从脏腑虚寒证辨治口苦
Zhejiang Journal of Traditional Chinese Medicine（2017）
Abstract
口苦,是临床常见症状之一.一般认为,口苦皆属热证,多从火热论治.实火者,多以苦寒清热泻火之剂;虚火者,常予滋阴清热潜阳之品.但临床上引起口苦者并非尽属热证,亦有主寒、主虚者.
1 口苦乃因胆泄,而非独热
胆为奇恒之腑,有贮藏并排泄胆汁和主决断之功.《素问·灵兰秘典论》曰:“胆者,中正之官,决断出焉.”中正本意是得当、不偏不倚的意思.说明胆腑之性,不偏不倚,性喜宁谧平和,不宜过寒过热.过寒过热皆可导致其偏移中正之性,出现功能异常,胆液外泄.
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