廉按。牙疳为麻后之大症。此编不见者。见于外科牙部也。口臭生疮。为牙疳之兆。白虎汤
。清胃散。主之。戴元礼用甘桔汤。黄连解毒汤。凉膈散。若兼泄泻。脾虚有湿者。加味连
理
汤。外以姜柏散抹之。阴虚者。甘露饮主之。经曰。上牙疼阳明受热。下牙疼肾虚不能制火
。大抵胃热即血热。治宜凉血清胃。各根据经络加引经药。上正四牙属心。加川连。麦冬。下
正四牙属肾。加黄柏。知母。上边四牙属胃。加葛根。川芎。下边四牙属脾。加升麻。白芍
。上左尽牙属胆。加连翘。胆草。下左尽牙属肝。加柴胡。栀子。上右尽牙属大肠。加枳壳
。大黄。下右尽牙属肺。加黄芩。桔梗。上下牙床肿。凉膈散加石膏。知母。升麻
。内床
曰齿。外板曰牙。牙齿肾之标。若齿缝疏豁。动摇脱落。六味地黄丸主之。口糜者。口中糜
烂或时出血。宜清心脾胃。三经之火。兼润大肠。用金花消毒饮为主。化毒汤。清胃散俱可
用。阴虚有火者。犀角地黄汤加麦冬。元参。或甘露饮主之。至若脉弱热微。唇白形寒。口
中不臭。下利。不思饮食。此由脾虚火炎。宜用理中汤。外以上桂末吹之。牙宣者。口臭龈
肿。牙缝出血。欲成牙疳也。宜清胃化毒等方加侧柏叶。或白虎汤加升麻。青黛。栀子。连
翘。元参。丹皮。或用益元散。冷水调服。如阴虚火旺。用甘露饮牙疳者。上下齿腐烂也。
此
由阳明火毒。其症最危十死七八。必须内外兼治。内服犀角地黄汤。加葛根。川连。石膏。
大黄。外以玉阿散。黄龙散调治。至于身体大热。面目浮肿。环口青黑。今日方见黑点。明
日即至穿腮。落齿。鼻崩。唇脱。不能饮食而死。名曰走马。喻其速也。外面患处用猪肉贴
之。吹口丹调治。或灸唇下陷中承浆穴。岐伯曰。口臭可治。鼻臭不医。鼻梁上发红点如珠
不治。上唇龙门牙落者死。蒂中红肿。难于饮食者死。总之此症皆当以石膏重剂治之。必胃
强能食。堪胜重剂。否则难治也。切忌冰麝。余有女学生金某之女。年二十余。见疹六七日
俱已收没。惟鼻梁上一点未收。其色如珠。上唇龙门牙微痛。身亦微微潮热。前医以参麦六
味
汤治之。历五六日渐甚。其弟至余斋中乞方。余曰。此症甚危。非数日可愈余至其家。按脉
。右寸关独强弦。余亦有余。余饮以白虎承气汤。兼生地。白芍。丹皮。黄芩。麦冬等药。
连服十六大剂。其初所下者。如泄泻。或红或黑。至是始吐紫血数碗。鼻梁红点随散。齿痛
亦愈。其人困倦已甚。奄奄若无生气。举家旁皇。余曰无畏。其病已愈。但补其元气可也。
余饮以六味地黄汤。加人参。麦冬。归身。白芍数剂。元气稍复。去人参。麦冬。服归芍六
味汤五十剂而愈。此症若非用如此重剂。则必不救。然非余之学生。及其家之相信。余亦不
敢担抬。甚矣。医之难也。然而认症不的而误药之。则又为杀人之刃矣。冯楚瞻曰。脉微无
力脾虚。口不臭者。宜用理中汤之类。阴虚胃热。宜甘露饮加石膏。羸瘦阴虚者。六味地黄
丸加犀角。总宜凭脉用药。勿执定麻为阳毒。盖诸病皆有始中终之殊也。牙床腐烂无脓血者
不治。口臭涎秽穿腮破唇者不治。通口色白者不治。黑腐不脱牙落无血者不治。吹药涎从外
出者生。涎毒内收者死。
清胃散 治牙痛牙宣。口臭口疮。
黄连 石膏 升麻 生地 丹皮 连翘 元参 甘草 粳米
出血加侧柏叶
白虎汤 统治牙症。见前。
甘桔汤
甘草 桔梗
黄连解毒汤(见前)
凉膈散(见前)
加味连理汤 治麻后口臭。脾虚泄泻。
黄连 干姜 人参 茯苓 白术(炒)
姜柏散
干姜 黄柏
等分为末。干搽口内。温水漱口。
甘露饮
生地 熟地 天冬 麦冬 黄芩 甘草 钗斛 茵陈 枳壳 枇杷叶
金花消毒饮 治口糜。
黄连 黄芩 黄柏 大黄
清胃化毒汤 治麻后热极口疳。
石膏 连翘 元参 银花 丹皮 芥穗 防风 花粉 广皮 山楂 甘草 地骨皮
犀角地黄汤
犀角 生地 丹皮 白芍
一方加黄连。黄芩。大黄。
理中汤
人参 白术(炒) 炮姜 甘草
益元散 即六一散加辰砂五分。
玉阿散 治走马牙疳。
猫屎
在屋上日晒雨淋风吹白色者。 存性。不拘多少。配冰片青黛少许。研为细末。敷上神效。
如无真青黛。用靛青花水飞净代之。又一方。用蜗牛连谷 存性。研末吹患处立愈。
缪氏黄龙散 治走马牙疳。
黄牛粪尖(雄者佳)。
存性。研末。每钱加冰片一分。擂匀。吹入牙根自愈。
猪肉贴法 先用黄连煎浓汁。将生精肉切薄片投入黄连汁内片时。以猪肉贴患上。拔出积
毒。猪肉干黑再易。换过数次即效。
吹口丹 治穿腮落齿。鼻崩唇烂。神效。
醋齐草(捣汁) 青草鹅屙(调汁)
将二汁。同放于麻蚬谷内。于炭火上 过数次研末。加冰片。 子。尤妙。
生 汤 治穿腮落齿唇脱鼻坏。
黄 (三钱生) 粘子(三钱) 僵蚕(一钱五分) 蝉蜕(一钱) 滑石(三钱) 甘草(五分)
不拘帖数。神效。
六一散
滑石(六钱) 甘草(一钱)
共研细末。冷水调服。不拘数目。
搽牙散 治余毒攻牙。腐烂欲死者。
木鳖子( 存性为君) 川贝(为臣) 月石(为佐) 白砒(少许制)
共研细末用米汤拭净患处搽上。制砒法。用白砒入枳壳内。用线缠住。入好酒一盏煮去砒
毒。
张廉按语。牙疳是麻疹痊愈后出现的严重病症。本编书中未收录此内容,相关内容可见于外科书籍的牙齿部分。口臭、生疮,是牙疳的先兆。治疗以白虎汤、清胃散为主。戴元礼使用甘桔汤、黄连解毒汤、凉膈散。如果兼有泄泻,属于脾虚湿盛者,用加味连理汤。外用姜柏散涂抹。阴虚患者,用甘露饮主治。《内经》说:上牙疼痛是因为阳明经受热,下牙疼痛是因为肾虚不能制约虚火。大抵胃热即血热,治疗应当凉血清胃,并根据经络加入引经药。上排正中四颗牙属心,加川黄连、麦冬;下排正中四颗牙属肾,加黄柏、知母;上排两侧四颗牙属胃,加葛根、川芎;下排两侧四颗牙属脾,加升麻、白芍;上排左侧尽头牙属胆,加连翘、龙胆草;下排左侧尽头牙属肝,加柴胡、栀子;上排右侧尽头牙属大肠,加枳壳、大黄;下排右侧尽头牙属肺,加黄芩、桔梗。上下牙床肿胀,用凉膈散加石膏、知母、升麻。内侧为齿,外侧牙龈为牙。牙齿是肾的外候。如果齿缝稀疏、牙齿动摇脱落,用六味地黄丸主治。口糜,是指口中糜烂,有时出血,适宜清心、脾、胃三经之火,兼润大肠,以金花消毒饮为主,化毒汤、清胃散也都可用。阴虚有火者,用犀角地黄汤加麦冬、玄参,或用甘露饮主治。至于脉弱热微,唇色白,形体畏寒,口中不臭,腹泻,不思饮食,这是由脾虚火炎所致,宜用理中汤,外用上桂末吹入患处。牙宣,表现为口臭、牙龈肿胀、牙缝出血,即将发展为牙疳。宜用清胃化毒等方加侧柏叶,或白虎汤加升麻、青黛、栀子、连翘、玄参、丹皮,或用益元散,冷水调服。如阴虚火旺,用甘露饮。牙疳,指上下牙齿腐烂。这是由于阳明火毒所致,症状最为危重,十死七八,必须内外兼治。内服犀角地黄汤,加葛根、川黄连、石膏、大黄。外用玉阿散、黄龙散调治。如果身体大热,面目浮肿,口周青黑,今天刚见黑点,明天就导致穿腮、落齿、鼻梁塌陷、嘴唇脱落,因不能饮食而死,名叫“走马”,比喻其发病迅速。外部患处用猪肉贴敷,用吹口丹调治,或者灸唇下的承浆穴。岐伯说:口臭可治,鼻臭难医。鼻梁上发红点如珠子状的不治。上唇门牙脱落的死。蒂部红肿,难以饮食的死。总之,此症都应当用重剂量的石膏治疗,必须胃气强盛能进食,才能承受重剂,否则难治。切忌使用冰片、麝香。我有一位女学生金某的女儿,二十多岁,出疹六七天都已收没,只有鼻梁上一处未收,颜色如珠,上唇门牙微痛,身体也微微潮热。前医以参麦六味汤治疗,过了五六天病情加重。她的弟弟到我书房求方。我说:此症很危险,不是几天能好的。我到了她家,诊脉,右寸关脉独强弦,其余脉也有余象。我给她服用白虎承气汤,兼加生地、白芍、丹皮、黄芩、麦冬等药。连续服用十六大剂,起初排出的大便像泄泻一样,或红或黑,到这时才吐出紫血几碗,鼻梁红点随之消散,齿痛也好了。此时病人困倦已极,奄奄一息好像没有生气,全家惊慌失措。我说不要怕,病已经好了,只需补益元气即可。我给她服用六味地黄汤,加人参、麦冬、当归身、白芍数剂,元气稍复,去掉人参、麦冬,服用归芍六味汤五十剂而愈。此症如果不是用如此重剂,则必然无法挽救。然而如果不是我的学生,以及家属的信任,我也不敢承担这个责任。行医之难啊!然而如果辨证不准而误用药,那就是杀人的利刃了。冯楚瞻说:脉微无力且脾虚,口不臭的,宜用理中汤之类。阴虚胃热的,宜用甘露饮加石膏。消瘦阴虚的,用六味地黄丸加犀角。总应当凭脉用药,不要固执地认为麻疹都是阳毒,因为各种疾病都有初、中、终的不同阶段。牙床腐烂无脓血的,不治。口臭、涎液秽浊、穿腮破唇的,不治。满口色白的,不治。黑腐不脱、牙落无血的,不治。吹药后涎液从外出生的,吹药后涎毒内收死的。
清胃散 治疗牙痛、牙宣、口臭、口疮。
组成:黄连、石膏、升麻、生地、丹皮、连翘、玄参、甘草、粳米。
出血加侧柏叶。
白虎汤 统治牙症,见前文。
黄连解毒汤(见前文)
凉膈散(见前文)
加味连理汤 治疗麻疹后口臭、脾虚泄泻。
组成:黄连、干姜、人参、茯苓、炒白术。
甘露饮
组成:生地、熟地、天冬、麦冬、黄芩、甘草、石斛、茵陈、枳壳、枇杷叶。
清胃化毒汤 治疗麻疹后热极引起的口疳。
组成:石膏、连翘、玄参、银花、丹皮、荆芥穗、防风、花粉、广陈皮、山楂、甘草、地骨皮。
犀角地黄汤
组成:犀角、生地、丹皮、白芍。
一方加黄连、黄芩、大黄。
玉阿散 治疗走马牙疳。
组成:猫屎(在屋上日晒雨淋风吹变白色者,存性,不拘多少),配冰片、青黛少许,研为细末,敷上神效。如无真青黛,用靛青花水飞净代之。又一方,用蜗牛连谷(存性),研末吹患处立愈。
缪氏黄龙散 治疗走马牙疳。
组成:黄牛粪尖(雄者佳),存性,研末,每钱加冰片一分,擂匀,吹入牙根自愈。
猪肉贴法 先用黄连煎浓汁,将生精肉切薄片投入黄连汁内片刻,以猪肉贴敷患处,拔出积毒。猪肉干黑再换,换过数次即效。
吹口丹 治疗穿腮落齿、鼻崩唇烂,神效。
组成:醋齐草(捣汁)、青草鹅屙(调汁)。
将二汁同放于麻蚬谷内,于炭火上焙过数次,研末,加冰片,尤妙。
生[黄芪]汤 治疗穿腮落齿、唇脱鼻坏。
组成:生黄芪(三钱)、粘子(三钱)、僵蚕(一钱五分)、蝉蜕(一钱)、滑石(三钱)、甘草(五分)。
不拘帖数,神效。
六一散
组成:滑石(六钱)、甘草(一钱)。
共研细末,冷水调服,不拘数目。
搽牙散 治疗余毒攻牙,腐烂欲死者。
组成:木鳖子(存性为君)、川贝(为臣)、月石(为佐)、白砒(少许制)。
共研细末,用米汤拭净患处搽上。制砒法:用白砒入枳壳内,用线缠住,入好酒一盏煮去砒毒。
Zhang Lian's commentary: Ya gan (Gum Gangrene) is a severe complication following the recovery from measles. This content is not included in this volume but can be found in surgical texts regarding dental diseases. Bad breath and ulceration are signs of Ya gan. Treatment is primarily with Baihu Tang (White Tiger Decoction) and Qingwei San (Stomach-Clearing Powder). Dai Yuanli used Ganjie Tang (Licorice and Platycodon Decoction), Huanglian Jiedu Tang (Coptis Decoction for Detoxification), and Liangge San (Cooling the Diaphragm Powder). If accompanied by diarrhea, indicating Spleen deficiency with dampness, Jiawei Lianli Tang (Modified Coptis and Ginger Decoction) is used. Externally, Jiangbai San (Ginger and Phellodendron Powder) is applied. For Yin deficiency, Ganlu Yin (Sweet Dew Decoction) is indicated. The Classics state: Pain in the upper teeth is due to heat in the Yangming channel; pain in the lower teeth is due to Kidney deficiency failing to control fire. Generally, Stomach heat equates to blood heat; treatment should cool the blood and clear the Stomach, adding guiding herbs according to the meridians. The four central upper teeth belong to the Heart; add Huanglian (Coptis Rhizome) and Maidong (Ophiopogon Tuber). The four central lower teeth belong to the Kidney; add Huangbai (Phellodendron Bark) and Zhimu (Anemarrhena Rhizome). The four lateral upper teeth belong to the Stomach; add Gegen (Pueraria Root) and Chuanxiong (Ligusticum Rhizome). The four lateral lower teeth belong to the Spleen; add Shengma (Cimicifuga Rhizome) and Baishao (White Peony Root). The leftmost upper tooth belongs to the Gallbladder; add Lianqiao (Forsythia Fruit) and Longdancao (Gentiana Root). The leftmost lower tooth belongs to the Liver; add Chaihu (Bupleurum Root) and Zhizi (Gardenia Fruit). The rightmost upper tooth belongs to the Large Intestine; add Zhike (Aurantii Fructus) and Dahuang (Rhubarb Root). The rightmost lower tooth belongs to the Lung; add Huangqin (Scutellaria Root) and Jiegeng (Platycodon Root). Swelling of the upper and lower gums is treated with Liangge San plus Shigao (Gypsum Fibrosum), Zhimu, and Shengma. The inner part is the teeth (Chi); the outer gingiva is the gum (Ya). Teeth are the external manifestation of the Kidney. If interdental spaces are wide and teeth are loose or falling out, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is indicated. Kou mi (Oral Mucosal Ulceration) refers to erosion in the mouth, sometimes with bleeding. It is appropriate to clear fire from the Heart, Spleen, and Stomach meridians and moisten the Large Intestine. Jinhua Xiaodu Yin (Golden Flower Detoxifying Decoction) is primary; Huadu Tang (Toxin-Resolving Decoction) and Qingwei San are also usable. For Yin deficiency with fire, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) added with Maidong and Xuanshen (Scrophularia Root), or Ganlu Yin, is indicated. As for weak pulse, slight fever, white lips, aversion to cold, no bad breath, diarrhea, and loss of appetite, this is caused by Spleen deficiency with floating fire. Lizhong Tang (Regulate the Middle Decoction) is suitable, with Shanggui powder (Cinnamon Twig powder) blown into the mouth externally. Ya xuan (Gum Recession) presents with bad breath, swollen gums, and bleeding from interdental spaces, progressing towards Ya gan. Treat with Qingwei Huadu Fang (Stomach-Clearing Toxin-Resolving Formulas) plus Ce bai ye (Biota Tops), or Baihu Tang plus Shengma, Qingdai (Indigo Naturalis), Zhizi, Lianqiao, Xuanshen, and Danpi (Moutan Cortex). Alternatively, Yiyuan San (Benefit Origin Powder) mixed with cold water is used. For Yin deficiency with hyperactive fire, Ganlu Yin is used. Ya gan involves rotting of the upper and lower teeth. This is caused by Yangming toxic heat; the condition is critical, with seven or eight deaths out of ten. Internal and external treatment is necessary. Internally, take Xijiao Dihuang Tang plus Gegen, Huanglian, Shigao, and Dahuang. Externally, use Yu'a San (Jade Abacus Powder) and Huanglong San (Yellow Dragon Powder). If there is high body heat, facial edema, cyanosis around the mouth, black spots appearing today leading to cheek perforation, tooth loss, nasal collapse, and lip detachment tomorrow, resulting in death from inability to eat, it is called "Zou ma" (Running Horse),喻其速也 (metaphorically describing its speed). Apply fresh pork to the external lesion, treat with Chuikou Dan (Blow-Mouth Elixir), or moxibustion at Chengjiang acupoint below the lip. Qibo said: Bad breath is treatable; bad breath from the nose is difficult to cure. Red spots on the nasal bridge like beads are untreatable. Death occurs if the upper incisors fall out. Death occurs if the root is red and swollen, making eating difficult. In summary, this condition should be treated with heavy doses of Shigao. The patient must have strong Stomach Qi and ability to eat to tolerate heavy doses; otherwise, it is difficult to treat. Bingpian (Borneol) and Shexiang (Musk) are strictly contraindicated. I had a female student, Ms. Jin, whose daughter was over twenty years old. After six or seven days of measles, the rash had mostly receded, except for one spot on the nasal bridge resembling a bead. Her upper incisors were slightly painful, and she had mild tidal fever. The previous physician treated her with Shenmai Liuwei Tang (Ginseng and Ophiopogon Six-Ingredient Decoction). After five or six days, the condition worsened. Her brother came to my study seeking a prescription. I said, "This condition is critical and will not resolve in a few days." I visited her home and palpated the pulse: the Right Cun and Guan positions were distinctly strong and wiry, while other pulses showed excess signs. I administered Baihu Chengqi Tang (White Tiger and Major Order Decoction) combined with Shengdi (Rehmannia Root), Baishao, Danpi, Huangqin, and Maidong. After sixteen large doses, the initial stool resembled diarrhea, varying in color from red to black. Eventually, she vomited several bowls of purple blood. The red spot on the nasal bridge dispersed, and tooth pain ceased. The patient was extremely fatigued, seemingly lifeless, causing panic among her family. I said, "Do not fear; the disease has resolved. Only tonify the Yuan Qi (Primal Qi)." I prescribed Liuwei Dihuang Tang plus Renshen (Ginseng Root), Maidong, Dangshen (Angelica Sinensis Root), and Baishao for several doses. When Yuan Qi slightly recovered, I removed Renshen and Maidong and administered Guixiao Liuwei Tang (Danggui and Baishao Six-Ingredient Decoction) for fifty doses until recovery. Without such heavy doses, this case would certainly have been fatal. However, given that she was my student and her family trusted me, I dared to take responsibility. Indeed, medicine is difficult! Yet, misdiagnosis and erroneous medication act as blades killing people. Feng Chuzhan stated: For weak, powerless pulse indicating Spleen deficiency and no bad breath, use Lizhong Tang type formulas. For Yin deficiency with Stomach heat, use Ganlu Yin plus Shigao. For emaciated Yin deficiency, use Liuwei Dihuang Wan plus Xijiao (Rhino Horn). Always prescribe based on the pulse; do not rigidly assume measles are always Yang Du (Yang Toxin), as all diseases differ in their beginning, middle, and end stages. Untreatable conditions include: gum rot without pus or blood; bad breath with foul saliva, cheek perforation, and lip rupture; total whiteness of the mouth; black rot not shedding, tooth loss without blood. Prognosis is good if saliva flows out after applying medicated powder; prognosis is fatal if toxic saliva retracts internally.
Qingwei San (Stomach-Clearing Powder): Treats toothache, Ya xuan, bad breath, and oral ulcers.
Ingredients: Huanglian (Coptis Rhizome), Shigao (Gypsum Fibrosum), Shengma (Cimicifuga Rhizome), Shengdi (Rehmannia Root), Danpi (Moutan Cortex), Lianqiao (Forsythia Fruit), Xuanshen (Scrophularia Root), Gancao (Licorice Root), Jingmi (Glutinous Rice).
Add Ce bai ye (Biota Tops) for bleeding.
Baihu Tang (White Tiger Decoction): Universally treats dental symptoms, see previous text.
Ganjie Tang (Licorice and Platycodon Decoction)
Ingredients: Gancao (Licorice Root), Jiegeng (Platycodon Root).
Huanglian Jiedu Tang (Coptis Decoction for Detoxification) (See previous text)
Liangge San (Cooling the Diaphragm Powder) (See previous text)
Jiawei Lianli Tang (Modified Coptis and Ginger Decoction): Treats bad breath and Spleen deficiency diarrhea after measles.
Ingredients: Huanglian (Coptis Rhizome), Ganjiang (Dried Ginger), Renshen (Ginseng Root), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried).
Jiangbai San (Ginger and Phellodendron Powder)
Ingredients: Ganjiang (Dried Ginger), Huangbai (Phellodendron Bark).
Grind into equal parts powder, apply dry to the mouth, rinse with warm water.
Ganlu Yin (Sweet Dew Decoction)
Ingredients: Shengdi (Rehmannia Root), Shudi (Prepared Rehmannia Root), Tiandong (Asparagus Tuber), Maidong (Ophiopogon Tuber), Huangqin (Scutellaria Root), Gancao (Licorice Root), Shihu (Dendrobium Stem), Ychen (Artemisia Capillaris), Zhike (Aurantii Fructus), Pipaye (Loquat Leaf).
Jinhua Xiaodu Yin (Golden Flower Detoxifying Decoction): Treats Kou mi (Oral Mucosal Ulceration).
Ingredients: Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark), Dahuang (Rhubarb Root).
Qingwei Huadu Tang (Stomach-Clearing Toxin-Resolving Decoction): Treats extreme heat-induced oral gangrene after measles.
Ingredients: Shigao (Gypsum Fibrosum), Lianqiao (Forsythia Fruit), Xuanshen (Scrophularia Root), Yinhua (Honeysuckle Flower), Danpi (Moutan Cortex), Jiesui (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Huafen (Trichosanthes Root), Guangpi (Tangerine Peel), Shanzha (Hawthorn Fruit), Gancao (Licorice Root), Digupi (Wolfberry Bark).
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction)
Ingredients: Xijiao (Rhino Horn - *Note: Substitute with Niuhuang or other alternatives in modern practice*), Shengdi (Rehmannia Root), Danpi (Moutan Cortex), Baishao (White Peony Root).
One formula adds Huanglian, Huangqin, and Dahuang.
Lizhong Tang (Regulate the Middle Decoction)
Ingredients: Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried), Paojiang (Prepared Ginger), Gancao (Licorice Root).
Yiyuan San (Benefit Origin Powder): Also known as Liuyi San plus Chen Sha (Cinnabar) 5 fen.
Yu'a San (Jade Abacus Powder): Treats Zou ma Ya gan (Running Horse Gum Gangrene).
Ingredients: Mao shi (Cat feces, sun-dried, rain-exposed, wind-blown until white, preserved nature, amount unspecified), paired with small amounts of Bingpian (Borneol) and Qingdai (Indigo Naturalis), ground into fine powder and applied. Highly effective. If genuine Qingdai is unavailable, substitute with Dian hua (Indigo flower water purified by sedimentation). Another formula uses Wo niu lian gu (Snail with shell, preserved nature), ground and blown onto the lesion for immediate cure.
Miao Shi Huanglong San (Miao Family Yellow Dragon Powder): Treats Zou ma Ya gan.
Ingredients: Niu huang fen jian (Tip of cow dung, male preferred), preserved nature, ground into powder. Add 1 fen of Bingpian per qian, mix well, and blow into the gum roots for self-healing.
Fresh Pork Application Method: First, decoct Huanglian in thick liquid. Slice fresh lean meat thinly and soak in the Huanglian liquid for a moment. Apply the pork to the lesion to draw out accumulated toxins. Replace when the pork turns dry and black. Repeat several times for effect.
Chruikou Dan (Blow-Mouth Elixir): Treats cheek perforation, tooth loss, nasal collapse, and lip erosion. Highly effective.
Ingredients: Cu qi cao juice (Crushed herb juice), Qingcao e'e juice (Green grass goose droppings mixed with juice).
Place both juices in a hemp clam shell, roast over charcoal fire several times, grind into powder, add Bingpian. Especially effective.
Sheng [Huangqi] Tang (Raw Astragalus Decoction): Treats cheek perforation, tooth loss, lip detachment, and nasal destruction.
Ingredients: Sheng Huangqi (Raw Astragalus Root, 3 qian), Nianzi (Adhatoda Seed, 3 qian), Jiangcan (Bombyx Batryticatus, 1.5 qian), Chantui (Cicada Slough, 1 qian), Huashi (Talcum, 3 qian), Gancao (Licorice Root, 0.5 qian).
Any number of doses. Highly effective.
Liuyi San (Six-to-One Powder)
Ingredients: Huashi (Talcum, 6 qian), Gancao (Licorice Root, 1 qian).
Grind into fine powder, mix with cold water and take. Any number of doses.
Cha Ya San (Teeth-Anointing Powder): Treats residual toxin attacking teeth, causing severe rotting.
Ingredients: Muguezi (Myristica Seed, preserved nature as Chief), Chuanbei (Fritillaria Bulb as Minister), Yueshi (Mirabilite as Assistant), Bai pi (White Arsenic, small amount processed).
Grind into fine powder. Clean the lesion with rice water and apply. Processing method for Arsenic: Place White Arsenic inside Aurantii Fructus, tie tightly with thread, boil in one cup of good wine to remove toxicity.