穩固(gu)(gu)(gu)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)根(gen)不(bu)(bu)(bu)(bu)(bu)(bu)松(song)(song)(song)動(dong)(dong)!配(pei)方(fang)(fang)(fang)(fang)∶食鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)、石膏(gao)(gao)各(ge)5份(fen)(fen),補(bu)骨(gu)(gu)脂4份(fen)(fen),去(qu)(qu)(qu)(qu)(qu)(qu)籽花(hua)椒(jiao)(jiao)、白(bai)(bai)(bai)芷、薄(bo)(bo)荷、細(xi)(xi)(xi)(xi)(xi)(xi)辛(xin)(xin)各(ge)1.5份(fen)(fen),旱(han)蓮(lian)(lian)草、防風(feng)(feng)(feng)各(ge)2.5份(fen)(fen)。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa):研(yan)成(cheng)細(xi)(xi)(xi)(xi)(xi)(xi)末(mo)(mo)(mo)(mo),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)密(mi)(mi)封罐裝(zhuang)好(hao)(hao),早(zao)(zao)上(shang)(shang)(shang)(shang)(shang)洗完臉,用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)刷(shua)(shua)(shua)(shua)(shua)(shua)蘸適量(liang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),刷(shua)(shua)(shua)(shua)(shua)(shua)3~5次(ci)后(hou)(hou)(hou)(hou),頻(pin)繁漱口(kou)(kou)(kou)(kou),以(yi)(yi)(yi)1個(ge)(ge)月為(wei)(wei)(wei)(wei)1個(ge)(ge)療(liao)(liao)(liao)程(cheng),連(lian)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)1~3個(ge)(ge)療(liao)(liao)(liao)程(cheng)。王(wang)伯(bo)(bo)(bo)(bo)伯(bo)(bo)(bo)(bo)是(shi)(shi)我(wo)們門(men)(men)診(zhen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)老(lao)病(bing)(bing)(bing)(bing)號,某天先(xian)去(qu)(qu)(qu)(qu)(qu)(qu)看了(le)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)科,才(cai)馬(ma)上(shang)(shang)(shang)(shang)(shang)趕來(lai)(lai)(lai)我(wo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)門(men)(men)診(zhen)。原(yuan)來(lai)(lai)(lai)他(ta)(ta)10年(nian)(nian)(nian)前牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)就開(kai)始(shi)松(song)(song)(song)動(dong)(dong),被診(zhen)斷為(wei)(wei)(wei)(wei)「慢(man)性牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)周(zhou)病(bing)(bing)(bing)(bing)」,現(xian)(xian)在(zai)(zai)一(yi)(yi)大(da)(da)(da)半的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)都搖(yao)搖(yao)晃(huang)晃(huang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de),像快掉(diao)(diao)了(le)一(yi)(yi)樣。剛(gang)才(cai)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)醫(yi)(yi)告訴他(ta)(ta),可(ke)(ke)(ke)能(neng)(neng)(neng)(neng)(neng)得(de)拔(ba)掉(diao)(diao)裝(zhuang)假(jia)(jia)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),王(wang)伯(bo)(bo)(bo)(bo)伯(bo)(bo)(bo)(bo)很(hen)不(bu)(bu)(bu)(bu)(bu)(bu)舍得(de)一(yi)(yi)口(kou)(kou)(kou)(kou)陪伴(ban)他(ta)(ta)幾十(shi)(shi)(shi)年(nian)(nian)(nian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi),表示必(bi)(bi)須回家(jia)考(kao)慮(lv)一(yi)(yi)下,先(xian)婉拒(ju)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)醫(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)建議。中(zhong)(zhong)(zhong)老(lao)年(nian)(nian)(nian)人(ren)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)松(song)(song)(song)動(dong)(dong),從(cong)現(xian)(xian)代(dai)(dai)(dai)(dai)醫(yi)(yi)學角度(du)(du)(du)來(lai)(lai)(lai)講,與(yu)(yu)慢(man)性牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)周(zhou)病(bing)(bing)(bing)(bing)有(you)(you)(you)(you)密(mi)(mi)切的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)關(guan)系(xi)。慢(man)性牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)周(zhou)病(bing)(bing)(bing)(bing)是(shi)(shi)一(yi)(yi)種(zhong)感(gan)染性疾病(bing)(bing)(bing)(bing),發(fa)病(bing)(bing)(bing)(bing)機率高,而(er)(er)且對口(kou)(kou)(kou)(kou)腔(qiang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)危害也(ye)很(hen)大(da)(da)(da)。由(you)(you)(you)于(yu)(yu)(yu)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)周(zhou)支撐組(zu)織,尤其是(shi)(shi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)槽骨(gu)(gu)吸收后(hou)(hou)(hou)(hou)再(zai)(zai)(zai)生(sheng)能(neng)(neng)(neng)(neng)(neng)力差,一(yi)(yi)旦(dan)發(fa)生(sheng)病(bing)(bing)(bing)(bing)變,很(hen)難再(zai)(zai)(zai)生(sheng),最(zui)(zui)終(zhong)導致(zhi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)松(song)(song)(song)動(dong)(dong),甚至脫落。中(zhong)(zhong)(zhong)醫(yi)(yi)將慢(man)性牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)周(zhou)病(bing)(bing)(bing)(bing)稱(cheng)為(wei)(wei)(wei)(wei)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)宣(xuan),相關(guan)論(lun)述頗(po)多(duo)(duo)(duo)(duo)(duo)。隋代(dai)(dai)(dai)(dai)巢(chao)元(yuan)方(fang)(fang)(fang)(fang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)《諸(zhu)病(bing)(bing)(bing)(bing)源侯論(lun)》對牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)宣(xuan)論(lun)述詳細(xi)(xi)(xi)(xi)(xi)(xi),并(bing)專(zhuan)(zhuan)列(lie)「齒(chi)(chi)(chi)(chi)動(dong)(dong)搖(yao)候」,明確記(ji)(ji)載(zai)∶「手(shou)陽(yang)明之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)支脈(mo)人(ren)于(yu)(yu)(yu)齒(chi)(chi)(chi)(chi),足陽(yang)明之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)脈(mo)又(you)遍于(yu)(yu)(yu)齒(chi)(chi)(chi)(chi),齒(chi)(chi)(chi)(chi)為(wei)(wei)(wei)(wei)骨(gu)(gu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所終(zhong),髓(sui)(sui)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所養┅故(gu)令(ling)搖(yao)動(dong)(dong)。論(lun)述牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)宣(xuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)機基礎。明代(dai)(dai)(dai)(dai)《醫(yi)(yi)方(fang)(fang)(fang)(fang)考(kao)》強調牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)宣(xuan)與(yu)(yu)腎(shen)(shen)(shen)虛(xu)(xu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)關(guan)系(xi),指(zhi)(zhi)出:腎(shen)(shen)(shen)主骨(gu)(gu),骨(gu)(gu)虛(xu)(xu)則(ze)(ze)髓(sui)(sui)弱,髓(sui)(sui)弱則(ze)(ze)骨(gu)(gu)枯(ku),骨(gu)(gu)枯(ku)則(ze)(ze)不(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)(neng)固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)故(gu)令(ling)齒(chi)(chi)(chi)(chi)長(chang)(chang)而(er)(er)動(dong)(dong)。清(qing)代(dai)(dai)(dai)(dai)《血(xue)(xue)(xue)癥(zheng)論(lun)》也(ye)指(zhi)(zhi)出∶齒(chi)(chi)(chi)(chi)雖屬(shu)(shu)腎(shen)(shen)(shen),而(er)(er)滿口(kou)(kou)(kou)(kou)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)中(zhong)(zhong)(zhong)皆屬(shu)(shu)于(yu)(yu)(yu)胃(wei)(wei)┅牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)床尤為(wei)(wei)(wei)(wei)胃(wei)(wei)經脈(mo)所繞,故(gu)凡衄血(xue)(xue)(xue)(牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齦出血(xue)(xue)(xue)),皆是(shi)(shi)胃(wei)(wei)火上(shang)(shang)(shang)(shang)(shang)炎(yan)(yan),認為(wei)(wei)(wei)(wei)「胃(wei)(wei)火上(shang)(shang)(shang)(shang)(shang)炎(yan)(yan)」是(shi)(shi)導致(zhi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)宣(xuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)主因。總之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),古代(dai)(dai)(dai)(dai)醫(yi)(yi)家(jia)認為(wei)(wei)(wei)(wei),腎(shen)(shen)(shen)虛(xu)(xu)及胃(wei)(wei)火是(shi)(shi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)周(zhou)病(bing)(bing)(bing)(bing)、牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)松(song)(song)(song)動(dong)(dong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)重要(yao)原(yuan)因。了(le)解王(wang)伯(bo)(bo)(bo)(bo)伯(bo)(bo)(bo)(bo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)情(qing)況(kuang)后(hou)(hou)(hou)(hou),我(wo)向他(ta)(ta)分(fen)析西(xi)醫(yi)(yi)治(zhi)(zhi)療(liao)(liao)(liao)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)周(zhou)病(bing)(bing)(bing)(bing),多(duo)(duo)(duo)(duo)(duo)采用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)口(kou)(kou)(kou)(kou)服抗生(sheng)素(su)(su),由(you)(you)(you)于(yu)(yu)(yu)副作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)較(jiao)大(da)(da)(da),且不(bu)(bu)(bu)(bu)(bu)(bu)能(neng)(neng)(neng)(neng)(neng)長(chang)(chang)期(qi)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)后(hou)(hou)(hou)(hou)便出現(xian)(xian)局部使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)抗生(sheng)素(su)(su)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)緩釋(shi)劑(能(neng)(neng)(neng)(neng)(neng)控制(zhi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)釋(shi)放(fang)速度(du)(du)(du),減(jian)少或避免血(xue)(xue)(xue)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)濃(nong)度(du)(du)(du)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)「峰(feng)谷」波動(dong)(dong),使(shi)(shi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)平穩持(chi)(chi)續(xu)地(di)發(fa)揮(hui)療(liao)(liao)(liao)效(xiao)(xiao)),但這(zhe)種(zhong)劑型需要(yao)醫(yi)(yi)生(sheng)為(wei)(wei)(wei)(wei)患者(zhe)(zhe)實(shi)(shi)施(shi),而(er)(er)患者(zhe)(zhe)亦需多(duo)(duo)(duo)(duo)(duo)次(ci)回院(yuan)接(jie)(jie)受(shou)(shou)治(zhi)(zhi)療(liao)(liao)(liao)。王(wang)伯(bo)(bo)(bo)(bo)伯(bo)(bo)(bo)(bo)聽了(le),不(bu)(bu)(bu)(bu)(bu)(bu)太(tai)愿意(yi)接(jie)(jie)受(shou)(shou)治(zhi)(zhi)療(liao)(liao)(liao),問我(wo)有(you)(you)(you)(you)無(wu)其他(ta)(ta)偏方(fang)(fang)(fang)(fang),好(hao)(hao)讓他(ta)(ta)回家(jia)自(zi)(zi)(zi)行(xing)治(zhi)(zhi)療(liao)(liao)(liao)。我(wo)告訴他(ta)(ta)有(you)(you)(you)(you)個(ge)(ge)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)方(fang)(fang)(fang)(fang)可(ke)(ke)(ke)以(yi)(yi)(yi)試試,每天使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)1次(ci),持(chi)(chi)續(xu)3個(ge)(ge)月,也(ye)許會(hui)使(shi)(shi)他(ta)(ta)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)牢(lao)固(gu)(gu)(gu)些,免去(qu)(qu)(qu)(qu)(qu)(qu)裝(zhuang)假(jia)(jia)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)苦(ku)。方(fang)(fang)(fang)(fang)法(fa)∶準(zhun)備(bei)(bei)食鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)、石膏(gao)(gao)各(ge)5份(fen)(fen),補(bu)骨(gu)(gu)脂4份(fen)(fen),去(qu)(qu)(qu)(qu)(qu)(qu)籽花(hua)椒(jiao)(jiao)、白(bai)(bai)(bai)芷、薄(bo)(bo)荷、細(xi)(xi)(xi)(xi)(xi)(xi)辛(xin)(xin)各(ge)1.5份(fen)(fen),旱(han)蓮(lian)(lian)草、防風(feng)(feng)(feng)各(ge)2.5份(fen)(fen)。將以(yi)(yi)(yi)上(shang)(shang)(shang)(shang)(shang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)材(cai)一(yi)(yi)起(qi)研(yan)成(cheng)細(xi)(xi)(xi)(xi)(xi)(xi)末(mo)(mo)(mo)(mo),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)密(mi)(mi)封罐裝(zhuang)好(hao)(hao),早(zao)(zao)上(shang)(shang)(shang)(shang)(shang)洗完臉后(hou)(hou)(hou)(hou),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)刷(shua)(shua)(shua)(shua)(shua)(shua)蘸適量(liang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),刷(shua)(shua)(shua)(shua)(shua)(shua)3~5次(ci)后(hou)(hou)(hou)(hou),頻(pin)繁漱口(kou)(kou)(kou)(kou),1個(ge)(ge)月為(wei)(wei)(wei)(wei)1個(ge)(ge)療(liao)(liao)(liao)程(cheng),連(lian)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)1~3個(ge)(ge)療(liao)(liao)(liao)程(cheng)。本方(fang)(fang)(fang)(fang)出自(zi)(zi)(zi)清(qing)代(dai)(dai)(dai)(dai)名(ming)醫(yi)(yi)陳(chen)(chen)修(xiu)園(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)所著(zhu)《陳(chen)(chen)修(xiu)園(yuan)(yuan)醫(yi)(yi)書(shu)(shu)》中(zhong)(zhong)(zhong),名(ming)為(wei)(wei)(wei)(wei)「固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)神方(fang)(fang)(fang)(fang)」。方(fang)(fang)(fang)(fang)中(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)「鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)」原(yuan)文記(ji)(ji)載(zai)為(wei)(wei)(wei)(wei)青鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan),但現(xian)(xian)在(zai)(zai)青鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)比較(jiao)難找(zhao),可(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)食鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)替代(dai)(dai)(dai)(dai)。鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)味咸,屬(shu)(shu)腎(shen)(shen)(shen),有(you)(you)(you)(you)補(bu)腎(shen)(shen)(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)效(xiao)(xiao);補(bu)骨(gu)(gu)脂、旱(han)蓮(lian)(lian)草亦為(wei)(wei)(wei)(wei)補(bu)腎(shen)(shen)(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)品。而(er)(er)石膏(gao)(gao)、花(hua)椒(jiao)(jiao)、白(bai)(bai)(bai)芷、薄(bo)(bo)荷、防風(feng)(feng)(feng)、細(xi)(xi)(xi)(xi)(xi)(xi)辛(xin)(xin),均(jun)有(you)(you)(you)(you)不(bu)(bu)(bu)(bu)(bu)(bu)同程(cheng)度(du)(du)(du)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)清(qing)胃(wei)(wei)熱(re)(re)、瀉(xie)火清(qing)熱(re)(re)功效(xiao)(xiao)。正好(hao)(hao)能(neng)(neng)(neng)(neng)(neng)針對中(zhong)(zhong)(zhong)老(lao)年(nian)(nian)(nian)人(ren)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)松(song)(song)(song)動(dong)(dong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)腎(shen)(shen)(shen)虛(xu)(xu)、胃(wei)(wei)火2個(ge)(ge)證(zheng)型進行(xing)治(zhi)(zhi)療(liao)(liao)(liao)。從(cong)現(xian)(xian)代(dai)(dai)(dai)(dai)醫(yi)(yi)理學來(lai)(lai)(lai)看,此方(fang)(fang)(fang)(fang)中(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)、花(hua)椒(jiao)(jiao)、細(xi)(xi)(xi)(xi)(xi)(xi)辛(xin)(xin)、薄(bo)(bo)荷、白(bai)(bai)(bai)芷、補(bu)骨(gu)(gu)脂等(deng),均(jun)能(neng)(neng)(neng)(neng)(neng)促進細(xi)(xi)(xi)(xi)(xi)(xi)胞生(sheng)長(chang)(chang);防風(feng)(feng)(feng)、旱(han)蓮(lian)(lian)草則(ze)(ze)有(you)(you)(you)(you)消炎(yan)(yan)、止(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)效(xiao)(xiao)。總之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),此方(fang)(fang)(fang)(fang)透過(guo)(guo)多(duo)(duo)(duo)(duo)(duo)種(zhong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)物(wu)配(pei)伍,能(neng)(neng)(neng)(neng)(neng)發(fa)揮(hui)抗菌(jun)、消炎(yan)(yan)、促進細(xi)(xi)(xi)(xi)(xi)(xi)胞組(zu)織再(zai)(zai)(zai)生(sheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)加乘作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),顯然(ran)比西(xi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)單純抗菌(jun)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)效(xiao)(xiao)果(guo)更佳。而(er)(er)且這(zhe)個(ge)(ge)固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)方(fang)(fang)(fang)(fang)可(ke)(ke)(ke)透過(guo)(guo)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)法(fa),由(you)(you)(you)患者(zhe)(zhe)自(zi)(zi)(zi)行(xing)長(chang)(chang)期(qi)實(shi)(shi)施(shi),患者(zhe)(zhe)不(bu)(bu)(bu)(bu)(bu)(bu)僅(jin)能(neng)(neng)(neng)(neng)(neng)自(zi)(zi)(zi)行(xing)治(zhi)(zhi)療(liao)(liao)(liao),還能(neng)(neng)(neng)(neng)(neng)避免經常(chang)往(wang)來(lai)(lai)(lai)醫(yi)(yi)院(yuan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)不(bu)(bu)(bu)(bu)(bu)(bu)便。王(wang)伯(bo)(bo)(bo)(bo)伯(bo)(bo)(bo)(bo)如(ru)(ru)(ru)(ru)獲至寶,回家(jia)連(lian)續(xu)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)3個(ge)(ge)月后(hou)(hou)(hou)(hou),牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)果(guo)然(ran)堅固(gu)(gu)(gu),不(bu)(bu)(bu)(bu)(bu)(bu)再(zai)(zai)(zai)松(song)(song)(song)動(dong)(dong)。之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)后(hou)(hou)(hou)(hou)持(chi)(chi)續(xu)每周(zhou)刷(shua)(shua)(shua)(shua)(shua)(shua)幾次(ci),5、6年(nian)(nian)(nian)過(guo)(guo)去(qu)(qu)(qu)(qu)(qu)(qu)了(le),王(wang)伯(bo)(bo)(bo)(bo)伯(bo)(bo)(bo)(bo)年(nian)(nian)(nian)過(guo)(guo)80,仍是(shi)(shi)滿口(kou)(kou)(kou)(kou)白(bai)(bai)(bai)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),一(yi)(yi)直(zhi)未受(shou)(shou)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)病(bing)(bing)(bing)(bing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)苦(ku)。陳(chen)(chen)修(xiu)園(yuan)(yuan):固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)神方(fang)(fang)(fang)(fang)對于(yu)(yu)(yu)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)漱齒(chi)(chi)(chi)(chi),已(yi)(yi)(yi)為(wei)(wei)(wei)(wei)今人(ren)衛生(sheng)風(feng)(feng)(feng)尚,但有(you)(you)(you)(you)人(ren)主張(zhang)早(zao)(zao)起(qi)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),也(ye)有(you)(you)(you)(you)人(ren)認為(wei)(wei)(wei)(wei)晚(wan)上(shang)(shang)(shang)(shang)(shang)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)更好(hao)(hao)。正如(ru)(ru)(ru)(ru)古代(dai)(dai)(dai)(dai)《金丹(dan)全(quan)書(shu)(shu)》中(zhong)(zhong)(zhong)記(ji)(ji)載(zai):「今人(ren)漱齒(chi)(chi)(chi)(chi),每以(yi)(yi)(yi)早(zao)(zao)晨(chen)(chen),是(shi)(shi)倒(dao)置(zhi)也(ye)。凡一(yi)(yi)日(ri)飲(yin)食之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)毒(du)(du),積于(yu)(yu)(yu)齒(chi)(chi)(chi)(chi)縫(feng),當于(yu)(yu)(yu)夜(ye)(ye)晚(wan)刷(shua)(shua)(shua)(shua)(shua)(shua)洗,則(ze)(ze)垢穢盡去(qu)(qu)(qu)(qu)(qu)(qu),齒(chi)(chi)(chi)(chi)自(zi)(zi)(zi)不(bu)(bu)(bu)(bu)(bu)(bu)壞。故(gu)云:晨(chen)(chen)漱不(bu)(bu)(bu)(bu)(bu)(bu)如(ru)(ru)(ru)(ru)夜(ye)(ye)漱,此善(shan)于(yu)(yu)(yu)養齒(chi)(chi)(chi)(chi)者(zhe)(zhe)。」筆(bi)者(zhe)(zhe)頗(po)有(you)(you)(you)(you)同感(gan)。這(zhe)段看到了(le),十(shi)(shi)(shi)多(duo)(duo)(duo)(duo)(duo)年(nian)(nian)(nian)前,才(cai)四(si)十(shi)(shi)(shi)多(duo)(duo)(duo)(duo)(duo)歲(sui)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)我(wo),牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)常(chang)有(you)(you)(you)(you)松(song)(song)(song)浮之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)感(gan),且有(you)(you)(you)(you)一(yi)(yi)二(er)(er)(er)臼齒(chi)(chi)(chi)(chi)蛀為(wei)(wei)(wei)(wei)空洞,常(chang)患牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)痛(tong)(tong)(tong)(tong)(tong)(tong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)苦(ku),曾(ceng)將針灸(jiu)針扎在(zai)(zai)頭(tou)(tou)面上(shang)(shang)(shang)(shang)(shang)安眠一(yi)(yi)夜(ye)(ye)。一(yi)(yi)次(ci)偶然(ran)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)機會(hui),我(wo)得(de)到一(yi)(yi)「固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)神方(fang)(fang)(fang)(fang)」,如(ru)(ru)(ru)(ru)獲至寶。此方(fang)(fang)(fang)(fang)源于(yu)(yu)(yu)《修(xiu)園(yuan)(yuan)七(qi)種(zhong)合(he)(he)刊(kan)經驗(yan)良(liang)(liang)方(fang)(fang)(fang)(fang)》一(yi)(yi)書(shu)(shu),上(shang)(shang)(shang)(shang)(shang)面記(ji)(ji)載(zai):「治(zhi)(zhi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)(fang)(fang)甚多(duo)(duo)(duo)(duo)(duo),苦(ku)無(wu)大(da)(da)(da)效(xiao)(xiao)。昔(xi)有(you)(you)(you)(you)人(ren)四(si)十(shi)(shi)(shi)后(hou)(hou)(hou)(hou)病(bing)(bing)(bing)(bing)齒(chi)(chi)(chi)(chi),大(da)(da)(da)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)已(yi)(yi)(yi)脫三(san)個(ge)(ge),遇(yu)德州盧南石相國之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)弟傳此方(fang)(fang)(fang)(fang),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)動(dong)(dong)者(zhe)(zhe)復(fu)固(gu)(gu)(gu),齒(chi)(chi)(chi)(chi)病(bing)(bing)(bing)(bing)遂除(chu),即(ji)(ji)(ji)冬(dong)月食火鍋并(bing)煎(jian)炒等(deng)物(wu),牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)縫(feng)里(li)出疙瘩(da),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)此末(mo)(mo)(mo)(mo)多(duo)(duo)(duo)(duo)(duo)擦(ca)(ca)一(yi)(yi)二(er)(er)(er)次(ci),旋即(ji)(ji)(ji)消減(jian),真(zhen)第一(yi)(yi)效(xiao)(xiao)驗(yan)方(fang)(fang)(fang)(fang)也(ye)。若于(yu)(yu)(yu)三(san)四(si)歲(sui)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),無(wu)間(jian)斷,可(ke)(ke)(ke)保(bao)至老(lao)不(bu)(bu)(bu)(bu)(bu)(bu)脫,水(shui)免牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)患。有(you)(you)(you)(you)此神方(fang)(fang)(fang)(fang),諸(zhu)方(fang)(fang)(fang)(fang)可(ke)(ke)(ke)廢矣(yi)。」后(hou)(hou)(hou)(hou)來(lai)(lai)(lai),又(you)在(zai)(zai)中(zhong)(zhong)(zhong)華(hua)醫(yi)(yi)學會(hui)如(ru)(ru)(ru)(ru)皋(gao)(gao)分(fen)會(hui)與(yu)(yu)江(jiang)蘇(su)省(sheng)(sheng)如(ru)(ru)(ru)(ru)皋(gao)(gao)縣中(zhong)(zhong)(zhong)醫(yi)(yi)院(yuan)于(yu)(yu)(yu)1981年(nian)(nian)(nian)合(he)(he)編的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)《餐菊軒醫(yi)(yi)輯》中(zhong)(zhong)(zhong)得(de)以(yi)(yi)(yi)證(zheng)實(shi)(shi)。該書(shu)(shu)專(zhuan)(zhuan)門(men)(men)介紹(shao)了(le)江(jiang)蘇(su)省(sheng)(sheng)著(zhu)名(ming)老(lao)中(zhong)(zhong)(zhong)醫(yi)(yi)、從(cong)醫(yi)(yi)六十(shi)(shi)(shi)多(duo)(duo)(duo)(duo)(duo)年(nian)(nian)(nian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)黃星(xing)樓主任中(zhong)(zhong)(zhong)醫(yi)(yi)師的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)寶貴經驗(yan)。書(shu)(shu)中(zhong)(zhong)(zhong)說:「余(yu)歷年(nian)(nian)(nian)病(bing)(bing)(bing)(bing)齒(chi)(chi)(chi)(chi),劇痛(tong)(tong)(tong)(tong)(tong)(tong)時(shi)不(bu)(bu)(bu)(bu)(bu)(bu)可(ke)(ke)(ke)忍受(shou)(shou),常(chang)乞憐于(yu)(yu)(yu)止(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)片,僅(jin)能(neng)(neng)(neng)(neng)(neng)暫緩其勢(shi),又(you)恒用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)沒(mei)石子含(han)置(zhi),亦取(qu)(qu)效(xiao)(xiao)于(yu)(yu)(yu)一(yi)(yi)時(shi),萬不(bu)(bu)(bu)(bu)(bu)(bu)得(de)已(yi)(yi)(yi)則(ze)(ze)拔(ba)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。遇(yu)痛(tong)(tong)(tong)(tong)(tong)(tong)即(ji)(ji)(ji)拔(ba),終(zhong)非善(shan)策,乃檢篋中(zhong)(zhong)(zhong)錄(lu)存有(you)(you)(you)(you)固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)良(liang)(liang)方(fang)(fang)(fang)(fang),照方(fang)(fang)(fang)(fang)配(pei)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),頗(po)著(zhu)神奇(qi)。三(san)年(nian)(nian)(nian)多(duo)(duo)(duo)(duo)(duo)來(lai)(lai)(lai),齒(chi)(chi)(chi)(chi)病(bing)(bing)(bing)(bing)非獨未發(fa),而(er)(er)動(dong)(dong)者(zhe)(zhe)亦固(gu)(gu)(gu)。經驗(yan)有(you)(you)(you)(you)據,始(shi)介紹(shao)于(yu)(yu)(yu)同好(hao)(hao),益廣流布。」從(cong)1981年(nian)(nian)(nian)開(kai)始(shi),筆(bi)者(zhe)(zhe)照方(fang)(fang)(fang)(fang)配(pei)制(zhi),自(zi)(zi)(zi)行(xing)加工(gong),以(yi)(yi)(yi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)粉(fen)(fen)(fen)替代(dai)(dai)(dai)(dai)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)膏(gao)(gao),二(er)(er)(er)十(shi)(shi)(shi)多(duo)(duo)(duo)(duo)(duo)年(nian)(nian)(nian)如(ru)(ru)(ru)(ru)一(yi)(yi)日(ri),堅持(chi)(chi)不(bu)(bu)(bu)(bu)(bu)(bu)懈,直(zhi)到如(ru)(ru)(ru)(ru)今,的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)確嘗到了(le)固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)益腎(shen)(shen)(shen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)好(hao)(hao)處。所以(yi)(yi)(yi),今坦(tan)誠在(zai)(zai)此向大(da)(da)(da)家(jia)推介此方(fang)(fang)(fang)(fang):青鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)15克(可(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)食鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)替代(dai)(dai)(dai)(dai)),生(sheng)石膏(gao)(gao)15克,補(bu)骨(gu)(gu)脂12克,花(hua)椒(jiao)(jiao)(去(qu)(qu)(qu)(qu)(qu)(qu)目)5克,白(bai)(bai)(bai)芷5克,防風(feng)(feng)(feng)8克,薄(bo)(bo)荷葉(xie)10克,旱(han)蓮(lian)(lian)草8克,細(xi)(xi)(xi)(xi)(xi)(xi)辛(xin)(xin)4克。上(shang)(shang)(shang)(shang)(shang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)生(sheng)曬,研(yan)為(wei)(wei)(wei)(wei)細(xi)(xi)(xi)(xi)(xi)(xi)末(mo)(mo)(mo)(mo)。每早(zao)(zao)或晚(wan)上(shang)(shang)(shang)(shang)(shang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)此藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)擦(ca)(ca)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)或刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),然(ran)后(hou)(hou)(hou)(hou)再(zai)(zai)(zai)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)水(shui)頻(pin)漱吐之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。根(gen)據我(wo)二(er)(er)(er)十(shi)(shi)(shi)多(duo)(duo)(duo)(duo)(duo)年(nian)(nian)(nian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)實(shi)(shi)踐體會(hui),有(you)(you)(you)(you)5點可(ke)(ke)(ke)供讀者(zhe)(zhe)們參(can)考(kao): 一(yi)(yi)是(shi)(shi)方(fang)(fang)(fang)(fang)中(zhong)(zhong)(zhong)「青鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)」即(ji)(ji)(ji)冬(dong)天腌咸菜時(shi)所用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)塊,民間(jian)稱(cheng)「大(da)(da)(da)鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)」。實(shi)(shi)際上(shang)(shang)(shang)(shang)(shang)只(zhi)(zhi)要(yao)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)普通(tong)超市中(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)細(xi)(xi)(xi)(xi)(xi)(xi)鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)就可(ke)(ke)(ke)。二(er)(er)(er)是(shi)(shi)方(fang)(fang)(fang)(fang)中(zhong)(zhong)(zhong)花(hua)椒(jiao)(jiao)(去(qu)(qu)(qu)(qu)(qu)(qu)目),是(shi)(shi)指(zhi)(zhi)只(zhi)(zhi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)花(hua)椒(jiao)(jiao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)果(guo)皮(pi),去(qu)(qu)(qu)(qu)(qu)(qu)目是(shi)(shi)指(zhi)(zhi)去(qu)(qu)(qu)(qu)(qu)(qu)掉(diao)(diao)花(hua)椒(jiao)(jiao)中(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)果(guo)實(shi)(shi)(即(ji)(ji)(ji)椒(jiao)(jiao)目)。三(san)是(shi)(shi)在(zai)(zai)研(yan)為(wei)(wei)(wei)(wei)細(xi)(xi)(xi)(xi)(xi)(xi)末(mo)(mo)(mo)(mo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)過(guo)(guo)程(cheng)中(zhong)(zhong)(zhong),細(xi)(xi)(xi)(xi)(xi)(xi)鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)暫時(shi)不(bu)(bu)(bu)(bu)(bu)(bu)要(yao)放(fang)入(ru),只(zhi)(zhi)把中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)研(yan)為(wei)(wei)(wei)(wei)板細(xi)(xi)(xi)(xi)(xi)(xi)粉(fen)(fen)(fen)末(mo)(mo)(mo)(mo),最(zui)(zui)好(hao)(hao)要(yao)過(guo)(guo)100目的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)細(xi)(xi)(xi)(xi)(xi)(xi)篩,最(zui)(zui)后(hou)(hou)(hou)(hou)再(zai)(zai)(zai)放(fang)入(ru)細(xi)(xi)(xi)(xi)(xi)(xi)鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)混合(he)(he)均(jun)勻,貯(zhu)瓶備(bei)(bei)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。四(si)是(shi)(shi)以(yi)(yi)(yi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)粉(fen)(fen)(fen)代(dai)(dai)(dai)(dai)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)膏(gao)(gao),先(xian)將牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)粉(fen)(fen)(fen)適量(liang)(如(ru)(ru)(ru)(ru)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)膏(gao)(gao)時(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang))倒(dao)入(ru)左(zuo)手(shou)心(xin)(xin)上(shang)(shang)(shang)(shang)(shang),再(zai)(zai)(zai)小(xiao)心(xin)(xin)放(fang)在(zai)(zai)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)刷(shua)(shua)(shua)(shua)(shua)(shua)上(shang)(shang)(shang)(shang)(shang)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),也(ye)可(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)手(shou)指(zhi)(zhi)蘸著(zhu)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)粉(fen)(fen)(fen)擦(ca)(ca)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)。五(wu)是(shi)(shi)固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)粉(fen)(fen)(fen)無(wu)特(te)殊異味,也(ye)無(wu)毒(du)(du)性,長(chang)(chang)期(qi)應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)毫無(wu)不(bu)(bu)(bu)(bu)(bu)(bu)良(liang)(liang)反應。因此,可(ke)(ke)(ke)以(yi)(yi)(yi)放(fang)心(xin)(xin)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),只(zhi)(zhi)要(yao)能(neng)(neng)(neng)(neng)(neng)持(chi)(chi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)以(yi)(yi)(yi)恒,必(bi)(bi)有(you)(you)(you)(you)收獲。此外,固(gu)(gu)(gu)齒(chi)(chi)(chi)(chi)神方(fang)(fang)(fang)(fang)還對頑固(gu)(gu)(gu)性復(fu)發(fa)性口(kou)(kou)(kou)(kou)腔(qiang)潰(kui)瘍具有(you)(you)(you)(you)獨特(te)功效(xiao)(xiao)。本藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)專(zhuan)(zhuan)供刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),不(bu)(bu)(bu)(bu)(bu)(bu)是(shi)(shi)內服藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)。藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)每個(ge)(ge)成(cheng)分(fen)都是(shi)(shi)安全(quan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de),微量(liang)吞入(ru)肚(du)中(zhong)(zhong)(zhong)并(bing)無(wu)大(da)(da)(da)礙,請放(fang)心(xin)(xin)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)!將青鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)以(yi)(yi)(yi)外的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)材(cai)曬干(gan),磨(mo)(mo)為(wei)(wei)(wei)(wei)細(xi)(xi)(xi)(xi)(xi)(xi)粉(fen)(fen)(fen),然(ran)后(hou)(hou)(hou)(hou)加入(ru)食鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)拌(ban)合(he)(he)均(jun)勻,裝(zhuang)瓶備(bei)(bei)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。食鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)量(liang)大(da)(da)(da)約(yue)是(shi)(shi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)重量(liang)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)四(si)分(fen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)ㄧ。(由(you)(you)(you)于(yu)(yu)(yu)青鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)太(tai)硬,容(rong)易損耗(hao)磨(mo)(mo)具,一(yi)(yi)般藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)房都不(bu)(bu)(bu)(bu)(bu)(bu)太(tai)愿意(yi)加工(gong)。另一(yi)(yi)方(fang)(fang)(fang)(fang)面青鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)價格也(ye)比較(jiao)貴,所以(yi)(yi)(yi)建議用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)食鹽(yan)(yan)(yan)(yan)(yan)(yan)(yan)(yan)取(qu)(qu)代(dai)(dai)(dai)(dai)。)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)一(yi)(yi)定(ding)要(yao)磨(mo)(mo)細(xi)(xi)(xi)(xi)(xi)(xi),顆粒(li)要(yao)小(xiao)到能(neng)(neng)(neng)(neng)(neng)通(tong)過(guo)(guo)100目的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)細(xi)(xi)(xi)(xi)(xi)(xi)篩。顆粒(li)如(ru)(ru)(ru)(ru)果(guo)太(tai)粗,會(hui)造成(cheng)琺瑯(lang)質的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)過(guo)(guo)度(du)(du)(du)磨(mo)(mo)耗(hao)。「生(sheng)石膏(gao)(gao)」與(yu)(yu)「熟石膏(gao)(gao)」的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)性不(bu)(bu)(bu)(bu)(bu)(bu)同,要(yao)叮嚀藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)房不(bu)(bu)(bu)(bu)(bu)(bu)要(yao)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)熟石膏(gao)(gao)取(qu)(qu)代(dai)(dai)(dai)(dai)。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)沾濕(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)刷(shua)(shua)(shua)(shua)(shua)(shua)放(fang)到藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)盒(he)里(li)直(zhi)接(jie)(jie)沾取(qu)(qu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)來(lai)(lai)(lai)刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya),并(bing)沒(mei)有(you)(you)(you)(you)依(yi)照作(zuo)(zuo)者(zhe)(zhe)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)作(zuo)(zuo)法(fa)。藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)會(hui)完全(quan)吸附在(zai)(zai)沾濕(shi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)刷(shua)(shua)(shua)(shua)(shua)(shua)上(shang)(shang)(shang)(shang)(shang),所以(yi)(yi)(yi)不(bu)(bu)(bu)(bu)(bu)(bu)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)擔心(xin)(xin)會(hui)殘(can)留水(shui)份(fen)(fen)在(zai)(zai)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)盒(he)里(li)。牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)刷(shua)(shua)(shua)(shua)(shua)(shua)大(da)(da)(da)約(yue)沾兩次(ci)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen),劑量(liang)就足夠了(le)。刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)時(shi)如(ru)(ru)(ru)(ru)果(guo)口(kou)(kou)(kou)(kou)水(shui)太(tai)多(duo)(duo)(duo)(duo)(duo),可(ke)(ke)(ke)以(yi)(yi)(yi)吐掉(diao)(diao)一(yi)(yi)些藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)汁,但是(shi)(shi)吐掉(diao)(diao)后(hou)(hou)(hou)(hou)必(bi)(bi)須再(zai)(zai)(zai)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)刷(shua)(shua)(shua)(shua)(shua)(shua)沾取(qu)(qu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)補(bu)充,這(zhe)樣才(cai)能(neng)(neng)(neng)(neng)(neng)保(bao)持(chi)(chi)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)濃(nong)度(du)(du)(du)。刷(shua)(shua)(shua)(shua)(shua)(shua)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)完畢后(hou)(hou)(hou)(hou)不(bu)(bu)(bu)(bu)(bu)(bu)要(yao)馬(ma)上(shang)(shang)(shang)(shang)(shang)漱口(kou)(kou)(kou)(kou),要(yao)讓殘(can)留的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)繼續(xu)含(han)在(zai)(zai)嘴里(li)1分(fen)鐘,以(yi)(yi)(yi)保(bao)證(zheng)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)粉(fen)(fen)(fen)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)時(shi)間(jian)。石膏(gao)(gao)甘(gan),辛(xin)(xin),大(da)(da)(da)寒(han)(han)。生(sheng)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)清(qing)熱(re)(re)瀉(xie)火,除(chu)煩止(zhi)渴(ke)。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)外感(gan)熱(re)(re)病(bing)(bing)(bing)(bing),高熱(re)(re)煩渴(ke),肺熱(re)(re)喘(chuan)咳,胃(wei)(wei)火亢盛,頭(tou)(tou)痛(tong)(tong)(tong)(tong)(tong)(tong),牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)痛(tong)(tong)(tong)(tong)(tong)(tong)。 補(bu)骨(gu)(gu)脂辛(xin)(xin),苦(ku),溫(wen)(wen)(wen)。溫(wen)(wen)(wen)腎(shen)(shen)(shen)助(zhu)陽(yang),納氣,止(zhi)瀉(xie)。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)陽(yang)痿遺(yi)精(jing),遺(yi)尿尿頻(pin),腰(yao)膝(xi)冷痛(tong)(tong)(tong)(tong)(tong)(tong),腎(shen)(shen)(shen)虛(xu)(xu)作(zuo)(zuo)喘(chuan),五(wu)更泄瀉(xie);外用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)治(zhi)(zhi)白(bai)(bai)(bai)癜風(feng)(feng)(feng),斑(ban)禿(tu)。 花(hua)椒(jiao)(jiao) 辛(xin)(xin),溫(wen)(wen)(wen)。溫(wen)(wen)(wen)中(zhong)(zhong)(zhong)止(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong),殺(sha)蟲止(zhi)癢。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)脘腹冷痛(tong)(tong)(tong)(tong)(tong)(tong),嘔(ou)吐泄瀉(xie),蟲積腹痛(tong)(tong)(tong)(tong)(tong)(tong),蛔蟲癥(zheng);外治(zhi)(zhi)濕(shi)疹搔癢。 白(bai)(bai)(bai)芷辛(xin)(xin),溫(wen)(wen)(wen)。散風(feng)(feng)(feng)除(chu)濕(shi),通(tong)竅止(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong),消腫排膿。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)感(gan)冒(mao)頭(tou)(tou)痛(tong)(tong)(tong)(tong)(tong)(tong),眉棱骨(gu)(gu)痛(tong)(tong)(tong)(tong)(tong)(tong),鼻(bi)塞(sai),鼻(bi)淵(yuan),牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)痛(tong)(tong)(tong)(tong)(tong)(tong),白(bai)(bai)(bai)帶,瘡瘍腫痛(tong)(tong)(tong)(tong)(tong)(tong)。 防風(feng)(feng)(feng)辛(xin)(xin),甘(gan),溫(wen)(wen)(wen)。解表祛(qu)風(feng)(feng)(feng),勝濕(shi),止(zhi)痙。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)感(gan)冒(mao)頭(tou)(tou)痛(tong)(tong)(tong)(tong)(tong)(tong),風(feng)(feng)(feng)濕(shi)痹痛(tong)(tong)(tong)(tong)(tong)(tong),風(feng)(feng)(feng)疹搔癢,破傷風(feng)(feng)(feng)。 薄(bo)(bo)荷葉(xie)辛(xin)(xin),涼(liang)。宣(xuan)散風(feng)(feng)(feng)熱(re)(re),清(qing)頭(tou)(tou)目,透疹。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)風(feng)(feng)(feng)熱(re)(re)感(gan)冒(mao),風(feng)(feng)(feng)濕(shi)初起(qi),頭(tou)(tou)痛(tong)(tong)(tong)(tong)(tong)(tong),目赤,喉痹,口(kou)(kou)(kou)(kou)瘡,風(feng)(feng)(feng)疹,痲疹,胸脇脹悶(men)。 旱(han)蓮(lian)(lian)草甘(gan),酸(suan),寒(han)(han)。滋(zi)補(bu)肝腎(shen)(shen)(shen),涼(liang)血(xue)(xue)(xue)止(zhi)血(xue)(xue)(xue)。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)齒(chi)(chi)(chi)(chi)鬆(song)動(dong)(dong),鬚髮早(zao)(zao)白(bai)(bai)(bai),眩暈(yun)耳鳴,腰(yao)膝(xi)酸(suan)軟,陰虛(xu)(xu)血(xue)(xue)(xue)熱(re)(re),吐血(xue)(xue)(xue),衂血(xue)(xue)(xue),尿血(xue)(xue)(xue),血(xue)(xue)(xue)痢,崩漏下血(xue)(xue)(xue),外傷出血(xue)(xue)(xue)。 細(xi)(xi)(xi)(xi)(xi)(xi)辛(xin)(xin)辛(xin)(xin),溫(wen)(wen)(wen)。祛(qu)風(feng)(feng)(feng)散寒(han)(han),通(tong)竅止(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong),溫(wen)(wen)(wen)肺化飲(yin)。用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)於(wu)風(feng)(feng)(feng)寒(han)(han)感(gan)冒(mao),頭(tou)(tou)痛(tong)(tong)(tong)(tong)(tong)(tong),牙(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)(ya)痛(tong)(tong)(tong)(tong)(tong)(tong),鼻(bi)塞(sai)鼻(bi)淵(yuan),風(feng)(feng)(feng)濕(shi)痹痛(tong)(tong)(tong)(tong)(tong)(tong),痰飲(yin)喘(chuan)咳。文源網絡
南瓜營養豐富且全面(表1),果實內含有糖類(包括淀粉、葡萄糖、果膠、果糖、戊聚糖、甘露醇、其它膳食纖維等)、維生素、蛋白質、多種氨基酸、脂肪等成分。在3大產熱營養素中,南瓜以碳水化合物為主,脂肪含量很低,為很好的低脂食品〔2,5〕。南瓜中含有較豐富的無機鹽和微量元素,對維持肌體健康具有極其重要的作用。南瓜還含有較豐富的鉀、鈣、鎂,而鈉含量較低,微量元素硒、鐵、鋅含量較豐富。南瓜作為高鈣、高鋅、高鐵、低鈉食品,特別適合中老年人和高血壓患者食用,有利于預防骨質疏松癥和防治高血壓。霍小瓊〔5〕等人對南瓜粉的氨基酸分析表明:南瓜含有人體所需的17種氨基酸,其中賴氨酸、亮氨酸、異亮氨酸、苯丙氨酸、蘇氨酸等必需氨基酸含量較高。其胡蘿卜素含量為西瓜的8~20倍,是維生素A的優質來源。此外南瓜還含有葫蘆巴堿、南瓜籽堿、可溶性纖維及甘露醇等功效成分。南瓜所產生的熱量與小麥、玉米相當,蛋白質的含量相當于菜豆、洋菜,維生素A的含量相當于番茄,維生素C的含量高于黃瓜。
我(wo)國古代就有對南瓜(gua)食療(liao)保健(jian)作(zuo)用(yong)的記載,在《本草綱目》中(zhong),李(li)時珍將(jiang)南瓜(gua)與靈(ling)芝放在一起,說它有補(bu)中(zhong)、補(bu)肝氣(qi)、益(yi)心氣(qi)、益(yi)肺氣(qi)、益(yi)精氣(qi)的作(zuo)用(yong),凡久病氣(qi)虛、脾胃(wei)虛弱、氣(qi)短倦(juan)怠、食少腹脹(zhang)、水腫尿(niao)少者(zhe)宜用(yong)。近年來的研究亦表明,南瓜(gua)具有多種食療(liao)保健(jian)作(zuo)用(yong),尤其作(zuo)為一種防(fang)治糖尿(niao)病的特效營(ying)養保健(jian)食品倍受人們的青(qing)睞(lai)。
龍砂醫學流派代表性傳承人顧植山教授臨床善于從五運六氣「開闔樞」理論運用經方,屢獲良效。顧植山用五運六氣「開闔樞」理論闡釋了「天癸」與女性生殖周期關系,并從「開闔樞」不同時相對女性月經周期進行了闡述,提出根據經期不同時段,按少陰、厥陰、少陽、太陰、陽明,分別選用當歸四逆湯、烏梅丸、柴桂干姜湯、固沖湯、溫經湯等進行調經(本文主要討論溫經湯,其他諸方與「開闔樞」時相論治關系另文介紹)。
按照「開闔樞」理論,女性在排卵期后即進入太陰、陽明階段,太陰開、陽明闔,月經才會如期而至,否則會出現月經失常,甚至閉經,影響生育。針對月經衍期、原發性或繼發性閉經、部分不孕癥,選用《金匱要略》溫經湯調治,多收佳效。現簡要說明之。
立方本意在降陽明、調沖任
溫經湯方出自《金匱要略·婦人雜病脈證并治第二十二》:「問曰,婦人年五十所,病下利數十日不止,暮即發熱,少腹里急,腹滿,手掌煩熱,唇口干燥,何也?師曰:此病屬帶下。何以故?曾經半產,瘀血在少腹不去。何以知之?其證唇口干燥,故知之。當以溫經湯主之。」
組成:吳茱萸三兩,當歸二兩、芍藥二兩,川芎二兩,人參二兩,桂枝二兩,阿膠二兩,牡丹皮二兩(去心),生姜二兩,甘草二兩,半夏半升,麥冬一升(去心)。上十二味,以水一斗,煮取三升,分溫三服。亦主婦人少腹寒,久不受胎;兼取崩中去血,或月水來過多,及至期不來。
該方組方配伍巧妙嚴謹,被視為婦科調經的經典方劑。方中吳茱萸、桂枝溫經散寒、通利血脈為君;當歸、川芎、芍藥、丹皮養血祛瘀為臣;阿膠、麥冬養陰潤燥,人參、甘草益氣健脾,半夏、生姜降逆溫中為佐;甘草調和諸藥為使。諸藥相配,共奏溫經散寒、養血祛瘀之功。雖然經文有「亦主婦人少腹寒」可以佐證。但如僅從「溫經散寒、養血祛瘀」闡釋組方機理,對方中大量運用半夏、麥冬不易解釋,以致在臨床中出現少用甚而棄用半夏、麥冬的現象。
《素問·陰陽離合論》:「是故三陽之離合也,太陽為開,陽明為闔,少陽為樞……是故三陰之離合也,太陰為開,厥陰為闔,少陰為樞……。」人體陰陽以「開闔樞」的動態形式存在,而不是簡單的對立統一關系。陽明之闔與太陰之開是同時發生的。因為陰陽首先是運動變化的象態,三陰三陽氣化的機制是同時進行的,不能孤立來看某個過程。溫經湯治療月經衍期、閉經主要取降「陽明」、開「太陰」,調沖任,進而達到促進月經來潮、促排卵,以治療月經不調和不孕癥。
溫經湯中重用半夏、麥冬意義
前已談及對于溫經湯的運用,一般多從沖任虛寒兼有瘀血立論,取其「溫經散寒、養血祛瘀」之功。有人在臨床運用該方時,據《神農本草經》中所載半夏(「主傷寒寒熱、心下堅、胸脹咳逆、頭眩、咽喉腫痛、腸鳴、下氣、止汗」)、麥門冬(「主心腹結氣、傷中傷饑、胃脈絕、贏瘦短氣」)之功效中無「溫經散寒、養血祛淤」之義,認為與溫經湯所主病證的病機相悖、證候不合、治則無關,提出溫經湯當無半夏、麥門冬。也有學者引白云閣本《桂林古本傷寒雜病論》之溫經湯無半夏、麥門冬,故臨床運用溫經湯時棄用半夏、麥冬,殊不知方中該兩味藥是降陽明之主藥,去了半夏、麥冬的溫經湯,其療效會大打折扣。
溫經湯方中麥冬用量最大,麥冬與半夏相配降陽明也是經方的經典配伍,如麥門冬湯、竹葉石膏湯。明·繆希雍《本草經疏》言:「麥門冬在天則稟春陽生生之氣,在地則正感清和稼穡之甘。《本經》甘平,平者,沖和而淡也;《別錄》微寒,著春德矣。入足陽明,兼入手少陰、太陰,實陽明之正藥……下氣則陽交于陰,交則虛勞愈而內熱不生,內熱去則 *** 日盛,故有子。」
從條文看陽明不降、沖任為病
「暮即發熱」是陽明不降的一個臨床表現。「少腹里急、腹滿」之「急」與「滿」亦當為「開闔樞」氣化升降失調所致。《素問·骨空論》說:「沖脈為病,逆氣里急。」「少腹里急」當需考慮沖脈為病。「唇口干燥」亦提示沖脈為病。《靈樞·五音五味》:「沖脈任脈,皆起于胞中,上循背里,為經絡之海。其浮而外者,循腹右,上行會于咽喉,別而絡唇口。」沖脈「絡唇口」,沖脈郁滯、津血失養而出現「唇口干燥」。
從奇經八脈論陽明與沖任關系
沖脈在循行中并于足少陰,隸屬于陽明,又通于厥陰,及于太陽。陽明經與沖脈在氣街匯合,沖、任二脈與胃氣相通,半夏辛溫行散,入陽明胃經,通降胃氣而散結,所以降沖脈,亦即半夏通降陽明胃氣有助于通調沖任,沖任通則可助祛瘀調經。沖為血海,任主胞胎,二脈同起于胞中,主調節月經,與月經關系密切。
清代名醫陳修園用麥門冬湯治療倒經,亦得之于張仲景溫經湯配伍半夏降陽明之氣以降沖脈的用藥啟示和經驗。黃元御《長沙藥解》謂「半夏降陽明之氣以降沖脈。」陳元犀在其父陳修園《金匱方歌括》「溫經湯」條按曰:「……吳茱萸,肝藥亦胃藥也;半夏,胃藥亦沖藥也……胃屬陽明,厥陰沖脈麗(系)之也……以陽明為主,用吳茱萸驅陽明中土之寒,即以麥門冬滋陽明中土之燥,一寒一熱,不使偶偏,所以謂之溫也……其余皆相輔而成溫之之用,絕無逐瘀之品。故過期不來者能通之,月來過多者能止之,少腹寒而不受胎者并能治之,統治帶下三十六病,其神妙不可言矣。」
臨床實踐發現手心熱者效佳
從臨床觀察,凡手心發熱者或手心汗多者服用本方療效佳,究其原因,與陽明、厥陰有關。陽明不降,陽不藏陰,可見手足發熱。此外,戴思恭《推求師意·卷之上·雜病門》手心熱條說:「手心者……故心所生病,掌中熱痛。心主手厥陰包絡脈入掌中,是動則病手心熱,所生病者,煩心,掌中熱。是知手心熱者,皆二經之火,為病百端,豈一癥一方可言哉?原其方旨,必是當時為憂慮過節,津液不布,停聚成痰,溫郁伏心,火不得發越,故用此方,因集于此。……如心包脈所生病諸癥中均可有掌中熱。」《不居集·手掌中熱》:「掌中勞宮穴也,手厥陰心包所生,是經少氣而多血,是動則病掌中熱。」
從「顧氏天癸解圖」可以清晰看出,到「二七」天癸至,此時氣化在厥陰時段,厥陰氣化正常,「天癸」才能更好發揮生殖功能;若厥陰氣化失常,就會造成月經不調乃至不孕。故「天癸既行,皆從厥陰論之」。《金匱要略》溫經湯主婦人「久不受胎」,臨床治不孕癥甚效,方中君藥為吳茱萸,吳茱萸恰是厥陰經要藥。
驗案舉隅
陳某,女性,21歲。于2015年1月22日初診。
自初潮起月經周期一直無規律,需注射黃體酮方可來月經,末次月經2014年9月27日,至今未行經,平素手掌心易出汗、發熱,腳怕冷,口唇發乾,余無明顯不適,便調溲暢,夜寐安。舌淡苔薄,脈細澀。
予溫經湯降陽明、調沖任。處方:淡吳萸12克(開水淘洗9次),川桂枝10克,大川芎10克,西當歸10克(酒炒),赤芍藥12克,粉丹皮10克,淡干姜6克,法半夏15克,剖麥冬30克,潞黨參10克,炙甘草10克,陳阿膠10克(烊入)。7劑,每日一劑,水煎分服。
二診(2015年2月5日):上藥服用后,開始每日晨起護墊有少量粉紅色分泌物,量極少,手心汗出減少,唇干好轉,惟足仍怕冷,余癥同前。舌淡苔薄,脈滑小數。予當歸四逆加味。處方:酒當歸12克,川桂枝10克,炒二芍(各)10克,白木通10克,炙甘草10克,北細辛6克(先煎),大川芎10克,上綿芪25克,炙遠志6克,藏紅花0.3克(黃酒另燉兌入)。7劑,每日一劑,水煎分服。
服上方后,月事于2015年2月6日來潮,量色正常,足轉溫。
上(shang)(shang)文所(suo)提及的與(yu)「開闔樞(shu)」時相(xiang)匹配(pei)的5首方(fang),是(shi)顧植山(shan)在(zai)臨床實(shi)踐基礎(chu)上(shang)(shang)篩(shai)選(xuan)的常(chang)用效驗(yan)方(fang),僅供大家參(can)考,而并非該5個(ge)時相(xiang)僅有此5方(fang)。此外,因「固沖(chong)(chong)湯」為張錫(xi)純《醫學衷(zhong)中(zhong)參(can)西錄(lu)》所(suo)創用以治療脾胃虛弱、統(tong)攝(she)無權、沖(chong)(chong)脈不固,而致崩漏(lou)或(huo)月經過多之證,乃屬從太陰脾治,以「益氣健脾,固沖(chong)(chong)攝(she)血」,故太陰時段(duan)選(xuan)用此方(fang)。
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