Under, Chinese medicine flavin

Chapter 222 Diseases That Make Flavin Tricky
Not long after, Huang Su looked at the patient brought by Risong, and his brows were already tightly wrinkled into a chuanzi.

Even Risong, who was still happy just after going out, has a heavy expression now.

I saw an old woman with gray hair and an old face, helping a ten-year-old boy into the consultation room.

The boy's left shoulder is high, his right shoulder is low, and his neck is slanted to the right. It can be seen that the boy has a very serious spinal curvature.

The little boy's eyes were dull, and he didn't have focus when looking at things. He hid half of his body behind the old woman, like a puppet, and was led in by the woman.

After the two were seated, Huang Su had not had time to ask her about her condition. The woman saw the young Huang Su and asked tentatively with suspicion on her face.

"You are Director Huang, Doctor Huang!"

"Auntie, I am Huang Su, Dr. Huang! Every Sunday I am in the Department of Traditional Chinese Medicine.

Hearing the affirmation in Huang Su's mouth, the woman suddenly knelt down to Huang Su.

"Dr. Huang, I beg you! You must save my son. Everyone says that you are skilled in medicine. You can even cure a terminal illness like cancer. There must be a way to save my son, right? I beg you."

Saying that, women will kowtow to Huang Su.

Huang Su was also at a loss when the woman knelt so suddenly, looked at He Hui and said, "He Hui, quickly help the patient's family members up."

Huang Su and He Hui worked together to help the woman up.

Only then did Huang Su see clearly that although the woman had gray hair and an old complexion, judging from the condition of her skin and spirit, she was not a very old woman, she should not be more than forty, but now she looked young The feeling of being nearly 60 years old is obviously due to overwork because of his son's illness.

The little boy just sat quietly in his place, kneeling in front of his mother, without any reaction.

The woman turned back to the stool, calmed down her emotions, and said slowly: "We are from Coal City, my name is Billie, this is my son Aleph, who was diagnosed with syringomyelia when he was ten years old, five years In the past five years, we almost emptied our pasture due to the illness of our children. Later, our relatives in Prairie City said that your medical skills are very high, Dr. Huang , you are our last hope, and our family's current financial situation can no longer afford long-term hopeless treatment."

Unexpectedly, this child who looks only ten years old is now 15 years old. It seems that the disease has affected his normal development, and there is a phenomenon of mental deterioration.

Billieger looked at Flavin expectantly.

"Doctor Huang! You can cure a terminal illness like cancer. There must be a way for my son's illness, right!"

When it comes to syringomyelia, Flavin frowned slightly. He had only heard of this disease, and it was the first time he had met him in medicine.

Syringomyelia has a high incidence of age between 31 and 50 years old, more men than women, and it is extremely rare in children and the elderly.

"The patient's family, this is the first time I have encountered syringomyelia. All I can say is that I will try my best, and you should consider whether to treat it here with me." Huang Su frankly explained the situation to Billieger. clear.

Huang Su said this because, although he knew the way of thinking, as the first time to treat this disease, it was impossible to use the compatibility of traditional Chinese medicine as freely as the disease he had treated.

This syringomyelia is all classified as atrophy in traditional Chinese medicine.

Atrophy syndrome, the name of the disease in traditional Chinese medicine.It refers to a type of disease syndrome in which the limbs are weak and weak, and cannot move freely.

Syringomyelia is an insufficiency of the sea of ​​marrow, which is mostly caused by congenital and acquired injuries.

After listening to Huang Su's words, Bi Lige agreed without hesitation: "Doctor Huang, as long as you are willing to agree to the treatment, we will do whatever we want. You don't know, in the past five years, we have met too many and only let us do Doctors who refused to treat us after various examinations.”

"Family, have you brought the patient's X-ray?"

"Bring it! Bring it!"

The patient's family quickly took out the CT myelography from the bag and handed it to Flavin, as if they were afraid of Flavin's change of mind and refused to treat their child.

Seeing that Billieger was so cautious and begging, in the process of seeking medical treatment for the past five years, he must have often encountered various closed doors.

I have seen and heard a lot about this situation in my previous life. A set of examinations cost tens of thousands of yuan, but in the end, they said that they could not be treated. Before it costs more, it is not uncommon for patients to fool patients into buying good medicines and expensive medicines.

Take tumor as an example, some bad doctors use the patient's eagerness to save their lives and specialize expensive drugs in order to make money.Hedyotis diffusa, Prunella vulgaris, and Prunella vulgaris can achieve the effect of more than ten yuan, but they use the medicine of yew for thousands of yuan, and never consider the condition of the patient's family.

Huang Su took the X-ray film and saw that Aleph’s spine had been bent into an S-shape. The thoracic segment was from the sixth segment to No.12 segment, which showed a high-density shadow in the spinal cord, and the visible cavity was at the sixth segment. paragraph to No.12 paragraph.

Risong and He Hui stood up that day, and when they saw Aleph's curved spine, they couldn't help taking a breath.

Flavin put down the film and walked to Aleph's side. After checking the condition of his upper limbs, he saw that the fingers of both hands of the patient were bent and curled up like chicken feet.

Huang Su squatted down and picked up Aleph's hand, ready to straighten his fingers, but the fingers were stiff and unable to unfold.

"Dr. Huang, you don't have to work hard. My son's fingers can't be stretched. Since he got this disease, his fingers have been slowly curled up. At first, it was one or two fingers, and now it is ten fingers. That's all there is to it."

Huang Su nodded and said, got up and asked, "Can the patient's hands be raised?"

Looking at Billieg shaking his head helplessly, Huang Su reached out to examine the patient's two arms. The bones of the two arms were protruding, only a thin strand of muscle remained, and the muscle atrophy was very serious.

Weakness, atrophy, and fasciculation of the thenar muscles, interosseous muscles of the hands, and forearm muscles, and severe atrophy of the hand muscles can lead to claw-like hands, which are common symptoms of cervical and thoracic cavities.

With the development of the disease, it can gradually spread to the upper arm, shoulder girdle and some intercostal muscles, causing paralysis.

Huang Su stood up and came: "Let the child take off the clothes on the upper body, and I will check the back."

Billiege got up to help Aleph take off his clothes, and Aleph was at the mercy of his mother like a puppet, without any feelings of his own.

After Billieger finally took off his son's sweater and underwear.

When Aleph took off his clothes, his arms raised high seemed to be unsupported, and fell freely like noodles. It could be seen that the patient no longer had any control over his two arms.

Flavin walked behind Aleph, and the patient's back showed a state where the left scapula was high and the right scapula was low. Because of the curvature of the spine, the entire back showed an S-shaped twist. Without the symmetry and regularity of the back and spine, it is already difficult. Identify the position of each segment of the spine
Huang Su stroked Aleph's spine, counting to the sixth segment of the thoracic vertebra, reaching out and pressing the skin on both sides of the spine heavily.

"Did you feel it, did I feel the pressure, did you feel the pain?"

Seeing that his son didn't answer for a long time, Billieger walked up to his son and said, "Son, do you feel any pain in your back?"

"No...no...it doesn't hurt!"

For a long time, Aleph stammered and slurred his feelings.

The flavin was inspected from the sixth section to the No.12 section at one time, and the patient did not feel any sensation.

See the patient unresponsive, slurred language, unable to speak a sentence.

Flavin can be judged that the patient is not only insufficient in the spinal cord, but also insufficient in the brain.

Seeing that his son couldn't explain clearly, Bi Lige said: "Doctor Huang, when my son was sick, he only felt numbness in his back, but as time passed, now he basically can't feel any pain or heat. "

The most prominent clinical sign of syringomyelia is sensory disturbance.

Since cavities often originate in the lower neck and upper thoracic spinal cord, they are often caused by the absence of heat and cold in the hands, and the pain when they are cut by a knife, and are often accompanied by spontaneous pain, numbness, and ant walking in the hands and arms. feeling abnormal.

On examination, one or both sides of the spinal cord can be seen markedly dulled or absent in pain and temperature sensation, while the sense of touch is preserved or slightly impaired, usually up to the neck and down to the chest, in a cape or short form. Top-like distribution.

For example, when the cavity spreads to the sensory tract of the trigeminal nerve in the upper cervical spinal cord, pain disturbance on the face can also occur.

If the cavity starts in the lumbosacral segment, there is a superficial sensory disturbance in the lower extremities and perineum.

If the cavity spreads to the entrance of the dorsal root, all sensations in the affected segment can be lost.

For example, after the cavity spreads to the thalamus, there will be depth perception impairment on one or both sides of the entire spinal plane, resulting in hemiplegia or complete paralysis.

"Put on your clothes, come over and I'll give the patient a tongue diagnosis and pulse diagnosis."

Knowing the severity of the patient's condition, Flavin went back to his seat after washing his hands.

Wait until Billiege has dressed Aleph and sat down with his son.

"Put out your hand, and I'll check the pulse first."

Billieg took Aleph's right arm and rested his wrist on the pulse pillow.

Looking at Aleph's skin, there are fourteen or fifteen-year-olds with elastic and smooth skin. The surface of the skin is dry and rough, and it is slightly old. When Flavin examined the patient's spine, the skin on the back was also the same.

This is due to acquired deficiency, resulting in loss of qi and blood, but unable to nourish the skin.

Flavin's three fingers are placed on the patient's wrist, and the three fingers are pressed down.

That Risong also carefully examined the pulse of the patient's left hand, and Huang Su also became a sophisticated consciousness: "That Risong, did you feel what the pulse was?"

Cough!

Song cleared his throat that day and said, "Director! The patient's pulse is only obtained by pressing it hard. The pulse is small and weak, beating like a light knife scraping bamboo, and it is intermittent and intermittent. This is a fine and astringent pulse."

Seeing that Risong answered his own question very easily.

"Yes, there is progress!"

Huang Su nodded with satisfaction, it seems that the two of them made a lot of efforts in medicine last year.

Shimai governs the deficiency of essence and blood, qi stagnation and blood stasis, phlegm and food.The knots govern yin and qi, cold phlegm and blood stasis, and accumulation of symptoms.

It can be seen that Aleph's spinal cavity is caused by the deficiency of both qi and blood, the lack of essence and blood, and the accumulation of blood stasis.

Huang Su let go of his hand and said, "Put your tongue out, let me take a look at the tongue coating!"

Billieger said to Aleph, "Son, show the doctor your tongue."

After a long time, Aleph stuck out his tongue, only to see that the tongue was pale and tender, with tooth marks around the tongue, and obvious dark purple petechiae.

Seeing the conclusion of the fourth clinic of Huang Su, Billie asked impatiently, "Doctor Huang, what is going on with my son's disease, and is there any hope for a cure?"

"The patient's mother, don't worry, don't worry, I will do my best to treat it."

Huang Su went on to explain: "Your son's syringomyelia is caused by congenital deficiency, acquired dystrophy, lack of essence, qi deficiency and blood stasis. I will first prescribe a dose to the patient to invigorate the kidney and replenish the essence, strengthen the spleen and Qi, and nourish the marrow. The medicine for brain, blood and blood circulation, let's drink it first to see the effect."

The kidney is the innate foundation, the main bone, the marrow, and the brain; the spleen is the acquired foundation, the main transportation and transformation, and the limbs muscles.When the kidney is full, the marrow is firm, and when the spleen is healthy, the strength is restored.

Judging from the pulse and tongue, Aleph is congenital deficiency of kidney essence, acquired loss of nourishment, insufficient essence, difficult to generate marrow, kidney yang deficiency, fire does not generate soil, spleen loses warmth, unhealthy transportation and transformation, qi and blood Deficiency stagnation is caused by siltation.

Therefore, the idea of ​​treating this disease is to invigorate the kidney and replenish the essence, invigorate the spleen and qi, invigorate the marrow and invigorate the brain, and invigorate the blood and activate the blood.

Although Billie didn't understand the cause of what Flavin said, he became very excited when he heard that Flavin could be prescribed medicine.

Billieger has gone to too many big hospitals, and there is no cure for syringomyelia.

“何慧记方，生黄芪15g、太子参10g、炙甘草6g、狗脊10g、山药10g、茯苓10g、山茱萸8g、炒丹皮8g、怀牛膝10g、巴戟天10g、当归10g、川芎10g、鸡血藤10g、菖蒲10g、合欢花10g、益智仁10g”

Huang Su pondered for a long time before he finished speaking, and there were many thoughts in the middle.

It was the first time that Risong and He Hui saw Huang Su like this.

Before prescribing the prescription, the director of his own was not smooth and calm that time.

Flavin can only be based on the pathogenesis of the four diagnostics and ginseng. Astragalus and Taizishen are used to invigorate Qi and Qi, Chinese yam and Poria are used to invigorate the spleen, and dog chi, dogwood, Achyranthes and Morinda are used to invigorate the kidney. , Angelica, Chuanxiong, Chickweed to nourish and activate blood, use calamus, acacia, Yizhi Renzeng to refresh the mind, and licorice to reconcile various medicines, and together play the effect of nourishing essence and filling marrow.

Because flavin has no experience with this disease, the whole prescription basically does not see the shadow of the classic prescription, all of which are flavin four diagnosis and ginseng.

Huang Su's performance also made He Hui have no confidence, and the written recipe was checked several times before handing it to Huang Su.

"Director, here it is!"

Even so, He Hui was hesitant when delivering the recipe.

Huang Su didn't have He Hui, and he was so uneasy that day, he took the prescription and handed it to Bi Lige and said: "Take this prescription first, we will see the effect, if the effect is not good, we will make more prescriptions, I I'll give you a hospital bill, and you'll stay first."

Saying that, Huang Su took the hospitalization notice, put Aleph's information hope, and handed it over to Billieger.

Billieger took the prescription and the hospitalization notice, and bowed to Flavin with eyes in his eyes.

"Dr. Huang, thank you! It has been five years since you were the first doctor to treat my son. I thank you."

Not to mention, whether Flavin can really cure Aleph's disease, just this daring to take on, gave the mother and son the hope they never had.

"The patient's mother, what are you doing, get up!"

Huang Su got up and helped him up, and continued to instruct: "Take the hospitalization bill, go to the discharge office to find a nurse to go through the hospitalization procedures, and hand over the prescription to the nurse."

Huang Su looked at the clock on the wall, it was almost lunch time, and it was estimated that there were no more patients outside.

Huang Su looked at Na Risong and said, "That Risong, take the patient to go through the hospitalization procedures."

When Risong took the patient's mother and son out of the clinic that day, he saw that no patient came in again.

He Hui whispered: "Director, you have a recipe..."

"Is there a problem with my prescription?"

Huang Su turned her head to look at He Hui. She still remembered the No.1 patient treated by the three of them. He Hui questioned her medication directly in front of the patient's family in a daze.

Looking back now, it's full of memories.

"No no no!"

He Hui hurriedly waved her hand and said, "I just want to say, this is the first time I see Director, you Kaifang so hesitant."

"This disease is the first time to treat it, and I think more about the compatibility of traditional Chinese medicine." Flavin explained.

He Hui stared at Huang Su and continued: "Director, did the prescription you prescribed really work for the patient?"

Huang Su said: "Since it is based on the four diagnoses and ginseng, and the medicine is based on syndrome differentiation, there is absolutely no problem with the medicine. As for the curative effect, it depends on the effect of subsequent use."

Seeing that He Hui heard her explanation, she still looked worried.

Huang Su asked, "He Hui, what do you mean by marrow?"

He Hui said: "Medullary is the viscera of the extraordinary and constant. The marrow is transformed by the innate essence and nourished by the acquired essence. The marrow has the functions of nourishing the brain, filling the bone and metaplasticizing the blood. The marrow has the marrow, the spinal cord and the brain marrow. division."

Huang Su continued to ask: "How does the marrow fill the bone!"

He Hui replied hesitantly: "Medullary is stored in the bone, and the bone is nourished by the bone marrow. With sufficient kidney essence, the bone marrow is biochemically active, and the bone is nourished by the bone marrow, the growth and development will be normal, and the bone will maintain its toughness. Deficiency of kidney-essence and loss of bone marrow will lead to growth retardation, fragile and easily broken bones, and even bone atrophy.”

Huang Su continued to ask: "You can see that the patient is fourteen or fifteen years old, but his development is like ten years old. Then you can see that the spine is curved and the fingers are curled like claws. Isn't this caused by the deficiency of kidney essence and the loss of bone marrow nourishment? Fang Zhong There is something wrong with nourishing the kidneys and strengthening the tendons.”

He Hui thought for a while, then shook her head and was speechless.

Huang Su continued to ask: "Then you can talk about how the marrow nourishes the brain?"

"The marrow depends on the continuous replenishment and nourishment of acquired essence, which is distributed in the bone cavity. It is introduced into the brain from the spinal cord and becomes the brain marrow. Therefore, the brain is also called the marrow sea. When the brain marrow is filled and the brain is nourished by the marrow, the brain will be full of energy and strong. , quick response, clear ears and eyes, strong body. If the congenital essence is insufficient or the acquired essence is deficient, resulting in insufficient kidney essence, unable to generate marrow and nourish the brain, resulting in insufficient marrow sea, dizziness, tinnitus, blurred eyes, waist and shin may occur. Soreness, forgetfulness, lethargy, unresponsiveness, or delayed development of children, delayed fontanelles, short body, mental retardation, delayed speech, etc.”

He Hui knew that what the director reviewed for her was the treatment idea. He Hui felt that this conversation might be very important to her, and it might have a profound impact on her TCM career.

Now everyone understands why those who are forced to kill ashes will cause memory loss and slow thinking ability.

As for following what Western medicine says is protein, as long as you don’t masturbate regularly and masturbate regularly, it will also help your health, I can only say hehe.

Seeing He Hui staring at her attentively, Huang Su was very happy. She already understood her intention, and she tried a little harder to explain it.

"Look at the patient's unresponsiveness, decreased intelligence, and unclear language. Isn't it because of the lack of kidney essence, unable to generate marrow and nourish the brain, resulting in insufficient marrow sea. I supplemented the kidney with the marrow and supplemented it with wisdom-enhancing medicine. !"

He Hui nodded silently, indicating that she understood the Chinese medicine.

Huang Su continued to ask: "He Hui, are you talking about the relationship between the marrow and the five internal organs?"

"The marrow is transformed and produced by the kidney essence, so the rise and fall of the essence and qi in the kidney is closely related to the gain and loss of the marrow. Therefore, there is a saying that "the marrow will not be satisfied if the essence is not produced." The spleen and stomach metaplasia of water and grains can generate marrow, which plays the role of congesting blood and nourishing marrow, so the marrow has a certain relationship with the spleen and stomach. In addition, qi, blood, essence, and marrow can interact with each other, so the marrow is related to the five internal organs, but it is related to the kidney. The relationship is the closest, followed by the spleen.”

"So according to the "Huangdi Neijing", the treatment for syringomyelia is to invigorate the kidney and replenish the essence, invigorate the spleen and qi, invigorate the marrow and invigorate the brain. The reason for invigorating blood and activating blood is because the pulse is astringent and the tongue has ecchymosis, indicating that the patient's body has Blood stasis coagulates." Huang Su looked at He Hui and asked, "He Hui, now you know why I have been taking the trouble and why you emphasize the "Huangdi Neijing"."

"Director, thank you! I understand now."

He Hui nodded heavily, stood up and bowed solemnly to Huang Su to express her gratitude.

If it wasn't for the director's urging, I had studied the "Huangdi Neijing" seriously, I really couldn't answer these questions today.

Don't look at what Huang Su asks is coherent, if you don't memorize the "Huangdi Neijing", you really can't answer.

Because these explanations are distributed in different chapters of the Yellow Emperor's Classic of Internal Medicine.

These include: "Plain Questions: The Differences of Five Zangs", "Plain Questions: The Formation of the Five Zang-organs", and "Lingshu: The Sea Theory".

"As your director, it is also my essential job to help you improve your professional ability. As long as the use of traditional Chinese medicine can help more patients solve their pain, it is my greatest gratitude."

Huang Su said, pointed to his brain and said, "He Hui, you have to remember that the "Huangdi Neijing" is the thought of our traditional Chinese medicine, and it is the way of our traditional Chinese medicine, and the "Shen Nong's Materia Medica" is the way we practice traditional Chinese medicine. As long as the two books are integrated, even if it is a disease that you have never seen treated or a new disease, you will have a trace when you treat it.”

He Hui nodded vigorously again, and was very fortunate that she had met her director, otherwise she would not have dared to imagine what kind of Chinese medicine she would become in the future.

What kind of Chinese medicine do you become?

Learn a little bit from the basic theory of traditional Chinese medicine, have a rough understanding of the properties of medicines, use the treatment thinking of Western medicine, and prescribe some unreasonable prescriptions piled up with traditional Chinese medicines. Some are even pharmacologically contradictory.

Therefore, as long as the University of Traditional Chinese Medicine or the Department of Traditional Chinese Medicine does not teach the "Huangdi Neijing", "Treatise on Febrile Diseases", and "The Golden Mirror of Medicine", they will be punished. Castration in traditional Chinese medicine.

However, this education model has been popular in major universities of Chinese medicine for decades, which is the main reason why it is difficult for everyone to find a good Chinese medicine.

Just then, the door to the outpatient room rang.

"Please come in!"

Huang Su retracted the follow-up words and said loudly.

I saw that the door of the outpatient clinic was opened with a gap, Yan Bing only put his brain in, seeing only Huang Su and He Hui in the room, and jokingly said: "Director Huang, I didn't disturb your class."

Yan Bing knew that Huang Su would teach Yan Bing and the others when he had time.

Huang Su glared at Yan Bing and said, "Come in, our class has just finished."

Yan Bing then pushed the door open, walked in generously and asked, "What about Risong?"

"That day Song helped the patient go through the hospitalization procedures." Huang Su then asked: "Why did you come here, you are finished."

Yan Bing pointed to the clock on the wall and said, "I said brother, don't look at what time it is. I waited for a long time and didn't see you coming to me, so I had to come to you."

Huang Su looked at the clock on the wall, it was already 12:30.

He Hui only noticed the time at this time, but did not expect time to pass so quickly.

"Director, Dr. Yan! If you guys go to eat first, I'll just wait here and relax." He Hui looked at Huang Su and Yan Bing and said.

"Anyway, it's been such a long time since the meal time, or we'll wait a little longer and we won't eat together."

Huang Su looked at Yan Bing for her advice.

He Hui continued: "Director, you should go first. It may not be possible when Risong will be back. In the afternoon, if you have to continue to sit in the clinic, don't waste your time."

Seeing He Hui's insistence, Huang Su had no choice but to nod and walk out of the clinic with Yan Bing.

When the two went to the hospital cafeteria, Yan Bing saw Huang Su's absent-minded look, and asked, "What's wrong with you? You frowned all the way."

Huang Su told Yan Bing about Aleph's condition: "Although I can guarantee that the treatment idea is absolutely correct, what I am worried about now is the efficacy of the medicine, which will delay the patient's condition and the syringomyelia will continue to deteriorate. The patient now has cavities in six segments of the spine, and if the cavities really spread to the brain, they will really be powerless."

It was the first time Yan Bing saw that Flavin was so unconfident about a disease. In the past, Flavin seemed to treat all diseases with ease.

In the past, Yan Bing always felt that Huang Su was a cloud floating high in the sky.

Seeing the appearance of Huang Su now, Yan Bing felt that Huang Su was a real person, and that there were diseases that could suffocate him and make him worry.

Yan Bing patted Huang Su's back heavily and said: "I think you are a fan of the authorities, why are you thinking hard here, embarrassing yourself, you can find someone for consultation, don't forget, your two teachers will be there soon. You're going to Prairie City, you can discuss it with them."

Huang Su was used to doing everything by himself in the city hospital, thinking of a way by himself, and he had long forgotten that his teachers and teachers could ask for advice.

Being reminded by Yan Bing, the problem of flavin was instantly solved.

Huang Su hugged Yan Bing's face and kissed him fiercely.

"My wife is still smart!"

In front of so many hospital colleagues who passed by and were kissed, Yan Bing instantly became shy, raised his fists and chased after Huang Su and was about to fight.

(End of this chapter)