\r悬旗小舌\p05-c14a69.bmp\r
悬旗风,生于小舌下垂,尖头变圆粗,如
桂圆核大,红如樱桃。此因多食浓味燥酒,以
致胃火郁盛而发。用六味汤加∶甘草(五分) 枳
子(二钱) 赤芍(一钱八分) 河
车(二钱),二服乃痊。或肿处出血,吹金不换亦好。胃脉浮洪者是。
(七症图说)
\r松子喉疔\p05-c14a70.bmp\r
松子疔,生于关内、小舌两旁或左或右,形
如松子,淡红而硬,大痛艰食,背寒身热,两
寸关脉紧盛,乃风火郁积之症也。用六味汤加∶
苏叶 羌活 赤芍 连翘 山甲 河车(各二钱),明日去
羌活 苏叶二味,再加乳香(三分) 玉枢丹(一钱) 研细,药
水冲服,二日而愈。吹金不换药亦可。
\r走马牙疳\p05-c14a71.bmp\r
此症因脾胃积受热毒太重,初起牙肉先肿,日久腐烂,此
为急症。齿落肉黑者不治,脉浮洪者生、沉细者死。如脉大
有力,尚可用重剂救之,脉迟虚细,药石难投。故临症须详脉
治之。初起未烂者,即针肿处出血,搽金不换。已烂者,不
必行针,搽药照上,用川连 葛根 连翘 犀角 生地(各二
钱) 白藓皮 甘草 象贝母 天花粉(各钱半) 生石膏(一两)
草河车(一两),入大锅内,煎服三四碗,连服三剂。如脉数、便
结加∶生大黄(五钱) 生石膏(一两),或者有救,迟则不治。
悬旗小舌
悬旗风,生于小舌下垂处,尖端变圆且粗大,大小如桂圆核,颜色红如樱桃。这是因为多食浓烈滋味和燥热之酒,导致胃火郁结旺盛而引发。使用六味汤加:甘草(五分)、枳子(二钱)、赤芍(一钱八分)、河车(二钱),服用两剂即可痊愈。如果肿胀处出血,吹入金不换药粉也很好。脉象表现为胃脉浮洪的属于此症。
(七症图说)
松子疔,生于关内、小舌两旁,或左或右,形状像松子,颜色淡红且质地坚硬,疼痛剧烈,进食困难,伴有背部发冷、身体发热,两手寸部和关部脉象紧盛,这是风火郁积的病证。使用六味汤加:苏叶、羌活、赤芍、连翘、山甲、河车(各二钱),第二天去掉羌活和苏叶两味药,再加入乳香(三分)、玉枢丹(一钱),研成细末,用药水冲服,两天即可痊愈。吹入金不换药粉也可以。
此病证因脾胃积聚的热毒太重,初起时牙龈肉先肿胀,日久腐烂,这属于急症。牙齿脱落、牙龈肉变黑的无法治愈,脉象浮洪的有生机,脉象沉细的预后不良。如果脉象大而有力,还可以用重剂抢救;脉象迟滞、虚弱细微的,药物难以奏效。所以临症时必须详细诊察脉象进行治疗。初起尚未腐烂时,立即针刺肿胀处使其出血,并搽上金不换药。已经腐烂的,不必行针,搽药照上述方法,使用川连、葛根、连翘、犀角、生地(各二钱)、白藓皮、甘草、象贝母、天花粉(各钱半)、生石膏(一两)、草河车(一两),放入大锅中煎煮,服用三四碗,连续服用三剂。如果脉象数疾、大便干结,加上:生大黄(五钱)、生石膏(一两),或许还有救,拖延则无法救治。
Xuanqi Xiaoshe (Suspended Flag and Small Tongue)
Xuanqi Feng (Wind of the Suspended Flag) arises from the drooping uvula, where the tip becomes round and thick, as large as a longan seed, and red like a cherry. This is caused by excessive consumption of rich flavors and drying wines, leading to the stagnation and excess of Stomach Fire. Use Liuwei Tang (Six-Ingredient Decoction) with additions: Gancao (Licorice Root, 5 fen), Zhizi (Gardenia Fruit, 2 qian), Chishao (Red Peony Root, 1.8 qian), and Heche (Placenta Humanum, 2 qian). Two doses will result in recovery. If bleeding occurs at the swollen site, blowing Jinbuhuan (Golden Unchanging Powder) into it is also effective. The pulse diagnosis presents as a Floating and Surging Stomach Pulse.
(Seven Symptoms Diagram Description)
Songzi Houding (Pine Seed Throat Carbuncle)
Songzi Ding (Pine Seed Carbuncle) appears inside the throat opening or on either side of the uvula, left or right. It resembles a pine seed, is pale red and hard, causes severe pain and difficulty in eating, accompanied by chills in the back and fever. The Cun (Inch) and Guan (Bar) pulses of both hands are Tight and Excessive. This is a syndrome of Wind-Fire stagnation. Use Liuwei Tang (Six-Ingredient Decoction) with additions: Suye (Perilla Leaf), Qianghuo (Notopterygium Rhizome), Chishao (Red Peony Root), Lianqiao (Forsythia Fruit), Shanjia (Pangolin Scales), and Heche (Placenta Humanum) (each 2 qian). On the next day, remove Qianghuo and Suye, and add Ruxiang (Frankincense, 3 fen) and Yushudan (Jade Pivot Pill, 1 qian). Grind these into fine powder and take them washed down with medicinal decoction. Recovery occurs within two days. Blowing Jinbuhuan (Golden Unchanging Powder) is also acceptable.
Zouma Yagan (Running-Horse Dental Gangrene)
This syndrome is caused by severe accumulation of Heat-Toxin in the Spleen and Stomach. Initially, the gingival flesh swells; after a long time, it rots. This is an acute condition. If teeth fall out and the gingival flesh turns black, it is incurable. A Floating and Surging pulse indicates survival; a Deep and Fine pulse indicates death. If the pulse is Large and Forceful, heavy-dose remedies can still be used for rescue. If the pulse is Slow, Deficient, and Fine, medicines are difficult to administer. Therefore, clinical practice requires detailed pulse examination for treatment. In the initial stage before rotting, prick the swollen area to induce bleeding and apply Jinbuhuan (Golden Unchanging Powder). If already rotted, do not perform needling; apply medication as described above. Use Chuanlian (Coptis Rhizome), Gegen (Kudzu Root), Lianqiao (Forsythia Fruit), Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Shengdi (Rehmannia Root), each 2 qian; Baixianpi (Dixonia Stem Bark), Gancao (Licorice Root), Xiangbeimu (Fritillaria Bulb), Tianhuafen (Trichosanthes Root), each 1.5 qian; Sheng Shigao (Raw Gypsum Fibrosum), 1 liang; Caoheche (Grass Placenta/Herbal equivalent), 1 liang. Decoct in a large pot, consume three to four bowls, and continue for three doses. If the pulse is Rapid and stool is constipated, add Sheng Dahuang (Raw Rheum Root) 5 qian and Sheng Shigao (Raw Gypsum Fibrosum) 1 liang; there may still be hope for rescue. Delay leads to untreatability.