或问∶牙根生痈何如？曰∶此名附牙痈，属足阳明胃经热毒所致，宜服清胃散、黄连
消毒饮，或刺出恶血则愈。
清胃散 治膏粱积热，唇口肿痛，齿龈溃烂， 痛连头面，或恶寒发热。
升麻（二钱） 生地黄 牡丹皮 黄连 当归（酒洗，各一钱）
上水煎服。痛未止，石膏之类可量加。
或问∶牙龈肿痛，寒热大作，腐烂不已，作疳治之无益何如？曰∶此骨槽风也，一名
穿腮毒。由忧愁思虑，惊恐悲伤所致。初起生于耳下及颈项间，隐隐皮肤之内，略有小
核，渐大如胡桃，日增红肿，或上或下，或左或右，牙关紧急，不能进食，先用鹅翎探
吐风痰，服黄连解毒汤、活命饮加玄参、桔梗、柴胡、黄芩，切不可用刀针。有一人因
用药点破，入风虚火上升，呕吐血痰，谵语臭秽，不食而死。又一人，上齿根连外肿痛，
后齿根溃脓，医者皆以牙痈治之，久而不敛，浓汁不绝，询其故？乃曾生广疮欤，即以结
毒治之而愈。
东垣神功丸 治多食肉人，口臭不可近。牙齿疳蚀，龈肉将脱，牙落血出不止。
黄连（去须净，酒洗，一两） 缩砂仁（半两） 生地黄（酒浸） 甘草（各三钱） 藿香叶 木香 当
归身（各一钱） 升麻（二钱） 兰香叶（如无，以藿香叶代之，二钱）
上为细末，水浸蒸饼为丸，绿豆大。每服一百丸加至二百丸止。白汤下，食后服。兼
治血痢及下血不止，血下褐色或紫黑色，及肠 下血，空心米饮送下，其脉洪大而缓。及
治麻木，厥气上冲，逆气上行腰间者。
有人问：牙根部长痈肿是怎么回事？回答说：这叫做附牙痈，是由足阳明胃经的热毒引起的，适宜服用清胃散、黄连消毒饮，或者刺破排出恶血就能痊愈。
清胃散 治疗因饮食肥甘厚味积滞产生的内热，导致嘴唇和口腔肿痛，牙龈溃烂，疼痛牵连头部和面部，或者伴有怕冷发热症状。
升麻（二钱） 生地黄 牡丹皮 黄连 当归（用酒洗过，各一钱）
以上药材用水煎煮后服用。如果疼痛没有停止，可以酌情增加石膏等药物。
又有人问：牙龈肿痛，寒热症状剧烈，腐烂不止，按照疳证治疗无效是怎么回事？回答说：这是骨槽风，也叫穿腮毒。由忧愁思虑、惊恐悲伤引起。初起时生于耳下及颈项之间，在皮肤内部隐隐作痛，起初有小硬结，逐渐增大像胡桃一样，每天红肿加重，位置或上或下，或左或右，牙关拘紧僵硬，不能进食。先用鹅毛管探喉催吐以排出风痰，服用黄连解毒汤、活命饮加入玄参、桔梗、柴胡、黄芩，千万不可用刀针切开。有一个人因为用药点破患处，导致风邪虚火上升，呕吐带血的痰液，说胡话且气味臭秽，因不进食而死亡。又有一个人，上齿根连接外部肿痛，后齿根溃烂流脓，医生们都当作牙痈治疗，时间久了伤口不愈合，浓汁不断流出，询问原因？原来是曾患梅毒（广疮），于是按照梅毒结毒治疗而痊愈。
东垣神功丸 治疗多吃肉食的人，口臭严重到让人无法靠近。牙齿发生疳蚀，牙龈肉即将脱落，牙齿松动出血不止。
黄连（去掉须根洗净，用酒洗，一两） 缩砂仁（半两） 生地黄（用酒浸泡） 甘草（各三钱） 藿香叶 木香 当归身（各一钱） 升麻（二钱） 兰香叶（如果没有，可以用藿香叶代替，二钱）
以上药材研成细末，用水浸湿蒸饼制成丸药，大小如绿豆。每次服用一百丸，最多加至二百丸。用白开水送服，饭后服用。同时治疗血痢以及便血不止，血色褐色或紫黑色，以及肠道下血，空腹时用米汤送服，此时脉象洪大而缓。以及治疗肢体麻木，厥气上冲，逆气上行至腰部者。
A question was asked: What is the condition of an abscess arising at the root of the teeth? The answer is: This is called Fu Ya Yong (Parulis/Abscess of the Gums), caused by heat-toxin in the Foot-Yangming Stomach Meridian. It is appropriate to administer Qing Wei San (Stomach-Clearing Powder) or Huang Lian Xiao Du Yin (Coptis Decoction for Eliminating Toxins), or to puncture and drain the foul blood, after which it will heal.
Qing Wei San (Stomach-Clearing Powder) treats internal heat accumulated from a diet rich in rich foods and sweets, resulting in swelling and pain of the lips and mouth, ulceration of the gums, pain radiating to the head and face, or accompanied by aversion to cold and fever.
Sheng Ma (Rhizoma Cimicifugae, 2 qian) Sheng Di Huang (Radix Rehmanniae Preparata, amount unspecified) Mu Dan Pi (Cortex Moutan, amount unspecified) Huang Lian (Rhizoma Coptidis, amount unspecified) Dang Gui (Radix Angelicae Sinensis, washed with wine, 1 qian each).
Decoct these ingredients in water and take orally. If the pain does not cease, Shi Gao (Gypsum Fibrosum) and similar herbs may be added in adjusted doses.
Another question was asked: What if there is swelling and pain of the gums, severe alternating chills and fever, persistent ulceration, and treatment as Gan Syndrome (Mouth Rot/Infantile Malnutrition) is ineffective? The answer is: This is Gu Cao Feng (Osteoperiostitis of the Jaw), also known as Chuan Sai Du (Cheek-Piercing Toxicity). It is caused by worry, overthinking, fright, and sorrow. Initially, it arises between the ear and the neck, hidden within the skin, presenting as a small nodule that gradually enlarges to the size of a walnut. Redness and swelling increase daily, occurring either above or below, left or right. The jaw becomes rigid and tight, preventing eating. First, use a goose feather to induce vomiting to expel wind-phlegm, then administer Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxins) and Huo Ming Yin (Life-Saving Decoction) added with Xuan Shen (Radix Scrophulariae), Jie Geng (Radix Platycodi), Chai Hu (Radix Bupleuri), and Huang Qin (Scutellariae Radix). One must absolutely avoid using knives or needles. One person had the lesion punctured with medication, leading to the rise of wind-pathogen and deficient fire, vomiting bloody phlegm, delirium with foul odor, and death due to inability to eat. Another person had swelling and pain connecting the upper tooth roots to the exterior, followed by suppuration at the posterior tooth roots. Physicians all treated this as Ya Yong (Dental Abscess), but the wound failed to heal over time, with continuous discharge of thick pus. Upon inquiry, the cause was found to be a previous infection of Guang Chuang (Syphilis/Lues Venerea). Treating it as Jie Du (Condyloma/Syphilitic Nodule) resulted in recovery.
Dong Yuan Shen Gong Wan (Divine Efficacy Pill of Dong Yuan) treats individuals who consume excessive meat, resulting in severe halitosis that repels others. It treats dental Gan erosion, impending detachment of gingival tissue, loose teeth with unceasing bleeding.
Huang Lian (Rhizoma Coptidis, trimmed of roots, cleaned, washed with wine, 1 liang) Su Sha Ren (Fructus Amomi Rotundus, 0.5 liang) Sheng Di Huang (Radix Rehmanniae Preparata, soaked in wine) Gan Cao (Radix Glycyrrhizae, 3 qian each) Huo Xiang Ye (Herba Agastaches, 1 qian) Mu Xiang (Radix Aucklandiae, 1 qian) Dang Gui Shen (Radix Angelicae Sinensis, 1 qian) Sheng Ma (Rhizoma Cimicifugae, 2 qian) Lan Xiang Ye (Folium Pogostemonis, 2 qian; if unavailable, substitute with Huo Xiang Ye).
Grind these into a fine powder. Moisten with water and steam steamed dough to form pills, sized like mung beans. Take 100 pills per dose, increasing up to 200 pills as needed. Swallow with plain warm water after meals. It also treats bloody dysentery and continuous hematochezia where the blood is brown or purple-black, as well as intestinal bleeding. Take on an empty stomach with rice water decoction when the pulse is surging yet slow. It also treats numbness, upward rushing of Jue Qi (Rebellious Qi), and upward counterflow of rebellious Qi to the waist region.