小儿牙齿病者。由风热邪毒。干于手太阳之经。随经入于龈龋。
搏于血气。则生宣烂。又云。因恣食酸甘肥腻油面诸物。致有细粘渍着牙根。久不刷掺去之。亦发为疳宣烂。
龈作臭气恶血。若风湿相搏。则为牙痈。如风毒入于牙中。与正气交争。则为风痛。有虫动 齿。则为 病。
更有一证疳。 口鼻牙齿者。名曰走马疳。别具疳疮门下收之外。叙方于后。
治牙齿宣烂。臭气有血。皂角一挺。肥好者连皮。羊胫骨一挺。并于炭火烧烟尽。以盆覆之候冷。用纸一
张。铺湿地上顿药。出火毒一夜。为末。如常揩牙用之。三上瘥。
又方 治如前。芜荑半两炒黑。白矾半两生。为细末。入麝香少许拌匀。先以水漱口齿净。然后用少许揩
牙。
又方 治如前。以风化锻石一块。大火中 通赤。取出放冷为末。每用少许。旋入麝香少许。敷牙根疮上。
桃红散
治牙痈肿烂脓血。
朱砂（一钱研水飞） 绿豆粉（一两） 硼砂（半钱） 脑 麝（各一字）
上为末。每用一字敷患处。或揩贴之。
麝香散
治如前。
铜绿（半钱） 绿豆粉（一两） 胆矾（半钱火 过用） 脑子（一字）
上为末。入麝少许研匀。每服一字。擦贴患处。有涎即吐。
甘露散
治小儿胃热。牙龈宣露出血。口臭脸肿。赤眼口疮。不欲乳食。肌体烦热。及疮疹已未发。皆可服。
熟干地黄 生干地黄 天门冬（去心） 麦门冬（去心） 枇杷叶（刷去毛净） 枳壳（麸炒去穣） 苦参
石斛（去根） 山茵陈 甘草（各等分）
上为末。每服二钱。水一盏。煎至半盏。去滓温服。食后。量大小加减。
治小儿牙宣。常有鲜血。龈缝臭秽。 砒黄一钱。麝香半钱。同研细。以纸条子生油涂过。掺药在上。少少
用末。剪作小纸棋子。看大小用。插在病处缝内。
治小儿牙齿宣疳 以黄连为末。入麝研匀。贴病处。亦治口疮。
治风 牙疼 以马鞭草煎汤。含漱之。
又方 治如前。
莽草 升麻 细辛（去苗） 甘草（各一分）
上粗锉。水一碗。煎数沸。盥漱之。冷即吐。别含漱。
本散
治如前。
本（去芦） 白附子 川芎 莽草（各半两先内末） 青黛（一钱） 芦荟（一钱） 麝香（一
字并各研）
上拌匀细。每服一字或半字。揩患处。
又方 治如前。以肥皂一个去子。满填盐在内。炭火烧烟尽。放冷研细。每用一字或半钱。揩患处。有涎即
吐。
小儿牙齿疾病，是由于风热邪毒侵袭手太阳经脉，随经脉深入牙龈和齿根。邪气与气血搏结，导致牙龈溃烂。另一种说法是，因过量食用酸、甜、肥腻、油炸及面食等食物，导致细微黏腻物质附着在牙根上，长期不刷牙漱口清除，也会引发疳证导致的牙龈溃烂。此时牙龈散发臭气并流出恶血。如果风湿之邪相互搏结，则形成牙痈；若风毒侵入牙齿内部，与人体正气交争，则引起风痛；若有虫蛀动齿，则形成龋齿病。此外还有一种疳证，表现为口、鼻、牙齿病变，称为“走马疳”，此病在疳疮门中另有专篇论述，此处不再赘述，仅在后文列出相关方剂。
治疗牙齿溃烂、口臭且伴有出血的方剂：取皂角一条（选用肥大优质的，保留外皮），羊胫骨一条，共同放入炭火中烧至烟尽。用盆覆盖容器使其冷却，然后将药物放在铺于湿地上的一张纸上，放置一夜以去除火毒。之后将药物研成细末，像平常刷牙一样使用。用药三次即可痊愈。
另一个方剂，治疗方法同上：取芜荑半两炒至黑色，白矾半两生用，研成细末，加入少量麝香拌匀。先用水漱口清洁牙齿，然后用少许药粉擦拭牙齿。
又一个方剂，治疗方法同上：取风化煅石一块，在大火中烧至通红，取出放冷后研成细末。每次取少许，随即加入少量麝香，敷在牙根疮口上。
桃红散
治疗牙痈肿胀溃烂、流脓血。
配方：朱砂一钱（水飞研磨）、绿豆粉一两、硼砂半钱、冰片与麝香各一字。
以上药物研成细末。每次取一字量敷于患处，或擦拭贴敷。
麝香散
治疗方法同上。
配方：铜绿半钱、绿豆粉一两、胆矾半钱（火煅后使用）、冰片一字。
以上药物研成细末，加入少量麝香研匀。每次服用一字量，擦拭贴敷于患处。若有唾液分泌则吐出。
甘露散
治疗小儿胃热引起的牙龈溃烂出血、口臭、面部肿胀、赤眼、口疮、不愿吃奶进食、身体烦热，以及疮疹发出前或发出后均可服用。
配方：熟干地黄、生干地黄、天门冬（去心）、麦门冬（去心）、枇杷叶（刷去毛洗净）、枳壳（麸炒去瓤）、苦参、石斛（去根）、山茵陈、甘草（各等分）。
以上药物研成细末。每次服用二钱，加水一盏，煎至半盏，去渣温服。饭后服用，根据患儿年龄大小酌情增减剂量。
治疗小儿牙宣（牙龈萎缩出血），常有鲜血，牙龈缝隙气味秽浊：取砒黄一钱，麝香半钱，共同研细。用纸条蘸生油涂过，将药粉撒在纸条上，取少量药末，剪成小纸片，根据患处大小，插入病处缝隙内。
治疗小儿牙齿患疳证：将黄连研成末，加入麝香研匀，贴敷于患处。也可用于治疗口疮。
另一个方剂，治疗方法同上：
配方：莽草、升麻、细辛（去苗）、甘草（各一分）。
以上药物粗锉碎，加水一碗，煮沸数次，用于盥漱。冷却后即吐出，再换新的含漱。
本散
治疗方法同上。
配方：藁本（去芦头）、白附子、川芎、莽草（各半两，先制成粉末）、青黛一钱、芦荟一钱、麝香一字（分别研磨）。
以上药物拌匀研细。每次取一字或半字量，擦拭患处。
又一个方剂，治疗方法同上：取肥皂一个，去掉籽，填满盐，放入炭火中烧至烟尽，放冷后研细。每次取一字或半钱量，擦拭患处。若有唾液分泌则吐出。
Dental diseases in children are caused by wind-heat pathogenic factors and toxic pathogens invading the Hand-Taiyang meridian, following the meridian into the gums and tooth roots. The pathogens contend with blood and qi, leading to gingival ulceration (gingival rot). Another view states that excessive consumption of sour, sweet, fatty, greasy, fried foods, and wheat products causes fine sticky residues to adhere to the tooth roots. If these are not brushed or rinsed away for a long time, they can also cause gum ulceration associated with gan syndrome (childhood malnutrition syndrome). In such cases, the gums emit a foul odor and discharge foul blood. If wind-dampness contends together, it forms a dental abscess (ya yong); if wind-toxin enters the teeth and contends with healthy qi, it causes wind-toothache; if worms move within the teeth, it results in dental caries (chu chi). Additionally, there is a type of gan syndrome manifesting as lesions in the mouth, nose, and teeth, known as "Zou Ma Gan" (Horse-Gangrene). This condition is discussed separately under the section on Gan sores; relevant prescriptions are listed below.
Prescription for treating gingival ulceration, bad breath, and bleeding: Take one stick of Gleditsiae Fructus (Zaojiao), preferably large and fat, retaining the skin, and one stick of Os Tibiae (Yangjinggu). Burn them together in charcoal until smoke ceases. Cover with a basin to cool. Place the medicine on a sheet of paper laid on wet ground to remove fire toxicity overnight. Grind into powder. Use as usual for brushing teeth. Three applications will cure the condition.
Another prescription, treating as above: Take 0.5 liang of Terminalia chebula Retz. (Wuyi) stir-fried until black, and 0.5 liang of Alum (Baifan) raw. Grind into fine powder, add a small amount of Moschus (Shexiang), and mix well. First rinse the mouth and teeth clean with water, then use a small amount to brush the teeth.
Yet another prescription, treating as above: Take a piece of Calcined Alumen (Fenghua Duanshi), heat strongly in a fire until red hot, remove, let cool, and grind into powder. Use a small amount each time, immediately adding a little Moschus (Shexiang), and apply to the gum ulcers.
Taohong San (Peach Red Powder)
Treats dental abscess swelling, ulceration, pus, and blood.
Ingredients: Cinnabar (Zhusha) 1 qian, prepared by water flotation and grinding; Mung Bean Starch (Lvdou Fen) 1 liang; Borax (Pengsha) 0.5 qian; Borneolum Syntheticum (Naobing) and Moschus (Shexiang), each 1 zi.
Grind all ingredients into powder. Apply 1 zi to the affected area each time, or rub and apply.
Shexiang San (Musk Powder)
Treats as above.
Ingredients: Viridicuprum (Tonglv) 0.5 qian; Mung Bean Starch (Lvdou Fen) 1 liang; Chalcanthite (Danfan) 0.5 qian, calcined; Borneolum Syntheticum (Naozi) 1 zi.
Grind into powder, add a small amount of Moschus (Shexiang), and grind evenly. Apply 1 zi to the affected area each time. Spit out saliva if produced.
Ganlu San (Sweet Dew Powder)
Treats pediatric stomach heat causing gingival ulceration and bleeding, bad breath, facial swelling, red eyes, oral ulcers, reluctance to nurse or eat, body irritability and heat, and can be taken whether pox/rashes have erupted or not.
Ingredients: Radix Rehmanniae Preparata (Shu Dihuang), Radix Rehmanniae Recens (Sheng Dihuang), Asparagi Radix (Tianmendong, decentered), Ophiopogonis Radix (Mendong, decentered), Folium Eriobotryae (Pipaye, brushed clean of hairs), Aurantium Fructus Pericarpium (Zhike, bran-fried, pith removed), Sophorae Radix (Kushen), Dendrobii Caulis (Shihu, roots removed), Artemisia capillaris Thunb. (Shanyinchén), Glycyrrhizae Radix et Rhizoma (Gancao), equal parts.
Grind into powder. Take 2 qian each time, add 1 zhan of water, decoct until half a zhan remains, strain, and take warm after meals. Adjust dosage according to age and size.
Treatment for pediatric gingival recession (Ya Xuan) with frequent fresh blood and foul smell in gum fissures: Take 1 qian of Realgar (Pi Huang) and 0.5 qian of Moschus (Shexiang), grind finely together. Coat a paper strip with raw oil, sprinkle the powder onto it. Take a small amount of powder, cut into small paper squares according to size, and insert into the diseased gum fissure.
Treatment for pediatric dental gan syndrome: Grind Coptidis Rhizoma (Huanglian) into powder, mix evenly with Moschus (Shexiang), and apply to the affected area. Also treats oral ulcers.
Treatment for wind-induced toothache: Decoct Stem and Leaf of Verbena officinalis L. (Mabiancao) in water, hold in mouth and gargle.
Another prescription, treating as above:
Ingredients: Polygala Root (Mangcao), Cimicifugae Rhizoma (Shengma), Saposhnikoviae Radix (Xixin, de-tipped), Glycyrrhizae Radix et Rhizoma (Gancao), each 1 fen.
Coarsely chop, add 1 bowl of water, boil several times, gargle. Spit out when cool, replace with fresh decoction.
Ben San (Ligusticum Powder)
Treats as above.
Ingredients: Ligustici Rhizoma et Radix (Ben, de-rhizome), Typhonii Rhizoma (Baifuzi), Ligustici Chuanxiong Rhizoma (Chuanxiong), Polygala Root (Mangcao), each 0.5 liang (first made into powder); Indigo Naturalis (Qingdai) 1 qian; Aloe (Luhui) 1 qian; Moschus (Shexiang) 1 zi (all ground separately).
Mix evenly and grind finely. Apply 1 zi or 0.5 zi to the affected area each time.
Another prescription, treating as above: Take 1 soap pod, remove seeds, fill with salt, burn in charcoal until smoke ceases, cool, and grind finely. Apply 1 zi or 0.5 qian to the affected area each time. Spit out saliva if produced.