There is a difference between real fire toothache and false fire toothache in terms of causes, symptoms and manifestations. Etiology: solid fire toothache is mostly wind-fire toothache or stomach-fire toothache, which is caused by wind-heat evils or stomach-fire, making stomach-fire inflamed and appearing as a toothache; deficiency fire toothache is mostly caused by deficiency of kidney yin and inflammation of deficiency fire, and the tooth is not moistened, resulting in pain. Symptoms: solid fire toothache is generally severe pain, redness and swelling, refusing to heat and refusing to be pressed can be accompanied by bad breath, dry mouth, constipation and other symptoms; false fire toothache is generally a vague pain or pain is relatively mild, like warmth and like to be pressed, can be accompanied by lumbar and knee soreness and weakness (lumbar and knee soreness and weakness of the sensation), the five heart heat (the heart of the two hands and the heart of the two feet, and self-consciousness of the heart and chest hot) and other symptoms. Patients with toothache that is difficult to relieve should seek medical attention for standardized treatment in order to avoid delaying their condition.