Chinese medicine: from rural hospitals to top three hospitals in Kyoto
Chapter 233 I am the clown
"Is there anything wrong with this recipe?"
Liu Xi asked Chen Yang with a smile.
"The patient had two miscarriages before, suffered from physiological dysfunction and trauma to his cells. Judging from the pulse syndrome, He Lao's Xuejie Huayu Decoction is indeed very symptomatic."
Chen Yang said: "However, the patient has given birth to two children before and had two abortions. Her metrorrhagia has been prolonged and her physical condition is relatively poor. Taking peach kernels and rhubarb together will inevitably aggravate diarrhea..."
Liu Xi was stunned.
Just now Liu Xi asked Chen Yang if there was any problem with this recipe. In fact, it was just a casual question. Unexpectedly, Chen Yang actually said the problem.
Liu Xi looked at the prescription she had written, then thought about it carefully, and nodded: "What you said makes sense."
"Also, dry paint is poisonous, and myrrh is harmful to the stomach..."
Chen Yang said again.
Liu Xi looked at his prescription again.
Liu Xi's prescription was: dried blood extract, dried lacquer, prepared myrrh... pangolin, peach kernel, prepared rhubarb...
Now according to Chen Yang, dry lacquer and myrrh cannot be used, as can peach kernels and rhubarb.
As he spoke, Chen Yang leaned into Liu Xi's ear and said, "Dr. Liu, pangolins are expensive. Look at the patient's clothes, and his family is obviously average. Isn't it a bit burdensome for the patient to take medicine like this?"
Liu Xi: "..."
The entire prescription was completely rejected by Chen Yang.
"Then what recipe do you think should be used?" Liu Xi asked Chen Yang.
"Still use the Xuejia Huihuang decoction, but you can add or subtract changes to remove dried lacquer, rhubarb, pangolin and other medicinal materials..."
With that said, Chen Yang told Liu Xi the modified prescription.
After the change, the prescription is blood root, angelica root, salvia miltiorrhiza, rhubarb rhubarb, Corydalis Corydalis, white peony root... Lotus root knot...
Liu Xi looked at Chen Yang's modified prescription and pondered as he read it. Chen Yang removed the poisonous dry paint and the myrrh that was an upset to the stomach. He also removed the peach kernels and pangolin, which were added to promote blood circulation. Hemostasis lotus root joints, angelica root, salvia miltiorrhiza, etc.......
After reading Chen Yang's modified prescription over and over again, Liu Xi couldn't calm down for a long time.
In terms of prescription, the prescription Liu Xi just prescribed is actually symptomatic. Although, as Chen Yang said, some drugs may have an impact on patients, this impact is like the side effects of Western medicine.
That is to say, during treatment, some drugs may cause harm to the patient and produce other reactions, such as diarrhea.
But in traditional Chinese medicine, there are actually no toxic or side effects. Traditional Chinese medicine formulas are composed of kings and ministers, and the drugs are matched with each other. The purpose is actually to combine the properties of various drugs.
The treatment of diseases by traditional Chinese medicine relies on the bias of Chinese medicinal materials. However, some herbs may be too biased, or have more than one bias. This kind of medicine is needed for treatment, and the other is not needed. In this case, it is necessary to Neutralize with other medications.
The function of the entire prescription is actually to remove the useless or harmful things to the human body, and finally leave the medicinal properties needed for treatment.
In fact, the combination of Chinese medicine prescriptions is really similar to chemistry. When combining medicines, not only the properties of the medicines must be considered, but also the mutual neutralization of the properties.
There are not only mutual checks and balances between medicinal materials, but also enhancement effects. Some medicinal materials can check and balance, and some medicinal materials can enhance. These are all things that need to be understood when matching prescriptions.
Smart doctors, when formulating prescriptions, use additions, subtractions, dosage changes, etc. to minimize the harm the drugs do to the human body.
Therefore, anyone who says that traditional Chinese medicine has no side effects is actually a lie and they are all laymen.
The saying that medicines are three-part poisons is not new in modern times. It actually refers to Chinese medicinal materials, not after the emergence of Western medicine.
The reason why medicines are said to be three-part toxic is precisely because the combination of prescriptions cannot be 100% harmless. It can only be said that some prescriptions are less harmful and some are more harmful.
Therefore, there are various methods in traditional Chinese medicine, such as herbal medicine, acupuncture, and other methods.
Those who understand Chinese medicine and have watched some medical records or Chinese medicine movies and TV dramas actually know that Chinese medicine has medicinal references. Sometimes when patients take medicine, doctors will ask them to find medicinal references, and sometimes medicinal references are very important.
In fact, the main functions of medicine guide are: first, to guide the meridians, so that the medicine can be concentrated on a certain part and reach the lesion directly.
Second, enhancing the efficacy of the drug can allow the drug to exert more potency and avoid consumption and waste of potency.
Third, detoxification. Although some decoctions can cure diseases, they are highly toxic and are very harmful when taken directly, so a comprehensive combination of medicines and medicines is needed.
Fourth, the taste is modified. Some decoctions are very bitter and even have a different taste, such as odor, which makes it difficult to swallow. At this time, you need to modify the taste.
Fifth, protect the internal organs and the stomach and intestines. Some decoctions are more harmful to the spleen and stomach, so you need to use the medicine first, and then use the decoction.
Sixth, guidance, this has a psychological effect. This type of drug introduction actually does not enhance the drug. The purpose is to soothe the patient's mood, let the patient get out of anxiety or sadness, or guide the patient to do something.
For example, when a famous doctor treats pregnant women, he tells them that they need a certain kind of medicine, and they need to pick it by themselves every day. This search for medicine is actually for the purpose of guiding patients to exercise, and is aimed at those who lack exercise and are lazy. lady.
In the past, without caesarean section, it was easy for pregnant women to have problems if they were lazy and had a good family background.
For example, let the patient look for medication and find something to do to prevent the patient from being left alone and immersed in pain.
Etc., etc.
This is why Chinese medicine has very high requirements for people.
Because Chinese medicine itself does not have a fixed form. It has its own theory and foundation, and a complete medical system. However, how much it can be learned and how much it can be used depends on the doctor's own understanding and ability.
Liu Xi looked at Chen Yang's prescription and didn't come back to his senses for a long time. It was precisely because Chen Yang's prescription was modified very well and almost minimized some harmful aspects.
The patient's family circumstances were also taken into consideration.
After being stunned for a while, Liu Xi printed out the prescription, signed it, and handed it to the patient.
"Go back and take it according to the prescription, and come back for a follow-up consultation after finishing it."
Liu Xi also wrote a note: "This is my consultation date, just register and come over then."
After the patient left, Liu Xi looked at Chen Yang.
Chen Yang felt embarrassed when Liu Xi looked at him.
"Doctor Liu!"
"I said you were pretending to be a pig to eat the tiger, but you still said you weren't."
Liu Xi smiled bitterly and said: "I finally discovered that your level is higher than mine. After making trouble for a long time, I am the clown."
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