论曰齿 谓如疳 虫蚀之证，齿根宣露坏烂，脓血俱出，口内气息，盖缘脏腑壅滞，熏
发上焦，攻冲齿牙，又有嗜肥甘过多，或宿食在齿根，不能漱去，致腐臭之气，淹溃而成者
治齿 ，虫蚀牙齿。雄黄膏方
雄黄（别研半两） 牛酥（五两） 黄蜡 白蜜（各一两） 丹砂（别研一分） 本
（去苗土
三分） 藜芦（去芦头一分） 杏仁（汤浸去皮尖双仁焙） 升麻 芎 白芷（各半两）
上一十一味，除别研药并蜜蜡外，余细锉，先于铛中，以酥煎所锉药，候杏仁赤黑色，
滤去滓，下蜜蜡煎一二十沸，候膏成，续下别研药，搅勿住手，候凝成膏，于瓷器中盛，每
以少许涂齿病处，或点虫孔中、大验。
治 齿，齿龈紫黑，皴痒臭烂。附子散方
附子（炮裂去皮脐） 升麻 桂（去粗皮） 细辛（去苗叶） 麻黄（去根节） 人参 干
姜（
炮） 黄芩（去黑心） 甘草（炙锉） 当归（切焙各一分）
上一十味，捣罗为散，每用少许，贴齿龈上，日三五遍，咽津不妨。
治齿 。麝香散方
麝香（研一分） 白矾（研） 蒲黄 细辛（去苗叶） 丁香（各半两） 附子（炮裂
去皮脐一
分） 青蒲（一两）
上七味，捣罗为散，绵裹一钱匕，于患处咬之，咽津不妨，日三五遍。
治风 口疮。白矾散方
白矾（烧灰研半两） 升麻（一两） 细辛（去苗叶一两） 丹砂（研一分） 麝香（研
半钱）
甘草（炙锉一分）
上六味，捣研为散，先以盐浆水洗漱后，用熟水调药，鸡毛涂之，日三五遍。
治齿 。蔷薇根膏方
蔷薇根（二两） 地骨皮（一两） 葱根（一两） 胡粉（一两） 蜡（一分）
上五味，前三味都锉，以水二大盏，煎至半盏，以重抄纸半张浸之，曝干更浸，汁尽
为度，干了以粉蜡涂之于上，剪作条子，夜卧贴之神效。
治齿 、齿根腐烂。细辛散方
细辛（二两） 川升麻（二两） 地骨皮（二两） 角蒿（二两） 牛膝（三两去苗） 生
地黄（
五两）
上六味，都烧为灰细研，每夜临卧敷齿根，或以蜡纸上贴之，至旦即去。
治齿 、日夜疼痛不止。青黛散方
青黛（一两） 柑子皮（一两） 干虾蟆（一枚五月五日者烧）
上三味，捣罗为细散，以生地黄汁，调贴龈上，日二换之。
治疳 ，齿根宣露。黄矾散方
黄矾（烧研一分） 麝香（研一钱） 干蛤壳（烧灰研一分） 防风（去叉） 独活（去
芦头各
一两）
上五味，除别研外，捣罗为散，再和匀，以暖浆水漱口后，用药贴齿根上，有涎即吐出
，日再贴、即瘥。
治齿疳风 。皂荚散方
皂荚（不 者二两） 升麻（一两二味入瓶子内固济留一孔烧令烟绝取出细研） 杏仁
（去
皮尖双仁研一两） 凝水石（捣末二两）
上四味，共研匀，每用一钱匕，患处贴之。
治齿 。细辛散方
细辛（去苗叶） 蟾酥（炙干） 瓜蒂 黄连（去须各一分）
上四味，捣罗为散，每用一钱匕，涂贴齿龈上，日三五度。
治齿疳风 ，疼痛不止。藜芦散方
藜芦（去芦头） 蜀椒（去目并闭口炒出汗） 附子（炮裂去皮脐各一分） 麝香（研
一钱）
上四味，先将三味捣罗为散，次入麝香和匀，每用一钱匕，绵裹置所患处，有涎吐之。
治齿疳及口生疮，眼涩体重，虫蚀脏腑。苦参汤方
苦参（切） 桃白皮（切） 槐白皮（切各一两）
上三味，粗捣筛，每用五钱匕，以水二盏，煎十余沸，去滓热含漱冷吐，日三五度。
治疳 齿根血出。白矾散方
白矾（烧灰研三分） 蚺蛇胆（研一钱）
上二味，同研匀，先以布揩齿令血尽，每用半钱匕，渗于患处，勿咽津。
论曰：齿疳，是指类似疳虫侵蚀牙齿的证候，表现为齿根暴露、腐烂，脓血同时流出，口腔内有异味。这通常是因为脏腑气机壅滞，热气熏蒸上焦，攻冲牙齿所致；也有因嗜食肥甘厚味过多，或食物残渣滞留于齿根无法漱去，导致腐败臭气浸渍溃烂而形成的。
治疗齿疳及虫蚀牙齿。雄黄膏方
雄黄（另研半两） 牛酥（五两） 黄蜡 白蜜（各一两） 丹砂（另研一分） 本（去苗土三分） 藜芦（去芦头一分） 杏仁（热水浸泡去皮尖及双仁后焙干） 升麻 川芎 白芷（各半两）
以上十一味药，除需另研的药物和蜂蜜、黄蜡外，其余药物切碎。先在铛中用酥油煎煮切碎的药材，待杏仁呈赤黑色时，滤去药渣，加入蜂蜜和黄蜡再煎煮一二十沸，待膏体形成后，接着加入另研好的药物，不断搅拌，待其凝固成膏状，盛于瓷器中。每次取少量涂抹于患处，或点入虫孔中，效果极佳。
治疗齿疳，症见齿龈紫黑、皱裂瘙痒、发臭腐烂。附子散方
附子（炮裂去皮脐） 升麻 桂枝（去粗皮） 细辛（去苗叶） 麻黄（去根节） 人参 干姜（炮制） 黄芩（去黑心） 甘草（炙后切碎） 当归（切片焙干，各一分）
以上十味药，捣碎过筛制成散剂。每次取少量贴敷于齿龈上，每日三至五遍，吞咽唾液无妨。
治疗齿疳。麝香散方
麝香（研一分） 白矾（研） 蒲黄 细辛（去苗叶） 丁香（各半两） 附子（炮裂去皮脐一分） 青蒲（一两）
以上七味药，捣碎过筛制成散剂。用棉布包裹一钱匕的药粉，放于患处咬住，吞咽唾液无妨，每日三至五遍。
治疗风邪引起的口疮。白矾散方
白矾（烧成灰后研半两） 升麻（一两） 细辛（去苗叶一两） 丹砂（研一分） 麝香（研半钱） 甘草（炙后切碎一分）
以上六味药，捣碎研磨制成散剂。先用盐浆水漱口清洁后，用温水调匀药粉，用鸡毛蘸取涂抹患处，每日三至五遍。
治疗齿疳。蔷薇根膏方
蔷薇根（二两） 地骨皮（一两） 葱根（一两） 胡粉（一两） 蜡（一分）
以上五味药，前三味一起切碎，用水两大盏，煎至半盏，用两张重叠的薄纸浸入药汁中，晒干后再浸，直到药汁吸尽为止。将纸晾干后用粉和蜡涂在上面，剪成条状，夜间卧睡时贴敷，效果神妙。
治疗齿疳、齿根腐烂。细辛散方
细辛（二两） 川升麻（二两） 地骨皮（二两） 角蒿（二两） 牛膝（三两，去苗） 生地黄（五两）
以上六味药，全部烧成灰后细研。每晚临睡前敷于齿根，或用蜡纸贴敷，至早晨即去除。
治疗齿疳，日夜疼痛不止。青黛散方
青黛（一两） 柑子皮（一两） 干虾蟆（一枚，五月五日采集者烧制）
以上三味药，捣碎过筛成细散，用生地黄汁调匀后贴敷于齿龈上，每日更换两次。
治疗疳齿，齿根暴露。黄矾散方
黄矾（烧后研一分） 麝香（研一钱） 干蛤壳（烧成灰研一分） 防风（去叉） 独活（去芦头，各一两）
以上五味药，除需另研的药物外，其余捣碎过筛制成散剂，再混合均匀。用温浆水漱口后，用药粉贴敷于齿根上，若有涎液吐出则吐掉，每日贴敷两次，即可痊愈。
治疗齿疳风。皂荚散方
皂荚（不蛀者二两） 升麻（一两，二味放入瓶内密封留一孔，烧至烟尽取出细研） 杏仁（去皮尖双仁研一两） 凝水石（捣末二两）
以上四味药，共同研磨均匀。每次取一钱匕，贴敷于患处。
治疗齿疳。细辛散方
细辛（去苗叶） 蟾酥（炙干） 瓜蒂 黄连（去须，各一分）
以上四味药，捣碎过筛制成散剂。每次取一钱匕，涂贴于齿龈上，每日三至五次。
治疗齿疳风，疼痛不止。藜芦散方
藜芦（去芦头） 蜀椒（去目并闭口，炒出油） 附子（炮裂去皮脐，各一分） 麝香（研一钱）
以上四味药，先将前三味捣碎过筛制成散剂，再加入麝香混合均匀。每次取一钱匕，用棉布包裹置于患处，若有涎液吐出则吐掉。
治疗齿疳及口中生疮，眼涩身重，虫蚀脏腑。苦参汤方
苦参（切片） 桃白皮（切片） 槐白皮（切片，各一两）
以上三味药，粗捣筛过。每次取五钱匕，用水两盏，煎煮十余沸，滤去药渣，趁热含漱，冷后吐出，每日三至五次。
治疗疳齿，齿根出血。白矾散方
白矾（烧成灰研三分） 蚺蛇胆（研一钱）
以上两味药，共同研磨均匀。先用布擦拭牙齿令血迹尽除，每次取半钱匕，渗于患处，切勿吞咽唾液。
Discussion: Chi Gan (Gum Disease) refers to a syndrome resembling tooth erosion by "gan worms," characterized by exposed and rotting tooth roots, simultaneous discharge of pus and blood, and foul breath. This is generally caused by stagnation in the zang-fu organs, where heat steams upward to the Upper Jiao (Upper Burner), attacking the teeth. It may also result from excessive consumption of rich and sweet foods, or food residues remaining at the root of the teeth that cannot be rinsed away, leading to putrefaction and ulceration due to foul odors.
For treating Chi Gan and tooth erosion by worms. Xionghuang Gao (Realgar Ointment) Formula:
Xionghuang (Realgar, half tael, separately ground) Niusu (Oleum Bovis Bufonis, five taels) Huangla (Yellow Beeswax) Baimi (White Honey, one tael each) Dansha (Cinnabar, one fen, separately ground) Bencao (Ligustici Rhizoma et Radix, three fen, with seedlings and soil removed) Lilu (Veratri Radix, one fen, with rhizome head removed) Xingren (Prunus Armeniacae Semen, soaked in hot water, skin and tips removed, double kernels discarded, baked) Shengma ( Cimicifugae Rhizoma) Xiong (Chuanxiong Rhizoma) Baizhi (Angelicae Dahuricae Radix, half tael each).
The above eleven ingredients: except for those requiring separate grinding and honey/beeswax, the rest are finely chopped. First, decoct the chopped herbs in a pan using Niusu (ox fat/butter). When the Xingren turns dark red-black, filter out the dregs. Add Baimi and Huangla, boil for ten to twenty boils until the ointment forms. Then add the separately ground medicines, stirring constantly until it solidifies into an ointment. Store in a porcelain vessel. Apply a small amount to the diseased area or dab into worm holes; this is highly effective.
For treating Chi Gan, with symptoms of purple-black, wrinkled, itchy, foul-smelling, and rotting gums. Fuzi San (Aconite Powder) Formula:
Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and navel removed) Shengma Cimui (Cinnamon Twig, bark surface removed) Xixin (Asari Radix et Rhizoma, seedlings and leaves removed) Mahuang (Ephedrae Herba, roots and joints removed) Renshen (Ginseng Radix) Ganjiang (Zingiberis Rhizoma, prepared) Huangqin (Scutellariae Radix, black heart removed) Gancao (Licorice Root, roasted and chopped) Danggui (Angelicae Sinensis Radix, sliced and baked, one fen each).
The above ten ingredients are crushed, sifted, and made into a powder. Apply a small amount to the gums daily three to five times. Swallowing saliva is permissible.
For treating Chi Gan. Shexiang San (Musk Powder) Formula:
Shexiang (Moschus, one fen, ground) Baijian (Alumen, ground) Puhuang (Typhae Pollen) Xixin (one fen, seedlings and leaves removed) Dingxiang (Caryophylli Flos, half tael each) Fuzi (one fen, cracked, skin and navel removed) Qingpu (Iris Tectorii Rhizoma, one tael).
The above seven ingredients are crushed, sifted, and made into a powder. Wrap one qianbi (approx. 3-5g) in cotton, place in the affected area to bite on. Swallowing saliva is permissible. Use three to five times daily.
For treating wind-induced mouth ulcers. Baijian San (Alumen Powder) Formula:
Baijian (half tael, burned to ash and ground) Shengma (one tael) Xixin (one tael, seedlings and leaves removed) Dansha (one fen, ground) Shexiang (half qian, ground) Gancao (one fen, roasted and chopped).
The above six ingredients are crushed and ground into a powder. First rinse the mouth with salt water solution. Mix the medicine with warm water and apply using a chicken feather, three to five times daily.
For treating Chi Gan. Qiangweigen Gao (Rose Root Ointment) Formula:
Qiangweigen (Radix Rosae Rugosae, two taels) Digupi (Phellodendri Cortex, one tael) Conggen (Allii Fistulosi Bulbus, one tael) Hufen (Lead Carbonate, one tael) La (Beeswax, one fen).
The above five ingredients: chop the first three together. Decoct in two large bowls of water until reduced to half a bowl. Soak half a sheet of heavy paper in the liquid, dry it in the sun, and soak again until the liquid is fully absorbed. Dry the paper, coat with powder and wax, cut into strips, and apply overnight for miraculous effect.
For treating Chi Gan and rotting tooth roots. Xixin San (Asari Powder) Formula:
Xixin (two taels) Chuan Shengma (Cimicifugae Rhizoma, two taels) Digupi (two taels) Jiaohao (Artemisiae Argyi Herba, two taels) Niuxi (Achyranthis Bidentatae Radix, three taels, seedlings removed) Sheng Dihuang (Rehmanniae Radix, five taels).
The above six ingredients are all burned to ash and finely ground. Apply to the tooth roots every night before bed, or stick with wax paper, removing it in the morning.
For treating Chi Gan with unceasing day and night pain. Qingdai San (Indigo Naturalis Powder) Formula:
Qingdai (Indigo Naturalis, one tael) Ganzipi (Citri Reticulatae Pericarpium, one tael) Gan Xiaha (Dried Bufo, one piece, collected on the fifth day of the fifth lunar month, burned).
The above three ingredients are crushed and sifted into a fine powder. Mix with juice of Sheng Dihuang and apply to the gums, changing twice daily.
For treating Gan Chi with exposed tooth roots. Huangfan San (Yellow Alum Powder) Formula:
Huangfan (Burned and ground, one fen) Shexiang (one qian, ground) Gan Geke (Dried Tridacna Shell, burned to ash and ground, one fen) Fangfeng (Saposhnikoviae Radix, forked parts removed) Duhuo (Angelicae Pubescentis Radix, rhizome head removed, one tael each).
The above five ingredients: except for those requiring separate grinding, crush and sift into a powder, then mix evenly. Rinse the mouth with warm grain water, then apply the medicine to the tooth roots. Spit out any saliva produced. Apply twice daily until cured.
For treating Chi Gan Feng (Wind in Gum Disease). Zaojiao San (Gleditsia Sinensis Powder) Formula:
Zaojiao (Gleditsiae Fructus, non-worm-eaten, two taels) Shengma (one tael; these two are placed in a bottle, sealed tightly leaving one hole, burned until smoke ceases, then taken out and finely ground) Xingren (Prunus Armeniacae Semen, skin and tips removed, double kernels discarded, ground, one tael) Ningshuishi (Natron, pounded into powder, two taels).
The above four ingredients are ground together evenly. Apply one qianbi to the affected area each time.
For treating Chi Gan. Xixin San (Asari Powder) Formula:
Xixin (seedlings and leaves removed) Chansu (Toad Venom, dried by roasting) Gudi (Trichosanthis Fructus Seed) Huanglian (Coptidis Rhizoma, mustards removed, one fen each).
The above four ingredients are crushed, sifted, and made into a powder. Apply one qianbi to the gums three to five times daily.
For treating Chi Gan Feng with unceasing pain. Lilu San (Veratri Powder) Formula:
Lilu (rhizome head removed) Shujiao (Sichuan Pepper, eyes and closed-mouth ones removed, stir-fried until oil appears) Fuzi (cracked, skin and navel removed, one fen each) Shexiang (one qian, ground).
The above four ingredients: first crush the first three into a powder, then add Shexiang and mix evenly. Wrap one qianbi in cotton and place in the affected area. Spit out any saliva produced.
For treating Chi Gan and oral ulcers, with dry eyes and heavy body, and internal organ erosion by worms. Kushen Tang (Sophora Decoction) Formula:
Kushen (Sophorae Flavescentis Radix, sliced) Taobaipi (Pruni Persicae Cortex Albus, sliced) Huaibaipi (Meliae Cortex Albus, sliced, one tael each).
The above three ingredients are coarsely crushed and sifted. Use five qianbi per dose. Decoct in two bowls of water for more than ten boils. Filter out the dregs. Hold the hot liquid in the mouth and spit it out when cool. Do this three to five times daily.
For treating Gan Chi with bleeding from tooth roots. Baijian San (Alumen Powder) Formula:
Baijian (burned to ash and ground, three fen) Ranshedan (Boa Snake Gallbladder, one qian, ground).
The above two ingredients are ground together evenly. First wipe the teeth with cloth until all blood is removed. Apply half a qianbi to the affected area. Do not swallow saliva.