（入疥门）
膀胱移热于小肠，膈肠不便，上为口糜。（全文见诊病传变。）
〔垣〕移热汤 治口糜。《内经》云∶膀胱移热于小肠，膈肠不便，上为口糜。好饮酒人多有此疾。易老用五苓
散、导赤散相合服之，神效。
〔丹〕治满口白烂。荜茇一两，浓黄柏一两六钱，为末，用米醋煎数沸后，调上药，涎出吐之，再用汤漱
口即愈，重者二次。
〔罗〕胡黄连散 治口糜。
胡黄连（五分） 藿香（一钱） 细辛（三钱） 黄连（三钱）
上为末，每用半钱，干掺口内，漱吐之。
必效散 治口糜。
白矾 大黄（等分）
上为细末，临卧干贴，沥涎尽，温水漱之。
运气 口糜皆属热。经云∶少阴之复，火气内发，上为口糜，治以苦寒是也。
〔《本》〕加减甘露饮 治男子妇人小儿胃客热，口臭牙宣，赤眼口疮，一切疮疼已散未散，皆可服之。（丹溪云∶
甘露饮心肺胃药也。）
熟地 生地 天门冬（去心） 黄芩 枇杷叶（去毛） 山茵陈 枳壳 金钗石斛 甘草（各一两） 犀角（三钱）
上为末，每服二钱，水一盏，煎至七分，去渣，食后临卧温服。小儿一服分作二服，更斟酌与之。
此方得自一品之家，其间用犀角一味，甚有道理，百发百中。予族中有一仆，牙宣口臭，牙齿渐渐颓落，
予与二服，顿愈。服之无不愈者，《本事方》前集所未载，此方缘得之不易，故不敢轻泄，服之自有奇效。
〔《本》〕治口臭。香薷一把，以水一斗，煮取三升，稍稍含之。（丹溪云∶惟香薷汤能治口臭。）
〔罗〕肺热喉腥治验 梁济民膏粱而饮，因劳心过度，肺气有伤，以致气出腥臭而唾稠粘，咽嗌不利，口苦干
燥，以加减泻白散主之。
桑白皮（三钱） 地骨皮（一钱半） 甘草（炙，钱半） 知母（七分） 黄芩（五分） 五味子（二十一粒）
麦门冬（五分） 桔梗（二钱）
〔《难经》〕云∶心主五臭，入肺为腥臭，此其一也。因洪饮大热之气所伤，从心火刑于肺金，以桑白皮、地骨
皮苦微寒，降肺中伏火而补气为君。以黄芩、知母苦寒，治气腥臭清利肺气为臣。肺欲收，急食酸以收之，
以五味子酸温，以收肺气，麦门冬苦寒，治涕唾稠粘口苦干燥为佐。桔梗辛温体轻浮，治痰逆利咽膈为使也。
上 咀，都作一服，水二盏，煎至一盏，去渣，温服食后，一日二服。忌酒湿面及辛热之物。
〔《圣》〕治口臭，仍医齿肿痛。细辛煮取浓汁，热饮令吐，瘥。
〔子和〕尚家一男子，年二十余岁，病口中气出，臭如登厕，虽亲戚莫肯与对语。戴人曰∶肺金本主腥，
金为火所乘，火主臭，应便如是也。久则成腐，腐者肾也，此亢极则反兼水化也。病在上宜涌之，以茶调散涌
而去其七分，夜以舟车丸、浚川散下五七行，比旦而臭断。
〔《甲》〕口中肿臭，劳宫主之。
（归入疥疮门类）
膀胱将热邪转移至小肠，导致肠道气机阻滞、排便不畅，热气上蒸则引起口腔黏膜溃烂糜烂。（全文详见诊病传变章节。）
〔李杲〕移热汤：治疗口糜。《黄帝内经》说：“膀胱移热于小肠，膈肠不便，上为口糜。”喜好饮酒的人多患此病。张元素使用五苓散与导赤散合并服用，效果神奇。
〔朱震亨〕治疗满口白烂（口腔广泛性白色糜烂）。荜茇一两，浓黄柏一两六钱，研为细末，用米醋煎煮数沸后，调和上述药粉，待唾液流出后吐出，再用温水漱口即可痊愈，重症者需进行第二次治疗。
〔罗天益〕胡黄连散：治疗口糜。
胡黄连（五分） 藿香（一钱） 细辛（三钱） 黄连（三钱）
以上药物研为细末，每次取半钱，干掺于口腔内，漱口后吐出。
必效散：治疗口糜。
白矾 大黄（等量）
以上药物研为极细末，临睡前干贴患处，待涎液流尽后，用温水漱口。
运气学说认为：口糜皆归属于热证。经文说：“少阴之复，火气内发，上为口糜”，治疗方法是用苦寒药物，正是此理。
〔《济生方》〕加减甘露饮：治疗男女小儿胃中客热，口臭牙宣（牙龈萎缩出血），赤眼口疮，一切疮痛无论已消散或未消散，皆可服用。（朱震亨说：“甘露饮是调理心肺胃的药物。”）
熟地黄 生地黄 天门冬（去心） 黄芩 枇杷叶（去毛） 山茵陈 枳壳 金钗石斛 甘草（各一两） 犀角（三钱）
以上药物研为细末，每次服用二钱，加水一盏，煎煮至七分，去渣，饭后及临睡前温服。小儿一次剂量分两次服用，需根据情况斟酌给予。
此方得自一位高官之家，其中使用犀角一味药，非常有道理，百发百中。我家族中有一名仆人，患有牙宣口臭，牙齿逐渐松动脱落，我给他服用两剂，顿时痊愈。服用此方没有不愈的，《济生方》前集未记载此方，因为此方得来不易，所以不敢轻易泄露，服用自有奇效。
〔《济生方》〕治疗口臭。香薷一把，用水一斗，煮取三升，慢慢含漱。（朱震亨说：“只有香薷汤能治疗口臭。”）
〔罗天益〕肺热喉腥治疗验案：梁济民饮食膏粱厚味且饮酒，因劳心过度，损伤肺气，导致呼出气体腥臭且痰稠粘，咽喉不利，口苦干燥，以加减泻白散为主治。
桑白皮（三钱） 地骨皮（一钱半） 甘草（炙，钱半） 知母（七分） 黄芩（五分） 五味子（二十一粒）
麦门冬（五分） 桔梗（二钱）
〔《难经》〕说：“心主五臭，入肺为腥臭”，这是其中一种情况。因暴饮大热之气所伤，从心火刑克肺金，以桑白皮、地骨皮苦微寒，降肺中伏火并补气作为君药。以黄芩、知母苦寒，治疗气腥臭、清利肺气作为臣药。肺欲收敛，急食酸味以收敛之，以五味子酸温，收敛肺气；麦门冬苦寒，治疗涕唾稠粘、口苦干燥作为佐药。桔梗辛温体轻浮，治疗痰逆、利咽膈作为使药。
以上药物切碎，共作一服，加水二盏，煎煮至一盏，去渣，饭后温服，一日两次。忌酒、湿面及辛辣热物。
〔《圣济总录》〕治疗口臭，同时治疗牙齿肿痛。细辛煮取浓汁，热饮令其吐出，病即愈。
〔张从正〕尚家一名男子，二十多岁，病口中呼出气体，臭如登厕所，连亲戚都不肯与他对话。戴人（张从正号）说：“肺金本主腥，金被火乘，火主臭，应当如此。久则成腐，腐属于肾，这是亢极则反兼水化也。病在上宜用涌吐法，用茶调散涌吐去除病邪七分，夜晚用舟车丸、浚川散攻下五七行，到第二天早晨臭味断绝。”
〔《针灸甲乙经》〕口中肿臭，由劳宫穴主治。
(Inserted into the category of Scabies)
When bladder heat transfers to the small intestine, it causes obstruction in the intestines and difficulty in defecation; the heat rises upward, resulting in mouth soreness and ulceration (kou mi). (The full text is seen in the section on Diagnosis of Disease Transmission.)
[Li Gao] Yi Re Tang (Decoction for Transferring Heat): Treats kou mi. The *Huangdi Neijing* states: "When bladder heat transfers to the small intestine, causing intestinal obstruction and difficult defecation, it manifests as kou mi." People who enjoy drinking alcohol often suffer from this disease. Zhang Yuansu used Wuling San (Five-Ingredient Powder with Poria) combined with Dao Chi San (Guide Out the Red Powder), which proved miraculous.
[Zhu Zhenheng] Treatment for widespread white ulceration in the mouth. Bi Bo (Long Pepper) 1 liang, Nong Huang Bo (Thick Phellodendron Bark) 1 liang 6 qian, ground into powder. Decoct with rice vinegar for a few boils, then mix with the above medicine. When saliva flows out, spit it out, then rinse the mouth with water to heal. Severe cases may require a second treatment.
[Luo Tianyi] Hu Huang Lian San (Coptis and Picrorhiza Powder): Treats kou mi.
Hu Huang Lian (Picrorhizae Rhizoma) 5 fen, Huo Xiang (Pogostemonis Herba) 1 qian, Xi Xin (Asari Radix) 3 qian, Huang Lian (Coptidis Rhizoma) 3 qian.
Grind the above into powder. Use half a qian each time, apply dryly inside the mouth, rinse and spit out.
Bi Xiao San (Surely Effective Powder): Treats kou mi.
Bai Fan (Alumen) and Da Huang (Rhei Radix et Rhizoma) in equal parts.
Grind the above into fine powder. Apply dryly before sleep until all saliva drains, then rinse with warm water.
According to the theory of Six Qi transformations: Kou mi all belongs to heat. The classics state: "In the recurrence of Shaoyin, fire qi erupts internally and rises upward to cause kou mi," and the treatment uses bitter-cold herbs, which is correct.
[Jisheng Fang] Jiajian Ganlu Yin (Modified Sweet Dew Decoction): Treats men, women, and children with guest-heat in the stomach, halitosis, gingival recession (ya xuan), red eyes, mouth sores, and all types of sore pain whether resolved or unresolved. (Zhu Zhenheng said: "Ganlu Yin is a medicine for the heart, lungs, and stomach.")
Shu Di Huang (Prepared Rehmanniae Radix), Sheng Di Huang (Rehmanniae Radix), Tian Men Dong (Asparagi Radix, dehearted), Huang Qin (Scutellariae Radix), Pi Pa Ye (Loquat Leaf, de-hairy), Shan Yin Chen (Artemisiae Scopariae Herba), Zhi Qiao (Aurantii Fructus), Jin Cha Shi Hu (Dendrobii Nobile Caulis), Gan Cao (Licorice Root, roasted) (each 1 liang), Xi Jiao (Rhino Horn) 3 qian.
Grind the above into powder. Take 2 qian each time, add one cup of water, decoct to seven-tenths, remove dregs, and take warm after meals and before bed. For children, divide one dose into two servings, adjusting according to circumstances.
This prescription was obtained from a high-ranking official's family. The use of Xi Jiao (Rhino Horn) in this formula is very reasonable and effective every time. A servant in my clan suffered from gingival recession and halitosis, with teeth gradually loosening and falling out. I gave him two doses, and he recovered instantly. No one failed to recover using this prescription. It was not recorded in the first collection of *Jisheng Fang*. Because this prescription was hard to obtain, I dare not disclose it lightly; it has miraculous effects when taken.
[Jisheng Fang] Treatment for halitosis. Xiang Ru (Moslae Herba) one handful, decoct in ten dou of water to obtain three sheng. Slowly hold in the mouth and swallow/spit. (Zhu Zhenheng said: "Only Xiang Ru Tang can treat halitosis.")
[Luo Tianyi] Case Report on Lung Heat Causing Foul Breath: Liang Jimin consumed rich food and alcohol, and due to excessive mental labor, his lung qi was injured, resulting in foul-smelling breath, thick sticky sputum, throat discomfort, bitter taste, and dry mouth. Treated primarily with Jiajian Xie Bai San (Modified White-Draining Powder).
Sang Bai Pi (Mori Cortex) 3 qian, Di Gu Pi (Lycii Cortex) 1.5 qian, Gan Cao (Licorice Root, roasted) 1.5 qian, Zhi Mu (Anemarrhenae Rhizoma) 0.7 qian, Huang Qin (Scutellariae Radix) 0.5 qian, Wu Wei Zi (Schisandrae Fructus) 21 grains.
Mai Men Dong (Ophiopogonis Radix) 0.5 qian, Jie Geng (Platycodonis Radix) 2 qian.
The *Nanjing* states: "The Heart governs the five odors; when entering the Lungs, it becomes fishy/foul odor." This is one instance. Due to injury from excessive consumption of hot qi, Heart Fire insults Lung Metal. Sang Bai Pi and Di Gu Pi are bitter and slightly cold; they descend latent fire in the Lungs and tonify qi, serving as the Sovereign (Jun) herbs. Huang Qin and Zhi Mu are bitter and cold; they treat foul odor and clear/benefit Lung qi, serving as the Minister (Chen) herbs. The Lung desires consolidation; urgently eat sour to consolidate it. Wu Wei Zi is sour and warm, consolidating Lung qi. Mai Men Dong is bitter and cold, treating thick sticky sputum, bitter taste, and dry mouth, serving as the Assistant (Zuo) herb. Jie Geng is pungent and warm, light and floating; it treats rebellious phlegm and benefits the throat/pharynx, serving as the Envoy (Shi) herb.
Chop the above herbs together as one dose. Add two cups of water, decoct to one cup, remove dregs, and take warm after meals. Twice a day. Avoid alcohol, damp dough, and pungent-hot foods.
*Shengji Zonglu* Treatment for halitosis, also treating tooth swelling and pain. Decoct Xi Xin (Asari Radix) to obtain a strong juice. Drink hot and induce vomiting; the disease will heal.
[Zhang Congzheng] A man from the Shang family, over twenty years old, suffered from breath smelling like a toilet, such that even relatives refused to speak with him. Dai Ren (Zhang Congzheng's courtesy name) said: "Metal of the Lung naturally governs fishy odor. If Metal is overwhelmed by Fire, and Fire governs stench, it should be like this. Over time, it becomes putrid; putrefaction belongs to the Kidney. This is extreme excess manifesting as Water transformation. Since the disease is in the upper jiao, emesis is indicated. Use Cha Tiao San to induce emesis and remove seven-tenths of the pathogen. At night, use Zhou Che Wan and Jun Chuan San to purge five to seven movements. By morning, the odor ceased."
*Zhenjiu Jiayi Jing*: Mouth swelling and foul odor are governed by Laogong (PC8).