Toothache

General

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	LI-4 (needle proximally and stimulate strongly, withdraw and point distally and stimulate strongly 2-3 times and leave in place 30 minutes) DU-26, GB-37 (opposite side of the pain), GB-41, LI-2, LI-3, LI-44, REN-24, SJ-21, SJ-23, ST-6, ST-44, UB-23, UB-60, UB-62 LI-4, ST-7 GB-20, LI-4, ST-7, UB-12 GB-20, LI-4, ST-7, UB-11 GB-10, GB-14, LIV-3, LIV-4, ST-44 SJ-17, Taiyang LI-4, ST-6, ST-7, ST-44, Yintang' LI-4, ST-44 LI-4, ST-6, ST-7, ST-4 LI-4, SI-17, ST-6 Moxa or moxa needle 3 cones on: REN-24, ST-6 Upper teeth: + 7 cones on: LI-15, LU-7, LU-9, LU-10, SI-5 Lower teeth: + 7 cones on: LI-3, LI-4 Scalp: Lower 2/3 of the sensory line With chills: GB-2, LI-1, LI-11, SI-18, ST-5 With chills and jaw pain: + SJ-17 With chills and a clenched jaw: + GB-3 Dental caries: 1. LI-4, ST-44 2. LI-4 + Upper jaw: + SI-18, ST-36, ST-44 Lower jaw: + ST-2, ST-6, bleed HT-9 Loose teeth: GB-16 Lower teeth: + GB-17, LI-1, LI-11 Upper teeth: + GB-10 After effects of dental work: LI-4, ST-6, ST-7, ST-4

Wind-Cold Attacks The Lungs

Clinical Manifestations	Acute onset of a toothache with a contracting feeling Aggravation of pain when eating cold food or drinks Pain alleviated from eating warm food and drinks Aversion to Cold Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm Stop pain
Herb Formulas	Ma Huang Tang Jing Fang Bai Du San  modified Jin Fei Cao San Chinese Patent Medicines: Jing Fang Bai Du Pian
Points	LI-4, LI-20, LU-7, ST-6, ST-7, ST-40 For obvious aversion to Cold and spasms of the face: + SJ-5 + moxa or moxa needle the face points For a headache: + DU-16, GB-20 For a sore throat: + REN-23 For coughing with expectoration of white Phlegm: + UB-12, UB-13 ST-5 GB-20, SJ-5

Tai Yang- Yang Ming

Clinical Manifestations	Fever and chills with fever increasing and chills decreasing Headache Anhidrosis Stiffness and pain of the extremities Orbital pain Eye pain Shoulder and neck tension Dry nasal passages Irritability Insomnia Thirst Epistaxis Toothache T: Normal C: Thin and yellow P: Floating and slightly flooding
Treatment Principle	Dispel Wind Release the muscle layer Clear Interior Heat
Herb Formulas	Chai Ge Jie Ji Tang Ge Gen Huang Qin Huang Lian Tang
Points

Yang Ming Jing

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Toothache Bleeding gums Feverish body parts Red face Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang With Qi and Body Fluid Deficiency: Bai Hu Jia Ren Shen Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 With Qi and Body Fluid Deficiency: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20 With diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 With vomiting but no diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop vomiting:  PC-6, SP-4

Yang Ming Fu

Clinical Manifestations	Intermittent stabbing pain in the teeth Foul breath Dislike of warm drinks Swollen gums High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Mental disturbance: Mentally unclear Delirious speech T: Red and dry, or black and moist C: Thick yellow or dry yellow P: Deep, strong and forceful
Treatment Principle	Purge
Herb Formulas	Xiao Cheng Qi Tang With Blood Stagnation: Tao He Cheng Qi Tang
Points	LI-4, ST-6, ST-7, ST-44 Upper jaw: + KI-7, electroacupuncture LI-4 to SI-18, ear: Tooth, Shenmen Lower jaw: + KI-7, electroacupuncture LI-4 to ST-6, ear: Tooth, Shenmen LI-4, ST-43, ST-44 GB-20, LI-4, ST-6, ST-7, ST-44 DU-26, LI-3, LI-4, REN-24, ST-6, ST-7, ST-44 For Heat: DU-14, LI-4, LI-11, SJ-5, ST-44 For Stagnation: REN-12, ST-34, ST-36, ST-37, ST-39 For Constipation: SJ-6, ST-25, UB-25

Yang Ming Fluid Xu

Clinical Manifestations	Toothache Previous history of Yin, Jin Ye, or Blood Deficiency Previous history of Yang Ming Fluid and Yin depleted Anhidrosis Numbness Weakness Dryness Constipation Dry stools that cannot easily be expelled, even with purgatives Thirst Distention and fullness of the epigastrium and abdomen Dry mouth Dry lips T: Red, dry and thin C: Little or None or thin and yellow or Burnt and yellow P: Thready and slightly rapid or weak and forceless
Treatment Principle	Moisten and Lubricate Nourish Yin and Fluids
Herb Formulas	Zeng Ye Cheng Qi Tang
Points	K-6, LI-11, SJ-6, ST-25, ST-37, ST-45, UB-25

Wind-Heat Attacks The Lungs

Clinical Manifestations	Acute onset of toothache Pain is aggravated by hot food Pain alleviated by cold food and drinks Gingival swelling and pain Pain severe when breathing in through the mouth Coughing with thick, sticky, yellow sputum Sore, red, swollen throat Thirst with a desire to drink cold liquids Runny or blocked nose with thick, yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Maybe dyspnea with flared nostrils Maybe chest pain Constipation T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Expel Wind Clear Heat Ventilate the Lungs Stop pain
Herb Formulas	Niu Bang Jie Ji Tang Yin Qiao San With Interior Heat: Yi Wu Chai Ge Jie Ji Tang Chinese Patent Medicines: Yin Qiao Pian Yin Qiao Jie Du Pian
Points	LI-2, LI-4, LI-5, LU-7, SJ-5, ST-6, ST-7 For fresh gum bleeding due to Fire: + SP-10, ST-44, bleed LI-2 For fever: + DU-14, LI-11 For a headache: + GB-20 For a sore throat: + LU-10 For thirst: + LU-8, REN-23 For coughing with expectoration of yellow Phlegm: + UB-12, UB-13 ST-5 GB-20, SJ-5 LI-4, SJ-5, ST-6 GB-20, LI-4, ST-7, ST-44 LI-4, SJ-17, ST-6, ST-7, ST-44

Toxic Wind-Heat

Clinical Manifestations	Headache Red eyes Pain and swelling of the throat and gums Ulcerations of the mouth and tongue Dizziness Tinnitus Constipation Toothache T: Red and prickly C: Yellow P: Floating and rapid or Rapid
Treatment Principle	Clear Heat Relieve toxicity Release Wind-Heat from the Exterior
Herb Formulas	Niu Huang Shang Qing Wan
Points

Qi Stage: Lung And Stomach Heat

Clinical Manifestations	Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Toothache Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid
Treatment Principle	Clear Heat Generate fluids Tonify Qi Harmonize the Stomach Moisten the Lungs
Herb Formulas	Zhu Ye Shi Gao Tang
Points

Qi Stage: Intestinal Dry Heat

Clinical Manifestations	High fever - sometimes tidal Profuse sweat Great thirst with desire to drink Acute constant abdominal pain Worse with pressure Distension and fullness in the Stomach and abdomen Aversion to Heat Dryness Restlessness Excess symptoms Constipation with dry knots Sweat Mental disturbance Delirium T:  Red or Dark red Severe: Gray or Black C: Thick, yellow or Dry, yellow P:  Forceful and deep or Deep and slow
Treatment Principle	Purge
Herb Formulas	Xiao Cheng Qi Tang
Points	DU-14, LI-4, LI-11, REN-12, SJ-5, SJ-6, ST-25, ST-34, ST-36, ST-37, ST-39, ST-44

Qi Stage Gallbladder Heat

Clinical Manifestations	Toothache Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension Constipation with Heat in the Upper Jiao T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder
Herb Formulas	Liang Ge San
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

Large Intestine Excess Heat

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Xiao Cheng Qi Tang Liang Ge San
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

Damp-Heat In The Spleen And Stomach

Clinical Manifestations	Swelling and inflammation of the gums with or without pus Mouth ulcers Bad breath Sore throat Toothache Dry mouth Constipation Dysuria Bleeding from the gums T: Red and dry C: Yellow-green P: Thready and rapid
Treatment Principle	Nourish Yin Generate Fluids Clear Heat Resolve Dampness
Herb Formulas	Gan Lu Yin
Points

Stomach Fire

Clinical Manifestations	Toothache Swelling, pain, ulceration and bleeding of gums Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Dry mouth Excessive appetite: hungry again quickly after eating (as if food vanishes) Foul breath Abdominal pain Restlessness Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid or Forceful and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified San Huang Xie Xin Tang With Yin Deficiency: Yu Nu Jian
Points	LI-4, LI-11, SI-18, ST-5, ST-6, ST-7, ST-42, ST-44, ST-45 With bleeding gums: + SP-6, SP-10 With foul breath and Stomach pain: + REN-12, UB-21 With nausea and vomiting: + PC-6 With constipation: + ST-25 LI-4, ST-44 LI-4, ST-6, ST-7, ST-44 LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

Heart Fire

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia Flushed face Bitter taste in the mouth T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi (Re) San San Huang Xie Xin Tang
Points	HT-7, HT-8, PC-7, PC-8, UB-15

Kidney Yang Deficiency

Clinical Manifestations	Chronic toothache with intermittent aggravation Pain alleviated by warmth Loose teeth No redness or swelling of the gums Excessive salivation Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin, moist and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang Eliminate Cold Stop pain
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang  modified
Points	Moxa or moxa needle KI-3, KI-10, REN-4, SP-3, ST-6, ST-7, ST-36 With lower back and knee pain and weakness and nocturia: + UB-23, UB-58 With general fatigue dizziness and a poor memory: + REN-6 With water retention with swollen legs and a swollen face: + REN-7, SP-9 Moxa or moxa needle DU-4, KI-3, REN-4, UB-23

Kidney Yin Deficiency

Clinical Manifestations	Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Five sole Heat Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Tidal fevers Loose teeth Cough Shortness of breath Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Blurred vision Hemoptysis Asthma Hot flashes Nocturnal emissions Urinary incontinence Spontaneous and nocturnal emissions Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Strengthen the Kidneys Nourish Yin Stop pain
Herb Formulas	Mai Wei Di Huang Wan Qi Ju Di Huang Wan Liu Wei Di Huang Wan Ba Xian Chang Shou Wan
Points

Kidney Yin Deficiency With Fire Rising

Clinical Manifestations	Chronic toothache Intermittent aggravation of the pain The pain is dull with some slight burning sensations Teeth loose and painful Slightly red, swollen gums Red throat Foul breath Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Weakness in the knees Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido Restlessness Insomnia T: Red C: Little or None P: Thready and rapid or Forceless, thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan modified Qi Ju Di Huang Wan Liu Wei Di Huang Wan Dang Gui Yu Zhu San With Blood Deficiency: Gui Shao Di Huang Tang Chinese Patent Medicines: Zhi Bai Di Huang Wan
Points	KI-2, KI-3, KI-7, KI-10, SP-6, ST-6, ST-7 With lower back and knee weakness and pain: + UB-23, UB-58 With nocturia: + KI-6 With general fatigue: + REN-4 With insomnia and dream disturbed sleep: + HT-3, HT-8 KI-6, LI-4, ST-6, ST-7, ST-44 KI-3, LI-4, ST-6, ST-7, ST-44 Ear: Maxilla, Mandible, Apex of the Tragus

Kidney Jing Deficiency

Clinical Manifestations	Toothache Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing In children: Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of the fontanel Poor bone development Brittle bones
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Huan Shao Dan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

Yin Deficiency With Yang Excess

Clinical Manifestations	No foul breath Loose teeth Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas
Points	KI-3 KI-3, ST-6, ST-7 KI-3, LI-4, LIV-2, ST-6, ST-7, ST-44 KI-3, LI-4, ST-6, ST-7, ST-44, UB-23 Upper jaw: GB-3, ST-6 Lower jaw: ST-5, ST-7 Ear: Maxilla, Mandible, Apex of the Tragus

Blood Stagnation With Heat

Clinical Manifestations	Toothache with piercing, stabbing pain Purpura Incontinence of urine Night fevers Irritability Restlessness Thirst Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Afternoon fever Tremors Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drive out Blood Stasis Drain Heat
Herb Formulas	Xia Yu Xue Tang
Points

Blood Deficiency

Clinical Manifestations	Toothache Abdominal pain Irritability Slight chills Spasms of the calf muscles Cramps in the hands Weak legs Hypertonicity of the extremities characterized by difficult flexion and extension Wheezing Coughing Hiccup Constipation Vomiting Diarrhea Sciatic pain Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder and uterus. Intestines Shoulder pain Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Shao You Gan Cao Tang
Points

Toxic Heat In The San Jiao

Clinical Manifestations	High fever Irritability Fidgeting Dry mouth Dry throat Incoherent speech Insomnia Dark urine Deep-rooted boils Maculae Carbuncles Hematemesis Hemoptysis Palpitations Furuncles Tinnitus Purpura Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire Relieve toxicity from all three Jiaos Relieve inflammation Stop bleeding Purge Damp-Heat Purge the Gallbladder
Herb Formulas	Huang Lian Jie Du Tang
Points

Damp-Heat In The Lower Jiao

Clinical Manifestations	Toothache (very painful) Gingivitis Low back pain Dazzling vision T: Moist C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Resolve Dampness
Herb Formulas
Points	KI-2, KI-3, LIV-2 KI-1, KI-3, LIV-2

Rich Food Leading To Damp-Heat And Tooth Worms

Clinical Manifestations	Teeth eaten away by worms and collapsing If one tooth is rotten, all will be eaten away Continuous toothache Broken teeth T: Normal C: White
Treatment Principle	Mildly purge Heat accumulation
Herb Formulas	Tiao Wei Cheng Qi Tang
Points	LI-4, ST-6, ST-7, ST-44

Bacterial Infection (Heat In The Liver And Stomach)

Clinical Manifestations	Intermittent toothache Dental caries Pain is worse with touch, chewing or contact with sour food T: Red C: Thin and yellow P: Rapid
Treatment Principle	Clear Heat Kill the bacteria Stop pain
Herb Formulas	Niu Hang Jie Du Pian
Points	LI-4, LI-20, SI-18, ST-6, ST-7

Imbalance Of The Longitudnal Luo Channel Of The Large Intestine (Yin)

Clinical Manifestations	Dental caries Painful gums Deafness
Treatment Principle
Herb Formulas
Points	LI-6, LI-15 LI-6, LU-9 LI-6, LU-11

Imbalance Of The Longitudnal Luo Channel Of The Large Intestine (Yang)

Clinical Manifestations	Cold teeth Cold gums Pain in the chest Headaches Dizziness Blurred vision
Treatment Principle
Herb Formulas
Points	LI-6,LI-15 LI-6, LU-9 LI-6, LU-11