《巢氏病源》小儿齿根血出候∶手阳明、足太阳之脉并入于齿。小儿风气入其经脉,与血相搏,血气虚热,
即齿根血出。
《千金翼》治齿血出不止方。
上刮生竹茹二两酢渍之,令其人解衣坐,乃别令一人含 其背上三过,并取竹茹浓煮取汁,勿与盐,适寒
温含漱之,终日为度。
《外台》∶《肘后》治齿龈宣露出血,所以日月蚀未平复时。特忌饮食,小儿亦然方。
上用蚯蚓粪,水和作稠泥团,以火烧之令极赤,末之如粉,以腊月猪脂和,敷齿龈上,日三,即瘥。
茅先生治小儿牙宣,齿缝出血方。
苦参(末,一两) 白矾(灰,一钱)
上为末。一日三次揩牙上,立验也。
张锐《鸡峰方》治齿间血出。
上以苦竹叶不以多少,水浓煎取汁,入盐少许,寒温得所含之,冷即吐了。
张锐《鸡峰》又方
上用童子小便半升,分为三两次含之,冷即吐了。
《庄氏家传》治小儿唇口臭烂,齿龈宣露。麝香散方
麝香 雄黄 芦荟 白龙骨(各一钱) 密陀僧(二钱) 石胆(半两,生) 干蟾(一个,重一两者入瓶,烧存
性)
上合研令极匀细,先用绵子缠箸头上,以盐、矾、浆水轻轻洗过,然后贴药。
《千金翼》齿根肿痛方。
生地黄 独活(各一两)
上二味切,以酒渍一宿含之。
《千金翼》又方
上常以白盐末封齿龈上,日一夜二。
《千金翼》又方
上扣齿三百下,日一夜二,即终身不发,至老不病齿。
《千金翼》治齿牙根摇欲落方。
上以生地黄大者一寸,绵裹着牙上嚼,咽汁,汁尽去之,日三即愈。可十日含之,更不发也。
《千金翼》齿根肿方。
松叶(一握) 盐(一合) 好酒(三升)
上三味,煎取一升含之。
《千金翼》治齿根空肿痛,困毙无聊赖方。
独活(四两) 酒(三升)
上二味于器中渍之, 火煨之令暖,稍稍沸,得半去滓,热含之,不过四、五度。
《千金翼》又方
上取地黄如指大,长一寸,火炙令大热,着木椎之,以绵裹着齿上嚼之,咽汁尽即易,三易瘥止。
《千金翼》又方
上烧松、柏、槐枝令热,柱病齿孔,须臾虫缘枝出。
《千金翼》治牙龈疼痛方。
杏仁(一十枚,去皮尖、两仁者) 盐末(方寸匕)
上二味,以水一升煮令沫出,含之味尽吐却,更含,不过再三瘥。
《养生必用》治小儿牙方。
牛蒡子(炒香,一分) 乳香(一钱)
上为末。入白面少许,温水调涂。
《养生必用》又方
上用大硼砂研细,水化,鸡羽扫。
《巢氏病源》中关于小儿齿根出血的论述:手阳明经和足太阳经的经脉都进入牙齿。小儿的风邪之气侵入其经脉,与血液相互搏结,导致血气虚弱且产生虚热,从而引起齿根出血。
《千金翼方》治疗齿部出血不止的方剂。
取刮下的新鲜竹茹二两,用醋浸泡,让患者解开衣服坐下,另外让人在其背部吹气三次(注:原文“含”疑为衍文或特定操作,此处依文意理解为一种辅助动作或误植,结合上下文“并取竹茹”,重点在于后续处理),同时取浓煮竹茹得到的汁液,不要加盐,待温度适宜时含漱,以整天持续进行为限度。
《外台秘要》引用《肘后备急方》治疗齿龈宣露出血,特别是在日月蚀尚未平复的时候。特别禁忌饮食,小儿也是如此。
用上等的蚯蚓粪,用水调和做成稠密的泥团,用火烧烤至极其通红,研磨成粉末状,用腊月(农历十二月)的猪脂调和,敷在齿龈上,每天三次,即可痊愈。
茅先生治疗小儿牙宣(牙龈萎缩)、齿缝出血的方剂。
苦参(研末,一两) 白矾(煅灰,一钱)
将上述药物研成细末。每天三次涂抹在牙齿上,立即见效。
张锐《鸡峰普济方》治疗齿间出血。
取苦竹叶不限数量,用水浓煎取汁,加入少许盐,待温度适宜时含漱,变冷后吐出。
张锐《鸡峰普济方》的另一方
取童便(健康儿童的尿液)半升,分两到三次含漱,变冷后吐出。
《庄氏家传》治疗小儿嘴唇口臭溃烂、齿龈宣露的麝香散方
麝香 雄黄 芦荟 白龙骨(各一钱) 密陀僧(二钱) 石胆(半两,生用) 干蟾(一个,重一两者放入瓶中,烧至存性)
将上述药物混合研磨至极细均匀,先用棉条缠在筷子头上,用盐、白矾和浆水轻轻清洗患处,然后贴上药粉。
《千金翼方》治疗齿根肿痛的方剂。
生地黄 独活(各一两)
将这两味药切碎,用酒浸泡一夜,然后含漱。
《千金翼方》的另一方
叩齿三百下,早晚各一次,这样终身不再发作,直到年老牙齿也不生病。
《千金翼方》治疗牙齿牙根松动欲脱落的方剂。
取大的一块生地黄,长约一寸,用绵布包裹放在牙齿上咀嚼,咽下汁液,汁液耗尽后去掉药渣,每天三次即可痊愈。可以连续含服十天,以后就不再复发。
《千金翼方》治疗齿根肿胀的方剂。
松叶(一把) 盐(一合) 好酒(三升)
将这三味药煎煮取一升汁液,含漱。
《千金翼方》治疗齿根空虚肿痛,痛苦不堪的方剂。
独活(四两) 酒(三升)
将这两味药放入容器中浸泡,用微火加热使其温暖,微微沸腾,去滓取半量,趁热含漱,不超过四五次。
《千金翼方》的另一方
取如手指大小、长一寸的地黄,用火烤至极热,放在木槌上捣碎,用绵布包裹放在牙齿上咀嚼,咽尽汁液后即更换新药,更换三次痊愈为止。
《千金翼方》的另一方
烧松枝、柏枝、槐枝使其发热,抵住患牙的牙孔,片刻之后,虫就会顺着树枝爬出来。
《千金翼方》治疗牙龈疼痛的方剂。
杏仁(十个,去皮尖、双仁者) 盐末(一方寸匕)
将这两味药,用水一升煮至出现泡沫,含漱,味道尽失后吐出,再次含漱,不超过两三次即可痊愈。
《养生必用方》治疗小儿牙病的方剂。
牛蒡子(炒香,一分) 乳香(一钱)
将上述药物研成细末。加入少许白面,用温水调匀涂抹。
《养生必用方》的另一方
取大硼砂研细,用水化开,用鸡羽毛蘸取涂抹。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao), regarding the condition of bleeding from the roots of teeth in children: The meridians of Hand-Yangming and Foot-Taiyang both enter the teeth. When wind-pathogens invade the meridians of children and contend with blood, causing deficiency and heat in the blood and qi, bleeding occurs at the roots of the teeth.
*Qianjin Yi Fang* (Supplement to Formulas Worth a Thousand Gold) treats incessant bleeding from the teeth.
Scrape two liang of fresh bamboo shavings (Zhuru), soak them in vinegar. Have the patient remove their clothes and sit down. Another person should blow on the patient's back three times (Note: Textual ambiguity exists here, likely referring to a specific therapeutic manipulation or error in transmission). Simultaneously, boil the bamboo shavings thickly to extract the juice. Do not add salt. Rinse the mouth with the juice when the temperature is suitable, continuing throughout the day as needed.
*Waitai Miyao* (Secret Essentials of the Outer Palace) cites *Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up One's Sleeve) for treating gingival recession and bleeding, especially during solar or lunar eclipses which are considered inauspicious periods. Dietary restrictions are strictly observed, even for children.
Use earthworm feces, mix with water to form a thick mud ball. Fire-burn it until extremely red, then grind into powder. Mix with lard rendered in the twelfth lunar month. Apply to the gums three times daily; recovery will follow.
Master Mao treats pediatric periodontal disease (Ya Xuan - gingival recession) and bleeding from tooth gaps.
Sophora root (Kushen), powdered, one liang; Alum (Baifan), calcined to ash, one qian.
Grind into powder. Apply to the teeth three times a day; immediate effect is expected.
Zhang Rui's *Jifeng Pujifang* (Chicken Peak Universal Prescriptions) treats bleeding between the teeth.
Take bitter bamboo leaves (Ku Zhuye) in any quantity, decoct strongly in water to obtain juice. Add a small amount of salt. Rinse the mouth when warm; spit out when cool.
Another prescription from Zhang Rui's *Jifeng*:
Take half a sheng of child urine (Tongzi Xiaobian). Divide into two or three portions for rinsing; spit out when cool.
*Zhuang Shi Jia Chuan* (Family Traditions of the Zhuang Family) treats Mu She Xiang San (Musk Powder) for pediatric halitosis with ulceration and gingival recession.
Musk (Shexiang); Realgar (Xionghuang); Aloe (Luhui); White Dragon Bone (Bailonggu), each one qian; Ledum (Miduoseng), two qian; Copper Sulfate/Chalcanthite (Shidan), half a liang (raw); Dried Toad (Ganchan), one specimen (weighing one liang, placed in a bottle and calcined to retain its nature).
Grind all ingredients together until extremely fine and uniform. First, wrap cotton around the tip of a chopstick, gently clean the area with salt, alum, and fermented grain wash (Jiangshui), then apply the medicine.
*Qianjin Yi Fang* treats swelling and pain at the tooth roots.
Raw Rehmannia Root (Sheng Dihuang); Angelica Pubescens (Duhuo), each one liang.
Chop these two ingredients, soak in wine overnight, and rinse.
Another prescription from *Qianjin Yi Fang*:
Frequently seal the gums with white salt powder, twice daily (morning and night).
Another prescription from *Qianjin Yi Fang*:
Knock the teeth together three hundred times, twice daily. This prevents recurrence for life, ensuring healthy teeth until old age.
*Qianjin Yi Fang* treats loose teeth that are about to fall out.
Take a large piece of Raw Rehmannia Root, one cun long. Wrap in cotton, place on the teeth, chew, and swallow the juice. Discard the residue when the juice is exhausted. Do this three times daily for cure. Continue holding/rinsing for ten days to prevent recurrence.
*Qianjin Yi Fang* treats swollen tooth roots.
Pine needles (Songye), one handful; Salt (Yan), one he; Good wine (Haojiu), three sheng.
Decoct these three ingredients to reduce to one sheng. Rinse with the liquid.
*Qianjin Yi Fang* treats empty, swollen, and painful tooth roots causing extreme distress.
Angelica Pubescens (Duhuo), four liang; Wine, three sheng.
Soak these two ingredients in a vessel, warm over a slow fire until lukewarm, bring to a slight boil. Remove dregs, keep half the volume. Rinse while hot. No more than four or five treatments are needed.
Another prescription from *Qianjin Yi Fang*:
Take Rehmannia root the size of a finger, one cun long. Roast over fire until very hot, pound with a wooden pestle. Wrap in cotton, place on teeth, chew, and swallow the juice. Replace when exhausted. Change three times until cured.
Another prescription from *Qianjin Yi Fang*:
Burn pine, cypress, and locust branches until hot. Press against the cavity of the affected tooth. After a moment, worms will emerge along the branch.
*Qianjin Yi Fang* treats gum pain.
Almond kernels (Xingren), ten pieces (peeled, removed tips, double-kernelled preferred); Salt powder (Fangcunbi), one square-inch scoop.
Boil these two ingredients in one sheng of water until foam appears. Rinse, spit out when flavor is gone. Repeat. Cure within two or three treatments.
*Yangsheng Biyong Fang* (Essentials for Nourishing Life) treats pediatric dental conditions.
Arctium Fruit (Niubangzi), fried until fragrant, one fen; Frankincense (Ruxiang), one qian.
Grind into powder. Add a little wheat flour, mix with warm water, and apply topically.
Another prescription from *Yangsheng Biyong Fang*:
Grind large Borax (Pengsha) finely, dissolve in water, and apply using a chicken feather brush.