家慈,年五十三岁。齿痛不食,已几月矣,人误以旧方野蜂窠填入盐椒,羊胫骨为末擦
之,满口皆碎,倍痛,愈不能食,而母以人中白涂疳散抹之,方可进汤水,遂乘舟入城。诊之,
右三脉俱伏,左寸关细,左尺洪缓。怵曰∶拣方医病,不如以理思之。右三部伏,因齿痛不
便食,脾胃失养故也;左寸关细者,缘脾胃虚,不能荣养心肝之血而然;左尺洪缓,乃湿热
耳。用白术、甘草、陈皮补脾胃,四物汤以养阴血,苍术、茯苓、黄柏、知母以除尺之洪缓、
崔友,年二十外。素好色,忽患齿病,遣使来云∶病齿龈肿痛,且流血不止。予思之曰
∶此木克土之象,肝肾血虚,风火妄动,乘其所不胜也。以加味逍遥散二剂治之,服一剂痛则减
血收,二剂全愈。盖凉肝肾之阴,治风热之标,培脾土之虚。经云∶木郁则达之,火郁则发
师祖存碧,年四十余。素脾胃不充,忽一日齿痛,两口角流涎不止,灰挹满斗,楚声撼
邻。脉之,右关弦急,此脾胃虚寒之症,用补中益气汤加吴茱萸、干姜、肉桂各三分,内人参五分
,服之顷间,痛未解而反增,坐卧不安,此药力未施也。再顷之,痛虽减,而涎犹不止。予曰
∶涎乃脾家液,不宜过去,即煎前汤加人参八分,明曰又如上一剂,痛止,液亦不去,再
家母,五十三岁。牙齿疼痛无法进食,已经几个月了。有人误用旧方中的野蜂巢填入盐和花椒,将羊胫骨磨成粉末擦拭患处,导致满口溃烂破碎,疼痛加倍,更加不能进食。后来母亲用人中白涂擦疳散涂抹患处,才可以喝汤水,于是乘船进城求医。诊脉时,右手寸关尺三部脉象都伏匿不见,左手寸、关部脉细弱,左手尺部脉洪大且缓。我惊恐地说:挑选现成的方子来治病,不如用医理来思考。右手三部脉伏匿,是因为牙齿疼痛不便进食,脾胃失去滋养的缘故;左手寸、关部脉细弱,是由于脾胃虚弱,不能荣养心肝之血所致;左手尺部脉洪大且缓,乃是湿热之邪所致。使用白术、甘草、陈皮补益脾胃,四物汤以滋养阴血,苍术、茯苓、黄柏、知母以清除尺脉的洪缓(湿热)。
崔友,二十多岁。平素喜好房事,忽然患上牙齿疾病,派人来告知说:牙齿牙龈肿痛,并且流血不止。我思考后说:这是木克土的现象,肝肾血虚,风火妄动,侵犯其所不胜(脾土)的脏腑。使用加味逍遥散两剂治疗,服用一剂后疼痛减轻,出血停止,服用两剂后完全痊愈。这是因为凉补肝肾之阴,治疗风热的标症,培补脾土的虚损。《内经》说:木郁结则疏达它,火郁结则发散它……
师祖存碧,四十多岁。平素脾胃不足,忽然有一天牙齿疼痛,两口角流涎不止,流出的唾液积满斗量,痛苦的声音震撼邻居。诊脉,右关脉弦急,这是脾胃虚寒的症状,使用补中益气汤加入吴茱萸、干姜、肉桂各三分,内服人参五分,服药片刻间,疼痛未解反而增加,坐卧不安,这是因为药力尚未发挥作用。又过片刻,疼痛虽然减轻,但涎液仍然不止。我说:涎液是脾脏的津液,不宜过度流失,于是煎煮前面的汤药加入人参八分,第二天又像上一剂那样服用,疼痛停止,涎液也不再流失,再……
My mother, aged fifty-three. She suffered from toothache and could not eat for nearly several months. Someone mistakenly used an old prescription, filling wild bee nests with salt and Sichuan pepper, and rubbed powdered sheep tibia bones on the affected area. This caused her entire mouth to become ulcerated and broken, doubling the pain and making it even more impossible to eat. Later, my mother applied a canker sore powder containing *Ningbois* (Human Placenta Ash) to the area, which allowed her to consume liquids, so she took a boat into the city for medical treatment. Upon pulse diagnosis, the pulses at the Cun, Guan, and Chi positions on the right hand were all deep and hidden (*Fu*). The pulses at the Cun and Guan positions on the left hand were fine and weak (*Xi*), while the pulse at the Chi position on the left was surging and slow (*Hong Huan*). I said with alarm: Selecting formulas to treat diseases is inferior to reasoning based on medical principles. The deep and hidden pulses in the three positions of the right hand are due to the inability to eat because of toothache, causing the Spleen and Stomach to lose nourishment; the fine and weak pulses at the left Cun and Guan positions are due to Spleen and Stomach deficiency, failing to nourish the Blood of the Heart and Liver; the surging and slow pulse at the left Chi position indicates Damp-Heat. I used *Baizhu* (Atractylodis Rhizoma), *Gancao* (Glycyrrhizae Radix et Rhizoma), and *Chenpi* (Citri Reticulatae Pericarpium) to tonify the Spleen and Stomach; *Siwu Tang* (Four Substances Decoction) to nourish Yin and Blood; and *Cangzhu* (Atractylodis Rhizoma), *Fuling* (Poria), *Huangbai* (Phellodendri Cortex), and *Zhimu* (Anemarrhenae Rhizoma) to clear the surging and slow condition (Damp-Heat) at the Chi position.
Cui You, over twenty years old. He had a habit of excessive sexual activity. Suddenly, he suffered from a dental disease and sent a messenger to report: his gums were swollen and painful, and bleeding would not stop. I reasoned: This is a manifestation of Wood overcoming Earth. It indicates deficiency of Blood in the Liver and Kidney, with Wind-Fire moving recklessly, attacking what it cannot overcome (the Spleen and Stomach). I treated him with *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder) for two doses. After one dose, the pain decreased and bleeding stopped; after two doses, he was completely cured. This is because it cooled the Yin of the Liver and Kidney, treated the branch symptoms of Wind-Heat, and fortified the deficiency of Spleen Earth. The Classic says: When Wood is depressed, disperse it; when Fire is depressed, vent it...
My Grandmaster Cun Bi, over forty years old. His Spleen and Stomach were chronically deficient. Suddenly, one day he suffered from toothache, with saliva flowing incessantly from both corners of his mouth, accumulating enough to fill a bushel, and his cries of pain shook the neighbors. Pulse diagnosis revealed a wiry and urgent (*Xian Ji*) pulse at the right Guan position, indicating a syndrome of Spleen and Stomach Deficiency-Cold. I prescribed *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) added with *Wuzhuyu* (Evodiae Fructus), *Ganjiang* (Zingiberis Rhizoma), and *Rougui* (Cinnamomi Cortex), each 3 fen, and *Renshen* (Ginseng Radix) 5 fen taken internally. Within a short time after taking the medicine, the pain did not resolve but increased, and he was restless sitting or lying down. This was because the medicinal power had not yet taken effect. After another short period, although the pain decreased, the saliva still did not stop. I said: Saliva is the fluid of the Spleen; it should not be excessively lost. Therefore, I decocted the previous formula adding 8 fen of *Renshen*. The next day, I administered another dose as before. The pain stopped, and the saliva ceased, and then...