中醫(yī)：口干口苦多為肝膽濕熱

1、中醫(yī)：口干口苦多為肝膽濕熱患者覺得口中有明顯的苦味，并伴有口干舌燥，兩脅脹痛，小便短黃等癥狀，多見于中醫(yī)辨證為肝膽濕熱。臨床上，急性肝炎、急性膽囊炎、急性尿道炎等肝膽濕熱型的患者常常覺得口苦，服用車前草、金錢草、綿茵陳等清熱利濕、疏肝泄膽的中藥，口苦的癥狀很快就獲得改善。口苦有時(shí)源于情緒天生麗質(zhì)、品學(xué)兼優(yōu)的大三學(xué)生黃小婧也有自己的難言之隱：一年四季口里很少?zèng)]有苦味，尤其在考試前或考場(chǎng)上，大腦皮層處于高度緊張狀態(tài)，那口里的苦、澀、酸的感覺更是明顯。她的口苦是三年前讀高三天天挑燈夜讀時(shí)被注意到的。她為此增加了刷牙、漱口次數(shù)，但沒有用。牙科醫(yī)生說她口腔沒病，內(nèi)科檢查證明她各個(gè)器官都是健康的。原來，姑

2、娘患的是精神性口苦。健康人口腔一般感覺是清爽舒適的，只是夜間醒來或晨起后片刻會(huì)有輕微的口苦或口里酸澀的感覺。疾病狀態(tài)下不少人會(huì)有味覺異常：清淡、干澀、酸、甜、苦、辣、麻等，其中口苦的味覺異常最多見。味覺異常不同于口臭，它是病人的主觀感覺，周圍人無(wú)法體驗(yàn)。精神性口苦或情緒性口苦常在精神緊張、氣憤、煩躁、焦慮、恐懼、忐忑不安、失眠時(shí)出現(xiàn)或加重。國(guó)內(nèi)有醫(yī)生調(diào)查分析的286位口苦病人中171位(60%)為精神性口苦，他們還伴有功能性消化不良和腸易激綜合征等功能性胃腸病等。俄羅斯醫(yī)生弗羅里根葉的資料表明，功能性疾病患者30%有味覺異常，其中54%為口苦；伏洛爾基耶醫(yī)生也描述神經(jīng)過敏的病人會(huì)有精神性口苦、

3、精神性口臭、精神性喉中異物感和精神性嘔吐等癥狀交替或同時(shí)出現(xiàn)；卡拉列伊金也觀察到神經(jīng)衰弱的病人的口苦易與負(fù)性情緒同時(shí)出現(xiàn)。精神性口苦一般并無(wú)特殊臨床意義，當(dāng)口苦成為明顯的癥狀時(shí)，常引起病人對(duì)自己健康的憂慮：是不是什么重要器官出了毛病？對(duì)嚴(yán)重的精神性口苦，重要的是對(duì)患者予以心理疏導(dǎo)，放松情緒，轉(zhuǎn)移注意力，避免應(yīng)激，反復(fù)說明單一口苦癥狀并無(wú)特殊臨床意義更是不可少的。燒心口苦可能是胃食管返流病近幾年，58歲的王阿姨添了一個(gè)老毛病，經(jīng)常在晚飯后睡覺時(shí)渾身難受，“燒心”、口苦、咽部好像卡著東西尤其是吃了饅頭、大米粥等面食、稀食之后，心里更是火燒火燎的難受，“是不是心臟出了問題？還是得了咽炎？”納悶的王阿

4、姨先后到心臟內(nèi)科、呼吸內(nèi)科進(jìn)行了檢查，結(jié)果一切正常，后來又做了胃鏡檢查，還是沒檢查出什么問題。等到她最后確診為胃食管反流癥的時(shí)候，已經(jīng)是幾經(jīng)波折。推拿手法治療口苦口苦癥一般都要改善膽的功能，如中里巴人倡導(dǎo)的敲膽經(jīng)就是治療口苦的一個(gè)非常好的方法。我們都知道，膽經(jīng)循行在我們身體的兩側(cè)。腹部為陰面，背部為陽(yáng)面，膽經(jīng)正好走在陰面和陽(yáng)面的中間部位，大家在自我按摩的時(shí)候，從上到下捋一下自己的膽經(jīng)，按摩或者敲打一下，就有助于緩解口苦的癥狀。今天教大家一個(gè)治療膽病的自我按摩和推拿比較有效的方法，就是開胸順氣或者叫開肋順氣。方法是這樣，我們用手掌貼著肋骨的緣，肋骨是斜上方走形的，一條一條往上推，特別是第6、第7

5、肋骨中間有個(gè)穴叫做期門穴，它是肝的募穴，所有的肝病，特別是一些中晚期的肝病，都會(huì)在這兒有反應(yīng)點(diǎn)，有的甚至痛不可觸，我們用緩慢輕柔的手法推。另外第7、第8肋間有一個(gè)穴位叫日月，它是膽的募穴，所以膽的一些疾病在這里也有反應(yīng)點(diǎn)，當(dāng)我們順著肋骨間隙推到腋下以后，再順著手太陰肺經(jīng)、手厥陰心包經(jīng)和手少陰心經(jīng)從指尖一直推出去，這就是開胸順氣。維生素C治療口苦的圣藥維生素的用法是每天三次，每次23片，放舌下含化，一般說來，輕度的口苦只要服藥23次就可消失。即使是重度的口苦癥，連續(xù)服藥34天也能解決問題。當(dāng)然，使用維生素C片治療口苦癥只是救急之法，治標(biāo)不治本，而口苦僅僅是多種疾病或不良生活因素所致的一種表現(xiàn)，而

6、不是單獨(dú)存在的疾病。因此為預(yù)防和根治口苦癥，最好的辦法是醫(yī)治原發(fā)疾病，戒除生活中的不良嗜好，如吸煙、酗酒，還要注意口腔衛(wèi)生等。中藥治療口苦效果真的好！黃帝內(nèi)經(jīng)指出：肝氣熱則膽泄口苦，即若出現(xiàn)口苦則意味著可能有內(nèi)在的毛病。以口苦為主的狀況有以下幾種：口中苦味甚為明顯，身體感到疲勞，口不渴，舌質(zhì)紅，舌苔黃而厚膩，脈有力或偏快?？捎茫翰窈?0克，龍膽草5克，藿香8克（后下），白蔻仁6克（后下），石菖蒲10克，雞骨草15克，茵陳10克，萆薢12克，生薏苡仁20克，甘草6克。加水煎成300毫升，日分2次溫服。（凡注明后下的藥，待其它藥將煎好時(shí)再放入，一般再煎510分鐘即可。）隨癥加減：1。除口苦明顯外又

7、感到胃脘部脹痛、噯氣、食欲不振，舌紅苔黃厚者，可于上方中去石菖蒲、茵陳、萆薢、生薏苡仁，加蒲公英15克，佛手10克，砂仁6克（后下）。2。如伴少許流涕、噴嚏或頭痛等感冒癥狀者，在上方中去萆薢、茵陳，加荊芥10克，蔓荊子6克，防風(fēng)8克。起床口苦口臭什么原因？3?？诳喽嫒砭氲?，關(guān)節(jié)肌肉酸痛，舌苔甚為黃膩而濕潤(rùn)者，上方去茵陳、石菖蒲，加羌活、獨(dú)活各6克，黃柏8克，蒼術(shù)10克。煎服法同上方。4。如口苦甚伴大便稀爛，腹部隱隱作痛，大便里急后重者，上方去茵陳、萆薢、生薏苡仁，加炒土金銀花15克，廣木香8克（后下），胡黃連6克。煎服法同上方。5。一慢性膽囊炎患者，經(jīng)治療已好轉(zhuǎn)，但近日因多吃了油膩煎炸食物

8、，又出現(xiàn)口苦，右上腹隱隱作悶痛，舌紅苔黃，脈弦（把脈時(shí)，指下有按琴弦之感者稱弦脈。-編者注）略快，尿黃，這種情況提示膽囊炎有發(fā)作之象，可急用：柴胡10克，枳殼12克，青皮8克，雞骨草30克，延胡10克，炒山梔子6克，蒲公英20克，龍膽草6克，廣木香8克（后下）。煎服法同上。如曾飲酒者，加葛花15克，枳梔子20克；曾食大量糯米或麥?zhǔn)痴?，加麥芽、谷芽?0克。感到口臭口苦不妨吃些野菜濕熱質(zhì)的特征表現(xiàn)：經(jīng)常出現(xiàn)口臭或感到口苦，容易長(zhǎng)痔瘡和粉刺，面部和鼻尖一般都是油亮亮的，性格比較急躁。養(yǎng)生推薦：荸薺芹菜汁、涼拌馬齒莧。將荸薺、藕和芹菜一起榨汁喝，有很好的清熱利濕作用。另外，將馬齒莧開水焯一下后加調(diào)味

9、料涼拌吃也很好。TraditionalChinesemedicine:drymouthfordampheatinliverandgallbladderPatientsfeelobviousbittermouth,mouthparchedandtonguescorchedwithtwo,flankpain,shortyellowurineandothersymptoms,morecommoninTCMfordampheatinliverandgallbladder.Clinically,acutehepatitis,acutecholecystitis,acuteurethritishepato

10、biliarydampheattypepatientsoftenfeelpain,takeChinesetraditionalmedicinePlantago,Desmodium,MianYinchen,clearingheatandremovingdampness,liverbileleakage,BittertastesometimesstemsfromemotionalAbornbeauty,excellentincharacterandlearningofjuniorHuangXiaojingalsohasitsownwhichitwouldbeawkwardtodisclose:al

11、ltheyearroundmouthseldomwithoutbitterness,especiallybeforetheexaminationortheexamination,thecerebralcortexinahighlynervousstate,themouthbitter,astringent,sourfeelingismoreobvious.Hermouthisthreeyearsagoreadthreeeverydaywasnoticedtoburnthemidnightoil.Sheaddsbrushing,mouthwashtimes,buttonoavail.Theden

12、tistsaidsheoralnodisease,Departmentofinternalmedicineexaminationprovedherorgansarehealthy.Originally,.Healthoralgeneralfeelingfreshandcomfortable,justwokeupinthenightorearlymorningafteraslightbittertasteinthemouthormouthSuansefeeling.Thediseasestateofalotofpeoplehaveabnormaltaste:light,dry,acid,swee

13、t,bitter,spicy,hemp,thebittertasteofabnormaluptosee.Abnormaltastedifferentfromthebadbreath,itisasubjectivefeelingofpatients,peoplecannotexperience.Mentalpainoremotionalpainoftenintension,anger,irritability,anxiety,fear,beveryupset,insomniaoraggravate.Thereare286bitterpatientdoctorsurveyin171(60%)ast

14、hespiritofbittertasteinthemouth,gastrointestinaldisease.DoctorReaganleavesRussiahaddatashows,functionaldisordersinpatientswith30%abnormaltaste,54%ofwhichisbitter;Fleurkijedoctorsdescribeneuroticismpatientswillhavethespiritofabittertasteinthemouth,breath,spiritspiritinthethroatforeignbodyandspiritofv

15、omitingalternatelyorsimultaneouslyappear;CaraLeiJinalsoobservedneurasthenicpatientpainandnegativeemotionand.Thespiritofbittertasteingeneralthereisnospecialclinicalsignificance,whenthepainbecomesobvioussymptoms,oftencausepatientstotheirownhealthconcerns:isitright?Whatimportantorgansoutoforder?Forseri

16、ousmentalpain,itisimportantforpatientstopsychologicalcounseling,relaxmood,todivertattention,toavoidstress,repeatedsinglepainsymptomshadnospecialclinicalsignificancecannotbeless.HeartburnpainmaybegastroesophagealrefluxdiseaseInrecentyears,the58yearoldAuntWanghadanoldhabit,oftengotobedafterdinnerwhent

17、hewholebodyuncomfortable,heartburn,bittertasteinthemouth,pharynxwithsomethinglikecardEspeciallyaftereatingsteamedbuns,riceporridge,pasta,diluted,heartisfeelingterriblyhotafflictive,isitright?Aheartproblem?Stillgotpharyngitis?WonderAuntWangwenttotheheart,respiratorydepartmentofInternalMedicineDepartm

18、entofinternalmedicinewereexamined,theresultsofallnormal,thendogastroscopeexamination,ordidntcheckoutwhatproblem.Whenshewasfinallydiagnosedwithgastroesophagealrefluxdisease,hasmanytwistsandturns.ManipulationinthetreatmentofpainBittertasteingeneraltoimprovebladderfunction,suchasaverygoodmethodanditisa

19、dvocatedinthetreatmentofpain.Asweallknow,bilethroughthelineonbothsidesofourbody.Abdomenisback,backtothesun,thegallbladdermeridianmiddlepositionjustwalkintheshadeandsun,everyoneintheselfmassage,fromtoptobottomstrokedmygallbladdermeridian,massageorbeat,.Todaywereselfmassageandmassagetreatmentofcholeli

20、thiasisinamoreeffective,isKaixiongSHUNQIoropenrib-.Insuchaway,weusethepalmofyourhandwitharibmargin,ribisobliquelyupwardoutofshape,apush,especiallysixth,sevenththemiddleribhasaholecalledpointLR14,itisliverfrontMupoints,alloftheliverdisease,especiallysomeadvancedliverdisease,willinthisreaction,someeve

21、npaincannottouch,weusesofttacticspushedslowly.Theotherseventh,eighthintercostalhaveapointcalledthesunandthemoon,itisthecommonfrontMupoints,sosomediseasesofbileinherealsohasreactionpoint,Whenwefollowtheribclearancetothearmpit,alongtothelunarlung,pericardiummeridianandheartmeridianfromthefingertipshas

22、beenout,thisisKaixiongshunqi.VitaminCinthetreatmentofbittermedicineVitaminusewasthreetimesaday,23eachtime,withplacedunderthetongue,generallyspeaking,mildpainaslongasthemedicationcanbe23times.Evenseverepainsyndrome,continuoustreatment34dayscanalsosolvetheproblem.Ofcourse,theuseofvitaminCtabletsintrea

23、tmentofpainsyndromeisanemergencylaw,notcure,andthepainisonlyonemanifestationcausedbyvariousdiseasesorbadlivingfactors,ratherthantheseparateexistenceofthedisease.Therefore,topreventandcuremouthdisease,thebestwayistotreattheprimarydisease,getridofthebadhabitsinlife,suchassmoking,drinking,TraditionalCh

24、inesemedicineinthetreatmentofpaineffectreallygood!HuangdiNeijingpointedout:theliverbileleakage,heatisbitterifappearbittermeansmayhaveinherentdefects.Thebitterandthesituationarethefollowing:Mouthbitterveryobvious,senseofthebody.Feeltired,nothirst,tonguered,yellowtonguefurandthick,greasy,pulsestrongor

25、toofast.Available:Bupleurum10grams,5gramsofgentian,8gramsofAgastacherugosa(later),cardamomseed6grams(afterShiChangpu),10grams,15gramsofchickenboneHerbaArtemisiae,10grams,12gramsofBixie,coixseed20grams,6gramsoflicorice.Waterdecoctionto300ml,2warmday.(whereindicated,afterthemedicine,theothermedicinewi

26、lladdfriedHERSHEYS,generalandfryfor5to10minutes.)A:Inadditiontothebitterobviouslyfeltepigastricpain,belching,lossofappetite,redtongueyellowthick,tobeonthetopofShiChangpu,YinChen,Bixie,rawcoixseed,anddandelion15grams,bergamot10grams,Amomumvillosum6grams(later).Aswitharunnynose,sneezingoraheadacheando

27、thersymptomsofacold,gototheBixie,YinChenintheabove,plusNepetajaponica10grams,Fructusviticis6grams,8gramsofwind.Getupbittertastebadbreathwhatreason?Painandfatigue,muscleaches,coatingonthetongueisveryyellowgreasymoist,above,toYinChenShiChangpu,plusnotopterygium,angelicaeach6grams,cork8grams,10gramsoft

28、heherb.WiththeaboveDecoctionmethod.Suchasbittertasteinthemouthevenwithstoolpulpy,abdominalpain,stool,tenesmus,overtoYinChen,Bixie,rawcoixseed,plusfriedsoilhoneysuckle15grams,Costusroot8grams(later),picrorhizarhizome6grams.WiththeaboveDecoctionmethod.Achroniccholecystitispatients,aftertreatmenthaveimproved,butrecentlyduetoeatgreasyfriedfoods,andth