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甚哉！读书之难，无过于医书矣。学医没有捷径，多临床、多读医书是不二法门。但古代医书相对于现代文而言，生涩难懂，为我们增加了不少学习难度。为给书友们搭建一座便利的桥梁，从本期开始，我们将遴选贴近临床与读书的医古文章，帮助大家开阔视野、丰富知识，每天读一篇古文，日积月累，不断提高医古文的阅读能力。也希望大家除了阅读当代著作，平时也能多看些古代医家的著作。
本则医案选自《醉花窗医案》，对眼疾的病理和治法进行深入分析，虽然只有三百多字，但“理、法、方、药”记述十分详尽，值得一读。
—本文约1000字，预计阅读3分钟—
阴热目痛
作者简介：王堉（1822-1862），字蓉塘，号润园，山西介休人。因母病开始学医，后受人延请，经常给人看病。著有《脉案》《醉花窗医案》和《杂说》等。《醉花窗医案》注重医者“望闻问切”的具体做法，并进行了详细描述。每则医案都详述病人的生活环境与发病缘由，特别是患者的心理与表现的状态刻画，使人有身临其境的感觉。
郭鹤轩名昌年，医士也，货药于村。甲辰夏，忽患目痛，因自知医，用黄连、山栀、菊花、薄荷之类清之，转益增剧，不得已，延余视之。
观其不红不肿，又无翳障，惟黑珠起红一点。诊其脉，沉数细弱，知为阴虚血热，郁于肝脏，无怪寒凉之不应也。因以杞菊地黄汤易生地而投之。一服而疼减，三服而红点除，疼全止矣。遂设席请教，乃告之曰：
凡眼疾有内外之分，前人虽谓眼无火不病，然火有虚实，病有内外。
如暑天酷热，天行暴肿，羞涩难开，此外症也，但用黄连、蝉蜕等洗之即可。如湿热内淫，脾胃郁火，因而攻目，必兼头晕口渴、上下眶暴肿，此内实热也，可下之。
若夫不红不肿，又无翳障，断为阴热无疑。君用寒凉，截其生发之源，能无增剧乎。经云：“阴生内热”。又云“乙癸同源”①。又云：“壮水之主，以制阳光”②。合此数者观之，其用丹溪之法必矣。
若夫阴虚而寒，必生翳障，转成大症，又不可同日而语矣，鹤翁乃谢不敏。
注释:
①乙癸同源：五脏与五行、干支相配，肝属木配乙，肾属水配癸。胡乙癸同源即肝肾同源。
②壮水之主，以制阳光：为唐代冰语语，即补水以制火的意思
每日一文，陪伴中医人成长
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山河错落有致 人间烟火无常 我们尝尝怀疑 孰真孰假 易阳起名 忠心陪伴您十四年 愿山河无恙 我们彼此信任美好
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在运河边寻访曹雪芹遗迹
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作者：刘孝存（作家、文化学者，曾任北京市地方志学会秘书长） 据文献记载，曹雪芹家在北京通州张家湾曾有田地和当铺。1992年，曹雪芹墓葬石刻也正是在张家湾出土。在近年正式开园的张家湾…
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大金链子小手表，一天三顿小烧烤！热辣的汤汁、爽脆的虾肉…
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热辣的汤汁、爽脆的虾肉、诱人的虾黄 每一口都有满满的幸福感~ 不如就趁现在 再去体验一把嗦虾的快乐吧！ 【龙虾烧烤】 ★小龙虾，精挑细选，麻辣鲜香 ★味美新鲜，个头匀称，肉质饱满、…
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抒的意思：情感的释放与表达
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抒的意思：情感的释放与表达 在现代社会的快节奏生活中，人们常常需要一种方式来宣泄内心的压力和情感的痛苦。而”抒”的意思就是通过一种自然的表达方式来释放和传达…
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茹字的五行属性是什么和什么茹字的五行属性是什么呢
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暂时远离城市喧嚣 择一个山清水秀的县城 静听溪声蝉鸣 坐看云卷云舒 已成为当下不少人的度假方式 黟县、盱眙、蕲春、醴陵、嵊州、歙县、邛崃 …… 这些县城都很…
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关字笔顺怎么写的？关字繁体！
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毛主席题字中华第一关，“雁门关”三个字，笔力千钧，霸气雄浑！ 对于雁门关，在座的书友应该来说是比较熟悉了，它就是被称为“中华第一关”的中国历史上十分重要的关隘之一，有着“天下九塞，…