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Bleeding Gums (Ulcerative Gingivitis)

Heat & Fire in Stomach/Large Intestine (excess condition, acute)

Clinical Manifestations

  • Swollen, red aching bleeding gums
  • Fresh, bright red blood
  • Bad breath, prefers cold drinks, constipation
  • T: Red body, thick yellow coat
  • P: Forceful and rapid

Formula

  • Qing Wei San + Yu Niu Jiao + herbs to cool and activate Blood

Stomach Yin Deficiency (deficiency condition, chronic)

Clinical Manifestations

  • Swollen gums with pale blood, gums not bright red, sometimes painful, sometimes not.
  • T: Red with scanty coat
  • P: Slippery, rapid, thready

Formula

  • Yu Niu Jiao + herbs to cool and activate Blood

Kidney Yin Deficiency with Excess Heat (associated with old age, a chronic condition)

Clinical Manifestations

  • Slight sore gums combined with loose teeth.
  • Dizziness, tinnitus
  • Sore back and weak knees
  • T: Red body with scanty coat
  • P: Thready and rapid

Formulas

  • (with heat) Zhi Bai Di Huang Wan+ Gu Sui Bu and/or Xu Duan
  • (without heat) You Gui Yin or Zuo Gui Yin + Gu Sui Bu and/or Xu Duan

Spleen Qi Deficiency (Spleen unable to govern blood, chronic condition)

Clinical Manifestations

  • Pale gums, lips, and nails due to Blood deficiency
  • Easily bruised
  • T: Pale with white coat
  • P: Soft, weak

Formula:

  • Gui Pi Tang (#1 formula for purpura-bruising)

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