一人齿痛。脉数实。便秘。用防风通圣散即愈。(此凭脉症也。)
一人齿痛甚。胃脉数实。以承气一剂即止。(此凭脉症也。)
一老齿痛。午后则发。至晚尤甚。胃脉数而实。以凉膈散加荆芥、防风、石膏。一剂
而瘳。(此凭症脉也。)
一人齿痛。胃脉数而有力。以清胃散加石膏、荆芥、防风二剂而痊。(此凭脉症也。)
一人齿痛。脉浮无力。以补中益气汤加黄连、生地黄、石膏治之。不复作。(此凭脉症
一人齿痛。脉数无力。用补中益气加生 、牡丹皮而愈。
一人齿肿痛。 至颊腮。素善饮。治以清胃散数剂而愈。
一人齿痛。服清胃散不应。服凉膈散愈盛。予用补肾丸(四六)而愈。(此条因治不效而
知为肾虚也。)
一人颊腮肿。 至牙龈。右关脉数。此胃经风热上攻也。治以犀角升麻汤而消。(此凭
一妇常口舌糜烂。颊赤唇干。眼涩作渴。脉数。按之则涩。此心肺壅热于气血为患。名
热劳症也。当多服滋阴养血药。彼欲速效。用败毒寒剂攻之。后变瘵而殁。
良方云。妇人热劳者。由心肺壅热伤于气血。气血不调。脏腑壅滞。热毒内积。不得宣
所致也。其候心神烦躁。颊赤头痛。眼涩唇干。四肢壮热。烦渴不止。口舌生疮。神思沉昏
。嗜卧少寐。饮食无味。举体酸疼。或时心怔。或时盗汗。肌肤日渐消瘦。故名热劳也。
有一位患者牙齿疼痛,脉象数而实,大便秘结,服用防风通圣散后立刻痊愈。(这是根据脉象和症状判断的。)
有一位患者牙齿剧烈疼痛,胃经的脉象数而实,服用一剂承气汤后疼痛即止。(这是根据脉象和症状判断的。)
有一位老年患者牙齿疼痛,午后发作,到了晚上更加严重。胃经脉象数而实,使用凉膈散加入荆芥、防风、石膏,服用一剂后病愈。(这是根据症状和脉象判断的。)
有一位患者牙齿疼痛,胃经脉象数而有力,使用清胃散加入石膏、荆芥、防风,服用两剂后痊愈。(这是根据脉象和症状判断的。)
有一位患者牙齿疼痛,脉象浮而无力,使用补中益气汤加入黄连、生地黄、石膏治疗,之后不再复发。(这是根据脉象和症状判断的。)
有一位患者牙齿疼痛,脉象数而无力,使用补中益气汤加入生地黄、牡丹皮后痊愈。
有一位患者牙齿肿痛,肿胀延伸至脸颊腮部,平时喜欢饮酒,使用清胃散服用数剂后痊愈。
有一位患者牙齿疼痛,服用清胃散无效,服用凉膈散后病情反而加重。我使用补肾丸(方剂编号四六)治疗后痊愈。(这一条是因为之前的治疗无效,从而知道是肾虚所致。)
有一位患者脸颊腮部肿胀,肿胀延伸至牙龈,右关脉数,这是胃经风热上攻所致。使用犀角升麻汤治疗后消肿。(这是根据脉象和症状判断的。)
有一位妇女经常口腔和舌头糜烂,脸颊发红,嘴唇干燥,眼睛干涩并感到口渴,脉象数,重按则涩。这是心肺壅滞之热在气血中为患,称为热劳症。应当多服用滋阴养血的药物。她想要快速见效,使用败毒寒凉药剂攻伐,后来转变为虚劳病而死。
良方记载:妇女的热劳症,是由于心肺壅滞之热损伤了气血,导致气血不调,脏腑壅滞,热毒内积,无法宣发所致。其症状表现为心神烦躁,脸颊发红头痛,眼睛干涩嘴唇干燥,四肢壮热,烦渴不止,口腔舌头生疮,精神沉昏,嗜睡且睡眠少,饮食无味,全身酸痛,有时心悸,有时盗汗,肌肤日渐消瘦,所以称为热劳症。
A patient suffered from toothache, with a rapid and full pulse (Shu Shi Mai, rapid and full pulse) and constipation. After taking Fangfeng Tongsheng San (Windproof Unblocking Hero Powder), he recovered immediately. (This diagnosis was based on the pulse and symptoms.)
Another patient suffered from severe toothache, with a rapid and full pulse in the stomach meridian (Wei Mai, stomach pulse). After taking one dose of Chengqi Tang (Chengqi Decoction), the pain ceased. (This diagnosis was based on the pulse and symptoms.)
An elderly patient suffered from toothache, which occurred in the afternoon and worsened at night. The pulse in the stomach meridian was rapid and full. He was treated with Liangge San (Cooling Chest Powder) added with Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), and Shigao (Gypsum Fibrosum). After one dose, he recovered. (This diagnosis was based on the symptoms and pulse.)
A patient suffered from toothache, with a rapid and forceful pulse in the stomach meridian. He was treated with Qingwei San (Clear Stomach Powder) added with Shigao (Gypsum Fibrosum), Jingjie (Schizonepetae Herba), and Fangfeng (Saposhnikoviae Radix). After two doses, he recovered. (This diagnosis was based on the pulse and symptoms.)
A patient suffered from toothache, with a floating and weak pulse (Fu Wu Li Mai, floating and weak pulse). He was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Huanglian (Coptidis Rhizoma), Shengdihuang (Rehmanniae Radix Recens), and Shigao (Gypsum Fibrosum). The condition did not recur. (This diagnosis was based on the pulse and symptoms.)
A patient suffered from toothache, with a rapid and weak pulse. He recovered after taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shengdihuang (Rehmanniae Radix Recens) and Mudanpi (Moutan Cortex).
A patient suffered from swollen and painful teeth, with swelling extending to the cheeks and jaw. He had a habit of drinking alcohol. He was treated with Qingwei San (Clear Stomach Powder) for several doses and recovered.
A patient suffered from toothache. Taking Qingwei San (Clear Stomach Powder) was ineffective, and taking Liangge San (Cooling Chest Powder) aggravated the condition. I treated him with Bushen Wan (Kidney-Nourishing Pill) [Formula No. 46], and he recovered. (In this case, it was determined to be kidney deficiency because previous treatments failed.)
A patient suffered from swelling of the cheeks and jaw, extending to the gums. The pulse at the right guan position (You Guan Mai, right cun-guan-chi pulse position corresponding to spleen/stomach) was rapid. This was due to wind-heat attacking upward from the stomach meridian. He was treated with Xijiao Shengma Tang (Rhinoceros Horn and Cimicifugae Decoction), and the swelling subsided. (This diagnosis was based on the pulse and symptoms.)
A woman frequently suffered from oral and lingual ulceration, red cheeks, dry lips, dry eyes, and thirst. Her pulse was rapid, but became choppy upon deep pressure (Se Mai, choppy pulse). This was caused by heat accumulation in the heart and lungs affecting qi and blood, known as Relao Syndrome (Heat Consumption Syndrome). She should have taken more yin-nourishing and blood-supplementing medicines. Desiring quick results, she used cold-purgative medicines to attack the pathogen. Later, she developed into a consumptive disease and died.
Liangfang states: A woman's Relao Syndrome (Heat Consumption Syndrome) is caused by heat accumulation in the heart and lungs damaging qi and blood, leading to disharmony of qi and blood, stagnation of zang-fu organs, and internal accumulation of heat toxins that cannot be vented. Its manifestations include mental restlessness, red cheeks, headache, dry eyes, dry lips, intense heat in the four limbs, incessant irritability and thirst, sores in the mouth and tongue, lethargy, drowsiness with little sleep, loss of appetite, generalized body ache, occasional palpitations, occasional night sweats, and gradual emaciation of the skin and muscles. Hence, it is called Relao Syndrome (Heat Consumption Syndrome).