走马牙疳者，多因气虚受邪，及有宿滞不去，积湿成热，气蒸断齿。或食甜、酸、咸、腻；
或疮疹余毒不散，致牙焦黑烂。有溃穿腮颊伤人者，治宜内服主方芦荟丸，外以敷药细末，淡盐
汤绞口净，敷。
主方 （芦荟丸） 芦荟 龙胆草 使君子（去壳） 麦芽（炒） 槟榔 黄连（酒炒）
芜荑（炒取仁） 人参 木香（各二钱） 胡黄连（五钱） 上为末，猪胆汁调糊丸如黍米大，
每服六十丸，空心米汤下。
敷方 鸡肫内黄皮（阴干为末，二钱） 白芷末（一钱） 铜青（二分） 麝香（四厘）
敷患处。
又方 鸡肫皮（灯上烧存性，研细） 入黄柏末、枯矾、麝香少许，和匀，米泔搅，净口敷
之。
又 青黛 黄柏 五倍 枯矾（等分） 上为末，米泔搅口，净敷。
又 橡斗壳二个，盛盐对合，炭火 透，放地上冷，研细，入麝少许，米泔搅，净敷。
小儿脏腑怯弱，乳食过度，则脾胃受伤，疾病生焉。面黄肌瘦，肚大青筋，呕吐泻泄，腹痛
积滞，皆所不免也。其脉关部弦数，治宜补脾益胃，消食化积。脾胃以消为补，在小儿尤宜用之
，以助消导之力。
主方 白术（一钱） 茯苓（七分） 陈皮（六分） 山楂（一钱） 神曲（五分） 麦芽
（炒，研，六分） 上水煎服。或为末，蜜丸弹大，每服一丸，米汤化下。
腹痛加木香、砂仁、浓朴。虚加人参、黄 、甘草，去楂、曲、芽，少加陈皮。虚冷加干姜
（炮）泻加猪苓、泽泻，甚加肉果（面煨）呕加半夏、藿香。胀加香附、腹皮。积块加三棱、蓬
术、槟榔。热加黄连。湿加苍术。
走马牙疳，多因气虚感受外邪，以及体内有宿食积滞不去，湿气积聚化热，热气熏蒸导致牙齿断裂。或者因为食用甜、酸、咸、油腻的食物；或者因为疮疹后的余毒未能消散，导致牙齿焦黑腐烂。有的甚至溃烂穿透腮颊，危害生命，治疗应当内服主方芦荟丸，外用敷药细末，先用淡盐水漱口清洁口腔，然后敷药。
主方（芦荟丸）：芦荟、龙胆草、使君子（去壳）、麦芽（炒制）、槟榔、黄连（酒炒制）、芜荑（炒取仁）、人参、木香（各二钱）、胡黄连（五钱）。以上药物研为细末，用猪胆汁调成糊状，制成如黍米大小的丸剂，每次服用六十丸，空腹时用米汤送服。
敷方：鸡肫内的黄皮（阴干后研为细末，二钱）、白芷末（一钱）、铜青（二分）、麝香（四厘）。敷于患处。
又一方：鸡肫皮（在灯上烧至存性，研细），加入黄柏末、枯矾、少许麝香，混合均匀，用米泔水搅匀，洗净口腔后敷之。
又一方：青黛、黄柏、五倍子、枯矾（等分）。以上药物研为细末，用米泔水漱口，洗净后敷药。
又一方：橡斗壳两个，盛盐对合，用炭火煨透，放在地上冷却，研细，加入少许麝香，用米泔水漱口，洗净后敷药。
小儿脏腑功能怯弱，如果乳食过度，就会损伤脾胃，从而产生疾病。面色萎黄、肌肉消瘦、腹部膨大且可见青筋、呕吐泄泻、腹痛积滞，这些都是难免的。其脉象关部弦数，治疗应当补脾益胃，消食化积。对于脾胃而言，以消除积滞为补益，在小儿身上尤其适宜使用这种方法，以助消化导滞之力。
主方：白术（一钱）、茯苓（七分）、陈皮（六分）、山楂（一钱）、神曲（五分）、麦芽（炒制，研碎，六分）。以上用水煎服。或者研为细末，用蜂蜜制成如弹子大小的丸剂，每次服用一丸，用米汤化开送服。
若腹痛，加木香、砂仁、厚朴。若体虚，加人参、黄芪、甘草，去掉山楂、神曲、麦芽，少量加入陈皮。若虚冷，加炮干姜。若泄泻严重，加猪苓、泽泻，甚者加肉豆蔻（面煨）。若呕吐，加半夏、藿香。若腹胀，加香附、腹皮。若有积块，加三棱、蓬术、槟榔。若有热，加黄连。若湿重，加苍术。
Zouma Yagan (Rapidly Progressing Noma of the Gums) is mostly caused by Qi deficiency with external pathogenic invasion, as well as the retention of old food stagnation. Accumulated dampness transforms into heat, and the steaming heat causes teeth to break. It may also result from consuming sweet, sour, salty, or greasy foods; or from residual toxins from sores and rashes failing to dissipate, leading to blackened, necrotic, and rotting teeth. In severe cases, it may ulcerate and penetrate the cheeks, endangering life. Treatment should involve internal administration of the main formula, Lushui Wan (Aloe Pill), and external application of fine powder after rinsing the mouth clean with light salt water.
Main Formula (Lushui Wan / Aloe Pill): Lushui (Aloes), Longdancao (Gentianae Radix), Shijunzi (Quisqualis Fructus, shell removed), Maiya (Hordei Fructus Germinatus, stir-fried), Binglang (Arecae Semen), Huanglian (Coptidis Rhizoma, wine-fried), Wuyi (Meliae Cortex, stir-fried for kernel), Renshen (Ginseng Radix et Rhizoma), Muxiang (Aucklandiae Radix) (each 2 qian), Huhuanglian (Picrorhizae Rhizoma) (5 qian). Grind the above into powder, mix with pig bile to form a paste, and make pills the size of millet seeds. Take 60 pills per dose, administered on an empty stomach with rice gruel.
External Application Formula: Jizhounei Huangpi (Inner yellow membrane of chicken gizzard, dried in shade and powdered, 2 qian), Baizhi Powder (Angelicae Dahuricae Radix, 1 qian), Tongqing (Chalcanthite, 2 fen), Shexiang (Musk, 4 li). Apply to the affected area.
Another Prescription: Jizhoupi (Chicken gizzard lining, burned over a lamp until carbonized but retaining its nature, finely ground), mixed with Huangbai Powder (Phellodendri Cortex), Kufan (Alumen Exsiccatum), and a small amount of Shexiang (Musk). Mix evenly, rinse the mouth with rice wash water, clean the mouth, and apply.
Another Prescription: Qingdai (Indigo Naturalis), Huangbai (Phellodendri Cortex), Wu Bei Zi (Galla Chinensis), Kufan (Alumen Exsiccatum) (equal parts). Grind the above into powder, rinse the mouth with rice wash water, clean the mouth, and apply.
Another Prescription: Liang Dou Qiao (Chestnut burr caps) (two pieces), filled with salt, joined together, and roasted thoroughly over charcoal fire. Cool on the ground, grind finely, add a small amount of Shexiang (Musk), rinse the mouth with rice wash water, clean the mouth, and apply.
Children's Zang-Fu organs are delicate and weak. Overconsumption of milk and food damages the Spleen and Stomach, leading to disease. Symptoms such as sallow complexion, emaciation, distended abdomen with visible subcutaneous veins, vomiting, diarrhea, abdominal pain, and food stagnation are inevitable. The pulse at the Guan position is wiry and rapid. Treatment should focus on tonifying the Spleen and benefiting the Stomach, resolving food stagnation, and transforming accumulation. For the Spleen and Stomach, eliminating stagnation is considered a form of tonification, which is particularly suitable for children to assist digestion and guiding out stagnation.
Main Formula: Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Fuling (Poria, 7 fen), Chenpi (Citri Reticulatae Pericarpium, 6 fen), Shanzha (Crataegi Fructus, 1 qian), Shenqu (Massa Medicata Fermentata, 5 fen), Maiya (Hordei Fructus Germinatus, stir-fried and ground, 6 fen). Decoct in water and take orally. Alternatively, grind into powder, mix with honey to make pills the size of a bullet, take one pill per dose, dissolved in rice gruel.
If there is abdominal pain, add Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus), Houpo (Magnoliae Officinalis Cortex). If deficient, add Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Gancao (Glycyrrhizae Radix et Rhizoma); remove Shanzha, Shenqu, and Maiya; add a small amount of Chenpi. If deficient and cold, add Pao Ganjiang (Zingiberis Rhizoma Praeparatum). If diarrhea is severe, add Zhuling (Polyporus), Zexie (Alismatis Rhizoma); if extreme, add Rouguo (Myristicae Semen, baked in flour). If vomiting, add Banxia (Pinelliae Rhizoma), Huoxiang (Agastaches Herba). If distension, add Xiangfu (Cyperi Rhizoma), Fupi (Tangerine peel/Pericarpium Citri Reticulatae - *Note: Text says 'Fu Pi', likely referring to specific diuretic herb like Fu Ling skin or similar contextually, but literally Tangerine Peel or potentially 'Da Fu Pi' Areca Peel. Given 'Zhang' (distension), Da Fu Pi is common, but text just says 'Fu Pi'. I will translate literally as Fu Pi*). If there are accumulated masses, add Sanleng (Sparganii Rhizoma), Pengzhi (Curcumae Radix), Binglang (Arecae Semen). If heat, add Huanglian (Coptidis Rhizoma). If dampness, add Cangzhu (Atractylodis Rhizoma).