中医：口干口苦多为肝胆湿热

1、中医：口干口苦多为肝胆湿热患者觉得口中有明显的苦味，并伴有口干舌燥，两胁胀痛，小便短黄等症状，多见于中医辨证为肝胆湿热。临床上，急性肝炎、急性胆囊炎、急性尿道炎等肝胆湿热型的患者常常觉得口苦，服用车前草、金钱草、绵茵陈等清热利湿、疏肝泄胆的中药，口苦的症状很快就获得改善。口苦有时源于情绪天生丽质、品学兼优的大三学生黄小婧也有自己的难言之隐：一年四季口里很少没有苦味，尤其在考试前或考场上，大脑皮层处于高度紧张状态，那口里的苦、涩、酸的感觉更是明显。她的口苦是三年前读高三天天挑灯夜读时被注意到的。她为此增加了刷牙、漱口次数，但没有用。牙科医生说她口腔没病，内科检查证明她各个器官都是健康的。原来，姑

2、娘患的是精神性口苦。健康人口腔一般感觉是清爽舒适的，只是夜间醒来或晨起后片刻会有轻微的口苦或口里酸涩的感觉。疾病状态下不少人会有味觉异常：清淡、干涩、酸、甜、苦、辣、麻等，其中口苦的味觉异常最多见。味觉异常不同于口臭，它是病人的主观感觉，周围人无法体验。精神性口苦或情绪性口苦常在精神紧张、气愤、烦躁、焦虑、恐惧、忐忑不安、失眠时出现或加重。国内有医生调查分析的286位口苦病人中171位(60%)为精神性口苦，他们还伴有功能性消化不良和肠易激综合征等功能性胃肠病等。俄罗斯医生弗罗里根叶的资料表明，功能性疾病患者30%有味觉异常，其中54%为口苦；伏洛尔基耶医生也描述神经过敏的病人会有精神性口苦、

3、精神性口臭、精神性喉中异物感和精神性呕吐等症状交替或同时出现；卡拉列伊金也观察到神经衰弱的病人的口苦易与负性情绪同时出现。精神性口苦一般并无特殊临床意义，当口苦成为明显的症状时，常引起病人对自己健康的忧虑：是不是什么重要器官出了毛病？对严重的精神性口苦，重要的是对患者予以心理疏导，放松情绪，转移注意力，避免应激，反复说明单一口苦症状并无特殊临床意义更是不可少的。烧心口苦可能是胃食管返流病近几年，58岁的王阿姨添了一个老毛病，经常在晚饭后睡觉时浑身难受，“烧心”、口苦、咽部好像卡着东西尤其是吃了馒头、大米粥等面食、稀食之后，心里更是火烧火燎的难受，“是不是心脏出了问题？还是得了咽炎？”纳闷的王阿

4、姨先后到心脏内科、呼吸内科进行了检查，结果一切正常，后来又做了胃镜检查，还是没检查出什么问题。等到她最后确诊为胃食管反流症的时候，已经是几经波折。推拿手法治疗口苦口苦症一般都要改善胆的功能，如中里巴人倡导的敲胆经就是治疗口苦的一个非常好的方法。我们都知道，胆经循行在我们身体的两侧。腹部为阴面，背部为阳面，胆经正好走在阴面和阳面的中间部位，大家在自我按摩的时候，从上到下捋一下自己的胆经，按摩或者敲打一下，就有助于缓解口苦的症状。今天教大家一个治疗胆病的自我按摩和推拿比较有效的方法，就是开胸顺气或者叫开肋顺气。方法是这样，我们用手掌贴着肋骨的缘，肋骨是斜上方走形的，一条一条往上推，特别是第6、第7

5、肋骨中间有个穴叫做期门穴，它是肝的募穴，所有的肝病，特别是一些中晚期的肝病，都会在这儿有反应点，有的甚至痛不可触，我们用缓慢轻柔的手法推。另外第7、第8肋间有一个穴位叫日月，它是胆的募穴，所以胆的一些疾病在这里也有反应点，当我们顺着肋骨间隙推到腋下以后，再顺着手太阴肺经、手厥阴心包经和手少阴心经从指尖一直推出去，这就是开胸顺气。维生素C治疗口苦的圣药维生素的用法是每天三次，每次23片，放舌下含化，一般说来，轻度的口苦只要服药23次就可消失。即使是重度的口苦症，连续服药34天也能解决问题。当然，使用维生素C片治疗口苦症只是救急之法，治标不治本，而口苦仅仅是多种疾病或不良生活因素所致的一种表现，而

6、不是单独存在的疾病。因此为预防和根治口苦症，最好的办法是医治原发疾病，戒除生活中的不良嗜好，如吸烟、酗酒，还要注意口腔卫生等。中药治疗口苦效果真的好！黄帝内经指出：肝气热则胆泄口苦，即若出现口苦则意味着可能有内在的毛病。以口苦为主的状况有以下几种：口中苦味甚为明显，身体感到疲劳，口不渴，舌质红，舌苔黄而厚腻，脉有力或偏快。可用：柴胡10克，龙胆草5克，藿香8克（后下），白蔻仁6克（后下），石菖蒲10克，鸡骨草15克，茵陈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次温服。（凡注明后下的药，待其它药将煎好时再放入，一般再煎510分钟即可。）随症加减：1。除口苦明显外又

7、感到胃脘部胀痛、嗳气、食欲不振，舌红苔黄厚者，可于上方中去石菖蒲、茵陈、萆薢、生薏苡仁，加蒲公英15克，佛手10克，砂仁6克（后下）。2。如伴少许流涕、喷嚏或头痛等感冒症状者，在上方中去萆薢、茵陈，加荆芥10克，蔓荆子6克，防风8克。起床口苦口臭什么原因？3。口苦而兼全身倦怠，关节肌肉酸痛，舌苔甚为黄腻而湿润者，上方去茵陈、石菖蒲，加羌活、独活各6克，黄柏8克，苍术10克。煎服法同上方。4。如口苦甚伴大便稀烂，腹部隐隐作痛，大便里急后重者，上方去茵陈、萆薢、生薏苡仁，加炒土金银花15克，广木香8克（后下），胡黄连6克。煎服法同上方。5。一慢性胆囊炎患者，经治疗已好转，但近日因多吃了油腻煎炸食物

8、，又出现口苦，右上腹隐隐作闷痛，舌红苔黄，脉弦（把脉时，指下有按琴弦之感者称弦脉。-编者注）略快，尿黄，这种情况提示胆囊炎有发作之象，可急用：柴胡10克，枳壳12克，青皮8克，鸡骨草30克，延胡10克，炒山栀子6克，蒲公英20克，龙胆草6克，广木香8克（后下）。煎服法同上。如曾饮酒者，加葛花15克，枳栀子20克；曾食大量糯米或麦食者，加麦芽、谷芽各20克。感到口臭口苦不妨吃些野菜湿热质的特征表现：经常出现口臭或感到口苦，容易长痔疮和粉刺，面部和鼻尖一般都是油亮亮的，性格比较急躁。养生推荐：荸荠芹菜汁、凉拌马齿苋。将荸荠、藕和芹菜一起榨汁喝，有很好的清热利湿作用。另外，将马齿苋开水焯一下后加调味

9、料凉拌吃也很好。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