牙齿疼痛的中医证治与特色探析

Traditional Chinese medicine treatment and characteristics of tooth pain

牙齿疼痛是常见的口腔疾病之一,历代医家基于《黄帝内经》中牙齿联属于肾、骨、髓、阳明经的生理认识,提出了牙齿疼痛的病因病机为肾虚髓空、邪犯风火、龋齿虫蚀3个主要因素,并确立了以补肾固齿、疏风散邪、祛瘀生新、清胃泻火、杀虫止痛5种治疗牙齿疼痛的治法治则,相较于现代的口腔医学治疗方法,通过对中医在牙齿疼痛的预防、治疗、遣方用药的分析发现,中医在香药使用、中药漱口、叩齿保健、针刺止痛领域有着自身独特的优势与显著疗效。

Tooth pain is one of the common oral diseases.Based on the physiological understanding of Huangdi Nejing that teeth belong to the kidney,bone,marrow and Yangming meridian,physicians in previous dynasties proposed that the etiology and pathogenesis of tooth pain are:kidney deficiency and marrow emptiness,evil spirits attacking wind and fire,and caries and insect erosion.They also established five therapeutic principles to treat tooth pain,namely,tonifying the kidney to strengthen tooth,dispersing wind and evil spirits,removing blood stasis for promoting tissue regeneration,clearing stomach and purging fire,and killing insects and pain.Compared with the modern oral medicine treatment methods,through the analysis of the prevention,treatment and prescription of traditional Chinese medicine in tooth pain,it is found that traditional Chinese medicine has its own unique advantages and significant efficacy in the use of aromatic drugs,traditional Chinese medicine gargle,percussion tooth health care,and acupuncture analgesia.