〔通治〕齿症主方 元参 丹皮知母 白芍 甘草 地骨
皮山栀 黄柏 车前子 热甚加 石膏为君,炒黑升麻为佐。有风加荆芥,虚加杞子、熟地,去山栀。穿
腮毒用消肿解毒之品,加紫花地丁、甘菊,小便不利,煎剂内加六一散,甚效。
〔风热〕犀角升麻汤 犀角(三钱) 升麻(钱半) 羌 防(各二钱二分) 白芷 黄芩 白附子(各六分)
炙草(四分)
〔风冷〕温风散 归 芎 辛 芷 荜茇 本 蜂房(各一钱) 煎服。
〔含漱〕开笑散 白芷 细辛 良姜 荜茇 川椒 香附 蜂房 等分为末,水煎含漱,或擦之。
〔积热〕凉膈散 见一卷中风。
〔寒痛〕羌活附子汤 羌 防 升 芷 草 麻黄 苍术 生附子 僵蚕 黄柏 有嗽加佛耳草。
〔寒痛〕细辛散 荆芥 细辛 白芷 川椒 荜茇 草乌 皂角 为末擦之。
〔温邪〕玉女煎 见一卷温。
〔痰火〕二陈汤 见一卷中风。
〔瘀血〕加减甘露饮 见本卷口鼻。
〔虫痛〕一笑散 川椒末 巴豆(一粒) 研成膏,饭丸,棉裹安蛀孔。
〔虫痛〕定痛散 辛 芷 椒 姜 归 地 翘 连 桔 草 乌梅 苦参 漱口后咽下。
〔实火〕升麻石膏汤 荆 防 归 芍 翘 桔 芩 草 升麻 石膏 薄荷 灯心 热甚加大黄。
〔虚火〕滋阴抑火汤 归 地 荆 防 丹 草 知 柏 蒺藜 灯心
〔肾虚〕安肾丸 见五卷痹。
〔胃火〕清胃散 或作汤,见本卷口鼻。
〔腐烂〕犀角地黄汤 见一卷温。
〔吹掺〕人中白散 人中白 儿茶 黄柏 薄荷 青黛 冰片 吹走马疳,出涎口外。
〔骨槽〕黄连解毒汤 见一卷温。
〔风痛〕仙方活命饮 见五卷鹤膝风。
〔肾虚〕六味丸 见一卷中风。
〔肾虚〕还少丹 见一卷中风。
〔补中〕补中汤 见一卷中风。
〔多骨〕肾气丸 见二卷虚损。
〔心热〕黄连汤 连 栀 归 芍 地 麦 草 犀角 薄荷 水煎。
〔木舌〕清热如圣散 翘 连 蒡 栀 柴 荆 桔 草 花粉 薄荷 灯心
〔热壅〕琥珀犀角膏 人参 枣仁 茯神(各二钱) 犀角 琥珀 辰砂(各一钱) 冰片(一分)
蜜丸,麦冬汤下。
〔木舌〕龙脑破毒散 盆硝(四钱) 蒲黄(五钱) 马勃(三钱) 僵蚕 甘草 青黛(各八钱)
麝香 龙脑(各一钱)
〔重舌〕青黛散 连 柏 牙硝 朱砂 雄黄 牛黄 硼砂 冰片 研掺。
〔舌菌〕舌症主方 连 栀 地 芍 丹 麦冬 翘 草 犀角 木通 灯心 兼口唇加石膏,郁痰
加贝母,便秘加元明粉。
〔舌垫〕舌垫方 荆 防 辛 芷 羌 独 陈 香附 灯心
〔出血〕蒲黄散 螵蛸 炒蒲黄 研掺。
〔流血〕凉血清脾饮 归 地 芩 芍 防 翘 草 薄荷 石菖蒲
〔津伤〕炙甘草汤 见一卷中风。
尺部脉象洪大但按之空虚,主症为牙齿松动、牙缝稀疏。右关部脉象洪数,主症为木舌(舌体僵硬肿大)、重舌(舌下肿胀如小舌)。
〔通用治疗〕齿病主方:玄参、牡丹皮、知母、白芍、甘草、地骨皮、山栀、黄柏、车前子。若热势极盛,以石膏为君药,炒黑升麻为佐药。若有风邪侵袭,加荆芥;若属虚证,加枸杞子、熟地黄,去掉山栀。若是穿腮毒(颊部痈肿溃穿),使用消肿解毒的药物,加紫花地丁、甘菊。若小便不利,在煎剂中加入六一散,效果极佳。
〔风热型〕犀角升麻汤:犀角(三钱)、升麻(一钱半)、羌活与防风(各二钱二分)、白芷、黄芩、白附子(各六分)、炙甘草(四分)。
〔风冷型〕温风散:当归、川芎、细辛、白芷、荜茇、藁本、蜂房(各一钱),煎服。
〔含漱法〕开笑散:白芷、细辛、高良姜、荜茇、川椒、香附、蜂房,等分为末,用水煎煮后含漱,或擦患处。
〔寒痛型〕羌活附子汤:羌活、防风、升麻、白芷、甘草、麻黄、苍术、生附子、僵蚕、黄柏。若有咳嗽,加佛耳草。
〔寒痛型〕细辛散:荆芥、细辛、白芷、川椒、荜茇、草乌、皂角,研为末擦拭患处。
〔虫痛型〕一笑散:川椒末、巴豆(一粒),研成膏状,做成饭丸,用棉包裹塞入蛀牙孔中。
〔虫痛型〕定痛散:细辛、白芷、川椒、干姜、当归、地黄、连翘、黄连、桔梗、甘草、乌梅、苦参,漱口后咽下。
〔实火型〕升麻石膏汤:荆芥、防风、当归、白芍、连翘、桔梗、黄芩、甘草、升麻、石膏、薄荷、灯心草。热势极盛加大黄。
〔虚火型〕滋阴抑火汤:当归、地黄、荆芥、防风、牡丹皮、甘草、知母、黄柏、蒺藜、灯心草。
〔吹掺法〕人中白散:人中白、儿茶、黄柏、薄荷、青黛、冰片,吹入患处治疗走马疳,使涎液流出口腔外。
〔心热型〕黄连汤:黄连、山栀、当归、白芍、地黄、麦冬、甘草、犀角、薄荷,水煎服。
〔木舌型〕清热如圣散:连翘、黄连、牛蒡子、山栀、柴胡、荆芥、桔梗、甘草、花粉、薄荷、灯心草。
〔热壅型〕琥珀犀角膏:人参、酸枣仁、茯神(各二钱)、犀角、琥珀、辰砂(各一钱)、冰片(一分),炼蜜为丸,用麦冬汤送服。
〔木舌型〕龙脑破毒散:盆硝(四钱)、蒲黄(五钱)、马勃(三钱)、僵蚕、甘草、青黛(各八钱)、麝香、龙脑(各一钱)。
〔重舌型〕青黛散:黄连、黄柏、牙硝、朱砂、雄黄、牛黄、硼砂、冰片,研细后掺敷患处。
〔舌菌型〕舌症主方:黄连、山栀、地黄、白芍、牡丹皮、麦冬、连翘、甘草、犀角、木通、灯心草。兼有口唇病变加石膏,有郁痰加贝母,便秘加元明粉。
〔舌垫型〕舌垫方:荆芥、防风、细辛、白芷、羌活、独活、陈皮、香附、灯心草。
The pulse at the Chi position is surging yet empty upon pressure, indicating loose teeth and widened interdental spaces. The pulse at the Right Guan position is surging and rapid, indicating "Wood Tongue" (stiff and swollen tongue) and "Double Tongue" (swelling beneath the tongue resembling a small tongue).
[General Treatment] Main Formula for Dental Diseases: Scrophulariae Radix (Yuán Shēn), Paeoniae Radix Rubra (Dān Pī), Anemarrhenae Rhizoma (Zhī Mǔ), Paeoniae Radix Alba (Bái Sháo), Glycyrrhizae Radix et Rhizoma Praeparata (Zhì Gān Cǎo), Cortex Lycii (Dì Gǔ Pí), Gardeniae Fructus (Shān Zhī), Phellodendri Cortex (Huáng Bò), Plantaginis Semen (Chē Qián Zǐ). If heat is extreme, use Gypsum Fibrosum (Shí Gāo) as the sovereign drug, and processed Cimicifugae Rhizoma (Chǎo Hēi Shēng Má) as an assistant. If wind pathogen is present, add Schizonepetae Spica (Jīng Jiè); if deficiency exists, add Lycii Fructus (Qǐ Zǐ) and Rehmanniae Radix Preparata (Shú Dì), removing Gardeniae Fructus. For cheek abscesses penetrating through skin, use drugs that reduce swelling and detoxify, adding Violae Herba (Zǐ Huā Dì Dīng) and Chrysanthemi Flos (Gān Jú). If urination is difficult, add Liu Yi San (Six-to-One Powder) to the decoction for excellent effect.
[Wind-Heat Type] Xi Jiao Sheng Ma Decoction: Rhinocerotis Cornu (Xī Jiǎo, 3 qian), Cimicifugae Rhizoma (Shēng Má, 1.5 qian), Notopterygii Rhizoma et Radix and Saposhnikoviae Radix (Qiāng Huó and Fáng Fēng, each 2.2 qian), Angelicae Dahuricae Radix (Bái Zhǐ), Scutellariae Radix (Huáng Qín), Aconiti Lateralis Radix Preparata (Bái Fù Zǐ, each 0.6 fen), Glycyrrhizae Radix et Rhizoma Praeparata (Zhì Gān Cǎo, 0.4 fen).
[Wind-Cold Type] Wen Feng San: Angelicae Sinensis Radix (Guī), Ligustici Chuanxiong Rhizoma (Xiōng), Asari Radix et Rhizoma (Xīn), Angelicae Dahuricae Radix (Zhǐ), Piperis Kadsurae Fructus (Bì Bá), Ligustici Wallichii Rhizoma et Radix (Běn), Vespa Nidus (Fēng Fáng, each 1 qian). Decoct and take orally.
[Mouth Rinse Method] Kai Xiao San: Angelicae Dahuricae Radix (Bái Zhǐ), Asari Radix et Rhizoma (Xì Xīn), Galangal Rhizome (Liáng Jiāng), Piperis Kadsurae Fructus (Bì Bá), Zanthoxyli Fructus (Chuān Jiāo), Cyperi Rhizoma (Xiāng Fù), Vespa Nidus (Fēng Fáng). Grind into powder in equal parts, decoct with water, rinse mouth, or apply topically.
[Accumulated Heat Type] Liang Ge San: See Volume 1, Stroke Chapter.
[Cold Pain Type] Qiang Huo Fu Zi Decoction: Notopterygii Rhizoma et Radix (Qiāng Huó), Saposhnikoviae Radix (Fáng Fēng), Cimicifugae Rhizoma (Shēng), Angelicae Dahuricae Radix (Zhǐ), Glycyrrhizae Radix et Rhizoma (Cǎo), Ephedrae Herba (Má Huáng), Atractylodis Rhizoma (Cāng Zhú), Aconitum Carmichaelianum Lateralis Radix Cruda (Shēng Fù Zǐ), Bombyx Batryticatus (Jiāng Cán), Phellodendri Cortex (Huáng Bò). If cough is present, add Petasitae Flos (Fó Ěr Cǎo).
[Cold Pain Type] Xi Xin San: Schizonepetae Spica (Jīng Jiè), Asari Radix et Rhizoma (Xì Xīn), Angelicae Dahuricae Radix (Bái Zhǐ), Zanthoxyli Fructus (Chuān Jiāo), Piperis Kadsurae Fructus (Bì Bá), Aconitum Kusnezoffii Radix (Cǎo Wū), Gleditsiae Sinensis Fructus (Zào Jiǎo). Grind into powder and apply topically.
[Warm Pathogen Type] Yu Nu Jian: See Volume 1, Warm Disease Chapter.
[Phlegm-Fire Type] Er Chen Tang: See Volume 1, Stroke Chapter.
[Blood Stasis Type] Modified Gan Lu Yin: See this volume, Mouth and Nose Chapter.
[Worm Pain Type] Yi Xiao San: Zanthoxyli Fructus powder, Crotonis Fructus (Bā Dòu, 1 bean). Grind into paste, form pills with rice flour, wrap in cotton, and insert into the carious tooth hole.
[Worm Pain Type] Ding Tong San: Asari Radix et Rhizoma (Xīn), Angelicae Dahuricae Radix (Zhǐ), Zanthoxyli Fructus (Jiāo), Zingiberis Rhizoma (Jiāng), Angelicae Sinensis Radix (Guī), Rehmanniae Radix (Dì), Forsythiae Fructus (Qiào), Scutellariae Radix (Lián), Platycodonis Radix (Jié), Glycyrrhizae Radix et Rhizoma (Cǎo), Pruni Mume Fructus (Wū Méi), Sophorae Flavescentis Radix (Kǔ Shēn). Rinse mouth then swallow.
[Excess Fire Type] Sheng Ma Shi Gao Decoction: Schizonepetae Spica (Jīng), Saposhnikoviae Radix (Fáng), Angelicae Sinensis Radix (Guī), Paeoniae Radix Alba (Sháo), Forsythiae Fructus (Qiào), Platycodonis Radix (Jié), Scutellariae Radix (Qín), Glycyrrhizae Radix et Rhizoma (Cǎo), Cimicifugae Rhizoma (Shēng Má), Gypsum Fibrosum (Shí Gāo), Menthae Haplocalycis Herba (Bò He), Junci Medulla (Dēng Xīn). Add Rheum Palmatum (Dà Huáng) if heat is extreme.
[Deficiency Fire Type] Zi Yin Yi Huo Decoction: Angelicae Sinensis Radix (Guī), Rehmanniae Radix (Dì), Schizonepetae Spica (Jīng), Saposhnikoviae Radix (Fáng), Paeoniae Radix Rubra (Dān), Glycyrrhizae Radix et Rhizoma (Cǎo), Anemarrhenae Rhizoma (Zhī), Phellodendri Cortex (Bǎi), Tribuli Fructus (Jí Lí), Junci Medulla (Dēng Xīn).
[Kidney Deficiency Type] An Shen Wan: See Volume 5, Bi Syndrome Chapter.
[Stomach Fire Type] Qing Wei San: Can be made into a decoction, see this volume, Mouth and Nose Chapter.
[Ulceration Type] Xi Jiao Di Huang Tang: See Volume 1, Warm Disease Chapter.
[Blowing/Powder Application] Ren Zhong Bai San: Humanis Dentifricium Residuum (Rén Zhōng Bái), Myrobalani Fructus (Ér Chá), Phellodendri Cortex (Huáng Bò), Menthae Haplocalycis Herba (Bò He), Indigo Naturalis (Qīng Dài), Borax (Bīng Piàn). Blow into the lesion to treat Gangrenous Noma (Zǒu Mǎ Gān), causing saliva to flow out of the mouth.
[Bone Trench Type] Huang Lian Jie Du Tang: See Volume 1, Warm Disease Chapter.
[Wind Pain Type] Xian Fang Huo Ming Yin: See Volume 5, Crane Knee Wind Chapter.
[Kidney Deficiency Type] Liu Wei Wan: See Volume 1, Stroke Chapter.
[Kidney Deficiency Type] Hai Shao Dan: See Volume 1, Stroke Chapter.
[Spleen-Stomach Tonification] Bu Zhong Tang: See Volume 1, Stroke Chapter.
[Extra Bone Type] Shen Qi Wan: See Volume 2, Deficiency and Damage Chapter.
[Heart Heat Type] Huang Lian Tang: Scutellariae Radix (Lián), Gardeniae Fructus (Zhī), Angelicae Sinensis Radix (Guī), Paeoniae Radix Alba (Sháo), Rehmanniae Radix (Dì), Ophiopogonis Tubera (Mài), Glycyrrhizae Radix et Rhizoma (Cǎo), Rhinocerotis Cornu (Xī Jiǎo), Menthae Haplocalycis Herba (Bò He). Decoct with water.
[Wood Tongue Type] Qing Re Ru Sheng San: Forsythiae Fructus (Qiào), Scutellariae Radix (Lián), Arctii Fructus (Bāng), Gardeniae Fructus (Zhī), Bupleuri Radix (Chái), Schizonepetae Spica (Jīng), Platycodonis Radix (Jié), Glycyrrhizae Radix et Rhizoma (Cǎo), Trichosanthis Radix (Huā Fěn), Menthae Haplocalycis Herba (Bò He), Junci Medulla (Dēng Xīn).
[Heat Obstruction Type] Hu Po Xi Jiao Gao: Ginseng Radix et Rhizoma (Rén Shēn), Ziziphi Spinosae Semen (Zǎo Rén), Poria (Fú Shén, each 2 qian), Rhinocerotis Cornu (Xī Jiǎo), Succinum (Hǔ Pò), Cinnabaris (Chén Shā, each 1 qian), Borax (Bīng Piàn, 0.1 fen). Form pills with honey, take with Ophiopogonis Decoction.
[Wood Tongue Type] Long Nao Po Du San: Sal Nitri (Pén Xiāo, 4 qian), Puerariae Lobatae Radix? No, Puerariae Radix? No, Puhuang (Pú Huáng, 5 qian), Moerchiae Spora (Mǎ Bò, 3 qian), Bombyx Batryticatus (Jiāng Cán), Glycyrrhizae Radix et Rhizoma (Cǎo), Indigo Naturalis (Qīng Dài, each 8 qian), Moschus (Shè Xiāng), Borneolum Syntheticum (Lóng Nǎo, each 1 qian).
[Double Tongue Type] Qing Dai San: Scutellariae Radix (Lián), Phellodendri Cortex (Bǎi), Sal Nitri (Yá Xiāo), Cinnabaris (Zhū Shā), Realgar (Xióng Huáng), Bovis Calculus (Niú Huáng), Borax (Péng Shā), Borneolum Syntheticum (Bīng Piàn). Grind fine and apply.
[Lingual Polyp Type] She Zheng Zhu Fang: Scutellariae Radix (Lián), Gardeniae Fructus (Zhī), Rehmanniae Radix (Dì), Paeoniae Radix Alba (Sháo), Paeoniae Radix Rubra (Dān), Ophiopogonis Tubera (Mài Dōng), Forsythiae Fructus (Qiào), Glycyrrhizae Radix et Rhizoma (Cǎo), Rhinocerotis Cornu (Xī Jiǎo), Akebiae Caulis (Mù Tōng), Junci Medulla (Dēng Xīn). If lips are involved, add Gypsum Fibrosum; if phlegm stagnation exists, add Fritillariae Thunbergii Bulbus; if constipation exists, add Mirabilite (Yuán Míng Fěn).
[Tongue Pad Type] She Dian Fang: Schizonepetae Spica (Jīng), Saposhnikoviae Radix (Fáng), Asari Radix et Rhizoma (Xīn), Angelicae Dahuricae Radix (Zhǐ), Notopterygii Rhizoma et Radix (Qiāng), Saposhnikoviae Radix? No, Saposhnikoviae is Fang. Here it is Qiang and Du (Du Huo), Citri Reticulatae Pericarpium (Chén), Cyperi Rhizoma (Xiāng Fù), Junci Medulla (Dēng Xīn).
[Bleeding Type] Pu Huang San: Sepiae Endoconcha (Piāo Xiāo), Stirred Pu Huang (Chǎo Pú Huáng). Grind fine and apply.
[Profuse Bleeding Type] Liang Xue Qing Pi Yin: Angelicae Sinensis Radix (Guī), Rehmanniae Radix (Dì), Scutellariae Radix (Qín), Paeoniae Radix Alba (Sháo), Saposhnikoviae Radix (Fáng), Forsythiae Fructus (Qiào), Glycyrrhizae Radix et Rhizoma (Cǎo), Menthae Haplocalycis Herba (Bò He), Acori Tatarinowii Rhizoma (Shí Chāng Pǔ).
[Yin Fluid Injury Type] Zhi Gan Cao Tang: See Volume 1, Stroke Chapter.