治一切骨槽风。并患乳岩瘰 。痰核横 。肺痈小肠痈流注等症。
犀黄（三分） 乳香（一两灯心炒去油） 没药（一两制同上） 真麝香（钱半）
共研细末。取粟米饭一两。捣为丸。如绿豆大。晒干忌烘。每服三钱。热陈酒送下饮醉盖被取汗出醒后痈消而
痛自息矣。
症以走马名者。言其疾速。失治即殒故也。盖齿属肾。与胃相通。肾主一身之元气。凡受积热火毒。疳气即奔
上焦。或干麻痘之后。及伤寒杂症热病而成。或因平昔过服助阳热药。并饮毒所中。凡初起口气甚臭。名臭息。次
第齿黑。名崩砂。盛则龈烂。名溃槽。热血迸出。名宣露。极甚者。牙脱落。名腐根。既脱齿不复回生矣。可见此
症。贵乎速治也。
凡牙疳初起。黑烂腐臭出血者。宜服芦荟消疳饮。若脾胃虚者。宜兼服人参茯苓粥。吹以神功丹。若痘疹后余
毒所中者。宜服清疳解毒汤。外势轻者。俱用人中白散擦之若坚硬青紫渐腐穿腮齿摇动者。宜芦荟散擦之。凡牙疳
见红血流者。吉。如顽肉不脱。腐肉渐开掀肿。外散臭气。身热不退俱属不治。
又牙疳五不治症。齿落无血者。不治。腮崩唇破者。不治。黑腐不脱者。不治。臭气异常者。不治。服药不效
者。不治。
芦荟（五分生） 牛蒡子（五分炒研） 元参（五分） 桔梗（六分） 川黄连（八分） 薄荷（六分） 栀
仁（五分） 生甘草（四分） 升麻（二分） 石膏（三钱） 羚羊角（一钱另磨） 银柴胡（五分）
加淡竹叶五片为引。水二钟煎至六分。食远服症重者分两加一倍。
Treats all types of Gucao Feng (Bone Trench Wind, a severe form of periodontal disease involving bone necrosis). As well as conditions such as Ru Yan (Breast Cancer), Luo Li (Scrofula), Tan He Heng Sheng (Horizontal proliferation of Phlegm Nodules), Fei Yong (Lung Abscess), Xiao Chang Yong (Small Intestine Abscess), and Liu Zhu (Metastatic Abscesses).
Xi Huang (3 fen) Xiang Ru (1 liang, stir-fried with Deng Xin Cao [Juncus effusus] to remove oil) Mo Yao (1 liang, processed similarly) Zhen She Xiang (1.5 qian)
Grind all into fine powder. Take 1 liang of millet rice, pound it into a paste to form pills the size of mung beans. Dry in the sun; avoid baking. Take 3 qian per dose, washed down with warm aged wine until slightly intoxicated. Cover with blankets to induce sweating. After waking up from the sweat, the abscess will dissipate and pain will cease naturally.
The condition is named "Zou Ma" (Running Horse) to indicate its rapid progression; failure to treat promptly leads to death. Teeth belong to the Kidney and connect with the Stomach. The Kidney governs the Yuan Qi (Primary Qi) of the whole body. Whenever one suffers from accumulated heat and fire toxins, Gan Qi (Gangrene Qi) rushes to the Upper Jiao. It may arise after measles or smallpox, or during febrile diseases caused by Shang Han (Cold Damage) and miscellaneous disorders. It can also result from long-term overconsumption of Yang-aiding hot medicines or poisoning. Initially, the breath is extremely foul, called Chou Xi (Foul Breath). Subsequently, teeth turn black, called Beng Sha (Collapsing Sand). In severe cases, gums rot, called Kui Cao (Rotting Trench). Hot blood spurts out, called Xuan Lu (Exposed Roots). In extreme cases, teeth fall out, called Fu Gen (Decayed Roots). Once teeth fall out, they do not grow back. Thus, this condition requires prompt treatment.
For initial stages of Ya Gan (Gum Gangrene) presenting with blackening, rotting, foul odor, and bleeding, Lu Hui Xiao Gan Yin (Aloe Vera Gangrene-Resolving Decoction) is appropriate. For those with Spleen and Stomach deficiency, Ren Shen Fu Ling Zhou (Ginseng and Poria Porridge) should be taken concurrently, and Shen Gong Dan (Divine Efficacy Powder) blown into the lesion. If caused by residual toxins after smallpox/rash, Qing Gan Jie Du Tang (Clear Gangrene and Detoxify Decoction) is suitable. For mild external symptoms, Ren Zhong Bai San (Human Tooth Ash Powder) is applied externally. If hard, cyanotic, gradually rotting, penetrating the cheek, and causing tooth mobility, Lu Hui San (Aloe Vera Powder) is applied externally. Seeing red blood flow in gum gangrene is auspicious. However, if stubborn flesh does not detach, necrotic tissue opens and swells, emitting a foul odor, accompanied by persistent fever, these are untreatable signs.
There are five untreatable signs of Gum Gangrene: Teeth falling out without bleeding—untreatable. Cheek collapse and lip rupture—untreatable. Black necrosis that does not slough off—untreatable. Abnormal foul odor—untreatable. No response to medication—untreatable.
Lu Hui (5 fen, raw) Niu Bang Zi (5 fen, stir-fried and ground) Yuan Shen (5 fen) Jie Geng (6 fen) Chuan Huang Lian (8 fen) Bo He (6 fen) Zhi Ren (5 fen) Sheng Gan Cao (4 fen) Sheng Ma (2 fen) Shi Gao (3 qian) Ling Yang Jiao (1 qian, separately ground) Yin Chai Hu (5 fen)
Add 5 leaves of Dan Zhu Ye (Lophatherum gracile) as a guiding herb. Add two zhong of water, decoct until six fen remains. Take after meals. For severe cases, double the dosage.