论曰,风邪僭热在上,流传于手阳明支脉,注于齿间,则令齿龈虚肿,甚者齿间血出
,盖血性得温,则宣流故也。
治齿龈血出,乃肿痒风冷疼痛。乌金散方
槐白皮 猪牙皂荚 威灵仙(去土) 生干地黄 酸石榴皮 何首乌 青盐(各一两七
味
同入一瓶子外用泥固济烧令通赤取出放冷细研入后药) 细辛(去苗叶) 升麻(各半两) 麝
香(细研一分)
上一十味,捣罗二味为细末,入前烧者药,并麝香,同研令匀,每用半钱匕,揩牙良久
,以温汤漱口,如早作齿药用,尤妙。
治齿龈血出。柳枝散方
柳枝 桑枝 槐枝(各一握烧灰) 丹砂(研入一分) 皂荚(不 者炙令赤一分) 麝
香(研
一钱) 小蓟根(半两) 凝水石(研二两) 生干地黄(焙半两)
上九味,捣研为细散,每用揩齿良。
治牙齿摇动,血出宣露,口臭不能饮食。棘刺散方
棘刺(烧灰) 当归(切焙) 细辛(去苗叶) 菖蒲 莎草根(炒) 鸡舌香(各半
两) 青木
香青黛(研) 胡桐泪(研) 干姜(炮各一分)
上一十味,捣罗为细散,以绵裹半钱匕,含化,有涎吐之。
治齿龈血出,牙根有虫。鹤虱散方
鹤虱(半两) 腻粉(二钱) 麝香(研一钱) 细辛(去苗叶半两) 露蜂房(一枚
烧灰研)
上五味,除研药外,捣罗为细散,入研药和匀,临卧时,以湿帛子,掺药半钱匕,患处
贴之,瘥。
治齿痛宣露,血出不止。角蒿散方
角蒿(锉) 细辛(去苗叶) 升麻(各半两) 地骨皮(去土) 牛膝(各一分)
上五味,藏瓶内,烧灰存性,捣罗为散,每用一钱匕,掺湿纸上,患处贴之。
治牙齿疼痛,龈间血出,去口气,辟风冷。龙脑散方
龙脑(研一分) 蔓荆实 细辛(去苗叶) 升麻(各一两)
上四味,捣罗三味为细散,入龙脑拌匀,每用半钱匕,揩牙良久,以温汤漱口。
治酒后,牙齿血涌出。当归汤方
当归(焙干一两) 桂(去粗皮) 甘草(炙各半两) 矾石(一分熬枯)
上四味,粗捣筛,每用三钱匕,水一盏,煎五七沸,去滓,热漱冷吐,日三两度,即瘥。
治牙缝血出。神效散方
草乌头 青盐 皂荚(各一分)
上三味,瓦器内,烧灰存性,每用一字,揩牙立效。
治齿龈出血。生地黄汤方
生地黄(二两切) 大豆(三合炒香熟) 柳枝(切一合)
上三味,将豆及柳枝,炒令焦,以无灰酒四盏沃之,即下地黄,更煎五六沸,去滓,热
漱冷吐。
治牙宣血出不止。胡粉散方
胡粉(半两) 麝香(研半钱)
上二味,同研为细散,临卧净揩牙漱口讫,干贴,兼能牢牙。
治牙痛肉烂,血出不止。细辛散方
细辛(去苗叶一两) 草乌头(罐子内烧存性一两)
上二味,捣罗为细散,用少许揩牙,出涎。
又方
草乌头大者,去皮脐,高良姜等分为散,先用温盐汤净漱口了, 药少许揩齿,涎出
立效。
治牙齿宣露,及血出不止方
莽草(一斤锉碎)
上用水五升,煮至三升,去莽草,热漱冷吐。
论述说,风邪挟带热邪上犯,流注于手阳明大肠经的支脉,注入齿间,就会导致牙龈虚肿,严重的则齿间出血。这是因为血液的性质遇到温热就会流动扩散的缘故。
治疗牙龈出血、肿胀瘙痒、因风冷引起的疼痛。乌金散方:
槐白皮、猪牙皂荚、威灵仙(去泥土)、生干地黄、酸石榴皮、何首乌、青盐(各一两,七味药一同放入一个瓶子中,外用泥密封烧至通红,取出放冷后细研,再加入以下药物):细辛(去苗叶)、升麻(各半两)、麝香(细研一分)。
以上十味药,将未烧制的两味药捣碎过筛成细末,加入前面烧制过的药粉和麝香,一起研磨均匀。每次取半钱匕的药量,刷牙良久,然后用温水漱口。如果早晨制作成牙齿用药,效果尤其好。
治疗牙龈出血。柳枝散方:
柳枝、桑枝、槐枝(各一握,烧成灰)、丹砂(研入一分)、皂荚(不裂开的,炙烤至赤色,一分)、麝香(研一钱)、小蓟根(半两)、凝水石(研二两)、生干地黄(焙干半两)。
以上九味药,捣碎研磨成细散。每次取适量揩齿,效果良好。
治疗牙齿松动、牙龈萎缩出血、口臭不能饮食。棘刺散方:
棘刺(烧成灰)、当归(切片焙干)、细辛(去苗叶)、菖蒲、莎草根(炒)、鸡舌香(各半两)、青木香、青黛(研)、胡桐泪(研)、干姜(炮制,各一分)。
以上十味药,捣碎过筛成细散。用棉布包裹半钱匕的药量,含在口中化开,有唾液吐出即可。
治疗牙龈出血,牙根有虫。鹤虱散方:
鹤虱(半两)、腻粉(二钱)、麝香(研一钱)、细辛(去苗叶半两)、露蜂房(一枚,烧成灰研细)。
以上五味药,除已研细的药物外,其余捣碎过筛成细散,加入研好的药混合均匀。临睡前,用湿布蘸取半钱匕药粉,贴敷患处,病可痊愈。
治疗牙齿松动暴露,出血不止。角蒿散方:
角蒿(锉碎)、细辛(去苗叶)、升麻(各半两)、地骨皮(去泥土)、牛膝(各一分)。
以上五味药,藏在瓶内,烧成灰但保留药性,捣碎过筛成散剂。每次取一钱匕,撒在湿纸上,贴敷患处。
治疗牙齿疼痛,牙龈间出血,去除口臭,抵御风冷。龙脑散方:
龙脑(研一分)、蔓荆实、细辛(去苗叶)、升麻(各一两)。
以上四味药,将前三味捣碎过筛成细散,加入龙脑拌匀。每次取半钱匕,刷牙良久,然后用温水漱口。
治疗酒后,牙齿大量出血。当归汤方:
当归(焙干一两)、桂(去粗皮)、甘草(炙,各半两)、矾石(一分,熬至枯焦)。
以上四味药,粗捣筛过。每次取三钱匕,用水一盏,煎煮五到七沸,去渣,趁热含漱,冷却后吐出,每天两三次,即可痊愈。
治疗牙缝出血。神效散方:
草乌头、青盐、皂荚(各一分)。
以上三味药,在瓦器内烧成灰但保留药性。每次取一字量的药,揩牙立即见效。
治疗牙龈出血。生地黄汤方:
生地黄(二两,切片)、大豆(三合,炒香熟)、柳枝(切一合)。
以上三味药,将豆及柳枝炒至焦黑,用无灰酒四盏浇淋,然后下入地黄,再煎煮五六沸,去渣,趁热含漱,冷却后吐出。
治疗牙龈萎缩出血不止。胡粉散方:
胡粉(半两)、麝香(研半钱)。
以上两味药,同研成细散。临睡前洁净揩牙漱口后,干贴患处,兼能坚固牙齿。
治疗牙痛肉烂,出血不止。细辛散方:
细辛(去苗叶一两)、草乌头(在罐子内烧至存性一两)。
以上两味药,捣碎过筛成细散。用少许药粉揩牙,引出唾液。
又一方:
大个的草乌头,去皮脐,与高良姜等分为散。先用温盐水净漱口,再用少许药粉揩齿,引出唾液后立即见效。
治疗牙齿松动暴露,以及出血不止的方子:
莽草(一斤,锉碎)。
以上一味药,用水五升,煮至三升,去掉莽草,趁热含漱,冷却后吐出。
Commentary states that wind pathogen carrying heat attacks the upper body, flows into the collateral branches of the Hand-Yangming Large Intestine Channel (Shou Yangming Da Chang Jing), and pours into the teeth, causing gingival edema. In severe cases, bleeding occurs from the interdental spaces. This is because blood tends to flow freely when exposed to warmth.
To treat gingival bleeding, swelling, itching, and pain caused by wind-cold: Wu Jin San (Black Gold Powder) Prescription
- Huai Bai Pi (Cortex Sophorae Flavescentis)
- Zhu Ya Zao Jia (Fructus Gleditsiae Sinensis)
- Wei Ling Xian (Radix Saposhnikoviae) [cleaned of soil]
- Sheng Gan Di Huang (Radix Rehmanniae Preparata)
- Suan Shi Liu Pi (Pericarpium Granati)
- He Shou Wu (Radix Polygoni Multiflori)
- Qing Yan (Natrii Chloridum) [each 1 liang; these seven ingredients are placed together in a bottle, sealed with mud externally, fired until red-hot, removed, allowed to cool, and finely ground. Then add the following:]
- Xi Xin (Herba Asari) [remove seedlings and leaves]
- Sheng Ma (Rhizoma Cimicifugae) [each 0.5 liang]
- She Xiang (Moschus) [finely ground, 1 fen]
Process the above ten ingredients: grind the two unburnt ingredients into fine powder, mix with the previously burnt powder and Moschus, and grind uniformly. Use half a qian bi (measure) each time to brush teeth for an extended period, then rinse with warm water. If prepared as a morning dental medication, the effect is particularly excellent.
To treat gingival bleeding: Liu Zhi San (Willow Branch Powder) Prescription
- Liu Zhi (Ramulus Salicis)
- Sang Zhi (Ramulus Mori)
- Huai Zhi (Ramulus Sophorae Flavescentis) [each one handful, burnt to ash]
- Dan Sha (Cinnabaris) [ground, 1 fen]
- Zao Jia (Fructus Gleditsiae Sinensis) [unsplit, roasted until red, 1 fen]
- She Xiang (Moschus) [ground, 1 qian]
- Xiao Ji Gen (Radix Cirsii Japonici) [0.5 liang]
- Ning Shui Shi (Alumen) [ground, 2 liang]
- Sheng Gan Di Huang (Radix Rehmanniae Preparata) [roasted, 0.5 liang]
Process the above nine ingredients: crush and grind into a fine powder. Use appropriately to brush teeth for good results.
To treat loose teeth, gingival recession with bleeding, halitosis, and inability to eat: Ji Ci San (Bramble Thorn Powder) Prescription
- Ji Ci (Spina Gleditsiae Sinensis) [burnt to ash]
- Dang Gui (Radix Angelicae Sinensis) [sliced and roasted]
- Xi Xin (Herba Asari) [remove seedlings and leaves]
- Chang Pu (Rhizoma Acori Tatarinowii)
- Sha Cao Gen (Rhizoma Cyperi Rotundi) [stir-fried]
- Ji She Xiang (Flos Caryophylli) [each 0.5 liang]
- Qing Mu Xiang (Radix Aucklandiae)
- Qing Dai (Indigo Naturalis) [ground]
- Hu Tong Lei (Terebinth Resina) [ground]
- Gan Jiang (Rhizoma Zingiberis Recens) [processed, each 1 fen]
Process the above ten ingredients: crush and sieve into a fine powder. Wrap half a qian bi in cotton, hold in the mouth to dissolve, and spit out saliva.
To treat gingival bleeding and worms in the tooth roots: He Shi San (Nigella Seed Powder) Prescription
- He Shi (Fructus Nigellae) [0.5 liang]
- Ni Fen (Calomelas) [2 qian]
- She Xiang (Moschus) [ground, 1 qian]
- Xi Xin (Herba Asari) [remove seedlings and leaves, 0.5 liang]
- Lu Feng Fang (Nidus Vespae) [one piece, burnt to ash and ground]
Process the above five ingredients: except for those already ground, crush and sieve the rest into a fine powder, mix with the ground medicines. Before sleep, use a wet cloth to apply half a qian bi of powder to the affected area. The disease will heal.
To treat gingival recession with continuous bleeding: Jiao Hao San (Acanthopanacis Cortex Powder) Prescription
- Jiao Hao (Caulis Acanthopanacis Senticosi) [chopped]
- Xi Xin (Herba Asari) [remove seedlings and leaves]
- Sheng Ma (Rhizoma Cimicifugae) [each 0.5 liang]
- Di Gu Pi (Cortex Lycii) [cleaned of soil]
- Niu Xi (Radix Achyranthis Bidentatae) [each 1 fen]
Process the above five ingredients: store in a bottle, burn to ash while preserving medicinal properties, crush and sieve into powder. Apply one qian bi on wet paper to the affected area.
To treat toothache, interdental bleeding, halitosis, and protection against wind-cold: Long Nao San (Borneolum Syntheticum Powder) Prescription
- Long Nao (Borneolum Syntheticum) [ground, 1 fen]
- Man Jing Shi (Fructus Viticis Negundo)
- Xi Xin (Herba Asari) [remove seedlings and leaves]
- Sheng Ma (Rhizoma Cimicifugae) [each 1 liang]
Process the above four ingredients: crush and sieve the first three into fine powder, mix with Borneolum Syntheticum. Use half a qian bi to brush teeth for an extended period, then rinse with warm water.
To treat sudden heavy bleeding from teeth after alcohol consumption: Dang Gui Tang (Angelica Decoction) Prescription
- Dang Gui (Radix Angelicae Sinensis) [roasted dry, 1 liang]
- Gui (Cortex Cinnamomi) [remove coarse bark]
- Gan Cao (Radix Glycyrrhizae Uralensis) [roasted, each 0.5 liang]
- Fan Shi (Alumen) [1 fen, roasted until charred]
Process the above four ingredients: coarsely crush and sieve. Use three qian bi per dose, add one zhan (measure) of water, boil for five to seven boils, remove dregs. Rinse with hot liquid and spit out when cool. Do this two to three times daily for cure.
To treat interdental bleeding: Shen Xiao San (Divine Efficacy Powder) Prescription
- Cao Wu Tou (Radix Aconiti Kusnezoffii)
- Qing Yan (Natrii Chloridum)
- Zao Jia (Fructus Gleditsiae Sinensis) [each 1 fen]
Process the above three ingredients: burn to ash in a pottery vessel while preserving medicinal properties. Use one zi (measure) to brush teeth for immediate effect.
To treat gingival bleeding: Sheng Di Huang Tang (Rehmannia Decoction) Prescription
- Sheng Di Huang (Radix Rehmanniae Glutinosae) [2 liang, sliced]
- Da Dou (Sojae Semen Glandulosum) [3 he, stir-fried until fragrant and cooked]
- Liu Zhi (Ramulus Salicis) [sliced, 1 he]
Process the above three ingredients: stir-fry the beans and willow branches until scorched. Pour four zhan of non-grain alcohol over them, then add Rehmannia. Boil for five to six boils, remove dregs. Rinse with hot liquid and spit out when cool.
To treat gingival recession with continuous bleeding: Hu Fen San (Lead Carbonate Powder) Prescription
- Hu Fen (Plumbum Carbonaticum) [0.5 liang]
- She Xiang (Moschus) [ground, half a qian]
Process the above two ingredients: grind together into a fine powder. After thoroughly brushing and rinsing teeth before sleep, apply dry powder. It also helps strengthen teeth.
To treat toothache with rotting flesh and continuous bleeding: Xi Xin San (Asarum Powder) Prescription
- Xi Xin (Herba Asari) [remove seedlings and leaves, 1 liang]
- Cao Wu Tou (Radix Aconiti Kusnezoffii) [burnt in a jar until preserved character remains, 1 liang]
Process the above two ingredients: crush and sieve into fine powder. Use a small amount to brush teeth to induce salivation.
Another prescription:
Large Cao Wu Tou, remove skin and navel, mix with equal parts of Gao Liang Jiang (Rhizoma Alpiniae Officinarum) into powder. First rinse mouth cleanly with warm salt water, then use a small amount of powder to brush teeth. Inducing salivation leads to immediate relief.
Prescription for gingival recession and continuous bleeding:
Mang Cao (Radix Aristolochiae Manshuriensis) [1 jin, chopped]
Process the above ingredient: boil in five sheng of water until reduced to three sheng. Remove Mang Cao. Rinse with hot liquid and spit out when cool.