《圣惠方》云∶热者怕冷水，宜用牙硝、姜黄、雄黄、荆芥等治之。冷者怕热汤，宜用
干姜、荜茇等治之。不怕冷热乃风牙，以猪牙皂角、僵蚕、蜂房、草乌治之。有孔者为虫牙
，宜雄黄、锻石、砂糖等治之。用药了，皆以温水漱之。
薛立斋曰∶齿痛，若因手足阳明经湿热，用东垣清胃散。若因风寒入脑，脑痛齿亦痛，
用羌活附子汤。若因思虑伤脾，用归脾汤。若因郁火所致，用越鞠丸。若因酒面炙爆而
发，用清胃散。若因饮食伤脾，用六君子汤。若因劳伤元气，用补中益气汤。若因脾胃素弱
，用六君子、当归、升麻。若因肾经阴虚，用六味丸。若因肾经阳虚，用八味丸。若阴阳俱
虚，用十补丸。若脾肾虚寒，用安肾丸。徐用诚先生云∶凡齿痛恶寒热等证，属足、手阳明
经。齿摇断脱，属足少阴经。齿蚀肿痛出血，皆胃火所致也，亦有诸经错杂之邪与外因为患
者。
《医统》云∶宋·汪丞相之宠，好食浓味。一日，热大作，齿间壅出有肉，渐大胀满，
口不能闭，水浆不入。一医用生地黄汁一碗，牙皂角数挺，火上炙热，蘸汁令尽，为末，敷
壅肉上，随即消缩，不日而愈。
足内踝二尖（治上牙痛，灸之）、足三里（治上齿痛，灸四十九壮）、手三间（治下齿痛，
灸七壮）、列缺（灸七壮，永不发）、合谷（齿龋灸之）、内庭（下牙痛，针灸皆可）、阳谷（治上
牙痛，在手外踝骨尖，左灸右，右灸左，十一壮，屡验神效）、太渊（治风牙）、肩 （七
壮，随左右灸之）、耳垂下尽骨上穴（灸三壮，痛即止，如神）。
一法治一切牙痛∶以草量手中指，至掌后横纹止，将草折作四分，去三留一，于横纹后
量臂中，随痛左右灸三壮，即愈。
一、经验法∶于耳前鬓发尖内有动脉处，随痛左右用小艾炷灸五七壮，神效。亦不必贴
膏药。如再发，再灸，即可断根。
《圣惠方》记载：怕冷水的牙齿疼痛，适宜用牙硝、姜黄、雄黄、荆芥等药物治疗。怕热汤的牙齿疼痛，适宜用干姜、荜茇等药物治疗。不怕冷热刺激的属于风牙（风邪侵袭所致的牙痛），用猪牙皂角、僵蚕、蜂房、草乌治疗。牙齿有孔洞的是虫牙（龋齿），适宜用雄黄、锻石、砂糖等治疗。用药结束后，都用温水漱口。
薛立斋说：牙齿疼痛，如果是由于手足阳明经湿热引起，使用东垣清胃散。如果是由于风寒侵入脑部，导致头痛且牙齿也痛，使用羌活附子汤。如果是由于思虑过度损伤脾脏，使用归脾汤。如果是由于郁结之火所致，使用越鞠丸。如果是由于饮酒、面食及炙烤爆炒食物引发，使用清胃散。如果是由于饮食损伤脾脏，使用六君子汤。如果是由于劳累损伤元气，使用补中益气汤。如果是由于脾胃素来虚弱，使用六君子汤加当归、升麻。如果是由于肾经阴虚，使用六味丸。如果是由于肾经阳虚，使用八味丸。如果阴阳俱虚，使用十补丸。如果脾肾虚寒，使用安肾丸。徐用诚先生说：凡是牙齿疼痛伴有恶寒发热等症状，属于足、手阳明经病变。牙齿松动折断脱落，属于足少阴经病变。牙齿腐蚀肿痛出血，都是胃火所致，也有因各经错杂之邪与外因致病的情况。
《医统》记载：宋朝汪丞相的宠妾，喜好食用浓烈滋味的食物。一天，火热之邪大作，牙龈间壅肿长出肉芽，逐渐增大胀满，嘴巴无法闭合，连水和流食都无法进入。一位医生用一碗生地黄汁，几根牙皂角，在火上烤热，蘸取地黄汁使其吸尽，研成粉末，敷在壅肿的肉芽上，随即消退缩小，不久便痊愈了。
足内踝二尖穴（治疗上牙痛，施灸）、足三里穴（治疗上齿痛，灸四十九壮）、手三间穴（治疗下齿痛，灸七壮）、列缺穴（灸七壮，可永不复发）、合谷穴（治疗龋齿引起的牙痛，施灸）、内庭穴（治疗下牙痛，针灸皆可）、阳谷穴（治疗上牙痛，位于手外踝骨尖处，左侧病灸右侧，右侧病灸左侧，十一壮，屡试屡验神效）、太渊穴（治疗风牙）、肩髃穴（七壮，根据疼痛左右侧施灸）、耳垂下方尽骨上方的穴位（灸三壮，疼痛立即停止，如神一般）。
一种方法治疗所有类型的牙痛：用草测量手中指，直到手掌后横纹为止，将草折成四份，去掉三份保留一份，用这段长度在手臂横纹后测量臂部，根据疼痛的左右侧施灸三壮，即可痊愈。
另一种经验法：在耳前鬓发尖端内有动脉搏动处，根据疼痛的左右侧用小艾炷灸五到七壮，效果极佳。也不需要贴膏药。如果再次发作，再施灸，即可断根。
The *Shenghui Fang* (Prescriptions of the Holy Benefit Bureau) records: Toothache sensitive to cold water should be treated with Yaxiao (Natrii Sulfas), Jianghuang (Curcumae Longae Rhizoma), Xionghuang (Realgar), and Jingjie (Schizonepetae Herba). Toothache sensitive to hot water should be treated with Ganjiang (Zingiberis Rhizoma) and Bibo (Piperis Kadsurae Fructus). Toothache insensitive to both hot and cold is Wind Toothache, treated with Zhuya Zaojiao (Gleditsiae Sinensis Spina), Jiangcan (Bombyx Batryticatus), Fengfang (Vespa), and Caowu (Aconiti Kusnezoffii Radix). Toothache with cavities is Worm Toothache (Dental Caries), treated with Xionghuang (Realgar), Duanshi (Calamina), and Shatang (Saccharum). After medication, rinse with warm water.
Xue Lizhai stated: For toothache caused by Damp-Heat in the Hand and Foot Yangming Meridians, use Qingwei San (Stomach-Clearing Powder) from Dongyuan. If caused by Wind-Cold invading the brain, resulting in headache and toothache, use Qianghuo Fuzi Tang (Notopterygii and Aconiti Decoction). If caused by excessive worry injuring the Spleen, use Guipi Tang (Restore the Spleen Decoction). If caused by Stagnant Fire, use Yueju Wan (Resolve Depression Pill). If triggered by alcohol, wheat products, or roasted/fried foods, use Qingwei San (Stomach-Clearing Powder). If caused by dietary injury to the Spleen, use Liujunzi Tang (Six Gentlemen Decoction). If caused by fatigue damaging Yuan Qi (Original Qi), use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If due to inherent weakness of the Spleen and Stomach, use Liujunzi Tang (Six Gentlemen Decoction) combined with Danggui (Angelicae Sinensis Radix) and Shengma (Cimicifugae Rhizoma). If due to Yin Deficiency of the Kidney Meridian, use Liuwei Wan (Six-Ingredient Pill with Rehmannia). If due to Yang Deficiency of the Kidney Meridian, use Bawei Wan (Eight-Ingredient Pill). If both Yin and Yang are deficient, use Shibu Wan (Ten-Nourishing Pill). If there is Cold-Deficiency of the Spleen and Kidney, use Anshen Wan (Kidney-Anchoring Pill). Mr. Xu Yongcheng stated: Toothache accompanied by aversion to cold and fever belongs to the Hand and Foot Yangming Meridians. Loose, broken, or lost teeth belong to the Foot Shaoyin Meridian. Dental erosion, swelling, pain, and bleeding are all caused by Stomach Fire, though sometimes mixed pathogenic factors from various meridians and external causes are involved.
The *Yitong* states: The favored concubine of Prime Minister Wang of the Song Dynasty had a preference for rich and strong flavors. One day, intense Heat erupted, causing gum tissue to swell and protrude, gradually enlarging until the mouth could not close, preventing the intake of even liquids. A physician used one bowl of raw Shengdihuang juice (Rehmanniae Radix Recens Juice) and several pieces of Ya Zaojiao (Gleditsiae Sinensis Spina), heated them over fire, allowed the spines to absorb the juice completely, ground them into powder, and applied it to the swollen tissue. It subsided immediately, and she recovered within a few days.
Neiruan Erjian (Two points at the medial malleolus) treats upper toothache; moxa application. Zusanli (ST36) treats upper toothache; moxa 49 cones. Sanjian (LI3) treats lower toothache; moxa 7 cones. Lieque (LU7); moxa 7 cones, prevents recurrence permanently. Hegu (LI4) treats dental caries toothache; moxa application. Neiting (ST44) treats lower toothache; acupuncture or moxa. Yanggu (SI5) treats upper toothache, located at the tip of the lateral malleolus; treat left side on right, right side on left; 11 cones, frequently effective. Taiyuan (LU9) treats Wind Toothache. Jianyu (LI15); 7 cones, apply according to the side of pain. A point below the earlobe at the end of the bone; moxa 3 cones, pain stops immediately, as if by magic.
One method for all types of toothache: Measure a grass blade along the middle finger to the distal palmar crease. Fold the grass into four parts, discard three, keep one. Use this length to measure from the wrist crease up the arm. Apply moxa 3 cones on the side corresponding to the pain. Cure follows.
Another empirical method: Locate the artery in the temple area near the front hairline. Apply small moxa cones 5 to 7 times on the side of the pain. Highly effective. No need for plasters. If it recurs, re-moxa to eradicate the root cause.