牙匡生疖是牙痈上下生兮总共同。但用破皮针出血更加角药有奇功。
凡牙匡生疖毒或满匡红肿或一处红肿。先用冰硼散以角药调噙。服紫地汤。凡牙痈搜牙两症。以牙床高低界为
辨。在牙床上高处为搜牙。在牙床下低处为牙痈。此症亦有内外生者。皆可用破皮针。针去脓血自效。
枢扶氏曰。此症由阳明胃热毒所致。初起身发寒热。腮颊浮肿红痛者。当以前法治之。若初起往往有误认牙疼
等症。过服寒凉清火之剂。以致坚肿色淡。自破流黄水日久烂至牙根。及延烂咽喉。名曰骨槽风。又名附骨。一名
穿珠。法当用二陈汤加阳和丸煎服。或阳和汤消之。倘遇溃者以阳和汤犀黄丸。每日早晚轮服。倘有多骨。以推车
散吹入。隔一夜其骨不痛。自行刺出。须俟骨尖退出。摇则内动。方可渐次取下。再吹。次日无骨退出即以生肌散
吹入内服保元汤。加肉桂归芎 草宜生自然获效收功。而愈矣。
凡骨槽风首。初起牙骨及腮内疼痛。不肿不红。惟肿连脸骨者。是骨槽风也然齿症不一。有齿 者。是虫蚀齿
至龈。由胃经瘀湿风火凝聚而成。齿根胀痛腐烂时出脓血臭汁也。有齿龋者亦以阳明入风热之邪。抟齿龈气血。腐
烂为脓血臭汁。谓之齿龋。（音拒）亦云风龋有齿历蠹者。由骨髓气不能荣盛。故令齿黑黯谓之历齿。皆由阳明之
所致而治法各异。俱详注续集焉。
牙匡生疖是牙痈上下生兮总共同。但用破皮针出血更加角药有奇功。
在牙床周围长疖子，无论是上牙还是下牙，其病机总体是一致的。只要使用破皮针刺破排血，再配合外用角药（一种刺激性较强的外用药粉），就能取得奇效。
凡牙匡生疖毒或满匡红肿或一处红肿。先用冰硼散以角药调噙。服紫地汤。
凡是牙床周围长出疖毒，或者是整个牙床红肿，或者只是局部红肿。应当先用冰硼散，用角药调和后含漱。同时内服紫地汤。
凡牙痈搜牙两症。以牙床高低界为辨。在牙床上高处为搜牙。在牙床下低处为牙痈。此症亦有内外生者。皆可用破皮针。针去脓血自效。
对于牙痈和搜牙这两种病症，以牙床的高低位置作为鉴别标准。位于牙床较高处的称为搜牙；位于牙床较低处的称为牙痈。这两种病症也有生于内部和外部的区别。都可以使用破皮针，刺破排出脓血，自然就会见效。
枢扶氏曰。此症由阳明胃热毒所致。初起身发寒热。腮颊浮肿红痛者。当以前法治之。若初起往往有误认牙疼等症。过服寒凉清火之剂。以致坚肿色淡。自破流黄水日久烂至牙根。及延烂咽喉。名曰骨槽风。又名附骨。一名穿珠。法当用二陈汤加阳和丸煎服。或阳和汤消之。倘遇溃者以阳和汤犀黄丸。每日早晚轮服。倘有多骨。以推车散吹入。隔一夜其骨不痛。自行刺出。须俟骨尖退出。摇则内动。方可渐次取下。再吹。次日无骨退出即以生肌散吹入内服保元汤。加肉桂归芎 草宜生自然获效收功。而愈矣。
枢扶氏说：这种病症是由阳明胃经的热毒引起的。初期身体出现恶寒发热，腮帮子和脸颊浮肿、发红疼痛的，应当用前面的方法治疗。如果在初期往往误认为是牙疼等其他病症，过量服用寒凉清火的药物，导致肿块坚硬、颜色变淡，自行破溃后流出黄水，时间久了腐烂蔓延到牙根，甚至延及咽喉，这就叫做骨槽风。又名叫附骨，还有一个名字叫穿珠。治疗方法应当用二陈汤加入阳和丸煎服，或者用阳和汤来消散它。如果遇到已经溃破的情况，就用阳和汤和犀黄丸，每天早晚轮流服用。如果体内有多余的死骨，将推车散吹入患处。过了一夜，死骨不再疼痛，会自行刺出。必须等到骨尖退出来，摇晃时感觉内部松动，才可以逐渐将其取出，然后再吹药。第二天如果没有骨头退出，就立即吹入生肌散，内服保元汤，加入肉桂、当归、川芎、甘草（宜用生品），自然能够收到疗效而痊愈。
凡骨槽风首。初起牙骨及腮内疼痛。不肿不红。惟肿连脸骨者。是骨槽风也然齿症不一。有齿 者。是虫蚀齿至龈。由胃经瘀湿风火凝聚而成。齿根胀痛腐烂时出脓血臭汁也。有齿龋者亦以阳明入风热之邪。抟齿龈气血。腐烂为脓血臭汁。谓之齿龋。（音拒）亦云风龋有齿历蠹者。由骨髓气不能荣盛。故令齿黑黯谓之历齿。皆由阳明之所致而治法各异。俱详注续集焉。
凡是骨槽风的初期，刚开始时牙骨和腮内疼痛，但不肿胀也不发红，只有肿胀牵连到脸骨的，这就是骨槽风。然而牙齿的病症不止一种。有一种叫“齿蝕”（原文缺字，据语境推测为蚀或类似含义，指虫蚀），是虫子侵蚀牙齿直到牙龈，这是由胃经的瘀血、湿气、风邪、火邪凝聚而成的，表现为齿根胀痛、腐烂，时常流出脓血和臭水。有一种叫“齿龋”（读音jù），也是因为阳明经受风热邪气侵袭，搏结于齿龈的气血，导致腐烂化为脓血臭水，这叫做齿龋。还有一种叫“齿历蠹”，是由于骨髓之气不能滋养牙齿，所以导致牙齿黑暗，这叫做历齿。这些病症都是由阳明经引起的，但治疗方法各不相同，详细内容都在续集中注明了。
A boil arising in the alveolar ridge (Ya Kuang) is essentially the same whether it occurs on the upper or lower teeth, both being types of dental abscess (Ya Yong). Merely using a lancing needle to bleed, combined with the application of Jiao Yao (a type of stimulating external medicated powder), yields miraculous results.
Whenever a toxic boil arises in the alveolar ridge, presenting as either generalized redness and swelling of the entire ridge or localized redness and swelling, one should first use Bing Peng San (Ice and Borax Powder) mixed with Jiao Yao for holding in the mouth (Qin). Internally, Zi Di Tang should be administered.
Regarding the differentiation between Ya Yong (Dental Abscess) and Sou Ya (Search Tooth), the boundary lies in the height of the alveolar ridge. Lesions located at the higher part of the alveolar ridge are termed Sou Ya; those at the lower part are termed Ya Yong. These conditions may also arise internally or externally. In all cases, a lancing needle can be used to puncture and drain pus and blood, which will naturally prove effective.
Mr. Shufu stated: This condition is caused by heat-toxin in the Yangming Stomach channel. Initially, the patient presents with aversion to cold and fever, along with swollen, red, and painful cheeks and jaw. The aforementioned treatment method should be employed. However, in the early stages, this is often misdiagnosed as simple toothache. Overuse of cold-natured clearing-fire medications leads to hard swelling with pale coloration. If it spontaneously ruptures, yellow fluid drains out; over time, necrosis extends to the tooth roots and spreads to the throat. This is named Gu Cao Feng (Bone Trough Wind), also known as Fu Gu (Attached Bone) or Chuan Zhu (String of Pearls). The treatment should involve decocting Er Chen Tang (Two-Cured Decoction) with Yang He Wan (Yang-Harmonizing Pill) for oral administration, or using Yang He Tang (Yang-Harmonizing Decoction) to dissipate the swelling. If ulceration has occurred, Yang He Tang and Xi Huang Wan (Rhino Horn Yellow Pill) should be taken alternately morning and evening. If sequestra (dead bone) are present, Che Che San (Pushcart Powder) should be insufflated into the lesion. After one night, the dead bone will cease to hurt and may expel itself. One must wait until the tip of the bone protrudes and feels loose upon manipulation before gradually removing it, followed by further insufflation. If no bone expels the next day, Sheng Ji San (Flesh-Regenerating Powder) should be insufflated, and Bao Yuan Tang (Protect-Yuan Decoction) supplemented with Rou Gui (Cinnamon Bark), Dang Gui (Angelica Sinensis), Chuan Xiong (Sichuan Lovage Rhizome), and Sheng Gan Cao (Raw Licorice Root) should be taken internally. Recovery will naturally follow.
In the initial stage of Gu Cao Feng, there is pain in the alveolar bone and inside the cheek, without redness or swelling, unless the swelling involves the facial bones; this indicates Gu Cao Feng. However, dental disorders vary. One type involves "Chi Shi" (Tooth Erosion), where worms erode the teeth down to the gums. This is formed by the accumulation of stasis, dampness, wind, and fire in the Stomach channel, manifesting as distending pain at the tooth root, rotting tissue, and intermittent discharge of foul-smelling pus and blood. Another type is "Chi Qu" (pronounced jù), caused by wind-heat pathogens invading the Yangming channel and condensing with qi and blood in the gums, leading to rotting and discharge of foul-smelling pus and blood. This is called Chi Qu. There is also "Chi Li Du," caused by the inability of marrow qi to nourish the teeth, resulting in darkened, blackened teeth, known as Li Chi. All these conditions stem from the Yangming channel but require different treatments. Detailed notes are provided in the sequel collection.