柳某,女。3岁,1991年6月29日初诊。患儿自出生后第9个月长齿时流涎。2年多来从未间断。家人起初不以为病,疑系长齿所致,待牙齿大多长出,仍流涎不止,乃觉有疾,经中西医多方治疗,皆无效验。其涎时稀时稠,其量有增无已。诊见下颌如洗,胸衣尽湿,鼻燥涕稠,口渴喜饮,舌质红,尖边无苔,根后薄黄,脉浮数。处以:红参、枣皮、熟地、茯苓、知母、甘草各10g,泽泻、丹皮各5g,山药、黄柏各15g,黄芪、牡蛎各30g。2剂,水煎,日服3次,夜服1次,分3天服毕。二诊流涎止,略咳,要求予原方巩固疗效。遂处原方,加浙贝15g。2剂,用法同前。数日后,其母携柳某从幼儿园走出,问及其病,诸症悉除。随访至今,身体健康,流涎未再复发。 按:本例乃睥肾气阴两虚,郁热内停之流涎病。盖肾寓元阴元阳,藏精,主生长发育,主骨,齿乃骨之余。出齿时流涎,其涎时稠,2年多来不能制止,可知其证与肾之精气虚弱相关。口津之中,稠厚者曰唾,属肾,清稀者曰涎,属脾。平素下颌如洗,胸衣尽湿,绝非仅是唾液外渗所能及,足见其病尚兼脾气虚弱。脾肾气虚,不能摄津,故涎唾外流。气虚日久,郁而生热,虚热内扰,阴精受损,于是口渴喜饮,鼻燥涕稠。舌质红,根后苔薄黄,脉浮数,皆为脾肾气阴两虚,郁热内停之征。根据以上辨证,笔者投参芪地黄汤健脾滋肾,益气养阻,增知母、黄柏 Liu, female. 3 years old, June 29, 1991 newly diagnosed. Children salivate at 9th month after birth with long teeth. Never stopped in more than two years. At first, the family members did not think that they were sick and their suspicions were long-toothed. When most of their teeth grew, they still drool more than their stomachs. After being treated with multiple Chinese and Western medicines, they all failed to make any valid tests. When its salivate is thick and thick, its quantity increases. Visits to the jaw, such as washing, corset to make wet, dry nose and throat, thirst Hi drink, red tongue, no edge sharp moss, thin yellow roots, pulse floating. Place: red ginseng, jujube, Rehmannia, Poria, Anemarrhena, licorice each 10g, Alisma, paeonol 5g, yam, cork 15g, Astragalus, oysters each 30g. 2, decoction, served three times a day, night service 1, sub-3 days service completed. Second diagnosis of salivation, slightly cough, asked to consolidate the original effect. Then the original place, plus Zhejiang 15g. 2 agents, the same usage. A few days later, his mother Liu Moumou out of kindergarten, asked about the disease, Zhu Zheng noted. Follow-up so far, good health, no recurrence of salivation. Press: This case is 睥 kidney qi and yin deficiency, Yu-stop intra-salivary disease. Cover the kidney Yuanyang yin yang, possession of fine, the main growth and development, the main bone, teeth are bones apart. Saliva out of teeth, the saliva thick, more than two years can not stop, we can see its card and the essence of weakness of the kidney related. Among the mouth and mouth, the thick person said saliva, is a kidney, a clear person said saliva, is spleen. As usual, such as washing the jaw, corset wet, by no means only saliva extravasation, which shows that the disease is still weak and temper. Spleen and kidney Qi, can not take Tianjin, so saliva saliva outflow. Deficiency of time, Yu and heat, heat and internal disturbance, Yin essence impaired, so thirsty drink, dry nose and throat. Red tongue, thin yellow after the roots, pulse floating, all of the spleen and kidney qi and yin, Yu-stop within the sign. According to the above dialectic, the author stilbene Dihuang Tang Jianpi spleen and kidney, nourishing the gas resistance, by Anemarrhena, Cork