牙痛
Alias牙齿疼痛
Traditional Chinese Medicine Definition
Dental Pain, known in traditional Chinese medicine as "Toothache," falls under the category of diseases related to the five sensory organs. According to the classical text "Internal Medicine of Traditional Chinese Medicine," it is recorded: "The symptom of toothache is often caused by wind-heat, stomach-fire, and deficiency-heat. The pain can be severe or mild, cold or hot, and treatment should focus on dispelling wind and clearing heat, clearing the stomach and reducing fire, and nourishing yin and reducing fire."
Toothache is a common clinical symptom in traditional Chinese medicine, with its core pathogenesis often related to wind-heat, stomach-fire, and deficiency-heat. Common triggers include irregular diet, emotional disturbances, and excessive fatigue. During the process of differentiation, the following points should be noted:
1. Core Pathogenesis: The main pathogenesis of toothache is the invasion of fire, which can be categorized into wind-heat, stomach-fire, and deficiency-heat. Wind-heat toothache is characterized by intermittent exacerbation of pain, relief upon exposure to cold, and increased pain with heat; stomach-fire toothache is severe, accompanied by red and swollen gums, halitosis, and thirst; deficiency-heat toothache usually presents with a hidden pain in the teeth, which intensifies in the afternoon or at night.
2. Common Triggers: Spicy food, overindulgence in sweet and greasy foods, emotional fluctuations, and excessive fatigue.
3. Key Points for Differentiation: Differentiate between wind-heat, stomach-fire, and deficiency-heat, and observe the nature, severity, and accompanying symptoms of the toothache.
4. Directions for Treatment: In clinical practice, the treatment of toothache often employs methods such as dispelling wind and clearing heat, clearing the stomach and reducing fire, and nourishing yin and reducing fire. The specific direction of treatment needs to be flexibly applied based on individual differences and changes in the condition.
Common Syndrome Types and Key Points of Differentiation
风火牙痛
Main Manifestations：牙痛阵发性加重，得冷痛减，受热痛剧
Management Approach：疏风清火，消肿止痛
胃火牙痛
Main Manifestations：牙痛剧烈，牙龈红肿，口臭口渴
Management Approach：清胃泻火，凉血止痛
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with toothache, observing the color and swelling of the gums can help determine whether the toothache is caused by wind-cold or stomach-fire.
— 柴夏阳 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)