{"resource_id":15155,"title":"爱月庐医案","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"愛月廬醫案","sections":[{"id":"chapter-1-section-1","title":"愛月廬醫案","paragraphs":["佚名"]},{"id":"chapter-1-section-2","title":"【提要】","paragraphs":["《愛月廬醫案》記載喉風、喉蛾、頸癰、骨槽風等臨床病症醫案圓遠則，載方源緣首。","每則醫案除了辨證施治外，著重於病因病機論述詳細，條理清晰。如喉風的病因病機分析：“質本陰虛，涵濡少。上承之用感由秋燥，清肅失下降之權。邪實正虛，恐愈傷而愈損。”指出骨槽風“良由元本不足，腎水素虧，外束風邪，襲入陽明胃絡，乘虛而邪伏於骨醞釀而成”。","書中諸多病例以脈測症，掌握疾病轉機，治療得心應手。如對偏腦疽經過二診治療後症狀分析：“膿水雖多，而瘡頭塌陷，紅腫蔓延，脈息右部少神，左關弦數，究系近增鬱怒，肝火妄動，挾毒肆橫之故。”以脈測症，及時把握疾病治療的關鍵。","對每個病症描寫既全面又詳盡，栩栩如生。如描寫附骨疽：“據述病情自去年七月間，左股先覺隱痛，不紅不熱，皮色如常，延至冬底，潰膿水清，而且多靜思，其故顯系寒溼深伏筋骨致成附骨疽之候。穿潰以來，屈指已經半載，仍然膿水連綿，瘡口細小，形羸肉削，飲食少思。按得脈息細數少神，舌淡白。夫細為氣虛，數為血虛，舌苔白。中氣已憊矣。症情一派虛象，非補不宜。拙擬調養氣血兼救胃陽一法。”又如病症上搭手中說“脈和緩而且勻，痰火亦似乎下降”是疾病向愈趨勢。","醫案中的治則治法靈活多變。如以通為用，養胃潤腸；陽利溼兼謂調氣血一法：陰陽並補，扶正卻邪；甘涼清解，洩熱保陰，佐以頂託透邪。他如辛涼清解佐以消痰法、調和肝胃參入養營解毒法、和陽利溼兼調氣血法、清營解毒兼通地道法、扶正卻邪標本兼顧法、陰陽並補參入熄肝養胃法、陰陽兩顧兼參清營養胃法等，每則醫案理、法、方、藥融會貫通，文字簡練，引經據典，論理詳明，俗易懂、切於實用，對臨床研究有一定價值。","本書“玄”、“弦”皆缺筆，“玄胡”寫作“元胡”，“玄參”寫作“元參”，均避清聖祖玄燁諱，據此可知系清代人所抄。"]},{"id":"chapter-1-section-3","title":"目錄","paragraphs":[]},{"id":"chapter-1-section-4","title":"喉風","paragraphs":[]},{"id":"chapter-1-section-5","title":"喉蛾","paragraphs":[]},{"id":"chapter-1-section-6","title":"頸癰","paragraphs":[]},{"id":"chapter-1-section-7","title":"骨槽風","paragraphs":[]},{"id":"chapter-1-section-8","title":"鵝掌風","paragraphs":["癧核","外吹"]},{"id":"chapter-1-section-9","title":"腎俞虛痰","paragraphs":["發背員","湯火傷","爛皮疔","偏腦疽","附骨疽","下搭手","上搭手","環跳疽","缺盆疽"]},{"id":"chapter-1-section-10","title":"肛癰","paragraphs":[]},{"id":"chapter-1-section-11","title":"肺癰","paragraphs":["流注","痔血"]},{"id":"chapter-1-section-12","title":"漏蹄風","paragraphs":[]},{"id":"chapter-1-section-13","title":"脹痛","paragraphs":["伏暑源"]},{"id":"chapter-1-section-14","title":"暑溼傷寒","paragraphs":["下痢赤白","遺精","吐血"]},{"id":"chapter-1-section-15","title":"喉風","paragraphs":["（案）質本陰虛，涵濡少上承之用；感由秋燥，清肅失下降之權。邪實正虛，恐愈傷而愈損；陰虛陽旺，必化火而化痰。風趁火勢而益張，痰因火蒸而上擾，蘊結肺胃之經，釀成喉風之候。身倏! 寒而倏熱，火勢鴟張；咽忽阻而忽疼，毒邪蜂起。上壅呼吸之門，竊恐餉糧不濟；內阻飲食之路，還虞庚癸頻呼。痰嘶氣逆，天氣之開洩失司；溲澀便難，地道之通調失職。火炎則土燥\"，口隨飲而隨幹；火盛則水虧，齒或焦而或垢。猶是燎原之火，撲滅難圖；幾同久旱之苗，枯憔安保？脈弦數而未得沖和，相火有升騰之象；舌光絳而又兼燥刺，陰津有立涸之虞。邪乘虛而內陷，無殊社鼠城狐；正幾敗而難持，豈等杯蛇市虎。於此存一!","線之危，而要出萬全之計，不啻鰲載之重；抑同弋獲! 之期，將投以辛溫乎？乃是抱薪救火；抑濟以輕清乎？亦同杯水車薪。竟委窮源，隨症施治，必得瀉離位之丙丁，救坎宮之壬癸，庶可汲西江之水以滋乾涸之魚。聊著病情於前，並附藥方於後，淺見如是，尊識若何？","香犀尖八分元參四錢鮮石斛五錢陳金汁二兩西洋參一錢五分鮮生地一兩甘草五分全瓜蔞三錢西黃一分連翹三錢川貝母三錢銀花四錢丹皮二錢川雅連八分"]},{"id":"chapter-1-section-16","title":"喉蛾","paragraphs":["（案）素來陰分不足，熱邪內蘊。近感風溫，引動伏邪，鬱蒸化火，火升而為痰，痰火上攻，逆於肺胃之脈，遂成喉蛾之症。幾經旬日，仍然咽喉紅腫，甚致湯水難下，項外微腫。夫咽喉為一身之總要，百脈之關頭，又為呼吸之門戶，飲食之道路，方寸之地，所關甚大。幸而痰來且爽，陰液未涸，猶可無虞。按脈洪數帶弦，舌苔邊紅根膩，究系邪踞肺胃為多而未至於心營。拙擬辛涼清解佐以消痰一法，冀其邪有退避三舍之勢，庶無他變之理，否則，願夫子明以教我。","犀角尖銀花薄荷天竺黃黃芩竹芯鮮生地丹皮元參牛蒡子花粉","複診前擬清火消痰之劑，諸症仍不退舍，究系邪勢鴟張，如火之始燃，難攖其勢也。況體熱不涼，有邪伏陽明之象，痰多且膩，是熱留太陰之徵。咽喉紅而且腫，熱邪兼挾毒邪；脈息數而帶弦，風火引動鬱火。經雲：火者，痰之本；痰者，火之標。痰火盤踞，圖治不易。驟寒則邪鬱而內潰，過散則火焰而腐增。先散後潰，洵屬至理。邇來大便旬不更衣，項旁腫痛上引頭額，顯系火性上炎風性善竄故也。風駕火威，火乘風勢，風火相煽，是以擾攘無休也。既承雅招，不棄鄙陋，勉爾揮汗撰方，以為蝦力行舟之助耳。","羚羊角大力子元參馬勃川貝連翹鮮石斛粉丹皮竹心花粉知母","三診喉蛾已潰，毒邪有外洩之機；腫勢漸猿消，痰火無稽留之患。惟喉旁尚有硬塊，大便堅結，脈息細數帶弦，舌質微紅尖絳，此陰液受傷也。而肺胃之熱究屬有餘未淨也，斯時養陰清熱以救津液，勢所必需；而腸胃以通為用，養胃潤腸亦不得不兼顧之。若驟進滋膩，猶恐餘燼復燃，餘焰復騰，合當與否？侯尊丈裁之。","扁金斛川貝知母秫米瓜蔞仁銀花西洋參純鉤谷芽花粉粉丹皮連翹"]},{"id":"chapter-1-section-17","title":"頸癰","paragraphs":["（案）體素陰虛血少，流行之用，時逢金旺，木失暢達之機。因感風熱，遂化火而化痰；阻痺少陽，致傷營而傷衛。逗留肌肉之間，釀成頸癰之候。症起未經一候，瘡形已腫四圍。外倏寒而倏熱，營衛之調和失職；身時疼而時痛，經絡之灌溉無權。腫見焮紅，漸顯釀膿之象；根形散蔓，未得託毒之徵。脈來細數帶弦，風火兼挾相火；舌色微黃近燥，熱邪蒸化毒邪。口渴胃呆，癸水虧而陽土嫌燥；痰稠咳逆，甲木旺而陰源金受傷。治宜辛涼清解，洩熱即所以保陰；佐以頂託透邪，攘外即所以安內。既承雅招，不棄淺陋，非敢說夢，聊以解嘲。","鮮生地五錢元參三錢丹皮二錢赤芍一錢半川連五分薄荷一錢半連翹三錢牛蒡子三錢川貝二錢桔梗五分"]},{"id":"chapter-1-section-18","title":"骨槽風","paragraphs":["（案）齒乃腎之餘，齦屬胃之脈。想骨槽風之症，邪深著骨，每多成漏之虞，良由元本不足，腎水素虧，外束風邪，襲入陽明胃絡，乘虛而邪伏於骨，醞釀而成。據述症起二月，先自內潰，後復外穿，潰後膿穢難淨，牙床骨露，甚至積成膿骨，內外腫勢未能全消，此係正不託邪，邪蘊難清之故。症源彌深，勢恐難以奏效。所幸者飲食如故，胃未受傷，中氣尚能扶持。茲擬標本兼顧，緩緩圖之。","西洋參連翹扁金斛赤白芍知母福瀉"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"愛月廬醫案","section_title":"愛月廬醫案","is_available":true},{"id":"chapter-1-section-2","chapter_title":"愛月廬醫案","section_title":"【提要】","is_available":true},{"id":"chapter-1-section-3","chapter_title":"愛月廬醫案","section_title":"目錄","is_available":true},{"id":"chapter-1-section-4","chapter_title":"愛月廬醫案","section_title":"喉風","is_available":true},{"id":"chapter-1-section-5","chapter_title":"愛月廬醫案","section_title":"喉蛾","is_available":true},{"id":"chapter-1-section-6","chapter_title":"愛月廬醫案","section_title":"頸癰","is_available":true},{"id":"chapter-1-section-7","chapter_title":"愛月廬醫案","section_title":"骨槽風","is_available":true},{"id":"chapter-1-section-8","chapter_title":"愛月廬醫案","section_title":"鵝掌風","is_available":true},{"id":"chapter-1-section-9","chapter_title":"愛月廬醫案","section_title":"腎俞虛痰","is_available":true},{"id":"chapter-1-section-10","chapter_title":"愛月廬醫案","section_title":"肛癰","is_available":true},{"id":"chapter-1-section-11","chapter_title":"愛月廬醫案","section_title":"肺癰","is_available":true},{"id":"chapter-1-section-12","chapter_title":"愛月廬醫案","section_title":"漏蹄風","is_available":true},{"id":"chapter-1-section-13","chapter_title":"愛月廬醫案","section_title":"脹痛","is_available":true},{"id":"chapter-1-section-14","chapter_title":"愛月廬醫案","section_title":"暑溼傷寒","is_available":true},{"id":"chapter-1-section-15","chapter_title":"愛月廬醫案","section_title":"喉風","is_available":true},{"id":"chapter-1-section-16","chapter_title":"愛月廬醫案","section_title":"喉蛾","is_available":true},{"id":"chapter-1-section-17","chapter_title":"愛月廬醫案","section_title":"頸癰","is_available":true},{"id":"chapter-1-section-18","chapter_title":"愛月廬醫案","section_title":"骨槽風","is_available":true}],"plain_text":"# 愛月廬醫案\n## 愛月廬醫案\n佚名\n## 【提要】\n《愛月廬醫案》記載喉風、喉蛾、頸癰、骨槽風等臨床病症醫案圓遠則，載方源緣首。\n每則醫案除了辨證施治外，著重於病因病機論述詳細，條理清晰。如喉風的病因病機分析：“質本陰虛，涵濡少。上承之用感由秋燥，清肅失下降之權。邪實正虛，恐愈傷而愈損。”指出骨槽風“良由元本不足，腎水素虧，外束風邪，襲入陽明胃絡，乘虛而邪伏於骨醞釀而成”。\n書中諸多病例以脈測症，掌握疾病轉機，治療得心應手。如對偏腦疽經過二診治療後症狀分析：“膿水雖多，而瘡頭塌陷，紅腫蔓延，脈息右部少神，左關弦數，究系近增鬱怒，肝火妄動，挾毒肆橫之故。”以脈測症，及時把握疾病治療的關鍵。\n對每個病症描寫既全面又詳盡，栩栩如生。如描寫附骨疽：“據述病情自去年七月間，左股先覺隱痛，不紅不熱，皮色如常，延至冬底，潰膿水清，而且多靜思，其故顯系寒溼深伏筋骨致成附骨疽之候。穿潰以來，屈指已經半載，仍然膿水連綿，瘡口細小，形羸肉削，飲食少思。按得脈息細數少神，舌淡白。夫細為氣虛，數為血虛，舌苔白。中氣已憊矣。症情一派虛象，非補不宜。拙擬調養氣血兼救胃陽一法。”又如病症上搭手中說“脈和緩而且勻，痰火亦似乎下降”是疾病向愈趨勢。\n醫案中的治則治法靈活多變。如以通為用，養胃潤腸；陽利溼兼謂調氣血一法：陰陽並補，扶正卻邪；甘涼清解，洩熱保陰，佐以頂託透邪。他如辛涼清解佐以消痰法、調和肝胃參入養營解毒法、和陽利溼兼調氣血法、清營解毒兼通地道法、扶正卻邪標本兼顧法、陰陽並補參入熄肝養胃法、陰陽兩顧兼參清營養胃法等，每則醫案理、法、方、藥融會貫通，文字簡練，引經據典，論理詳明，俗易懂、切於實用，對臨床研究有一定價值。\n本書“玄”、“弦”皆缺筆，“玄胡”寫作“元胡”，“玄參”寫作“元參”，均避清聖祖玄燁諱，據此可知系清代人所抄。\n## 目錄\n## 喉風\n## 喉蛾\n## 頸癰\n## 骨槽風\n## 鵝掌風\n癧核\n外吹\n## 腎俞虛痰\n發背員\n湯火傷\n爛皮疔\n偏腦疽\n附骨疽\n下搭手\n上搭手\n環跳疽\n缺盆疽\n## 肛癰\n## 肺癰\n流注\n痔血\n## 漏蹄風\n## 脹痛\n伏暑源\n## 暑溼傷寒\n下痢赤白\n遺精\n吐血\n## 喉風\n（案）質本陰虛，涵濡少上承之用；感由秋燥，清肅失下降之權。邪實正虛，恐愈傷而愈損；陰虛陽旺，必化火而化痰。風趁火勢而益張，痰因火蒸而上擾，蘊結肺胃之經，釀成喉風之候。身倏! 寒而倏熱，火勢鴟張；咽忽阻而忽疼，毒邪蜂起。上壅呼吸之門，竊恐餉糧不濟；內阻飲食之路，還虞庚癸頻呼。痰嘶氣逆，天氣之開洩失司；溲澀便難，地道之通調失職。火炎則土燥\"，口隨飲而隨幹；火盛則水虧，齒或焦而或垢。猶是燎原之火，撲滅難圖；幾同久旱之苗，枯憔安保？脈弦數而未得沖和，相火有升騰之象；舌光絳而又兼燥刺，陰津有立涸之虞。邪乘虛而內陷，無殊社鼠城狐；正幾敗而難持，豈等杯蛇市虎。於此存一!\n線之危，而要出萬全之計，不啻鰲載之重；抑同弋獲! 之期，將投以辛溫乎？乃是抱薪救火；抑濟以輕清乎？亦同杯水車薪。竟委窮源，隨症施治，必得瀉離位之丙丁，救坎宮之壬癸，庶可汲西江之水以滋乾涸之魚。聊著病情於前，並附藥方於後，淺見如是，尊識若何？\n香犀尖八分元參四錢鮮石斛五錢陳金汁二兩西洋參一錢五分鮮生地一兩甘草五分全瓜蔞三錢西黃一分連翹三錢川貝母三錢銀花四錢丹皮二錢川雅連八分\n## 喉蛾\n（案）素來陰分不足，熱邪內蘊。近感風溫，引動伏邪，鬱蒸化火，火升而為痰，痰火上攻，逆於肺胃之脈，遂成喉蛾之症。幾經旬日，仍然咽喉紅腫，甚致湯水難下，項外微腫。夫咽喉為一身之總要，百脈之關頭，又為呼吸之門戶，飲食之道路，方寸之地，所關甚大。幸而痰來且爽，陰液未涸，猶可無虞。按脈洪數帶弦，舌苔邊紅根膩，究系邪踞肺胃為多而未至於心營。拙擬辛涼清解佐以消痰一法，冀其邪有退避三舍之勢，庶無他變之理，否則，願夫子明以教我。\n犀角尖銀花薄荷天竺黃黃芩竹芯鮮生地丹皮元參牛蒡子花粉\n複診前擬清火消痰之劑，諸症仍不退舍，究系邪勢鴟張，如火之始燃，難攖其勢也。況體熱不涼，有邪伏陽明之象，痰多且膩，是熱留太陰之徵。咽喉紅而且腫，熱邪兼挾毒邪；脈息數而帶弦，風火引動鬱火。經雲：火者，痰之本；痰者，火之標。痰火盤踞，圖治不易。驟寒則邪鬱而內潰，過散則火焰而腐增。先散後潰，洵屬至理。邇來大便旬不更衣，項旁腫痛上引頭額，顯系火性上炎風性善竄故也。風駕火威，火乘風勢，風火相煽，是以擾攘無休也。既承雅招，不棄鄙陋，勉爾揮汗撰方，以為蝦力行舟之助耳。\n羚羊角大力子元參馬勃川貝連翹鮮石斛粉丹皮竹心花粉知母\n三診喉蛾已潰，毒邪有外洩之機；腫勢漸猿消，痰火無稽留之患。惟喉旁尚有硬塊，大便堅結，脈息細數帶弦，舌質微紅尖絳，此陰液受傷也。而肺胃之熱究屬有餘未淨也，斯時養陰清熱以救津液，勢所必需；而腸胃以通為用，養胃潤腸亦不得不兼顧之。若驟進滋膩，猶恐餘燼復燃，餘焰復騰，合當與否？侯尊丈裁之。\n扁金斛川貝知母秫米瓜蔞仁銀花西洋參純鉤谷芽花粉粉丹皮連翹\n## 頸癰\n（案）體素陰虛血少，流行之用，時逢金旺，木失暢達之機。因感風熱，遂化火而化痰；阻痺少陽，致傷營而傷衛。逗留肌肉之間，釀成頸癰之候。症起未經一候，瘡形已腫四圍。外倏寒而倏熱，營衛之調和失職；身時疼而時痛，經絡之灌溉無權。腫見焮紅，漸顯釀膿之象；根形散蔓，未得託毒之徵。脈來細數帶弦，風火兼挾相火；舌色微黃近燥，熱邪蒸化毒邪。口渴胃呆，癸水虧而陽土嫌燥；痰稠咳逆，甲木旺而陰源金受傷。治宜辛涼清解，洩熱即所以保陰；佐以頂託透邪，攘外即所以安內。既承雅招，不棄淺陋，非敢說夢，聊以解嘲。\n鮮生地五錢元參三錢丹皮二錢赤芍一錢半川連五分薄荷一錢半連翹三錢牛蒡子三錢川貝二錢桔梗五分\n## 骨槽風\n（案）齒乃腎之餘，齦屬胃之脈。想骨槽風之症，邪深著骨，每多成漏之虞，良由元本不足，腎水素虧，外束風邪，襲入陽明胃絡，乘虛而邪伏於骨，醞釀而成。據述症起二月，先自內潰，後復外穿，潰後膿穢難淨，牙床骨露，甚至積成膿骨，內外腫勢未能全消，此係正不託邪，邪蘊難清之故。症源彌深，勢恐難以奏效。所幸者飲食如故，胃未受傷，中氣尚能扶持。茲擬標本兼顧，緩緩圖之。\n西洋參連翹扁金斛赤白芍知母福瀉","is_preview":true,"preview_page_limit":10}