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Chapter 25 Resolving Phlegm and Eliminating Dampness to Treat Obesity (Please collect and invest in various tickets)

In the hospital cafeteria, Huang Su and Yan Bing sat opposite each other.

After being transferred to the Department of Pediatrics, Huang Su accidentally met Yan Bing in the cafeteria one morning, and the two often had breakfast together since then.

Huang Su understood Yan Bing's intentions in her heart, but she couldn't give her an answer now.

The city hospital is very free for itself, unlike other hospitals with sound traditional Chinese medicine departments that have various rules and regulations restricting the prescribing of traditional Chinese medicine, so I can give full play to my strengths here.

But in the second life, I am not willing to be bound in the grassland city like this. I don't know my future direction until now, so how can I give Yan Bing an explanation.

Huang Su, who is traditional in thinking, can't do the thing of abandoning his lover for the sake of his career. Since there is no result, it is better not to start. Love without marriage is a hooligan.

After breakfast, clean up the dishes.

The two walked to the hospital together. Huang Su wanted to give Lu Yan acupuncture treatment, and Yan Bing also had to conduct daily rounds after the morning meeting of the department. The two would meet each other every day because of Lu Yan. chaos.

Walking into the ward, Lu Yan was sitting on the hospital bed, eating breakfast. In the insulated lunch box was Huang Su's congee for invigorating the spleen, kidney and blood.

Lu Yan's husband sat by the bed and quietly watched his wife finish eating, his face was full of love, where there was no numbness before, when he saw Huang Su coming in, he got up and greeted him warmly.

"Director Huang, you are here, hurry up! Come on! Please sit down."

A rosy glow appeared on Lu Yan's face, and Huang Su said, "It's recovering well."

After Lu Yan finished her breakfast and digested for a while, Huang Su started her daily acupuncture treatment.

After the acupuncture, I looked at her tongue coating again. The tongue was pale and thin, the pulse was slippery and weak, and the spleen and kidney were still deficient. Long-term deficiencies cannot make meritorious deeds in a day, which requires long-term medical treatment.

Knowing that she was not welcomed by the obstetrics and gynecology department, Huang Su left the ward after meeting Yan Bingzai in a hurry.

If I want to meet again, it will be tomorrow's breakfast time and ward round time. Such a tacit understanding, the two have lasted for more than a month.

"Na Risong, bring me your medical records from yesterday and let me have a look." Back at the outpatient clinic of the Chinese Medicine Department, Huang Su saw Na Risong and said.

Na Risong took out the blue plastic medical record from the drawer and handed it to Huang Su.

Huang Su opened the medical record folder and examined it carefully, nodded and said: "It's well written, keep it up."

"Got it, Director!"

That day Risong took the medical record folder, hesitantly said: "Director, do you have time today or tomorrow night, my dad would like to invite you to have a meal at home, thank you for taking care of me and He Hui."

Knowing that his father's purpose for this meal was not pure, Na Risong felt a little shy and couldn't open his mouth.

Huang Su didn't think too much and readily agreed: "I have time, see when it's convenient for you."

"Director, my dad not only wants to invite you to dinner, but also wants to invite you to treat his old leader." Na Risong thought for a while, and then told Huang Su what happened last night.

Looking at the embarrassing look on Na Risong's face, I only found out today that Na Risong had been planning for the Department of Traditional Chinese Medicine, and Huang Su was very moved. Unity, there is no such thing as other departments falling into trouble.

Huang Su patted Na Risong on the shoulder and comforted him: "Na Risong, you don't have to take it to heart. It is the duty of a doctor to save lives and cure diseases. Also, don't force the physical examination of veteran cadres. It's icing on the cake. It's no big deal if you don't have it."

Seeing that the director didn't blame himself, His Majesty Risong II's energy came up again that day, and he patted his chest and said, "How can I do that, I can't do what I promised Risong that day."

Just when Huang Su continued to persuade Na Risong, there was a knock on the door.

A girl in her early twenties walked in.

Huang Su and the others all turned their heads to observe the girl's situation carefully. She was 1.6 meters tall but weighed nearly [-] kilograms. When she walked, her gait was unsteady and she always gave people a feeling that she was about to fall in the next step.

The girl looked at the three people in the room and asked, "Who is Director Huang?"

Huang Su replied: "It's me, girl, what's wrong with you, sit down and talk about it."

As soon as she sat down, the flesh on the girl's belly was piled up in two or three layers like a swimming ring.

The girl said: "My name is Dong Ping. I want to lose weight. I tried many methods, but diet and exercise didn't work. In the end, I came to the hospital. The Department of Gastroenterology asked me to do a gastroplasty. When I heard that it was a stomach cut, I firmly disagreed. Finally, the doctor of gastroenterology asked me to come and see you."

Western medicine treatment for weight loss still adheres to the logic of eliminating problems wherever there is a problem.

Isn’t the cause of obesity just the accumulation of fat? It’s easy, just take out the fat from the body. This is the liposuction method of Western medicine.

What, your obesity is caused by you eating too much, this is also easy, just cut off most of your stomach, making your stomach smaller and unable to eat more things, this is gastroplasty.

Or open a "fork" at the incision of the small stomach, connect the intercepted section of the small intestine, rearrange the position of the small intestine, and change the way food passes through the digestive tract.Divide the patient's stomach into upper and lower parts, and only one-sixth to one-tenth of the original stomach is used to accommodate food, slow down the gastric emptying speed, shorten the small intestine, reduce absorption, so as to achieve the purpose of weight loss, this is the stomach side surgery.

And the small intestine reconstruction surgery with the same logic, the small intestine is the organ that mainly absorbs nutrients, and eliminating the corresponding digestive organs is equivalent to eliminating obesity.

With the development of science and technology, modern medicine also has a method that does not harm organs. Intragastric air bag placement is to place an indigestible air bag in the stomach, occupying most of the stomach space, and can achieve the same effect of shrinking the stomach.

Knowing the situation, Huang Su said: "Stretch out your hand, and I will diagnose the pulse."

Dong Ping put her hand on the pulse diagnosis.

You can't feel the pulse by pressing lightly, but you can get the pulse by pressing harder. The pulse is not like a rolling ball, but a smooth pulse. Then Huang Su asked Na Risong and He Hui to experience the pulse together.

A heavy and slippery pulse is the internal accumulation of spleen and stomach qi deficiency and phlegm turbidity.To correct a misunderstanding here, the phlegm in the syndrome of phlegm-dampness in traditional Chinese medicine is not the phlegm spit out as everyone knows, but the accumulation of body fluid in the body, and the spit-out phlegm is only a phenomenon of the syndrome of phlegm-dampness.

While checking the pulse, Huang Su asked, "You have been fat since you were a child, or you started to gain weight after a certain period of time."

Dong Ping replied: "I started to gain weight five or six years ago. I also tried various weight loss methods such as exercise to lose weight and diet to lose weight. Basically, it didn't work. I just need to eat a little more to get fat."

Huang Su continued to ask: "Do you usually have dizziness and tinnitus, and you feel sleepy when you wake up in the morning and don't want to get up?"

Dong Ping nodded again and again: "Doctor yes! Yes! My head feels dizzy every day, and I'm particularly prone to sleepiness. My whole head seems to be shrouded in fog. Doctor, tell me what's going on."

Huang Su explained: "You are suffering from dizziness and tinnitus caused by turbid phlegm, clear orifices of phlegm, and lack of clear yang. Clear orifices refer to the seven orifices of a person. Phlegm dampness covers the ears, nose, eyes and mouth like a mist. The main features are that the five sense organs are not feeling well, the head is heavy, and the head is full and dizzy. Just like you said, the head feels in the fog."

There are clear orifices, and there are naturally turbid orifices corresponding to them. The turbid orifices are the water channels and valley channels of the lower body of the human body.

Huang Su continued: "Make a fist and let me see."

Dong Ping stretched out her two hands and clenched them in front of Huang Su, but she couldn't make a fist with both hands.

Phlegm-damp hinders the operation of the meridian, and the meridian is blocked, resulting in swelling and weakness, often swollen hands and feet, and limb stagnation.Patients may feel heavy and may experience stagnation and uncoordinated walking.You can tell from the footsteps of Dong Ping entering the house.

Huang Su said: "Okay, stick out your tongue and let me see the coating."

Dong Ping stuck out her tongue.

Na Risong and He Hui also went to Huang Su's side to observe carefully.

The tongue was pale, the tongue coating was white and thick, and there was slightly sticky saliva on the tongue, especially at the root of the tongue.

Huang Su signaled Dong Ping to withdraw her tongue and continued to ask, "Have you ever coughed up phlegm when you wake up in the morning and usually?"

Dong Ping said: "Yes, especially when I wake up in the morning and cough up a lot of phlegm, I feel much more energetic after coughing up."

Huang Su continued to ask: "Is the phlegm coughed up small in size, transparent like water droplets, with white sticky substance in the middle?"

Dong Ping nodded and said, "Yes."

Huang Su looked at Na Risong and asked: "You know the pulse and tongue conditions, tell me why the patient has such symptoms."

Na Risong pondered a little and replied: "Often cough and spit out thick and white phlegm, and when phlegm comes out, you will think deeply and sharply. Outside the body, the heart and lungs are naturally comfortable."

Huang Su nodded and continued to ask, "Is your menstruation normal?"

Dong Ping replied: "Menstruation is very irregular, sometimes it is late, sometimes it doesn't come."

Huang Su continued to ask: "He Hui, tell me the reason for irregular menstruation."

He Hui replied blankly: "As for irregular menstruation, it is because the uterus is surrounded by moisture for a long time, which hinders the entry of yang energy, resulting in delayed menstruation and occasional amenorrhea. It is the so-called solitary yin does not grow , leading to severe infertility and even amenorrhea.”

Hearing that she might be infertile, Dong Ping asked anxiously, "Doctor, what is wrong with me?"

Huang Su glared at He Hui, and hurriedly comforted and explained: "Your condition is not that serious. Traditional Chinese medicine believes that the pathology of obesity lies in the deficiency of form and qi, dampness and phlegm. Combined with the analysis of all your symptoms, the disease is caused by phlegm."

Huang Su went on to say: "Your obesity should mainly focus on invigorating the spleen and stomach, resolving phlegm and eliminating dampness. Since you are an old disease, the treatment time will be very long."

When she heard that her obesity could be cured without stomach incision, Dong Ping hurriedly said, "Doctor, I'm not afraid of how long it will take, as long as it works."

黄素道：“那好，何慧记方，炒苍术6g、炒白术6g、法半夏9g、陈皮6g、茯苓15g、黑豆皮9g、生薏米12g、石菖蒲3g、竹茹9g、荷叶15g、梗通草3g。”

Huang Su confessed: "After taking this medicine, frequent urination and hunger will appear. This is a normal phenomenon. Frequent urination is to eliminate phlegm in the body. Hunger is because the medicine is regulating the spleen and stomach. Don't go on a diet, eat normally, drink two drinks first. Ten doses, come back for a review."

After sending Dong Ping away, she returned to her old self, and no one came to the TCM department for consultation every day.

(End of this chapter)