（论一首，方三十八首，灸法二首）
论曰∶凡齿龈宣露，多是疳 及月蚀，以角蒿灰夜敷龈间，使满，勿食油，不过二三夜
，瘥。食油及干枣即发，所以患齿者，忌油干枣及桂心。每旦以一捻盐纳口中，以暖水含，
揩齿及叩齿百遍，为之不绝，不过五日，口齿即牢密。凡人齿龈不能食果菜者，皆由齿根露
也，为此盐汤揩齿、叩齿法，无不愈也，神良。凡人好患齿病，多由月蚀夜食饮之所致也，
识者深宜慎之。所以日月蚀未平时，特忌饮食，小儿亦然。
治龋齿及虫痛方。
白附子 知母 细辛（各六铢） 川芎 高良姜（各十二铢）
上五味末之，以绵裹少许着齿上，有汁吐出，一日两度，含之，亦治口气。
又方 切白马悬蹄如米许，以绵裹着痛处孔中，不过三度。
治 齿虫齿，积年不瘥，从少至老方。
雀麦草一名杜姥草，似牛毛草，以苦瓠叶四十枚净洗，露一宿，平旦取草屈长二寸，广
一寸，浓五分，以瓠叶裹缚之，作五六十裹子，取三年酽醋浸之，至日中取两裹纳火中，炮
令极热，纳口中齿外边熨之，冷则易之，取铜器以水纳中，解裹于水中洗之，得虫长三分，
老者黄赤色，小者白色，多者得三四十枚，少者得一二十枚。
治虫齿方
莨菪子三合，如无，葱子、韭子并得，以青钱七文，烧令赤，取小口罂子令可口含得者
，将钱纳罂子中，取一撮许莨菪子安钱上，令炮炮声，仍与半合许水淋，令气上，从罂出，
将口含罂口，令气莫出，用熏齿，冷复更作，取三合药尽为剂。非止虫齿得瘥，或风齿、龋
齿、齿中病悉主之，口中多津，即吐之。
又方 白杨叶切一升，水三升，煮取一升，含之。
又方 大醋一升煮枸杞根白皮一升，取半升含之，虫立出。
又方 取桃仁少许，以钗头穿向灯上烧之，烟出，经少时吹灭，即纳入口安虫齿上咬之
，不过五六度。（一方作胡桃仁。
治疳虫蚀齿根方。
地龙置石上，着一撮盐，须臾化为水，以面展取，却待凝浓，取以纳病上，又以皂荚去
皮涂上，虫即出。
又方 纯麻子烛烬研，以井花水涂之。
又方 黑 羊脂、莨菪子各等分，先烧铁锄斧銎令赤，纳其中，烟出，以布单覆头，
令烟气入口熏之。
治齿龈肿痛，及虫痛方。
黄芩 甘草 桂心 当归 细辛 蛇床子（各一两）
上六味 咀，以醋浆水七升，煮取三升，去滓含之，日三夜二。
治齿有孔不得食、面肿方。
莽草（十叶） 猪椒附根皮（长四寸者七枚）
上二味 咀，以浆水二升，煮取一升，满口含，倦即吐却，日二三度。
治齿根肿方。
松叶（一把切） 盐（一合）
上二味以酒三升，煮取一升含之。
治齿根动欲脱落方
生地黄绵裹着齿上，咋之，又 咀，以汁渍齿根，日四、五着之，并咽汁，十日大佳。
治齿根动痛方。
生地黄 独活（各三两）
上二味 咀，以酒一升渍一宿，以含之。
治齿龈间津液、血出不止方。
生竹茹二两，醋煮含之。
又方 细辛（二两） 甘草（一两）
上二味 咀。以醋二升煎取一升，日夜旋含之。
又方 矾石一两，烧水三升，煮取一升，先拭血，乃含之，已后不用朽人牙根，齿落不
用之可也。
治齿间血出方。
以苦竹叶浓煮之，与盐少许，寒温得所，含之，冷吐。
又方 温童子小便半升，取三合含之，其血即止。
治齿出血不止方。
刮生竹皮二两，苦酒浸之，令其人解衣坐，使人含 其背上三过。仍取竹茹浓煮汁，勿
与
治酒醉、牙齿涌血出方。
当归（二两） 桂心 细辛 甘草（各一两） 矾石（六铢）
上五味 咀。以浆水五升，煮取二升含之，日五六，夜三。
又方 烧钉令赤，注血孔中，止。
治头面风，口齿疼痛不可忍方。
蜀椒（二合） 莽草（十叶） 雀李根 独活（各二两） 细辛 川芎 防风（各一两）
上七味 咀。以酒二升半，煮三五沸，去滓含之，冷吐，更含之，勿咽汁。（张文仲有
白术二两）
又方 鸡屎白烧灰，以绵裹置齿痛上，咬咋之。
又方 鸡屎白以醋渍煮，稍稍含之。
又方 煮枸杞汁含之。
又方 生地黄（一节），蒜（一瓣）。上二味熟捣绵裹着痛上，咬之，勿咽汁，汁出吐之，
日日
又方 含驴尿，须臾止。
风齿疼痛，灸外踝上高骨前交脉三壮。
又以线量手中指至掌后横纹，折为四分，量横纹后当臂中灸二壮愈，随左右。
论述说：凡是牙龈萎缩暴露的，大多是由疳积病及月蚀疮引起的。用角蒿灰在夜间敷于牙龈之间，使其充满，期间不要食用油腻食物，不超过两三个晚上即可痊愈。如果食用油脂和干枣就会复发，所以患有齿病的人，应当忌食油脂、干枣以及桂心。每天早晨取一捻盐放入口中，用温水含漱，用来擦拭牙齿并叩击牙齿一百遍，坚持不间断地做，不超过五天，口腔牙齿就会坚固紧密。凡是人的牙龈萎缩导致不能食用果蔬的，都是因为牙根暴露的缘故，采用这种盐水擦牙、叩齿的方法，没有不治愈的，效果神奇良好。凡是容易患齿病的人，多是由于月蚀之夜进食饮水所致，有见识的人对此应深深谨慎。所以在日月未圆满之时，特别忌讳饮食，小儿也是如此。
治疗龋齿及虫痛方的方法。
白附子、知母、细辛（各六铢），川芎、高良姜（各十二铢）。
将以上五味药研成粉末，用棉布包裹少许药粉置于患处牙齿上，若有药汁流出则吐出，每日两次，含服此药，也能治疗口臭。
又一方：切白马悬蹄如米粒大小，用棉布包裹放入疼痛处的孔洞中，不超过三次即可。
治疗蛀牙虫蚀，多年不愈，从少年到老年皆适用的方子。
雀麦草又名杜姥草，形状像牛毛草。取苦瓠叶四十片洗净，露天放置一夜。清晨取出草，屈折成长二寸、宽一寸、厚五分的条状，用瓠叶包裹捆扎，做成五六十个药包。取三年陈浓醋浸泡这些药包，到了中午取出两个药包放入火中，烧至极热，放入口中牙齿外侧熨烫，变冷后更换新的。用铜器盛水，在水中解开药包清洗，能取出长三分的虫子，老年的呈黄赤色，小的呈白色，多的能取出三四十条，少的能取出一二十条。
治疗虫齿方
莨菪子三合，如果没有，葱子、韭子也可以代替。取七文青钱，烧至通红，取一个小口罐子，大小要适合口含，将钱币放入罐中，取一撮莨菪子放在钱币上，使其发出“炮炮”的爆裂声，随即淋入约半合的水，让蒸汽上升，从罐口冒出，将口含住罐口，防止气体逸出，用蒸汽熏蒸牙齿，变冷后再重新制作，以用完三合药为剂量。不仅虫齿能治愈，如果是风齿、龋齿、牙齿其他疾病也都能主治，口中产生多津液，就吐掉。
又一方：用大醋一升煮枸杞根白皮一升，取半升含漱，虫子立刻出来。
又一方：取少许桃仁，用发钗头穿过，对着灯火烧，待烟冒出，过一会儿吹灭，立即放入口中咬在患虫齿上，不超过五六次。（另一版本用胡桃仁。）
治疗疳虫侵蚀牙根的方子。
将地龙放在石头上，放一撮盐，片刻后化为水，用面粉摊开吸取，等待其凝固变浓，取之敷在患处，再用去皮的皂荚涂抹，虫子就会出来。
又一方：纯麻子烛芯灰烬研磨，用井花水涂抹。
又一方：黑羊脂、莨菪子各等分，先烧铁锄斧柄孔使其通红，放入其中，烟气冒出，用单布覆盖头部，让烟气入口熏蒸。
治疗牙龈肿痛，及虫痛的方子。
黄芩、甘草、桂心、当归、细辛、蛇床子（各一两）。
将以上六味药切碎，用醋浆水七升，煮取三升，去掉药渣含漱，白天三次，夜晚两次。
治疗牙齿有孔无法进食、面部肿胀的方子。
莽草（十片叶子）、猪椒附根皮（长四寸的七枚）。
将以上两味药切碎，用浆水二升，煮取一升，满口含漱，疲倦了就吐掉，每日两三次。
治疗牙根肿胀的方子。
松叶（一把切碎）、盐（一合）。
将以上两味药用酒三升，煮取一升含漱。
治疗牙根松动欲脱落的方子
生地黄用棉布包裹置于牙齿上，咬嚼它，或者切碎，用汁液浸渍牙根，每日四五次涂敷，并将汁液咽下，十天效果很好。
治疗牙根松动疼痛的方子。
生地黄、独活（各三两）。
将以上两味药切碎，用酒一升浸泡一夜，然后含漱。
治疗牙龈间津液、血液不止流出的方子。
生竹茹二两，用醋煮后含漱。
又一方：细辛（二两）、甘草（一两）。
将以上两味药切碎。用醋二升煎取一升，日夜轮流含漱。
又一方：矾石一两，加水三升，煮取一升，先擦干血迹，然后含漱，此后不再使用腐烂的人牙根，牙齿脱落者也不宜使用。
治疗齿间出血的方子。
用苦竹叶浓煮，加少许盐，温度适宜时含漱，变冷后吐出。
又一方：温童子小便半升，取三合含漱，血即停止。
治疗牙齿出血不止的方子。
刮取生竹皮二两，用苦酒浸泡，让患者解衣坐下，让人在其背上含漱三次。仍取竹茹浓煮汁，勿与……（原文此处似有缺漏或断句，依文意理解为继续处理或服用，但根据上下文“勿与”后无内容，且前文已有“含之”，此处可能指内服或特定用法，但鉴于原文截断，仅翻译可见部分逻辑：刮取生竹皮二两，用醋浸泡，令患者解衣坐，使人含其背上三过。仍取竹茹浓煮汁，勿与[人/物]... 注：此处原文可能有误或残缺，按字面翻译：刮取生竹皮二两，用醋浸泡，让病人脱衣坐下，让人在其背上含漱三次。再取竹茹浓煮汁，不要给……） *修正：仔细阅读原文“勿与”后直接接下一段标题，推测原文可能有脱文或“勿与”意为“不要给予（其他人）”或类似语境，但在医案中通常指用法。考虑到“治酒醉...”紧接其后，此处“勿与”极可能是排版错误或原文缺失。为了忠实原文，我将翻译为：“刮取生竹皮二两，用醋浸泡，让患者解衣坐下，让人在其背上含漱三次。再取竹茹浓煮汁，不要给予……” （注：由于原文在此处明显中断或不完整，翻译保留原意结构，指出其未完成状态或按字面直译）。*
*再次审视原文*：“勿与”后面紧接着是“治酒醉...”。这看起来像是文本复制时的错误。但在任务一中要求“不遗漏、不增添内容”。因此我将翻译为：“刮取生竹皮二两，用醋浸泡，让患者解衣坐下，让人在其背上含漱三次。再取竹茹浓煮汁，不要给予……”
治疗因饮酒醉酒导致的牙齿涌血出的方子。
当归（二两）、桂心、细辛、甘草（各一两）、矾石（六铢）。
将以上五味药切碎。用浆水五升，煮取二升含漱，白天五到六次，夜晚三次。
又一方：烧红铁钉，插入出血的孔洞中，即可止血。
治疗头面受风，口齿疼痛难忍的方子。
蜀椒（二合）、莽草（十片叶子）、雀李根、独活（各二两）、细辛、川芎、防风（各一两）。
将以上七味药切碎。用酒二升半，煮三五沸，去掉药渣含漱，变冷后吐出，再含漱，不要咽下药汁。（张文仲的版本中有白术二两）。
又一方：生地黄（一节）、蒜（一瓣）。将这两味药捣熟后用棉布包裹敷在疼痛处，咬嚼它，不要咽下药汁，汁液流出则吐出，每天如此。
又一方：含驴尿，片刻即可停止。
又用线量手中指指尖到手掌后横纹的距离，将其分为四分，量取横纹后方手臂中间的位置，灸二壮可愈，左右手均适用。
(One treatise, thirty-eight prescriptions, two moxibustion methods)
The treatise states: Gingival recession and exposure are mostly caused by gan disease (pediatric malnutrition syndrome with oral manifestations) and moon erosion sores. Apply hornwort ash to the intergingival space at night until it is full. Avoid consuming oily foods. The condition will heal within two or three nights. Consuming oil and dried dates will cause a relapse. Therefore, patients with dental diseases should avoid oil, dried dates, and cinnamon heart. Every morning, take a pinch of salt, place it in the mouth, rinse with warm water, brush the teeth, and perform one hundred clicks of the teeth. If this practice is continued without interruption, the teeth and gums will become firm and tight within five days. Anyone whose gingival recession prevents them from eating fruits and vegetables does so because the tooth roots are exposed. This method of rinsing teeth with salt water and clicking the teeth is effective in all cases; it is miraculous and excellent. People prone to dental diseases often suffer from them due to eating and drinking during lunar eclipses. Those with insight should be extremely cautious about this. Specifically, diet should be avoided before the sun and moon reach their fullest point; this applies to children as well.
Prescription for Treating Dental Caries and Worm Pain:
Bai Fu Zi (Typhonii Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Xi Xin (Asari Radix et Rhizoma) [each 6 zhu]; Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gao Liang Jiang (Alpiniae Officinarum Rhizoma) [each 12 zhu].
Grind the above five herbs into powder. Wrap a small amount in cotton and apply it to the affected tooth. Spit out any juice that flows out. Use twice a day. It can also treat halitosis.
Another Prescription:
Cut the hoof of a white horse into pieces the size of rice grains. Wrap in cotton and insert into the cavity of the painful area. No more than three applications are needed.
Prescription for Chronic Dental Caries Caused by Worms, Effective from Youth to Old Age:
Que Mai Cao (Setariae Viridis Herba), also known as Du Lao Cao, resembles cow hair grass. Wash forty leaves of bitter gourd (Ku Hu Ye). Leave them exposed overnight. At dawn, take the grass, bend it to a length of two cun, width of one cun, and thickness of five fen. Wrap it in gourd leaves to make fifty to sixty bundles. Soak these bundles in three-year-old strong vinegar. At noon, take two bundles, roast them in fire until extremely hot, and apply them to the outside of the teeth in the mouth. Replace when cool. Use a copper vessel filled with water to wash the bundles after unwrapping. Long worms measuring three fen can be extracted; older ones are yellow-red, smaller ones are white. One may extract thirty to forty worms if numerous, or ten to twenty if few.
Prescription for Treating Worm Teeth:
Liang Dan Zi (Daturae Semen) 3 he. If unavailable, Cong Zi (Allii Fistulosi Semen) or Jiu Zi (Allii Tuberosi Semen) can be used. Take seven green coins, heat them until red-hot. Take a small-mouthed jar suitable for holding in the mouth. Place the coins inside the jar. Put a pinch of Liang Dan Zi on the coins. Allow it to crackle ("pao pao" sound). Pour approximately half a he of water over it to generate steam. Hold the mouth over the jar opening to inhale the steam, preventing gas escape. Fumigate the teeth. Repeat when cool. Use three he of medicine as a dose. This not only cures worm teeth but also treats wind teeth, dental caries, and other dental diseases. Saliva production increases; spit it out.
Another Prescription:
Cut Bai Yang Ye (Populus Euphratica Leaf) 1 sheng. Add 3 sheng of water. Boil down to 1 sheng. Rinse with the liquid.
Another Prescription:
Boil 1 sheng of Bai Pi of Gou Qi Gen (Lycii Cortex) in 1 sheng of strong vinegar. Take 0.5 sheng and rinse. The worms will emerge immediately.
Another Prescription:
Take a small amount of Tao Ren (Persicae Semen). Pierce it with the tip of a hairpin and burn it over a lamp. When smoke appears, blow it out after a short time. Place it in the mouth and bite it against the affected tooth. No more than five or six applications. (Another version uses Hu Tao Ren [Juglandis Semen].)
Prescription for Treating Gan Worms Eroding Tooth Roots:
Place Di Long (Pheretima) on a stone. Add a pinch of salt. It will turn into water after a moment. Absorb this liquid with flour. Wait for it to thicken and coagulate. Apply to the diseased area. Then smear with去皮皂荚 (Gleditsiae Sinensis Fructus without skin). The worms will come out.
Another Prescription:
Grind the residue of pure hemp seed candles. Apply with Jing Hua Shui (well water drawn at dawn).
Another Prescription:
Hei Yang Zhi (Ovis Aries Adipatum) and Liang Dan Zi (Daturae Semen) in equal parts. First, heat the socket of an iron hoe or axe until red-hot. Place the ingredients inside. When smoke emerges, cover the head with a cloth single layer and inhale the smoke into the mouth.
Prescription for Treating Gingival Swelling, Pain, and Worm Pain:
Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Gui Xin (Cinnamomi Ramulus Heart), Dang Gui (Angelicae Sinensis Radix), Xi Xin (Asari Radix et Rhizoma), She Chuang Zi (Cnidii Fructus) [each 1 liang].
Chop the above six herbs. Boil in 7 sheng of vinegar-grain water (Cu Jiang Shui) to obtain 3 sheng. Remove dregs. Rinse with the liquid three times during the day and twice at night.
Prescription for Treating Teeth with Cavities Unable to Eat and Facial Swelling:
Mang Cao (Euphorbiae Humifusae Herba) [ten leaves], Zhu Jiao Fu Gen Pi (Zanthoxyli Radicis Cortex) [seven pieces, four cun long].
Chop the above two herbs. Boil in 2 sheng of grain water (Jiang Shui) to obtain 1 sheng. Hold in the mouth. Spit out when tired. Two to three times daily.
Prescription for Treating Swollen Tooth Roots:
Song Ye (Pinus Needle) [one handful, chopped], Yan (Salt) [1 he].
Boil the above two herbs in 3 sheng of wine to obtain 1 sheng. Rinse with the liquid.
Prescription for Treating Loose and Falling Tooth Roots:
Wrap Sheng Di Huang (Rehmanniae Radix) in cotton and place it on the teeth. Chew it. Alternatively, chop it, soak the tooth roots in the juice, and apply four to five times daily. Swallow the juice as well. Great improvement will occur within ten days.
Prescription for Treating Painful and Loose Tooth Roots:
Sheng Di Huang (Rehmanniae Radix), Du Huo (Angelicae Pubescentis Radix) [each 3 liang].
Chop the above two herbs. Soak in 1 sheng of wine overnight. Rinse with the liquid.
Prescription for Treating Unceasing Flow of Saliva and Blood from the Gums:
Boil Sheng Zhu Ru (Bambusae Caulis in Culina Restincta) 2 liang in vinegar. Rinse with the liquid.
Another Prescription:
Xi Xin (Asari Radix et Rhizoma) 2 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang.
Chop the above two herbs. Boil in 2 sheng of vinegar to obtain 1 sheng. Rinse continuously day and night.
Another Prescription:
Fan Shi (Alumen) 1 liang. Add 3 sheng of water. Boil to obtain 1 sheng. Wipe away blood first, then rinse. Thereafter, do not use rotten human tooth roots; they should not be used for fallen teeth.
Prescription for Treating Bleeding Between Teeth:
Boil Ku Zhu Ye (Phyllostachys Nigra Leaf) strongly. Add a little salt. Maintain appropriate temperature. Rinse. Spit out when cool.
Another Prescription:
Take 0.5 sheng of warm urine from a young boy. Take 3 he and rinse. The bleeding will stop.
Prescription for Treating Unstopping Tooth Bleeding:
Scrape 2 liang of Sheng Zhu Pi (Bambusae Cortex). Soak in Ku Jiu (bitter wine/vinegar). Have the patient remove clothes and sit. Have someone else rinse over the patient's back three times. Still, take the strong decoction of Zhu Ru... [Text appears incomplete here in original source, translating literally]: Do not give...
Prescription for Treating Tooth Bleeding Caused by Alcohol Intoxication:
Dang Gui (Angelicae Sinensis Radix) 2 liang, Gui Xin (Cinnamomi Ramulus Heart), Xi Xin (Asari Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) [each 1 liang], Fan Shi (Alumen) [6 zhu].
Chop the above five herbs. Boil in 5 sheng of grain water (Jiang Shui) to obtain 2 sheng. Rinse five to six times during the day and three times at night.
Another Prescription:
Heat a nail until red-hot. Insert it into the bleeding hole to stop the bleeding.
Prescription for Treating Severe Oral and Dental Pain Caused by Wind in the Head and Face:
Shu Jiao (Zanthoxyli Pericarpium) 2 he, Mang Cao (Euphorbiae Humifusae Herba) [ten leaves], Que Li Gen (Pruni Trilobae Radix), Du Huo (Angelicae Pubescentis Radix) [each 2 liang], Xi Xin (Asari Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix) [each 1 liang].
Chop the above seven herbs. Boil in 2.5 sheng of wine for three to five boils. Remove dregs. Rinse. Spit out when cool. Rinse again. Do not swallow the juice. (Zhang Wenzhong's version includes Bai Zhu [Atractylodis Macrocephalae Rhizoma] 2 liang.)
Another Prescription:
Burn Ji Shi Bai (Chicken Droppings White Part) to ash. Wrap in cotton and place on the painful tooth. Chew it.
Another Prescription:
Soak Ji Shi Bai in vinegar and boil. Rinse slowly.
Another Prescription:
Boil Gou Qi Zhi (Goji Juice) and rinse.
Another Prescription:
Sheng Di Huang (Rehmanniae Radix) [one section], Suan (Garlic Bulb) [one clove]. Mash these two ingredients thoroughly when cooked. Wrap in cotton and apply to the pain site. Chew it. Do not swallow the juice. Spit it out when it flows. Do this daily.
Another Prescription:
Hold Donkey Urine in the mouth. It stops almost immediately.
For Wind Tooth Pain:
Moxibustion on Jiao Mai (Ex-Ah-1 / Intersection Pulse) located anterior to the high bone above the lateral malleolus, three moxa cones.
Alternatively, measure the distance from the tip of the middle finger to the distal palmar crease with a thread. Divide this length into four parts. Measure the distance behind the crease towards the arm center. Moxibustion of two cones at this location will cure the condition. Apply to either side.