Under, Chinese medicine flavin

Chapter 24 Word-of-mouth depends on curative effect (seeking for collection, investment, and tickets)

Just as Na Risong expected, Chen Peng left.

The Chinese medicine clinic has not seen a single patient for several days in a row.

The Department of Traditional Chinese Medicine started another day of doing nothing.

The three of them were reading a book of traditional Chinese medicine, and the consultation room was so quiet that they could clearly hear the mechanical sound of the hands of the clock on the wall.

knock knock!

There was a sudden knock on the door, and the three of them put down their books together and looked at the door together.

Huang Su said: "Come in!"

I saw Hu Bin's husband helping an old man into the consulting room.

The old man's complexion was sallow and gloomy, but his thin body was supported by an abnormally swollen belly. He walked frivolously and falteringly, resembling the African malnourished belly disease.

Hu Bin's husband carefully helped the old man to sit opposite Huang Su and said, "Director Huang, I am here again. Today I brought my second uncle to see a doctor."

Hu Bin's husband took the old man's films and western medicine tests out of the handbag and handed them to Huang Su one by one.

Hu Bin's husband, Huang Su, was naturally impressed. This was the family member of the first patient he treated after his rebirth, and also broke the embarrassing situation in the city hospital for the Department of Traditional Chinese Medicine.

Huang Su didn't look at the film and the test sheet, but looked at the old man carefully, and clearly felt the old man's shortness of breath and unevenness, and the tiredness on his face that could not be concealed.

Huang Su asked: "Old man, what's wrong with you?"

The old man looked at Huang Su's young face with hesitation and distrust.

Seeing this, Hu Bin's husband hurriedly explained: "Second Uncle, didn't I tell you everything, Director Huang is young, but he is very skilled in medicine, and Director Huang cured your niece and daughter-in-law's illness."

Hearing his nephew's words, the old man half-believingly said: "My liver disease is an old problem. I used to seek prescriptions from old doctor Yang of our county hospital of traditional Chinese medicine. In January this year, my unfilial son got angry, and the liver disease returned. It relapsed. I didn’t know until I went to the hospital of traditional Chinese medicine that old Chinese doctor Yang had passed away. In the end, I had to go to the county people’s hospital for treatment and took a lot of western medicine. The disease didn’t get better, but worsened. Now it’s cirrhosis and ascites.”

From the 80s to the early 90s, many county-level urban Chinese medicine hospitals across the country had one or two traditional Chinese medicine practitioners from the Republic of China period. In the era of lack of technology and equipment, they made up for the medical needs of counties and towns.

With the passing away of these batches of traditional Chinese medicine, after the reform of Chinese medicine education in the 90s, the academic Chinese medicine cultivated was unable to fill the vacancy, and Chinese medicine began to be in a long-term situation. This also made the gap between the medical level of small cities and big cities widen. big.

"Old man, since you know that you have liver disease, you should pay attention to controlling your emotions." After persuading the old man, Huang Su said: "Extend your hand, and I will feel the pulse."

Huang Su's three fingers were placed on the old man's Cunguan ruler, as if resting on the blade of a knife. Huang Su had only encountered this pulse condition a few times in his 30 years of medical practice in his previous life.

"Na Risong, He Hui, come and feel the pulse of the old man." Huang Su called the two of them and explained: "This pulse is the rare Yandao pulse, which is a strange stringy pulse. The pulse feels like a silk thread under the finger, and it is weak. The Yandao pulse is like a raised knife, with a sharp mouth and a thick back. The pulse is described as stringy and urgent. Do you have a finger that feels on the blade? a feeling of."

Xianxi is the combination of stringy and thin pulses, and it governs the symptoms of liver and kidney yin deficiency, liver depression and spleen deficiency, and blood deficiency and liver depression.The appearance of the Yandao pulse indicates that the patient has insufficient heart blood and exhausted liver yin, which is a very serious pulse condition.

There is no stomach qi, and Yandao pulse will appear when critically ill.

Huang Su frowned slightly and said, "Old man, stretch out your right hand, and I'll take the pulse of your right hand again."

The old man stretched out his right hand, and Huang Su rested three fingers on the Cunguan ruler of his right hand, especially the fine veins on the right one, and the right one on the spleen and stomach, it is a syndrome of dampness.

Huang Su put down the old man's hand and said: "Old man, stick out your tongue and let me see the coating on it."

The old man's tongue coating was white and greasy, and the edges of his tongue were still purple.

A white and greasy tongue coating is a syndrome of dampness. There is phlegm dampness in the body or dampness in the body. The purple edge of the tongue proves that the body has blood stasis.

The old man put away his tongue, and Huang Su carefully observed the face and neck, and found several spider veins on the neck.

Spider lines are an idiopathic telangiectasia that results from dilated terminal segments of small arterioles in the skin.The nevus body has a central point, surrounded by radial small blood vessel branches, which look like spiders, so it is called spider veins, also known as spider nevus, which is an important manifestation of liver lesions, commonly seen in liver cirrhosis and hepatitis.

Huang Su asked: "Old man, do you usually feel dizzy, lethargic, distended and full in the wrist and abdomen?"

The old man replied: "Yes, I feel groggy every day, and my ribs on both sides are always painful."

Huang Su got up and said: "Old man, you lie on the bed, let me check your abdomen."

The old man was lying on the bed, Huang Su picked up the old man's clothes, and saw that the old man's stomach was already distended, and the blue veins were exposed.

The superficial varicose veins of the abdominal wall are severe, and radiate from the navel to the surroundings, which is as ferocious and terrifying as a centipede.Spider prints were also found in multiple places on the chest and upper arms.

Huang Su gently pressed his hands on it, the belly was soft and fluctuating.

Then he lifted up the trouser legs of the old man. The old man's legs were already swollen like white radishes, and his skin was still glowing. When Huang Su pressed his fingers on it, a fingerprint would appear.

This is the phenomenon of edema, which is due to the accumulation of phlegm and dampness in the body, which leads to the accumulation of a large amount of body fluids that cannot be eliminated in the body, resulting in edema and ascites. This is why ordinary people often call edema edema. Wisdom has long been integrated into the daily life of the people.

"Old man, you have liver and kidney yin deficiency and spleen and stomach imbalance, which lead to unfavorable bladder gasification and abdominal distension." Huang Su explained: "Western medicine clinically divides liver and abdominal cirrhosis into early and late stages. There is no ascites in the early stage and ascites in the late stage. With ascites, the early stage belongs to the ribs, accumulation, and lumps in traditional Chinese medicine, and the late stage belongs to the scope of bloating or single abdominal distension in traditional Chinese medicine.”

After hearing Huang Su's diagnosis, the old man hurriedly asked: "Director Huang, can Chinese medicine treat my disease?"

Huang Su returned to his seat and sat down, and when the old man sat down, he asked, "What's your name, and how old are you?"

The old man replied: "Li Tonghai, Muzi Li, Tong from Datong, Hai from the sea, 76 years old this year."

The old man read it again, and He Hui recorded it on the prescription form again.

“我给您开一个疏肝健脾、行气利水、散淤消癥的方子。”黄素见何慧写完继续道：“何慧记方木香8g、砂仁10g、五味子15g、钩藤15g（后下）、白芍15g、猪苓15g、茯苓皮15g、泽泻10g、大腹皮10g、槟榔10g、陈皮10g、冬瓜子10g、炒白术10g、三棱10g、党参10g、鳖甲30g。另服大黄蛰虫丸和逍遥丸，早中晚各一次。”

Western medicine treats liver cirrhosis and ascites by supplementing human blood protein and injecting a large amount of diuretics.In severe cases, pumping ascites is different from injecting large doses of human blood protein to suppress liver cirrhosis.

Most of the clinical treatment of traditional Chinese medicine is divided into two stages. The first stage is to eliminate ascites, supplemented by strengthening the spleen and softening the liver, and restoring qi.In the second stage, drugs that soften the liver, such as Uncaria, are used to restore liver function.

Woody, Amomum, Polyporus, Poria, Alisma, Alisma, diuretic and eliminate ascites, Dabupi, betel nut, winter melon seeds to reduce stagnation, diuresis, schisandra, Uncaria, white peony root, Atractylodes invigorate the spleen and soften the liver, Sanleng, Turtle Shell, and Codonopsis Codonopsis promote blood circulation and remove blood stasis, restore Qi and blood.

Huang Su gave the prescription to Hu Bin's husband and explained: "Take this prescription for one month first. During the period of taking the medicine, it is forbidden to drink alcohol, eat fruits, eat cold and greasy food. Come back for a review after one month."

Chinese medicine does not recommend people with cold constitution and weak spleen and stomach to eat fruit, because most of the fruits are cold in nature, which not only aggravates the coldness in the body, but also has a great burden on the spleen and stomach. Fruit is often associated with severe diarrhea.

Pregnant women should also eat less fruit. Eating too much fruit will affect the innate kidney of the fetus. Chinese medicine clinically shows that if pregnant women eat too much fruit, the baby’s kidney yang will be insufficient. There will be palace cold and menstrual pain.

Hu Bin's husband, uncle, and nephew were sent away, and the Department of Traditional Chinese Medicine returned to a state of doing nothing, and no patient came to ask for a consultation until after get off work.

(End of this chapter)