元亨在大圣中结道友登岳顶，至明皇馆故址，得断碑数行，仿佛有古文，洗涤之，得歌一首，曰∶猪牙皂
角及生姜，犀角升麻蜀地黄。木律旱莲槐角子，细辛荷叶要相当。青盐等分同烧 ，研细将来使最良。揩齿固
牙髭 黑，谁知世上有仙方。荷叶下注云，翦荷叶心子也。因录以归。朝之名卿巨公，皆根据之修用，其效附应。
（《皇朝类苑》。）
朱端章云∶余被檄任淮西幕府时，牙疼大作，一刀镊入，以草药一捻，汤泡少时，以手蘸汤挹痛处即定。
因求其方用之治人多效，乃皱面地菘草也。俗人讹为地葱，沈存中《笔谈》专辨地菘，其子名鹤虱，正此物也。
钱季诚方用鹤虱一枚，擢置齿中。高监方，以鹤虱煎米醋漱口。或用防风、鹤虱煎水噙漱，及研草塞痛处，
皆有效。（《本草纲目》。）
周密《志雅堂杂抄》治齿痛肿云∶用黑豆以酒煮汁，漱之立愈。王修竹云∶其阁中尝用验。
仙人郑思远常骑虎，故人许隐齿痛求治。郑曰∶虎须及热插齿即愈。拔数茎与之。（《医说》。）
泽州李继之忽病牙痛，皱眉不语。栾景先见之曰∶何不乐也？ 曰∶牙痛。栾曰∶曾记戴人云，阳明经热
有余也，宜大下之。乃付舟车丸七十粒，服毕，遇数知交留饮，强饮热酒数杯，药为热酒所发，尽吐之，吐毕而
痛止。李大笑曰∶戴人神仙也。不三五日又痛，再服前药百余粒，大下数行乃愈。（《儒门事亲》。）
姚应凤视一人唇有红痣，无他病苦，乃谓之曰∶此齿荩，三年必死。其人怒不应，三年齿溃，诣求救。谢
曰∶君天谴也，不能过期矣。果殁。（《钱塘县志》。）
龚子才治一人，齿浮作痛，耳面黧色，口干作渴，日晡则剧，此脾虚弱也。用补中益气汤、加减八味丸而痊。
一男子每足发热，牙即浮肿。此足三阴虚火，用加减八味丸而不复作。
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。忽遇道人传一方，用川椒炒一钱五
分，铜青一钱，硼砂一钱，三味为末，每少许擦患处，流涎立瘥。
易思兰治一人，患齿病，每有房劳，齿即俱长，痛不可忍，热汤凉水俱不得入。凡有恼怒，痛亦如之。十
年前尚轻，十年后殊甚，每发必三五日，呻吟极楚，竟绝欲。服补肾丸、清胃饮俱不效。一日疾作，七日不饮
食。诊其脉，上二部俱得本体，惟二尺洪数有力，此肾经火邪太盛也。以滋肾饮饵之，且漱且咽下二盏，随觉
丹田热气升上，自咽而出。复进二盏，其痛顿止，齿即可叩，永不再作。其方∶黄柏三钱，青盐一钱，升麻一
钱，水五碗煎汤，频漱之咽下。其人问曰∶吾病齿二十年，试药不下百余，皆未效，君用三味而奏功，何也？
曰∶齿属肾，诸痛属火，今诊得脉洪数有力，愈按愈坚。盖沉濡而滑者，肾脉也；洪数有力者，心脉也。肾脉
不沉濡而洪数，是所不胜者，侮其所胜。乃妻入乘夫，肾经中已有火邪矣。如遇房劳，则相火一动，邪火上冲，
故齿长而痛也。又肾者肝之母，肝者肾之子，肝主怒，怒气一发，则子益母气，木来生火，而火愈炽矣，齿岂
不长而痛乎？其用清胃饮者，以牙龈属阳明胃也。此惟胃脉洪数者为宜，今胃脉平和，是胃无恙，用清胃饮何
益也？非惟无益，且寒凉伤胃，反饮食不进矣。又肾主骨，齿乃骨余，肾经火盛，致令齿长。复用补阴丸治之，
中有干姜等热药，以火济火，其痛愈甚。故用黄柏为君，以滋肾水，泄肾火，青盐为之引，升麻升出肾经火邪。
药一入口，便觉丹田火热上升，自咽而出。肾脏一清，齿自安矣，何必清胃补肾哉。
俞东扶曰∶此案医理讲得最精，由于脉象认得的真，而更运以巧思，斯发无不中矣。清胃散之庸，诚不
足责。即泛用滋阴药，亦难应手。只此三味，诠解甚明，信乎缺一味不可，多一味不必也。余乡有患齿痛
数年，诸药不效者，叶天士用山萸肉、五味子、女贞子、旱莲草各三钱，牛膝、青盐各一钱而全愈。此取
酸咸下降，引肾经之火归宿肾经，可与易公方并垂不朽。雄按∶谢再华室患上龈右痛，匝月益剧，四昼夜
不能合目，浑身肉颤足冷，面红舌赤无津。余视之，患处不肿，脉软无神，气冲觉冷，乃肝火为患也。以
盐汤送下滋肾丸三钱，一睡而愈。
吕东庄治许开壅，病齿上龈从耳根痛起，便苦楚不可耐。医用平胃降火药，日增剧。诊之，关滞而尺衰，
授方以熟地为君，杜仲为臣，女贞子、甘草、黄柏、山药、山萸为佐。其尊人青臣，举以问医曰∶此方何如？
医曰∶大谬，不可服。问其谬状，曰∶齿病为阳明之火，与肾何干？而俱用补肾药耶？青臣曰∶果尔，则吾知
此方之妙矣，乃更邀往视。吕曰∶病见于上，而治当从下起，此有步骤，不可责速效也。仍用前药数剂，继用
人参、白术、茯神、甘草、白芍、枣仁、远志、当归、黄 、丹皮，数剂痛已减而未去也。诊其两尺已应，右
关以上皆平和，惟左关尚郁塞。曰∶今当为君立除之，遂用补中益气汤和龙胆草即愈。后小发，复加减前方愈
之。因嘱之曰∶此虽小疾，而其根在下，当谨调摄，毋使频发也。
孙文垣治昆池内人，患牙痛，一晚晕厥三次，次日两腮红肿，痛不可支，且洒淅恶寒，寝食以废。与清胃
汤加石膏为君，白芷为臣，连翘为佐，北细辛为使，服之痛如失。外以明矾为末，大五倍子一枚，入矾满之，
炭火炙，以矾红炙为末，不时擦牙，痛处立止。此方多效。
孙蠖斋因食鸡嚼骨，迸碎其齿，出血至晕。自后遇鸡鸣时，辄痛不可忍，余时则否。凡燕会遇鸡汤羹则痛
发，即不染指，痛亦然。如是数年，其家禁不畜鸡。亲旧欲招之者，必先戒厨人弗用也。后有人教食黄鼠野狼，
家人乃设法捕得一头，烹而进之。孙以其物异，心恶之，强饮汤数呷，尔后遇鸡辄啖如常，了无所苦矣。（新案。）
文潞公方，治牙齿风热上攻肿痛。独活、地黄各三钱为末，每服三钱，水一盏煎，和滓温服，卧时再用。（本草。）
薛立斋治毛宗伯齿痛，胃脉无力，用补中益气加生地、丹皮，治之而愈。
杨考功齿动作渴，属脾胃虚弱，阴火炽甚，用补中益气加炒黑黄柏，四剂，又服加减八味丸，诸症顿愈。
王侍御齿摇龈露，喜冷冻饮料食，此胃经湿热。先用承气汤以退其火，又用清胃散以调理而齿固，继用六味丸
以补肾而痊。
一男子晡热内热，牙痛龈溃，常取小虫，此足三阴虚火，足阳明经湿热。先用桃仁承气汤二剂，又用六味
丸而愈。
茯苓、石膏、龙骨各一两，寒水石二两半，白芷半两，石燕子大者一枚，小者一双，末之，早晚揩牙。繁
峙王文汉卿得此方于鳞抚折守，折守得于国初洛阳帅李成。折年逾九十，牙齿都不疏豁，亦无风虫。王公今九
十，食肉尚能齿决之。信此方之神也。（《续夷坚志》。）
薛立斋治一妇人，因怒齿痛，寒热作呕，用清胃等药益甚，此肝火伤胃，寒药复伤故也。用六君子加白芍、
柴胡、山栀而愈。
一妇人发热齿痛，日晡益甚，月水不调。此脾经血虚，用逍遥散加升麻寻愈。后因怒复痛，仍以前药加川
芎而痊。
一妇人胃中嘈辣，甚则热痛，后患齿动，此胃中痰火也。用二陈加芩、连，下越鞠丸而瘳。
一妇人因怒牙痛，寒热。此肝火侮脾土，用小柴胡加芎、归、苓、术、山栀而疼痛止，用加味逍遥散而寒
热退。
一妇人每产后，齿龈动摇皆痛，逾月乃止，此气血虚动也。后复怀妊临月，与十全大补汤二剂，令产后煎
服，其齿不动如故。
廷尉张中梁齿动摇，用安肾丸。考功杨仲玉齿动，用补中益气汤。侍御王济川齿摇龈露，用承气汤。文选
郑伯兴齿脑痛，用羌活附子汤。颜金宪齿痛，用凉膈散。郭职方过饮，用清胃散。党吏部风热，用犀角升麻汤。
朱工部血气虚，用十全大补汤。沈大尹头脑齿痛头重，手足厥冷，此风寒入脑，用麻黄附子细辛汤。并愈。
一男子齿痛，脉数实而便秘，用防风通圣散即愈。
一男子齿痛，胃脉数而有力，以清胃散加石膏、荆、防，二剂而痊。
一男子齿痛甚，胃脉数实，以承气汤一剂即止。
一男子齿痛，脉浮无力，以补中益气汤加黄连、生地、石膏，治之不复作。
一老人齿痛，午后即发，至晚尤甚，胃脉数而实，以凉膈散加荆、防、石膏。
王教授云∶有老妇人旧患牙疼，人教将两手大指交叉，以大指头尽处为穴，灸七壮，永不疼。恐是外关穴
也，穴本手少阳，去腕后二寸陷中。泉州一梢子妻，旧亦苦牙疼，人为灸手外踝穴近前些子，遂永不疼。但不
知《千金》所谓足外踝耶？手外踝耶？识者当辨之。（《百乙方》。）
辛帅旧患伤寒方愈，食青梅已而牙疼甚，有道人为之灸屈手大指本节后陷中，灸三壮。初灸觉病牙痒，再
灸觉牙有声，三壮疼止，今二十年矣。恐阳溪穴也。铜人云∶此穴治齿痛，手阳明脉入齿缝中，左疼灸右，
右疼灸左，效。（同上。）
昔率为乐清主簿者，蛀牙疼不可忍，号呼之声，彻于四邻，用药不效。有丐者献一方，用之即安。以汉椒
为末，及巴豆一粒，同研成膏，饭为丸如绿豆大，以绵裹安在蛀牙孔处立效。（同上。）
马敏叔说∶一村媪苦牙痛，百药不效。用丝瓜儿，俗呼为磨萝，烧灰存性，为细末，擦痛处立止。（同上。）
香白芷，太平州道地者，不拘多少；朱砂一分。白芷并另研。上为细末，入朱砂拌匀，炼蜜如樱桃大。每
用一丸，擦痛立止。庐州郭医传云∶渠亲曾累取效，尽胜他药。此药乃濠梁一村妇人，以医治帅母夫人者。仓
卒不用朱砂及蜜亦可，其功只在香白芷耳。赵从简府判，所用只白芷、细辛二味等分，亦每作效。（同上。）
李莫安抚女子退齿，逾年不生，甚以为挠，因过平江会李亮卿语之。李云∶予有一方，已经试验，用之一
月齿遂生。用雌乌鸡、雄乌鸡粪、（以二鸡各畜之。）旧鞋底。（麻底尤佳。）上三物等分，烧灰存性，研
细入麝香少许，同研敷于齿龈。（同上。）
立斋治党吏部，颊腮肿 至牙龈，右关脉数，此胃经风热上攻也，以犀角升麻汤治之而消。
郭职方齿肿， 至颊腮，素善饮，治以清胃散，数剂而愈。一男子患齿痛，服清胃散不应，服凉膈散而愈
盛，予用补胃丸治之而愈。
固齿方∶取老鼠头骨、牙，同盐 存性，研细以擦动牙，即坚固不摇。
来天培治一妇人，五旬患齿痛连脑，两颊赤肿，恶寒发热，脉细而涩，此肝脾郁结为患。治以逍遥散加熟
地、石膏、荆穗、杞子，一剂而肿痛减，再剂而诸症释然。
魏元亨在大圣中结识道友，一同攀登泰山山顶，到达唐明皇行馆的旧址，发现了几行断裂的石碑文字，隐约可见古文。经过清洗后，得到一首歌诀，内容是：猪牙皂角和生姜，犀角、升麻、蜀地黄。木律、旱莲草、槐角子，细辛与荷叶分量相当。青盐等份一起烧制，研成细粉后使用效果最好。刷牙固齿并使胡须变黑，谁知道世上竟有如此仙方。荷叶下方注解说，是指剪取荷叶的心部。于是将其抄录带回。当时朝廷的名公巨卿都依据此方修习使用，疗效迅速显著。（出自《皇朝类苑》。）
朱端章说：我奉命担任淮西幕府官职时，牙痛发作剧烈，医生用镊子拔除患牙，然后用一种草药捻碎，用热水浸泡片刻，用手蘸药汤擦拭疼痛部位，疼痛立即停止。后来我求得这个方子用来治疗多人，都很有效，这种草药就是皱面地菘草。俗人误称为地葱，沈括在《笔谈》中专门辨析过地菘，它的种子叫鹤虱，正是这种植物。钱季诚的方子用一枚鹤虱，折断后放入齿缝中。高监方的方子，用鹤虱煎煮米醋漱口。或者用防风、鹤虱煎水含漱，以及研磨草药塞入疼痛处，都有疗效。（出自《本草纲目》。）
周密在《志雅堂杂抄》中记载治疗牙齿肿痛的方法：用黑豆以酒煮汁，漱口后立即痊愈。王修竹说：他阁中曾验证过此法有效。
仙人郑思远经常骑虎，老朋友许隐因牙痛求治。郑思远说：将刚拔下的虎须趁热插入齿缝即可痊愈。便拔下几根给他。（出自《医说》。）
泽州人李继之突然患牙痛，皱眉不语。栾景先见到他说：为什么不快乐呢？回答说：牙痛。栾景先说：你记得戴人（张从正）说过吗？这是阳明经热邪有余，应该用峻下法治疗。于是给他服用舟车丸七十粒，服完后，遇到几位知心朋友留饮，强行喝了几杯热酒，药性被热酒激发，全部呕吐出来，吐完后疼痛停止。李大笑说：戴人是神仙啊！没过三五天又痛了，再次服用前药一百多粒，大便多次通畅后才痊愈。（出自《儒门事亲》。）
姚应凤看一个人嘴唇上有红痣，没有其他病痛，就对他说：这是“齿荩”（预示牙齿病变的征兆），三年后必死。那人愤怒不回答，三年后果然牙齿溃烂，前来求救。谢某回答说：这是上天降罚，不能活过期限了。果然去世。（出自《钱塘县志》。）
龚子才治疗一个人，牙齿浮动作痛，面色黧黑，口干想喝水，下午时分症状加重，这是脾虚弱的表现。使用补中益气汤、加减八味丸而痊愈。
一个男子每次脚发热，牙齿就浮肿。这是足三阴虚火，使用加减八味丸后不再复发。
李小园患满口牙齿疼痛，溃烂动摇，无法饮食，这是牙疳病，众医治疗无效。忽然遇到道人传授一方，用川椒炒一钱五分，铜青一钱，硼砂一钱，三味药研为末，每次取少许擦患处，流涎后立刻痊愈。
易思兰治疗一个人，患齿病，每当房事后，牙齿感觉伸长，疼痛难忍，冷热汤水都无法入口。凡是发怒，疼痛也是如此。十年前病情尚轻，十年后非常严重，每次发作必持续三五天，呻吟极其痛苦，于是断绝性欲。服用补肾丸、清胃饮均无效。有一天疾病发作，七天不饮食。诊其脉象，寸关两部均为正常脉象，唯独两尺脉洪数有力，这是肾经火邪太盛。用滋肾饮喂服，边漱口边咽下两盏，随即感觉丹田热气上升，从咽喉而出。再进两盏，疼痛顿时停止，牙齿可以叩击，从此不再复发。该方剂组成：黄柏三钱，青盐一钱，升麻一钱，水五碗煎汤，频繁漱口并咽下。那人问我说：我患齿病二十年，试药不下百余种，都没效，您只用三味药就奏效，为什么呢？我说：牙齿属于肾，各种疼痛都属于火，现在诊得脉象洪数有力，越按越坚实。沉濡而滑是肾脉；洪数有力是心脉。肾脉不呈现沉濡而呈洪数，这是所不胜者（心火）侮其所胜者（肾水）。即妻乘夫（阴乘阳），肾经中已有火邪。如遇房劳，则相火一动，邪火上冲，所以牙齿感觉伸长而痛。又肾是肝之母，肝是肾之子，肝主怒，怒气一发，则子益母气，木来生火，火更炽盛，牙齿岂能不伸长而痛？那些使用清胃饮的人，是因为牙龈属于阳明胃经。这仅适用于胃脉洪数的人，现在胃脉平和，说明胃无病，用清胃饮有什么益处呢？不仅无益，而且寒凉伤胃，反而导致饮食不进。又肾主骨，牙齿是骨之余，肾经火盛，导致牙齿伸长。再用补阴丸治疗，其中含有干姜等热药，以火济火，疼痛更加严重。所以用黄柏为君药，以滋肾水、泄肾火，青盐作为引经药，升麻升散肾经火邪。药一入口，便觉丹田火热上升，自咽而出。肾脏一清，牙齿自然安宁，何必清胃补肾呢？
俞东扶说：此案医理讲解最精妙，由于对脉象认识真切，再加上运用巧思，所以发射无不中的。清胃散的平庸，确实不值得指责。即使泛用滋阴药，也难以见效。仅这三味药，解释非常明确，确实缺一味不可，多一味不必。我家乡有患牙痛数年，诸药无效的，叶天士用山萸肉、五味子、女贞子、旱莲草各三钱，牛膝、青盐各一钱而全愈。这是取酸咸下降之意，引导肾经之火回归肾经，可与易公的方子并垂不朽。雄按：谢再华的妻子患上颌右侧疼痛，一个月加剧，四昼夜不能闭眼，浑身肌肉颤抖脚冷，面红舌赤无津液。我看患处不肿，脉软无神，气冲觉冷，这是肝火为患。用盐汤送下滋肾丸三钱，睡一觉就好了。
吕东庄治疗许开壅，病起于上牙龈，从耳根处开始疼痛，痛苦不堪。医生用平胃降火药，病情日益加重。诊察脉象，关脉滞涩而尺脉衰弱，授方以熟地为君药，杜仲为臣药，女贞子、甘草、黄柏、山药、山萸肉为佐药。他的父亲青臣，拿此方问医生怎么样？医生说：大错特错，不可服用。问其错误之处，医生说：齿病是阳明之火，与肾有什么关系？却都用补肾药呢？青臣说：果真如此，我就知道此方的妙处了，于是再次邀请吕东庄前往诊治。吕东庄说：病见于上部，治疗应当从下部着手，这是有步骤的，不能要求速效。仍用前方数剂，继用人参、白术、茯神、甘草、白芍、枣仁、远志、当归、黄芪、丹皮，数剂后疼痛已减轻但未去除。诊察两尺脉已应指，右关以上皆平和，唯独左关尚郁塞。说：现在应当为您彻底清除它，于是用补中益气汤合龙胆草即愈。后来小发作，又加减前方治愈。嘱咐他说：这虽是小病，但病根在下，应当谨慎调摄，不要使其频发。
孙文垣治疗昆池内人的牙痛，一晚晕厥三次，次日两腮红肿，疼痛难支，且洒淅恶寒，寝食废弛。给予清胃汤加石膏为君药，白芷为臣药，连翘为佐药，北细辛为使药，服用后疼痛如失。外用明矾为末，大五倍子一枚，填入明矾，炭火炙烤，待明矾变红后研为末，不时擦牙，痛处立止。此方多效。
孙蠖斋因为吃鸡嚼骨头，崩碎了牙齿，出血至晕厥。此后每逢鸡鸣时，就疼痛难忍，其他时间则否。凡是宴会遇到鸡汤羹就痛发，即使不沾手指，疼痛亦然。这样几年，家里禁止养鸡。亲友想招待他，必先告诫厨人不用鸡。后来有人教吃黄鼠狼，家人设法捕得一头，烹煮后进食。孙因其物怪异，心中厌恶，勉强喝了几口汤，此后遇鸡照常食用，毫无痛苦了。（新案。）
文潞公方，治疗牙齿风热上攻肿痛。独活、地黄各三钱为末，每服三钱，水一盏煎，和滓温服，睡前再用。（出自《本草》相关记载。）
薛立斋治疗毛宗伯齿痛，胃脉无力，用补中益气汤加生地、丹皮，治愈。
杨考功牙齿松动作渴，属脾胃虚弱，阴火炽甚，用补中益气汤加炒黑黄柏，四剂，又服加减八味丸，诸症顿愈。
王侍御牙齿摇动牙龈暴露，喜冷冻饮料食，这是胃经湿热。先用承气汤以退其火，又用清胃散以调理而齿固，继用六味丸以补肾而痊愈。
一个男子傍晚发热内热，牙痛龈溃，常取小虫，这是足三阴虚火，足阳明经湿热。先用桃仁承气汤二剂，又用六味丸而痊愈。
茯苓、石膏、龙骨各一两，寒水石二两半，白芷半两，石燕子大者一枚，小者一双，研为末，早晚揩牙。繁峙王文汉卿从鳞抚折守那里得到此方，折守从国初洛阳帅李成那里得到。折年逾九十，牙齿都不疏豁，也无风虫。王公如今九十岁，吃肉尚能咬断。相信此方之神效。（出自《续夷坚志》。）
薛立斋治疗一个妇人，因怒致齿痛，寒热作呕，用清胃等药反而加重，这是肝火伤胃，寒药复伤所致。用六君子汤加白芍、柴胡、山栀而愈。
一个妇人发热齿痛，日晡益甚，月水不调。这是脾经血虚，用逍遥散加升麻寻愈。后因怒复痛，仍以前药加川芎而痊。
一个妇人胃中嘈辣，甚则热痛，后患齿动，这是胃中痰火也。用二陈汤加黄芩、黄连，下越鞠丸而瘳。
一个妇人因怒牙痛，寒热。这是肝火侮脾土，用小柴胡汤加川芎、当归、茯苓、白术、山栀而疼痛止，用加味逍遥散而寒热退。
一个妇人每产后，齿龈动摇皆痛，逾月乃止，这是气血虚动也。后复怀妊临月，给予十全大补汤二剂，令产后煎服，其齿不动如故。
廷尉张中梁牙齿摇动，用安肾丸。考功杨仲玉牙齿松动，用补中益气汤。侍御王济川齿摇龈露，用承气汤。文选郑伯兴齿脑痛，用羌活附子汤。颜金宪齿痛，用凉膈散。郭职方过饮，用清胃散。党吏部风热，用犀角升麻汤。朱工部血气虚，用十全大补汤。沈大尹头脑齿痛头重，手足厥冷，这是风寒入脑，用麻黄附子细辛汤。并愈。
一个男子齿痛，胃脉数而有力，以清胃散加石膏、荆芥、防风，二剂而痊。
一个男子齿痛，脉浮无力，以补中益气汤加黄连、生地、石膏，治之不复作。
一个老人齿痛，午后即发，至晚尤甚，胃脉数而实，以凉膈散加荆芥、防风、石膏。
王教授说：有一位老妇人旧患牙疼，有人教将两手大指交叉，以大指头尽处为穴，灸七壮，永不疼。恐怕是外关穴吧，此穴本在手少阳经，去腕后二寸陷中。泉州一个梢子妻，旧亦苦牙疼，人为灸手外踝穴近前些子，遂永不疼。但不知《千金》所谓足外踝耶？手外踝耶？识者当辨之。（出自《百乙方》。）
辛帅旧患伤寒刚愈，食青梅后牙疼甚，有道人为之灸屈手大指本节后陷中，灸三壮。初灸觉病牙痒，再灸觉牙有声，三壮疼止，至今二十年矣。恐怕是阳溪穴。铜人云：此穴治齿痛，手阳明脉入齿缝中，左疼灸右，右疼灸左，效。（同上。）
昔年为乐清主簿者，蛀牙疼不可忍，号呼之声，彻于四邻，用药不效。有丐者献一方，用之即安。以汉椒为末，及巴豆一粒，同研成膏，饭为丸如绿豆大，以绵裹安在蛀牙孔处立效。（同上。）
马敏叔说：一村媪苦牙痛，百药不效。用丝瓜儿，俗呼为磨萝，烧灰存性，为细末，擦痛处立止。（同上。）
香白芷，太平州道地者，不拘多少；朱砂一分。白芷并另研。上为细末，入朱砂拌匀，炼蜜如樱桃大。每用一丸，擦痛立止。庐州郭医传云：渠亲曾累取效，尽胜他药。此药乃濠梁一村妇人，以医治帅母夫人者。仓卒不用朱砂及蜜亦可，其功只在香白芷耳。赵从简府判，所用只白芷、细辛二味等分，亦每作效。（同上。）
李莫安抚女子退齿，逾年不生，甚以为挠，因过平江会李亮卿语之。李云：予有一方，已经试验，用之一月齿遂生。用雌乌鸡、雄乌鸡粪、（以二鸡各畜之。）旧鞋底。（麻底尤佳。）上三物等分，烧灰存性，研细入麝香少许，同研敷于齿龈。（同上。）
立斋治疗党吏部，颊腮肿至牙龈，右关脉数，这是胃经风热上攻，以犀角升麻汤治之而消。
郭职方齿肿，至颊腮，素善饮，治以清胃散，数剂而愈。一个男子患齿痛，服清胃散不应，服凉膈散而愈盛，我用补胃丸治之而愈。
固齿方：取老鼠头骨、牙，同盐煅存性，研细以擦动牙，即坚固不摇。
来天培治疗一个妇人，五旬患齿痛连脑，两颊赤肿，恶寒发热，脉细而涩，这是肝脾郁结为患。治以逍遥散加熟地、石膏、荆穗、杞子，一剂而肿痛减，再剂而诸症释然。
Wei Yuanheng, while making friends with a Daoist companion at Dasheng, climbed to the summit of Mount Tai. Arriving at the ruins of Emperor Xuanzong's former residence, he found several lines of broken stele inscriptions, faintly resembling ancient script. After washing them, he obtained a song: "Zhu Ya Zao Jiao (Styloceris Siliqua) and Sheng Jiang (Fresh Ginger), Xi Jiao (Rhinoceros Horn), Sheng Ma (Cimicifugae Rhizoma), and Shu Di Huang (Rehmanniae Radix Praeparata). Mu Lv (likely referring to a specific herb or typo in original context, kept as transliteration), Han Lian Cao (Ecliptae Herba), Huai Jiao Zi (Sophorae Flos), Xi Xin (Asari Radix et Rhizoma), and He Ye (Nelumbinis Folium) should be in equal proportion. Qing Yan (Halitum) roasted in equal parts, ground into fine powder for best use. Brushing teeth, firming gums, and blackening beard—who knew there were such immortal prescriptions in the world?" A note below He Ye states it refers to cutting out the heart of the lotus leaf. Thus, he copied it and returned. Prominent officials of the court all followed this prescription for practice, achieving rapid and effective results. (From *Huangchao Lei Yuan*.)
Zhu Duanzhang said: "When I was commissioned to serve in the Huaixi幕府 (military government office), severe toothache erupted. A doctor extracted the painful tooth with forceps, then crushed a handful of herbal medicine, soaked it briefly in hot water, and dabbed the painful area with the liquid using his hand, which immediately stopped the pain. I later sought this prescription and used it to treat many people with good effect. The herb is Zou Mian Di Song Cao (Scutellaria barbata). Common people mistakenly call it Di Cong (Allium chinense). Shen Kuo specifically discussed Di Song in *Bi Tan*, noting its seed is called He Shi (Herba Pedicularis), which is indeed this plant. Qian Jicheng's prescription uses one piece of He Shi, broken and placed in the tooth gap. Gao Jian's prescription decocts He Shi with rice vinegar for gargling. Alternatively, decoct Fang Feng (Saposhnikoviae Radix) and He Shi in water for holding and gargling, or grind the herb and pack it into the painful area; all are effective. (From *Bencao Gangmu*.)
Zhou Mi recorded in *Zhaya Tang Za Chao* regarding treatment for toothache and swelling: Use Hei Dou (Glycine Max) boiled in wine juice, gargle, and it heals immediately. Wang Xiuzhu said: It was verified as effective in his pavilion.
The immortal Zheng Siyuan often rode tigers. His old friend Xu Yin sought treatment for toothache. Zheng said: Insert tiger whiskers while still warm into the tooth gap, and it will heal immediately. He pulled out a few strands and gave them to him. (From *Yi Shuo*.)
Li Jizhi from Zezhou suddenly suffered from toothache, frowning and silent. Luan Jingxian saw him and asked: Why are you unhappy? He replied: Toothache. Luan said: Do you remember what Dai Ren (Zhang Congzheng) said? This is excess heat in the Yangming Meridian. It should be treated with drastic purgation. So he administered Zhou Che Wan (Boat Cart Pill) 70 pills. After finishing the dose, he met several close friends who invited him to drink. He was urged to drink several cups of hot wine. The medicine was activated by the hot wine, causing him to vomit everything. After vomiting, the pain stopped. Li laughed greatly and said: Dai Ren is an immortal! Three or five days later, the pain returned. He took over 100 pills of the previous medicine, had several bowel movements, and then recovered. (From *Rumen Shiqin*.)
Yao Yingfeng observed a person with a red mole on the lip and no other illness, and told him: This is 'Chi Jin' (a sign indicating dental disease), and you will die in three years. The man was angry and did not respond. Three years later, his teeth indeed decayed, and he came seeking help. Xie replied: This is heavenly punishment; you cannot exceed the limit. He indeed died. (From *Qiantang County Annals*.)
Gong Zicai treated a patient with floating and painful teeth, dark complexion, dry mouth and thirst, worsening in the late afternoon. This was due to Spleen deficiency. He used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill) to cure him.
A man whose feet felt hot whenever his teeth swelled. This was deficiency fire of the Three Foot-Yin meridians. Using Jia Jian Ba Wei Wan prevented recurrence.
Li Xiaoyuan suffered from full-mouth toothache, ulceration, mobility, inability to eat or drink. This was Ya Gan (Dental Gangrene); various doctors failed. Suddenly, a Daoist transmitted a prescription: Chuan Jiao (Sichuan Pepper) stir-fried 1.5 qian, Tong Qing (Malachite) 1 qian, Peng Sha (Borax) 1 qian. Grind these three into powder. Apply a small amount to the affected area; salivation occurs immediately, and recovery follows.
Yi Silan treated a patient with dental disease. Whenever after sexual intercourse, his teeth felt elongated, unbearable pain ensued, unable to tolerate hot or cold liquids. Anger also triggered pain. Ten years prior, it was mild; ten years later, it was severe, lasting 3-5 days per episode, with extreme groaning, leading to celibacy. Bu Shen Wan (Tonify Kidney Pill) and Qing Wei Yin (Clear Stomach Drink) were ineffective. One day, the disease flared up, and he went seven days without food or drink. Pulse diagnosis: Cun and Guan positions were normal, but Chi positions were洪数有力 (surging, rapid, and forceful), indicating excessive fire evil in the Kidney Meridian. He administered Zi Shen Yin (Nourish Kidney Drink), gargling and swallowing two bowls. He immediately felt heat rising from the Dantian, exiting through the throat. Another two bowls were taken, pain ceased instantly, teeth could be tapped, and it never recurred. Prescription: Huang Bo (Phellodendri Cortex) 3 qian, Qing Yan 1 qian, Sheng Ma 1 qian. Decoct in five bowls of water, frequent gargling and swallowing. The patient asked: I have had dental disease for 20 years, tried over 100 medicines without effect. You used only three ingredients and succeeded. Why? I replied: Teeth belong to the Kidney; all pain belongs to Fire. Your pulse is surging, rapid, and forceful, hardening upon pressure. Deep, soft, and slippery is the Kidney pulse; surging, rapid, and forceful is the Heart pulse. The Kidney pulse should be deep and soft but is surging and rapid; this is the unconquered (Heart/Fire) insulting the conquered (Kidney/Water). Wife overpowering husband (Yin overcoming Yang); fire evil exists in the Kidney Meridian. Sexual activity moves Ministerial Fire, sending evil fire upward, causing teeth to feel elongated and painful. Kidney is Mother of Liver; Liver is Child of Kidney. Liver governs anger. Anger generates Mother Qi; Wood generates Fire, intensifying Fire, causing teeth to elongate and hurt. Those using Qing Wei Yin do so because gums belong to the Yangming Stomach Meridian. This suits those with surging Stomach pulses. Your Stomach pulse is peaceful, meaning the Stomach is healthy. What benefit does clearing Stomach heat provide? Not only no benefit, but cold-natured herbs damage the Stomach, hindering digestion. Kidney governs bones; teeth are surplus bone. Kidney fire causes teeth to elongate. Using Bu Yin Wan (Nourish Yin Pill) containing Gan Jiang (Zingiberis Rhizoma) and other hot herbs adds fire to fire, worsening pain. Thus, Huang Bo is used as Sovereign herb to nourish Kidney Water and drain Kidney Fire. Qing Yan acts as Guide herb. Sheng Ma lifts and disperses Kidney fire evil. Upon ingestion, Dantian heat rises and exits via the throat. Once the Kidney is cleared, teeth settle naturally. Why clear Stomach or tonify Kidney separately?
Yu Dongfu commented: This case explains medical principles most precisely. Accurate pulse recognition combined with clever application ensures success. The mediocrity of Qing Wei San (Clear Stomach Powder) is indeed blameworthy. Even generic yin-nourishing herbs fail here. These three ingredients are clearly justified; missing one is unacceptable, adding one is unnecessary. In my hometown, a patient suffered toothache for years, unresponsive to drugs. Ye Tianshi cured him completely using Shan Yu Rou (Corni Fructus), Wu Wei Zi (Schisandrae Fructus), Nv Zhen Zi (Ligustri Lucidi Fructus), Han Lian Cao each 3 qian, Niu Xi (Achyranthis Bidentatae Radix) and Qing Yan each 1 qian. This utilizes sour and salty descending properties to guide Kidney fire back to the Kidney Meridian, worthy of immortality alongside Master Yi's formula. Xiong noted: Mrs. Xie Zaihua suffered right upper gum pain, worsening over a month, unable to sleep for four nights, whole-body tremors, cold feet, red face, red tongue without moisture. Lesion was not swollen; pulse was soft and spiritless; qi rush felt cold. This was Liver Fire. Administered Zi Shen Wan (Nourish Kidney Pill) 3 qian delivered with salt water; healed after one sleep.
Lv Dongzhuang treated Xu Kaiyong, who suffered pain starting from the upper gum radiating from the ear root, unbearable suffering. Doctors used Ping Wei (Calm Stomach) and fire-clearing herbs, worsening the condition. Pulse: Guan position stagnant, Chi position weak. Prescription: Shu Di Huang (Prepared Rehmanniae Radix) as Sovereign, Du Zhong (Eucommiae Cortex) as Minister, Nv Zhen Zi, Gan Cao (Licorice Root), Huang Bo, Shan Yao (Dioscoreae Rhizoma), Shan Yu Rou as Assistants. His father, Qingchen, asked a doctor about it. The doctor said: Great error, do not take it. Reason: Dental disease is Yangming Fire; what does it have to do with the Kidney? Why use Kidney-tonifying herbs? Qingchen said: If so, I understand the brilliance of this formula. He invited Lv again. Lv said: Disease manifests above, but treatment must start from below. There is a sequence; do not demand quick results. Continue previous formula for several doses, then add Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Shen (Poria with Hostwood), Gan Cao, Bai Shao (Paeoniae Radix Alba), Suan Zao Ren (Ziziphi Spinosae Semen), Yuan Zhi (Polygalae Radix), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Dan Pi (Moutan Cortex). Pain reduced but persisted. Pulse: Both Chi positions responsive; Right Guan and above peaceful; Left Guan still stagnant. Said: Now I will eliminate it for you. Used Bu Zhong Yi Qi Tang combined with Long Dan Cao (Gentianae Radix); healed. Minor relapses later resolved with modified previous formula. Advised: Though minor, the root is lower. Maintain careful regulation to prevent frequent recurrence.
Sun Wenyuan treated the wife of Kunchi Neiren for toothache. She fainted three times one night. Next day, both cheeks swelled red, pain unbearable, aversion to wind/cold, unable to sleep or eat. Prescribed Qing Wei Tang (Clear Stomach Decoction) with Shi Gao (Gypsum Fibrosum) as Sovereign, Bai Zhi (Angelicae Dahuricae Radix) as Minister, Lian Qiao (Forsythiae Fructus) as Assistant, Bei Xi Xin (Asari Radix et Rhizoma) as Envoy. Pain vanished after taking it. Externally: Ming Fan (Alumen) powder, one large Wu Bei Zi (Galla Chinensis) stuffed with alum, roasted over charcoal until alum turns red, ground to powder. Apply to teeth occasionally; pain stops immediately. This formula is highly effective.
Sun Huozhai broke his teeth chewing chicken bones, bleeding until fainting. Since then, every time roosters crowed, unbearable pain ensued; otherwise, no pain. Any banquet involving chicken soup triggered pain, even without touching it. For years, his family banned keeping chickens. Relatives inviting him had to warn cooks not to use chicken. Later, someone advised eating yellow weasel. Family caught one, cooked, and served it. Sun, finding the meat strange and disgusting, forced himself to drink a few sips of broth. Afterwards, he ate chicken normally without any pain. (New Case.)
Lord Wen's Formula treats tooth swelling and pain due to Wind-Heat attacking upwards. Du Huo (Angelicae Pubescentis Radix) and Di Huang (Rehmanniae Radix) each 3 qian, ground to powder. Take 3 qian each time, decoct in one bowl of water, take warm with dregs, before bed. (From *Bencao* records.)
Xue Lizhai treated Mao Zongbo for toothache. Stomach pulse was weak. Used Bu Zhong Yi Qi Tang plus Sheng Di Huang (Rehmanniae Radix) and Dan Pi to cure.
Yang Kaogong had loose teeth and thirst, attributed to Spleen/Stomach deficiency and intense Yin Fire. Used Bu Zhong Yi Qi Tang plus stir-fried black Huang Bo for four doses, then Jia Jian Ba Wei Wan; symptoms resolved instantly.
Wang Shiyu had loose teeth and exposed gums, preferring cold drinks/food. This was Stomach Meridian Damp-Heat. First used Cheng Qi Tang (Order the Qi Decoction) to reduce fire, then Qing Wei San to regulate and firm teeth, finally Liu Wei Wan (Six-Ingredient Pill with Rehmannia) to tonify Kidney; cured.
A man with evening fever, internal heat, toothache, gum ulceration, extracting small insects. This was deficiency fire of Three Foot-Yin meridians and Damp-Heat of Foot-Yangming Meridian. First used Tao Ren Cheng Qi Tang (Peach Kernel Order the Qi Decoction) for two doses, then Liu Wei Wan; cured.
Fu Ling (Poria), Shi Gao, Long Gu (Fossilized Bones) each 1 liang, Han Shui Shi (Calcitum) 2.5 liang, Bai Zhi 0.5 liang, one large Shi Yan Zi (Swallow's Egg-shaped Stone) and two small ones. Grind to powder. Rub teeth morning and night. Wang Wenhanqing from Fanshi obtained this from Lin Fuzhe Shoushou, who got it from Li Cheng, military governor of Luoyang in early dynasty. Shoushou lived past 90, teeth not loose, no wind/insect issues. Lord Wang is now 90, can still bite meat. Truly a divine formula. (From *Xu Yijian Zhi*.)
Xue Lizhai treated a woman with toothache due to anger, chills/fever, vomiting. Qing Wei herbs worsened it. This was Liver Fire injuring Stomach, compounded by cold herbs. Used Liu Jun Zi Tang (Six-Gentlemen Decoction) plus Bai Shao, Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus); cured.
A woman with fever, toothache, worsening in late afternoon, irregular menstruation. This was Spleen Meridian Blood Deficiency. Used Xiao Yao San (Free and Easy Wanderer Powder) plus Sheng Ma; healed. Relapsed due to anger; same formula plus Chuan Xiong (Ligustici Chuanxiong Rhizoma) cured her.
A woman with stomach burning/spicy sensation, severe heat/pain, later loose teeth. This was Phlegm-Fire in Stomach. Used Er Chen Tang (Two-Aged Decoction) plus Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), followed by Yue Ju Wan (Regulating Pills); healed.
A woman with toothache due to anger, chills/fever. This was Liver Fire insulting Spleen Earth. Used Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Chuan Xiong, Dang Gui, Fu Ling, Bai Zhu, Shan Zhi; pain stopped. Xiao Yao San with modifications resolved chills/fever.
A woman with painful, mobile gums after childbirth, resolving after a month. This was Qi/Blood deficiency agitation. Later pregnant near term, given Shi Quan Da Bu Tang (Great Tonifying Decoction of Ten Substances) for two doses, instructed to decoct and take postpartum; teeth remained stable.
Tingwei Zhang Zhongliang had loose teeth; used An Shen Wan (Peace the Kidney Pill). Kaogong Yang Zhongyu had loose teeth; used Bu Zhong Yi Qi Tang. Shiyu Wang Jichuan had loose teeth/exposed gums; used Cheng Qi Tang. Wenxuan Zheng Boxing had tooth/head pain; used Qiang Huo Fu Zi Tang (Notopterygii and Aconiti Radix Decoction). Yan Jinxian had toothache; used Liang Ge San (Cool the Chest Powder). Guo Zhifang had toothache from overdrinking; used Qing Wei San. Dang Libu had Wind-Heat; used Xi Jiao Sheng Ma Tang (Rhinoceros Horn and Cimicifugae Decoction). Zhu Gongbu had Qi/Blood deficiency; used Shi Quan Da Bu Tang. Shen Dayin had head/tooth pain, heavy head, cold hands/feet; Cold-Wind invading Brain. Used Ma Huang Fu Zi Xi Xin Tang (Ephedra, Aconite, and Asari Decoction). All cured.
A man with toothache, rapid/solid pulse, constipation. Used Fang Feng Tong Sheng San (Saposhnikovia Unblocking the Exterior Powder); healed.
A man with toothache, rapid/forceful Stomach pulse. Used Qing Wei San plus Shi Gao, Jing Jie (Schizonepetae Herba), Fang Feng; healed in two doses.
A man with severe toothache, rapid/solid Stomach pulse. Used Cheng Qi Tang one dose; pain stopped.
A man with toothache, floating/weak pulse. Used Bu Zhong Yi Qi Tang plus Huang Lian, Sheng Di Huang, Shi Gao; no recurrence.
An elderly man with toothache starting afternoon, worse at night, rapid/solid Stomach pulse. Used Liang Ge San plus Jing Jie, Fang Feng, Shi Gao.
Professor Wang said: An old woman with chronic toothache was taught to cross thumbs, moxa at the tip of the thumb seven moxa cones, preventing future pain. Likely Waiguan (TE5) point, Hand-Shaoyang Meridian, 2 cun posterior to wrist depression. A boatman's wife in Quanzhou had chronic toothache; moxa near lateral malleolus of hand; pain ceased forever. But is it Foot or Hand lateral malleolus mentioned in *Qianjin*? Experts should distinguish. (From *Baibai Fang*.)
Marshal Xin, recovering from typhoid, ate green plums, then severe toothache. A Daoist moxed the depression behind the base of the flexed thumb three cones. First cone: tooth itched. Second: tooth made sound. Third: pain stopped. Has not recurred in 20 years. Likely Yangxi (LI5) point. *Tongren* says: Treats toothache; Hand-Yangming enters tooth gaps. Left pain moxa right, right pain moxa left; effective. (Same source.)
Former magistrate of Yueqing had unbearable caries pain, screaming neighbors, drugs ineffective. A beggar offered a formula: Han Jiao (Sichuan Pepper) powder plus one Ba Dou (Crotonis Semens), ground into paste, formed into pill size of mung bean, wrapped in cotton, placed in caries hole; immediate effect. (Same source.)
Ma Minshu said: A village woman suffered toothache, hundred drugs failed. Use Si Gua Er (Young Loofah), commonly called Mo Luo, burn to ash preserving nature, grind to fine powder, rub on painful area; stops immediately. (Same source.)
Xiang Bai Zhi (Angelica Dahurica from Taiping Prefecture), any amount; Zhu Sha (Cinnabar) 1 fen. Grind separately. Mix powder with Zhu Sha, refine honey into cherry-sized pills. Use one pill, rub on pain; stops immediately. Physician Guo from Luzhou claimed personal success, superior to others. Formula from a village woman in Haoliang treating Marshal's mother. Urgent cases omitting Zhu Sha and honey still work; efficacy lies mainly in Xiang Bai Zhi. Judge Zhao Congjian used only Bai Zhi and Xi Xin in equal parts; always effective. (Same source.)
Li Mo Anfu's daughter lost a tooth, didn't grow back for over a year, very distressed. Met Li Liangqing in Pingjiang. Li said: I have a tested formula. Use one month, tooth grows. Ingredients: Female Black Chicken, Male Black Chicken Manure (raise two chickens separately), Old Shoe Sole (Hemp sole best). Equal parts of three items, burn to ash preserving nature, grind fine, add little She Xiang (Moschus), mix and apply to gums. (Same source.)
Lizhai treated Party Minister, cheek/jaw swelling extending to gums, Right Guan pulse rapid. Wind-Heat attacking Stomach Meridian. Treated with Xi Jiao Sheng Ma Tang; swelling subsided.
Guo Zhifang had tooth swelling extending to cheeks/jaw, loved drinking. Treated with Qing Wei San; healed in several doses. A man with toothache, Qing Wei San ineffective, Liang Ge San worsened it. I used Bu Wei Wan (Tonify Stomach Pill); healed.
Formula for Firming Teeth: Take Rat Skull Bone and Teeth, calcine with Salt preserving nature, grind fine, rub on loose teeth; becomes firm and stable.
Lai Tianpei treated a woman, age 50, toothache radiating to brain, red/swollen cheeks, chills/fever, fine/choppy pulse. Liver/Spleen stagnation. Treated with Xiao Yao San plus Shu Di Huang, Shi Gao, Jing Sui (Schizonepetae Spike), Qi Zi (Lycii Fructus). One dose reduced swelling/pain; two doses resolved all symptoms.