左手寸关脉洪数，或弦而供，肠胃中有风热，齿痛。
尺脉洪大而虚者，肾虚，主齿动疏豁，相火上炎而痛。
丹溪曰∶牙齿痛肿，或动或血出，皆是属热，宜泻胃火。胃气实者，用调胃承气汤
加黄连、石膏、升麻、白芷、防风、荆芥、薄荷、桔梗、甘草之类，外用四神散加梧桐
律擦之，或加麝香。
经曰∶人年四十而阴气自半。又云∶五八肾气衰，发堕齿槁。可见年及四旬，急以补
肾固齿，不可少缓，果能于未伤之先固济，则无损坏之理。《易》曰∶苟得其养，无物不长；
苟失其养，无物不消，此之谓欤！
《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
蛀牙，宜用雄黄、锻石、砂糖等治之。用药
了，皆以温水漱之。
予邑宋汪丞相之宠好食浓味，一日热大作，齿间拥出有肉，渐大胀满，口不能闭，水
浆不入。一医治之，不日而愈。法用生地黄汁一碗，牙皂角数挺，火上炙热，蘸汁令尽，为
末敷壅肉上，随即消缩。
齿因不知护惜，或击损者，或跌扑者，或啮坚物而伤者，或咬重物而伤者，此皆外
因，非药之可医。知者不可不慎。
（《和剂》）清胃散 治阳明热盛齿痛，或因服热药及。引脑痛皆然。
牡丹皮 升麻（各一钱） 当归 生地黄 黄连（各钱半）
上作一服，水二钟煎八分，食远温服。
（《经验》）玉池散 治风蛀牙痛，肿痒动摇，于龈溃烂，宣露出血，龈热臭气。
当归 川芎 防风 白芷 本 细辛 升麻 地骨皮 槐花 甘草（各等分）
上咀，每服五钱，水二盏、黑豆二十粒、姜三片煎一盏，去渣。不拘时服，漱口吐
去，咽下亦不妨。
（《秘验》）清胃饮 治一切风热湿痰，牙痛床肿，血出动摇。
当归 生地黄 黄芩 石膏（各一钱） 升麻（五分） 白芍药 青皮 黄连（各八
分） 甘草 牡丹皮（各四分） 栀子仁 苍术（各一钱） 细辛 藿香 荆芥穗（各六
分）
上水二钟煎八分，食后缓缓含呷之，效。
（《东垣》）神功丸 治多食肉人口臭不可近，牙齿疳蚀，牙龈肉脱血出。
藿香叶 当归身 木香 升麻（各一钱） 生地黄（酒洗） 甘草（各三钱） 黄
连（酒洗） 缩砂仁（各五钱）
上为细末，汤浸蒸饼为丸，如绿豆大，每服一百丸，或加至二百丸，白汤食远服。此
药兼治血崩、血痢及下血不止，血下褐色，或紫或黑，及肠 下血，空心服，米汤下。其脉
洪大而缓者，及治麻木，血气上冲，逆气上行、妄闻妄见者皆效。
立效饼子 治一切风牙、虫牙，疼痛不可忍。
良姜 草乌 川芎 荜茇 胡椒（各等分）
上为细末，酒糊丸，梧桐子大，捻作饼子。每用一饼咬在患处，有涎出立愈。
鼻药 治诸般牙疼
雄黄（一钱） 乳香 没药（各五分）
上为细末，右疼吹左鼻，左疼吹右鼻。治牙疼有四法，用此并无不愈者，先用吹药，次
用漱药，次擦药，次随证服药。此为四治并施是也。
左手寸、关脉象洪大数急，或弦而急促，提示肠胃中有风热邪气，症状为牙齿疼痛。
尺脉象洪大而虚弱的，提示肾虚，主要表现为牙齿松动稀疏，相火（肾中虚火）上炎导致疼痛。
朱丹溪说：牙齿肿痛，或者松动出血，都属于热证，应当清泻胃火。若胃气实证，可用调胃承气汤（调和胃气的承气汤方剂）加入黄连、石膏、升麻、白芷、防风、荆芥、薄荷、桔梗、甘草等药物；外用四神散（一种外用散剂）加梧桐泪研磨后擦拭患处，或者加入麝香。
医经说：人到了四十岁，阴气自然减半。又说：男子四十岁左右肾气衰退，头发脱落，牙齿枯槁。由此可见，年届四十，必须急切地补肾固齿，不可稍有迟缓。如果能在未受损之前加以巩固保养，就不会有损坏的道理。《易经》说：如果能得到滋养，没有事物不生长；如果失去滋养，没有事物不消亡，说的就是这个道理！
《太平圣惠方》说：怕冷水的属于热证牙痛，适宜用牙硝、姜黄、雄黄、荆芥等药物治疗。怕热水的属于寒证牙痛，适宜用干姜、荜茇等药物治疗。不怕冷热的是风邪引起的牙痛，以猪牙皂角、僵蚕、蜂房、草乌治疗。有孔洞的是蛀牙，适宜用雄黄、煅石、砂糖等治疗。用药结束后，都用温水漱口。
我同乡宋汪丞相宠爱吃浓烈厚味的食物，一天突然热毒大作，牙龈间长出肉芽，逐渐肿大胀满，嘴巴无法闭合，连水浆都喝不进去。一位医生为他治疗，不久就好了。治疗方法是用生地黄汁一碗，取几根牙皂角在火上烤热，蘸取地黄汁直到吸尽，研成粉末敷在肿起的肉芽上，随即消肿缩小。
牙齿因为不知道爱护珍惜，或被击打损伤，或跌倒磕碰，或啃咬坚硬物体受伤，或咬重物受伤，这些都属于外因，不是药物可以治愈的。明智的人对此不可不谨慎对待。
（出自《和剂局方》）清胃散：治疗阳明经热盛导致的牙齿疼痛，或因服用热性药物引起的头痛牵引至牙齿疼痛，皆有效。
牡丹皮、升麻（各一钱），当归、生地黄、黄连（各钱半）。
以上药物作为一服量，用水两钟煎至八分，饭后稍远时温服。
（出自《经验方》）玉池散：治疗风邪蛀蚀引起的牙痛，牙龈肿胀瘙痒、牙齿动摇，牙龈溃烂暴露出血，牙龈发热且有臭气。
当归、川芎、防风、白芷、藁本、细辛、升麻、地骨皮、槐花、甘草（各等分）。
以上药物切碎，每次服用五钱，用水两盏、黑豆二十粒、生姜三片煎至一盏，去渣。不拘时间服用，含漱后吐出，咽下也无妨。
（出自《秘验方》）清胃饮：治疗一切风热湿痰引起的牙痛，牙龈床肿胀，出血且牙齿动摇。
当归、生地黄、黄芩、石膏（各一钱），升麻（五分），白芍药、青皮、黄连（各八分），甘草、牡丹皮（各四分），栀子仁、苍术（各一钱），细辛、藿香、荆芥穗（各六分）。
以上用水两钟煎至八分，饭后缓缓含漱吞咽，见效。
（出自李东垣方）神功丸：治疗因多吃肉类导致口臭难闻，牙齿被虫蚀，牙龈萎缩出血。
藿香叶、当归身、木香、升麻（各一钱），生地黄（酒洗）、甘草（各三钱），黄连（酒洗）、缩砂仁（各五钱）。
以上研成细末，用汤浸蒸饼做成丸子，如绿豆大小，每次服用一百丸，可加至二百丸，空腹时用白开水送服。此药兼治血崩、血痢及下血不止，血色褐色，或紫或黑，以及肠道下血，空腹服用，米汤送下。对于脉象洪大而缓者，以及治疗麻木、气血上冲、逆气上行、胡言乱语幻视者均有效。
立效饼子：治疗一切风牙、虫牙，疼痛难以忍受。
良姜、草乌、川芎、荜茇、胡椒（各等分）。
以上研成细末，用酒糊做成丸子，如梧桐子大小，捏成饼状。每次取一饼咬在患处，有涎液流出即可立即痊愈。
鼻药：治疗各种牙疼。
雄黄（一钱），乳香、没药（各五分）。
以上研成细末，右侧牙疼吹左侧鼻孔，左侧牙疼吹右侧鼻孔。治疗牙疼有四法，使用此药无不痊愈的，先用吹药，再用漱药，再擦药，最后随证服药。这就是四法并施。
The pulse at the Cun and Guan positions of the left hand is flooding, rapid, or wiry and tense, indicating wind-heat in the intestines and stomach, with symptoms of toothache.
If the Chi pulse is flooding yet empty, it indicates Kidney deficiency, primarily manifesting as loose and sparse teeth, with pain caused by Ministerial Fire (deficient fire of the Kidney) flaming upward.
Zhu Danxi stated: Tooth swelling and pain, whether accompanied by loosening or bleeding, all belong to Heat syndromes; one should purge Stomach Fire. In cases of Stomach Excess syndrome, Tiaowei Chengqi Tang (Regulating the Stomach Decoction) can be used with added Coptidis Rhizoma (Huanglian), Gypsum Fibrosum (Shigao), Bupleuri Radix (Shengma), Angelicae Dahuricae Radix (Baizhi), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Menthae Haplocalycis Herba (Bohe), Platycodonis Radix (Jiegeng), and Glycyrrhizae Radix et Rhizoma (Gancao). Externally, Sishen San (Four Divine Powder) mixed with Terminalia chebula resin (Wutonglü) can be ground and applied to the area, or Musk (Shexiang) can be added.
The Classics state: When a person reaches forty, Yin Qi naturally halves. It is also said: At around fifty (five times eight), Kidney Qi declines, hair falls out, and teeth become dry. This shows that upon reaching forty, one must urgently tonify the Kidney and strengthen the teeth without delay. If consolidation and nourishment are maintained before damage occurs, there will be no destruction. The I Ching says: "If nourishment is obtained, nothing does not grow; if nourishment is lost, nothing does not perish." This is exactly what is meant!
Taiping Shenghui Fang states: Those who fear cold water have Heat-type toothaches and should be treated with Natrii Sulfas (Yaxiao), Curcumae Longae Rhizoma (Jianghuang), Realgar (Xionghuang), and Schizonepetae Spica (Jingjie). Those who fear hot water have Cold-type toothaches and should be treated with Zingiberis Rhizoma Recens (Ganjiang) and Piperis Kadsurae Fructus (Bibo). Those who fear neither cold nor heat have Wind-toothaches, treated with Gleditsiae Sinensis Fructus (Zhuyazaojiao), Bombyx Batryticatus (Jiangcan), Vespa Nidus (Fengfang), and Aconiti Lateralis Radix Preparata (Caowu). Those with holes have dental caries (worm teeth), treated with Realgar (Xionghuang), Calcined Stone (Duanshi), and Sugar (Shatang). After applying medication, rinse with warm water.
My fellow townsman, Song Wang Chengxiang's concubine, loved rich and strong flavors. One day, severe heat toxicity erupted, causing flesh to protrude from between the teeth, gradually swelling until her mouth could not close, preventing even water or gruel from entering. A physician treated her, and she recovered in a few days. The method involved using one bowl of Rehmanniae Radix Preparata (Shengdihuang) juice, taking several pods of Gleditsiae Sinensis Fructus (Yazaojiao), heating them over fire, dipping them into the juice until absorbed, grinding them into powder, and applying it to the swollen flesh, which immediately subsided.
Teeth damaged due to lack of care, such as being struck, falling, biting hard objects, or chewing heavy items, are all external causes and cannot be cured by medicine alone. Wise individuals must be cautious about this.
(From Heji Jufang) Qingwei San (Clear the Stomach Powder): Treats toothache caused by excessive Heat in the Yangming channel, or headache radiating to the teeth due to taking hot-natured medicines.
Moutan Cortex (Mudanpi), Cimicifugae Rhizoma (Shengma) (1 qian each); Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shengdihuang), Coptidis Rhizoma (Huanglian) (1.5 qian each).
Take as one dose, decoct in two zhong of water until reduced to 0.8 zhong, and take warm after meals.
(From Jingyan Fang) Yuchi San (Jade Pool Powder): Treats toothache caused by wind and caries, with swollen and itching gums, loose teeth, gum ulceration and bleeding, hot gums, and foul odor.
Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Saposhnikoviae Radix (Fangfeng), Angelicae Dahuricae Radix (Baizhi), Ligustici Chuanxiong Rhizoma (Ben), Asari Radix et Rhizoma (Xixin), Cimicifugae Rhizoma (Shengma), Phellodendri Amurensis Cortex (Digupi), Sophorae Flavescentis Flos (Huaihua), Glycyrrhizae Radix et Rhizoma (Gancao) (equal parts).
Coarsely crush the herbs. Take 5 qian per dose, decoct in two zhan of water with 20 black soybeans and 3 slices of ginger until reduced to one zhan, then strain. Take at any time, swish and spit out; swallowing is also acceptable.
(From Miyan Fang) Qingwei Yin (Clear the Stomach Decoction): Treats all types of toothache caused by wind-heat, dampness, and phlegm, with swollen gums, bleeding, and loose teeth.
Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shengdihuang), Scutellariae Radix (Huangqin), Gypsum Fibrosum (Shigao) (1 qian each); Cimicifugae Rhizoma (Shengma) (0.5 qian); Paeoniae Radix Alba (Baishaoyao), Tangerine Peel (Qingpi), Coptidis Rhizoma (Huanglian) (0.8 fen each); Glycyrrhizae Radix et Rhizoma (Gancao), Moutan Cortex (Mudanpi) (0.4 fen each); Gardeniae Fructus (Zhizi), Atractylodis Rhizoma (Cangzhu) (1 qian each); Asari Radix et Rhizoma (Xixin), Pogostemonis Herba (Huoxiang), Schizonepetae Spica (Jingsui) (0.6 fen each).
Decoct in two zhong of water until reduced to 0.8 zhong. After meals, slowly hold in the mouth and swallow for best effect.
(From Li Dongyuan) Shengong Wan (Divine Merit Pill): Treats bad breath due to excessive meat consumption, dental caries, and receding gums with bleeding.
Pogostemonis Herba (Huoxiangye), Angelicae Sinensis Radix (Dangguishen), Aucklandiae Radix (Muxiang), Cimicifugae Rhizoma (Shengma) (1 qian each); Rehmanniae Radix Preparata (Shengdihuang, washed with wine), Glycyrrhizae Radix et Rhizoma (Gancao) (3 qian each); Coptidis Rhizoma (Huanglian, washed with wine), Amomi Fructus Rotundus (Suosharen) (5 qian each).
Grind into fine powder, mix with steamed bread dough soaked in decoction to form pills the size of mung beans. Take 100 pills per dose, up to 200, on an empty stomach with plain boiled water. This medicine also treats metrorrhagia, bloody dysentery, and persistent lower bleeding with brown, purple, or black blood, as well as intestinal bleeding. Take on an empty stomach with rice soup. It is effective for flooding and slow pulses, numbness, rising Qi and Blood, rebellious Qi ascending, and hallucinations.
Lixiao Bingzi (Instant Effect Cake): Treats all wind and worm toothaches with unbearable pain.
Alpiniae Officinarum Rhizoma (Liangjiang), Aconiti Lateralis Radix Preparata (Caowu), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Piperis Kadsurae Fructus (Bibo), Piperis Longi Fructus (Hujiao) (equal parts).
Grind into fine powder, bind with wine paste into pills the size of Chinese tallow tree seeds, and shape into cakes. Place one cake on the affected area to bite; relief comes immediately upon salivation.
Bi Yao (Nasal Medicine): Treats various toothaches.
Realgar (Xionghuang) (1 qian), Boswelliae Resina (Ruxiang), Myrrhae Resina (Moyao) (0.5 fen each).
Grind into fine powder. For right-sided toothache, blow into the left nostril; for left-sided toothache, blow into the right nostril. There are four methods for treating toothache; using this ensures recovery. First use nasal insufflation, then rinsing, then application, and finally oral medication according to the syndrome. This constitutes the simultaneous application of four treatments.