Given the above-mentioned reasons, different herbal remedies should be adopted to reduce this condition based the diagnosis.
(1). Stomach fire flaring gum.
The symptoms and signs are swelling and aching of gum, swollen cheek, even chewing difficulty, localized burning sensation, bitter taste in mouth, bad breath, Constipation, red tongue with yellow coating, etc. The treatment should be clearing away heat, reducing fire, and relieving swelling and pain. The recommended herbal formula is Qing Wei San, modified accordingly. Regular Chinese herbs used are Shi Gao (Gypsum), Huang Lian (Coptis Rhizome), Sheng Di Huang (Rehmannia), Sheng Ma (Black Cohosh Rhizome), Huai Niu Xi (Achyranthes Root), Da Huang (Rhubarb), Chi Shao (Red Peony Root), Zhi Mu (Anemarrhena Rhizome), and Xu Chang Qing (Cynanchum Paniculatum Root);
(2). Flaring up of fire due to deficient kidney yin.
The symptoms include slightly swollen gums, slight redness, dull soreness, loose and shaky teeth, or accompanied with gum bleeding. The cure should be nourishing yin for lowering fire and tonifying kidney to strengthen teeth. The formula of Liu Wei Di Huang Wan is highly recommended. Regular herbs are Shu Di Huang (Rehmannia), Nu Zhen Zi (Privet Fruit), Shan Zhu Yu (Asiatic Cornelian Cherry Fruit), Shan Yao (Chinese Yam), Huai Niu Xi, Ze Xie (Water Plantain Root), Gu Sui Bu (Drynaria Rhizome), and Xi Xin (Chinese Wild Ginger);
(3). Cold and heat stimuli.
The symptoms are sudden onset, pain involving with forehead and two flanks of head, throbbing shooting, and no gum swelling and bleeding. If the pain is wandering, swift, and extending to forehead and flanks, it is caused by wind pathogen; if pain is triggered by inhaling of cold air or touching of cold substance and the sore spot is fixed, it is due to cold pathogen. Herbs for the former are Gui Zhi (Cinnamon Twig), Fang Feng (Ledebouriella Root), Bai Jie Zi (White Mustard Seed), Jie Geng (Balloon Flower Rhizome), Zi Su Ye (Perilla Leaf), Xu Chang Qing, Bai Shao (White Peony Root), and Gan Cao (Licorice Root); herbs for the latter are Dang Gui (Dong Quai), Xi Xin, Chuan Xiong (Szechuan Lovage Root), Bai Zhi (Angelica Root), Chuan Jiao (Szechuan Pepper), Zhi Ke (Ripe Fruit of Zhi Shi), Jie Geng, and Gan Cao;
(4). Decayed tooth.
Oral drugs tend to have poor curative effect and it is preferred combining with local processing. Ding Tong San is recommended here. Herbs are Dang Gui, Sheng Di, Xi Xin, Bai Zhi, Lian Qiao (Forsythia Fruit), Ku Shen (Sophora Root), Chuan Jiao, Huang Lian, Wu Mei (Mume Fruit), Jie Geng, and Gan Cao.