齐大夫病龋齿,仓公为之作苦参汤,日漱三升,五、六日病已。盖取其苦能安齿蠹,寒
能去风热也。后人无风蠹,有用苦参洁齿,久而病腰重者,降多故也。此不知三军之事,而
从三军之政,未有不败者也。
附子尖 天雄尖(各二钱) 全蝎(七个)
皆生捣和匀,点少许于痛处。
牙痛恶寒喜热者,此方主之。
凡人卧去之时,开口引其风寒,因致牙痛,故得寒饮则助其邪而痛甚,得热饮则散其寒
而少宽。是方也,附子尖、天雄尖,辛热之品也,用之所以温寒;乃全蝎者,微毒之品也,
假之就寒毒之区,兼疗风邪云尔!或用干姜、荜茇、细辛作汤以漱之,亦治寒之意。
牙皂角(炙,一寸,去皮) 白石膏(五钱) 朴硝(一钱) 荆芥(一钱) 葱白(三
寸)
风热牙疼,喜寒恶热者,此方漱之。
内生风热,并于一颊,邪火自实,因致牙疼。故得寒饮则阴阳微和,而痛少可;得热饮
则以火济火,而痛益深。是方也,用牙皂、荆芥、葱白之辛温以散其风。用朴硝、石膏之咸
寒以驱其热。
凡牙间有孔而痛者,以上五件,得一治之,皆获奇效。
梧桐泪,主火毒风疳 齿,王海藏常奇之矣。蟾酥主牙蚀,到处痛定,林元礼常奇之矣。
莨
之方也。新得一方,只是新烧锻石一物,蜜丸,着于齿蚀之处,应手而愈,此则古人之所未
道也。
齐国的大夫患有龋齿,仓公为他配制了苦参汤,每天漱口三次,每次三升,五到六天后病就好了。大概是因为利用了苦参的苦味能安定牙齿、防止蛀蚀,以及其寒性能够去除风热的功效。后世的人如果没有风邪和蛀蚀的情况,却使用苦参来清洁牙齿,时间久了反而导致腰部沉重,这是因为苦寒之药过度损伤阳气所致。这就像是不了解军队的作战情况,却去干预军队的行政事务,没有不失败的。
附子尖、天雄尖(各二钱),全蝎(七个)。
将上述药材生捣碎并混合均匀,取少量点涂在疼痛部位。
对于牙痛且伴有怕冷、喜欢热饮症状的患者,此方为主治方剂。
大凡人睡觉时张开嘴,导致风寒侵入,因而引起牙痛,所以喝冷饮会助长邪气使疼痛加剧,喝热饮则能散寒使疼痛稍缓解。这个方剂中,附子尖和天雄尖属于辛热性质的药物,用来温散寒邪;而全蝎属于微毒性的药物,借助它进入寒毒所在的区域,兼治风邪罢了!也可以使用干姜、荜茇、细辛煎汤漱口,这也是治疗寒邪的意思。
牙皂角(炙烤,一寸,去皮)、白石膏(五钱)、朴硝(一钱)、荆芥(一钱)、葱白(三寸)。
对于风热引起的牙疼,表现为喜欢寒冷、厌恶炎热的患者,用此方漱口。
体内内生风热,汇聚在一侧脸颊,邪火自盛,因而导致牙疼。所以喝冷饮能使阴阳微微调和,疼痛稍微减轻;喝热饮则是以火助火,使疼痛更加严重。这个方剂中,使用牙皂、荆芥、葱白的辛温性质来疏散风邪;使用朴硝、石膏的咸寒性质来驱除热邪。
凡是牙间有孔洞且疼痛的患者,以上五种方剂,选用一种进行治疗,都能获得奇效。
梧桐泪,主治火毒风疳齿,王海藏对此曾感到惊奇。蟾酥主治牙齿腐蚀,疼痛停止,林元礼对此曾感到惊奇。莨菪子的方剂……新得到一方,只是用新烧制的锻石一味药,制成蜜丸,敷在牙齿腐蚀的地方,应手而愈,这是古人所未提及的。
The Grand Master of Qi suffered from dental caries (dental decay). Cang Gong prepared Kushen Tang (Kushen Decoction) for him, instructing him to rinse his mouth three times a day with three sheng (approx. 0.6 liters) each time. After five or six days, the illness resolved. This is likely because it utilizes the bitter nature of Kushen Radix (Sophorae Flavescentis Radix) to stabilize teeth and prevent decay, and its cold nature to dispel wind-heat. Later generations, lacking wind-pathogens and decay, used Kushen Radix merely to clean teeth; over time, this led to a sensation of heaviness in the waist, due to excessive downward-draining and damage to yang qi. This is akin to not understanding military operations yet interfering with military administration—such an approach inevitably leads to defeat.
Fuzi Jians (Aconiti Lateralis Radix Preparata Apex), Tianxiong Jians (Aconiti Radix Preparata Apex) (each 2 qian), Quanxie (Scorpion) (7 individuals).
All are freshly pounded and mixed evenly. Apply a small amount directly to the painful area.
For toothache accompanied by aversion to cold and preference for warmth, this formula is indicated.
Generally, when people sleep with their mouths open, wind-cold invades, causing toothache. Therefore, drinking cold beverages aggravates the pathogen and intensifies pain, while drinking hot beverages disperses cold and provides slight relief. In this formula, Fuzi Jians and Tianxiong Jians are acrid-hot substances used to warm and dispel cold; Quanxie is a slightly toxic substance, utilized to penetrate areas affected by cold-toxic pathogens and treat wind-pathogens simultaneously! Alternatively, Ganjiang Rhizoma Zingiberis Preparatus (Dried Ginger), Bibo Fructus Piperis Longi (Long Pepper Fruit), and Xixin Herba Asari (Asarum) can be decocted for rinsing, which also addresses the intent of treating cold.
Yazaojiao (Gleditsiae Sinensis Fructus Spina, roasted, 1 cun, peeled), Baishigao (Gypsum Fibrosum, 5 qian), Puxiao (Natrii Sulfas, 1 qian), Jingjie Schizonepetae Herba (Schizonepeta, 1 qian), Congbai Allii Fistulosi Bulb (Green Onion White, 3 cun).
For toothache caused by wind-heat, characterized by preference for cold and aversion to heat, use this formula for rinsing.
Internal generation of wind-heat gathers in one cheek, causing excess evil-fire, leading to toothache. Thus, drinking cold beverages allows yin and yang to harmonize slightly, reducing pain; drinking hot beverages adds fire to fire, deepening the pain. In this formula, Yazaojiao, Jingjie, and Congbai are used for their acrid-warm properties to disperse wind; Puxiao and Baishigao are used for their salty-cold properties to drive out heat.
For any case where there are holes between teeth accompanied by pain, using any one of the above five formulas will yield remarkable effects.
Wutong Lei (Terebinthine Resin) treats fire-toxic wind-gum disease; Wang Haizang often marveled at this. Chan Su (Toad Venom) treats dental erosion and stops pain everywhere; Lin Yuanli often marveled at this. The formula involving Langdazi (Semen Hyoscyami)... A newly acquired formula consists solely of Xinshao Duanshi (Calcined Alum Stone), made into honey pills and applied to the eroded tooth area, resulting in immediate cure. This was something not mentioned by ancient masters.