第56章 中医药调理口甘2（第1页）
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口甘2
[病案]顿某，男性，年龄五十五岁。于公元一千九百七十六年二月十六日初次就诊。该患者在大约五个月前，进食时感到口中有甜味，但他起初并未将其视为疾病症状，甚至还常常抱怨家属做菜时没有放盐或放的盐分过少。然而，当他某次品尝了一块盐巴后，却发现它的味道竟然如同冰糖般甜美；还有一次，他吃饺子时感觉就像是在吃甜汤圆一样。这时，他才意识到自己可能患上了某种疾病。此后，他四处寻求医疗帮助，但始终未能得到明确的诊断结果。尽管尝试过各种中药和西药治疗方法，却都未见明显疗效。由于病情持续且无法确诊，患者的精神压力逐渐增大，内心充满焦虑和恐惧，情绪低落。这种不良情绪直接影响到了他的食欲，使其进食量明显减少。随着时间的推移，身体得不到足够的营养支持，日渐消瘦，肌肉松弛，皮肤变得干燥，缺乏弹性，面色苍白或萎黄，口唇显得干燥无华。此外，他还出现了心烦、失眠、疲倦乏力等症状，对食物产生畏惧心理，时常感到胸闷不适。观察其舌象，可发现舌质偏红，舌苔薄而稍微干燥，脉象则呈现出细数无力的特征。这些表现反映了体内阴液亏损，虚热内生的状况。
[治则]扶正养阴，清燥和中。
[方药]党参24克，麦冬15克，五味子10克，生地15克，生石膏15克，茯苓15克，白芍15克，石斛10克，陈皮10克，甘草10克。服3剂，即能辨五味，病好过半，再服3剂，味觉恢复正常，诸症皆愈。随访多年未见复发。
[评析]口甘一症即是“脾瘅”，属九瘴之一。《素问·奇病论》曰：“有病口甘者……此五气之溢也，名曰脾瘅。”脾瘅这种疾病，大多数情况下是由于脾脏过热而引发的。脾脏过热会导致体内的火气上升，进而影响到身体的正常功能。因此，针对脾瘅的治疗方法应以养阴清燥为主导思想。通过滋养阴气、清除燥热，可以有效地降低脾脏的热度，恢复其正常的生理功能。同时，还要兼顾扶正和中的功效。所谓扶正，就是增强人体的正气，提高身体的抵抗力；和中则是调和脾胃，促进消化系统的正常运转。这样可以从根本上改善脾瘅患者的病情，提高生活质量。我们可以使用白芍、生地、石斛这三味药材来养血育阴，它们都属于滋阴养血的中药材，可以帮助人体补充营养，增强体质，改善面色苍白、头晕乏力等症状；而生石膏则具有寒凉助阴清燥的作用，它是一种清热降火的中药材，对于体内有燥热、口干舌燥、便秘等症状的人群有很好的缓解作用；白术和茯苓都是常见的中药材，它们具有健脾祛湿的功效，对于脾胃虚弱、食欲不振、腹胀腹泻等症状有很好的改善作用；陈皮和甘草则有理气和中的功能，它们可以帮助人体消化，缓解消化不良、胃胀胃痛等症状。这样的组合配方，各味药材相互配合，能够发挥出奇妙的功效，对身体有益。
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