论曰字书谓凡动皆风，虫以风化，盖手阳明支脉入于齿，其经虚损，骨髓不荣，风邪乘
之，攻入于齿，毒瓦斯与湿相搏而生虫，故云虫蚀牙齿也，其状齿根有窍，或作疼痛，甚则摇
动宣露，浮肿作臭，世俗亦呼为 牙。
治虫蚀牙齿蛀 ，风痒摇动疼痛，及牙宣出血，气息浮肿等疾。玉池散方
地骨皮 白芷 升麻 防风（去叉） 细辛（去苗叶） 芎 槐花 当归（切炒）
本
（去苗土） 甘草（炙锉）
上一十味等分，捣罗为散，常用揩牙，良久以温水漱，次用药二钱匕，水一盏，生姜三
片，黑豆三十粒，同煎至七分，热含冷吐。
治风 牙疼，及牙宣。七香散方
蔓荆实（去皮） 荆芥穗 地骨皮 防风（去叉） 莎草根（炒去毛） 白芷（各一分）
草乌
头（三枚） 麝香（研少许）
上八味，捣研为散，每用三钱匕，水一盏，煎沸，热含冷吐。
治久患牙疼，及齿 。附子散方
附子（一两去皮脐生用） 胡椒 荜茇 黄蜡（各一分）
上四味，捣罗三味为末，熔蜡和丸，如梧桐子大，每用绵裹一丸，以患牙咬之，如 安
在窍内。
治牙齿蛀 ，牢牙秘精补益。漱咽青盐散方
青盐 龙骨（生各四两） 湿鸡头（一升以青盐拌一宿炒令通黑）
上三味，捣罗为散，平旦及临卧，先漱口令净，以药散如常揩齿，良久以温酒漱咽。
治风 牙疼。乌头散方
乌头（二枚坐正角多者生去皮脐） 干姜（生用去皮） 甘草（二十各用一枣子大）
上三味，捣罗为散，每用半字，含水搐鼻，左疼搐右，右疼搐左，以瘥为度。
治 牙疼痛，不可忍者。乳香丸方
乳香（研） 胡椒 阿魏（各等分）
上三味，捣研为末，煎皂荚子胶和丸，如绿豆大，每用绵裹一丸，安在 牙内吐涎，以
瘥为度。
治牙齿痛有虫。蜂房汤方
蜂房（一枚炙劈碎） 豉（四十九粒） 蜀椒（去目并合口二七粒）
上三味，以水二盏半，煎十余沸，去滓热含冷吐，此药若有肿尤易见效。
治牙齿虫疼痛。蜀椒汤方
蜀椒（去目并闭口者） 桂（去粗皮各一两） 白矾（烧灰半两）
上三味，粗捣筛，每用三钱匕，水一盏，煎三五沸，去滓热含冷吐以瘥为度。
治牙疼蛀 ，风虚上攻，连脑疼痛。乳香散方
乳香（一分） 补骨脂（炒半两）
上二味，捣研为散，每取少许，揩疼处，有蛀眼，则用软饭和药作梃子，塞蛀孔中，其
痛立止。
治虫蚀牙齿，片片自落。麝胆散方
麝香 石胆（各一分）
上二味，细研为散，每用一字，掺敷患处，日三，以瘥为度。
治风 牙痛。立止丸方
肥皂荚（去皮子取肉） 草乌头（不去尖各一两） 乳香（研一钱）
上三味，捣研为末，薄面糊丸，如梧桐子大，每用一丸，入 孔中，涎出即吐。
治牙齿虫痛。地龙丸方
干地龙（末三分） 麝香（研一分）
上二味和匀，熔蜡丸如麻子大，每有牙虫孔，即以一丸纳之，候药发热虫死立瘥。
治一切风 牙痛，不可忍者。白虎散方
砒霜 铅丹（各一分）
上二味，先取砒研细，入青葱梢内，轻轻扎定，次入秆草内，如缚粽子样，以草火烧透
，取砒如金色一梃子，次取铅丹同研匀细，每用时以灯心点药一米许，入于耳内，左则左用
，右则右用。
治牙疼不止，去风 。神仙功效比金散方
雄黄（不拘多少）
上一味研细，随左右疼处，以剜耳子送入耳中立止。
治牙齿风 疼痛方
乌头（炮裂去皮脐） 芎 甘草（炙锉） 地骨皮 细辛（去苗叶） 白芷 高良姜
（等分）
上七味，捣罗为散，以指点药，揩于痛处出涎，以温水漱三五度，即瘥。
治风 牙齿疼痛方
猪牙皂荚（炙去皮子） 露蜂房（炒） 蜀椒（去目并合口炒） 细辛（去苗叶等分）
上四味，捣罗为散，每服一钱匕，水一盏，煎沸，热含冷吐，不拘时。
治齿痛 孔。二白丸方
白僵蚕（炒） 白矾（熬枯各半两）
上二味，捣研为细末，以腊月猪脂丸，纳于 孔中。
治 牙有孔疼痛方
巴豆（一粒去皮炒） 石亭脂（少许研） 干姜（少许为末） 麝香（研少许）
上四味，同研为细末，熔蜡和丸。如芥子大，每用绵裹一丸，纳 孔中。
治 牙疼痛方
附子（一枚生去皮脐捣为末）
上一味，熔蜡丸如粟米大，每用绵裹一丸，纳 孔中。
治 牙疼痛久不已方
上捣莨菪子末，纳 孔中。
论述说：字书中说凡是运动都归于风，虫是由风化而生的。大概手阳明大肠经的支脉进入牙齿中，如果该经脉虚损，骨髓得不到滋养，风邪就会趁机侵入，攻入牙齿，毒气与湿气相互搏结而产生虫，所以称为“虫蚀牙齿”。其症状表现为牙根出现孔洞，有时伴有疼痛，严重时牙齿松动、牙龈萎缩暴露，牙龈浮肿且有臭味，世俗也称之为“牙宣”（牙龈出血萎缩）。
治疗虫蚀牙齿导致的蛀洞、风痒、牙齿松动疼痛，以及牙宣出血、气息浮肿等病症。玉池散方：
地骨皮、白芷、升麻、防风（去叉）、细辛（去苗叶）、川芎、槐花、当归（切后炒）、藁本（去苗土）、甘草（炙后锉碎）。
以上十味药，各取等分，捣碎过筛制成散剂。日常使用时用来擦牙，停留较长时间后用温水漱口。接着取药二钱匕，加水一盏，生姜三片，黑豆三十粒，共同煎煮至七分量，趁热含在口中，冷却后吐出。
治疗风邪引起的牙疼，以及牙宣。七香散方：
蔓荆实（去皮）、荆芥穗、地骨皮、防风（去叉）、莎草根（炒后去毛）、白芷（各一分）、草乌头（三枚）、麝香（研成少许粉末）。
以上八味药，捣碎研磨成散剂。每次取三钱匕，加水一盏，煎沸，趁热含在口中，冷却后吐出。
治疗长期患牙疼，以及齿龋（蛀牙）。附子散方：
附子（一两，去皮脐，生用）、胡椒、荜茇、黄蜡（各一分）。
以上四味药，将前三味捣碎过筛成末，熔化黄蜡调和做成丸药，大小如梧桐子。每次取一丸用棉布包裹，咬在患牙处，就像把药塞在孔洞里一样。
治疗牙齿蛀洞，坚固牙齿、秘精补益。漱咽青盐散方：
青盐、龙骨（生用，各四两）、湿鸡头（一升，用青盐拌匀浸泡一夜，炒至通体发黑）。
以上三味药，捣碎过筛制成散剂。清晨和临睡前，先漱口使口腔洁净，用药散像平常刷牙一样擦拭牙齿，停留较长时间后用温酒漱口并咽下。
治疗风邪引起的牙疼。乌头散方：
乌头（二枚，选坐正角多的，生用，去皮脐）、干姜（生用，去皮）、甘草（二十个，每个取枣子大小的一块）。
以上三味药，捣碎过筛成散剂。每次取半字量的药，含水后吸入鼻中，左边疼吸右边，右边疼吸左边，以病愈为度。
治疗牙痛剧烈，无法忍受。乳香丸方：
乳香（研）、胡椒、阿魏（各等分）。
以上三味药，捣碎研磨成末，煎皂荚子胶调和做成丸药，大小如绿豆。每次取一丸用棉布包裹，放入蛀牙孔内，促使流涎，以病愈为度。
治疗牙齿疼痛有虫。蜂房汤方：
蜂房（一枚，炙后劈碎）、豆豉（四十九粒）、蜀椒（去目及合口者，十四粒）。
以上三味药，用水二盏半，煎煮十余次沸腾，滤去渣滓，趁热含在口中，冷却后吐出。此药如果有肿胀，更容易见效。
治疗牙齿因虫引起的疼痛。蜀椒汤方：
蜀椒（去目及闭口者）、桂枝（去粗皮，各一两）、白矾（烧成灰，半两）。
以上三味药，粗捣过筛。每次取三钱匕，加水一盏，煎煮三五次沸腾，滤去渣滓，趁热含在口中，冷却后吐出，以病愈为度。
治疗牙疼蛀洞，风虚上攻，牵连头部疼痛。乳香散方：
乳香（一分）、补骨脂（炒，半两）。
以上两味药，捣碎研磨成散剂。每次取少许，涂抹在疼痛处；如果有蛀眼，则用软饭和药做成条状，塞入蛀孔中，疼痛立即停止。
治疗虫蚀牙齿，牙齿片片自行脱落。麝胆散方：
麝香、石胆（各一分）。
以上两味药，细细研磨成散剂。每次取一字量的药，撒敷在患处，每日三次，以病愈为度。
治疗风邪引起的牙痛。立止丸方：
肥皂荚（去皮子取肉）、草乌头（不去尖，各一两）、乳香（研，一钱）。
以上三味药，捣碎研磨成末，用薄面糊做成丸药，大小如梧桐子。每次取一丸，放入耳孔中，流出涎液即吐出。
治疗牙齿虫痛。地龙丸方：
干地龙（末，三分）、麝香（研，一分）。
以上两味药混合均匀，熔化黄蜡做成丸药，大小如麻子。每当遇到牙虫孔，就取一丸纳入其中，等待药发热虫子死后，病立即痊愈。
治疗一切风邪引起的牙痛，剧烈无法忍受。白虎散方：
砒霜、铅丹（各一分）。
以上两味药，先将砒霜研细，放入青葱梢内，轻轻扎紧，再放入秆草内，像捆粽子那样，用草火烧透，取出呈金色的砒霜条状物。其次取铅丹同研匀细。每次用时，用灯心草蘸取药米许长，放入耳内，左边疼用左耳，右边疼用右耳。
治疗牙疼不止，祛风。神仙功效比金散方：
雄黄（不拘多少）。
以上一味药研细，根据左右疼痛之处，用挖耳勺送入耳中，疼痛立即停止。
治疗牙齿风邪疼痛方：
乌头（炮裂，去皮脐）、川芎、甘草（炙锉）、地骨皮、细辛（去苗叶）、白芷、高良姜（等分）。
以上七味药，捣碎过筛成散剂。用手指蘸药，涂抹在疼痛处使其流涎，用温水漱口三五次，即可痊愈。
治疗风邪引起的牙齿疼痛方：
猪牙皂荚（炙，去皮子）、露蜂房（炒）、蜀椒（去目及合口，炒）、细辛（去苗叶，等分）。
以上四味药，捣碎过筛成散剂。每次服用一钱匕，加水一盏，煎沸，趁热含在口中，冷却后吐出，不限时间。
治疗齿痛有孔。二白丸方：
白僵蚕（炒）、白矾（熬枯，各半两）。
以上两味药，捣研成细末，用腊月猪油做丸，纳入孔中。
治疗牙有孔疼痛方：
巴豆（一粒，去皮炒）、石亭脂（少许，研）、干姜（少许，为末）、麝香（研，少许）。
以上四味药，同研为细末，熔化黄蜡调和做丸。大小如芥子，每次取一丸用棉布包裹，纳入孔中。
治疗牙疼痛方：
附子（一枚，生用，去皮脐，捣为末）。
以上一味药，熔化黄蜡做丸，大小如粟米。每次取一丸用棉布包裹，纳入孔中。
Discussion: Textbooks state that all movement is attributed to Wind, and parasites are generated by the transformation of Wind. The branch collateral of the Hand-Yangming Large Intestine Meridian enters the teeth. If this meridian is deficient and damaged, the bone marrow fails to receive nourishment, allowing Wind pathogen to take advantage and invade the teeth. Toxic qi combats with Dampness to generate parasites; hence it is called "parasites eroding the teeth." The manifestations include holes at the tooth roots, sometimes accompanied by pain. In severe cases, teeth become loose and the gums recede (Ya Xuan, gingival recession), swelling occurs, and there is a foul odor. Secularly, this is also referred to as "Ya Xuan" (gingival recession and bleeding).
For treating diseases such as parasitic erosion causing cavities, wind-induced itching, loose painful teeth, Ya Xuan with bleeding, and swollen breath:
**Yuchi San (Jade Pool Powder)**
*Ingredients:* Guqipi (Cortex Lycii Radicis), Baizhi (Radix Angelicae Dahuricae), Shengma (Rhizoma Cimicifugae), Fangfeng (Radix Saposhnikoviae), Xixin (Radix Asari), Xiong (Rhizoma Chuanxiong), Huaihua (Flos Sophorae), Danggui (Radix Angelicae Sinensis), Gaoben (Radix Ligustici Wallichii), Gancao (Radix Glycyrrhizae Preparata).
*Preparation:* Ten ingredients in equal parts, pounded and sifted into powder.
*Usage:* Commonly used to rub the teeth. Leave for a while, then rinse with warm water. Next, take two qianbi of the powder, one sheng of water, three slices of fresh ginger, and thirty black soybeans. Decoct together until reduced to 70%. Hold hot in the mouth and spit out when cool.
For treating wind-induced toothache and Ya Xuan:
**Qixiang San (Seven Fragrances Powder)**
*Ingredients:* Manjingshi (Fructus Viticis Exocarpium), Jingjie Sui (Herba Schizonepetae), Guqipi, Fangfeng, Suocaogen (Rhizoma Cyperi Rotundi), Baizhi (each 1 fen), Caowutou (Radix Aconiti Kusnezoffii, 3 pieces), Shexiang (Moschus, a small amount, ground).
*Preparation:* Eight ingredients, pounded and ground into powder.
*Usage:* Take three qianbi per dose, one sheng of water. Boil, hold hot in the mouth, and spit out when cool.
For treating chronic toothache and dental caries:
**Fuzi San (Aconite Powder)**
*Ingredients:* Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, peeled and navel removed, raw), Hujiao (Piperis Fructus), Biba (Fructus Piperis Longi), Huangla (Cera Flava, each 1 fen).
*Preparation:* Four ingredients. Pound the first three into powder, melt the wax, and mix to form pills the size of Sophora seeds.
*Usage:* Wrap one pill in cotton, bite on the affected tooth, placing it inside the cavity.
For treating dental caries, strengthening teeth, securing essence, and tonifying:
**Shuyan Qingyan San (Rinsing and Swallowing Green Salt Powder)**
*Ingredients:* Qingyan (Sal Nigrum), Longgu (Os Draconis, raw, each 4 liang), Shijitou (Semen Euryales, 1 sheng, mixed with green salt, soaked overnight, fried until completely black).
*Preparation:* Three ingredients, pounded and sifted into powder.
*Usage:* In the morning and before bed, rinse mouth thoroughly first. Rub teeth with the powder as usual. Leave for a while, then rinse and swallow with warm wine.
For treating wind-induced toothache:
**Wutou San (Aconite Powder)**
*Ingredients:* Wutou (Radix Aconiti, 2 pieces, select those with upright horns, raw, peeled and navel removed), Ganjiang (Rhizoma Zingiberis Recens), Gancao (Radix Glycyrrhizae, 20 pieces, each the size of a jujube).
*Preparation:* Three ingredients, pounded and sifted into powder.
*Usage:* Take half zi of the powder. Hold water in the mouth and insufflate into the nose. If left side hurts, insufflate right; if right side hurts, insufflate left. Continue until cured.
For treating unbearable toothache:
**Ruxiang Wan (Frankincense Pill)**
*Ingredients:* Ruxiang (Resina Frankincense, ground), Hujiao, Awei (Resina Ferulae, equal parts).
*Preparation:* Three ingredients, pounded and ground into powder. Mix with soap pod gum to form pills the size of mung beans.
*Usage:* Wrap one pill in cotton, place in the carious tooth to induce salivation. Spit out. Continue until cured.
For treating toothache caused by worms:
**Fengfang Tang (Honeycomb Decoction)**
*Ingredients:* Fengfang (Nidus Vespae, 1 piece, roasted and crushed), Chi (Folium Sojae Preparatum, 49 grains), Shujiao (Fructus Zanthoxyli, remove eyes and closed ones, 14 grains).
*Preparation:* Three ingredients. Add 2.5 sheng of water, boil more than ten times. Strain. Hold hot in mouth, spit out when cool. This medicine is especially effective if swelling is present.
For treating toothache caused by worms:
**Shujiao Tang (Zanthoxylum Decoction)**
*Ingredients:* Shujiao, Gui (Ramulus Cinnamomi, remove coarse bark, each 1 liang), Baifan (Alumen, burnt to ash, 0.5 liang).
*Preparation:* Three ingredients, coarsely pounded and sieved.
*Usage:* Take three qianbi per dose, one sheng of water. Boil 3-5 times. Strain. Hold hot in mouth, spit out when cool. Continue until cured.
For treating toothache from caries, wind-deficiency attacking upward, causing headache:
**Ruxiang San (Frankincense Powder)**
*Ingredients:* Ruxiang (1 fen), Buguzhi (Fructus Psoraleae, roasted, 0.5 liang).
*Preparation:* Two ingredients, pounded and ground into powder.
*Usage:* Take a small amount, rub on the painful area. If there is a carious hole, mix with soft rice to form a stick, insert into the hole. Pain stops immediately.
For treating parasitic erosion causing teeth to fall off in pieces:
**She Dan San (Musk and Stone Gall Powder)**
*Ingredients:* Shexiang, Shidan (Lapis Chalcanthitis, each 1 fen).
*Preparation:* Two ingredients, finely ground into powder.
*Usage:* Apply one zi to the affected area three times a day. Continue until cured.
For treating wind-induced toothache:
**Lizhi Wan (Instant Stop Pill)**
*Ingredients:* Feizaojia (Fructus Gleditsiae Sinensis, remove skin and seeds, use flesh), Caowutou (Radix Aconiti Kusnezoffii, keep tip, each 1 liang), Ruxiang (ground, 1 qian).
*Preparation:* Three ingredients, pounded and ground into powder. Form pills with thin flour paste, size of Sophora seeds.
*Usage:* Insert one pill into the ear canal. Spit out when saliva flows.
For treating toothache caused by worms:
**Dilong Wan (Earthworm Pill)**
*Ingredients:* Dilong (Pheretima, dried, powder, 3 fen), Shexiang (1 fen, ground).
*Preparation:* Two ingredients mixed evenly, formed into pills with melted wax, size of sesame seeds.
*Usage:* Insert one pill into each worm hole. Wait for the medicine to heat up and kill the worms; cure follows immediately.
For treating all wind-induced toothaches, unbearable:
**Baihu San (White Tiger Powder)**
*Ingredients:* Pishuang (Realgar, prepared), Qiandan (Minium, each 1 fen).
*Preparation:* First grind Realgar finely. Place inside green onion tips, tie tightly. Then wrap in straw like a zongzi. Burn with straw fire until penetrated. Extract Realgar as a golden stick. Grind Minium finely with it.
*Usage:* Dip rush light into the medicine (approx. 1 mi length). Insert into the ear. Use left ear for left pain, right ear for right pain.
For stopping continuous toothache and dispelling wind:
**Shenxian Gongxiao Bijin San (Immortal Effect Gold-Comparing Powder)**
*Ingredients:* Xionghuang (Realgar, any amount).
*Preparation:* One ingredient, ground finely.
*Usage:* Depending on the side of pain, insert into the ear using an ear scoop. Pain stops immediately.
For treating wind-induced toothache:
*Ingredients:* Wutou (Radix Aconiti, roasted, cracked, peeled, navel removed), Xiong, Gancao (roasted, cut), Guqipi, Xixin (remove seedlings and leaves), Baizhi, Gaoliangjiang (Rhizoma Alpiniae Officinarum, equal parts).
*Preparation:* Seven ingredients, pounded and sifted into powder.
*Usage:* Dip finger in powder, rub on painful area to induce salivation. Rinse with warm water 3-5 times. Cured.
For treating wind-induced toothache:
*Ingredients:* Zhuya Zaojia (Fructus Gleditsiae Sinensis, roasted, peeled, seeded), Lu Fengfang (Nidus Vespae, roasted), Shujiao (remove eyes and closed ones, roasted), Xixin (remove seedlings and leaves, equal parts).
*Preparation:* Four ingredients, pounded and sifted into powder.
*Usage:* Take one qianbi per dose, one sheng of water. Boil. Hold hot in mouth, spit out when cool. Time unspecified.
For treating toothache with holes:
**Erbai Wan (Two Whites Pill)**
*Ingredients:* Baijiangcan (Bombyx Batryticatus, roasted), Baifan (Alumen, calcined, each 0.5 liang).
*Preparation:* Two ingredients, pounded into fine powder. Form pills with pig fat from the twelfth lunar month. Insert into the hole.
For treating painful tooth holes:
*Ingredients:* Badou (Semen Crotonis Tiglii, 1 grain, peeled, roasted), Shitingzhi (Lapis Calcitae, small amount, ground), Ganjiang (small amount, powder), Shexiang (small amount, ground).
*Preparation:* Four ingredients, ground into fine powder. Mix with melted wax to form pills the size of mustard seeds.
*Usage:* Wrap one pill in cotton, insert into the hole.
For treating toothache:
*Ingredients:* Fuzi (Radix Aconiti Lateralis Preparata, 1 piece, raw, peeled, navel removed, pounded to powder).
*Preparation:* One ingredient, mixed with melted wax to form pills the size of millet grains.
*Usage:* Wrap one pill in cotton, insert into the hole.
For treating chronic toothache not healing:
*Ingredients:* Liangdangzi (Semen Hyoscyami).
*Preparation:* Pound into powder. Insert into the hole.