Rural Chinese Medicine Li Maoyang

Chapter 2 Practice the Four Diagnosis
"Aunt, I heard from Qiqige that you are not feeling well?"

Li Maoyang asked Grandma Qiqige again.

This sentence is actually somewhat nonsense.

But Li Maoyang mainly wanted to hear the voice of the old woman again.

Just now he heard the old woman speak weakly, obviously lack of energy, he wanted to make sure.

In the four consultations, the three consultations are actually a simultaneous process in many cases. During the consultation, we observe the patient's body, face and expression, and at the same time listen to the characteristics of the patient's voice and smell the patient's mouth. Neutralizes body odor.

The old woman nodded slightly and did not speak.

"Go, go into the house."

Qiqige picked up her son and said to Li Maoyang, while reaching out to support her mother-in-law.

After entering the house and sitting on the sofa, Qiqige poured a cup of milk tea for Li Maoyang, and then sat on the sofa, and the three of them faced each other. This was considered to be a formal diagnosis.

To be honest, Li Maoyang was somewhat flustered at this time.

He lost his master after just over a year with him, which made him feel very terrified.

Fortunately, he still has the Qihuang system in his mind as a reliable guarantee, otherwise he would be blind to see the stars based on his current level of medical treatment.

For example, he hadn't seen much that could be diagnosed from Grandma Qiqige in the inspection and auscultation up to this time.

The old man's face was a little pale, as if he had no blood.

However, Li Maoyang was not sure.

"Using constant balance to change, seeing the small to know, and inferring the inside from the outside" are the three principles of Chinese medicine diagnosis, but who knows what the old man's face usually looks like?
What if the old man always stays in the house and always has such a pale face?
Then it's not easy to judge from this face that the old man is suffering a great loss of energy and blood at this time.

Besides the auscultation, Li Maoyang could hear the old woman's voice was a little weak at this time, and he didn't hear any other abnormalities in her voice.

The auscultatory examination also included the olfactory examination, but he did not smell any abnormal smell from the old woman's body and mouth and nose.

Let's take a look at the old man's tongue first.

Tongue examination is also a part of inspection.

Li Maoyang thought to himself and said to the old woman: "Auntie, stick out your tongue and let me have a look."

A suspicious look flashed across the old woman's eye sockets, she turned her head to look at her daughter-in-law Qi Qige, seeing Qi Qige nodding, she opened her mouth and stuck out her tongue.

Li Maoyang quickly stretched his neck and moved closer to observe.

Is this tongue appearance a pale tongue with white fur?

He stared at the old man's tongue and judged nervously.

A normal person's tongue should be pale red with a thin white coating.

This standard is easy to remember, but the key is to judge it in detail, how to count it as light red?How light red is light red?How to count as thin white, how thin white is thin white?
It's hard to identify, it's all vague concepts, and there is no clear and definite boundary, and the judgment must be combined with the patient's usual situation.

Li Maoyang complained like this in his heart, and quickly concentrated his energy to judge again. The old man was already a little sleepy sticking out his tongue, and it was impossible to stick out his tongue for a long time to make him hesitate.

Well, even if it is a pale tongue and a white coating.

I feel that the old man’s tongue really doesn’t have much color. This should not belong to the tongue of a healthy person. In addition, the coating should be considered white, not thin white, right?Of course, it should not have reached the level of white greasy.

Li Maoyang thought this way, calmed down, rolled his eyes slightly back and said to the Qihuang system in his mind: "The patient's tongue is pale and the fur is white. Based on this, it should be judged to be spleen deficiency and deficiency of qi and blood."

"The host's diagnosis is basically correct, and I will be rewarded with a drug effect deduction by this system!" A mechanical voice immediately came from my mind, which sounded much softer.

Of course, it may also be Li Maoyang's own illusion.

At this time, he was in an uplifted mood, and naturally everything sounded good to him.

But he hastened to warn himself to be cautious, and to make persistent efforts. A deduction opportunity by the system may not allow him to use the right medicine for the patient.

Next is the consultation.

Before the consultation, Li Maoyang silently recited the scriptures for the consultation.

One asks about cold and heat, the other asks about sweat, three asks about head and body, and four asks about bowel movements, five asks about diet and six chest and abdomen, seven questions about deafness and eight thirsty ones should be identified, nine questions about old diseases and ten questions about causes, and then take medicine and ginseng changes.Women must ask about the menstrual period, and it can be seen that the delay will collapse.Add another sentence to tell the pediatrics that smallpox and measles are all tested.

Well, there is no need to ask about the menstrual period here, after all, this old man is already in his 60s.

"Aunt, are you afraid of the cold?"

Li Maoyang began to ask questions in the order of the verses.

Otherwise, he is afraid that he will forget which one to ask.

At the same time, he quickly took out his mobile phone and opened his own medical record file in WPS to prepare for recording.

"Afraid of the cold, don't you see that my mother-in-law is dressed so thickly?" Qiqige said from the side.

While secretly rolling his eyes, he thought it would be a fool, is there even a need to ask?
"Then, are you sweating?" Li Maoyang continued to ask regardless of Qiqige's expression.

"Come on, she's sweating all over in a while, and she's so hot that she wants to take off two clothes, but I insist on not letting her take off." Qiqige said again.

Li Maoyang suddenly felt confused, what is the situation?Afraid of the cold, but also feeling hot, and often sweating?

He originally asked the questions in the order of the verses, but he didn't expect to ask such a big monster!
My aunt, what's wrong with this?
Li Maoyang's head got dizzy for a while, and he wondered if Qiqige was playing tricks on him, a new recruit in the medical field?

She looked up at Qiqige, and found that she had a serious face, obviously she was not playing tricks on him, and besides, she couldn't play tricks on him because of her mother-in-law's illness.

"Do you have a headache?" Li Maoyang could only continue to ask, "Qiqige, don't tell me, I want to hear the old man say it himself."

He was afraid that Qiqige's words would be inaccurate, and at the same time he wanted to hear the old man's voice again.

"It hurts..." the old man touched his head weakly and said.

His voice was still very weak, as if he couldn't raise his voice.

She couldn't pronounce the "Sai, Sai" she said in the yard earlier.

Insufficient Qi, Li Maoyang has confirmed this this time.

Thinking of this, a light flashed in his mind, and he had some idea of ​​the previous problem!
Elderly people have yang deficiency, so they are afraid of cold, and their body surface defense qi is also deficient, unable to hold body fluid, so they sweat profusely...

As for the heat...

Sweat is body fluid in the body. Excessive sweating will definitely hurt the yin. Wouldn’t it be hot if the yin is deficient?
So these symptoms seem to be contradictory, but they are dialectically unified in the contradiction.

Next, under constant questioning, Li Maoyang gradually wrote down a long list of symptoms in his medical records.

Lack of food, abdominal distension, fatigue, shortness of breath, hot and sweaty body, headache and aversion to cold, frequent urination, chronic diarrhea...

Then a logical line gradually pulled out in his mind.

Abdominal distension due to lack of food—indicates weak spleen and stomach—so that it leads to poor circulation of qi and blood—so that the body is tired and weak, frequently asthmatic, headache and aversion to cold—so it is deficiency of both yin and yang—deficiency of both yin and yang and body heat Sweat forms a vicious circle...

However, what is the reason for this long-term diarrhea and frequent urination?

While pulling the logical line, such a question mark popped up in Li Maoyang's mind.

Frequent urination can also be said to be due to yang deficiency that cannot hold urine, so frequent urination, but what does this chronic diarrhea mean?

Li Maoyang realized that he might have missed something during the consultation, or he didn't ask clearly and accurately, or it might be because the old man didn't express clearly?
Hiding rape alone, what went wrong?

Li Maoyang thought hard.

He felt that there might be some mystery hidden in it, but he couldn't ask Qiqige and the old man any more.

The two of them were getting impatient.

Because Li Maoyang's master never asked so many questions when seeing a doctor. He usually patted his face, looked at his tongue, and then took a pulse. After that, he seemed to ask a few words before prescribing medicine.

After the medicine is prescribed, the general patient's illness will be cured within a few days.

So there are quite a lot of people from all over the world who come to see his master for medical treatment.

Li Maoyang thinks about it now, his master may have been exhausted to death, or he might live to be a hundred years old.

A few days before his death, he was still under medical care.

But the master is too soft-handed, he doesn't even ask for consultation fees, and he can pay as much as the patient wants.

It's also because of this, the old master has been poor all his life, so his son and grandson don't want to study medicine with him.

It was Li Maoyang, a guy who dropped out of high school before finishing high school. He couldn't find a way out, so he studied medicine with the old man. After studying with the old man for more than a year, the old man went to Hexi.

The world is too bitter, I hope his old man lives peacefully and happily in Xitian.

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(End of this chapter)