牙床浮肿号悬 。外症能疗内症危。烂及咽间妨饮食。蓬莱妙药亦难施。
凡牙匡下浮肿为外悬 。起生牙根内为里悬 。红肿如蜒蝣样。渐次而长。先用角药调噙。吹冰硼散。服紫地
汤。初起可用破皮针。日久不宜针。(刺红肿处 出血效 若白烂者不可用针)凡外悬 属善症。易治。生于内属
恶症。却难治。稍医差迟。即能伤人。若白烂延至咽喉。及落尽面颊肉者。不治。
(即呛食风)
呛食还将夺食名。舌根喉 陡然成。休惊是疾无方法。善使针刀泡立平。
此症或因饮食火物。触动肺胃积热。致陡起斯症。或在喉头上 。及舌根左右生一血泡。或数小泡。即变大胀
满不能吞咽气息不能出入急以竹针挑破。咯出紫血即吹赤麟散。或回生丹。其泡若起喉内。不能用针刀挑破。只须
气针。针百会前顶后顶三穴。内泡自平。
鱼口生来一片浮。心家有热夜啁啾上冲痰气医当急。莫待深沉始怨尤。
凡上唇生小疮或一二枚者。初起红肿渐至下唇。亦肿及面颊俱浮。若初起红赤发热作痒。痒后起小黄泡切勿用
破皮针。如生在上唇中间者难治。若上唇赤肿直长出者。名龙唇发可针两鼻角。又一症上唇生小白红疮干燥。常欲
以舌舐唇上。亦不可针。又一症唇上直痛入骨连颊俱痛不可忍可针鼻角。又一症不浮肿只口眼 斜转过一边。名转
风此症宜针合谷颊车二穴。以上诸症。先以角药调敷。吹吕雪丹服紫地汤。加犀角。大凡唇皮生疮。初起者。不
可以针妄挑破。若误针之。身必潮热。满身骨节疼痛不治。如用针刀必须根据法律。切勿妄任己意施为。至要至要。
【悬风】
牙床(牙龈)浮肿称为“悬风”。外部症状尚可治疗,内部症状则十分危险。若腐烂波及咽喉导致饮食困难,即使是蓬莱仙药也难以施展疗效。
凡是牙根下方出现浮肿的称为“外悬风”。从牙根内部生长出来的称为“内悬风”。其形态红肿像蚕蛹一样,逐渐延长长大。初期先用角药调匀含在口中,吹敷冰硼散,服用紫地汤。初起时可用破皮针针刺,但日久后不宜针刺。(刺红肿处出血有效,若是白色溃烂者不可用针)。凡外悬风属于善症(预后较好),容易治疗;生于内部的属于恶症(预后较差),却难治疗。如果医生稍有迟缓,就会危及生命。若白色溃烂蔓延至咽喉,以及面颊肌肉脱落殆尽的,无法治愈。
【夺食风】
即呛食风,也叫夺食风。舌根和喉部突然形成病变。不要惊慌认为此病无药可治,善于使用针刀即可立刻平复。
此症多因食用辛辣火物,触动肺胃积热,导致突然发生此症。或在喉头部位,及舌根左右生出一个血泡,或数个小小血泡,随即变大胀满,不能吞咽,气息不能出入。此时急需用竹针挑破,咯出紫血后立即吹敷赤麟散,或回生丹。如果水泡生在喉内深处,不能用针刀挑破,只需使用气针,针刺百会、前顶、后顶三个穴位,内部的水泡自然平复。
【鱼口风】
鱼口风发作时,嘴唇呈现一片浮肿状。心经有热,夜间呻吟叫唤,痰气上冲,医生应当紧急救治,不要等到病情深沉才开始抱怨后悔。
凡是上唇生出小疮,有一两个的,初起时红肿,逐渐蔓延到下唇,也出现浮肿,甚至面颊全部浮肿。如果初起时红赤发热作痒,痒过后起小黄泡,千万不要用破皮针。如果生在上唇中间的,难以治疗。如果上唇赤肿直接长出的,名为“龙唇发”,可以针刺两鼻翼旁的迎香穴。另一种病症是上唇生出小白红疮,干燥,经常想用舌头舔嘴唇,也不可针刺。又一种病症是嘴唇剧烈疼痛入骨,牵连面颊一起痛得难以忍受,可以针刺鼻翼旁的迎香穴。又一种病症是不浮肿,只是口眼歪斜转向一边,名为“转风”,此症适宜针刺合谷、颊车两个穴位。以上各种病症,先以角药调敷,吹敷吕雪丹,服用紫地汤并加入犀角。大凡嘴唇皮肤生疮,初起时不可以随意用针挑破。如果误用针,身体必定出现潮热,满身骨节疼痛,无法治愈。如果使用针刀,必须遵循规范,切勿任意妄为。非常重要,非常重要。
[Xuan Feng (Hanging Wind)]
Swelling of the gingiva is called "Xuan Feng". External symptoms are treatable, but internal symptoms are critical. If ulceration extends to the pharynx and hinders diet, even miraculous medicines from Penglai are difficult to apply.
When swelling occurs below the dental alveolus, it is termed "External Xuan Feng". When it originates from within the tooth root, it is termed "Internal Xuan Feng". The area becomes red and swollen resembling a silkworm pupa, gradually elongating. Initially, use Jiao Yao (horn medicine) for holding in the mouth, insufflate Bingpeng San (Ice and Borax Powder), and administer Zidi Tang (Purple Earth Decoction). In the early stage, a skin-breaking needle may be used; however, if the condition has persisted for a long time, needling is contraindicated. (Puncturing the red and swollen area to release blood is effective; if white and ulcerated, needling must not be used). External Xuan Feng belongs to favorable syndromes and is easy to treat; Internal Xuan Feng belongs to unfavorable syndromes and is difficult to treat. Slight delays in medical intervention can endanger life. If white ulceration spreads to the throat and the cheek muscles are completely lost, it is incurable.
[Duo Shi Feng (Snatching Food Wind)]
Also known as Qiang Shi Feng (Choking Food Wind). It manifests suddenly at the root of the tongue and the larynx. Do not panic thinking there is no method for this disease; skillful use of needles and knives can resolve it immediately.
This syndrome often arises from consuming spicy or heating foods, stirring up accumulated heat in the Lung and Stomach, leading to the sudden onset of this condition. A blood blister, or several small blisters, may appear on the epiglottis or on either side of the tongue root, rapidly enlarging and causing fullness, inability to swallow, and difficulty in breathing. Immediately puncture with a bamboo needle, allow purple blood to expectorate, and then insufficate Chilin San (Red Scale Powder) or Huisheng Dan (Revival Pill). If the blister forms deep within the larynx where needles and knives cannot reach, use an Qi Needle (air needle) to puncture Baihui (GV20), Qian Ding (DU21), and Hou Ding (DU17); the internal blister will subside naturally.
[Yu Kou Feng (Fish Mouth Wind)]
Yu Kou Feng presents with a patch of floating swelling on the lips. Heat in the Heart causes night-time moaning and groaning, with phlegm and Qi rushing upward. Physicians must treat urgently; do not wait until the condition is profound before lamenting.
When small sores appear on the upper lip, initially one or two, they start red and swollen, gradually extending to the lower lip, which also swells, along with the cheeks. If initially red, hot, and itching, followed by small yellow blisters after itching, do not use a skin-breaking needle. If located in the center of the upper lip, it is difficult to treat. If the upper lip is red, swollen, and protruding directly, it is named "Long Chu Fa" (Dragon Lip Eruption); acupuncture may be applied to the corners of the nose (Yingxiang, LI20). Another syndrome involves small white-red sores on the upper lip that are dry, with a constant desire to lick the lips with the tongue; this must not be needled. Another syndrome involves severe pain in the lips penetrating to the bone, radiating to the cheeks with unbearable pain; acupuncture may be applied to the corners of the nose. Another syndrome involves no swelling, only deviation of the mouth and eye to one side, named "Zhuan Feng" (Turning Wind); this syndrome is suitable for needling Hegu (LI4) and Jiache (ST6). For all the above syndromes, first apply Jiao Yao topically, insufficate Lvxue Dan (Green Snow Pill), and administer Zidi Tang with added Xi Jiao (Rhinoceros Horn, now substituted with water buffalo horn). Generally, for sores on the lip skin in the early stage, do not recklessly puncture them. If mistakenly needled, the body will inevitably develop tidal fever and pain in all joints, becoming incurable. When using needles and knives, one must strictly follow regulations; never act arbitrarily. This is extremely important.