Traditional Chinese Medicine Xu Yang
Page 141
This move made the young apprentices next to him envious.
Comrade Hao Zhuangbi was also a little envious, he didn't even look at it, but there are so many leaders here, it's not good for him to come and see directly, otherwise it would seem too unruly.
Soon it was Elder Pu's turn for diagnosis and treatment. The previous doctors had already asked in great detail about the previous consultations.
Elder Pu stepped forward to diagnose the patient, Xu Yang followed behind, and Gao Huaxin took out his notebook and recorded it on the side.
Now the patient continues to have a high fever, looks very tired, and his eyes are tired and dry.There was a severe pain in the head, and there was a slight pain in the body.
There is a little sweat on the head, but there is no sweat on the body.Vomiting from time to time with grayish white dilute water.Abdominal pain, short yellow urine.Heart upset, bitter mouth, thirsty but do not want to drink water.
Mr. Pu said to the patient: "Stick out your tongue and let me have a look."
The patient frowned and stuck out his tongue wearily.
Xu Yang also looked over, his tongue coating was thin and white, the center was yellow and greasy, and the sides were red.
The patient is a woman whose menstruation has passed ten days ago, but now it has appeared again.
Pu Lao diagnosed the patient's pulse. After a while, Pu Lao said: "The patient's pulse is floating at two inches, sinking at the right side, short and astringent, stringy at the left side, sinking at two feet."
Gao Huaxin recorded them one by one.
As soon as Mr. Pu said this, he also attracted the attention of the nearby Chinese medicine practitioners.They couldn't help but look at Mr. Pu a few more times. This doctor was very meticulous in his pulse diagnosis. There were a total of six hands and feet, and he diagnosed them very carefully.
Everyone also discussed.
Elder Pu frowned and thought for a moment, then asked, "Xu Yang, what do you think?"
Xu Yang thought for a while, then said: "After the summer solstice is the summer heat. After the summer solstice, the heat is strong from the top to the bottom, and the dampness is steamed from the bottom to the top. The damp and heat are steaming, and it is popular. People feel it in the exchange of qi." And the disease is heat disease."
"Heat temperature and humidity are both seasonal epidemics. Heat and dampness are one of the six qi, both of which are pathogenic factors of external pathogens. In a year, the six qi are responsible for 180 days each. But the [-] days from the vernal equinox to the autumnal equinox are the lord fire. , Xianghuo and wet earth are intertwined for use."
"That is to say, heat, dampness, and fire are mixed together, so the patient's onset is rapid in summer and autumn, and the transmission is also fast, but the symptoms of the patient are not the same."
"As far as this patient is concerned, observing the patient's pulse syndrome shows that the patient should have been suffering from summer heat and wind. His head and body and floating pulse are due to the wind. His upset, red tongue with yellow coating, thirst and fever are due to heat. "
"But now the patient is taking too much cold and cold, and the ice subdues the evil, so the evil is lingering and confused. That's why it became like this, and the condition is getting worse!"
Before Xu Yang could finish his sentence, the former doctor in charge couldn't bear it anymore, he interrupted: "Young man, you mean that our medication was wrong which made her condition worse?"
Xu Yang frowned and nodded. It was true that he had used too much cold medicine, and the previous dosage was already that high.Later, I used so many cold and cool pills, and even Angong Niuhuang Pills!
To give a simple example, this is like a bunch of small bonfires lit on the ground, not so powerful.In the end, you brought a high-pressure water gun and threw two hundred catties of ice cubes on it.
too exaggerated.
Not only did the fire not go out, but it hurt the ground. It seems that there is no fire on the surface, but in fact, the fire has been smashed into the ground by your terrifying posture.
The situation is getting worse!
Seeing that Xu Yang was still nodding, the doctor in charge immediately turned down, he was a little unhappy.
Hao's pretentious teacher Wen Sanquan also said in a deep voice: "This young man is right, it is indeed too cold. You don't make the best use of the situation and drive away the evil spirits. Using so many cold medicines at once, alas, it is really !"
Other experts also looked at the doctor in charge without blame.
The doctor-in-charge's face suddenly became ugly, and he hurriedly explained: "No, I was treated according to the treatment standard given by the Ministry before. I... I... I came here according to the standard!"
Xu Yang also frowned, standard?If the standard worked, it wouldn't be so difficult this time.
Mr. Pu also said: "Traditional Chinese medicine should be based on syndrome differentiation, not to put out the fire. When you see a fever, you will try your best to use cold and cold medicine. If it doesn't work at all, if you continue to add it, will there be no problem? Now the situation is much more difficult than before. !"
The original doctor in charge murmured for a moment.
Chapter 230 Just One or Two Potions
Comrade Hao Zhuangbi also looked at Xu Yang, this kid has something, and his identification is quite accurate.
His teacher Wen Sanquan also looked at Xu Yang, and asked, "Young man, tell me what the patient's condition is now?"
Xu Yang frowned and said: "Because of excessive use of cold and cold, the pathogenic factors have not been resolved, and instead hurt the spleen and stomach, so now the patient is vomiting and diarrhea. Moreover, the heat enters the Jueyin, forcing the blood to flow indiscriminately, so the patient died ten days after the end of menstruation. , but reappeared!"
"As a result, the patient's righteous qi is greatly deficient, and the pathogenic factors are trapped in Yangming and Taiyin while taking advantage of the weakness. At this time, the patient's Taiyin spleen meridian, Jueyin liver meridian and Yangming stomach meridian, two viscera and one internal organ, are sick at the same time!"
Wen Sanquan looked at Xu Yang with surprised eyes: "Young man, your analysis is very good."
Hao pretended to be forceful and looked at Xu Yang dryly. Now that the young man is acting forcefully, this kid is acting alone, and it is no longer his turn!
The leader of the team looked at this side with some surprise.
The former doctor in charge asked nervously, "Then... what should we do now?"
The doctors frowned in thought.
The leader of the team also asked: "Is it difficult to treat?"
Wen Sanquan also said with a headache: "It's not that it's impossible to cure, but it's more difficult now because of the wrong treatment by the previous doctor. The three meridians have the same disease, and the spleen and stomach are injured. Vomiting and diarrhea, the medicine may vomit out. Slowly picture Well, but the condition is very serious..."
In addition, Dr. Li also expressed his opinion, which means that the condition is difficult, there are many diseases, and the spleen yang is damaged.The condition is critical, I'm afraid it won't be easy to treat, and the effect will not be so fast.
The team leader frowned.
The doctor in charge also showed embarrassment and self-blame. If he hadn't messed around, the situation might not have been so bad.
The team leader looked at Elder Pu and asked, "Doctor Pu, what do you think?"
Pu Lao said: "I don't have such a headache. Since it is confirmed that the three channels of Yangming, Taiyin and Jueyin have the same disease. The condition is critical, so we can't take it slowly, otherwise the patient may turn into a critical illness."
"At this time, it is urgent to warm Taiyin, clear Jueyin, and harmonize Yangming. The three methods of warming, clearing, and harmonizing should be used at the same time. By opening the ice, clearing the deep-rooted disease, and reconciling the exterior and interior! Naturally, the disease can be cured .”
The people around who said this were startled.
Traditional Chinese medicine pays attention to simplicity and complexity in treating diseases. No matter how ever-changing the disease is, there are only these dialectical methods in traditional Chinese medicine, and there are only eight methods in the treatment plan, which are sweating, vomiting, lowering, harmonizing, warming, clearing, eliminating and nourishing.
Although there are thousands of prescriptions in Chinese medicine, it can even be said that one person has one prescription, but the thinking of curing a disease will not escape these eight methods.It's easy to say, but it's not easy to use it well.
This is similar to stir-frying. It is not difficult to take out any one of frying, frying, frying, frying, stewing and stewing. It is not difficult to fry first and then stew.While frying, while cooking, and at the same time slipping.This will test the skill of the chef.
The way of medication is also a test of the doctor's level.
So when Mr. Pu said this, no one around him dared to underestimate him.
The compatibility and manipulation of various drugs is very skillful.All medicines have their own medicinal properties. If they are not properly combined, they will easily cancel each other out, and they will not be able to exert their original effect!But also according to the patient's condition, make adjustments!
Mr. Pu smiled gently and said, "Let me prescribe the prescription for this patient!"
Wen Sanquan looked at Elder Pu in surprise, and asked, "How long do you think it will take to control it?"
Pu Lao said: "If there are no accidents, it should take one or two doses, and all symptoms will be relieved."
The people next to him froze again.
The previous doctor in charge was also obviously stunned for a moment. He tossed and tossed for so long and took so many medicines.
Now the situation is even trickier.
Then the doctor said that he could cure the person with one or two doses of medicine, which is too full of words!
Wen Sanquan also looked at Mr. Pu in surprise. Although he didn't really believe it, in this situation, isn't bragging to die?Everyone is very conservative.
Wen Sanquan stretched out his hand in surprise and said, "Then you can prescribe."
Hao pretended to be aggressive and looked at Elder Pu curiously. He only realized now that when it comes to pretending to be aggressive, he is not as good as this old man!
Elder Pu was not polite, and said: "Then let me do it, and I will use Erxiang and Zuojin combined with bitterness and acridity to treat it. Lemongrass is a medicine for clearing away heat and detoxification, promoting water and harmonizing the stomach. Zuojin is good at descending the liver meridian and treating qi against heat. , together with Fa Pinellia, Ginger, and Bamboo Ru, which rise and fall."
"It is necessary to raise the clear yang and lower the turbidity and heat, so that the liver and wood are strong, and the spleen and stomach are at ease. Fulong liver can calm the stomach and warm the spleen. Lotus leaves can clear away heat and heat. Curcuma and Peilan can aromatize turbidity and can Xuanbi enlightened."
"Uncaria terrestris and Tribulus terrestris are good at expelling wind but not dryness, and also have the effect of soothing the liver. Therefore, this prescription will use the three methods of bitterness, acridity and warmth, and it is a method for treating the triple burner!"
Mr. Pu wrote down the prescription and dosage on the prescription one by one, and he handed it to the doctor in charge and said: "This prescription is thickly fried, take 80ml, take 10ml each time, once an hour."
The doctor in charge took Pu Lao's prescription, he looked at the prescription, and then at the Chinese medicine experts standing in front of him.
Wen Sanquan was not polite, and went directly to see the prescription.This time they were supposed to come for a consultation.Discussing prescriptions and illnesses is what should be done.
Mr. Pu also explained: "Because the patient's stomach upset is severe and the vomiting is severe. Therefore, it is necessary to reduce the dose of the medicine and let it enter slowly, in order to successfully accept it."
"Although the amount of medicine is small, but because of the thick decoction, the medicine is still strong. She has an injured spleen and stomach, and drinking too much medicine soup will make it difficult for the stomach qi to be transported. Only a small amount can be transported properly."
"Now the patient is seriously ill, and the treatment should be fast rather than slow, so the medicine needs to be taken frequently. According to my experience, the method of taking the medicine in small doses and fast, in this case, the effect is very good every time!"
The doctor in charge kept nodding.
Wen Sanquan and another doctor looked at Pu Lao's prescription, analyzed it carefully, and felt that the compatibility was very ingenious, and every detail was perfect.It's just that they are wondering, will it really be like what the old doctor said?Can one or two doses cure people?
The team leader asked: "Doctor Wen, Doctor Li, do you have any other opinions?"
Wen Sanquan shook his head, and said very conservatively: "Then try this doctor's prescription first."
Dr. Li also nodded, agreeing.
They don't get involved in this matter, there is no way, Mr. Pu has talked too much.He said that one or two doses would cure the person. If they got involved, the person would not be cured by then, and people would blame them.
So they just ignored it.
The doctor in charge took the prescription and went to decoct the medicine.
The patients here can be regarded as finished, and the other two doctors didn't take any action, which means that Mr. Pu treated them alone.
Comrade Hao pretended to run up to his master and said in a low voice, "Master, is that old doctor talking too much, and he can be cured with just one or two doses!"
Wen Sanquan chuckled, glanced at Pu Lao who was standing aside, and said flatly, "We'll find out later."
When the few people left, Gao Huaxin couldn't help walking to Mr. Pu, and he persuaded with some worry: "Teacher, you have to take it easy. These are all inpatients, and you can see whether they are good or bad after taking the medicine." .There are still so many leaders and peers here today, so you have to be more conservative in your words!"
Pu Lao said very strangely: "I've said it very conservatively!"
"Ah?" Gao Huaxin was startled instead.
Xu Yang also looked over in surprise.
Chapter 231 Wetness is better than heat
Xu Yang came from a later generation, and his understanding of Pu Lao was limited to written materials. He knew that the doctors of later generations rated Pu Lao as a national expert in fever.Mr. Pu is very good at treating all kinds of acute febrile diseases, and he is also very powerful.
It's just that the patient's condition is so complicated.Other old experts dared not to guarantee it, but Mr. Pu was lucky enough to say that it would be cured in just one or two doses, which is already a very conservative statement.
What's the matter, you still plan to heal with one dose?
Even Xu Yang was a little surprised.
He recalled the compatibility and dosage of Pu's old prescription.Pu Lao's way of using medicine is to pay attention to the light dosage, proper compatibility and pure pharmacology!
The most respected by Mr. Pu is Buzhong Yiqi Decoction. Li Donghuan made this prescription, but the dosage of each medicine in this prescription is very small, but when used in combination, its effect is very strong.
To use a martial arts word to describe it, it can definitely be said to be four or two thousand catties.
This is the mystery of Donghuan's medicine.
Elder Pu also admired this level of state very much!
Xu Yang pondered for a while, and felt that he still had a lot of room for improvement, and he still needed to study more.The way of medicine in traditional Chinese medicine is really broad and profound, with endless exploration and infinite magical effects.
Elder Pu's expression darkened slightly, and he sighed slightly.
Gao Huaxin asked from the side: "Teacher, why are you sighing? Is there any change in your condition?"
Mr. Pu shook his head: "That's not true. It's just that this patient died due to mistreatment. I'm not sure what happened at the beginning. There is no way to diagnose and treat according to the initial situation, so we still need to see a new batch of patients. , you can only know what the condition is after careful differentiation. And there is..."
Gao Huaxin asked: "What?"
Elder Pu frowned and complained, "When will the weather report be delivered to me!"
……
Elder Pu just finished complaining.
Their team leader came over and said, "Doctors, Team Leader Qin invites you to consult with a patient."
Several old doctors looked at each other and followed him to another ward.
This time the patient was a 5 and a half year old girl.
There are already many doctors in the ward, and Qin Bomo's team leader is also there.
Mr. Pu and others walked in, and the doctor in charge of the patient also came to explain the condition to them.
Elder Pu and his team leader ran to Team Leader Qin and whispered to Team Leader Qin about the situation there just now.
After hearing this, Team Leader Qin showed obvious surprise.Turning his head to look at Elder Pu solemnly, there was some surprise in his eyes.
Team leader Qin asked the team leader again in a low voice: "Is this Dr. Pu the gynecologist recommended by Dean Liu?"
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