This doctor is not short of money

Chapter 788
Du Heng's mind was spinning rapidly. He was thinking whether he should use Director Wu's thinking to solve this problem, or use Sun Jiaxiang's attitude to answer.

Now it is obvious that this is senile failure, which is caused by the failure of a certain organ or multiple organs in this particular patient.

And this failure, it's irreversible, there's almost no way around it.

But then again, the concept of TCM treatment is not to reverse the disease, but to use the bias of the medicine to correct and adjust the bias of the internal organs, so as to achieve a balanced state.

This is the most essential difference between Chinese medicine and modern medicine.

But the identity of this patient is too special, which makes Du Heng hesitate, because at this time, the level of medical skills may be only one aspect of it.

But after quick thinking, Du Heng still felt that he should follow his own heart.

He is a doctor, and his duty is to cure diseases and save lives. He is not good at other things, and he can't figure it out.

That being the case, then don't think about it, just focus on your own work.

"Mr. Sun, there is only the most basic medical condition introduction here. I can't tell anything from this. I want to check it myself." Du Heng looked at Sun Jiaxiang and said his thoughts softly.

Sun Jiaxiang wanted to nod, but he held back abruptly, and then looked at Director Meng next to him.

But Director Meng didn't agree immediately, but just said softly "wait a moment", then turned and walked out of the office, leaving behind Du Heng who didn't know why.

However, Sun Jiaxiang didn't seem surprised, but took advantage of Director Meng's absence, and started chatting with Du Heng, "Xiao Du, since you have seen the case, I will briefly introduce it now. Healing."

Du Heng didn't speak, just looked at Sun Jiaxiang and nodded slightly.

Sun Jiaxiang said slowly, "Western medicine has nothing to say, and you won't need it if you talk about it. I will focus on the treatment of Chinese medicine.

Because the earliest symptoms were upset and insomnia, combined with the pulse and tongue conditions, it was diagnosed as heart-fire deficiency. However, after treatment according to this idea, the patient only experienced a short-term recovery, and then the situation returned to the original state.

At the same time, the patient experienced constipation. "

Du Heng pondered slightly, and then asked, "The patient didn't have any underlying diseases earlier?"

Sun Jiaxiang shook his head, "There is no fundamental illness.

But the age of the patient is here, and the problem of weak qi and blood deficiency appeared a few years ago, but it was well taken care of, and there has been no major disturbance.

Since the year before last, the patient's intestinal function has degenerated, and the motility of intestinal peristalsis has weakened day by day. "

Du Heng stood up from the computer, walked slowly in front of Sun Jiaxiang and stood still, "Then did you do a laxative treatment after that?"

"That's right, not only Chinese medicine has done this kind of treatment, but Western medicine has also used medicine." Sun Jiaxiang frowned slightly, "There are experts in gastroenterology in the committee, so there must be no problem with medicine.

But the effect is not satisfactory, but from the original inability to defecate, it became the situation of defecation once every five or six days earlier, and recently, it has begun to have incongruity again.

By the way, during the period after defecation, the patient's stool became granular, and the amount was not much each time, just a few pills. "

"Stomach fever?"

Du Heng expressed his guess, but as soon as he finished speaking, he immediately shook his head. This diagnosis is a bit inappropriate.

Annoyance, palpitation, heat from the lower abdomen rushing straight to the heart, and now there is no bowel movement, and the person is already lightly comatose, which shows that the problem of bowel obstruction is a problem that occurs together with upset and insomnia, and these results are definitely not independent.

So simply treat it as stomach heat accumulation, there is no way to solve the heart fire.

And Sun Jiaxiang also said just now that both traditional Chinese medicine and Western medicine have been used to treat laxative and moistening the intestines, but the effect is not good. This not only shows that the patient's intestines are weak at this time, but also shows that the intestines are not moistened enough.

However, the patient is old and has lost both energy and blood. The addition of this external force is tantamount to drinking poison to quench thirst, and it is a waste of the old man's few vitality.

Therefore, considering it comprehensively, the patient's condition must not be pure heart fire, or accumulated heat in the stomach, there must be other factors in it.

Du Heng figured it out within a few seconds, and then Sun Jiaxiang said quietly, "It is indeed as you said.

Among us, some people think that it is caused by strong intestinal fire and deficiency of qi; "

Speaking of which, Sun Jiaxiang sighed helplessly, "But in the end, you also saw that no matter what method you use, the patient's condition has not changed.

The most important thing is that the patient has already developed the problem of heart failure. . . "

Du Heng didn't speak anymore.

Elderly people, especially those with both qi and blood failure, as long as there is organ failure, to be honest, even a doctor will have a headache.

Du Heng didn't check it himself. Although he had a slight guess in his heart, it's not good to say it now.

To be right, there will be suspicion of showing off, and it will appear unstable.If you say it wrong, it will make people feel unreliable, bragging, and pushy.

Regardless of the result, it will not be a good thing for Du Heng's future development.

So he would never say anything before seeing the patient.

At this time, Sun Jiaxiang had already introduced the specific situation, so he had nothing to say.If we go on, it may be out of the illness itself.

For a while, before Director Meng came back, both of them fell silent.

Fortunately, it didn't take long for Director Meng to go out, and he came in again after about 3 minutes, "I've agreed, come with me."

Who agrees?

What did you agree to do?

Director Meng didn't say anything, and Du Heng didn't ask. Anyway, he was following Sun Jiaxiang's activities, so there was absolutely no problem.

To be honest, whether seeing the patient's name or seeing the patient himself now, Du Heng didn't feel the slightest ripple in his heart.

Because he had no idea who this old man was, what he had done, and where he had been sitting.

Therefore, he regarded this examination and treatment as treatment for an ordinary patient.

But when he saw clearly the people around him who were waiting, accompanying, and watching him with scrutiny, Du Heng couldn't help but feel nervous.

Because among these people, he recognized several familiar faces that often appeared on TV.

However, Sun Jiaxiang, who was walking in front, didn't seem to be under any pressure, so he walked in slowly with a small walking stick.And he is quite familiar, chatting with someone from time to time.

And his relaxed state also made Du Heng, who was a little nervous just now, quickly relax again.

In the process of communicating slowly like this, for a moment, Du Heng suddenly thought, if Sun Jiaxiang introduces himself in front of these people, what kind of state and appearance should he use to have a chat with these people? call.

But he kept walking to the patient's side. Director Meng and Sun Jiaxiang gave him the place to be examined after seeing the patient, but Sun Jiaxiang didn't introduce him to anyone.

Du Heng suddenly laughed at himself.

I am really self-indulgent, thinking that I am such a great person.

In the end, it was purely overthinking.

After restraining his mood, Du Heng walked into the patient slowly and started his own examination.

The old man's complexion is slightly yellow, and there are many light-colored age spots on his face, and his breath is light and short.

However, these are superficial phenomena and can only be used as a reference. The key point is to look at the old man's tongue and pulse conditions.

But when Du Heng checked these two items, he couldn't help but start to thump.

The tongue is red, the coating is thin, and the center of the tongue is greenish, while the color around the tongue is slightly yellow and greasy. Moreover, the old man's tone is very heavy, with a faint smell of rancidity.

Looking at the pulse condition again, it is thin, numerous, multi-stringed, and overall weak.

After getting such a messy tongue and pulse condition, Du Heng understood why people like Sun Jiaxiang couldn't find the cause.

There are too many symptoms of tongue and pulse, such as heat in the body, overall qi deficiency, qi stagnation, yin and yang imbalance, combined with the patient's own symptoms, it is difficult for them to make an accurate judgment.

But Du Heng felt that someone must have seen the problem, but this person didn't know why, so he didn't say anything.

But after thinking about it for a while, Du Heng can probably guess it.

The old man is too weak, and there are signs of organ failure. At this time, even if the diagnosis is accurate, taking medicine is a very big trouble.

In the past, it was often said that the deficiency cannot be filled, but this is the situation of the old man now.

And what's more serious is that the old man is too old, and his qi and blood are both defeated, and his vitality has collapsed.

In this case, even a slight deviation in the medication would be unacceptable to the internal organs.Not to mention that it can't cure the disease, it will speed up the consumption of vitality. It is estimated that the old man's vitality will be exhausted before the effect of the medicine is absorbed and exerted.

But if you use dietary therapy to nourish, the viscera are deficient, and now the qi is deficient and stagnant, the stomach will not absorb it at all.

To put it bluntly, these foods do not stimulate the stomach and intestines enough, so they will come out exactly as they would have entered.

If it wasn't for being suspended with nutrient solution, the person probably wouldn't be in a light coma, and he might have left a long time ago.

So Du Heng concluded that someone here must have seen it.

But maybe he was not sure, so he hid and didn’t say anything; in addition, maybe he was sure, but because of the old man’s health, he was not sure what medicine to take, and he was afraid that there might be problems with his own medicine, so he hid it. Say.

As for whether he has other thoughts, Du Heng doesn't know, and he doesn't want to guess.

"Xiao Du, are you done with the examination?" Sun Jiaxiang saw that Du Heng straightened up and moved slightly away from the patient, so he took the initiative to ask.

Du Heng didn't answer in a hurry, but after thinking about it again, he said slowly, "I've checked Mr. Sun."

Sun Jiaxiang kept staring at Du Heng's eyes, seeing Du Heng staring at him firmly and making a slight nod, he asked again, "Then tell me what you think.

Don't worry, just follow your judgment and don't be shy. "

"After the diagnosis, I feel that the patient's problem is not the fire in the heart, nor the stomach, but the deficiency of kidney yin."

Sun Jiaxiang's expression remained unchanged, and he continued to ask, "Tell me in detail."

"The patient has the symptoms of fire qi rushing to the heart, and the fire qi rushing to the heart is due to insufficient body fluid in the heart." Du Heng said in a deep voice, "The fluid in the heart is actually the essence of the kidney. And die.

Fatigue and insomnia are just signs of giving up. "

After Du Heng said this, everyone who knew Chinese medicine nodded and said nothing, and began to think whether what Du Heng said was right or wrong.

And those who don't understand Chinese medicine, or even those who don't understand medicine, already have anger on their faces.

Give up, give up?
What are these words!

The old man is just in a coma now, and this young man started talking nonsense, is this called dead heart?

Can a dead person still live?

At this moment, Sun Jiaxiang continued to ask with a calm expression, "Since the kidneys are connected to the heart, why is the patient's energy below the navel rushing up and getting upset?"

Du Heng said without hesitation, "When the kidneys intersect with the heart, it is the intercourse of kidney water, not the intercourse of kidney fire. When the kidney water intermingles with the heart, it will be beneficial to the whole; if the kidney fire is intertwined with the heart, it will be unhelpful."

Therefore, if you are in need, you will feel at ease, and if you are not in need, you will be upset.

The old man should have insufficient Yuan Yang before, so he supplemented Yang Qi to help break Qi stagnation.

But too much tonic, so that there is no water in the solitary yang, which causes the heat to rush upwards, resulting in a situation where the kidney fire rushes to the heart. "

Sun Jiaxiang ignored everyone, still staring at Du Heng and said, "How to cure it?"

"Excessive fire means insufficient water. The treatment method should replenish the water in the kidney, and then the water will be sufficient to control the fire. If the fire does not rush up, the annoyance will stop itself, and the fire in the heart will naturally subside."

"Xiao Du, after talking so much, let's sum it up, the heart-kidney disharmony causes the patient to be upset and insomnia. But you seem to have overlooked a problem, the patient still has constipation."

Sun Jiaxiang looked at Du Heng calmly, and asked in a slightly flat tone, "Do you think that the problem of constipation has nothing to do with the strong heart fire, and needs to be treated alone?"

Du Heng shook his head, "No."

"Then how do you solve this problem?" Sun Jiaxiang asked immediately.

"The intestinal tract is dry and weak, and the stool is blocked, which is caused by the inability of the kidney essence to moisturize the intestinal tract." Du Heng was not stage frightened about such problems, and talked eloquently, "Humans have five viscera and six internal organs. The five internal organs metabolize and store essence. It is the water valley of Shengsheng and Chuanhua.

"Suwen·Jinkui Zhenyan" records that "the black color in the north enters the kidney, opens up the two yin, and stores the essence in the kidney." 'It is clearly pointed out that the kidney is closely related to the excretion function of the front and back two yin. "

Seeing that Du Heng stopped, Sun Jiaxiang said again, "Don't stop, explain in detail."

Du Heng was slightly taken aback, he felt that Sun Jiaxiang should know all about these things, but what does he mean by pressing so hard?
When he turned his head in a daze, Du Heng noticed the eyes of the people around him, and his heart suddenly moved. Will this old man cover himself up and cooperate?

Du Heng couldn't help looking at Sun Jiaxiang, but Sun Jiaxiang's face remained unchanged, and he urged again, "Explain."

After being stunned, Du Heng said again, "Kidney governs water, and the bladder is the exterior and interior of each other. Its gasification, opening and closing functions play an important role in the body's metabolism, formation and excretion of urine, so it is easier to understand that the kidney governs urine. .

It is recorded in "Yiguan·Xieli and Constipation of Stool": Those who can open and close the stool have the right to exercise the kidneys.

That is to say, the kidney stores Yuanyin and houses Yuanyang, the Yin Qi of the five internal organs cannot be moistened without this, and the Yang Qi of the five internal organs cannot be warmed without this.

Therefore, the formation and conduction of normal stool are directly affected by the functions of kidney yin and kidney yang.

That is to say, if the kidney yin is sufficient, it can moisten the large intestine, make the stool soft and hard, and excrete smoothly. "

(End of this chapter)