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验齿是温病诊断的独特方法之一。叶天士在《外感温热篇》中说:“齿为肾之余,龈为胃之络,热邪不燥胃津,必耗肾液”,指出了齿、龈与肾和胃有着内在的联系。还指出:“初病齿缝流清血,痛者,胃火冲激也,不痛者,龙火内燔也”。阐明了温病齿衄的机理。笔者本着此旨,在临床上治疗齿衄一证,感受颇深,收效甚好。例1:王某,男,32岁,1982年7月10日就诊。因过食辛香燥热之品,齿缝出血,牙龈肿痛已2天,疼痛时含漱冷水,颇感舒服,并有口干,口臭,大便秘结等症。舌质红,苔黄,脉洪数。诊为阳明热炽,热从火化,循径上扰。治以清胃泻火,方选清胃散加减:黄连、牡丹皮、知母、大黄各10克,
Teeth examination is one of the unique methods for the diagnosis of febrile diseases. Ye Tianshi said in “External Warmth”: “Besides the kidney, the tooth is the stomach of the stomach, and the hot evil is not dry and the stomach fluid will consume kidney fluid.” It is pointed out that the teeth and pimple are intrinsically linked to the kidney and stomach. . It also pointed out: “The teeth of the first disease flow to clear the blood, pain, stomach fire impulses, no pain, and the dragon fire is also internal.” Elucidated the mechanism of mild diseased gums. Based on this purpose, the author has a deep experience in the treatment of gingiva in the clinic and has achieved very good results. Example 1: Wang, male, 32 years old, presented on July 10, 1982. As a result of eating spicy hot and dry products, tooth bleeding, swelling of the gums for 2 days, when the pain is cold water, feel comfortable, and dry mouth, bad breath, constipation embolism. Red tongue, yellow coating, pulse count. Diagnosed as Yangming hot-fiery, hot from the cremation, follow-up disturbance. The rule is to clear stomach and purify fire, and the party chooses Qingwei San to add or subtract: 10 grams each of Chinese berberine, moutan, anemarrhena, rhubarb,