This doctor is not short of money

Chapter 500

The breadth and depth of the Chinese language is reflected in the present time.

But Du Heng didn't like it very much.

"Teacher, can we go see the patient?"

"Okay, let's go now."

The three of them went out together, and Li Jianwei also added at the same time, "Gao Jinting, a famous doctor in the Qing Dynasty, said in the book "Understanding of Ulcers" that all surgical diseases, whose symptoms are in the upper part, all belong to rheumatism, wind-heat, and wind-related diseases. also.

Moreover, our Chinese medicine practitioners still have a saying that "the head is above the face, only the wind can reach it", so I diagnosed it as wind-heat, and took medicine to dispel wind and clear heat.

It has been taken for two days today, and the patient's itching has been relieved, but the rash has not subsided.

Xiaoheng, is my diagnosis wrong? "

Li Jianwei asked Du Heng beside him without the slightest consideration. He didn't care about his identity as a teacher at all, just like Du Heng was a colleague of his peers.

Xiao Su, who was following closely, didn't dare to breathe, for fear of making some noise, which would let Li Jianwei discover his existence, and knock him back directly.

Du Heng listened while walking, and after turning all the characteristics in his mind, he said, "I can't say for the time being, let's see the specific situation of the patient first."

Li Jianwei didn't force it, and walked directly in front and took the two of them to the ward.

Du Heng looked at Li Jianwei's back obliquely in front of him, feeling admiration in his heart.He was willing to join Li Jianwei's school and his graduate student, because he also valued Li Jianwei's point.

If today's situation was put on other doctors of the same level, it would be impossible for them to ask a young doctor like Li Jianwei, let alone Du Heng is still a student, so it would be even more impossible to ask Du Heng's opinion.

They would rather spend their time looking for doctors of the same level as them, or seniors with more qualifications, for consultation and consultation from other places.

When I arrived at the ward, the patient's condition was not very different from what Li Jianwei said. The sides of the nose were very thick and covered with rashes. When I looked closely, these rashes were mainly concentrated on the breasts on both sides of the nose.

Welcome to the **, which belongs to the meeting of the large intestine and stomach meridians of the hand and foot Yangming.

Then look at the tongue coating is yellow and dry, the tongue is reddish, and the pulse condition is heavy and solid.

Tongue coating yellow, belongs to fever.

Dryness belongs to heat and excess of Yin.

Red tongue and yellow coating, it is true heat.

The truth is the truth.

Combining so many symptoms, the patient is obviously a syndrome of excess heat in the interior, where is the theory of wind syndrome.

We can't see patients with itching and rashes, so we rely on wind and dampness.

But Du Heng couldn't say that. As for the patient's disease, he definitely couldn't say it in front of the patient. Otherwise, even if Li Jianwei was not ashamed to ask, his face would be embarrassing.

"Teacher, I've finished reading."

"Is there a result?"

"Not yet, let me go back and think about it."

Li Jianwei's eyelids twitched, he saw Du Heng's insincere words, and of course he also understood why Du Heng asked why he did this.

So he wouldn't refute Du Heng's kindness, so he walked down the steps and said, "Alright then, let's go back to the office and think about it."

After all, the three of them returned to the office, and the patients who saw them were stunned for a while, wondering what these people were doing here.

As soon as he returned to the office, Li Jianwei couldn't wait to ask Du Heng, "Xiao Heng, do you see what's wrong?"

Du Heng nodded, "The patient should have fiery evil knots in the large intestine, and then go up the Yangming meridians, and develop rashes on the face, which is a symptom of yin deficiency and fire."

Deficient and hot?

Li Jianwei frowned immediately, "I made a wrong diagnosis, isn't it wind-heat?"

Du Heng didn't know how to make a good expression, so he could only say with a serious face, "The disease is indeed a rash on both sides of the nose, which is hot and itchy. If there is no dry stool that aggravates it, and the stool is relieved, it can be regarded as Wind-heat for diagnosis and treatment.

But now that such a situation has appeared, and the frequent location of the rash is in the opposite direction, then the symptom of this disease can only be the large intestine. "

At this time, Xiao Su suddenly asked, "Senior brother, why is there constipation in stool, red rashes appear on both sides of the nose and face, and it becomes hot and itchy?"

When Li Jianwei was reminded by Du Heng, he turned the corner and wanted to understand where he went wrong.

Regarding Xiao Su's question, without waiting for Du Heng to answer, he said directly, "This starts with the theory of meridians. Among the meridians, the Large Intestine Hand Yangming Meridian starts from the end of the big finger and second finger, and runs on the arm. Lian... Finally handed it over to others, holding the nostrils upward.

Meridians are the qi and blood of the human body, and are the pathways between the external muscles and bones and the internal organs.Now the disease occurs in the large intestine, and because the large intestine is hot, it burns and consumes yin fluid, which makes the stool dry and hard, causing the passage to be blocked. The fiery evil has no descending passage, so it goes up the meridians and finds the end of the Yangming meridian—the nostrils.

The fiery evil came out from the nostrils, and there were hot itchy rashes on both sides of the nose. "

As Li Jianwei said, he sighed, "If the dialectics is wrong, the treatment is also wrong. We should not dispel the wind and clear the heat in order to pass it up, but must pass it down, so that the heat goes down is the right way."

Li Jianwei is a little ingenious in seeing a doctor, but not flexible enough.But this basic skill is really not picky.

Li Jianwei looked at Du Heng, and said slowly, "Xiao Heng, since you can see it, then you should open the prescription together."

Du Heng agreed, picked up the pen and paper from Li Jianwei's desk, and wrote the prescription in a short while.

Li Jianwei took the prescription and opened it, nodded frequently, and then handed it to Xiao Su, asking him to learn more.

Xiao Su has placed her position very clearly now, she is a student.Whether it is by Li Jianwei's side or by Du Heng's side, they are all students.

After reading the entire prescription prescribed by Du Heng, he gave full play to the characteristic of students asking questions when they don't understand, "Senior Brother, since your prescription is laxative, why do you add Zhizhu Wan?

Zhizhu pill strengthens the spleen and eliminates food, promotes qi and removes dampness, doesn't it go well with this prescription? "

Du Heng said with a smile, "The reason why the stool is dry and hard is related to intestinal dysfunction. Zhizhu pill not only has the effect of invigorating the spleen and eliminating food, promoting qi and removing dampness, but also has the effect of regulating and promoting intestinal function. The intestinal function is well adjusted Now, the bowel movement will naturally go smoothly.”

Xiao Su was stunned for a moment, "Does Zhizhu Pill have this effect?"

Li Jianwei glared at Xiao Su, "Look more at the latest pharmacological research, there are many common medicines on it, and there are some more effects that we didn't notice before."

Seeing Li Jianwei's gaze, Xiao Su immediately lowered his head, and said unconvinced, "There are so many books to read and homework to do every day, how can I have time to read these irrelevant things."

Li Jianwei could hear it clearly, and his eyes straightened up, "You don't have time? Then how did you, Senior Brother Du, have time to watch it?

He also has to manage the hospital, worry about the development of the hospital, go to the clinic, and write papers. How can he have time to look at those irrelevant things?

Lazy is lazy, don't make excuses for yourself. "

Xiao Su was helpless, he knew he couldn't escape the scolding, but he didn't expect it to come so soon.

"Brother, do you have any learning secrets, pass them on to me." Xiao Su looked at Du Heng pitifully.

Du Heng smiled softly, "Time, it's like... There is always a squeeze. And every night, I insist on reading and studying for two hours, accumulating dead effort."

Xiao Su looked at Du Heng in surprise, "Senior brother, you are the dean now, and your level is so good, you still study for two hours every night? Are you going to let us live?"

Hearing Xiao Su's cry, Li Jianwei also chuckled, "Look, people who are better than you are still working hard every day, why are you lazy? You, you can't just stare at the scenery in front of your brother, and you can't see him behind others How are you sweating?"

This exaggerated Du Heng's head broke out in cold sweat.

Xiao Su looked at Du Heng with a bit of resentment, and asked her last question, "Brother, I understand Zhizhu Wan, and I can figure it out, but isn't this pear cream a bit too abrupt?"

Du Heng didn't answer directly, but asked Xiao Su with a smile, "Look carefully, what did I write next to the pear paste?"

Xiao Su looked blank, did she write something?
Looking down at the prescription again, I saw two words written next to the pear ointment—additional dose.

"Add clothes?"

"Yes, then do you know why you wrote the plus server?"

Xiao Su lowered her head and thought for a while, then said uncertainly, "It means that pear cream is not included in the main prescription, it is a medicine taken alone. But why do you need to take it additionally? It's a medicine for the lungs, it has nothing to do with the large intestine."

Du Heng smiled slightly, trying not to put pressure on Xiao Su, "In the theory of Chinese medicine, there is a saying that 'the lungs combine with the large intestine'. To put it bluntly, if the intestinal function is to work normally, the lung function must cooperate.

Moreover, in the meridians mentioned by the teacher just now, the meridian of the large intestine has a description that it connects to the lungs and the lower diaphragm belongs to the large intestine during the circulation process.

The pear paste has the effect of nourishing yin and moistening the lungs. When the lung yin is sufficient, it can moisten the large intestine.Therefore, taking pear paste also has the effect of moistening the intestines and laxative. "

Xiao Su nodded blankly.

Meridian science, traditional Chinese medicine theory, these things have been studied by myself, and I have read books.But in front of Du Heng and Li Jianwei, I always feel that the books I read are not the same as the books they read.

What they said never appeared in the books they read.

And I have studied for eight years, but in front of the two of them, I always have the illusion that I have studied a fake school and entered a fake university.

Could it be that Li Jianwei didn't teach himself well?
Xiao Su secretly looked at Li Jianwei.

But Li Jianwei sighed, "Traditional Chinese medicine is said to be difficult to dialectical, but what they don't know is that prescribing is even more difficult. There is a saying in our Chinese medicine, 'Medicine is like using soldiers', and this medicine is like fighting a war." If you want to defeat the enemy, you must think carefully.

Many of our doctors speak clearly and logically, but when it comes to the door, they are more stretched. This is the performance of not knowing how to use medicine. "

After a slight pause, he had to go through the prescription, and after signing on it, he said to Xiao Su, "You change this prescription, and you will change the medicine for the patient tonight."

"I know the teacher."

(End of this chapter)