【方歌】钻牙疳在牙根生,突出硬骨锐而锋,痛如针刺殊难忍,
证由肝胃积热成。
【注】此证由肝、胃二经积热所致,乃牙根肉内钻出骨尖如刺
,疼痛异常,小儿多有之。法用铍针就患处刺开好肉,
连牙齐根取出,若血出不止者,以湿纸换贴二次即止。
内服芦荟消疳饮,外以冰硼散搽之。戒厚味,其牙复生
如旧。
方剂:芦荟消疳饮
组成:芦荟(生) 胡黄连
石膏(〔火段〕) 羚羊角(镑)
栀子(生研) 牛蒡子(炒,研)
银柴胡 桔梗
大黄(生) 元参(各五分)
薄荷叶(四分) 甘草(三分)
水二钟,淡竹叶一钱,煎六分,食远服。
【方歌】芦荟消疳清胃肝,羚膏栀子蒡胡连,银胡桔梗大黄薄,
甘草元参竹叶煎。
又方:冰硼散(见口部鹅口疮)
【方歌】牙疔牙缝胃火成,大肠湿热亦可生,肿如粟米连腮痛,
若兼麻痒即黑疔。
【注】此证由胃经火毒,或太阳经湿热皆可致之。每生于两旁
牙缝,肿起一粒,形如粟米,痛连腮项。若兼麻痒,破
流血水,疼痛异常者,即黑疔也,属肾火毒。俱用银簪
尖挑破,以见血为度,搽拔疔散,再以蟾酥丸噙化,徐
徐咽之。若烦躁口渴者,宜服黄连解毒汤即愈。若失治
,毒反攻心,令人烦躁、昏愦者逆。
方剂:拔疔散
组成:硵砂 白矾
朱砂
食盐(用铁锈刀烧红,将白矾食盐放于刀上〔火段〕
之)
各等分,择丁日午时,研为细末,收之。
【方歌】拔疔散治诸疔毒,硵砂白矾食盐朱,等分研末搽患处,
化硬搜根功效殊。
又方:蟾酥丸(见疔疮门)
黄连解毒汤(见耳部黑疔)
【方歌】钻牙疳生于牙根,突出硬骨且尖锐锋利,疼痛如针刺般难以忍受,
此证由肝、胃二经积热所致。
【注】此证因肝、胃两经积热引起,表现为牙根肉内钻出骨尖如刺,
疼痛异常,小儿多见。治法用铍针在患处刺开周围组织,
连同牙齿从根部取出,若出血不止,用湿纸更换贴敷两次即可止血。
内服芦荟消疳饮,外用冰硼散涂抹。忌食油腻厚味,牙齿可再生如初。
方剂:芦荟消疳饮
组成:芦荟(生) 胡黄连
石膏(煅) 羚羊角(镑)
栀子(生研) 牛蒡子(炒,研)
银柴胡 桔梗
大黄(生) 玄参(各五分)
薄荷叶(四分) 甘草(三分)
水两钟,淡竹叶一钱,煎至六分,饭后服用。
【方歌】芦荟消疳清胃肝,羚膏栀子蒡胡连,银胡桔梗大黄薄,
甘草玄参竹叶煎。
又方:冰硼散(见口部鹅口疮)
【方歌】牙疔生于牙缝,由胃火引起,大肠湿热亦可导致,肿胀如粟米并牵连腮部疼痛,
若兼有麻木瘙痒即转为黑疔。
【注】此证由胃经火毒,或太阳经湿热均可导致。多生于两侧
牙缝,肿起一粒,形状如粟米,疼痛牵连腮项。若兼有麻木瘙痒,破溃
流血水,疼痛异常者,即为黑疔,属肾火毒。均用银簪
尖挑破,以见血为度,涂抹拔疔散,再含化蟾酥丸,慢慢咽下。若出现烦躁口渴者,宜服用黄连解毒汤即可痊愈。若失治,
毒邪反攻于心,令人烦躁、昏愦者为逆证。
方剂:拔疔散
组成:硵砂 白矾
朱砂
食盐(用铁锈刀烧红,将白矾、食盐放于刀上煅
制)
各等分,择丁日午时,研为细末,收存备用。
【方歌】拔疔散治诸疔毒,硵砂白矾食盐朱,等分研末搽患处,
化硬搜根功效殊。
又方:蟾酥丸(见疔疮门)
黄连解毒汤(见耳部黑疔)
[Prescription Verse] Zuan Ya Gan (Drilling Tooth Ulcer) arises at the gum root, with protruding hard bone that is sharp and pointed. The pain is unbearable, like needle pricking. This condition is caused by accumulated heat in the Liver and Stomach meridians.
[Annotation] This condition is caused by accumulated heat in the Liver and Stomach meridians, manifesting as a bone tip piercing out from within the gum tissue like a thorn, causing extreme pain. It is common in children. The treatment method involves using a Pi Zhen (Bian Needle) to puncture the surrounding tissue at the affected site, extracting the tooth along with its root. If bleeding does not stop, apply wet paper patches, changing them twice until hemostasis is achieved. Internally administer Lu Hui Xiao Gan Yin (Aloe Vera Decoction for Eliminating Ulcers), and externally apply Bing Peng San (Ice and Borax Powder). Avoid rich and greasy foods; the tooth will regenerate as before.
Prescription: Lu Hui Xiao Gan Yin (Aloe Vera Decoction for Eliminating Ulcers)
Composition: Aloe vera (raw), Picrorhizae Rhizoma (Huhuanglian), Gypsum Fibrosum (calcined), Antelope Horn (shaved), Gardeniae Fructus (raw and crushed), Arctii Fructus (stir-fried and crushed), Bupleuri Radix (Yinchaihu), Platycodonis Radix (Jiegeng), Rheum Palmatum (raw), Scrophulariae Radix (Yuanshen) (each 5 fen), Menthae Haplocalycis Folium (Boheye) (4 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen).
Decoct two zhong of water with one qian of Zhu Ye (Bambusa Leaves) until reduced to six parts. Take after meals.
[Prescription Verse] Lu Hui Xiao Gan clears the Stomach and Liver, Ling Yang Jiao, Shigao, Zhizi, Niuxi, and Huhelian. Yin Hu, Jie Geng, Da Huang, Bo He, Gan Cao, Yuanshen, and Zhuye are decocted together.
Another Prescription: Bing Peng San (see Aphthous Ulcers in the Mouth section).
[Prescription Verse] Ya Ding (Toxic Carbuncle of the Tooth) forms in the dental fissures due to Stomach Fire; damp-heat in the Large Intestine can also cause it. Swelling resembles millet grains and extends to the cheek with pain. If accompanied by numbness and itching, it becomes Hei Ding (Black Carbuncle).
[Annotation] This condition is caused by fire-toxin in the Stomach meridian or damp-heat in the Taiyang meridian. It usually appears on either side of the dental fissures as a single swelling resembling a millet grain, with pain radiating to the cheek and neck. If accompanied by numbness and itching, with rupture releasing blood and serum and extreme pain, it is called Hei Ding (Black Carbuncle), attributed to kidney fire-toxin. All such cases should be punctured with the tip of a silver hairpin until blood appears, then applied with Ba Ding San (Carbuncle-Pulling Powder), followed by holding and slowly swallowing Chan Su Wan (Toad Venom Pill). If irritability and thirst occur, take Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity) for recovery. If neglected, the toxin may counter-attack the Heart, causing irritability and confusion, which indicates an adverse prognosis.
Prescription: Ba Ding San (Carbuncle-Pulling Powder)
Composition: Realgar (Qingshi), Alum (Baifan), Cinnabar (Zhusha), Sodium Chloride (Shiyan). (Heat a rusty iron knife red-hot, place the alum and salt on the knife, and calcine them.)
Mix equal parts. Grind into fine powder on a Ding day at Wu hour (noon), and store.
[Prescription Verse] Ba Ding San treats various carbuncle toxins; Qingshi, Baifan, Shiyan, and Zhushu. Mix equal parts, grind into powder, and apply to the affected area. It softens hardness and extracts roots with remarkable efficacy.
Another Prescription: Chan Su Wan (Toad Venom Pill) (see Carbuncles section).
Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity) (see Black Carbuncle in the Ear section).