This doctor is not short of money
Chapter 533
Chapter 533
Skipping over the system, when Du Heng once again focused his attention on the old man's condition, he suddenly had a new understanding of how to prescribe medicine.
After a while, Du Heng slapped his thigh suddenly, "It turns out that you can still use medicine like this."
Excited, he picked up the pen in his hand and prepared to write, but at this moment, someone knocked on the office door, and Du Heng's train of thought was instantly interrupted.
However, he also suddenly remembered that he had locked the door just now, so he quickly got up to open the door.
Gu Ping at the door gave Du Heng a strange look, and he didn't know why he, Mr. Du, locked the door in broad daylight, and it was the office door.
But he was just surprised and said, "Mr. Du, is the prescription ready?"
Du Heng chuckled, "You knocked on the door as soon as you thought about it."
As soon as these words came out, Gu Ping was a little flustered immediately, and quickly said, "I'm sorry, Teacher Du, I'm the one who bothered you. I thought you had finished writing."
"It's okay, I've already thought about it. Come in, you can just take it away when I finish writing it."
The two returned to the desk again, Du Heng began to write with a pen, and Gu Ping stood aside to watch.
But today's case gave him a heavy sense of frustration, and he held back a lot of words. He wanted to ask Du Heng, but he was afraid of disturbing Du Heng. If he didn't ask, he felt extremely uncomfortable.
After hesitating for a long time, seeing Du Heng close the pen cap, he couldn't help it anymore, "Teacher Du, can I ask you a few questions?"
Du Heng checked his own prescription and nodded at the same time, "You ask."
"Mr. Du, this patient has a history of gastric ulcer, and at the same time, he vomits when he eats and chokes and hiccups. It is obviously a manifestation of gastric qi inversion, but I have used Baohe Decoction, why is there no effect at all?"
"The patient is indeed suffering from gastric ulcer, and Baohe Decoction Bian Fang also has the effect of harmonizing the stomach. It seems to be symptomatic, but the patient's hiccups and hiccups are not stomach problems."
Du Heng put down the prescription in his hand, turned to look at Gu Ping, and stretched out his hand for him to sit down.
"Think about it, if the stomach really fails, do you think this patient can persist until now without life-threatening?"
Du Heng smiled, "So using Baohe Decoction seems to be symptomatic, but it has no effect, because it is not symptomatic at all. These problems in patients are caused by the weak kidney qi and the desire to lose vitality."
Confusion flashed in Gu Ping's eyes, "From the symptoms, it's obviously a stomach problem?" After muttering, Gu Ping looked at Du Heng, "Teacher Du, how should we distinguish this?"
"Don't be in a hurry to distinguish, let me ask you first, what are the characteristics of this patient's symptoms?"
Gu Ping was at a loss again.
"Je Qi goes up the attack." Du Heng spit out four words slowly.
"Fight up the attack?"
"Yes, that is the 'Bentun' mentioned in medical books such as Treatise on Febrile Diseases and Synopsis of the Golden Chamber. 'Bentun' is an episodic disease, which belongs to the pulse disease."
Since he wanted to explain, Du Heng was not in a hurry, and slowly said, "Chong is a sea of blood. Its pulse originates from the lower abdomen, travels up the abdomen, and meets the throat. It belongs to the liver and kidney, and also belongs to Yangming. When the kidney yang is deficient, the liver Cold stagnates, cold drink stops inside, and the Chongmai is not in place, and the evil of drinking is rushing up and down, which is the card.
Think about the situation of this patient, is it exactly the same as what I said? "
As Du Heng's voice fell, the confused Gu Ping's eyes immediately became scattered, and then slowly regained focus, "It's the same."
Then he scratched his head again, "Mr. Du, what are the specific symptoms?"
After asking this question, Gu Ping's ears turned red.
Du Heng mentioned the principles earlier, logically speaking, he should deduce the characteristics of the disease from these principles.But he himself is too aware of his knowledge reserves.
If he was asked to deduce it himself, let alone whether it is accurate or not, he would be able to shed a layer of skin just by deriving a disease that conforms to the principle.
Du Heng is also aware of Gu Ping's level. Apart from being a bit talented in acupuncture, this kid is not bad. As for the diagnosis, to be honest, that's it.
If it wasn't for his strong relationship, he would have been driven away by Xu Pinglin long ago.
"When this disease occurs, the patient feels a gust of cold air rushing straight from the lower abdomen to the chest and pharynx, making him breathless and congested, dying of distress and excruciating pain. Qi gradually calmed down, calmed down as usual, consistent with the description in "The Golden Chamber". So if you have time, you can read more medical books."
Du Heng smiled lightly, and continued, "Symptoms such as liver, spleen and kidney three yin cold syndrome, epigastric cramps, qi rushing up and down, vomiting and diarrhea, limb reflexes, and even severe pain, colic, edema and swelling are all here. List."
At the same time as Du Heng said, Gu Ping had already turned on the recording function of the phone.
Gu Ping was annoyed when he saw that Du Heng had no plan, and he slowly stabilized his mind, and began to find out the few knowledge points in his head, "Mr. , is it okay to use this recipe?"
Du Heng nodded, "At the beginning, I also thought of this prescription. With a little adjustment, it can be directly applied to this patient."
Speaking of this, Du Heng suddenly paused, and then changed his tone, "But now, I have a better match."
As he said that, he found another piece of paper from the table and began to write the prescription. After finishing writing, he reached out and handed it to Gu Ping.
Gu Ping reached out to take it in doubt, only to see that there were nine herbs such as aconite, cinnamon, red ginseng, agarwood, amomum, and yam written on it, and there was no dose yet.
"Teacher Du, what is this?"
"Ben Dolphin Soup."
"The Bentun Soup in "The Golden Chamber"?" Gu Ping's doubts intensified.
If it is the prescription in "The Golden Chamber", there is no need for Du Heng to rewrite it, right?And he said it himself, it's not the original prescription.
"The prescription with the same name is also used to treat Bentun, but it is not the same as the medicine used in "Golden Chamber."
"Different?"
Gu Ping was shocked again.
Listening to the name of the prescription, it is obvious that it is aimed at all kinds of dysentery. Could it be that Du Heng came up with a general prescription in such a short time?Rather than a symptomatic treatment?
Du Heng exhaled lightly, "This recipe consists of Ginseng Sini Decoction to remove dried ginger, Guifu Lizhong Decoction to remove Atractylodes macrocephala, Guifu Bawei Wan to remove rehmannia glutinosa, paeonol, cornus, add agarwood, amomum, and achyranthes bidentata. Cheng, used as pure yang to strengthen fire, rescue the poor and help the dangerous.
It can be warm and flexible, from the top to the bottom, and can pass through the twelve meridians inside and outside. "
While talking, Du Heng picked up the prescription he had written before, looked it over again and said, "Its function is to warm and nourish the true fire of the innate life door, save the decline of Yuanyang, and strengthen the collapse of Yuanqi.
Tonify fire to generate soil, dispel dampness and awaken the spleen, tonify soil to make water, and eliminate edema.
Inhale Qi to calm asthma, calm and nourish the pulse; draw fire back to the original, subdue Bentun.
Eliminate cold accumulation in the five internal organs, condense the six internal organs, remove cold numbness in the arteries and veins, break the severe cold and chronic cold, dispel cold and promote qi to treat all pains. "
As he spoke, he pointed to a medicine name on the paper, "Among the pungent and dry medicines of the brigade, the moistening properties of a single yam is used again, it is the best adjuvant for strengthening the spleen and stomach, benefiting the lungs, nourishing the kidneys, strengthening the lean and benefiting the yin.
When it can nourish yin and cooperate with yang, it can play the root of benefiting fire and eliminate yin and gloom. "
Gu Ping's eyes became round.
Hey, it's really like what I thought, Du Heng came up with a general formula.
All of the running dolphin disease he just mentioned was included in his prescription.
Gu Ping's throat twitched. He didn't have any doubts about what Du Heng said. He just wanted to put this prescription in his father's safe.
But when he looked at the prescription again, he still asked the last doubt in his heart, "Mr. Du, why didn't you write down the dosage for this prescription?"
Hearing this question, Du Heng laughed directly, "This can't be written about dosage."
"Why?" Gu Ping began to think wildly in his heart. Could it be that Du Heng was afraid that he would steal his prescription?
But that's not right either.
If that was the case, Du Heng would not have written this prescription to himself.
Puzzled in my heart, I could only look at Du Heng in confusion again.
"Look carefully at the prescription, there is aconite in the prescription, and aconite is used as a king's medicine." Du Heng motioned Gu Ping to read the prescription again.
After Gu Ping saw it clearly, Du Heng went on to say, "Ben Dolphin's illness includes mild and serious illnesses, such as the critical illness of this patient now, and his advanced version, which needs emergency treatment when he loses vitality.
In different situations, different aconite dosages are required.
The amount of aconite used is different, and the prescription must be changed. For example, Zhigancao, at other times, its dosage can be kept at twice the amount of aconite, but once aconite is used outside the rules, it can only be used at the top of [-] grams.
There is also the dosage of cinnamon and cornus, which also varies with the change of monkshood, which is not the same. "
Gu Ping was dumbfounded as soon as Du Heng finished speaking.
He thought that he could use the prescription when he got it, at most he could just add and subtract according to the amount, but he didn't expect this prescription to be so complicated.
The whole person suddenly became discouraged. With his current level, this prescription is useless.
Du Heng looked at Gu Ping's expression and knew what this kid was thinking.
But pathology and pathogenesis, unless you suddenly get a system like yourself, otherwise, you should study hard, read more, memorize more, and think more.
"Okay, I've said everything that needs to be said, and don't be discouraged. The treatment of diseases is a process that accumulates over time. As for today's patient, don't say that you didn't recruit him, or send him to the Chinese medicine department. At least [-]% The doctor didn't recruit either."
Du Heng comforted Gu Ping with a smile, and after telling him to use the prescription that he wrote at the beginning, he patted his butt and got up to leave.
As soon as Du Heng returned to the Municipal Women and Children, Kang Zhirong, who went to photograph Director Liu, also came back.
Du Heng asked, "Has the family been discharged from the hospital?"
Kang Zhirong nodded, "After you left in the morning, they discharged you from the hospital."
"That's good." Du Heng nodded, "Help me remember the things that will be reviewed later."
Kang Zhirong also nodded, and then said, "Principal, I want to edit the process of your treatment of this child and send it to our account. Can you see it?"
"of course."
Kang Zhirong laughed happily, "Dean, I have sent the edited video to your mailbox, please help me take a look and see if there are any omissions."
Du Heng opened the email that Kang Zhirong said, and after clicking on it, he began to watch it seriously.
The more you look, the more obvious the smile on the corner of Du Heng's mouth becomes.
Watching your own video in front of outsiders is a wonderful feeling.
Especially the film edited by this kid Kang Zhirong, the angles, colors, and the music that exaggerated the atmosphere made me feel a little bit narcissistic even in embarrassment.
What a handsome man who works hard!
(End of this chapter)
Skipping over the system, when Du Heng once again focused his attention on the old man's condition, he suddenly had a new understanding of how to prescribe medicine.
After a while, Du Heng slapped his thigh suddenly, "It turns out that you can still use medicine like this."
Excited, he picked up the pen in his hand and prepared to write, but at this moment, someone knocked on the office door, and Du Heng's train of thought was instantly interrupted.
However, he also suddenly remembered that he had locked the door just now, so he quickly got up to open the door.
Gu Ping at the door gave Du Heng a strange look, and he didn't know why he, Mr. Du, locked the door in broad daylight, and it was the office door.
But he was just surprised and said, "Mr. Du, is the prescription ready?"
Du Heng chuckled, "You knocked on the door as soon as you thought about it."
As soon as these words came out, Gu Ping was a little flustered immediately, and quickly said, "I'm sorry, Teacher Du, I'm the one who bothered you. I thought you had finished writing."
"It's okay, I've already thought about it. Come in, you can just take it away when I finish writing it."
The two returned to the desk again, Du Heng began to write with a pen, and Gu Ping stood aside to watch.
But today's case gave him a heavy sense of frustration, and he held back a lot of words. He wanted to ask Du Heng, but he was afraid of disturbing Du Heng. If he didn't ask, he felt extremely uncomfortable.
After hesitating for a long time, seeing Du Heng close the pen cap, he couldn't help it anymore, "Teacher Du, can I ask you a few questions?"
Du Heng checked his own prescription and nodded at the same time, "You ask."
"Mr. Du, this patient has a history of gastric ulcer, and at the same time, he vomits when he eats and chokes and hiccups. It is obviously a manifestation of gastric qi inversion, but I have used Baohe Decoction, why is there no effect at all?"
"The patient is indeed suffering from gastric ulcer, and Baohe Decoction Bian Fang also has the effect of harmonizing the stomach. It seems to be symptomatic, but the patient's hiccups and hiccups are not stomach problems."
Du Heng put down the prescription in his hand, turned to look at Gu Ping, and stretched out his hand for him to sit down.
"Think about it, if the stomach really fails, do you think this patient can persist until now without life-threatening?"
Du Heng smiled, "So using Baohe Decoction seems to be symptomatic, but it has no effect, because it is not symptomatic at all. These problems in patients are caused by the weak kidney qi and the desire to lose vitality."
Confusion flashed in Gu Ping's eyes, "From the symptoms, it's obviously a stomach problem?" After muttering, Gu Ping looked at Du Heng, "Teacher Du, how should we distinguish this?"
"Don't be in a hurry to distinguish, let me ask you first, what are the characteristics of this patient's symptoms?"
Gu Ping was at a loss again.
"Je Qi goes up the attack." Du Heng spit out four words slowly.
"Fight up the attack?"
"Yes, that is the 'Bentun' mentioned in medical books such as Treatise on Febrile Diseases and Synopsis of the Golden Chamber. 'Bentun' is an episodic disease, which belongs to the pulse disease."
Since he wanted to explain, Du Heng was not in a hurry, and slowly said, "Chong is a sea of blood. Its pulse originates from the lower abdomen, travels up the abdomen, and meets the throat. It belongs to the liver and kidney, and also belongs to Yangming. When the kidney yang is deficient, the liver Cold stagnates, cold drink stops inside, and the Chongmai is not in place, and the evil of drinking is rushing up and down, which is the card.
Think about the situation of this patient, is it exactly the same as what I said? "
As Du Heng's voice fell, the confused Gu Ping's eyes immediately became scattered, and then slowly regained focus, "It's the same."
Then he scratched his head again, "Mr. Du, what are the specific symptoms?"
After asking this question, Gu Ping's ears turned red.
Du Heng mentioned the principles earlier, logically speaking, he should deduce the characteristics of the disease from these principles.But he himself is too aware of his knowledge reserves.
If he was asked to deduce it himself, let alone whether it is accurate or not, he would be able to shed a layer of skin just by deriving a disease that conforms to the principle.
Du Heng is also aware of Gu Ping's level. Apart from being a bit talented in acupuncture, this kid is not bad. As for the diagnosis, to be honest, that's it.
If it wasn't for his strong relationship, he would have been driven away by Xu Pinglin long ago.
"When this disease occurs, the patient feels a gust of cold air rushing straight from the lower abdomen to the chest and pharynx, making him breathless and congested, dying of distress and excruciating pain. Qi gradually calmed down, calmed down as usual, consistent with the description in "The Golden Chamber". So if you have time, you can read more medical books."
Du Heng smiled lightly, and continued, "Symptoms such as liver, spleen and kidney three yin cold syndrome, epigastric cramps, qi rushing up and down, vomiting and diarrhea, limb reflexes, and even severe pain, colic, edema and swelling are all here. List."
At the same time as Du Heng said, Gu Ping had already turned on the recording function of the phone.
Gu Ping was annoyed when he saw that Du Heng had no plan, and he slowly stabilized his mind, and began to find out the few knowledge points in his head, "Mr. , is it okay to use this recipe?"
Du Heng nodded, "At the beginning, I also thought of this prescription. With a little adjustment, it can be directly applied to this patient."
Speaking of this, Du Heng suddenly paused, and then changed his tone, "But now, I have a better match."
As he said that, he found another piece of paper from the table and began to write the prescription. After finishing writing, he reached out and handed it to Gu Ping.
Gu Ping reached out to take it in doubt, only to see that there were nine herbs such as aconite, cinnamon, red ginseng, agarwood, amomum, and yam written on it, and there was no dose yet.
"Teacher Du, what is this?"
"Ben Dolphin Soup."
"The Bentun Soup in "The Golden Chamber"?" Gu Ping's doubts intensified.
If it is the prescription in "The Golden Chamber", there is no need for Du Heng to rewrite it, right?And he said it himself, it's not the original prescription.
"The prescription with the same name is also used to treat Bentun, but it is not the same as the medicine used in "Golden Chamber."
"Different?"
Gu Ping was shocked again.
Listening to the name of the prescription, it is obvious that it is aimed at all kinds of dysentery. Could it be that Du Heng came up with a general prescription in such a short time?Rather than a symptomatic treatment?
Du Heng exhaled lightly, "This recipe consists of Ginseng Sini Decoction to remove dried ginger, Guifu Lizhong Decoction to remove Atractylodes macrocephala, Guifu Bawei Wan to remove rehmannia glutinosa, paeonol, cornus, add agarwood, amomum, and achyranthes bidentata. Cheng, used as pure yang to strengthen fire, rescue the poor and help the dangerous.
It can be warm and flexible, from the top to the bottom, and can pass through the twelve meridians inside and outside. "
While talking, Du Heng picked up the prescription he had written before, looked it over again and said, "Its function is to warm and nourish the true fire of the innate life door, save the decline of Yuanyang, and strengthen the collapse of Yuanqi.
Tonify fire to generate soil, dispel dampness and awaken the spleen, tonify soil to make water, and eliminate edema.
Inhale Qi to calm asthma, calm and nourish the pulse; draw fire back to the original, subdue Bentun.
Eliminate cold accumulation in the five internal organs, condense the six internal organs, remove cold numbness in the arteries and veins, break the severe cold and chronic cold, dispel cold and promote qi to treat all pains. "
As he spoke, he pointed to a medicine name on the paper, "Among the pungent and dry medicines of the brigade, the moistening properties of a single yam is used again, it is the best adjuvant for strengthening the spleen and stomach, benefiting the lungs, nourishing the kidneys, strengthening the lean and benefiting the yin.
When it can nourish yin and cooperate with yang, it can play the root of benefiting fire and eliminate yin and gloom. "
Gu Ping's eyes became round.
Hey, it's really like what I thought, Du Heng came up with a general formula.
All of the running dolphin disease he just mentioned was included in his prescription.
Gu Ping's throat twitched. He didn't have any doubts about what Du Heng said. He just wanted to put this prescription in his father's safe.
But when he looked at the prescription again, he still asked the last doubt in his heart, "Mr. Du, why didn't you write down the dosage for this prescription?"
Hearing this question, Du Heng laughed directly, "This can't be written about dosage."
"Why?" Gu Ping began to think wildly in his heart. Could it be that Du Heng was afraid that he would steal his prescription?
But that's not right either.
If that was the case, Du Heng would not have written this prescription to himself.
Puzzled in my heart, I could only look at Du Heng in confusion again.
"Look carefully at the prescription, there is aconite in the prescription, and aconite is used as a king's medicine." Du Heng motioned Gu Ping to read the prescription again.
After Gu Ping saw it clearly, Du Heng went on to say, "Ben Dolphin's illness includes mild and serious illnesses, such as the critical illness of this patient now, and his advanced version, which needs emergency treatment when he loses vitality.
In different situations, different aconite dosages are required.
The amount of aconite used is different, and the prescription must be changed. For example, Zhigancao, at other times, its dosage can be kept at twice the amount of aconite, but once aconite is used outside the rules, it can only be used at the top of [-] grams.
There is also the dosage of cinnamon and cornus, which also varies with the change of monkshood, which is not the same. "
Gu Ping was dumbfounded as soon as Du Heng finished speaking.
He thought that he could use the prescription when he got it, at most he could just add and subtract according to the amount, but he didn't expect this prescription to be so complicated.
The whole person suddenly became discouraged. With his current level, this prescription is useless.
Du Heng looked at Gu Ping's expression and knew what this kid was thinking.
But pathology and pathogenesis, unless you suddenly get a system like yourself, otherwise, you should study hard, read more, memorize more, and think more.
"Okay, I've said everything that needs to be said, and don't be discouraged. The treatment of diseases is a process that accumulates over time. As for today's patient, don't say that you didn't recruit him, or send him to the Chinese medicine department. At least [-]% The doctor didn't recruit either."
Du Heng comforted Gu Ping with a smile, and after telling him to use the prescription that he wrote at the beginning, he patted his butt and got up to leave.
As soon as Du Heng returned to the Municipal Women and Children, Kang Zhirong, who went to photograph Director Liu, also came back.
Du Heng asked, "Has the family been discharged from the hospital?"
Kang Zhirong nodded, "After you left in the morning, they discharged you from the hospital."
"That's good." Du Heng nodded, "Help me remember the things that will be reviewed later."
Kang Zhirong also nodded, and then said, "Principal, I want to edit the process of your treatment of this child and send it to our account. Can you see it?"
"of course."
Kang Zhirong laughed happily, "Dean, I have sent the edited video to your mailbox, please help me take a look and see if there are any omissions."
Du Heng opened the email that Kang Zhirong said, and after clicking on it, he began to watch it seriously.
The more you look, the more obvious the smile on the corner of Du Heng's mouth becomes.
Watching your own video in front of outsiders is a wonderful feeling.
Especially the film edited by this kid Kang Zhirong, the angles, colors, and the music that exaggerated the atmosphere made me feel a little bit narcissistic even in embarrassment.
What a handsome man who works hard!
(End of this chapter)
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