《圣惠》云∶其候唇口痒痛，牙齿峭黑，舌上生疮，脑中干热，龈肉赤烂，颊肿
齿疼，热毒熏蒸，口多臭气。
按∶此即走马疳之轻而慢者，《圣惠》形容似太过。治法宜清胃散、甘露饮内
服，外用五倍子（炒黑）、绿矾（烧红）、人中白等分，入米片少许揩牙，或加槟榔末杀虫亦得。
《谭氏殊圣》治小儿大人牙疳诸恶疮方
黄丹（飞过） 乳香 白矾（飞） 坯子胭脂（各一钱） 轻粉 麝香（少许）
上件为细末。看疮大人，临时用药，先用浆水洗疮净上药，干掺。
《聚宝方》黄矾散 治大人小儿齿龈宣露，骨槽风，小儿急疳龈肉烂，恶肿痛。
黄矾（一两，研入甘锅，烧通赤） 生干地黄 梧桐律 川升麻（各半两） 干虾蟆头（二枚，炙焦）
上五味，为末。每用半钱干贴，良久吐津，甘草水漱口，一、两服立效。一方，用熟干地黄及蟾头烧灰。
《刘氏家传方》治小儿口中疳疮，皆下部有虫，烧大麻子烟熏之。
《庄氏家传》治小儿牙疳坏烂方
百药煎 坯子胭脂
上各等分，为细末，罗过。贴患处。
《吴氏家传》青霞散 治小儿口齿疳。
虾蟆（一个，烧灰） 甘草（炙） 青黛（各一分）
上研为细末，更入真麝少许。或儿满口有疮臭烂落下牙齿者，以鸡翎扫上立效。
凡用，先以盐汤漱口了，干拭用。
安师传治小儿口齿并喉 疳疮如白膜者
用轻粉黄丹等分，乳汁和，涂疮上。实时如壳退下。
治小儿疳蚀动唇齿及疮生方
蟾头（一个，大者，烧灰） 麝香（半钱）
上研匀如粉。掺于疮上立效。
治小儿唇口及齿根宣露牙龈生疮臭烂方
葶苈（炒） 胡黄连（各二钱） 黄丹（半两）
上为末。每半钱于牙龈上贴之，不得咽津。（庄氏第十二候用此）
秘方治牙疳腐烂及下疳疮
海巴（白者二个，赤者一个） 银朱 轻粉（各五分） 海螵蛸（一分） 真珠（二分） 龙骨（二分）
共为细末。用冷茶漱净，将药敷上。
《太平圣惠方》记载：其症状表现为嘴唇和口腔瘙痒疼痛，牙齿颜色焦黑，舌头上生疮，头脑中感觉干燥发热，牙龈红肿溃烂，脸颊肿胀且牙齿疼痛，热毒熏蒸，口中多有臭气。
按语：这就是走马疳（一种发病迅速、病情危重的口腔坏死性疾病）中较轻且病程较慢的类型，《太平圣惠方》的描述似乎有些过分夸张。治疗方法适宜内服清胃散或甘露饮，外用五倍子（炒至黑色）、绿矾（烧至通红）、人中白等量混合，加入少许米片擦拭牙齿，或者加入槟榔粉末以杀虫也可以。
《谭氏殊圣》治疗小儿及成人牙疳各种恶疮的方剂：
黄丹（经水飞法处理过的） 乳香 白矾（经水飞法处理过的） 坯子胭脂（各一钱） 轻粉 麝香（少许）
以上药材研成细末。根据患者是成人还是儿童，临时调配药物，先用浆水将疮面洗净，然后撒上药物，保持干燥。
《聚宝方》黄矾散：治疗成人和小儿牙龈萎缩暴露，骨槽风（类似现代医学的下颌骨髓炎），小儿急疳导致的牙龈肉腐烂，以及恶性的肿痛。
黄矾（一两，放入甘锅中研磨，烧至通体赤红） 生干地黄 梧桐律 川升麻（各半两） 干虾蟆头（两个，炙烤至焦黑）
以上五味药，研成粉末。每次取半钱直接贴敷于患处，过一会儿会吐出津液，用甘草水漱口，服用一到两次即可立即见效。另一版本方剂，使用熟干地黄及蟾蜍头烧成的灰。
《刘氏家传方》治疗小儿口中疳疮，认为都是下部有虫所致，燃烧大麻子产生的烟来熏蒸患处。
《庄氏家传》治疗小儿牙疳坏烂的方剂：
百药煎 坯子胭脂
以上各等分，研成细末，过筛。贴敷在患处。
《吴氏家传》青霞散：治疗小儿口齿疳。
虾蟆（一个，烧成灰） 甘草（炙烤） 青黛（各一分）
以上研成细末，再加入少许真麝香。如果患儿满口都有疮疡，臭烂并导致牙齿脱落，用鸡毛掸子将药粉扫在患处，立即见效。
凡使用时，先用盐水漱口，擦干后用药。
安师传授的治疗小儿口齿及喉部疳疮如白膜状的方剂：
使用轻粉和黄丹等量，用乳汁调和，涂抹在疮面上。立刻就像蜕壳一样脱落。
治疗小儿疳蚀侵蚀唇齿及生疮的方剂：
蟾头（一个，较大的，烧成灰） 麝香（半钱）
以上研匀如粉状。撒在疮面上，立即见效。
治疗小儿嘴唇口腔及齿根牙龈萎缩暴露、生疮臭烂的方剂：
葶苈（炒制） 胡黄连（各二钱） 黄丹（半两）
以上研成粉末。每次取半钱贴在牙龈上，注意不要让患儿吞咽津液。（庄氏第十二候采用此方）
秘方治疗牙疳腐烂及下疳疮：
海巴（白色的二个，红色的一个） 银朱 轻粉（各五分） 海螵蛸（一分） 真珠（二分） 龙骨（二分）
共同研成细末。用冷茶漱口清洁后，将药物敷在上面。
According to the *Taiping Shenghui Fang* (General Principles of the Holy惠民 Bureau Formulas), the clinical manifestations include itching and pain in the lips and mouth, teeth turning dark black, sores on the tongue, a sensation of dryness and heat in the head, redness and ulceration of the gingiva, swelling of the cheeks with toothache, steaming by heat-toxin, and foul breath.
Commentary: This refers to the milder and slower-progressing form of Zouma Gan (a severe, rapidly progressing necrotizing stomatitis). The description in the *Shenghui Fang* seems somewhat exaggerated. The treatment method should involve internal administration of Qingwei San (Clear Stomach Powder) or Ganlu Yin (Sweet Dew Decoction). Externally, equal parts of Wubeizi (Galla Chinensis, stir-fried until black), Lvfan (Green Vitriol, calcined until red-hot), and Renzhongbai (Calcinata Dentis Hominis) are mixed with a small amount of rice flakes to rub the teeth. Alternatively, adding powder of Binglang (Areca Seed) for its vermifuge effect is also acceptable.
*Tan Shi Shusheng* Formula for Treating Various Malignant Sores of Dental Gangrene in Children and Adults:
Feiguo Huangdan (Water-washed Lead Monoxide), Xurong (Boswellia Carteri Gum), Feiguo Baijian (Water-washed Alum), Peizi Yanzhi (Raw Cinnabar Red Dye) (each 1 qian), Qingfen (Calomel), Shexiang (Moschus) (a small amount).
Grind all ingredients into a fine powder. Adjust the medication according to whether the patient is an adult or a child. First, wash the sore clean with Jiangshui (fermented grain liquid), then apply the powder dry.
*Jubao Fang* Huangfan San: Treats receding gums exposing roots in adults and children, Gucao Feng (Bone Trench Wind, resembling mandibular osteomyelitis), acute Gan gangrene causing gingival rot in children, and malignant swelling and pain.
Huangfan (1 liang, ground and calcined in a gan pot until red-hot), Sheng Gan Dihuang (Dried Rehmanniae Radix), Wutonglv (Liquidambar Resin), Chuan Shengma (Cimicifugae Rhizoma) (each 0.5 liang), Gan Xiamato (Two dried toad heads, roasted until charred).
Grind these five herbs into powder. Apply half a qian directly to the affected area each time. After some time, saliva will be secreted; rinse the mouth with Gancao water. One or two doses yield immediate results. Another version uses Shu Gan Dihuang (Prepared Rehmanniae Radix) and ash from toad heads.
*Liu Shi Jia Chuan Fang* treats oral Gan sores in children, attributing them to worms in the lower body. Smoke from burning Damaizi (Cannabis Seeds) is used for fumigation.
*Zhuang Shi Jia Chuan* Formula for Treating Necrosis and Ulceration of Dental Gangrene in Children:
Baiyaojian (Tannin Pill), Peizi Yanzhi (Raw Cinnabar Red Dye).
Mix equal parts, grind into a fine powder, and sieve. Apply to the affected area.
*Wu Shi Jia Chuan* Qingxia San: Treats pediatric oral and dental gangrene.
Xiamato (One toad, calcined to ash), Zhigancao (Roasted Licorice Root), Qingdai (Indigo Naturalis) (each 1 fen).
Grind into a fine powder, adding a small amount of real Shexiang (Moschus). If the child has widespread ulcers throughout the mouth that are foul-smelling and causing tooth loss, sweep the powder onto the lesions using a chicken feather for immediate effect.
Before use, rinse the mouth with salt water and dry thoroughly before application.
Master An's transmitted formula for treating oral, dental, and pharyngeal Gan sores presenting as white membranes:
Use equal parts of Qingfen (Calomel) and Huangdan (Lead Monoxide), mix with milk, and apply to the sores. The lesion will immediately slough off like a shell.
Formula for Treating Gan Erosion of Lips and Teeth and Sore Formation:
Chantou (One large toad head, calcined to ash), Shexiang (Moschus) (0.5 qian).
Grind uniformly into a powder. Sprinkle onto the sores for immediate effect.
Formula for Treating Receding Gums at Lips, Mouth, and Tooth Roots, and Foul-Smelling Gingival Sores:
Tingli (Descurainiae Semen seu Fructus, stir-fried), Hu Huanglian (Picrorhizae Rhizoma) (each 2 qian), Huangdan (Lead Monoxide) (0.5 liang).
Grind into powder. Apply half a qian to the gums each time. Ensure the patient does not swallow the saliva. (This formula is used in Zhuang's Twelfth Manifestation).
Secret Recipe for Treating Rotting Dental Gangrene and Chancre:
Haiba (Two white ones, one red one), Yinzhu (Vermilion), Qingfen (Calomel) (each 0.5 fen), Haipiaoxiao (Sepiae Endoconcha) (1 fen), Zhenzhu (Pearl) (2 fen), Longgu (Fossilized Bones) (2 fen).
Grind together into a fine powder. Rinse the mouth clean with cold tea, then apply the medication.