齿病者,有风、有火,亦有阳明湿热,俱能致之。风痛者,遇风发作浮肿,随后生痛,以消风散治之;火
痛者,则齿根必 扯腮颧,阵阵作痛,时发时止,以冰硼散擦之,出涎自愈;阳明经湿热作痛者,其患腮颧浮
肿,甚者牵引太阳,疼连颏项,口中热气,大便结燥,当宜凉膈散加石膏治之。又肿高软者,内必有脓,用针
刺破,出脓自愈。有齿龈腐烂,出血不止者,内服犀角地黄汤,外搽人中白散。又小儿钻齿疳,牙根尖穿出齿
根肉外,芒刺嘴唇作痛,用披针挑破牙面好肉,以手取出本牙,出血不止以湿纸换贴二、三次,其血自止。必
兼戒浓味,其牙复生如旧。
凉膈散
凉膈散中用石膏 山栀薄荷共连翘
黄芩甘草淡竹叶 还有大黄岂可逃
治阳明经湿热上攻,致牙根、腮、项作肿多痛者。
连翘 山栀 黄芩 薄荷(各一钱) 甘草(五分) 大黄(二钱) 朴硝(一钱五分) 石膏(一钱
五分) 淡竹叶(三十片)
上水二钟,煎八分,入蜜三匙和匀,食远服。
清中散
清中散内牡丹皮 生地黄连甘草归
升麻还与山栀子 胃经积热效堪推
治胃经积热,牙齿或牙龈肿痛,或牵引头脑作痛,或面热耳红,并皆治之。
当归 黄连 生地 山栀(各一钱) 牡丹皮(六分) 升麻(八分) 甘草(五分)
上水二钟,煎八分,食远服。
荜茇散
荜茇散中真阿魏 麝香冰片共相根据
虫牙风痛皆堪点 管教时刻乐嘻嘻
治风湿虫牙作肿疼痛,如阳明内热作疼勿用。
荜茇 真阿魏(各二钱) 冰片 麝香(各一分)
上为细末,每用半豆许,擦放牙根痛缝中,吐去热涎,温汤漱之,再搽即愈。
又∶牙疼方
牙疼方中君荜茇 蟾酥必定与川椒
飞盐加入同来点 诸般牙痛实时消
荜茇(一钱) 蟾酥(二分) 川椒(五分) 飞盐(三分)
上共为末,用草桔咬毛蘸药搽点痛牙根上妙。
犀角地黄汤
犀角地黄汤芍药 更兼一味牡丹皮
阳明积热皆堪服 止血还须用此医
治阳明积热,牙龈腐烂,出血不止,及诸吐血、衄血、呕血通治之。
犀角(镑) 生地 白芍 牡丹皮(各等分)
每五钱,水二钟,煎八分,不拘时服。面色痿黄、大便黑者,更宜服之。又牙缝中无辜出血者亦妙。
止血四生汤
止血四生汤荷叶 生艾柏枝地黄列
用水同煎饮一钟 诸般血症登时别
生荷叶 生艾 生柏叶 生地黄(各三钱)
水二钟,煎一钟,食后温服,临入童便一杯更妙。
人中白散(见口疳门)
消风散(见疥疮门)
齿病的发生,有风邪所致,有火邪所致,也有阳明经湿热所致,这些都能导致牙齿疾病。风邪引起的牙痛,遇到风就会发作并出现浮肿,随后产生疼痛,用消风散治疗;火邪引起的牙痛,则牙根必定牵扯腮部和颧骨,阵发性疼痛,时发时止,用冰硼散擦拭患处,流出涎液后自愈;阳明经湿热引起的牙痛,患者腮部和颧部浮肿,严重的会牵引到太阳穴,疼痛连及下巴和颈部,口中感觉热气,大便干结燥硬,应当使用凉膈散加石膏治疗。又有牙龈肿胀高起且柔软者,内部必然有脓,用针刺破,排出脓液后自愈。有牙龈腐烂、出血不止的,内服犀角地黄汤,外用中人白散涂抹。还有小儿钻齿疳(一种儿童牙齿疾病),牙根尖端穿出牙龈肉外,芒刺般刺痛嘴唇引起疼痛,用披针挑破牙齿表面的好肉,用手取出患牙,如果出血不止,用湿纸更换贴敷二三次,血自然停止。必须同时忌食浓味食物,牙齿会重新生长如初。
凉膈散
凉膈散中含有石膏、山栀、薄荷、连翘,还有黄芩、甘草、淡竹叶,以及大黄怎能遗漏?
主治阳明经湿热上攻,导致牙根、腮部、颈部肿胀多痛的情况。
组成:连翘、山栀、黄芩、薄荷(各一钱),甘草(五分),大黄(二钱),朴硝(一钱五分),石膏(一钱五分),淡竹叶(三十片)。
以上药材用水两钟,煎至八分,加入蜂蜜三匙调和均匀,饭后服用。
清中散
清中散内含牡丹皮、生地黄、黄连、甘草、当归,加上升麻和山栀子,对胃经积热的疗效值得推崇。
主治胃经积热,牙齿或牙龈肿痛,或者牵引头脑作痛,或者面部发热耳朵发红,这些都适用。
组成:当归、黄连、生地、山栀(各一钱),牡丹皮(六分),升麻(八分),甘草(五分)。
以上药材用水两钟,煎至八分,饭后服用。
荜茇散
荜茇散中有真阿魏,麝香、冰片共同作为依据。
虫牙、风痛都可以点涂,保证让人时刻快乐欢喜。
主治风湿虫牙引起的肿胀疼痛,如果是阳明内热引起的疼痛不要使用。
组成:荜茇、真阿魏(各二钱),冰片、麝香(各一分)。
以上研为细末,每次取半粒豆子大小的量,擦放在牙根疼痛的缝隙中,吐去热涎,用温汤漱口,再涂抹即可痊愈。
另外:牙疼方
牙疼方中以荜茇为君药,蟾酥必定与川椒配合,加入飞盐一同来点涂,各种牙痛立即消除。
组成:荜茇(一钱),蟾酥(二分),川椒(五分),飞盐(三分)。
以上共研为末,用草桔咬毛蘸取药物涂抹在疼痛的牙根上效果妙。
犀角地黄汤
犀角地黄汤含有芍药,更兼一味牡丹皮。
阳明积热都可以服用,止血还需要用此医方。
主治阳明积热,牙龈腐烂,出血不止,以及各种吐血、衄血、呕血的通用治疗。
组成:犀角(镑片)、生地、白芍、牡丹皮(各等分)。
每次五钱,用水两钟,煎至八分,不拘时间服用。面色萎黄、大便黑色的,更适合服用。另外牙缝中无故出血的也有效。
止血四生汤
止血四生汤中有荷叶、生艾、柏枝、地黄列在其中。
用水同煎饮用一钟,各种血症顿时告别。
组成:生荷叶、生艾、生柏叶、生地黄(各三钱)。
水两钟,煎至一钟,饭后温服,临睡前加入童便一杯效果更好。
Diseases of the teeth may be caused by Wind (Feng), Fire (Huo), or Damp-Heat in the Yangming Meridian, all of which can lead to such conditions. Pain caused by Wind manifests as swelling upon exposure to wind, followed by pain; it is treated with Xiaofeng San (Eliminate Wind Powder). Pain caused by Fire involves the tooth roots pulling on the cheeks and zygomatic bones, with paroxysmal pain that comes and goes; it is treated by applying Bingpeng San (Ice and Borax Powder) to the area, and self-healing occurs after saliva is discharged. Pain caused by Damp-Heat in the Yangming Meridian presents with swelling of the cheeks and zygomatic bones; in severe cases, it radiates to the Taiyang region, with pain extending to the chin and neck, a sensation of heat in the mouth, and dry, constipated stool; this should be treated with Liangge San (Cool the Diaphragm Powder) plus Shigao (Gypsum Fibrosum). If the swelling is high, soft, and protruding, pus must be present internally; it should be punctured with a needle, and self-healing occurs after pus drainage. For rotting gums with unceasing bleeding, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) is taken internally, while Renzhongbai San (Human Ashes Powder) is applied externally. In children suffering from Zuanchi Gan (Drilling Tooth Caries), where the root tip pierces through the gum tissue causing sharp pain like thorns pricking the lips, a lancet is used to pierce the healthy tissue on the tooth surface, and the affected tooth is extracted manually. If bleeding persists, wet paper patches are changed two or three times until bleeding stops naturally. A strict diet avoiding rich flavors is required for the tooth to regenerate as before.
Liangge San (Cool the Diaphragm Powder)
Liangge San contains Shigao (Gypsum Fibrosum), Shanzhi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Danzhuye (Lophatheri Herba), and Dahuang (Rhei Radix et Rhizoma).
It treats swelling and pain in the tooth roots, cheeks, and neck caused by Damp-Heat attacking upward from the Yangming Meridian.
Ingredients: Lianqiao (Forsythiae Fructus), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian); Dahuang (Rhei Radix et Rhizoma) (2 qian); Puxiao (Natrii Sulfas) (1.5 qian); Shigao (Gypsum Fibrosum) (1.5 qian); Danzhuye (Lophatheri Herba) (30 leaves).
Decoct the ingredients in two zhong of water until reduced to eight parts, add three spoons of honey, mix well, and take after meals.
Qingzhong San (Clear the Middle Powder)
Qingzhong San contains Mudanpi (Moutan Cortex), Shengdihuang (Rehmanniae Radix), Huanglian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma), and Shanzhi (Gardeniae Fructus). It is highly effective for accumulated Heat in the Stomach Meridian.
It treats swelling and pain of the teeth or gums, pain radiating to the head, facial heat, and red ears caused by accumulated Heat in the Stomach Meridian.
Ingredients: Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma), Shengdihuang (Rehmanniae Radix), Shanzhi (Gardeniae Fructus) (each 1 qian); Mudanpi (Moutan Cortex) (0.6 qian); Shengma (Cimicifugae Rhizoma) (0.8 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Decoct the ingredients in two zhong of water until reduced to eight parts, and take after meals.
Bibo San (Piperis Longi Powder)
Bibo San relies on Zhenawei (Styrax), combined with Muxiang (Moschus) and Bingpian (Borneolum Syntheticum).
It is suitable for application in dental caries and Wind-induced pain, ensuring relief.
It treats swelling and pain caused by Wind-Dampness and dental caries; do not use if the pain is due to internal Heat in the Yangming Meridian.
Ingredients: Bibo (Piperis Longi Fructus), Zhenawei (Styrax) (each 2 qian); Bingpian (Borneolum Syntheticum), Muxiang (Moschus) (each 0.1 qian).
Grind into a fine powder. Use an amount equivalent to half a bean, apply into the painful gap at the tooth root, spit out hot saliva, rinse with warm water, and reapply for cure.
Additionally: Toothache Formula
The principal herb in this Toothache Formula is Bibo (Piperis Longi Fructus), combined with Chansu (Toad Venom) and Chuanjiao (Zanthoxyli Pericarpium). Feiyan (Refined Salt) is added for topical application to instantly alleviate various types of toothache.
Ingredients: Bibo (Piperis Longi Fructus) (1 qian), Chansu (Toad Venom) (0.2 qian), Chuanjiao (Zanthoxyli Pericarpium) (0.5 qian), Feiyan (Refined Salt) (0.3 qian).
Grind together into a powder. Apply to the painful tooth root using a grass stalk dipped in the medicine for excellent results.
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction)
Xijiao Dihuang Tang contains Shaoyao (Paeoniae Radix Alba) and Mudanpi (Moutan Cortex).
It is suitable for accumulated Heat in the Yangming Meridian and is essential for stopping bleeding.
It treats rotting gums with unceasing bleeding, as well as hematemesis, epistaxis, and hematemesis caused by accumulated Heat in the Yangming Meridian.
Ingredients: Xijiao (Rhino Horn, processed into slices), Shengdihuang (Rehmanniae Radix), Baishao (Paeoniae Radix Alba), Mudanpi (Moutan Cortex) (equal parts).
Take 5 qian, decoct in two zhong of water until reduced to eight parts, and take at any time. It is particularly suitable for patients with sallow complexion and black stools. It is also effective for unexplained bleeding from the gum spaces.
Zhixue Sisheng Tang (Four Raw Herbs Hemostatic Decoction)
Zhixue Sisheng Tang contains He Ye (Nelumbinis Folium), Sheng Ai Ye (Artemisiae Argyi Folium), Bai Zhi (Platycladi Cacumen), and Dihuang (Rehmanniae Radix).
Decoct in water and drink one zhong; various blood disorders will be resolved immediately.
Ingredients: Sheng He Ye (Fresh Nelumbinis Folium), Sheng Ai Ye (Fresh Artemisiae Argyi Folium), Sheng Bai Ye (Fresh Platycladi Cacumen), Sheng Dihuang (Fresh Rehmanniae Radix) (each 3 qian).
Decoct in two zhong of water until reduced to one zhong. Take warm after meals. Adding one cup of Tongbian (Child's Urine) before bed enhances efficacy.
Renzhongbai San (Human Ashes Powder) (See section on Mouth Ulcers)
Xiaofeng San (Eliminate Wind Powder) (See section on Scabies)