先三日牙疼，发寒热，痛不可忍，牙根上发一块紫色者是，未破者为疔，已破者为毒。
其色红者可治，如青色者不治。
或因胎毒，或痘后发毒攻齿，牙根腐烂成疳，杀人最速。鼻梁发红点如珠者，不治。
惟蝼蛄散可治。疳如酱色，一日烂一分，二日烂一分，故曰走马，以喻速也。齿落尽者死。
及牙槽风，俱要防齿落，左边上门牙，为牙中之主，此牙一落，则余牙尽落矣，最重难
治。若此牙不落，别牙虽落，治之可生。穿腮不治。有蝼蛄散可治。青黑色者，难治。痧后疳，
单用梧桐叶煎汤洗脚，即刻痊愈，应验如神。【谔按∶走马疳之猝起者，宜用凉药。若系病
后而起，宜用附子、半夏加葱白，捣烂，扎脚底，可愈。相传单方极多，类皆有效有不效，
总之随起随治，尚有可愈之理。惟此症之涎唾极毒，一切器具，如押舌等，用后必须揩擦干
净，免致传染。】
是舌下，牙根上，肿赤，口内作痛，如汤热，牙根渐烂。亦能脱落牙齿。
舌赤肿大，属心经火盛，地角亦红肿，又舌上肿痛色黄，名舌黄，亦属心火。【谔按∶
此与下三症，均宜大清心热，用犀羚合败毒散之类，并宜吹秘药及孟英锡类散等。均妙。】
发病前三天出现牙痛，伴有恶寒发热，疼痛剧烈难以忍受，牙根处出现一块紫色斑块即为该病。尚未溃破的称为“疔”，已经溃破的称为“毒”。
病灶颜色呈红色的可以治疗，如果呈现青色的则无法治愈。
有的因为胎中遗传的毒素，有的在出痘（天花）之后发作，毒气攻入牙齿，导致牙根腐烂形成走马疳，这种病症致死速度极快。鼻梁上出现如珠子般的红色斑点者，属于不治之症。只有蝼蛄散可以治疗。走马疳溃烂处呈酱色，一天腐烂一分，两天又腐烂一分，所以称之为“走马”，是用马奔跑的速度来比喻其病情进展迅速。如果牙齿全部脱落，患者就会死亡。
以及牙槽风等病症，都要防止牙齿脱落。左边的上门牙是牙齿中的主牙，这颗牙齿一旦脱落，其余牙齿也会随之全部脱落，病情最为严重且难以治疗。如果这颗主牙没有脱落，其他牙齿即使脱落，经过治疗还可以存活。穿腮（脸颊穿透）的情况通常难以治愈，但有蝼蛄散可以治疗。呈现青黑色者，难以治愈。痧疹（麻疹等急性发疹性疾病）后引发的走马疳，单用梧桐叶煎汤洗脚，即可立即痊愈，疗效神奇。【谔按：走马疳突然发作的，适宜使用凉性药物。如果是病后引发的，适宜使用附子、半夏加葱白，捣烂敷在脚底，可以痊愈。相传的单方非常多，大多有效也有无效的，总之随起随治，还有治愈的道理。只是此症的唾液极其有毒，所有器具，如压舌板等，使用后必须擦拭干净，以免传染。】
舌头下方、牙根处红肿，口腔内感到疼痛，像被热水烫过一样，牙根逐渐腐烂。也会导致牙齿脱落。
舌头赤红肿大，属于心经火气旺盛；地角（舌下系带两侧的金津、玉液穴附近区域）也红肿，加上舌上肿痛且颜色发黄，名为“舌黄”，这也属于心火所致。【谔按：这三症与下文提到的症状，都应当大清心热，使用犀羚合败毒散之类的方剂，并适宜吹敷秘药及孟英锡类散等，效果都很妙。】
舌头下面长出像小舌头一样的赘生物，颜色或红或紫，又名“雀舌”。小儿因胎毒，也有患此病的。
这也是前症的一类，如果生在舌根，连着喉咙肿胀的，名为“HT 舌”（注：原文此处可能有缺字或异体字，指代某种严重的舌部肿胀），不像重舌那样容易治疗，如果治疗不当，恐怕难以快速痊愈。这是心经受热，毒气从舌下散发出来的缘故。
Three days prior to onset, toothache occurs accompanied by aversion to cold and fever, with pain so severe it is unbearable. The appearance of a purple patch on the gum root indicates this disease. If not yet ulcerated, it is termed *Ding* (疔, hard boil/furuncle); if already ulcerated, it is termed *Du* (毒, toxin/ulcer).
If the color is red, it is treatable; if greenish, it is incurable.
It may arise from fetal toxins or manifest after smallpox, where toxic heat attacks the teeth, causing the gum roots to rot and form *Zouma Gan* (走马疳, gangrenous stomatitis progressing rapidly like a running horse), which kills most swiftly. The appearance of red spots on the nasal bridge resembling beads indicates an incurable condition. Only *Loulu San* (蝼蛄散, Mole Cricket Powder) can treat it. The ulcers of *Zouma Gan* are sauce-colored, rotting one fen (a unit of length) per day and another fen the next day; hence it is called "Running Horse" (*Zouma*), metaphorically indicating its rapid progression. If all teeth fall out, death ensues.
In cases of *Yacao Feng* (牙槽风, alveolar pyorrhea/gum wind), one must guard against tooth loss. The left upper central incisor is the principal tooth among the teeth; once this tooth falls out, the remaining teeth will all follow, making the condition heaviest and most difficult to treat. If this principal tooth does not fall out, even if other teeth fall out, life can be saved through treatment. Cheek perforation (*Chuan Sai*) is generally incurable, though *Loulu San* may be used. Cases presenting with bluish-black discoloration are difficult to treat. For *Gan* (疳, malnutrition/gangrene) occurring after scarlet fever/rash diseases, washing the feet with decoction of *Wutong Ye* (梧桐叶, Firmiana simplex leaf) brings immediate recovery, with efficacy as miraculous as divine intervention. [Commentary by E: For sudden onset of *Zouma Gan*, cooling herbs are appropriate. For onset following illness, *Fuzi* (Aconite Root), *Banxia* (Pinellia Tuber) mixed with scallion white, pounded into a paste and applied to the soles of the feet, can cure it. There are many legendary single-herb prescriptions, some effective and others not. In short, treating it promptly upon onset still offers a chance of cure. However, the saliva of this condition is extremely toxic; all instruments, such as tongue depressors, must be wiped clean after use to prevent transmission.]
Swelling and redness occur below the tongue and at the gum roots, with pain inside the mouth feeling like burning hot water, and the gum roots gradually rotting. This can also lead to tooth loss.
A red and swollen tongue belongs to excessive fire in the Heart Meridian. Redness and swelling in the *Di Jiao* (地角, corners under the tongue) along with painful swelling and yellow discoloration on the tongue is named *She Huang* (舌黄, yellow tongue), which also belongs to Heart Fire. [Commentary by E: These three conditions and those mentioned below should all be treated by strongly clearing Heart Heat, using formulas like *Xiling He Baidu San* (犀羚合败毒散, Rhinoceros Horn and Antelope Horn Combined Decoction to Defeat Toxins), and applying secret powders or *Mengying Xi Lei San* (孟英锡类散) via insufflation. All are excellent.]
Small tongue-like projections appear under the tongue, colored either red or purple, also known as *Que She* (雀舌, sparrow tongue). Children suffering from fetal toxins may also contract this.
This is a variation of the previous conditions. If it arises at the root of the tongue and involves swelling connected to the throat, it is named *HT She* (HT 舌, a specific type of severe lingual swelling), which is not as easy to treat as *Zhong She* (重舌, double tongue). If the treatment principle is unclear, rapid recovery is unlikely. This results from heat in the Heart Meridian, with toxic vapors emanating from beneath the tongue.