Traditional Chinese medicine believes that "the teeth are outside the bone" and "the kidney governs the bone" belongs to the kidney meridian of yin deficiency; The stomach meridian of foot Yangming runs in the middle and upper teeth of gingiva, and the large intestine meridian of hand Yangming runs in the lower teeth, so this disease is closely related to kidney, stomach and large intestine. On the whole, toothache is often related to the invasion of external evils, inflammation, liver and kidney dysfunction and the neglect of self-care caused by tooth erosion. Exogenous wind evil: due to the invasion of wind evil and fire evil, the teeth and gums are injured, and the evil spirits cannot be dispersed, and the qi and blood are stranded, and the veins are blocked. Excessive stomach fire: food accumulation, heat accumulation in the stomach, fiery upward attack, spleen failing to control blood, fire not returning to its origin! They are also addicted to spicy food, and the accumulation of fire is intertwined with new heat, or wind-heat evil is committed, causing stomach fire, steaming gums along meridians, hurting gums and damaging veins. Deficiency of kidney and excess of fire: the constitution tends to be yin deficiency of liver and kidney, and the deficiency of fire will get angry, which will burn the teeth and gums, make the bone marrow empty, make the teeth lose their luster, and lead to floating roots and dull pain. Toothache caused by kidney deficiency and liver depression, water containing no wood, deficiency of fire and violent movement, turbid and damp spleen and stomach. Toothache is divided into cold, heat, deficiency, excess, wind, fire and insects, and the treatment methods are different. 2. TCM syndrome differentiation of toothache: most new diseases are true and belong to classics; Long-term illness is mostly virtual and belongs to dirty! (1) toothache due to excess fire: it is caused by gastrointestinal fire steaming, wind-fire invasion, pathogenic toxin, dental caries, tooth injury, stagnation of qi and blood, blood stasis, tooth injury and gum injury. Most patients with toothache due to excess fire are full of yang, and if the treatment is not thorough, it is often easy to relapse. My toothache is severe, I dare not eat hot food, my gums are red and swollen, and my pulse is stronger and faster than usual (pulse number). Stomach-fire toothache: Stomach-fire is strong, steaming up, people are addicted to spicy food, or wind-heat evil commits, which causes stomach-fire to steam gums along meridians and hurts gums and muscles. The third volume of "Records of Syndrome Differentiation and Treatment" says that people with toothache can't bear to be disturbed and cry. This is the fire of viscera, which reaches the teeth and hurts. He also said: People with toothache for a long time have rotten upper and lower gums, can't eat anything, and cry day and night. This is the reason why stomach fire only flourishes and does not fall. Stomach meridian of foot Yangming follows the upper teeth, stomach fire is blazing, and gums steam along the meridian. "The fire of the human body is the fiercest and the stomach is the fiercest." Because of the fire, the teeth are sore and the gums are red and swollen. The vein injured by fire will ooze blood, and the injured muscle membrane will fester. Hot and persistent, even the cheeks are swollen; Pathogenic heat disturbs headache; Heat hurts body fluids, thirst leads to drinking, constipation, bad breath in the mouth, yellow tongue coating and rapid pulse are all manifestations of excessive stomach heat. The main points of diagnosis are that the upper teeth (flaming teeth) are painful, intense and persistent, and the teeth are obviously painful and loose, even the general anti-inflammatory drugs and painkillers can't be controlled. The gums are red, swollen or bloody, swollen on both cheeks, sometimes it is difficult to chew and open your mouth, headache, and relieve cold pain; Thirst, bad breath, constipation, redness, red tongue and Huang Gan coating; Number of pulse trains or floods or slips. Grind your teeth when you sleep. It is more common in pericoronitis and suppurative periapical periodontitis. Clearing stomach, purging fire, cooling blood and relieving pain. Smoking cessation wine and spicy food, it is best to eat a little Niuhuang Shangqing Pill or Sanhuang Tablet. Massage points: inner room, cheek car, hand Sanli, ear tip. Stomach-fire toothache: Stomach-fire toothache refers to lower toothache, which is caused by excessive fire in the large intestine, and the circulation of the large intestine meridian of hand Yangming is "Confucianism on the upper teeth". Symptoms are similar to stomach fire and toothache. Massage Hegu, Quchi and Shousanli from bottom to top, and each acupoint lasts for 2 minutes. Wind-heat crime: diagnostic points toothache suddenly attacks and paroxysms worsen, and wind-heat is yang evil. Heat pain and cold pain are relieved, wind-heat pain is aggravated, and gums are swollen; Cold body, hot body and thirst; Red tongue, white or thin yellow fur, floating pulse. "Pain can't make sense, the general principle is painless. To cure wind, treat blood first, and blood will extinguish itself. Cold will be hot, wet will be beneficial, reconcile camp and health, and keep fit. " It is a kind of toothache that belongs to the nature of complications caused by pathological changes in other parts of the body (mainly upper respiratory diseases), and it is the most painful toothache (acute pulpitis or acute periapical periodontitis also causes acute gingivitis): swollen gums, swollen lymph, toothache sticking to roots and swollen face, far exceeding toothache caused by dental caries and periodontitis, and generally accompanied by yellow tongue coating, bitter taste, fever, constipation or poor stool. Toothache occurs suddenly in the wind, and the heat is aggravated, and even the toothache is even connected to the head and face; Or accompanied by gum swelling, the affected area is red, swollen, hot and painful, and the pain is relieved; Or accompanied by thirst and thirst, dry and yellow stool, red tongue or tip of tongue, thin yellow or white fur, little body fluid, floating or thin pulse. More common in acute pulpitis and early periapical periodontitis. Dispelling wind, clearing away heat, detoxicating and detumescence Fang Fengchi Waiguan Wind-cold toothache: toothache is paroxysmal, which is aggravated or aggravated when encountering wind-cold, and the pain is relieved when encountering heat, and the gums are swollen or not. The whole body may be accompanied by aversion to cold, no sweat, headache, heavy nasal congestion, pale tongue with white fur and other symptoms. Mainly seen in patients with periodontal disease with yang deficiency constitution. Expelling wind, dispelling cold and relieving pain. Allergic toothache: there are nerve fibers in dentinal tubules. When dentin is exposed, you can feel the stimulation of cold, hot, sour and sweet outside, resulting in pain, mostly allergic toothache. Dental caries, tooth damage. (2) toothache due to deficiency of fire: yin deficiency of liver and kidney, inflammation due to deficiency of fire, tooth loss and tooth protection. Slight pain, slight swelling, dull pain, long duration, thinner and faster pulse (narrower pulse width) than usual. Toothache due to deficiency fire: the teeth are obviously long, floating, shaking and falling off; The gums are slightly red and swollen; Tooth dull pain; Back pain and dizziness. Kidney dominates bone, and teeth are bones, which are mostly due to liver and kidney deficiency and insufficient nutrition of teeth. Yin deficiency leads to hyperactivity of yang, while hyperactivity of yang leads to inflammation, burning gums, bone marrow emptiness, tooth loss and floating pain. The third volume of "Records of Differentiation of Symptoms and Signs" says: People who have toothache at night and groan and don't lie down are also caused by kidney fire, but kidney fire is not real fire. Diagnostic points: toothache due to kidney deficiency, the pain is not obvious, lasting for a long time, the toothache is dull and intermittent, and the pain is aggravated in the afternoon (in the afternoon, Yangming meridian qi is strong, which helps the deficiency fire to rush up). The day is light and the night is heavy, the gums are not red and swollen, slightly red and swollen, the gum flesh is atrophied, the roots are loose and the occlusion is weak; Waist and knees are sore, five nerves are hot, insomnia and dizziness, pale red tongue with little moss, dry mouth and no desire to drink, and rapid pulse. Massage: Hegu, Shousanli, Taixi, Zhao Hai and Hanging Bell are more common in elderly patients with chronic periodontal disease. Nourishing yin and tonifying kidney, reducing fire and relieving pain. Take Liuwei Dihuang Pill. If you have night sweats while sleeping, or feel hot and uneasy, you can take Baizhi Dihuang Pill. Usually, you can drink Lycium barbarum tea or boil Lycium barbarum porridge. Liver-fire toothache: toothache leads to headache, which appears or aggravates when mood swings. The whole body is often accompanied by symptoms such as bitter mouth, red eyes, tinnitus, hypochondriac pain, irritability, red tongue with yellow fur and strong pulse. Clearing liver and benefiting gallbladder, soothing liver and relieving pain. It hurts both cold and hot. 9. Chinese medicine dialectically looks at the corresponding relationship between gums, teeth and viscera: teeth correspond to kidneys and gums correspond to gastrointestinal tract. The upper gums correspond to the stomach meridian, the lower gums correspond to the intestine meridian, the canine teeth belong to the kidney meridian, and the molars belong to the spleen and stomach meridian. The corresponding relationship between toothache and fire in the internal organs: heart fire in the upper four incisors, kidney fire in the lower four incisors, stomach fire in the upper right tooth, lung fire in the lower right tooth, gallbladder fire in the upper left tooth and liver fire in the lower left tooth. Differentiation of gums: sparse teeth or exposed roots may lead to kidney qi deficiency. Gum bleeding, gastrointestinal indigestion. Loose teeth, one of the signs of osteoporosis. Red and swollen gums, gastritis or fatigue. Toothache is the fire of internal organs, the upper four incisors are heart fire, the lower four incisors are kidney fire, the upper right tooth is gastrointestinal fire, the lower right tooth is lung fire, the upper left tooth is gallbladder fire and the lower left tooth is liver fire. Ziyatongbiling is a tincture for external use, which is made of nine pure Chinese medicines, such as asarum, toothache herb and drynaria rhizome. According to the causes of toothache, it can promote qi and blood circulation, warm meridians and dredge collaterals, systematically regulate the function of viscera, clear fire and nourish teeth, systematically eliminate the visceral root of toothache, and achieve the patency of qi and blood, viscera and meridians, which is generally painless. It has four functions of relieving pain, diminishing inflammation, expelling tooth poison and repairing pulp nerve. 1 min can relieve pain and reduce swelling for 24 hours, and 1-8 times can cure the disease radically.