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                  疝气论

                  更新时间::2019-08-09 18:14:01

                  疝气之甚者,睾丸连小腹急痛也。有痛在睾♀丸者,有痛在五枢◢穴边者,皆足↑厥阴之经也。或有形,或无形;或有声, 或无声。有形如瓜,有声如蛙。自《素问》以下,历代名医,皆以为寒。盖寒主收№引,经络得寒,故引不行,所以作痛, 理固然也。有得寒而无疝者,又必有说以通之可也。予尝屡因门◆户雪上有霜,没膝之水,踢冰徒涉,不曾病此,以予素 无⌒ 热在内也。因而思之,此∮证始于湿热在经,郁而至久,又得寒气外束,湿热之邪◥不得疏散,所以作痛。若只▂作寒论, 恐为未备。或曰∶厥阴一经,其道远,其位卑,郁积湿热,何由而致?予曰∶大劳则火起于筋,醉饱则火起于胃,房劳 则火起于肾,大怒则火起于肝。本经火积之久,母能生子,虚,湿气便盛。厥阴属木,系于肝,为将军之官,其性急速, 火性且又暴,为寒所束,宜其痛之大暴▃也。愚见有用乌头、栀子等分作汤,用之其效亦敏。后因此方随证与形加减用之, 无有不应。然湿热又须分多少而始治,但湿者肿①多病是也。又有挟虚而发者,当以参、术为用,而以疏导药佐之,诊 其脉有甚沉紧而大豁无力者是也。其痛亦轻,惟觉重坠牵引耳!


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