1. Excessive stomach fire: Symptoms include swollen gums, swollen cheeks on the affected side, even inability to chew, local burning sensation, bitter taste, bad breath, constipation, red tongue with yellow fur, etc. It is advisable to clear away heat and purge fire, reduce swelling and relieve pain.
25g gypsum, 0/0g coptis root/kloc, 0g radix rehmanniae15g cortex moutan, 6g cimicifugae Rhizoma10g Achyranthes bidentata15g radix et Rhizoma Rhei, 6g radix paeoniae rubra10g, and 0g rhizoma anemarrhenae10g. If dentin is allergic, it is the same for people who feel hot pain. ?
2. Deficiency of kidney yin and inflammation of fire deficiency: The symptoms are slight swelling and reddish gums, dull pain, unstable teeth, or bloodshot teeth, nothing special. The treatment should be nourishing yin to reduce fire, tonifying kidney and strengthening teeth. This recipe is modified with Liuwei Dihuang Decoction.
25g of Radix Rehmanniae Preparata, 20g of Ligustrum lucidum15g, 0g of Cornus officinalis10g of Chinese yam15g, 0g of Achyranthes bidentata10g of Alisma orientalis10g of Rhizoma Drynariae10g of Asari. If the gums are red and swollen, Rhizoma Anemarrhenae 10g and Cortex Phellodendri 6g can be added.
3. Wind-cold toothache: the symptoms start suddenly, the pain is even on the head, forehead and side, and the gums are not red or swollen. Among them, if the pain moves, it will be like a switch, and even the head, forehead and cheeks will be hurt by the wind. If you encounter cold air, it will hurt, and the part is fixed, which is cold pain. Dispelling wind, dispelling cold and relieving pain.
For patients with cold pain, Radix Angelicae Sinensis 10g, Herba Asari 6g, Rhizoma Chuanxiong 10g, Radix Angelicae Dahuricae 10g, Fructus Aurantii 10g, Radix Platycodonis 6g and Radix Glycyrrhizae 6g are used.
For patients with wind pain, 6 grams of cassia twig, 6 grams of Saposhnikovia divaricata, 0/0g of white mustard seed, 0/0g of platycodon grandiflorum, 6 grams of perilla leaf, 3 grams of asarum herb, 6 grams of Phyllostachys pubescens, 0/0g of Paeonia lactiflora, and 5 grams of licorice root are used.
Regardless of wind pain or cold pain, Asari, Radix Angelicae Dahuricae, Fructus Xanthii and Glycyrrhrizae Radix can be decocted 10g and gargled several times a day.
4. Dental caries and toothache: Toothache caused by tooth decay is also very common. The curative effect of oral drugs alone is generally poor, and the effect of local treatment is better.
The oral medicine is Ding Tong Powder, which contains Angelica sinensis10g, Radix Rehmanniae12g, Asari 6g, Radix Angelicae Dahuricae10g, Fructus Forsythiae10g, Radix Sophorae Flavescentis10g, Fructus Zanthoxyli 5g and Rhizoma Coptidis10g.
For external use, 5 grams of Zanthoxylum bungeanum, 5 grams of pepper, 5 grams of gallnut and 0.5 grams of borneol are ground into fine powder, a little of which is wrapped with sterile cotton and put into the cavity of dental caries. After salivation, the pain can stop. You can also put toothache pills into the hole one by one, and you can get the same effect.
Treatment of gingival swelling and pain caused by wind-fire by old Chinese medicine practitioners
Professor Cui Yingmin, a professor at Henan College of Traditional Chinese Medicine, once used Scrophularia as the main medicine to clear away heat and toxic materials, nourish yin and subdue yang and purge fire, and added asarum, invigorating yang and detoxifying, and Radix Cyathulae. Heat conduction continues, ups and downs, and the fire of Lei Long returns to its source. The combination of five herbs is specially used to treat toothache caused by wind and fire, and the curative effect is outstanding.
Case 1
Chen Mou, male, 58 years old. Self-reported gum swelling and pain for more than a week. Antibiotic infusion treatment for 3 days, little effect, still very painful, insomnia. The engraved diagnosis shows that the head and face are sore, and the left gum is fresh, red and swollen without ulceration. Second, it's ok. The tongue is red with yellow fur and the pulse is red and smooth. This syndrome belongs to wind-fire disorder. Treatment is to clear heat and cool blood, purging fire and detoxifying. Prescription: Radix Scrophulariae 30g, Radix Rehmanniae 12g, Asari 3g, Cimicifuga 9g, Rhizoma Coptidis 9g, Radix Angelicae Dahuricae 12g, Rhizoma Chuanxiong 12g and Radix Glycyrrhizae 3g. 3 doses, decocted in water, 3 doses a day. The swelling and pain were relieved after 1 dose, and all the symptoms were relieved after 3 doses.
Case 2
Zhao, male, 67 years old. Self-reported gum swelling and pain for 5 days. I was treated with metronidazole infusion for 3 days. The curative effect was unknown and the pain was severe. Diagnosis: The gums are swollen and slightly red and swollen. Dry stool. Red tongue, less fur, and smooth pulse. This syndrome belongs to yin deficiency and fire excess. Treatment is nourishing yin and clearing heat, purging fire and detoxifying. Prescription: Radix Scrophulariae 30g, Radix Rehmanniae 30g, Asari 3g, Cimicifuga 9g, Cortex Phellodendri 9g, Rhizoma Anemarrhenae 30g, Rhizoma Atractylodis12g, Radix Achyranthis Bidentatae15g and Radix Glycyrrhizae 6g. 5 doses, decocted in water, daily 1 dose. The pain was relieved after 2 doses, and the toothache disappeared after 5 doses.
In Materia Medica Justice, Scrophularia said: "Yin is essence, which specializes in treating fever and diarrhea when it tastes bitter, so it can treat syndromes such as heat accumulation in viscera. The taste is spicy and slightly salty, reaching the blood and removing blood stasis. It is also possible to eliminate the expansion of the heat sink through the tunnel. " According to "Records of Differentiation of Symptoms and Signs": "I do have a cure for fire, which can be decocted with Tooth Dan and Scrophularia root." "Compendium of Materia Medica" records Asari: "Essence is less yin, pay attention to the heart, and strive to dispel wind and cold, enlighten and relieve pain." "Herbal Yi Yan" also said: "It is essential to treat head and face wind pain." Cimicifuga explained in the new edition of Materia Medica: "Starting with Yangming and Taiyin meridians, it can dispel epidemic qi, dispel pathogenic heat of skin and stop the pain of head, teeth and throat."
This prescription is characterized by the auxiliary use of asarum and Cimicifuga, which fully embodies the meaning of "fire depression" put forward in Liu Zhengyuan's Da Lun.