奎光曰∶牙痈,一名牙蜞风。初起一小块,生于牙龈肉上,或上或下,或内或
外,其状高肿红 ,寒热疼痛者是也。牙痈,牙龈红肿,但口能开合;若牙咬则牙
关紧闭,口不能开,以此为辨。如牙痈肿痛,龈肉突出,先用金丹碧丹(方载咽喉门。)吹
入牙龈,外用黄熟香削成凿子样,从容放进牙关垫住,则牙关渐开,即将金丹吹入患处。
又曰∶牙痈专用口疳药最稳。(方载咽喉门)
《心法》曰∶牙痈久不收口,如过服寒凉者,必生多骨,候骨尖刺出,摇则离动,
始可取出,其口方敛。
陈实功曰∶牙疔生于牙缝之中,顶高突起,痛连腮项,破则流血。先宜针刺,照
疔疮门施治。(《正宗》)
奎光曰∶牙HT 属胃火,发于牙龈,如豆大,或内或外,发无定处。治宜先用金
丹碧丹,吹牙消散,后用口疳药,(方俱载咽喉门。)加薄荷、冰片吹之。煎药内加石膏、连翘。
奎光曰∶牙咬证,生于牙齿尽龈中,牙不能开,牙关紧闭。此证初起势甚,至夜
尤甚,形状虽凶,尚在可治。宜先用金丹、碧丹吹入牙龈,外用黄熟香削块垫牙,俟
齿开时,再吹金丹。(方载咽喉门)
奎光说:牙痈,又名牙蜞风。初起时为一小块肿块,生长在牙龈肉上,位置或上或下,或内或外,其形态高肿、发红、伴有寒热和疼痛。牙痈表现为牙龈红肿,但口腔能够开合;如果是牙咬(牙关紧闭),则牙关紧闭,口不能张开,以此作为鉴别依据。如果牙痈肿痛,龈肉突出,先用金丹碧丹(方剂记载在咽喉门)吹入牙龈,外用黄熟香削成凿子形状,从容地放入牙关处垫住,这样牙关会逐渐张开,随即把金丹吹入患处。又说:治疗牙痈专门使用口疳药最为稳妥。(方剂记载在咽喉门)
《医宗金鉴·心法要诀》说:牙痈久不愈合收口,如果是过服寒凉药物导致的,必然会产生多骨(死骨),等待骨尖刺出,摇晃时松动,才可以取出,伤口才能收敛。
陈实功说:牙疔生长在牙缝之中,顶部高高突起,疼痛牵连腮部和颈部,破溃后流血。适宜先进行针刺,参照疔疮门的办法进行治疗。(出自《外科正宗》)
奎光说:牙疔属于胃火,发于牙龈,大小如豆子,位置或内或外,发作没有固定地方。治疗适宜先用金丹碧丹,吹入牙齿使其消散,后用口疳药(方剂均记载在咽喉门),加入薄荷、冰片吹入。煎煮的中药内加入石膏、连翘。
奎光说:牙咬证,生长在牙齿尽头的牙龈中,牙齿无法张开,牙关紧闭。此病初起势头很猛,到了夜晚尤其严重,虽然形状凶险,但尚在可治范围内。适宜先用金丹、碧丹吹入牙龈,外用黄熟香削成块垫在牙齿间,等到牙齿张开时,再吹入金丹。(方剂记载在咽喉门)
奎光说:牙菌生长在牙龈,其形状呈紫黑色,高低不平如同菌类,这属于火盛血热兼有气郁而生成的。适宜吹入口疳药。(方剂记载在咽喉门)并服用煎剂。
Kui Guang stated: Ya Yong (Tooth Abscess), also known as Ya Qi Feng, initially presents as a small lump growing on the gingival tissue. It may appear above or below, inside or outside. Its characteristics include high swelling, redness, and accompanying chills, fever, and pain. In Ya Yong, the gums are red and swollen, but the mouth can open and close; in contrast, if it is Ya Yao (Trismus/Jaw Locking), the jaw is tightly closed, and the mouth cannot open. This serves as the distinguishing feature. If there is swelling, pain, and protrusion of the gingival tissue due to Ya Yong, first use Jin Dan Bi Dan (prescription recorded in the Throat Section) insufflated into the gums. Externally, use Huang Shu Xiang (Styrax Resin) carved into a chisel shape, gently inserted into the jaw gap to act as a spacer, so that the jaw gradually opens, then insufflate Jin Dan into the affected area. He further stated: Using Kou Gan medicines specifically for treating Ya Yong is the most stable approach. (Prescriptions recorded in the Throat Section)
The Xin Fa (Essentials of Clinical Practice) states: If a Ya Yong ulcer fails to heal for a long time, particularly after excessive consumption of cold-natured drugs, multiple bones (sequestra) will likely form. One must wait until the bone tip pierces through and becomes loose upon shaking before removing it, so that the wound can finally contract and heal.
Chen Shigong stated: Ya Ding (Tooth Carbuncle) grows within the interdental space, with a high, protruding apex, pain radiating to the cheek and neck, and bleeding upon rupture. Acupuncture should be performed first, and treatment should follow the protocols for Ding Chuang (Carbuncles). (From *Waike Zhengzong*)
Kui Guang stated: Ya Ding belongs to Stomach Fire. It erupts on the gums, resembling a bean in size, appearing internally or externally without a fixed location. Treatment should initially involve using Jin Dan Bi Dan, insufflated into the teeth to dissipate the swelling, followed by Kou Gan medicines (prescriptions recorded in the Throat Section), added with Bo He (Menthae Haplocalycis Herba) and Bing Pian (Borneolum Syntheticum) for insufflation. The decoction should include Shi Gao (Gypsum Fibrosum) and Lian Qiao (Forsythiae Fructus).
Kui Guang stated: Ya Yao Syndrome originates in the gingiva at the end of the teeth, characterized by the inability to open the teeth and tight closure of the jaw. This condition starts with severe intensity, worsening significantly at night. Although the presentation appears fierce, it remains treatable. Initially, use Jin Dan and Bi Dan insufflated into the gums. Externally, place a block of Huang Shu Xiu (Styrax Resin) between the teeth. Once the teeth can open, insufflate Jin Dan again. (Prescriptions recorded in the Throat Section)
Kui Guang stated: Ya Jun (Tooth Fungus) grows on the gums, presenting with a purple-black color and an uneven, mushroom-like shape. This arises from excessive fire, blood heat, combined with qi stagnation. It is appropriate to insufflate Kou Gan medicines. (Prescriptions recorded in the Throat Section) along with administering decoctions.