《巢氏病源》小儿齿痛风龋候∶手阳明、足太阳之脉并入牙齿。风气入其经脉,与血气相搏,齿即肿痛,
浓汁出,谓之风龋。
《千金翼》治齿龋方。
上切白马悬蹄,可孔塞之,不过三度。(《圣惠方》用夜眼。)
《圣惠》治小儿齿痛风龋,连头微肿。虾蟆散方
干虾蟆(一枚,烧灰) 青黛(细研) 柑子皮 细辛 白鸡粪 薰黄(以上各一分) 麝香(细研) 干姜(炮
制,锉。各半分)
上件药捣,细罗为散,都研令匀。以薄绵裹少许,内龋孔中,日一易之。
《圣惠》又方
白附子 本 细辛 芎 莽草(以上各一分)
上件药捣,细罗为散。以薄绵裹少许,着龋齿上。
《圣惠》治小儿风龋齿痛及虫蚀疼痛,黑烂方。
青黛(细研) 鸡粪白(烧灰) 本 细辛 雄黄(细研。各一分) 麝香(少许,细研)
上件药捣,罗令细,同研令匀。旋取少许,敷牙齿上。
《圣惠》又方
上以郁李根白皮五两,锉,以水一大盏半,煎取一盏热含,冷吐之,当吐出虫。
《圣惠》又方
上以皂荚炙去皮子,捣末。取少许着齿痛上瘥。
《圣惠》又方
上以松柏脂,捏锐如锥,柱龋孔内,须臾龋虫缘松脂出,即瘥。
《圣惠》又方
上以鸡舌香半两,细锉,以水一中盏,煎至六分,去滓热含,冷吐。
《巢氏病源》中关于小儿齿痛风龋的论述:手阳明经和足太阳经的经脉都进入牙齿。风邪侵入这些经脉,与体内的血气相互搏结,导致牙齿肿痛,流出浓稠的脓液,这被称为风龋。
《千金翼方》治疗齿龋的方剂。
取白马悬蹄切碎,塞入蛀牙孔中,不超过三次即可痊愈。(《圣惠方》中使用夜眼草。)
《圣惠方》治疗小儿齿痛风龋,伴有头部轻微肿胀的虾蟆散方:
干蛤蟆(一枚,烧成灰) 青黛(细研) 柑子皮 细辛 白鸡粪 薰黄(以上各一分) 麝香(细研) 干姜(炮制,锉碎。各半分)
将上述药物捣碎,过细筛制成散剂,混合均匀。用薄棉包裹少量药粉,塞入蛀牙孔中,每天更换一次。
《圣惠方》另一个方剂:
白附子 藁本 细辛 川芎 莽草(以上各一分)
将上述药物捣碎,过细筛制成散剂。用薄棉包裹少量药粉,敷在蛀牙上。
《圣惠方》治疗小儿风龋齿痛及虫蚀疼痛、牙齿黑烂的方剂:
青黛(细研) 鸡粪白(烧成灰) 藁本 细辛 雄黄(细研。各一分) 麝香(少许,细研)
将上述药物捣碎,过细筛,混合均匀。随时取少量药粉,敷在牙齿上。
《圣惠方》另一个方剂:
取郁李根白皮五两,锉碎,用水一大盏半煎煮至一盏,趁热含漱,冷却后吐出,应当能吐出虫子。
《圣惠方》另一个方剂:
取皂荚炙烤后去皮去籽,捣成粉末。取少量敷在疼痛的牙齿上,即可痊愈。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the syndrome of wind-toothache and caries in children: The meridians of Hand-Yangming and Foot-Taiyang both enter the teeth. When wind pathogen invades these meridians and contends with blood and qi, the teeth become swollen and painful, and thick pus exudes; this is termed "wind caries" (Feng Qu).
*Qian Jin Yi Fang* (Supplement to the Thousand Golden Formulas) provides a formula for treating dental caries.
Finely chop the suspended hooves of a white horse, and insert them into the carious cavity. This should not be done more than three times. (*Sheng Hui Fang* uses *Ye Yan Cao*).
*Sheng Hui Fang* provides the *Xia Ma San* (Toad Powder) for treating wind-toothache and caries in children, accompanied by slight swelling of the head:
Dried Toad (one piece, burnt to ash), Qing Dai (Indigo Naturalis, finely ground), Tangerine Peel, Xi Xin (Asarum), White Chicken Manure, Xun Huang (Realgar, prepared), She Xiang (Musk, finely ground), Gan Jiang (Dried Ginger, processed and chopped). Each of the above ingredients is one fen; Gan Jiang is half a fen.
Pulverize the aforementioned herbs, sift through a fine sieve to make a powder, and mix thoroughly. Wrap a small amount in thin cotton, insert it into the carious cavity, and replace it once daily.
Another formula from *Sheng Hui Fang*:
Bai Fu Zi (Typhonii Rhizoma), Gao Ben (Ligustici Rhizoma et Radix), Xi Xin (Asari Radix et Rhizoma), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Mang Cao (Herba Siegesbeckiae). Each of the above ingredients is one fen.
Pulverize the aforementioned herbs, sift through a fine sieve to make a powder. Wrap a small amount in thin cotton and apply it to the carious tooth.
*Sheng Hui Fang* provides a formula for treating wind caries with toothache, pain caused by worm erosion, and black decay of teeth:
Qing Dai (Indigo Naturalis, finely ground), Ji Fen Bai (White part of Chicken Manure, burnt to ash), Gao Ben (Ligustici Rhizoma et Radix), Xi Xin (Asari Radix et Rhizoma), Xiong Huang (Realgar, finely ground). Each of the above ingredients is one fen; She Xiang (Muscum) is a small amount, finely ground.
Pulverize the aforementioned herbs, sift through a fine sieve, and mix thoroughly. Take a small amount as needed and apply it to the teeth.
Another formula from *Sheng Hui Fang*:
Take five liang of the white bark of Yu Li Gen (Pruni Armeniacae Radix Cortex), chop it finely, decoct it in one and a half da zhen of water until one da zhen remains. Hold the liquid in the mouth while hot, and spit it out when cool. This should expel worms.
Another formula from *Sheng Hui Fang*:
Take Zao Jiao (Gleditsiae Fructus), roast it, remove the skin and seeds, and grind into powder. Apply a small amount to the painful tooth to achieve cure.
Another formula from *Sheng Hui Fang*:
Take Song Bai Zhi (Pini Resina), shape it into a sharp cone, and insert it into the carious cavity. After a short while, the carious worms will emerge along with the pine resin, and the disease will be cured.
Another formula from *Sheng Hui Fang*:
Take half a liang of Ji She Xiang (Caryophylli Flos), chop it finely, decoct it in one zhong zhen of water until six fen remains, filter out the dregs, hold the liquid in the mouth while hot, and spit it out when cool.