Traditional Chinese Medicine Xu Yang
Page 349
……
But You Zaiwei, a doctor of Chinese medicine who went to the pharmacy for research, felt the dog chasing him. This was the darkest moment in his life.
"Are you a fucking pig? Did you pay for your doctorate in Chinese medicine? You can't tell the difference between the soaked skullcap and the unsoaked one? This is a fake medicine, you don't know! I don't know, Swallow it up for me!"
The doctor of Chinese medicine is so leisurely and strange. At this moment, he understands Professor Li very, very well.
Chapter 606 The most useless one
Youzai blamed himself for being sprayed with embarrassment, his face turned red up to his neck.
The interns in the pharmacy also looked at him sympathetically. When they first came, they were scolded like dogs by the old farmer. At first, those little girls cried every day, but now... they are used to crying now.
But this doctor is not used to it yet, and his whole body feels bad after being sprayed: "I...I...then how do I know if you have fried it once?"
The old farmer scolded: "You are a doctor who read books in the ass!"
Dr. Youza was about to collapse: "I didn't learn this in school, and we didn't take this test."
The old farmer cursed and said, "You don't know the five grains, you don't work hard, what kind of Chinese medicine! Chinese people don't know medicine, don't distinguish medicine, don't collect medicine, don't make medicine, what kind of shit Chinese medicine."
"Hey!" Dr. Youza was so depressed that he was about to be scolded.
The group of boys next to them didn't dare to speak.
However, this is also a reality in the current Chinese medicine field. The doctor who attends the consultation knows how to use the medicine and how to combine it, but in many cases he may not be able to accurately understand the appearance of the medicine.
Not to mention the identification of real medicines and counterfeit medicines.Not to mention collecting herbs, or concocting medicinal materials.These things were later done by pharmacists.
It is precisely because of such a separate operation for a long time that the current shortage of Chinese medicine talents is particularly rare.Masters of traditional Chinese medicine, a group of masters of traditional Chinese medicine can be selected every year, but so far, only one has been selected as an expert in traditional Chinese medicine.
This is the current state of the industry.
So the old farmer was very dissatisfied with this, and those who came to Mingxin branch for further study and practice had to go round with him first.Didn't you see, he wants the bamboo craftsman to make medicine tools on a regular basis, you know how much he cares about this.
Now seeing this majestic doctor of Chinese medicine, who can't fart, he will be furious.
This Dr. Youzai Wei was scolded badly enough, at this moment, he even began to understand Professor Li, he said dissatisfiedly: "I am a researcher of Chinese medicine, of course there are professional Chinese medicine experts for this kind of identification of Chinese medicine." Experts do it."
Upon hearing this, the group of interns immediately looked at the doctor with admiration. He really deserved to be a doctor, and he dared to talk to the old farmer like this.
Sure enough, after hearing such words, the old farmer immediately turned to look at him.
Dr. Youzai was taken aback by the old farmer's eyes, but he steadied himself immediately, and quietly puffed up his chest.
The old farmer stared into his eyes and asked him, "Do you think it's okay for Chinese medicine to not know enough about Chinese medicine?"
Dr. Youzai said: "I didn't say that. Of course, Chinese medicine treatment requires a good understanding of Chinese medicine, but the understanding here is mainly to understand the medicine and pharmacology. For other things, a pharmacist is in charge. There is no need to cover everything. It’s not possible to do everything.”
The old farmer nodded up and down at him: "Okay, okay, then I'll see how you understand the Fa today. Li Lin, give me Old Liu's prescription."
Intern Li Lin immediately gave a prescription.
The old farmer handed the prescription to Dr. Youzai and said, "Come on, let's analyze it."
Dr. Youzai took it over, first frowned and looked at the old farmer, and then looked at the prescription, and saw that the patient's condition and syndrome were simply written on it: "The patient has pain in the side, and the syndrome is liver deficiency. The treatment is to supplement liver qi. Soothing the liver and dispelling stagnation." Then the following is the prescription.
Dr. Youzai brought it over, and before reading the prescription, he whispered first: "Liver deficiency, can't you manage?"
The old farmer asked: "Doctor, don't you even understand dialectics?"
Dr. Youzai said: "Then I need to see the complete medical record, not just a prescription."
The old farmer turned to Guo Weilin and said, "Go and print a copy for him."
Guo Weilin is the team leader of this group of Nan TCM interns, and now these interns are still working in the pharmacy.After hearing what the old farmer said, he immediately printed it out and showed it to the doctor.
This case is not complicated.
"The patient, female, aged 64, suffered from pain in the lower flank due to overwork. The pain was either on the left flank, or on the right flank, or both flanks."
"Previously, the methods of calming the liver, soothing the liver, and softening the liver were ineffective. The disease lasted for a year, and the severity of the disease worsened. When the pain became severe, I felt dizzy. Nearly peaceful, the pulsating force is slightly weaker."
Seeing this, Dr. Youza frowned even more, her tiny pulse indicated the lack of energy and blood. The "Huangdi Neijing" says: "If the evil is in the liver, it will cause pain in the two hypochondriacs."
Is it because of the deficiency of qi and blood, the liver stores blood, and the liver qi is rebellious because of blood deficiency?But this method of softening the liver is the method of nourishing the liver, and it is to cure the deficiency of liver blood.
Why doesn't it work?
Is not it?
Why are the methods of calming the liver, soothing the liver and softening the liver ineffective?Strange, haven't all these methods been used?Why is the patient getting heavier?
Could it be because of the liver, or not!
Dr. Youza was surprised at the time, and then he looked down again.
"The syndrome is that the liver qi is weak and can't be regulated, so the stagnation causes pain under the flanks. The main treatment is to supplement the liver qi, and the medicine for promoting the liver and resolving the stagnation is assisted."
Dr. Youzai couldn't help scratching his head: "Weak liver qi? Can't regulate it? Supplementing liver qi, what does it mean to supplement liver qi? There has never been a remedy for liver deficiency."
Dr. Youza looked up at the old farmer, he wanted to ask if the doctor made a mistake.But Liu Xuanbo's name was on it, but he didn't dare to say it.
The old farmer said lightly: "Why are you looking at me? Aren't you a doctor?"
Dr. Youza was choked again, and then he could only look at the compatibility.
"Raw astragalus, raw hangshao, scrophulariaceae, frankincense (stir-fried), myrrh (not stir-fried), raw malt, angelica, chuanxiong, licorice."
Dr. Youzai said: "Isn't this still the method of tonifying qi and blood? Astragalus, angelica, this is angelica tonifying blood soup, Chuanxiong to promote blood. Malt invigorates the spleen and soothes the liver, Hang peony to soften the liver, frankincense to activate blood, and myrrh to disperse blood. There are tonic, there are loose, there are row, softening the liver and soothing the liver."
The old farmer asked, "Is this what you mean by reading it?"
Dr. Youza nodded.
The old farmer asked again: "If you were asked to treat this disease, would you prescribe the medicine like this?"
"This..." Dr. Youza hesitated. He is also a theoretical player. Although he is a doctor, he really doesn't have much clinical experience.
The old farmer asked: "If it is treated according to the weakness of qi and blood, why is the former doctor unsuccessful? The thinking is wrong, and I am still a doctor!"
Dr. Youza was taken aback again.
The old farmer snorted and said angrily: "Who said there is no way to nourish the liver? Li Lin, tell me, which medicine can nourish the liver qi."
Li Lin's eyes lit up immediately, is it finally his turn to show off in front of the doctor?He immediately said: "Yes, this prescription uses Astragalus as the king, and Astragalus is the main medicine for nourishing the liver."
After speaking, Li Lin showed a big smile to the doctor, and tiptoed happily, like a child waiting for praise.
But the old farmer said: "Look, the most useless one here knows it!"
Li Lin was dumbfounded at the time.
Chapter 607 Reverse Operations
Li Lin's face turned green when he heard that, whether he was praising him or scolding him, the most useless one!
The students behind him all started to hold back their laughter, obviously wanting to laugh, but it's impolite to laugh on this occasion, so it was really hard to hold back.
Dr. Youzai didn't care about this adjective, he was a little puzzled: "Astragalus nourishes liver qi?"
The old farmer pouted at Li Lin: "You told him?"
"Ah?" Li Lin was a little reluctant to pretend that this was so hard, because after a long time, the clown turned out to be himself.
The old farmer urged: "Hurry up, I can't even tell you this, it's worse than a doctor!"
This Versailles remark made the faces of the interns behind them brighten up.
Dr. Youza's face was also a little green, he cupped his hands: "Then ask for advice."
Li Lin can only say: "Astragalus membranaceus ranks third in the top grade of "Shen Nong's Materia Medica". Although the pharmacopoeia says it enters the lung and spleen meridians, in fact, astragalus membranaceus is the thickest in the middle soil and can nourish the Qi of the whole body."
"Ye Tianshi once said, 'The emptiness of life is nothing more than the two ends of qi and blood. Astragalus membranaceus has a sweet and warm smell, warming it with qi can make up for the deficiency of shape, and nourishing it with taste can also benefit the deficiency of essence.'"
"Children's yang is also young, and young yang is Shaoyang, and the vitality of Shaoyang is well developed. How can children have any disease! Astragalus has the qi of Shaoyang in spring, enters Shaoyang and replenishes the vitality of life, so it can be used for all diseases in children."
As soon as these words came out, Dr. Youzai's pupils suddenly dilated.
Although Ye Tianshi said that Astragalus is good at treating various diseases in children, it means that Astragalus can also treat congenital organ hypoplasia in children.
But after all, the doctor was obtained through examination, and he did not buy it. He immediately heard the key point of nourishing liver qi from it.
The old farmer looked at Dr. Youzai and asked, "Do you understand?"
Dr. Youzai said with a wry smile: "Understood, Astragalus membranaceus generates the qi of Shaoyang in spring, and the qi of Shaoyang is well-developed. It has the property of raising hair, and the qi can rise when it is warm. Among the five internal organs, only the liver and wood can be warmed. Sex, liver and woody plants should also be expressed in a way."
"So it makes sense that astragalus can nourish the liver qi. Although the ancients did not mention the method of nourishing the liver qi, you can't just study hard, alas!"
The old farmer nodded slightly: "It's not completely hopeless. It's just that if you understand the time when astragalus sprouts and grows, you will understand this a long time ago."
"To learn Chinese medicine, you must not only learn Chinese medicine, but also because you understand the knowledge of the heaven and the earth, and understand the influence of the order of the heaven and the earth on people and medicine."
"Mortal people are sick, it is because all things in nature make people sick. The solution is naturally hidden in all things in nature. If you only know how to close the door and study hard."
"If you don't feel nature, don't feel the rhythm of all things, how can you make better use of them? The predecessors have discussed that nature is obtained from experience, but what we want to do is to discover what no one has ever done before!"
"This is the pursuit of doctors of my generation. Otherwise, you, a doctor who only knows how to study hard, no matter how much theoretical research you do, it will be nothing but a castle in the sky."
Dr. Youza was said to be dumbfounded.
Li Lin pouted.
The old farmer said: "Don't be dumbfounded. In mine, what I don't like to see the most is dumbfoundedness. I have already found the main medicine for nourishing liver qi for you. Now let's re-analyze this prescription."
The doctor slowly withdrew his gaze, picked up the prescription sheet in his hand, and now that his thinking was clear, his analysis took another path.
He said: "Using astragalus to nourish the deficiency of liver meridian has the advantage of seeking the same qi, so it is used as the main medicine, but because of its warm nature, although repeated use can nourish liver qi, it may also help liver fire."
"So peony and scrophulariaceae are used to nourish and cool the yin and moisten it. Frankincense and myrrh can melt the stagnation of liver qi. Malt and Chuanxiong can also enhance the stagnation of liver qi."
"Patients report that they have pain in the side of the body, and the pain is blocked. Therefore, whether it is melting or rising, it is all for the passage of its meridian, so that if it is cleared, there will be no pain."
"Danggui is added because the liver is the viscera that stores blood, and it needs to replenish both qi and blood. Angelica has a sweet and liquid taste, which is good at producing blood. It is warm in nature and pungent, and can harmonize the qi. also."
"Use licorice to relieve the liver's anxiety. Using licorice and peony together can be used to treat abdominal pain. At this time, it can also treat pain under the hypochondriac."
After all, the doctor's knowledge is still very deep, as long as you understand it a little bit, you can immediately analyze it all.
The old farmer also nodded slightly.
After Dr. Youzai finished his analysis, he couldn't help admiring: "As expected of Mr. Liu's prescription, there are only eight or nine medicines in a short one. It seems simple and ordinary, but it is so intertwined. Considerate, And working together, it’s really not easy!”
The old farmer looked at the doctor and asked again: "Do you know the difference between clinical and theoretical research?"
"Huh?" The doctor didn't understand why the old farmer asked such a question. He thought for a while and said, "Maybe it's because there are various diseases and syndromes that we haven't seen in textbooks in clinical practice."
The old farmer shook his head: "You are doing theoretical research, and you can do research on any clinical situation you encounter."
The doctor froze for a moment, thinking it seemed to be true, he asked, "What should that be? Please advise."
The old farmer said: "It's very simple, because one is before the event and the other is after the event."
"Huh?" The doctor was taken aback.
The old farmer pointed to the prescription list: "You analyze the prescription, and it is clear and logical, which is enough to show your extraordinary theoretical skills. But you are an afterthought. If you were put in advance and asked to see a doctor, how would you treat it? "
"This..." Dr. Youza hesitated.
The old farmer asked again: "Can you prescribe such a prescription? Do you have such a clear thinking? You don't have a clear thinking. Many times it is cured, and you don't know how to get better."
Dr. Youza fell into deep thought.
The old farmer said to him: "If it weren't for the fact that you have studied Chinese medicine for so many years, it is really not easy, otherwise I would be too lazy to tell you so much."
Li Lin and the others also looked at the old farmer in surprise, what's going on?From what the old farmer said, is he planning to poach people?Good guy, people have come to inspect you, the imperial commissioner has come, and the dean has to take care of you carefully.
Teacher Qi was fierce enough, and directly reversed the operation, planning to recruit the imperial envoy and governor.Good guy, Li Lin called him a good guy!
The old farmer looked at the doctor and said, "There is not much other nonsense. If you are willing to come, my pharmacy still needs a helper."
Li Lin and the others frantically complained in their hearts: "There is still a shortage of helpers, obviously a lack of test medicine!"
Dr. Youza looked up at the old farmer, and then at Li Lin, who was called the most useless person, and it was this most useless person who defeated him just now.
He looked at the others again. I am afraid that the people here are not ordinary people: "Which school did you graduate from?"
Li Lin was taken aback for a moment, and replied: "Nan... Nan TCM..."
Dr. Youza asked, "Doctor?"
Li Lin nodded, and replied honestly: "Heh... I just won."
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