{"resource_id":14934,"title":"喉科集腋","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"喉科集腋","sections":[{"id":"chapter-1-section-1","title":"喉科集腋 沈青芝","paragraphs":[]},{"id":"chapter-1-section-2","title":"小序","paragraphs":["此卷為溧陽沈青芝先生所贈青芝具活人術與予交十年見其治疾無不應手而效喉科尤為擅長每詢其法必有所選則唯應不肯以視予日者或謂予曰僕老矣僕之喉科一法非君所欲見而未得者乎因授餘以此卷且曰僕之一生心血盡在於斯稽古以來喉症一科不乏奇方名論然皆有驗有不驗加以汗牛充楝好學之士欲窺門徑而不得一失之偏為害匪細此卷所列論方皆出自師傳或由古書及經歷而得百試百驗有益世者不少君曷公之同好俾初學人得以入門而高明者愛而指謬也時維","光緒辛已孟秋"]},{"id":"chapter-1-section-3","title":"定遠方燕昭伯融識於邗上寓圓之溫翠軒","paragraphs":[]},{"id":"chapter-1-section-4","title":"青芝自序","paragraphs":["喉證之兇險者當針則針不可亂針當吐則吐不可妄吐性命攸關死生立見苟不識其標本而治之則禍不旋踵矣餘細閱各大家喉科其兇險者不外喉痺喉風纏喉風白喉風爛喉痧陰虛喉嚨等症死而不救者年年有之而旱荒尤甚乾隆五十四年秋間曾時行白喉風症北直最多咸豐六年此症南北大行醫者多不識為何證因 經雲肺屬金其色白肺為相傳之官嬌嫩之藏無論少壯老小值以夏月不雨之天覆感陰溼之氣如枯木日久發菌故生此症所以服風燥之藥不救惟用清潤之劑得生每見有不服藥而亦得生者若誤服藥則難醫其症初起頭痛惡寒發熱喉中色白凸起身熱手心中如火一團肌膚似乎隱約痧疹紅點身熱幹亢無汗煩躁刻不能安或有頭面渾身皮膚紅赤如火嗌燥舌乾薹黑唇口焦裂喉中疼痛難忍牙關係鎖湯水難下但有汗可以得生尚須細察面色五行生剋辨明脈情寒熱虛實立方用藥然方出於古人予閱張君之用龍虎二仙湯即古人之龍膽瀉肝湯白虎湯普濟消毒飲犀角地黃湯黃連解毒湯數方化出惟除去升提辛溫風燥酸澀之品故十難之論大可為後學之法也光緒辛已年方觀察伯融曾同餘集各大家喉科三十六種其中症之虛實以及用藥並吐法針法均以備細詳明庚寅季春白喉風症時行而邗江尤甚城鄉患者不一而足竟至朝發夕死傳染者不可勝屈十八之中得其生者抑不過二三人而已餘由實應旋邗始知白喉風症時行生者竟屬寥寥予實為慘目與道光歲皖江一帶時疫爛喉痧稍異較之尤險餘自幼至壯精習岐黃數十年來無論寒暑日為之不輟恨未克得窺全豹至於喉嚨之症餘尤加講習惜乎未得精微之奧細審喉嚨延五穀出納之區人命之攸關豈可忽略而言之餘力心勵精研治亟學毫髮不容間斷數年朝思夕索力心求治活人之法不辭心勞力瘁日以專工整合喉科數十餘種分門別證絲髮無謬予不敢秘密以宣於世可謂救人之實筏云爾觀察方公以白鏹視餘購閱餘曰實非沽名於世延濟人之誠心耳鎮揚一帶患白喉風者來餘處就治者十得生其七八踵門而求購者亦屬不少餘辭不受餘曰實非漁利而設不過以公於世故不揣譾陋及將巳驗略摘數條列後併名之曰喉科集腋分為上下二卷餘願鐘鳴鼎食之家明哲之士更正付諸梨棗實而藏之抑可為裨益於世也夫歲","光緒庚寅仲冬瀨江後學沈青芝謹識於廣陵橘井山房"]},{"id":"chapter-1-section-5","title":"針法","paragraphs":["凡遇喉痺纏喉白喉痧單雙蛾風火喉之重者服藥不退心中惡逆精神困備昏迷不醒言語錯亂疼痛難忍以針於舌根底下兩邊青筋（白喉風之重症）切不可刺中間之青筋刺入以分許為度放出惡血涼水漱盡再刺少商穴系手大指甲盡處側邊離甲一分即是用力從臂順拉而下至大指尖止連拉四五十下拉至大指以針向穴上先刺內邊後刺外邊捻出惡水男先左女先右兩手皆刺如蛾子腫大亦用刺針出血惟每月初五日人神在口忌刺蛾子舌根下初六日人神在手忌刺少商穴十五日人神在遍身均不可刺"]},{"id":"chapter-1-section-6","title":"少商穴","paragraphs":[]},{"id":"chapter-1-section-7","title":"手太陰肺經在手大指內側去爪甲一分以針刺之留一撥出針","paragraphs":[]},{"id":"chapter-1-section-8","title":"商陽穴","paragraphs":["手陽明大腸經在手食指內側去爪甲角一分針一分留一撥出針"]},{"id":"chapter-1-section-9","title":"中衝穴","paragraphs":["手厥陰心包絡經在手中指端去爪甲一分中陷一分留三撥出針"]},{"id":"chapter-1-section-10","title":"關衝穴","paragraphs":["手少陽三焦經在手無名指外側去爪甲角一分針一分留三撥出針"]},{"id":"chapter-1-section-11","title":"少衝穴","paragraphs":[]},{"id":"chapter-1-section-12","title":"手太陽小腸經在手小指內側去爪甲角一分針淺出針","paragraphs":[]},{"id":"chapter-1-section-13","title":"頰車穴","paragraphs":["足陽明胃經在耳下八分曲頰端向前中陽側臥開口有空處 之針三分出針"]},{"id":"chapter-1-section-14","title":"曲池穴","paragraphs":["手陽明大腸經在肘外脯骨屈處橫紋頭中陷以手拱胸 之針五分留七撥出針"]},{"id":"chapter-1-section-15","title":"合谷穴","paragraphs":[]},{"id":"chapter-1-section-16","title":"手陽明大腸經在手大指食指岐骨間中陷針三分留六撥出針","paragraphs":[]},{"id":"chapter-1-section-17","title":"針法","paragraphs":[]},{"id":"chapter-1-section-18","title":"逐日血神所在不宜針灸","paragraphs":["一日在足大指 二日在外踝 三日在股內 四日在腰 五日在口 六日在手 七日在內踝 八日在腕 九日在尻十日在腰背 十一日在鼻柱 十二日在髮際 十三日在牙齒 十四日在胃腕 十五日在遍身 十六日在胃 十七日在氣衝 十八日在股外 十九日在足 二十日在外踝 二十一日在手小指 二十二日在踝 二十三日在肝及足 二十四日在手陽明 二十五日在足陽明 二十六日在胸 二十七日在膝 二十八日在陰 二十九日在膝脛 三十日在足跗"]},{"id":"chapter-1-section-19","title":"刺針圖式","paragraphs":[]},{"id":"chapter-1-section-20","title":"手陽明足陽明應針穴道部位　圖","paragraphs":[]},{"id":"chapter-1-section-21","title":"用藥禁忌","paragraphs":["竊古有少陰甘桔湯治咽痛又仲景少陰病下利咽痛心煩者豬膚湯少陰病二三日咽痛者可與甘草湯不差者與桔梗湯少陰病咽中傷生瘡不能語言聲不出者苦酒湯少陰病咽中痛半夏散及湯主之數方皆清利咽喉之要藥今人見有喉症不審其源即用之而無疑嗟乎此猶抱薪救火也非能愈其疾而且更加其病何以言之夫今時咽喉之症皆寒火不均或受天時不正之氣風火之毒上攻須以去風瀉火為要甘草補中而不瀉火中宮既受其補則火愈熾於病亦重桔梗能引諸藥上行藥既上行其痰火與氣亦引之而上行則喉間壅塞於病更重故小兒驚痰大人風痰痰火桔梗所以忌也本草雲升麻可代犀角引胃氣上升似乎可用不知氣一上行必挾痰火以俱上湧塞於咽喉間四肢厥冷喘急異常為害非淺若在他症猶或可用鎖喉風服之則必不救故猶當切忌之也半夏雖消痰之妙藥若咽喉症痰重者誤用之則傷生命蓋半夏能消脾胃之寒痰非能消肺中之熱痰故也生薑辛辣發散然喉症亦不以發散為主用之則以火益火亦不宜用此數味關係喉症甚重不可不明言而謹戒之至他藥中亦有禁忌者是在臨時時留意焉可也"]},{"id":"chapter-1-section-22","title":"捲上","paragraphs":[]},{"id":"chapter-1-section-23","title":"白喉風","paragraphs":["張紹修曰白喉有時疫一症其發無時其傳染甚速其病至危至險治者多束手無策予考之諸書臨症日久竊以為其治有十難焉蓋此症乃纏喉急痺緩治則死凡咽喉不利口渴舌燥頸腫目赤身痛唇紅皆上攻頭面之症邪客於心肺之間與他經無涉其有兼及他經者體氣虛弱邪氣乘虛而入皆後之傳變名曰越經時未傳及他經不察其源治以他經之藥其難一也大抵其症初起惡寒發熱頭痛背脹精神倦怠遍身骨節疼痛喉內有極痛者有微痛者初無形跡可見似傷風傷寒表症若投以麻桂羌活防風辛蘇之類致毒渙散無可挽回其難二也彼其惡寒發熱乃毒瓦斯初作於內至二三日喉內見白見後寒熱自除或"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"喉科集腋","section_title":"喉科集腋 沈青芝","is_available":true},{"id":"chapter-1-section-2","chapter_title":"喉科集腋","section_title":"小序","is_available":true},{"id":"chapter-1-section-3","chapter_title":"喉科集腋","section_title":"定遠方燕昭伯融識於邗上寓圓之溫翠軒","is_available":true},{"id":"chapter-1-section-4","chapter_title":"喉科集腋","section_title":"青芝自序","is_available":true},{"id":"chapter-1-section-5","chapter_title":"喉科集腋","section_title":"針法","is_available":true},{"id":"chapter-1-section-6","chapter_title":"喉科集腋","section_title":"少商穴","is_available":true},{"id":"chapter-1-section-7","chapter_title":"喉科集腋","section_title":"手太陰肺經在手大指內側去爪甲一分以針刺之留一撥出針","is_available":true},{"id":"chapter-1-section-8","chapter_title":"喉科集腋","section_title":"商陽穴","is_available":true},{"id":"chapter-1-section-9","chapter_title":"喉科集腋","section_title":"中衝穴","is_available":true},{"id":"chapter-1-section-10","chapter_title":"喉科集腋","section_title":"關衝穴","is_available":true},{"id":"chapter-1-section-11","chapter_title":"喉科集腋","section_title":"少衝穴","is_available":true},{"id":"chapter-1-section-12","chapter_title":"喉科集腋","section_title":"手太陽小腸經在手小指內側去爪甲角一分針淺出針","is_available":true},{"id":"chapter-1-section-13","chapter_title":"喉科集腋","section_title":"頰車穴","is_available":true},{"id":"chapter-1-section-14","chapter_title":"喉科集腋","section_title":"曲池穴","is_available":true},{"id":"chapter-1-section-15","chapter_title":"喉科集腋","section_title":"合谷穴","is_available":true},{"id":"chapter-1-section-16","chapter_title":"喉科集腋","section_title":"手陽明大腸經在手大指食指岐骨間中陷針三分留六撥出針","is_available":true},{"id":"chapter-1-section-17","chapter_title":"喉科集腋","section_title":"針法","is_available":true},{"id":"chapter-1-section-18","chapter_title":"喉科集腋","section_title":"逐日血神所在不宜針灸","is_available":true},{"id":"chapter-1-section-19","chapter_title":"喉科集腋","section_title":"刺針圖式","is_available":true},{"id":"chapter-1-section-20","chapter_title":"喉科集腋","section_title":"手陽明足陽明應針穴道部位　圖","is_available":true},{"id":"chapter-1-section-21","chapter_title":"喉科集腋","section_title":"用藥禁忌","is_available":true},{"id":"chapter-1-section-22","chapter_title":"喉科集腋","section_title":"捲上","is_available":true},{"id":"chapter-1-section-23","chapter_title":"喉科集腋","section_title":"白喉風","is_available":true}],"plain_text":"# 喉科集腋\n## 喉科集腋 沈青芝\n## 小序\n此卷為溧陽沈青芝先生所贈青芝具活人術與予交十年見其治疾無不應手而效喉科尤為擅長每詢其法必有所選則唯應不肯以視予日者或謂予曰僕老矣僕之喉科一法非君所欲見而未得者乎因授餘以此卷且曰僕之一生心血盡在於斯稽古以來喉症一科不乏奇方名論然皆有驗有不驗加以汗牛充楝好學之士欲窺門徑而不得一失之偏為害匪細此卷所列論方皆出自師傳或由古書及經歷而得百試百驗有益世者不少君曷公之同好俾初學人得以入門而高明者愛而指謬也時維\n光緒辛已孟秋\n## 定遠方燕昭伯融識於邗上寓圓之溫翠軒\n## 青芝自序\n喉證之兇險者當針則針不可亂針當吐則吐不可妄吐性命攸關死生立見苟不識其標本而治之則禍不旋踵矣餘細閱各大家喉科其兇險者不外喉痺喉風纏喉風白喉風爛喉痧陰虛喉嚨等症死而不救者年年有之而旱荒尤甚乾隆五十四年秋間曾時行白喉風症北直最多咸豐六年此症南北大行醫者多不識為何證因 經雲肺屬金其色白肺為相傳之官嬌嫩之藏無論少壯老小值以夏月不雨之天覆感陰溼之氣如枯木日久發菌故生此症所以服風燥之藥不救惟用清潤之劑得生每見有不服藥而亦得生者若誤服藥則難醫其症初起頭痛惡寒發熱喉中色白凸起身熱手心中如火一團肌膚似乎隱約痧疹紅點身熱幹亢無汗煩躁刻不能安或有頭面渾身皮膚紅赤如火嗌燥舌乾薹黑唇口焦裂喉中疼痛難忍牙關係鎖湯水難下但有汗可以得生尚須細察面色五行生剋辨明脈情寒熱虛實立方用藥然方出於古人予閱張君之用龍虎二仙湯即古人之龍膽瀉肝湯白虎湯普濟消毒飲犀角地黃湯黃連解毒湯數方化出惟除去升提辛溫風燥酸澀之品故十難之論大可為後學之法也光緒辛已年方觀察伯融曾同餘集各大家喉科三十六種其中症之虛實以及用藥並吐法針法均以備細詳明庚寅季春白喉風症時行而邗江尤甚城鄉患者不一而足竟至朝發夕死傳染者不可勝屈十八之中得其生者抑不過二三人而已餘由實應旋邗始知白喉風症時行生者竟屬寥寥予實為慘目與道光歲皖江一帶時疫爛喉痧稍異較之尤險餘自幼至壯精習岐黃數十年來無論寒暑日為之不輟恨未克得窺全豹至於喉嚨之症餘尤加講習惜乎未得精微之奧細審喉嚨延五穀出納之區人命之攸關豈可忽略而言之餘力心勵精研治亟學毫髮不容間斷數年朝思夕索力心求治活人之法不辭心勞力瘁日以專工整合喉科數十餘種分門別證絲髮無謬予不敢秘密以宣於世可謂救人之實筏云爾觀察方公以白鏹視餘購閱餘曰實非沽名於世延濟人之誠心耳鎮揚一帶患白喉風者來餘處就治者十得生其七八踵門而求購者亦屬不少餘辭不受餘曰實非漁利而設不過以公於世故不揣譾陋及將巳驗略摘數條列後併名之曰喉科集腋分為上下二卷餘願鐘鳴鼎食之家明哲之士更正付諸梨棗實而藏之抑可為裨益於世也夫歲\n光緒庚寅仲冬瀨江後學沈青芝謹識於廣陵橘井山房\n## 針法\n凡遇喉痺纏喉白喉痧單雙蛾風火喉之重者服藥不退心中惡逆精神困備昏迷不醒言語錯亂疼痛難忍以針於舌根底下兩邊青筋（白喉風之重症）切不可刺中間之青筋刺入以分許為度放出惡血涼水漱盡再刺少商穴系手大指甲盡處側邊離甲一分即是用力從臂順拉而下至大指尖止連拉四五十下拉至大指以針向穴上先刺內邊後刺外邊捻出惡水男先左女先右兩手皆刺如蛾子腫大亦用刺針出血惟每月初五日人神在口忌刺蛾子舌根下初六日人神在手忌刺少商穴十五日人神在遍身均不可刺\n## 少商穴\n## 手太陰肺經在手大指內側去爪甲一分以針刺之留一撥出針\n## 商陽穴\n手陽明大腸經在手食指內側去爪甲角一分針一分留一撥出針\n## 中衝穴\n手厥陰心包絡經在手中指端去爪甲一分中陷一分留三撥出針\n## 關衝穴\n手少陽三焦經在手無名指外側去爪甲角一分針一分留三撥出針\n## 少衝穴\n## 手太陽小腸經在手小指內側去爪甲角一分針淺出針\n## 頰車穴\n足陽明胃經在耳下八分曲頰端向前中陽側臥開口有空處 之針三分出針\n## 曲池穴\n手陽明大腸經在肘外脯骨屈處橫紋頭中陷以手拱胸 之針五分留七撥出針\n## 合谷穴\n## 手陽明大腸經在手大指食指岐骨間中陷針三分留六撥出針\n## 針法\n## 逐日血神所在不宜針灸\n一日在足大指 二日在外踝 三日在股內 四日在腰 五日在口 六日在手 七日在內踝 八日在腕 九日在尻十日在腰背 十一日在鼻柱 十二日在髮際 十三日在牙齒 十四日在胃腕 十五日在遍身 十六日在胃 十七日在氣衝 十八日在股外 十九日在足 二十日在外踝 二十一日在手小指 二十二日在踝 二十三日在肝及足 二十四日在手陽明 二十五日在足陽明 二十六日在胸 二十七日在膝 二十八日在陰 二十九日在膝脛 三十日在足跗\n## 刺針圖式\n## 手陽明足陽明應針穴道部位　圖\n## 用藥禁忌\n竊古有少陰甘桔湯治咽痛又仲景少陰病下利咽痛心煩者豬膚湯少陰病二三日咽痛者可與甘草湯不差者與桔梗湯少陰病咽中傷生瘡不能語言聲不出者苦酒湯少陰病咽中痛半夏散及湯主之數方皆清利咽喉之要藥今人見有喉症不審其源即用之而無疑嗟乎此猶抱薪救火也非能愈其疾而且更加其病何以言之夫今時咽喉之症皆寒火不均或受天時不正之氣風火之毒上攻須以去風瀉火為要甘草補中而不瀉火中宮既受其補則火愈熾於病亦重桔梗能引諸藥上行藥既上行其痰火與氣亦引之而上行則喉間壅塞於病更重故小兒驚痰大人風痰痰火桔梗所以忌也本草雲升麻可代犀角引胃氣上升似乎可用不知氣一上行必挾痰火以俱上湧塞於咽喉間四肢厥冷喘急異常為害非淺若在他症猶或可用鎖喉風服之則必不救故猶當切忌之也半夏雖消痰之妙藥若咽喉症痰重者誤用之則傷生命蓋半夏能消脾胃之寒痰非能消肺中之熱痰故也生薑辛辣發散然喉症亦不以發散為主用之則以火益火亦不宜用此數味關係喉症甚重不可不明言而謹戒之至他藥中亦有禁忌者是在臨時時留意焉可也\n## 捲上\n## 白喉風\n張紹修曰白喉有時疫一症其發無時其傳染甚速其病至危至險治者多束手無策予考之諸書臨症日久竊以為其治有十難焉蓋此症乃纏喉急痺緩治則死凡咽喉不利口渴舌燥頸腫目赤身痛唇紅皆上攻頭面之症邪客於心肺之間與他經無涉其有兼及他經者體氣虛弱邪氣乘虛而入皆後之傳變名曰越經時未傳及他經不察其源治以他經之藥其難一也大抵其症初起惡寒發熱頭痛背脹精神倦怠遍身骨節疼痛喉內有極痛者有微痛者初無形跡可見似傷風傷寒表症若投以麻桂羌活防風辛蘇之類致毒渙散無可挽回其難二也彼其惡寒發熱乃毒瓦斯初作於內至二三日喉內見白見後寒熱自除或","is_preview":true,"preview_page_limit":10}