白术，甘草，当归、荆芥，加生地。大黄(煨)。麻
黄、赤芍、薄荷叶，生姜引。
碧雪散
蒲黄、 青黛、 硼砂、 火硝、生甘草，各等分为细末，
吹之。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
木香、 半夏各五钱，生姜一钱，白术一钱，青
皮一钱， 陈皮一钱， 共研末， 粽糊为丸，米饮下。
连翘、 山栀仁、大黄、 薄荷叶、 黄芩、 甘草、 芒
硝，姜汁少许引。
西 江 月
小儿重舌木舌，心脾蕴热攻中，舌下生舌两重重，木舌大硬
肿痛。急用针刺去血，何妨鲜血流红，枯矾搽上有神功，解熟消风
可用。
上片牙属胃，下片牙属大肠，齿属肾。
凡齿生迟者，肾气不足也。盖肾主骨，齿者骨之余。肾不足
则髓亏，髓亏则不能充乎齿，所以齿生迟也。以地黄丸治之。
上下齿床[39]肿者，此阳明实热也。凉膈散以酒蒸大黄为
君，加知母、石膏、升麻为佐，频频含咽。
重龈者，肾脏积热。附龈肿痛，谓之重龈。以针刺去其血，
用盐汤洗净，黄柏末敷之。
小儿多食肉，牙齿臭息不可近者，此阳明有热也。内服神效
丸，外用姜汁荆沥含咽。
牙疳者，状如狐惑，初作臭气，次则牙齿黑，甚则龈肉烂而
出血，名日宣露。此由肾热， 气奔上焦。故以走马为喻，当速
治之。若上下唇破鼻穿，牙齿落者，此名崩砂。气哨痰潮，饮食
减少，则不可治。当内服黄柏丸，外用如圣散敷之。
咬牙者，风热也。由阳明、大肠二经积热，热则生风，故令
相击而作声，必于梦中者，盖动则风散于表，静则风归于里也。
宣风散主之。
上唇生疮，虫食其脏，曰惑。下唇生疮，虫食其肛，曰狐。
出伤寒指掌之言。狐感者，取其进退犹豫之义。
咬牙，惟痘疹中有此者为危，余无大害。亦有因病战栗，鼓颔
而斗牙者，治其病则自止矣。
牙齿落而不再生者，由于舌舐之故，其肉顽厚，用针刺出
血，以鼠骨散擦之，即生。
文蛤散
治牙疳。
雄黄、枯矾各五分，五倍子二钱，蚕退纸 (烧灰存
性)一钱，共为末，先以米泔水洗净，以药搽上，一日
三、四次，以愈为度。
【保命散】（又名朱矾散）
取朱砂、白枯矾各五钱，牙硝五钱，共同研磨成细末，涂抹于舌面上。
黄连研成粉末，用蜂蜜水调和后服用。
[方剂三] 白术、甘草、当归、荆芥，加入生地黄；大黄（经煨制）；麻黄、赤芍、薄荷叶，以生姜作为药引。
【碧雪散】
蒲黄、青黛、硼砂、火硝、生甘草，各等份研磨成细末，吹入患处。
[方剂六] 木香、半夏各五钱，生姜一钱，白术一钱，青皮一钱，陈皮一钱，共同研磨成粉末，用粽叶煮成的糊状物制成丸剂，用米汤送服。
[方剂七] 木香、半夏各五钱，生姜一钱，白术一钱，青皮一钱，陈皮一钱，共同研磨成粉末，用粽叶煮成的糊状物制成丸剂，用米汤送服。
[方剂八] 木香、半夏各五钱，生姜一钱，白术一钱，青皮一钱，陈皮一钱，共同研磨成粉末，用粽叶煮成的糊状物制成丸剂，用米汤送服。
[方剂九] 木香、半夏各五钱，生姜一钱，白术一钱，青皮一钱，陈皮一钱，共同研磨成粉末，用粽叶煮成的糊状物制成丸剂，用米汤送服。
[方剂十] 连翘、山栀仁、大黄、薄荷叶、黄芩、甘草、芒硝，加少许姜汁作为药引。
【西江月】
小儿出现重舌（舌下肿胀如生小舌）和木舌（舌体僵硬肿大），这是心脾蕴积热邪攻冲所致。舌下生出第二个舌头，层层重叠，舌体木质般坚硬且肿痛。紧急时用针刺破放血，鲜血流出也无妨，用枯矾涂抹具有神奇功效，可解热毒、消除风邪。
上排牙齿归属于胃，下排牙齿归属于大肠，牙齿本身归属于肾。
凡是牙齿生长迟缓的，是肾气不足的表现。因为肾主骨，牙齿是骨骼的余气所化。肾气不足则骨髓亏虚，骨髓亏虚则不能充养牙齿，所以牙齿生长迟缓。用地黄丸治疗。
上下牙龈肿胀的，这是阳明经实热证。使用凉膈散，以酒蒸大黄为君药，加入知母、石膏、升麻为佐药，频频含漱并咽下。
重龈（牙龈肿胀覆盖齿根），是肾脏积热所致。牙龈肿痛，称为重龈。用针刺破放出瘀血，用盐汤洗净，敷上黄柏粉末。
小儿多吃肉类，导致牙齿口臭严重无法靠近的，这是阳明经有热。内服神效丸，外用姜汁和荆沥含漱咽下。
牙疳（一种严重的牙龈溃烂疾病），症状类似狐惑病，起初有臭气，接着牙齿变黑，严重时牙龈腐烂出血，名为宣露。这是由于肾热，热气奔涌至上焦。所以用“走马”来比喻病情发展迅速，应当速治。如果上下嘴唇破裂、鼻子穿孔、牙齿脱落的，这名叫崩砂。伴有气促痰涌、饮食减少的，则不可治愈。应当内服黄柏丸，外用如圣散敷贴。
咬牙，属于风热证。由于阳明经和大肠经积热，热极生风，所以牙齿相互撞击发出声音，必定在睡眠中发生，这是因为动则风邪散于体表，静则风邪归于体内。用宣风散主治。
上唇生疮，虫蚀内脏，称为惑。下唇生疮，虫蚀肛门，称为狐。这是引用《伤寒指掌》中的说法。狐惑二字，取其进退犹豫不决的含义。
咬牙，只有在痘疹病中出现这种情况才属危重，其他情况没有大害。也有因病而战栗，鼓动下巴而磨牙的，治疗原发病就会自然停止。
牙齿脱落而不再生长的，是由于舌头舔舐伤口所致，其肉质顽固增厚，用针刺破出血，用鼠骨散擦拭，即可再生。
【文蛤散】
治疗牙疳。
雄黄、枯矾各五分，五倍子二钱，蚕退纸（烧灰存性）一钱，共同研磨成粉末，先用米泔水洗净患处，再将药物涂抹上去，一日三到四次，以痊愈为标准。
[Baoming San] (also known as Zhufan San)
Take Cinnabar (Zhusha) and White Calcined Alum (Baikufan), each 5 qian, and Niter (Yaxiao) 5 qian. Grind them together into a fine powder and apply it to the surface of the tongue.
Grind Coptis Rhizome (Huanglian) into powder, mix with honey water, and take orally.
[Formula 3] Atractylodes Macrocephala Rhizome (Baizhu), Licorice Root (Gancao), Angelica Sinensis Radix (Danggui), Schizonepeta Spike (Jingjie), add Rehmannia Root (Shengdihuang); Rhubarb (Dahuang, prepared by roasting); Ephedra Herb (Mahuang), Red Peony Root (Chishao), Mint Leaf (Bohoye), use Fresh Ginger Juice (Shengjiang) as a guide herb.
[Bixue San]
Polygonum Multiflorum Seed (Puhuang), Indigo Naturalis (Qingdai), Borax (Pengsha), Fire Niter (Huoxiao), Raw Licorice Root (Shenggancao), in equal parts, grind into a fine powder and insufflate into the affected area.
[Formula 6] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 7] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 8] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 9] Costus Root (Muxiang), Pinellia Tuber (Banxia), each 5 qian; Fresh Ginger (Shengjiang) 1 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1 qian; Green Citrus Peel (Qingpi) 1 qian; Tangerine Peel (Chenpi) 1 qian. Grind all into powder, make pills using paste from boiled rice leaves (Zonghu), and swallow with rice drink.
[Formula 10] Forsythia Fruit (Lianqiao), Gardenia Seed (Shanzhiren), Rhubarb (Dahuang), Mint Leaf (Boheye), Scutellaria Root (Huangqin), Licorice Root (Gancao), Mirabilite (Mangxiao), add a small amount of Ginger Juice (Jiangzhi) as a guide herb.
[Xijiang Yue]
Pediatric patients presenting with Chongshe (double tongue/swelling under the tongue resembling a second tongue) and Mutong (wooden tongue/stiff and swollen tongue) suffer from heat accumulation in the Heart and Spleen attacking the center. A second layer forms under the tongue, causing the tongue to become stiff, hard, swollen, and painful. Urgently puncture with a needle to release blood; the flow of fresh red blood is acceptable. Applying Calcined Alum (Kufan) has miraculous effects, resolving heat toxicity and eliminating wind pathogens.
The upper teeth belong to the Stomach, the lower teeth belong to the Large Intestine, and the teeth themselves belong to the Kidney.
Delayed tooth eruption indicates insufficient Kidney Qi. The Kidney governs bone, and teeth are considered the surplus of bone. Insufficient Kidney Qi leads to marrow deficiency; deficient marrow fails to nourish the teeth, resulting in delayed eruption. Treat with Dihuang Wan (Rehmannia Pill).
Swelling of the upper and lower gingiva indicates Excess Heat in the Yangming channel. Use Liangge San (Cool the Diaphragm Powder), with Wine-processed Rhubarb (Jiu Zheng Dahuang) as the sovereign drug, supplemented by Anemarrhena Rhizome (Zhimu), Gypsum (Shigao), and Bupleurum Root (Shengma) as minister drugs. Frequently gargle and swallow.
Chongyin (gingival swelling covering the tooth root) is caused by accumulated heat in the Kidney. Swelling and pain of the gums are termed Chongyin. Puncture with a needle to release blood, clean with salt water, and apply Powder of Phellodendron Bark (Huangbai).
Excessive meat consumption in children can cause severe halitosis from the teeth, indicating Heat in the Yangming channel. Internally administer Shenxiao Wan (Miraculous Effect Pill); externally, gargle and swallow with Ginger Juice (Jiangzhi) and Thunberg Fritillary Bulb juice (Jingli).
Yagan (gangrenous stomatitis) resembles the symptoms of Huhu disease. Initially, there is foul odor, followed by blackening of the teeth. In severe cases, the gingiva rots and bleeds, named Xuanlu. This is due to Kidney heat rushing to the Upper Jiao. It is compared to a "running horse" to signify rapid progression, requiring immediate treatment. If the upper and lower lips crack, the nose perforates, or teeth fall out, it is named Bingsha. Accompanied by shortness of breath, phlegm surging, and reduced appetite, it becomes incurable. Internally administer Huangbai Wan (Phellodendron Pill); externally apply Rusheng San (Like-Sage Powder).
Teeth grinding (bruxism) is caused by Wind-Heat. Accumulated heat in the Yangming and Large Intestine channels generates wind when heated excessively, causing teeth to clash and produce sound. This typically occurs during sleep because movement scatters wind to the exterior, while stillness allows wind to return to the interior. Treat primarily with Xuanfeng San (Dispel Wind Powder).
Sores on the upper lip where worms erode the viscera are called Huo (Confusion). Sores on the lower lip where worms erode the anus are called Hu (Fox). This terminology is derived from *Shanghan Zhangzhang* (Guiding Palms for Cold Damage). The terms Fox and Confusion imply hesitation and indecision.
Bruxism is critical only when occurring in the context of variola (smallpox/variolae); otherwise, it poses no major harm. There are also cases of teeth chattering due to illness-induced tremors; treating the underlying disease will stop it naturally.
Teeth falling out without regrowth is caused by the tongue licking the wound, leading to thickened, stubborn tissue. Puncture with a needle to release blood, then apply Shugu San (Rat Bone Powder) to stimulate regrowth.
[Wenge San]
Treats Yagan (gangrenous stomatitis).
Realgar (Xionghuang) and Calcined Alum (Kufan), each 5 fen; Chinese Gall (Wubeizi) 2 qian; Silkworm Cocoon Paper (Can tui zhi, burnt to ash but retaining its nature) 1 qian. Grind into powder. First, wash the affected area with rice washing water, then apply the medicine. Apply three to four times daily until healed.