右寸关脉洪数。或弦而洪。肠胃中有风热。齿痛。尺脉洪大而虚者。肾虚。主齿动摇疏
豁。相火上炎而痛。
夫牙齿者。乃骨之萃也。骨乃肾主之。则诸经血脉津液。皆润泽清凉矣。盖血旺则凉。
凉即
骨坚固。血虚则热。热则齿浮动。人之上唇。人中之下牙属肾脉。下前齿属任脉。其两颐上下
及环口。皆属乎阳明二经。故牙床属土。牙齿犹如木栽土上。土凉则根固。土热则齿摇。牙
即骨也。骨不能痛。其痛者。牙龈筋肉也。人食梅多者。牙即矬麻。痿而不能力嚼者。非木
酸制土耶。其牙龈肉脱。胃火也。牙疏脆者。肾之相火也。经曰。诸痛痒疮疡。皆属心火。
缘心火之下。阴精承之。若承之不缺。何痛之有。其牙患之名。有风牙虫牙。牙疳牙宣。盖
由于火之不齐也。故热则生风。风字有虫。又曰。血遇火则沸而出。牙宣也。热兼外邪则
肿
痛。真阴未成而热炽者。曰疳。乃溃塌之速。凡为治者。保肾水者知其本。清胃火者知其标
疏风邪者知其权。盖风药善通经开腠。则是火郁宜发之义耳。修养家常食淡些。则血不凝
戒慎浓味甘辛香辣。则不积火。治牙至药不效时。热之积也。盖因纵欲而阴虚。嗜味以为
补。而益增其火。其目下嗜欲之节。乃为后边晚景。不甚苦于牙也。禀阳明火多者。易作牙
病也。凡用椒姜巴豆荜茇性热辣者。擦而定痛。虽快于一时。实乃资邪益深矣。戒之戒之
其小儿牙疳牙痛者。恣以甘。嗜以味。而不知节。浓其衣。重其棉。而不知摄。乳儿作疳者
母之遗热也。烘焙床被夜暖。图于睡寐。况脏腑真阴未成。所以为害暴也。固不可不留心
究明于斯矣。
经云。肾衰则齿豁。精固则齿坚。
一论一切牙齿肿痛。皆属胃经火盛。多辛热浓味。及服温暖之药过多。以致胃热。上下
牙痛。牵引头脑而热。其齿喜冷恶热者。
加味清胃散
当归尾（二钱） 生地黄（三钱） 牡丹皮（三钱） 升麻（四分） 黄连（六分） 加防风一钱
五分。荆芥一钱。软石膏三钱。
上锉一剂。水煎服。若牙颧额半边痛者。加防风、羌活、白芷、细辛。若牙龈脱而出血
者。加扁柏叶、黄芩、荆芥、栀子。
若虚损人牙痛者。加黄柏、知母、人参、甘草。若满口浮而痛。
不能力嚼者。加连翘、元参、芍药。小儿牙疳者。乳母服。加天花粉、元参、白芷。醇酒浓
味。唇齿作痛。或牙龈溃烂。连头面颈项作痛者。并加犀角、连翘、甘草。胃气齿痛。加草
豆蔻、细辛、防风、羊胫骨灰。去牡丹皮。
一论胃有实热齿痛。或上牙痛尤甚者。
凉膈散
连翘 栀子（各三钱） 大黄（四钱酒蒸） 芒硝（一钱） 黄芩（三钱） 薄荷（八分） 知母
（一钱五分） 升麻（四分） 石膏（三钱） 黄连（六分） 甘草（八分）
上锉一剂。水煎。频服。
一论风牙疼痛。
草乌（二钱米泔水浸去皮炒焦） 细辛（一钱） 全蝎梢（五钱洗去臊） 白僵蚕（五条炒去
丝） 冰片
上研匀。搽患处。开口流涎。内服清胃散。
一治风牙肿痛。
保牙散
软石膏（一两） 川乌（三钱） 草乌（三钱） 花椒（三钱）
上俱生用为末。擦牙漱口。吐之立已。
一陈省斋遇一道人。治牙痛如神。
巴豆（去壳三枚） 真川椒（七粒）
上先将川椒略焙为末。次入巴豆同研极细。入红米饭些须捣研。为丸如黍米大。每用一
丸贴痛处。
一陈恕轩治牙痛不可忍者。
花椒（炒） 胡椒 白矾（半生半枯） 食盐（炒）
上各为末。合和同研。每少许擦痛处。吐涎即止。
一治风冷齿痛。
白芷 细辛 良姜 荜茇 川椒 香附 蜂房（炒）
上各等分。为细末。擦牙搐鼻。
一治牙痛方。
黑豆（一两炒） 盐（六钱） 花椒（五钱） 生姜（六钱） 连须葱（六钱） 艾（六钱）
上白水煎。漱口吐去。
一论牙属肾。骨之余。不作痛。作痛者。乃阳明经之火也。血壅牙根。齿龈浮起作痛也
宜清胃火为主。其牙齿疏脆剥削。渐觉齿稀。牙蛀去。乃属肾之真阴亏欠。牙不坚实。宜服
六味地黄丸。
滋阴清胃固齿丸 善治牙痛。自能固齿。
山药末（一两） 牡丹皮末（一两） 黄柏（酒炒为末二两） 黄连（酒炒为末一两） 升麻（
二两） 当归末（酒洗一两） 元参末（一两） 干葛末（一两）
上用知母一两。山楂肉二两。煎浓汤去渣。净汁煮葛粉为糊。又用 米饭一盏。研烂。和
葛粉。
同又研匀。调以上八味末为丸。如绿豆大。以水飞过朱砂为衣。晒干。每服三钱。食后。白
汤送下。要忌一切浓味姜蒜椒辣各等物。
一治胃经虚热齿牙作痛者。补中益气汤。（方见内伤）根据本方加熟地黄、牡丹皮、白茯苓
、白芍。
一论齿动作渴。属脾胃虚弱。阴火炽盛者。补中益气汤。（方见内伤）根据本方加酒炒黄柏
、知母。
一治每劳心则齿缝肿。而不能咀嚼。此元气虚弱也。补中益气汤（方见内伤）根据本方。
一论齿浮作痛。耳面黑色。口干作渴。日晡则剧。此脾虚也。用益气汤、加减八味丸而
愈。
一朱工部午后有热。遇劳遗精。其齿即痛。此脾肾虚热。先用补中益气汤、六味丸。更
以十全大补汤而愈。
一男子齿浮作痛。耳面黧色。口渴。日晡则剧。脾虚弱也。用补中益气汤、加减八味丸
而愈。
一男子口臭。牙龈赤烂。腿脚痿软。或用黄柏等药。益甚。时或口咸。此肾经虚热。余
用六味地黄丸而瘥。
一男子每遇发热。牙即浮肿。此足三阴虚火。用加减八味丸。而不复作。
一论肾气虚寒。牙齿作痛。面色黧黑。精神憔悴。脚膝无力。饮食少思。或痰气上升。
小便频数。齿不坚固。或口舌麻闷。畏饮冷水。以八味丸数服而安。
一治胃中客热牙疳。出血口臭。齿龈肿痛腐烂。
甘露饮
枇杷叶（三钱） 石斛（三钱） 黄芩（二钱） 枳壳（一钱） 天门冬（三钱） 生地黄 熟地
黄山茵陈 麦门冬（各三钱） 甘草（八分）
上锉。水煎服。
一李小园患满口牙齿疼痛。溃烂动摇。饮食不下。乃牙疳也。诸医不效。忽遇一道人传
方。一擦即愈。
川椒（炒一钱半） 铜青（一钱） 硼砂（一钱）
上三味为末。每少许擦患处。流涎立已。
一治牙疳。根内臭烂黑色。有虫作痛。
鸡内金（即鸡肫内粗皮阴干一具） 白芷（二钱） 铜青（一钱） 麝香（一分）
上为细末。以温盐水漱口。贴患处即愈。
一治牙疳臭烂。久不愈。
白硼砂（二钱） 白枯矾（一钱） 芦荟（五分） 青黛（三分） 轻粉（三分） 雄黄（二分）
冰片（一分）
上为细末。候睡去时。以竹管引药。吹在牙疳上。或以鸡翎扫敷之。
一论牙痛或肿。风牙、虫牙、动牙长痛不可忍。宋知府传。
马蜂窝 白蒺藜 花椒 艾叶 葱头 荆芥 细辛 白芷（各等分）
上锉散。醋煎。口噙良久。吐出即瘥。
一治牙痛。虫蛀不已。诸药不效者。
救苦丹
蟾酥（三分锉细乳汁少溶化于器内） 雄黄（二分） 细辛（二分） 冰片（二分）
上将酥乳调和。细细纳蛀牙孔内。或痛牙龈缝中。口中痰涎任流出之。内服加味清胃汤
一方。治虫牙肿痛。用雄黄二分。麝香少许。搽于虫孔中。虫死则痛止。
一方。治风牙、虫牙作痛。用黄蜂窝一个。以花椒填满其窍。以白盐一钱。封口烧存性
入
白芷、羊胫骨灰各一钱。同研为细末。先以清茶漱口净。然后以药擦之。及敷痛处。如有虫
蛀孔作痛。以少许塞孔中。立验。
固齿明目乌须黑发良方 牙痛胃火。浓味所起。齿痛肾虚。房劳过矣。补肾牙牢。清火
痛
止。节欲甘淡。何疾下愈。经验良方。擦牙固齿。明目乌发。香口润体。久而用之。其妙无
比。
何首乌（黑豆拌蒸一次牛膝拌蒸一次四两） 旱莲草（四两） 槐角（黑豆煮汁拌蒸四两）
怀生
地黄（酒拌砂锅内蒸一日至黑二两） 骨碎补（刮去皮毛炒七次一两五钱） 青盐（二两） 没食
子（公母成对二两）
上共为细末。每早擦牙。滚水咽下。能用于须发未白之先。可免染须之劳。乌须黑发。
固齿牢牙。
牢牙固齿乌须黑发秘方 临川刘云来传。
没食子（四钱） 青盐（二两） 细辛（二钱） 地骨皮（二两） 熟地黄（二两） 破故纸（炒
四两）
上共为细末。每早擦牙良久。滚水咽下。
擦牙乌须方 本县丁族传。
白茯苓（去皮） 细辛 牙皂（烧成灰存性） 五倍子（炒黑各等分）
上为细末。频频擦牙。日久。须白者转黑。
一擦牙固齿。牙宣口臭。乌须乌发。吏部吴继疏试效。
旱莲草（炒干切碎半斤） 香附米（四两）
上二味。入砂锅炒黑存性。为末擦牙。
一固齿乌须。王斗岳传。
青盐（炒一两） 槐角子（炒一两） 牡丹皮（酒洗一两） 破故纸（酒炒七钱） 细辛（酒洗
五钱） 熟地黄（酒浸一日晒干一两） 没食子（三钱） 百药煎（二钱）
上共为末。每早擦牙咽下。
一擦牙防齿患。取青槐枝捶半碎。半斤。水四碗。煎二碗。去渣。入好盐一斤。煮干
更将盐炒。研细擦牙。温水漱口。吐水洗目。明目固齿。
右寸、关脉象洪大且数，或者弦而洪大。这是肠胃中有风热邪气。牙齿疼痛。尺脉象洪大但按之空虚的，是肾虚。主症为牙齿松动稀疏。相火上炎导致疼痛。
牙齿，是骨骼的精粹汇聚之处。骨骼由肾所主，那么各经的血脉津液，都能润泽清凉。血液旺盛则凉爽，凉爽则骨骼坚固；血液虚弱则生热，热则牙齿浮动。人的上唇，人中下方的牙齿属于肾脉；下前牙属于任脉；两侧面颊上下及环绕口唇的部位，都属于阳明二经。所以牙床属土，牙齿犹如种在土上的树木。土凉则树根稳固，土热则牙齿摇动。牙就是骨，骨本身不会痛，感到痛的，是牙龈的筋肉。人吃梅子多了，牙齿就会收缩麻木，萎缩而不能用力咀嚼，这不是酸味制约了土吗？牙龈肌肉脱落，是胃火所致。牙齿稀疏脆弱的，是肾中相火所致。医经说：各种疼痛、瘙痒、疮疡，都归属于心火。因为心火之下，有阴精来承制它。如果阴精充足没有缺失，怎么会疼痛呢？牙齿疾病的名称，有风牙、虫牙、牙疳、牙宣等。大概是由于火邪的不平衡造成的。所以热则生风，“风”字旁有“虫”，又说：血液遇到火就会沸腾溢出，这就是牙宣（牙龈出血）。热兼夹外邪就会肿痛。真阴尚未形成而热势炽盛的，称为疳，溃烂塌陷很快。凡是治疗的人，保养肾水的人知道这是根本，清泻胃火的人知道这是标症，疏解风邪的人知道这是权变之法。因为风药善于疏通经络、开启腠理，这正是火郁应当发散的道理罢了。修养身心的人平时饮食清淡些，血液就不会凝滞；戒慎浓味、甘甜、辛辣香燥的食物，就不会积火。治疗牙齿的药物如果不生效时，是因为热的积聚。大概是因为纵欲导致阴虚，嗜好美味当作补品，反而增加了火邪。节制目下的嗜欲，是为了晚年不深受牙病之苦。禀受阳明火多的人，容易患牙病。凡是使用花椒、生姜、巴豆、荜茇等性热辣的药物，擦拭以定痛，虽然暂时痛快，实际上却是资助邪气，使病情加深。切记，切记！
那些小儿牙疳、牙痛的，放纵于甘味，嗜好美味而不知节制，穿衣厚重，盖被厚实而不知摄护。婴儿患疳症，是母亲遗留的热毒。烘焙床被夜间保暖，贪图睡眠舒适。何况脏腑的真阴尚未形成，所以危害猛烈。因此不可不留心研究明白这一点。
一种论述：一切牙齿肿痛，都属于胃经火盛。多因食用辛热浓味食物，以及服用过多温补药物，导致胃热。上下牙痛，牵引头脑发热，牙齿喜欢冷恶怕热的。
加味清胃散
当归尾（二钱） 生地黄（三钱） 牡丹皮（三钱） 升麻（四分） 黄连（六分） 加防风一钱五分，荆芥一钱，软石膏三钱。
以上锉成一剂，水煎服。如果是牙颧、额头半边痛，加防风、羌活、白芷、细辛。如果是牙龈脱落而出血，加侧柏叶、黄芩、荆芥、栀子。
如果是虚损之人牙痛，加黄柏、知母、人参、甘草。如果是满口浮痛，不能用力咀嚼，加连翘、玄参、芍药。小儿牙疳，乳母服用，加天花粉、玄参、白芷。醇酒浓味，唇齿作痛，或牙龈溃烂，连带头面颈项作痛的，一并加犀角、连翘、甘草。胃气齿痛，加草豆蔻、细辛、防风、羊胫骨灰。去掉牡丹皮。
一种论述：胃有实热导致的齿痛，或者上牙痛特别严重的。
凉膈散
连翘 栀子（各三钱） 大黄（四钱，酒蒸） 芒硝（一钱） 黄芩（三钱） 薄荷（八分） 知母（一钱五分） 升麻（四分） 石膏（三钱） 黄连（六分） 甘草（八分）
以上锉成一剂，水煎，频繁服用。
一种论述：风牙疼痛。
草乌（二钱，米泔水浸泡去皮炒焦） 细辛（一钱） 全蝎梢（五钱，洗去臊味） 白僵蚕（五条，炒去丝） 冰片
以上研匀，搽擦患处。开口流涎，内服清胃散。
一种治疗风牙肿痛。
保牙散
软石膏（一两） 川乌（三钱） 草乌（三钱） 花椒（三钱）
以上均生用研末，擦牙漱口，吐出后立即痊愈。
一位陈省斋遇到一位道人，治疗牙痛如神。
巴豆（去壳三枚） 真川椒（七粒）
以上先将川椒略焙研末，次入巴豆同研极细，加入少许红米饭捣研，制成丸如黍米大小。每次用一丸贴在痛处。
一位陈恕轩治疗牙痛不可忍受的。
花椒（炒） 胡椒 白矾（半生半枯） 食盐（炒）
以上各研为末，混合同研。每次取少许擦痛处，吐涎即止。
一种治疗风冷齿痛。
白芷 细辛 良姜 荜茇 川椒 香附 蜂房（炒）
以上各等分，研为细末，擦牙并搐鼻。
一种治疗牙痛方。
黑豆（一两，炒） 盐（六钱） 花椒（五钱） 生姜（六钱） 连须葱（六钱） 艾（六钱）
以上白水煎，漱口后吐掉。
一种论述：牙属于肾，是骨的余气，本身不作痛。作痛的，是阳明经的火邪。血壅滞于牙根，齿龈浮起作痛。宜以清胃火为主。其牙齿稀疏脆弱剥落，逐渐觉得牙齿稀松，蛀牙脱落，这属于肾的真阴亏欠，牙齿不坚实。宜服用六味地黄丸。
滋阴清胃固齿丸 善于治疗牙痛，能自行坚固牙齿。
山药末（一两） 牡丹皮末（一两） 黄柏（酒炒为末二两） 黄连（酒炒为末一两） 升麻（二两） 当归末（酒洗一两） 玄参末（一两） 干葛末（一两）
以上用知母一两，山楂肉二两，煎浓汤去渣，取净汁煮葛粉为糊。又用米饭一盏，研烂，和葛粉，一同再研匀，调入以上八味药末制成丸，如绿豆大，用水飞过的朱砂为衣，晒干。每次服三钱，食后，白开水送下。要忌食一切浓味、姜、蒜、椒、辣等物。
一种治疗胃经虚热导致的齿牙作痛者，补中益气汤。（方见内伤篇）根据本方加熟地黄、牡丹皮、白茯苓、白芍。
一种论述：牙齿动摇作渴，属于脾胃虚弱，阴火炽盛者，补中益气汤。（方见内伤篇）根据本方加酒炒黄柏、知母。
一种治疗每劳心则齿缝肿，而不能咀嚼，这是元气虚弱也。补中益气汤（方见内伤篇）根据本方。
一种论述：齿浮作痛，耳面部黑色，口干作渴，日晡（下午3-5点）则加剧，这是脾虚也。用益气汤、加减八味丸而愈。
一位朱工部午后有热，遇劳遗精，其牙齿即痛，这是脾肾虚热。先用补中益气汤、六味丸，再以十全大补汤而愈。
一位男子齿浮作痛，耳面色黑，口渴，日晡则加剧，脾虚弱也。用补中益气汤、加减八味丸而愈。
一位男子口臭，牙龈赤烂，腿脚痿软，或用黄柏等药，病情加重。有时口咸，这是肾经虚热。我用六味地黄丸而痊愈。
一位男子每遇发热，牙即浮肿，这是足三阴虚火，用加减八味丸，而不复发。
一种论述：肾气虚寒，牙齿作痛，面色黧黑，精神憔悴，脚膝无力，饮食少思，或痰气上升，小便频数，牙齿不坚固，或口舌麻闷，畏饮冷水，以八味丸数服而安。
一种治疗胃中客热牙疳，出血口臭，齿龈肿痛腐烂。
甘露饮
枇杷叶（三钱） 石斛（三钱） 黄芩（二钱） 枳壳（一钱） 天门冬（三钱） 生地黄 熟地黄 山茵陈 麦门冬（各三钱） 甘草（八分）
以上锉，水煎服。
一位李小园患满口牙齿疼痛，溃烂动摇，饮食不下，乃是牙疳也。诸医不效，忽遇一道人传方，一擦即愈。
川椒（炒一钱半） 铜青（一钱） 硼砂（一钱）
以上三味为末，每次少许擦患处，流涎立即停止。
一种治疗牙疳，根部臭烂黑色，有虫作痛。
鸡内金（即鸡肫内粗皮阴干一具） 白芷（二钱） 铜青（一钱） 麝香（一分）
以上为细末，以温盐水漱口，贴患处即愈。
一种治疗牙疳臭烂，久不愈。
白硼砂（二钱） 白枯矾（一钱） 芦荟（五分） 青黛（三分） 轻粉（三分） 雄黄（二分） 冰片（一分）
以上为细末，候睡去时，以竹管引药，吹在牙疳上，或以鸡翎扫敷之。
一种论述：牙痛或肿，风牙、虫牙、动牙长痛不可忍。宋知府传。
马蜂窝 白蒺藜 花椒 艾叶 葱头 荆芥 细辛 白芷（各等分）
以上锉散，醋煎，口中含漱良久，吐出即痊愈。
一种治疗牙痛，虫蛀不已，诸药不效者。
救苦丹
蟾酥（三分，锉细，乳汁少许溶化于器内） 雄黄（二分） 细辛（二分） 冰片（二分）
以上将酥乳调和，细细纳入蛀牙孔内，或痛牙龈缝中，口中痰涎任其流出。内服加味清胃汤一方。治虫牙肿痛，用雄黄二分，麝香少许，搽于虫孔中，虫死则痛止。
一方，治风牙、虫牙作痛，用黄蜂窝一个，以花椒填满其窍，以白盐一钱封口烧存性，入白芷、羊胫骨灰各一钱，同研为细末。先以清茶漱口净，然后以药擦之，及敷痛处。如有虫蛀孔作痛，以少许塞孔中，立验。
固齿明目乌须黑发良方 牙痛胃火，浓味所起。齿痛肾虚，房劳过矣。补肾牙牢，清火痛止。节欲甘淡，何疾不愈。经验良方，擦牙固齿，明目乌发，香口润体，久而用之，其妙无比。
何首乌（黑豆拌蒸一次，牛膝拌蒸一次，四两） 旱莲草（四两） 槐角（黑豆煮汁拌蒸，四两） 怀生地黄（酒拌砂锅内蒸一日至黑，二两） 骨碎补（刮去皮毛炒七次，一两五钱） 青盐（二两） 没食子（公母成对，二两）
以上共为细末，每早擦牙，滚水咽下。能用于须发未白之前，可免染须之劳。乌须黑发，固齿牢牙。
牢牙固齿乌须黑发秘方 临川刘云来传。
没食子（四钱） 青盐（二两） 细辛（二钱） 地骨皮（二两） 熟地黄（二两） 破故纸（炒，四两）
以上共为细末，每早擦牙良久，滚水咽下。
擦牙乌须方 本县丁族传。
白茯苓（去皮） 细辛 牙皂（烧成灰存性） 五倍子（炒黑，各等分）
以上为细末，频频擦牙，日久，须白者转黑。
一种擦牙固齿，牙宣口臭，乌须乌发。吏部吴继疏试效。
旱莲草（炒干切碎半斤） 香附米（四两）
以上二味，入砂锅炒黑存性，为末擦牙。
一种固齿乌须，王斗岳传。
青盐（炒一两） 槐角子（炒一两） 牡丹皮（酒洗一两） 破故纸（酒炒七钱） 细辛（酒洗五钱） 熟地黄（酒浸一日晒干一两） 没食子（三钱） 百药煎（二钱）
以上共为末，每早擦牙咽下。
一种擦牙防齿患，取青槐枝捶半碎，半斤，水四碗，煎二碗，去渣，入好盐一斤，煮干，更将盐炒，研细擦牙，温水漱口，吐水洗目，明目固齿。
The pulse at the right Cun and Guan positions is surging (Hong) and rapid (Shu), or wiry (Xian) and surging. This indicates wind-heat in the stomach and intestines, causing toothache. If the Chi pulse is surging yet empty upon pressure, it indicates Kidney deficiency, manifesting as loose and sparse teeth due to ministerial fire flaring upward.
Teeth are the essence of bones. Bones are governed by the Kidneys; thus, the blood vessels and fluids of all meridians can moisten and cool them. When blood is abundant, there is coolness, which makes bones firm; when blood is deficient, there is heat, which causes teeth to float. The upper lip and the lower teeth below the philtrum belong to the Kidney meridian. The lower front teeth belong to the Ren Mai (Conception Vessel). The cheeks above and below and the area around the mouth belong to the Yangming meridians. Therefore, the gums correspond to Earth, and teeth are like trees planted in soil. Cool soil stabilizes roots; hot soil causes teeth to shake. Teeth are bone; bone itself does not hurt. Pain arises from the gingival muscles. Eating too many plums causes teeth to shrink and numb, becoming weak and unable to chew—this is acid controlling Earth. Gingival recession is caused by Stomach fire. Sparse and brittle teeth are caused by Kidney ministerial fire. The Classics state: "All pain, itching, sores, and ulcers belong to Heart fire." Below Heart fire, Yin essence should support it. If this support is unbroken, why would there be pain? Dental diseases include wind-tooth, worm-tooth, dental gangrene (Ya Gan), and periodontal disease (Ya Xuan). These arise from imbalanced fire. Heat generates wind; the character for "wind" contains "worm." Also, blood boils and bleeds when encountering fire, leading to Ya Xuan. Heat combined with external pathogens causes swelling and pain. When true Yin is undeveloped but heat is blazing, it is called Gangrene, leading to rapid ulceration. In treatment, preserving Kidney water addresses the root; clearing Stomach fire addresses the branch; dispersing wind pathogens addresses the expedient measure. Wind herbs effectively unblock meridians and open pores, aligning with the principle that trapped fire should be dispersed. Those cultivating health should eat blandly to prevent blood stagnation; avoid rich, sweet, spicy, and pungent foods to prevent fire accumulation. If dental remedies fail, it is due to accumulated heat, often from excessive sexual activity causing Yin deficiency, or mistaking rich flavors for tonics, thereby increasing fire. Moderating desires now ensures comfort in later years. Those with excess Yangming fire are prone to dental issues. Using hot and pungent herbs like Zanthoxylum (Huajiao), Ginger (Shengjiang), Croton (Badou), or Piper Longum (Bibo) to stop pain provides temporary relief but deepens pathogenic factors. Take heed!
Children with dental gangrene or toothaches suffer from indulgence in sweets and flavors without restraint, wearing heavy clothes and thick quilts without care. Infants developing gangrene inherit maternal heat. Heating bedding for warmth during sleep harms children because their visceral true Yin is undeveloped, causing sudden harm. One must study this carefully.
The Classics say: "When Kidney qi declines, teeth become loose; when essence is secured, teeth remain firm."
Discussion on all tooth swellings and pains: These belong to excess fire in the Stomach meridian, often caused by consuming spicy, hot, and rich foods or taking too many warming medicines, resulting in Stomach heat. Symptoms include pain in upper and lower teeth radiating to the head with heat sensation, and a preference for cold over heat.
Modified Qingwei San (Clear the Stomach Decoction):
Danggui Wei (Tail of Angelicae Sinensis Radix, 2 qian), Sheng Dihuang (Rehmanniae Radix Recens, 3 qian), Mudanpi (Moutan Cortex, 3 qian), Shengma (Cimicifugae Rhizoma, 4 fen), Huanglian (Coptidis Rhizoma, 6 fen). Add Fangfeng (Saposhnikoviae Radix, 1.5 qian), Jingjie (Schizonepetae Spica, 1 qian), Ruan Shigao (Gypsum Fibrosum, 3 qian).
Decoct one dose in water and take orally. For pain in the cheekbone or forehead on one side, add Fangfeng, Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), and Xixin (Asari Radix et Rhizoma). For receding gums with bleeding, add Ce Baiye (Platycladi Cacumen), Huangqin (Scutellariae Radix), Jingjie, and Zhizi (Gardeniae Fructus). For toothache in patients with deficiency and damage, add Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Renshen (Ginseng Radix et Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma). For floating pain throughout the mouth making chewing difficult, add Lianqiao (Forsythiae Fructus), Xuanshen (Scrophulariae Radix), and Shaoyao (Paeoniae Radix Alba). For pediatric dental gangrene, the nursing mother takes the decoction with Tianhuafen (Trichosanthis Radix), Xuanshen, and Baizhi. For pain in lips and teeth due to alcohol and rich foods, or gum ulceration radiating to the head, face, and neck, add Xijiao (Rhinocerotis Cornu), Lianqiao, and Gancao. For Stomach Qi toothache, add Caodoukou (Amomi Fructus Rotundus), Xixin, Fangfeng, and Yangjingguhui (Ash of Sheep Tibia). Remove Mudanpi.
Discussion on toothache due to excess heat in the Stomach, especially severe upper toothache:
Liangge San (Cool the Diaphragm Powder):
Lianqiao (Forsythiae Fructus), Zhizi (Gardeniae Fructus) (each 3 qian), Dahuang (Rhei Radix et Rhizoma, 4 qian, steamed with wine), Mangxiao (Natrii Sulfas, 1 qian), Huangqin (Scutellariae Radix, 3 qian), Bohe (Menthae Haplocalycis Herba, 8 fen), Zhimu (Anemarrhenae Rhizoma, 1.5 qian), Shengma (Cimicifugae Rhizoma, 4 fen), Shigao (Gypsum Fibrosum, 3 qian), Huanglian (Coptidis Rhizoma, 6 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 8 fen).
Decoct one dose in water and take frequently.
Discussion on wind-tooth pain:
Caowu (Aconiti Radix, 2 qian, soaked in rice water, peeled, stir-fried until scorched), Xixin (Asari Radix et Rhizoma, 1 qian), Quanxie (Scorpio, 5 qian, washed to remove odor), Bai Jiangcan (Bombyx Batryticatus, 5 pieces, stir-fried to remove silk), Bingpian (Borneolum Syntheticum).
Grind into a uniform powder and apply to the affected area. Salivation will occur. Internally administer Qingwei San.
Treatment for wind-tooth swelling and pain:
Baoya San (Protect Teeth Powder):
Ruan Shigao (Gypsum Fibrosum, 1 liang), Chuanwu (Aconiti Radix Preparata, 3 qian), Caowu (Aconiti Radix, 3 qian), Huajiao (Zanthoxyli Pericarpium, 3 qian).
Use raw materials, grind into powder, rub on teeth, rinse mouth, and spit out. Relief is immediate.
Mr. Chen Shengzhai encountered a Daoist who treated toothache miraculously:
Badou (Crotonis Fructus, 3 kernels, shelled), Zhen Chuanjiao (True Zanthoxyli Pericarpium, 7 grains).
Lightly roast Chuanjiao and grind into powder. Mix with Badou and grind extremely fine. Add a little red rice paste and knead into pills the size of millet seeds. Apply one pill to the painful spot each time.
Mr. Chen Shuxuan treated unbearable toothache:
Huajiao (Zanthoxyli Pericarpium, stir-fried), Hujiao (Piperis Nigris Fructus), Baifan (Alumen, half raw half calcined), Yanshi (Sal, stir-fried).
Grind each into powder, mix, and grind together. Apply a small amount to the painful area. Salivation stops the pain immediately.
Treatment for wind-cold toothache:
Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma), Liangjiang (Galangali Rhizoma), Bibo (Long Pepper Fruit), Chuanjiao (Zanthoxyli Pericarpium), Xiangfu (Cyperi Rhizoma), Fengfang (Vespa Nidus, stir-fried).
Equal parts, grind into fine powder. Rub on teeth and insufflate into nose.
Another formula for toothache:
Heidou (Sojae Semen Nigrum, 1 liang, stir-fried), Yan (Sal, 6 qian), Huajiao (Zanthoxyli Pericarpium, 5 qian), Shengjiang (Zingiberis Rhizoma Recens, 6 qian), Lianxu Cong (Scallion with roots, 6 qian), Aiye (Artemisiae Argyi Folium, 6 qian).
Boil in plain water, rinse mouth, and spit out.
Discussion: Teeth belong to the Kidneys and are the surplus of bone; they do not hurt by themselves. Pain comes from Fire in the Yangming meridian. Blood congestion in the gum roots causes swelling and pain. Treatment should focus on clearing Stomach fire. If teeth are sparse, brittle, and falling out due to decay, it indicates Kidney true Yin deficiency. Treat with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).
Ziyin Qingwei Guchi Wan (Nourish Yin, Clear Stomach, Strengthen Teeth Pill): Effective for toothache and strengthening teeth.
Shanyao (Dioscoreae Rhizoma, 1 liang), Mudanpi (Moutan Cortex, 1 liang), Huangbai (Phellodendri Cortex, stir-fried with wine, 2 liang), Huanglian (Coptidis Rhizoma, stir-fried with wine, 1 liang), Shengma (Cimicifugae Rhizoma, 2 liang), Danggui (Angelicae Sinensis Radix, washed with wine, 1 liang), Xuanshen (Scrophulariae Radix, 1 liang), Gange (Puerariae Radix, 1 liang).
Decoct Zhimu (Anemarrhenae Rhizoma, 1 liang) and Shanzha (Crataegi Fructus, 2 liang) in strong soup, strain, and use the clear juice to cook Gange powder into a paste. Grind one bowl of cooked rice until smooth, mix with the paste, then combine with the eight powdered herbs. Form pills the size of mung beans, coat with Zhusha (Cinnabaris washed with water), dry, and take 3 qian after meals with warm water. Avoid rich flavors, ginger, garlic, pepper, and spices.
Treatment for toothache due to deficiency-heat in the Stomach meridian: Buyi Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (see Internal Injury section). Add Shudihuang (Prepared Rehmanniae Radix), Mudanpi, Baifuling (Poria with White Wood), and Baishao (White Peony Root).
Discussion on loose teeth with thirst: Due to Spleen-Stomach weakness and blazing deficient fire. Use Buyi Yiqi Tang (see Internal Injury section). Add Huangbai stir-fried with wine and Zhimu.
Treatment for swollen interdental spaces and inability to chew after mental exertion: Due to Yuanqi (Original Qi) deficiency. Use Buyi Yiqi Tang (see Internal Injury section).
Discussion on floating painful teeth, black ears/face, dry mouth/thirst, worsening at dusk (You Shi): Spleen deficiency. Cure with Yiqi Tang and Jiawei Bawei Wan (Modified Eight-Ingredient Pill).
Official Zhu had afternoon fever, seminal emission after exertion, and subsequent toothache. This is Spleen-Kidney deficiency-heat. First use Buyi Yiqi Tang and Liuwei Dihuang Wan, then cure with Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction).
A man had floating painful teeth, dark ears/face, thirst, worsening at dusk. Spleen deficiency. Cured with Buyi Yiqi Tang and Jiawei Bawei Wan.
A man had bad breath, red/ulcerated gums, weak legs/feet. Treatment with Huangbai worsened it. Occasional salty taste indicates Kidney meridian deficiency-heat. I cured him with Liuwei Dihuang Wan.
A man had swollen gums upon fever. Foot Three-Yin meridian deficiency-fire. Cured with Jiawei Bawei Wan, no recurrence.
Discussion on Kidney Qi deficiency-cold causing toothache, dark complexion, exhaustion, weak knees/legs, poor appetite, rising phlegm/Qi, frequent urination, loose teeth, numb tongue/mouth, aversion to cold water. Calm with several doses of Bawei Wan (Eight-Ingredient Pill with Aconite).
Treatment for guest-heat in Stomach causing dental gangrene, bleeding, bad breath, swollen/painful/ulcerated gums:
Ganlu Yin (Sweet Dew Drink):
Pipaye (Loquat Leaf, 3 qian), Shihu (Dendrobii Caulis, 3 qian), Huangqin (Scutellariae Radix, 2 qian), Zhiqiao (Aurantii Fructus, 1 qian), Tiandong (Asparagi Radix, 3 qian), Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Prepared Rehmanniae Radix), Shanyinyen (Imperatae Rhizoma), Maimendong (Ophiopogonis Radix, each 3 qian), Gancao (Licorice Root, 8 fen).
Decoct in water and take.
Li Xiaoyuan suffered from full-mouth toothache, ulceration, mobility, and inability to eat—dental gangrene. Physicians failed. A Daoist transmitted a formula: rub once and heal.
Chuanjiao (Zanthoxyli Pericarpium, stir-fried, 1.5 qian), Tongqing (Malachite, 1 qian), Pengsha (Borax, 1 qian).
Grind into powder. Apply a small amount to the affected area. Salivation stops immediately.
Treatment for dental gangrene with foul-smelling black roots and worm-pain:
Jineijin (Chicken Gizzard Membrane, dried, one piece), Baizhi (Angelicae Dahuricae Radix, 2 qian), Tongqing (Malachite, 1 qian), Shexiang (Moschus, 1 fen).
Grind into fine powder. Rinse mouth with warm salt water, apply to the lesion, and heal.
Treatment for chronic foul-smelling dental gangrene:
Baipengsha (White Borax, 2 qian), Baikufan (Calcined Alum, 1 qian), Lvhui (Aloe, 5 fen), Qingdai (Indigo Naturalis, 3 fen), Qingfen (Calomelas, 3 fen), Xionghuang (Realgar, 2 fen), Bingpian (Borneol, 1 fen).
Grind into powder. At bedtime, use a bamboo tube to insufflate onto the gangrene, or sweep with a chicken feather.
Discussion on toothache/swelling: Wind-tooth, worm-tooth, and loose teeth causing unbearable long-term pain. Transmitted by Prefect Song.
Mayfengwo (Hornet's Nest), Bajieli (Tribuli Fructus), Huajiao (Zanthoxyli Pericarpium), Aye (Mugwort Leaf), Congtou (Scallion Head), Jingjie (Schizonepetae Spica), Xixin (Asari Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix). Equal parts.
Grind into coarse powder. Decoct in vinegar, hold in mouth for a long time, spit out, and heal.
Treatment for persistent worm-tooth pain unresponsive to other drugs:
Jiuku Dan (Salvation Pill):
Chansu (Toad Venom, 3 fen, finely ground, dissolved in milk), Xionghuang (Realgar, 2 fen), Xixin (Asari Radix et Rhizoma, 2 fen), Bingpian (Borneol, 2 fen).
Mix venom and milk, apply finely into the carious hole or gum crevice. Allow saliva to flow out. Internally administer Modified Qingwei Tang.
For worm-tooth swelling/pain: Use Xionghuang (2 fen) and a little Shexiang (Moschus), apply to the worm hole. Death of the worm stops pain.
Another formula for wind/worm-tooth pain: Use one hornet's nest, fill holes with Huajiao, seal with 1 qian white salt, burn to retain nature. Add Baizhi and Yangjingguhui (1 qian each), grind fine. Rinse mouth with clear tea, rub medicine on teeth and painful area. If worm-hole pain exists, plug with a small amount. Immediate effect.
Excellent Formula for Strengthening Teeth, Brightening Eyes, Blackening Beard/Hair: Toothache from Stomach fire caused by rich food; toothache from Kidney deficiency caused by excessive sexual activity. Tonifying Kidneys strengthens teeth; clearing fire stops pain. Moderating desires and eating blandly cures disease. An empirical formula for rubbing teeth to strengthen them, brighten eyes, blacken hair, freshen breath, and moisturize body. Miraculous with long-term use.
Heshouwu (Polygoni Multiflori Radix, steamed with Heidou and Niuxi, 4 liang), Hanliancao (Ecliptae Herba, 4 liang), Huaijiao (Sophorae Tonkinensis Fructus, steamed with Heidou juice, 4 liang), Huaishengdihuang (Rehmanniae Radix, steamed with wine in clay pot until black, 2 liang), Gusui Bu (Drynariae Rhizoma, scraped and stir-fried 7 times, 1.5 liang), Qingyan (Green Salt, 2 liang), Meishi Zi (Terminalia Chebula Retz., male/female pair, 2 liang).
Grind into fine powder. Rub on teeth every morning, swallow with boiling water. Use before graying to avoid dyeing. Blackens hair/beard, strengthens teeth.
Secret Formula for Strengthening Teeth, Blackening Hair/Beard. Transmitted by Liu Yunlai of Linchuan.
Meishi Zi (Terminalia Chebula Retz., 4 qian), Qingyan (Green Salt, 2 liang), Xixin (Asari Radix et Rhizoma, 2 qian), Digupi (Lycii Cortex, 2 liang), Shudihuang (Prepared Rehmanniae Radix, 2 liang), Poguzhi (Psoraleae Fructus, stir-fried, 4 liang).
Grind into fine powder. Rub on teeth every morning for a long time, swallow with boiling water.
Formula for Rubbing Teeth to Blacken Hair. Transmitted by Ding Clan of this county.
Baifuling (Poria with White Wood, peeled), Xixin (Asari Radix et Rhizoma), Yazao (Tamarindi Indici Fructus, burned to ash retaining nature), Wubeizi (Myrobalanus Chebula Retz., stir-fried black). Equal parts.
Grind into powder. Rub on teeth frequently. Over time, white hair turns black.
Rubbing Teeth to Strengthen Them, Treat Periodontal Disease/Bad Breath, Blacken Hair/Beard. Tested by Ministry Official Wu Jishu.
Hanliancao (Ecliptae Herba, stir-fried dry and chopped, 0.5 jin), Xiangfu (Cyperi Rhizoma, 4 liang).
Stir-fry both in clay pot until black, retaining nature. Grind into powder and rub on teeth.
Strengthen Teeth, Blacken Hair/Beard. Transmitted by Wang Douyue.
Qingyan (Green Salt, stir-fried, 1 liang), Huaiguoz (Sophorae Tonkinensis Fructus, stir-fried, 1 liang), Mudanpi (Moutan Cortex, washed with wine, 1 liang), Poguzhi (Psoraleae Fructus, stir-fried with wine, 7 qian), Xixin (Asari Radix et Rhizoma, washed with wine, 5 qian), Shudihuang (Prepared Rehmanniae Radix, soaked in wine one day, dried, 1 liang), Meishi Zi (Terminalia Chebula Retz., 3 qian), Baiyaojian (Myrobalan Tablet, 2 qian).
Grind into powder. Rub on teeth every morning and swallow.
Prevent Dental Issues by Rubbing Teeth: Take green locust branches, hammer half-broken, 0.5 jin. Boil in 4 bowls of water until 2 bowls remain. Strain, add 1 jin good salt, boil until dry. Stir-fry the salt, grind fine, rub on teeth. Rinse with warm water. Spit water to wash eyes to brighten them and strengthen teeth.