(附眉梁痛)
痛有二证。眼属肝。有肝虚而痛。才见光明。则眶骨痛甚。宜生熟地黄丸。又有肝经停
饮一
证。发则眉棱骨痛。眼不可开。昼静夜剧。宜导痰饮。或芎辛汤。去茶牙。或二陈汤。吞青
州白丸子。并于痰饮选药。
牙痛。有风毒。热壅。龋蛀。肾虚。未辨何证。俱用消风散揩抹。诸证俱宜香附炒黑三
分。炒盐一分。研均揩用如常。
风毒牙疼。用皂角寸节。实之以盐。火煨熟。汤泡通口。嗽吐下涎沫。风毒及热壅上攻
牙
龈痛。或齿缝有红肉弩出。宜消风散。食后临卧入茶点。仍入荆芥、防风、白芷、蜂房之属
煎冷频频漱口。
有牙虫已出。其孔穴空虚而痛者。此乃不可不知。宜用乳香少许。火炙令软。以实之。
若热壅甚。牙肿连颊。疼不可忍。宜金沸草散。去麻黄。加薄荷如其数。
肾虚牙浮而痛甚。则增寒壮热。全具如欲脱之状。宜安肾丸。间进黑锡丹。
蛀痛。用巴豆一粒烂研。搓乳香细末丸之。塞蛀孔中。
(附上壅)
伤寒咽喉痛。有阴阳二证。已于诸伤门、伤寒证详言之。今止言诸杂病咽痛。宜甘桔汤
、热
毒上攻。或有疮或无疮。服甘桔汤。不效者。宜于甘桔汤、加荆芥一钱半重。名如圣汤。或
如圣汤中。更加连翘一分。防风半分。或甘露饮。仍用碧云散。旋旋煎点。间用盐水吞养正
丹。兼以薄荷煎。鸡苏丸含化。
有咽疼。服冷剂反甚者。宜用姜汁。详见嗽门热嗽证矣。
有内热。热形于上焦。以致咽疼。宜用黄柏皮。黄连。大黄研末。水调。涂在心与患处
此出于叶氏方书。
热壅咽痛。或嗽中带血者。宜金沸草散。佐以辰砂化痰丸。咽喉痛。用诸冷药不效者。
宜枳南汤。
喉痹作痛。肿满不能言。咽中生物。名喉风。宜甘桔汤。若热壅上焦。咽喉疼痛。而吞
咽干
物。不若常时之润。睡觉。口舌全无津液者。如圣汤。加人参半钱。玄参七分。或佐以碧
云散。鸡苏丸。有上证兼心头烦躁。辰砂五苓散。凡上壅并宜缩砂壳。烧灰存性。研末。水
调服之。
(附眉棱骨痛)
疼痛有两种证型。眼睛归属于肝。有一种是肝虚引起的疼痛,刚见到光亮,眼眶骨头就剧烈疼痛,适宜服用生熟地黄丸。还有一种是肝经中有停饮的证型,发作时眉棱骨疼痛,眼睛无法睁开,白天症状较轻,夜间加重,适宜服用导痰饮,或者芎辛汤,去除茶叶;或者使用二陈汤,送服青州白丸子,均根据痰饮病选药治疗。
牙痛。有风毒、热邪壅盛、龋齿蛀牙、肾虚四种情况。在未辨别具体证型之前,都可用消风散涂抹患处。各种证型都适宜将香附炒黑三分,食盐炒一分,研磨均匀后像往常一样涂抹使用。
风毒引起的牙疼,用皂角切成寸段,里面填满盐,用火煨熟,用开水泡开漱口,吐出涎沫。风毒及热邪壅盛上攻导致的牙龈疼痛,或者牙缝中有红肉突出,适宜用消风散,饭后和临睡前加入茶末调服。另外加入荆芥、防风、白芷、蜂房等药材煎煮放冷后频频漱口。
如果有牙虫已经出来,牙洞空虚而疼痛的,这是不可不知道的,适宜用少许乳香,用火烤软,填入牙洞中。
如果热邪壅盛严重,牙齿肿胀连及脸颊,疼痛难以忍受,适宜用金沸草散,去掉麻黄,加入薄荷的数量与麻黄相等。
肾虚导致牙齿浮动且疼痛剧烈,会出现怕冷高热,全身症状完全像要脱阳的样子,适宜用安肾丸,间歇服用黑锡丹。
蛀牙疼痛,用巴豆一粒烂研,搓成乳香细末制成丸药,塞入蛀孔中。
(附上焦咽喉痛)
伤寒引起的咽喉痛,有阴证和阳证两种,已经在诸伤门、伤寒证中详细论述过。现在只说各种杂病引起的咽痛,适宜用甘桔汤。热毒上攻,或者有疮口或者没有疮口,服用甘桔汤,如果不见效,适宜在甘桔汤中加入重一钱半的荆芥,名叫如圣汤。或者在如圣汤中,再加连翘一分,防风半分,或者用甘露饮,仍然使用碧云散,慢慢煎服。间歇用盐水吞服养正丹,兼用薄荷煎汤,含化鸡苏丸。
有咽疼,服用寒凉药物反而加重的,适宜用姜汁,详见咳嗽门的热嗽证。
有内热,热象表现于上焦,导致咽疼,适宜用黄柏皮、黄连、大黄研成粉末,用水调匀,涂在心口和患处,这出自叶氏方书。
热邪壅盛引起的咽痛,或者咳嗽中带血的,适宜用金沸草散,配合辰砂化痰丸。咽喉痛,用各种寒凉药物无效者,适宜用枳南汤。
喉痹作痛,肿胀满闷不能说话,咽中有异物生长,名叫喉风,适宜用甘桔汤。如果热邪壅盛于上焦,咽喉疼痛,而且吞咽干物,不如平时湿润,睡醒后,口舌完全没有津液,用如圣汤,加入人参半钱,玄参七分,或者配合碧云散、鸡苏丸。有上述症状兼有心头烦躁的,用辰砂五苓散。凡是上焦壅滞都适宜用缩砂壳,烧灰存性,研成粉末,用水调服。
(Attached: Pain of the Eyebrow Ridge)
There are two types of pain. The eyes belong to the Liver. One type is pain caused by Liver deficiency; upon seeing light, the bones around the eye sockets hurt severely. It is suitable to take Shengshu Dihuang Wan (Raw and Prepared Rehmannia Pill). Another type is stagnation of fluid in the Liver channel; when it occurs, there is pain in the eyebrow ridge, inability to open the eyes, symptoms are quiet during the day and severe at night. It is suitable to take Daotan Yin (Phlegm-Fluid Expelling Decoction), or Xiongxin Tang (Ligusticum and Asarum Decoction), removing tea leaves; or use Erchen Tang (Two-Cured Decoction), swallowing Qingzhou Baiwanzi (Qingzhou White Pills), selecting medicines based on phlegm-fluid pathology.
Toothache. There are four conditions: Wind-Toxicity, Heat Stagnation, Dental Caries, and Kidney Deficiency. Before distinguishing the specific syndrome, Xiaofeng San (Wind-Expelling Powder) should be applied to the affected area for all conditions. For all syndromes, it is suitable to stir-fry Cyperi Rhizoma (Xiangfu) until blackened, three fen, and stir-fry Salt until one fen, grind them evenly, and apply as usual.
For toothache caused by Wind-Toxicity, cut Gleditsiae Fructus (Zaojiao) into inch-long segments, fill with salt, roast over fire until cooked, soak in boiling water, gargle, and spit out saliva. For gingival pain caused by Wind-Toxicity and Heat Stagnation attacking upwards, or if red flesh protrudes from the gum gaps, Xiaofeng San is suitable. Take after meals and before bed with tea. Additionally, decoct Schizonepetae Herba (Jingjie), Saposhnikoviae Radix (Fangfeng), Angelicae Dahuricae Radix (Baizhi), and Vespa Nidus (Fengfang), etc., let cool, and gargle frequently.
If dental worms have emerged, leaving empty cavities that cause pain, this must be known. It is suitable to use a small amount of Frankincense (Ruxiang), roast over fire until soft, and fill the cavity.
If Heat Stagnation is severe, causing tooth swelling extending to the cheek and unbearable pain, Jinfeicao San (Boiling Herb Powder) is suitable. Remove Ephedrae Herba (Mahuang), add Menthae Haplocalycis Herba (Bohe) in equal quantity.
For Kidney Deficiency causing floating teeth and severe pain, accompanied by aversion to cold and high fever, presenting a state resembling collapse, Anshen Wan (Kidney-Anchoring Pill) is suitable, interspersed with Heixi Dan (Black Tin Pill).
For caries pain, grind one seed of Crotonis Fructus (Badou) thoroughly, mix with fine powder of Frankincense to form pills, and insert into the carious hole.
(Attached: Upper Jiao Congestion/Throat Pain)
Sore throat caused by Cold Damage has Yin and Yang syndromes, which have been discussed in detail in the sections on various injuries and Cold Damage syndromes. Here, we only discuss sore throats caused by miscellaneous diseases. Ganjie Tang (Licorice and Platycodon Decoction) is suitable. For Heat-Toxicity attacking upwards, whether with or without ulcers, if Ganjie Tang is ineffective, add 1.5 qian of Schizonepetae Herba (Jingjie) to Ganjie Tang, named Rusheng Tang (Like-Sage Decoction). Or, add 1 fen of Forsythiae Fructus (Lianqiao) and 0.5 fen of Saposhnikoviae Radix (Fangfeng) to Rusheng Tang, or use Ganlu Yin (Sweet Dew Decoction). Still use Biyun San (Blue Cloud Powder), decoct slowly. Interspersedly swallow Yangzheng Dan (Nourishing Righteousness Pill) with salt water, and concurrently decoct Menthae Haplocalycis Herba (Bohe), holding Ji Su Wan (Perilla Pill) in the mouth to dissolve.
For those with sore throat who worsen after taking cold-natured medicines, Ginger Juice is suitable. See the section on Hot Cough in the Cough chapter for details.
For internal heat manifesting in the Upper Jiao causing sore throat, it is suitable to use Cortex Phellodendri (Huangbai), Rhizoma Coptidis (Huanglian), and Radix et Rhizoma Rhei (Dahuang) ground into powder, mixed with water, and applied to the heart region and the affected area. This comes from Ye's Formulary.
For sore throat caused by Heat Stagnation, or coughing with blood, Jinfeicao San is suitable, assisted by Zhensha Huatan Wan (Cinnabar Phlegm-Resolving Pill). For sore throat where various cold-natured medicines are ineffective, Zhinan Tang (Bitter Orange and Nanxing Decoction) is suitable.
Pain from Bi Syndrome of the Throat, with fullness and swelling preventing speech, and growths in the throat, is named Hou Feng (Throat Wind). Ganjie Tang is suitable. If Heat Stagnation is in the Upper Jiao, causing sore throat, dryness when swallowing dry substances compared to normal, and no saliva in the mouth and tongue upon waking, Rusheng Tang is suitable. Add 0.5 qian of Ginseng Radix et Rhizoma (Renshen) and 0.7 qian of Scrophulariae Radix (Xuanshen), or assist with Biyun San and Ji Su Wan. For those with the above symptoms plus mental restlessness, Zhensha Wuling San (Cinnabar Five-Ingredient Poria Powder) is suitable. For all cases of upper congestion, crushed shell of Amomi Fructus (Suosha) should be burnt to ash retaining its nature, ground into powder, and taken with water.