Ang toothache ay isang karaniwang sintomas ng oral disease, karaniwang dulot ng lokal na sakit sa teeth at gingiva. Ayon sa Traditional Chinese Medicine, "teeth are the remainder of bones," "kidneys govern bones," at ang meridian ng foot yangming stomach passes through the gingiva, kaya ang teeth at kidneys, at gingiva at stomach ay may malapit na ugnayan. Mula sa perspective ng holistic approach, ang toothache ay madalas nauugnay sa external pathogenic factors, inflammation, imbalances sa liver and kidneys, at lack of personal care. Karaniwan, ang acute toothache at swollen gums ay dapat tratuhin sa stomach; samantalang ang chronic toothache, loose teeth, dull pain, at mild swelling ay dapat tratuhin sa kidneys.
Wind-fire toothache: Matinding panghihina, nangangalay na, lumalabas kapag may hangin o lumalala, lumalala kapag mainit, bumababa kapag malamig, swollen gums, kasama ang pangkalahatang sintomas tulad ng chills, fever, thirst, at rapid pulse. Karaniwan sa acute pulpitis at early apical periodontitis. Tratuhin sa clearing wind, cooling heat, detoxifying, reducing swelling. Gamit ang Yin Qiao San plus modifications: honeysuckle 18g, forsythia 18g, vitex fruit 10g, bamboo leaf 10g, schizonepeta 10g, angelica root 10g, anemarrhena 10g, rehmannia 15g, silkworm pupa 10g, scutellaria 10g, licorice 6g.
Stomach-fire toothache: Matinding panghihina, swollen gums at face, may pus, bleeding gums, minsan ay nahihirapan magbuka ng bibig, kasama ang headache, thirst, bad breath, reduced urine, constipation, fever, yellow greasy coating. Karaniwan sa pericoronitis, suppurative apical periodontitis. Tratuhin sa clearing stomach fire, cooling blood, relieving pain. Gamit ang Qing Wei San plus modifications: coptis 10g, rehmannia 15g, moutan 10g, ligusticum 6g, scutellaria 12g, gypsum 30g, forsythia 15g, angelica root 10g, cinnamon 3g, rhubarb 6–12g. Para sa mga taong may yin deficiency, gamitin ang Yu Nu Jian plus root bark of dioscorea and scrophularia.
Ang mga sumusunod ay karaniwang idagdag depende sa sitwasyon: dandelion, purple ground orchid, chrysanthemum, winter heliotrope, white prickly ash, hornet nest.
Yin-fire toothache: Dull pain, light intensity, maaaring lumala sa afternoons at gabi, gum ay hindi madalas na swollen, madalas may loose teeth, painful when biting, bleeding gums. Kasama ang pangkalahatang sintomas tulad ng back pain, dizziness, dry mouth, dry throat, red tongue with white coating, fine rapid pulse. Karaniwan sa elderly people with chronic periodontal disease. Tratuhin sa nourishing yin, tonifying kidneys, lowering fire, relieving pain. Gamit ang Zhi Bai Di Huang Tang plus modifications: anemarrhena 10g, phellodendron 10g, raw and cooked rehmannia 15g each, cornus 10g, yam 30g, moutan 10g, alisma 10g, broken bone herb 15g, dog spine 30g, cinnamon 3g, achyranthes 10g.
Liver-fire toothache: Toothache na umaabot sa headache, lumalala o lumalala kapag may emotional fluctuation, kasama ang pangkalahatang sintomas tulad ng bitter taste, red eyes, tinnitus, rib pain, irritability, red tongue with yellow coating, strong rapid pulse. Tratuhin sa clearing liver and gallbladder fire, regulating liver qi, relieving pain. Gamit ang Long Dan Xie Gan Tang without woodruff, adding coptis and moutan.
Wind-cold toothache: Intermittent pain, lumalala kapag may hangin o lamig, bumababa kapag mainit, gum ay maaaring swollen o hindi, kasama ang pangkalahatang sintomas tulad ng aversion to wind and cold, no sweat, headache, nasal congestion, pale tongue with white coating. Karaniwan sa patients na may yang deficiency in periodontal disease. Tratuhin sa clearing wind, dispelling cold, relieving pain. Gamit ang Chuan Xiong Cha Tiao San plus betel pepper.
External medication for toothache (Toothache Powder): Betel pepper 3g, angelica root 3g, ginger 3g, cinnamon 3g, cinnabar 3g, white pepper 3g, mint 1.5g, camphor 1.5g. Ground into fine powder, put on cotton ball and insert into cavity.
Mayroon din ang paggamit ng acupuncture para sa toothache.
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