums. Externally, use Huang Shu Xiang (Styrax Resin) carved into a chisel shape, gently inserted into the jaw gap to act as a spacer, so that the jaw gradually opens, then insufflate Jin Dan into the affected area. He further stated: Using Kou Gan medicines specifically for treating Ya Yong is the most stable approach. (Prescriptions recorded in the Throat Section)
The Xin Fa (Essentials of Clinical Practice) states: If a Ya Yong ulcer fails to heal for a long time, particularly after excessive consumption of cold-natured drugs, multiple bones (sequestra) will likely form. One must wait until the bone tip pierces through and becomes loose upon shaking before removing it, so that the wound can finally contract and heal.
Chen Shigong stated: Ya Ding (Tooth Carbuncle) grows within the interdental space, with a high, protruding apex, pain radiating to the cheek and neck, and bleeding upon rupture. Acupuncture should be performed first, and treatment should follow the protocols for Ding Chuang (Carbuncles). (From *Waike Zhengzong*)
Kui Guang stated: Ya Ding belongs to Stomach Fire. It erupts on the gums, resembling a bean in size, appearing internally or externally without a fixed location. Treatment should initially involve using Jin Dan Bi Dan, insufflated into the teeth to dissipate the swelling, followed by Kou Gan medicines (prescriptions recorded in the Throat Section), added with Bo He (Menthae Haplocalycis Herba) and Bing Pian (Borneolum Syntheticum) for insufflation. The decoction should include Shi Gao (Gypsum Fibrosum) and Lian Qiao (Forsythiae Fructus).
Kui Guang stated: Ya Yao Syndrome originates in the gingiva at the end of the teeth, characterized by the inability to open the teeth and tight closure of the jaw. This condition starts with severe intensity, worsening significantly at night. Although the presentation appears fierce, it remains treatable. Initially, use Jin Dan and Bi Dan insufflated into the gums. Externally, place a block of Huang Shu Xiu (Styrax Resin) between the teeth. Once the teeth can open, insufflate Jin Dan again. (Prescriptions recorded in the Throat Section)
Kui Guang stated: Ya Jun (Tooth Fungus) grows on the gums, presenting with a purple-black color and an uneven, mushroom-like shape. This arises from excessive fire, blood heat, combined with qi stagnation. It is appropriate to insufflate Kou Gan medicines. (Prescriptions recorded in the Throat Section) along with administering decoctions.