Under, Chinese medicine flavin

Chapter 131 (Seeking Monthly Pass for Subscription)
Huang Su led Liu Shasha into the opposite ward.

In the ward, one patient was seen sitting up with his back leaning against the head of the bed, while the other patient was lying on his side and still sleeping soundly, snoring loudly.

Huang Su first reviewed the patient who was awake, and then took the medical records handed over by Liu Shasha. The patient's name was Zhang Defu.

First there was Zhang Decai, then Zhang Defa, and here came another Zhang Defu.

Huang Su thought: This should be people from the same clan in the same village, and they are all from the generation of virtue.

Sitting next to the patient, Huang Su first gave Zhang Defu a pulse and tongue diagnosis, and then asked about his basic physical condition.

Zhang Defu's syndrome was basically the same as that of the three patients in the opposite ward. They all had a rapid pulse, red tongue, thin yellow and dry tongue coating.It's all because yesterday's blood stasis generated heat, which hurt Yin and Tianjin.

The treatment method only needs to clear heat and activate blood, nourish yin and nourish spirit.

After Huang Su handed the signed prescription to Liu Shasha, Zhang Defu asked worriedly: "Doctor Huang, I won't leave any root cause of illness in the future."

Huang Su showed a slight smile and said, "Don't scare yourself. As long as you don't have symptoms of slow reaction, slurred speech, dizziness, headache, coma and drowsiness, there is no big problem."

Western medicine believes that a concussion is formed after the head is hit by an external force, and the brain nerve function is suddenly and temporarily impaired.

Traditional Chinese medicine believes that the disease is damage to the brain network, and clinical syndrome differentiation should first grasp the word "stasis".Among them, those with blood stasis blocking the brain collaterals have headaches in a fixed place, pain like a prick, endless pain, dizziness, dizziness, sometimes light and sometimes severe, and severe cases are comatose, eyes closed, and unconscious.

The most commonly used prescription is Tongnao Zhuyu Decoction: 15 grams of Sappan, 10 grams of Liu Jinu, 10 grams of Calamus, 15 grams of Chicao, 30 grams of Miltonia, 10 grams of Eupatorium, 10 grams of Radix Paeoniae Rubra, Chuanxiong 6 grams.

If the patient wakes up with unresponsiveness, Chinese medicine believes that the sea of ​​marrow is empty.

People with empty marrow sea have headache, dizziness, forgetfulness, dull eyesight, unresponsiveness, long-term bone flaccidity and weakness, partial use and uselessness.Governance to fill the brain.

The commonly used prescriptions are decoction with Dabuyuan: 10 grams of Ziheche, 15 grams of longan meat, 30 grams of mulberry, 18 grams of rehmannia glutinosa, 15 grams of heterophylla, 15 grams of salvia miltiorrhiza, 9 grams each of red and white peony root, 12 grams of gold, 9 grams of calamus, 9 grams of polygala, 9 grams of Poria cocos, and 12 grams of raw calamus.

The sea of ​​marrow is the brain in the definition of traditional Chinese medicine. It belongs to the extraordinary and constant fu. The brain and the marrow in the spine are connected. thinking activity.When the brain is insufficient or the meridians it belongs to have pathological changes and affect the brain, there will be mental and mental illnesses.

"Su Wen.There is a saying in "Five Viscera": "The brain, marrow, bones, veins, gallbladder, and womb, these six, the birth of the earth's qi, are all stored in the yin and resemble the earth, so they are stored but not released, and they are called strange constants. House."

Extraordinary internal organs are the general term for the brain, marrow, bones, arteries, gallbladder, and uterus.Strange ones are different.Constant ones, often also. "Qiheng" means abnormal. The physiological functions of these six organs and tissues are characterized by the accumulation of essence, but they are also different from the functions of the five zang organs and the six fu organs, hence the name.

For example, the gallbladder is one of the six internal organs. Although it participates in the digestion of water and grains, it stores essence and does not directly receive and transmit water and grains, so it is also included in the extraordinary internal organs.

Except for the gallbladder, the extraordinarily constant fu organs have no external or internal relationship with the five zang organs, nor are they categorized by the attributes of the five elements, but they are closely related to the heart, liver, spleen, kidney and other viscera, so the syndrome differentiation and treatment often starts with the relevant viscera.

Therefore, to study Chinese medicine, one must first abandon the definition of human organs in Western medicine. Any viscera in Chinese medicine refers to a system, not the isolated definition of organs in Western medicine.

After reviewing the test result, Huang Su casually asked when she got up: "Does your co-worker usually snore so loudly when he sleeps?"

Zhang Defu shook his head and said: "We live in the same dormitory, and he doesn't usually snore. I don't know why he suddenly snores today, and the sound is still so loud. I wanted to sleep, but I was caught by his snoring. I couldn't even sleep."

Hearing that Huang Su frowned slightly, the body that had just sat up sat back and asked: "Then when he woke up, was there anything unusual, and was there anything different from you."

"abnormal……"

Zhang Defu recalled for a while and said: "When he woke up, he was always listless, as if he hadn't woken up."

Huang Su continued to ask: "Then does he still know you?"

"Of course we know us, but the reaction is a bit slow?" Zhang Defu suddenly remembered the adverse reactions of the concussion that Huang Su had just told him, and asked anxiously: "Doctor Huang, Deguang is fine, right? Uncle and third aunt are just such a child, and he is not married yet."

Huang Su comforted: "What is the specific situation, I will not know until I have a diagnosis and treatment. Don't worry, you are also a patient, so don't get emotional."

After soothing Zhang Defu's emotions, Huang Su walked to Zhang Deguang's hospital bed, first checked Zhang Deguang's facial condition, the bruises in his eyes did not fade, but showed signs of aggravation, and his nose was still smoky.

Huang Su reached out to check Zhang Deguang's neck again, and found that it was still stiff and did not improve.

Zhang Defu was also worried about Zhang Deguang's condition, sitting by the bed and staring at Huang Su's every move and every expression.

Seeing Huang Su frowned, Zhang Defu hurriedly asked: "Doctor Huang! What's going on with Deguang?"

"The patient's condition is still stable now. I'll talk about it after I have seen the tongue diagnosis and pulse diagnosis."

Huang Su took Zhang Deguang's arm and began to check the pulse, even after moving Zhang Deguang like this, there was still no sign of getting up.

Zhang Defu asked anxiously again: "He is in a stable condition, why is it different from us, you see we are almost better."

Huang Su explained while checking the pulse: "Everyone absorbs the medicine differently. Some people take one medicine and drink it very quickly, and some people drink one medicine and it doesn't have much effect. And stable condition means The fact that the patient's condition has not deteriorated does not mean that the patient's condition has begun to improve."

Oh!
After hearing that his condition hadn't deteriorated, Zhang Defu's hanging heart settled down, and he watched Huang Su's pulse diagnosis.

Huang Su rested her three fingers on the three parts, felt that Zhang Deguang's pulse was like a bow string, the pulse was weak, and the vessel was soft and empty, as if the blood vessel was half filled with blood, there was a lot of space in the vessel, and the pulse was beating very fast, this is The pulse condition of imaginary chords, especially in patients with left-off chords.

Deficiency pulse, the main deficiency syndrome, Qi deficiency is not enough to transport blood, so the pulse is weak, and blood deficiency is not enough to fill the channel, so it is empty when pressed.Due to deficiency of qi, which is not restrained but flares out, blood deficiency and qi floats outward without attachment, and the veins are loose, so the pulse shape is large and soft.

Huang Su said to Sasha: "Give me the patient's medical records from last night."

Yu Shasha opened the medical record folder, rummaged through it, and handed the medical record to Huang Su.

Huang Su took over the medical record, which stated that at two o'clock in the morning, the patient had an acute increase in intracranial pressure, and the intracranial pressure was controlled and lowered with a dehydrating agent.

Seeing the dehydrating agent, Huang Su also fully understood why Zhang Deguang's pulse condition changed so much.

Zhang Deguang was originally born with blood stasis and heat, and heat evil hurts yin. After using dehydrating agents, a large amount of body fluid was consumed in the body, and the body fluid in the blood decreased. Yin deficiency type blood deficiency appeared, and the body fluid in the blood decreased, which naturally led to aggravation of blood stasis. That's why Zhang Deguang's cyanosis around his eyes showed signs of aggravation.

Yin deficiency and blood stasis naturally lead to aggravation of heat evil in the body. The patient's jaws are closed tightly and the neck is stiff. This is the internal movement of the liver wind. When the liver wind encounters heat, it will naturally lead to hyperactivity of the liver fire. .

Now that he knew the patient's pathogenesis, Huang Su gently shook Zhang Deguang's body to wake him up, and checked his tongue coating to make sure.

It took a long time for Zhang Deguang to transform slowly, his eyelids were only half opened, and his eyes were cloudy and lifeless.

It can be seen that Zhang Deguang is a little delirious now.

Huang Su pointed to Zhang Defu and asked, "Do you still know who he is?"

For a long time, Zhang Deguang wanted to speak but couldn't open his mouth, so he nodded weakly.

Zhang Deguang's current symptom is the disturbance of consciousness after concussion.

Huang Su approached Zhang Deguang again and said, "Open your mouth, let me see your tongue."

It took a long time before Zhang Deguang opened his mouth slowly, and the mouth was only opened one-third of the size.

But the tongue coating could barely be seen, so Huang Su moved closer to Zhang Deguang's mouth to examine it carefully.

Zhang Deguang's tongue was crimson purple, and the coating on his tongue was dry and dry. Only the two sides of the front of the tongue could be seen, but it was full of ecchymosis.

"Doctor, what is the condition of Deguang's body? His current condition is much worse than that of this morning."

Seeing that Zhang Deguang's physical condition was worse than when he woke up in the morning, Zhang Defu grabbed Huang Su's arm and asked anxiously.

"You are also a patient, so don't get emotional." Huang Su comforted Zhang Defu and explained in plain words: "The patient's red tongue coating indicates that the heat evil in the body is extremely strong, and the heat has invaded the blood. Less, it means that the patient has serious Yin deficiency, lack of a lot of water in the body, and ecchymosis around the tongue, which means that he has congestion in his body. I prescribed a prescription for clearing camp and cooling blood, nourishing yin and promoting body fluid, clearing heat and blood, rejuvenating the mind and calming the nerves. "

黄素掏出笔和处方单写道：水牛角40g、玄参20g、麦冬20g、北沙参15g、生地25g、川黄连7.5g、天竺黄5g、钩藤15g、天麻10g、当归15g、石斛15g、赤芍10g、丹皮10g、丝瓜络15g、甘草10g，另每日服用安宫牛黄丸两丸。

Huang Su handed the prescription to Liu Shasha and said: "This medicine is also taken in two doses."

Compared with the front, this side flavin increases the amount of buffalo horn, scrophulariaceae, and raw land to clear heat and cool blood. It has Moutan cortex that cools blood, removes red poria cocos, increases the amount of Ophiopogon japonicus, and increases dendrobium to nourish yin and increase fluid. Radix Ginseng nourishes yin and clears the lungs, nourishes the stomach and promotes body fluid, and clears the heat in the upper and middle burners. The tail of angelica is replaced with angelica, and loofah is added. The former nourishes blood and activates blood, while the latter clears away heat, cools blood and dredges collaterals.

"You guys take care of yourself and rest, and let me know if your condition changes."

Huang Su told Zhang Defu a few more words, and led Liu Shasha out of their ward. Today's ward rounds at work will be officially over here.

(End of this chapter)