編(bian)者(zhe)(zhe)(zhe)(zhe)語：找到(dao)兩(liang)(liang)例治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)的(de)(de)方(fang)(fang)(fang)子(zi)，發(fa)(fa)(fa)(fa)現味(wei)(wei)酸的(de)(de)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)，焦山(shan)楂等中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)，臨床(chuang)大(da)(da)(da)(da)(da)(da)(da)劑(ji)(ji)量(liang)使(shi)用(yong)(yong)(yong)(yong)(yong)對(dui)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)有(you)(you)(you)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)定(ding)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)。直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)、聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)、宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)是(shi)(shi)臨床(chuang)上比較(jiao)(jiao)(jiao)常(chang)見(jian)(jian)，比較(jiao)(jiao)(jiao)棘手(shou)，難(nan)(nan)于(yu)(yu)(yu)(yu)(yu)手(shou)術(shu)(shu)，術(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)易復(fu)(fu)(fu)(fu)發(fa)(fa)(fa)(fa)，很難(nan)(nan)根治(zhi)(zhi)(zhi)(zhi)(zhi)的(de)(de)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)類(lei)疾(ji)病(bing)。直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)屬于(yu)(yu)(yu)(yu)(yu)中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)的(de)(de)范疇，表(biao)現為(wei)(wei)(wei)(wei)(wei)大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)帶血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)與糞(fen)便(bian)(bian)(bian)(bian)(bian)不(bu)(bu)(bu)相混(hun)雜(za)。聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)則(ze)表(biao)現為(wei)(wei)(wei)(wei)(wei)咽喉梗(geng)塞，聲(sheng)音嘶啞。宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)則(ze)見(jian)(jian)于(yu)(yu)(yu)(yu)(yu)長期陰(yin)(yin)道(dao)(dao)出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，淋漓不(bu)(bu)(bu)斷。余(yu)(yu)用(yong)(yong)(yong)(yong)(yong)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”加(jia)味(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)均(jun)取(qu)得了顯著的(de)(de)效(xiao)(xiao)(xiao)(xiao)果(guo)。濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)原為(wei)(wei)(wei)(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)而(er)設(she)。余(yu)(yu)先將(jiang)濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)改(gai)為(wei)(wei)(wei)(wei)(wei)湯(tang)(tang)劑(ji)(ji)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)小兒直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，每(mei)(mei)(mei)獲每(mei)(mei)(mei)效(xiao)(xiao)(xiao)(xiao)。以后(hou)(hou)(hou)(hou)(hou)(hou)(hou)又用(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)(yu)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)成(cheng)人(ren)(ren)(ren)(ren)直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)，也(ye)有(you)(you)(you)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)，但難(nan)(nan)于(yu)(yu)(yu)(yu)(yu)痊愈。后(hou)(hou)(hou)(hou)(hou)(hou)(hou)改(gai)為(wei)(wei)(wei)(wei)(wei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)劑(ji)(ji)較(jiao)(jiao)(jiao)長時(shi)間服(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)效(xiao)(xiao)(xiao)(xiao)果(guo)較(jiao)(jiao)(jiao)佳。因(yin)直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)屬慢性(xing)(xing)疾(ji)病(bing)，久服(fu)(fu)(fu)(fu)可(ke)收(shou)緩功(gong)(gong)(gong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)效(xiao)(xiao)(xiao)(xiao)，且丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)劑(ji)(ji)比較(jiao)(jiao)(jiao)便(bian)(bian)(bian)(bian)(bian)于(yu)(yu)(yu)(yu)(yu)服(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)。為(wei)(wei)(wei)(wei)(wei)了達到(dao)較(jiao)(jiao)(jiao)快痊愈之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)目(mu)的(de)(de)，加(jia)用(yong)(yong)(yong)(yong)(yong)象牙(ya)(ya)屑、人(ren)(ren)(ren)(ren)指(zhi)(zhi)甲(jia)以軟(ruan)堅(jian)(jian)散(san)結(jie)(jie)，若人(ren)(ren)(ren)(ren)指(zhi)(zhi)甲(jia)不(bu)(bu)(bu)易收(shou)集，可(ke)用(yong)(yong)(yong)(yong)(yong)穿(chuan)(chuan)山(shan)甲(jia)代(dai)替，這(zhe)就是(shi)(shi)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)加(jia)味(wei)(wei)”的(de)(de)由來。嗣后(hou)(hou)(hou)(hou)(hou)(hou)(hou)，余(yu)(yu)又用(yong)(yong)(yong)(yong)(yong)此(ci)方(fang)(fang)(fang)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)、宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，均(jun)獲顯著效(xiao)(xiao)(xiao)(xiao)果(guo)。方(fang)(fang)(fang)中(zhong)(zhong)(zhong)(zhong)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)性(xing)(xing)味(wei)(wei)酸平(ping)，有(you)(you)(you)斂(lian)肺澀(se)腸(chang)(chang)(chang)(chang)(chang)、入(ru)肝止血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)、蝕(shi)(shi)惡(e)(e)(e)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)、化(hua)痔(zhi)消(xiao)(xiao)(xiao)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)。《本(ben)(ben)(ben)(ben)草(cao)(cao)經(jing)》云：“去(qu)(qu)死肌(ji)(ji)(ji)、消(xiao)(xiao)(xiao)黑痣、蝕(shi)(shi)惡(e)(e)(e)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)。”《本(ben)(ben)(ben)(ben)草(cao)(cao)逢原》：“惡(e)(e)(e)瘡(chuang)(chuang)胬肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，亦(yi)燒灰(hui)研(yan)(yan)敷(fu)，惡(e)(e)(e)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)自(zi)(zi)消(xiao)(xiao)(xiao)，此(ci)即(ji)《本(ben)(ben)(ben)(ben)經(jing)》去(qu)(qu)死肌(ji)(ji)(ji)惡(e)(e)(e)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)驗(yan)。”又曰(yue)(yue)：“治(zhi)(zhi)(zhi)(zhi)(zhi)溲血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)、下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)、諸(zhu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)證。”僵(jiang)(jiang)蠶(can)(can)(can)(can)性(xing)(xing)味(wei)(wei)咸(xian)辛平(ping)，有(you)(you)(you)消(xiao)(xiao)(xiao)風(feng)(feng)，化(hua)痰、散(san)結(jie)(jie)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)。《本(ben)(ben)(ben)(ben)草(cao)(cao)綱目(mu)》：“散(san)風(feng)(feng)痰結(jie)(jie)核，瘰疬……痰瘧(nve)癥結(jie)(jie)”，“僵(jiang)(jiang)蠶(can)(can)(can)(can)，蠶(can)(can)(can)(can)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)風(feng)(feng)者(zhe)(zhe)(zhe)(zhe)也(ye)。治(zhi)(zhi)(zhi)(zhi)(zhi)風(feng)(feng)化(hua)痰，散(san)結(jie)(jie)行經(jing)，所(suo)謂因(yin)其(qi)氣相感而(er)以意使(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)者(zhe)(zhe)(zhe)(zhe)也(ye)。”《別(bie)(bie)錄(lu)》：“滅諸(zhu)瘡(chuang)(chuang)瘢痕(hen)(hen)”。象牙(ya)(ya)屑性(xing)(xing)味(wei)(wei)甘(gan)寒(han)，有(you)(you)(you)清熱、化(hua)痰、拔毒(du)(du)(du)、生(sheng)(sheng)肌(ji)(ji)(ji)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)。《海藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)本(ben)(ben)(ben)(ben)草(cao)(cao)》：“主(zhu)(zhu)(zhu)(zhu)(zhu)風(feng)(feng)癇(xian)熱、骨蒸勞、諸(zhu)瘡(chuang)(chuang)等，并(bing)皆(jie)宜(yi)生(sheng)(sheng)屑入(ru)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)。”《醫(yi)(yi)(yi)學(xue)(xue)入(ru)門》：“生(sheng)(sheng)為(wei)(wei)(wei)(wei)(wei)末(mo)，主(zhu)(zhu)(zhu)(zhu)(zhu)諸(zhu)瘡(chuang)(chuang)痔(zhi)瘺，生(sheng)(sheng)肌(ji)(ji)(ji)填口(kou)最速”。《本(ben)(ben)(ben)(ben)草(cao)(cao)經(jing)疏》：“治(zhi)(zhi)(zhi)(zhi)(zhi)惡(e)(e)(e)瘡(chuang)(chuang)、拔毒(du)(du)(du)、長肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)、生(sheng)(sheng)肌(ji)(ji)(ji)、去(qu)(qu)漏(lou)管(guan)。”人(ren)(ren)(ren)(ren)指(zhi)(zhi)甲(jia)性(xing)(xing)味(wei)(wei)甘(gan)咸(xian)平(ping)，有(you)(you)(you)軟(ruan)堅(jian)(jian)、散(san)結(jie)(jie)、祛(qu)瘀之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)。《本(ben)(ben)(ben)(ben)草(cao)(cao)衍義》：“去(qu)(qu)瘀血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)。”酒(jiu)醋(cu)(cu)(cu)味(wei)(wei)酸可(ke)助烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)澀(se)腸(chang)(chang)(chang)(chang)(chang)止血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)、又能(neng)散(san)瘀。穿(chuan)(chuan)山(shan)甲(jia)性(xing)(xing)味(wei)(wei)咸(xian)微寒(han)，有(you)(you)(you)消(xiao)(xiao)(xiao)腫祛(qu)瘀之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)。《藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)性(xing)(xing)本(ben)(ben)(ben)(ben)草(cao)(cao)》：“燒灰(hui)敷(fu)惡(e)(e)(e)瘡(chuang)(chuang)”。《別(bie)(bie)錄(lu)》：“療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)蟻(yi)瘺”。《藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)性(xing)(xing)論(lun)(lun)》：“惡(e)(e)(e)瘡(chuang)(chuang)，燒敷(fu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。”《日(ri)(ri)華子(zi)本(ben)(ben)(ben)(ben)草(cao)(cao)》：“治(zhi)(zhi)(zhi)(zhi)(zhi)痔(zhi)漏(lou)惡(e)(e)(e)瘡(chuang)(chuang)。”五(wu)(wu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)合而(er)用(yong)(yong)(yong)(yong)(yong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，有(you)(you)(you)收(shou)澀(se)、止血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)、攻(gong)堅(jian)(jian)、散(san)結(jie)(jie)、化(hua)惡(e)(e)(e)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)，用(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)(yu)治(zhi)(zhi)(zhi)(zhi)(zhi)直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)、聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)、宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)能(neng)起異病(bing)同治(zhi)(zhi)(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)效(xiao)(xiao)(xiao)(xiao)。現將(jiang)治(zhi)(zhi)(zhi)(zhi)(zhi)驗(yan)病(bing)案(an)(an)(an)介紹(shao)如(ru)(ru)(ru)下(xia)(xia)(xia)。一(yi)(yi)(yi)(yi)(yi)(yi)(yi)、病(bing)案(an)(an)(an)舉例病(bing)案(an)(an)(an)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)：直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)案(an)(an)(an)張XX，男，58歲(sui)。住院(yuan)(yuan)(yuan)號3584之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)于(yu)(yu)(yu)(yu)(yu)1977年(nian)(nian)(nian)(nian)3月(yue)(yue)始(shi)(shi)大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)時(shi)有(you)(you)(you)鮮(xian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)附于(yu)(yu)(yu)(yu)(yu)大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)表(biao)面，排(pai)便(bian)(bian)(bian)(bian)(bian)時(shi)肛(gang)(gang)門無疼痛、下(xia)(xia)(xia)墜(zhui)感，大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)習慣每(mei)(mei)(mei)天(tian)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)次，不(bu)(bu)(bu)結(jie)(jie)燥，如(ru)(ru)(ru)果(guo)大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)結(jie)(jie)則(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)也(ye)較(jiao)(jiao)(jiao)多(duo)(duo)(duo)。今年(nian)(nian)(nian)(nian)元月(yue)(yue)始(shi)(shi)大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)量(liang)較(jiao)(jiao)(jiao)多(duo)(duo)(duo)，每(mei)(mei)(mei)次約(yue)(yue)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)小湯(tang)(tang)匙。外(wai)科(ke)檢査(cha)：肛(gang)(gang)門外(wai)形無畸形、瘺管(guan)及疤痕(hen)(hen)，無紅(hong)腫炎變。窺肛(gang)(gang)鏡檢：肛(gang)(gang)管(guan)距肛(gang)(gang)門口(kou)約(yue)(yue)5厘米(mi)(mi)處3點、5點、9點腸(chang)(chang)(chang)(chang)(chang)壁(bi)均(jun)有(you)(you)(you)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)似葡萄狀(zhuang)(zhuang)、紫(zi)紅(hong)色(se)，蒂(di)短緊附于(yu)(yu)(yu)(yu)(yu)腸(chang)(chang)(chang)(chang)(chang)壁(bi)，觸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)易出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，3點及5點之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)似黃(huang)(huang)豆(dou)大(da)(da)(da)(da)(da)(da)(da)，9點之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)如(ru)(ru)(ru)胡豆(dou)大(da)(da)(da)(da)(da)(da)(da)，約(yue)(yue)0.5X0.6厘米(mi)(mi)。診(zhen)(zhen)(zhen)斷為(wei)(wei)(wei)(wei)(wei)多(duo)(duo)(duo)發(fa)(fa)(fa)(fa)性(xing)(xing)直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)。入(ru)院(yuan)(yuan)(yuan)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)經(jing)服(fu)(fu)(fu)(fu)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”，每(mei)(mei)(mei)次一(yi)(yi)(yi)(yi)(yi)(yi)(yi)粒，日(ri)(ri)三(san)(san)服(fu)(fu)(fu)(fu)，便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)逐漸(jian)消(xiao)(xiao)(xiao)失，共服(fu)(fu)(fu)(fu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)24天(tian)。檢査(cha)：各(ge)點之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)已(yi)脫(tuo)落(luo)(luo)，基底部(bu)有(you)(you)(you)少許(xu)殘根已(yi)近(jin)乎腸(chang)(chang)(chang)(chang)(chang)壁(bi)平(ping)行，無出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，出(chu)(chu)(chu)(chu)(chu)院(yuan)(yuan)(yuan)時(shi)帶“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”十五(wu)(wu)日(ri)(ri)量(liang)，三(san)(san)月(yue)(yue)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)復(fu)(fu)(fu)(fu)查息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)無所(suo)見(jian)(jian)，病(bing)家無所(suo)苦。病(bing)例二(er)：直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)案(an)(an)(an)張XX，女，11歲(sui)，學(xue)(xue)生(sheng)(sheng)。1971年(nian)(nian)(nian)(nian)診(zhen)(zhen)(zhen)。大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)時(shi)滴(di)鮮(xian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，便(bian)(bian)(bian)(bian)(bian)時(shi)有(you)(you)(you)櫻(ying)桃大(da)(da)(da)(da)(da)(da)(da)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)脫(tuo)出(chu)(chu)(chu)(chu)(chu)肛(gang)(gang)外(wai)，便(bian)(bian)(bian)(bian)(bian)畢可(ke)自(zi)(zi)行收(shou)回，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)脫(tuo)落(luo)(luo)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)復(fu)(fu)(fu)(fu)長，反(fan)復(fu)(fu)(fu)(fu)二(er)年(nian)(nian)(nian)(nian)不(bu)(bu)(bu)愈。余(yu)(yu)用(yong)(yong)(yong)(yong)(yong)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)15克(ke)(ke)、僵(jiang)(jiang)蠶(can)(can)(can)(can)15克(ke)(ke)（炒），煎(jian)湯(tang)(tang)。日(ri)(ri)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)劑(ji)(ji)，二(er)煎(jian)分三(san)(san)服(fu)(fu)(fu)(fu)，湯(tang)(tang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)內(nei)(nei)可(ke)酌加(jia)蜜(mi)(mi)糖50?100克(ke)(ke)，或(huo)(huo)白(bai)糖適量(liang)亦(yi)可(ke)。連續(xu)服(fu)(fu)(fu)(fu)十余(yu)(yu)劑(ji)(ji)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)皆(jie)自(zi)(zi)身(shen)行脫(tuo)落(luo)(luo)，再以丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)劑(ji)(ji)鞏固療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)年(nian)(nian)(nian)(nian)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)詢之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)未(wei)復(fu)(fu)(fu)(fu)發(fa)(fa)(fa)(fa)。按(an)：直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)腺瘤(liu)分良(liang)性(xing)(xing)和(he)(he)惡(e)(e)(e)性(xing)(xing)兩(liang)(liang)類(lei)。良(liang)性(xing)(xing)者(zhe)(zhe)(zhe)(zhe)于(yu)(yu)(yu)(yu)(yu)直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)或(huo)(huo)結(jie)(jie)腸(chang)(chang)(chang)(chang)(chang)長多(duo)(duo)(duo)個(ge)腺瘤(liu)，叫直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，其(qi)又分為(wei)(wei)(wei)(wei)(wei)單發(fa)(fa)(fa)(fa)性(xing)(xing)和(he)(he)多(duo)(duo)(duo)發(fa)(fa)(fa)(fa)性(xing)(xing)兩(liang)(liang)種，單發(fa)(fa)(fa)(fa)性(xing)(xing)者(zhe)(zhe)(zhe)(zhe)多(duo)(duo)(duo)見(jian)(jian)于(yu)(yu)(yu)(yu)(yu)兒童(tong)，多(duo)(duo)(duo)發(fa)(fa)(fa)(fa)性(xing)(xing)者(zhe)(zhe)(zhe)(zhe)多(duo)(duo)(duo)見(jian)(jian)于(yu)(yu)(yu)(yu)(yu)青壯年(nian)(nian)(nian)(nian)，極(ji)(ji)個(ge)別(bie)(bie)有(you)(you)(you)惡(e)(e)(e)變的(de)(de)可(ke)能(neng)。中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)認為(wei)(wei)(wei)(wei)(wei)是(shi)(shi)因(yin)濕熱毒(du)(du)(du)邪下(xia)(xia)(xia)迫大(da)(da)(da)(da)(da)(da)(da)腸(chang)(chang)(chang)(chang)(chang)，氣機不(bu)(bu)(bu)利，脈絡瘀阻，氣血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)凝滯所(suo)致(zhi)。多(duo)(duo)(duo)按(an)“腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”“痔(zhi)瘡(chuang)(chuang)”論(lun)(lun)治(zhi)(zhi)(zhi)(zhi)(zhi)，可(ke)用(yong)(yong)(yong)(yong)(yong)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)。多(duo)(duo)(duo)發(fa)(fa)(fa)(fa)性(xing)(xing)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)極(ji)(ji)個(ge)別(bie)(bie)已(yi)惡(e)(e)(e)變者(zhe)(zhe)(zhe)(zhe)，似《金匱》“便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)色(se)瘀，面色(se)萎黃(huang)(huang)，臟毒(du)(du)(du)腸(chang)(chang)(chang)(chang)(chang)澼(pi)”的(de)(de)記載，應(ying)屬“臟毒(du)(du)(du)下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”范疇，非(fei)本(ben)(ben)(ben)(ben)方(fang)(fang)(fang)所(suo)宜(yi)。病(bing)案(an)(an)(an)三(san)(san)：聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)案(an)(an)(an)重(zhong)慶XX工廠女工，李XX，業余(yu)(yu)愛好唱歌。1971年(nian)(nian)(nian)(nian)因(yin)咽喉梗(geng)塞，聲(sheng)音嘶啞，在XX醫(yi)(yi)(yi)院(yuan)(yuan)(yuan)五(wu)(wu)官科(ke)檢查，發(fa)(fa)(fa)(fa)現聲(sheng)帶有(you)(you)(you)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)粒如(ru)(ru)(ru)黃(huang)(huang)豆(dou)大(da)(da)(da)(da)(da)(da)(da)的(de)(de)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，醫(yi)(yi)(yi)生(sheng)(sheng)主(zhu)(zhu)(zhu)(zhu)(zhu)張動手(shou)術(shu)(shu)，本(ben)(ben)(ben)(ben)人(ren)(ren)(ren)(ren)不(bu)(bu)(bu)愿手(shou)術(shu)(shu)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)。余(yu)(yu)用(yong)(yong)(yong)(yong)(yong)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)1000克(ke)(ke)、僵(jiang)(jiang)蠶(can)(can)(can)(can)250克(ke)(ke)、象牙(ya)(ya)屑30克(ke)(ke)，蜜(mi)(mi)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)。服(fu)(fu)(fu)(fu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)料(liao)(liao)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)，復(fu)(fu)(fu)(fu)去(qu)(qu)醫(yi)(yi)(yi)院(yuan)(yuan)(yuan)檢查，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)已(yi)消(xiao)(xiao)(xiao)大(da)(da)(da)(da)(da)(da)(da)半。再進(jin)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)料(liao)(liao)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)檢查，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)已(yi)完全消(xiao)(xiao)(xiao)失。四年(nian)(nian)(nian)(nian)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)復(fu)(fu)(fu)(fu)查未(wei)復(fu)(fu)(fu)(fu)發(fa)(fa)(fa)(fa)。病(bing)案(an)(an)(an)四：聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)案(an)(an)(an)劉XX，男，42歲(sui)，解放(fang)軍某部(bu)干(gan)(gan)部(bu)。1967年(nian)(nian)(nian)(nian)因(yin)在東北大(da)(da)(da)(da)(da)(da)(da)興安嶺開始(shi)(shi)發(fa)(fa)(fa)(fa)生(sheng)(sheng)喉炎，因(yin)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)不(bu)(bu)(bu)及時(shi)轉為(wei)(wei)(wei)(wei)(wei)慢性(xing)(xing)喉炎，嗣后(hou)(hou)(hou)(hou)(hou)(hou)(hou)常(chang)覺(jue)咽喉梗(geng)塞感。1972年(nian)(nian)(nian)(nian)9月(yue)(yue)28日(ri)(ri)在X醫(yi)(yi)(yi)院(yuan)(yuan)(yuan)檢查，聲(sheng)帶有(you)(you)(you)異物，懷疑是(shi)(shi)喉癌。同年(nian)(nian)(nian)(nian)10月(yue)(yue)9日(ri)(ri)和(he)(he)10月(yue)(yue)21日(ri)(ri)作過兩(liang)(liang)次手(shou)術(shu)(shu)，但仍(reng)感咽喉不(bu)(bu)(bu)適。乃去(qu)(qu)武漢、上海檢查，均(jun)排(pai)除喉癌，診(zhen)(zhen)(zhen)斷為(wei)(wei)(wei)(wei)(wei)聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)。1973年(nian)(nian)(nian)(nian)再去(qu)(qu)X醫(yi)(yi)(yi)院(yuan)(yuan)(yuan)復(fu)(fu)(fu)(fu)查，聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)如(ru)(ru)(ru)黃(huang)(huang)豆(dou)大(da)(da)(da)(da)(da)(da)(da)。同年(nian)(nian)(nian)(nian)7月(yue)(yue)15日(ri)(ri)請(qing)余(yu)(yu)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)，擬(ni)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”加(jia)味(wei)(wei)（烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)、僵(jiang)(jiang)蠶(can)(can)(can)(can)、人(ren)(ren)(ren)(ren)指(zhi)(zhi)甲(jia)、象牙(ya)(ya)屑）一(yi)(yi)(yi)(yi)(yi)(yi)(yi)料(liao)(liao)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)再去(qu)(qu)檢查，聲(sheng)帶息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)已(yi)縮小如(ru)(ru)(ru)高粱(liang)米(mi)(mi)k,自(zi)(zi)覺(jue)癥狀(zhuang)(zhuang)大(da)(da)(da)(da)(da)(da)(da)為(wei)(wei)(wei)(wei)(wei)好轉。再服(fu)(fu)(fu)(fu)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)料(liao)(liao)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)檢查，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)完全消(xiao)(xiao)(xiao)每(mei)(mei)(mei)。自(zi)(zi)覺(jue)咽喉有(you)(you)(you)些干(gan)(gan)燥，用(yong)(yong)(yong)(yong)(yong)煎(jian)劑(ji)(ji)：玄參24克(ke)(ke)，麥冬12克(ke)(ke)，桔梗(geng)9克(ke)(ke)，生(sheng)(sheng)甘(gan)草(cao)(cao)6克(ke)(ke)，太子(zi)參30克(ke)(ke)，薄荷(he)3克(ke)(ke)，金釵石(shi)斛12克(ke)(ke)，臘梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)花12克(ke)(ke)，木(mu)通9克(ke)(ke)。每(mei)(mei)(mei)日(ri)(ri)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)劑(ji)(ji)，連服(fu)(fu)(fu)(fu)十劑(ji)(ji)，自(zi)(zi)覺(jue)癥狀(zhuang)(zhuang)完全消(xiao)(xiao)(xiao)失。病(bing)案(an)(an)(an)五(wu)(wu)：宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)案(an)(an)(an)龔XX，女，47歲(sui)，農民。患(huan)(huan)宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，經(jing)常(chang)陰(yin)(yin)道(dao)(dao)流血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，1973年(nian)(nian)(nian)(nian)住X醫(yi)(yi)(yi)院(yuan)(yuan)(yuan)婦(fu)(fu)產科(ke)經(jing)手(shou)術(shu)(shu)切(qie)除，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)治(zhi)(zhi)(zhi)(zhi)(zhi)愈。出(chu)(chu)(chu)(chu)(chu)院(yuan)(yuan)(yuan)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)約(yue)(yue)十個(ge)月(yue)(yue)，陰(yin)(yin)道(dao)(dao)依然流血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，再去(qu)(qu)該院(yuan)(yuan)(yuan)檢查，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)復(fu)(fu)(fu)(fu)又生(sheng)(sheng)長，仍(reng)需住院(yuan)(yuan)(yuan)手(shou)術(shu)(shu)切(qie)除。患(huan)(huan)者(zhe)(zhe)(zhe)(zhe)因(yin)經(jing)濟負擔不(bu)(bu)(bu)了，療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)不(bu)(bu)(bu)穩定(ding)，不(bu)(bu)(bu)愿再行手(shou)術(shu)(shu)，求余(yu)(yu)診(zhen)(zhen)(zhen)治(zhi)(zhi)(zhi)(zhi)(zhi)。余(yu)(yu)用(yong)(yong)(yong)(yong)(yong)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)750克(ke)(ke)（酒(jiu)醋(cu)(cu)(cu)泡、去(qu)(qu)核、炒焦）、僵(jiang)(jiang)蠶(can)(can)(can)(can)250克(ke)(ke)（米(mi)(mi)拌炒黃(huang)(huang)，去(qu)(qu)嘴足）共研(yan)(yan)細末(mo)，煉(lian)蜜(mi)(mi)為(wei)(wei)(wei)(wei)(wei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)，每(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)9克(ke)(ke)，早(zao)(zao)、中(zhong)(zhong)(zhong)(zhong)、晚(wan)各(ge)服(fu)(fu)(fu)(fu)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)。一(yi)(yi)(yi)(yi)(yi)(yi)(yi)料(liao)(liao)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)服(fu)(fu)(fu)(fu)完后(hou)(hou)(hou)(hou)(hou)(hou)(hou)，自(zi)(zi)覺(jue)癥狀(zhuang)(zhuang)消(xiao)(xiao)(xiao)除。半年(nian)(nian)(nian)(nian)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)婦(fu)(fu)產科(ke)復(fu)(fu)(fu)(fu)查，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)已(yi)不(bu)(bu)(bu)存在，至今沒再復(fu)(fu)(fu)(fu)發(fa)(fa)(fa)(fa)。病(bing)案(an)(an)(an)六：宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)案(an)(an)(an)龔XX,女，26歲(sui)，職員(yuan)。1973年(nian)(nian)(nian)(nian)9月(yue)(yue)診(zhen)(zhen)(zhen)。患(huan)(huan)宮(gong)頸息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，陰(yin)(yin)道(dao)(dao)流血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)。經(jing)X醫(yi)(yi)(yi)學(xue)(xue)院(yuan)(yuan)(yuan)附二(er)院(yuan)(yuan)(yuan)婦(fu)(fu)科(ke)手(shou)術(shu)(shu)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)，又復(fu)(fu)(fu)(fu)發(fa)(fa)(fa)(fa)。余(yu)(yu)用(yong)(yong)(yong)(yong)(yong)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”方(fang)(fang)(fang)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)料(liao)(liao)，服(fu)(fu)(fu)(fu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)尚未(wei)盡劑(ji)(ji)，癥狀(zhuang)(zhuang)消(xiao)(xiao)(xiao)除，醫(yi)(yi)(yi)院(yuan)(yuan)(yuan)復(fu)(fu)(fu)(fu)查，息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)消(xiao)(xiao)(xiao)失。二(er)、濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)的(de)(de)主(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)癥、丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)的(de)(de)炮(pao)制、服(fu)(fu)(fu)(fu)法和(he)(he)注意事項。(一(yi)(yi)(yi)(yi)(yi)(yi)(yi))主(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)證“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”一(yi)(yi)(yi)(yi)(yi)(yi)(yi)方(fang)(fang)(fang)，據清?陳修園氏(shi)《時(shi)方(fang)(fang)(fang)歌括》所(suo)載，其(qi)方(fang)(fang)(fang)出(chu)(chu)(chu)(chu)(chu)于(yu)(yu)(yu)(yu)(yu)宋(song)?嚴用(yong)(yong)(yong)(yong)(yong)和(he)(he)為(wei)(wei)(wei)(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)“腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”而(er)設(she)。陳氏(shi)歌括曰(yue)(yue)：“下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)淋漓治(zhi)(zhi)(zhi)(zhi)(zhi)頗難(nan)(nan)，濟生(sheng)(sheng)遺下(xia)(xia)(xia)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)，僵(jiang)(jiang)蠶(can)(can)(can)(can)炒研(yan)(yan)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)搗，醋(cu)(cu)(cu)下(xia)(xia)(xia)幾回病(bing)即(ji)安。”今方(fang)(fang)(fang)書列人(ren)(ren)(ren)(ren)收(shou)澀(se)方(fang)(fang)(fang)類(lei)，用(yong)(yong)(yong)(yong)(yong)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)。考此(ci)方(fang)(fang)(fang)所(suo)治(zhi)(zhi)(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，主(zhu)(zhu)(zhu)(zhu)(zhu)要(yao)指(zhi)(zhi)大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)時(shi)帶有(you)(you)(you)鮮(xian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)從腸(chang)(chang)(chang)(chang)(chang)道(dao)(dao)來，其(qi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)與糞(fen)便(bian)(bian)(bian)(bian)(bian)不(bu)(bu)(bu)相混(hun)雜(za)而(er)下(xia)(xia)(xia)，多(duo)(duo)(duo)系便(bian)(bian)(bian)(bian)(bian)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)滴(di)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，或(huo)(huo)鮮(xian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)染于(yu)(yu)(yu)(yu)(yu)糞(fen)便(bian)(bian)(bian)(bian)(bian)表(biao)面者(zhe)(zhe)(zhe)(zhe)，中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)稱之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“近(jin)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”（肛(gang)(gang)門直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)部(bu)位出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)），或(huo)(huo)稱之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”。今之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)內(nei)(nei)痔(zhi)出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)和(he)(he)直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，其(qi)臨床(chuang)癥狀(zhuang)(zhuang)多(duo)(duo)(duo)有(you)(you)(you)似古人(ren)(ren)(ren)(ren)“腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)描述。此(ci)“腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”應(ying)與紫(zi)黯色(se)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)便(bian)(bian)(bian)(bian)(bian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“遠血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”（上消(xiao)(xiao)(xiao)化(hua)道(dao)(dao)出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)），或(huo)(huo)稱“臟毒(du)(du)(du)下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”相鑒別(bie)(bie)。《證治(zhi)(zhi)(zhi)(zhi)(zhi)要(yao)訣》云：“血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)清而(er)色(se)鮮(xian)者(zhe)(zhe)(zhe)(zhe)為(wei)(wei)(wei)(wei)(wei)腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)，濁而(er)黯者(zhe)(zhe)(zhe)(zhe)為(wei)(wei)(wei)(wei)(wei)臟毒(du)(du)(du)”。“臟毒(du)(du)(du)下(xia)(xia)(xia)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”多(duo)(duo)(duo)為(wei)(wei)(wei)(wei)(wei)內(nei)(nei)臟實(shi)質(zhi)性(xing)(xing)器官損傷所(suo)致(zhi)，此(ci)類(lei)病(bing)證，實(shi)為(wei)(wei)(wei)(wei)(wei)極(ji)(ji)嚴重(zhong)證候，非(fei)本(ben)(ben)(ben)(ben)方(fang)(fang)(fang)所(suo)能(neng)也(ye)。本(ben)(ben)(ben)(ben)方(fang)(fang)(fang)所(suo)治(zhi)(zhi)(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“腸(chang)(chang)(chang)(chang)(chang)風(feng)(feng)便(bian)(bian)(bian)(bian)(bian)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)”：一(yi)(yi)(yi)(yi)(yi)(yi)(yi)為(wei)(wei)(wei)(wei)(wei)直(zhi)(zhi)(zhi)腸(chang)(chang)(chang)(chang)(chang)息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，用(yong)(yong)(yong)(yong)(yong)本(ben)(ben)(ben)(ben)方(fang)(fang)(fang)加(jia)人(ren)(ren)(ren)(ren)指(zhi)(zhi)甲(jia)、象牙(ya)(ya)屑，為(wei)(wei)(wei)(wei)(wei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)；一(yi)(yi)(yi)(yi)(yi)(yi)(yi)為(wei)(wei)(wei)(wei)(wei)內(nei)(nei)痔(zhi)出(chu)(chu)(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)，.用(yong)(yong)(yong)(yong)(yong)本(ben)(ben)(ben)(ben)方(fang)(fang)(fang)加(jia)槐花、地愉(yu)炭、側(ce)柏炭、三(san)(san)七粉(fen)、鬼(gui)針草(cao)(cao)等消(xiao)(xiao)(xiao)痔(zhi)止血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)品。(二(er))藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)物組(zu)成(cheng)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”加(jia)味(wei)(wei)是(shi)(shi)由烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)、僵(jiang)(jiang)蠶(can)(can)(can)(can)、酒(jiu)醋(cu)(cu)(cu)、人(ren)(ren)(ren)(ren)指(zhi)(zhi)甲(jia)（可(ke)用(yong)(yong)(yong)(yong)(yong)炮(pao)穿(chuan)(chuan)山(shan)甲(jia)代(dai)）、象牙(ya)(ya)屑五(wu)(wu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)組(zu)成(cheng)。(三(san)(san))藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)物的(de)(de)炮(pao)制及常(chang)用(yong)(yong)(yong)(yong)(yong)劑(ji)(ji)量(liang)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)1500克(ke)(ke)（用(yong)(yong)(yong)(yong)(yong)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)肥(fei)大(da)(da)(da)(da)(da)(da)(da)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)多(duo)(duo)(duo)者(zhe)(zhe)(zhe)(zhe)為(wei)(wei)(wei)(wei)(wei)上，酒(jiu)醋(cu)(cu)(cu)浸泡一(yi)(yi)(yi)(yi)(yi)(yi)(yi)宿，以浸透(tou)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)為(wei)(wei)(wei)(wei)(wei)度(du)，去(qu)(qu)核，焙(bei)焦存性(xing)(xing)）、僵(jiang)(jiang)蠶(can)(can)(can)(can)500克(ke)(ke)（米(mi)(mi)拌炒微黃(huang)(huang)為(wei)(wei)(wei)(wei)(wei)度(du)）、人(ren)(ren)(ren)(ren)指(zhi)(zhi)甲(jia)15克(ke)(ke)（用(yong)(yong)(yong)(yong)(yong)堿水(shui)或(huo)(huo)皂水(shui)洗凈，曬干(gan)(gan)，再和(he)(he)滑石(shi)粉(fen)入(ru)鍋內(nei)(nei)同炒至指(zhi)(zhi)甲(jia)黃(huang)(huang)色(se)鼓起為(wei)(wei)(wei)(wei)(wei)度(du)，取(qu)出(chu)(chu)(chu)(chu)(chu)篩去(qu)(qu)滑石(shi)粉(fen)，放(fang)涼，碾粉(fen)。或(huo)(huo)用(yong)(yong)(yong)(yong)(yong)炮(pao)穿(chuan)(chuan)山(shan)甲(jia)30克(ke)(ke)）、象牙(ya)(ya)屑30克(ke)(ke)，共研(yan)(yan)細末(mo)，煉(lian)蜜(mi)(mi)為(wei)(wei)(wei)(wei)(wei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)，每(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)重(zhong)9克(ke)(ke)。丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)制成(cheng)后(hou)(hou)(hou)(hou)(hou)(hou)(hou)，裝人(ren)(ren)(ren)(ren)瓷壇(tan)內(nei)(nei)，或(huo)(huo)玻璃瓶內(nei)(nei)，置于(yu)(yu)(yu)(yu)(yu)干(gan)(gan)燥通風(feng)(feng)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)地，以防受(shou)潮霉(mei)爛變質(zhi)，霉(mei)者(zhe)(zhe)(zhe)(zhe)切(qie)不(bu)(bu)(bu)可(ke)服(fu)(fu)(fu)(fu)用(yong)(yong)(yong)(yong)(yong)。(四)服(fu)(fu)(fu)(fu)法和(he)(he)注意事項治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)各(ge)種息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)，成(cheng)人(ren)(ren)(ren)(ren)每(mei)(mei)(mei)次一(yi)(yi)(yi)(yi)(yi)(yi)(yi)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)，早(zao)(zao)中(zhong)(zhong)(zhong)(zhong)晚(wan)各(ge)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)服(fu)(fu)(fu)(fu)，白(bai)開水(shui)送下(xia)(xia)(xia)，兒童(tong)量(liang)酌減。以服(fu)(fu)(fu)(fu)完以上劑(ji)(ji)量(liang)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)料(liao)(liao)為(wei)(wei)(wei)(wei)(wei)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程，可(ke)連續(xu)服(fu)(fu)(fu)(fu)二(er)三(san)(san)料(liao)(liao)。兒童(tong)可(ke)用(yong)(yong)(yong)(yong)(yong)鳥梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)、僵(jiang)(jiang)蠶(can)(can)(can)(can)各(ge)15-20克(ke)(ke)煎(jian)湯(tang)(tang)，日(ri)(ri)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)劑(ji)(ji)，二(er)煎(jian)分三(san)(san)次服(fu)(fu)(fu)(fu)，一(yi)(yi)(yi)(yi)(yi)(yi)(yi)般服(fu)(fu)(fu)(fu)10?15天(tian)可(ke)見(jian)(jian)效(xiao)(xiao)(xiao)(xiao)。服(fu)(fu)(fu)(fu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)期間，飲食(shi)宜(yi)清淡，多(duo)(duo)(duo)吃(chi)水(shui)果(guo)蔬菜(cai)，保持(chi)大(da)(da)(da)(da)(da)(da)(da)便(bian)(bian)(bian)(bian)(bian)通暢，忌煎(jian)燥辛辣之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)品，忌煙酒(jiu)。注：事物總(zong)是(shi)(shi)一(yi)(yi)(yi)(yi)(yi)(yi)(yi)分為(wei)(wei)(wei)(wei)(wei)二(er)的(de)(de)，無論(lun)(lun)什(shen)么事物不(bu)(bu)(bu)能(neng)說百(bai)分之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)百(bai)，治(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)也(ye)是(shi)(shi)如(ru)(ru)(ru)此(ci)。“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)各(ge)種息(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)(rou)有(you)(you)(you)顯著療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)，但對(dui)久病(bing)又復(fu)(fu)(fu)(fu)雜(za)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痼疾(ji)，效(xiao)(xiao)(xiao)(xiao)果(guo)就不(bu)(bu)(bu)夠(gou)好，這(zhe)是(shi)(shi)必須說明的(de)(de)。有(you)(you)(you)的(de)(de)還將(jiang)《傷寒(han)論(lun)(lun)》烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)錯(cuo)認為(wei)(wei)(wei)(wei)(wei)“濟生(sheng)(sheng)烏(wu)(wu)(wu)(wu)梅(mei)(mei)(mei)(mei)(mei)(mei)(mei)(mei)丸(wan)(wan)(wan)(wan)(wan)(wan)(wan)”，那就更是(shi)(shi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)不(bu)(bu)(bu)對(dui)癥了。
本文摘自《龔志賢(xian)臨床經(jing)驗集》，人民衛生出版社出版。提(ti)示：文中處方(fang)，請(qing)在(zai)專(zhuan)業中醫指導下(xia)辯證使用。
中藥房。
濟(ji)生(sheng)烏梅(mei)丸原為治(zhi)(zhi)療(liao)(liao)(liao)腸(chang)風便血而設。余(yu)先將(jiang)濟(ji)生(sheng)烏梅(mei)丸改(gai)為湯(tang)劑治(zhi)(zhi)療(liao)(liao)(liao)小(xiao)兒直(zhi)腸(chang)息(xi)肉，每(mei)獲每(mei)效(xiao)。以(yi)后又用于(yu)治(zhi)(zhi)療(liao)(liao)(liao)成人直(zhi)腸(chang)息(xi)肉患(huan)者(zhe)，也有療(liao)(liao)(liao)效(xiao)，但難于(yu)痊愈。后改(gai)為丸劑較長時間(jian)服用效(xiao)果較佳(jia)。
因直腸息肉屬(shu)慢性疾病，久服可(ke)收(shou)緩功(gong)之(zhi)效(xiao)，且丸劑比較便(bian)于服用。為了達(da)到較快痊愈之(zhi)目的，加(jia)用象(xiang)牙屑、人指甲以軟堅散結，若人指甲不易(yi)收(shou)集，可(ke)用穿山甲代替(ti)，這就是“濟生(sheng)烏梅(mei)丸加(jia)味”的由來(lai)。嗣后，余又用此方治療聲帶息肉、宮頸息肉，均獲(huo)顯著效(xiao)果。
藥理作用
能促進(jin)膽(dan)囊(nang)收縮和排(pai)膽(dan)作(zuo)(zuo)用，有利于膽(dan)汁引流，減(jian)少(shao)或(huo)防止膽(dan)道感染及蛔蟲(chong)卵留在膽(dan)道內形成膽(dan)石核心，減(jian)少(shao)膽(dan)石癥發生。加大烏(wu)梅劑量作(zuo)(zuo)用更(geng)為明顯，而單用烏(wu)梅作(zuo)(zuo)用沒有復方強，表明復方有協同作(zuo)(zuo)用。
實驗還表(biao)明，本方在麻醉蛔蟲體，使(shi)其失去附著腸壁的能力，促(cu)進肝臟分泌膽汁量增加，降低pH值，明顯(xian)擴張奧(ao)狄氏括約肌，有較(jiao)強的廣譜抗菌(jun)作用，尤對(dui)痢(li)疾桿菌(jun)作用明顯(xian)。
以(yi)上內容參(can)考 ——濟生(sheng)烏梅丸(wan)
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