Under, Chinese medicine flavin

Chapter 252 Mahuang Decoction Treats Difficulty Urinating
The red sun rises, and in the small yard of the hospital, there are already many people from the small town.

The medical team will first conduct free clinics in the town for three days.

In the past three days, the people who came to see the doctor were mainly people from the small town, as well as the surrounding herdsmen.

Three days later, the medical team will be divided into small groups and will go deep into the grasslands to treat the herdsmen in the distance.

In the hall of the two-story building, the people of the town were already crowded with the people in front of a few tables.

In the hall, there are all residents of the city hospital. They are responsible for doing general physical examinations for the people of the town, mainly measuring blood pressure, blood sugar, and doing some simple heart and lung examinations with stethoscopes.

Right here, there was an anxious voice from outside the crowd.

"Doctor! Doctor! Please save my man quickly."

Hearing the loud noise behind, a female doctor from the medical team stood up, walked out from behind the table, and smashed the crowd in front of her with her hands.

"what happened?"

The female doctor pulled away from the crowd, and the two came in with a Mongolian man carrying a stretcher. A woman next to him was very anxious.

The female doctor saw a man lying on the stretcher, wearing thick clothes, his body was still shivering, his eyes were closed, his face was very painful, and then the man's hands were obviously swollen.The female doctor squatted down to examine the man's condition carefully, lifted his stomach, and saw that the lower abdomen was bulging, and the man's hands had become somewhat swollen.

The female doctor quickly walked to the man's feet, and the man's bare feet were also severely swollen.

The female doctor hurriedly asked, "What's wrong with the patient?"

The woman said anxiously: "My man hasn't urinated for more than two days yesterday and today. Yesterday, he had edema of his hands and feet. Today it's even worse, and he can't wear it anymore."

Listening to the woman's introduction to the patient's condition, the female doctor opened the patient's clothes, and saw a lean body, but with a bulging belly that did not match her body.

This is because the urine is excreted in the bladder, causing the lower abdomen to bulge. If you look at the swollen appearance of the front limbs, the patient's difficulty in urinating and excreting is already very serious.

The female doctor's first reaction is a urinary tract infection.

"Come with me, and I'll take you to Dr. Liu in the urology department."

In modern medicine, patients who cannot urinate mainly include urinary tract infections, urinary tract stones, urethral tumors, and prostatitis.

The most likely cause of this sudden inability to urinate is a urinary tract infection.

The female doctor quickened her pace and led the way in front. The two men behind lifted the stretcher and followed the patient's wife.

Walking to an office, the female doctor pushed open the door.

Seeing that the female doctor was in a hurry, Dr. Liu hurriedly asked, "Xiao Xing, what's the matter, you are in a hurry!"

"Dr. Liu, this patient has been unable to urinate for more than two days, and his limbs have been significantly swollen. I suspect that the patient must have acute urethritis, and the patient also has a cold."

Dr. Liu hurriedly said, "Quickly lift the patient to the clinic bed."

Two Mongolian men, one holding the patient's legs and the other passing the patient's armpit, lifted him to the bed.

The patient's wife was standing by the bed with a worried look on her face.

Dr. Liu untied the patient's pants, most obviously the man's bulging belly, and continued to pull the patient's pants to his knees.

Dr. Liu checked the patient's urinary system and found that there was no redness and swelling, which was not a urinary system infection.

Dr. Liu asked inexplicably: "Patient, have you experienced difficulty in urinating recently? Do you feel tingling in the urethra when urinating?"

The patient endured the pain and said, "No! I usually urinate very smoothly. I don't know why. I slept at noon the day before yesterday, and I couldn't urinate when I woke up."

After ruling out the possibility of urinary tract infection and prostatitis, Dr. Liu asked, "Do you usually feel pain in the lower back?"

Urinary tract infections will cause tingling and burning sensations when urinating, while prostatitis and urethral tumors will not suddenly be unable to urinate, but will be accompanied by long-term urination difficulties.

Since the possibility of urinary tract infection, prostatitis and urethral tumor has been ruled out, Dr. Liu believes that the patient's urethra is likely to be blocked by stones.

Asking the other party if he has back pain is to confirm whether the other party has stones.

The man shook his head in pain.

For a while, Dr. Liu did not know what the cause of the patient's urinary retention was.

Urinary retention is a modern medical term for a condition in which the bladder is full of urine and cannot be discharged normally.

According to its medical history and characteristics, it can be divided into two categories: acute urinary retention and chronic urinary retention.Acute urinary retention has a sudden onset, the bladder is suddenly full of urine and cannot be discharged, and the patient is very painful.

Although Dr. Liu had no confidence in his heart, he did not show any heaviness on his face, otherwise it would put pressure on patients and their families.

Dr. Liu said to the nurse around him: "Inject a hydrochlorothiazide intravenously into the patient."

Following Dr. Liu's doctor's advice, the nurse immediately took out physiological saline and a bottle of hydrochlorothiazide from the medicine cabinet.

As a urologist, hydrochlorothiazide is naturally a must-have medicine.

Hydrochlorothiazide, furosemide, and captopril are all diuretics and are the most commonly used diuretics in Western medicine.

Seeing that the nurse had started giving her husband medication, the Mongolian woman asked anxiously, "Doctor, my man will be fine."

Dr. Liu comforted: "Family, the patient is fine and has difficulty urinating. I have already given the patient diuretics, and the effect can be seen within 10 minutes."

Generally, diuretics are used, and patients can urinate quickly about 20 minutes after administration.

After hearing Dr. Liu's words, the patient's family was relieved and sat beside the hospital bed, watching the normal saline being injected into her husband's body drop by drop.

The woman had a pious look on her face, and she muttered silently, which should be a scripture to pray for her husband.

Time just kept passing by drop by drop.

However, 10 minutes had passed, and half of the infusion of hydrochlorothiazide had been completed.

The patient on the clinic bed still did not feel the need to urinate at all.

When a bottle of hydrochlorothiazide saline was dripped, the patient still had no urge to urinate.

The Mongolian woman asked Dr. Liu anxiously: "The doctor has finished taking this medicine for an hour. Why is my man still not urinating?"

This situation was not expected by Dr. Liu. Now that he came here, he himself did not know the cause of the patient. The difficulty in excretion could not be related to the cold. This is unscientific. The two are not the same physiological system. I have never seen such a case.

Seeing that Dr. Liu didn't speak for a while, the Mongolian women became more anxious.

This is Dr. Xing saying: "Dr. Liu, why don't you ask Director Huang to come and take a look. Maybe Director Huang has a solution."

Dr. Liu also reacted at this time, and hurriedly said: "Xiao Xing, go and invite Director Huang."

Seeing Xiao Xing walking out of his consulting room quickly, Dr. Liu also comforted the patient's family: "Family, don't worry! Dr. Xing has gone to Director Huang of our hospital. Director Huang is a famous doctor in Prairie City. He can even cure cancer. , your husband's disease Director Huang will definitely be cured."

In the city hospital, although there are many people who reject flavin because of the dispute between Chinese and Western medicine, for the treatment of various incurable diseases, most doctors in the city hospital can only be convinced by flavin.

Flavin's clinic.

Li Yan handed the three-served Guizhi Decoction to a patient who had a slight cold.

This morning, Huang Su was in charge of inquiring and prescribing the prescription, while Li Yan was in charge of weighing, dispensing, and packing the medicine. The two cooperated very well.

After sending the patient away, Li Yan said with a smile on her face: "Dr. Huang, thanks to the extra Guizhi Tang and Mahuang Tang we have prepared, if we bring the normal amount of medicine, we really can't survive this visit!"

Most of the half-day treatments are cold and flu, and occasionally there are some asthma patients.

Huang Su looked at the prescription list in his hand and said, "Today is the first day of the free clinic, and the herdsmen around tomorrow will also come to the town tomorrow, and more people will see a doctor tomorrow. After the consultation in the afternoon, we will go to the town to have a look. Is there a place to buy and buy herbs."

As a major province of herbal medicine, Mengjiang is a small town with the nature of a transit station, and there are many vendors who purchase herbal medicines.

Just here, Dr. Xing hurriedly walked into the consultation room and said to Huang Su: "Director Huang, please go to Dr. Liu's urology department with me. There is a patient with urinary retention in his place. Dr. Liu has already used it. Diuretics, and the patient is still not urinating."

Huang Su and Li Yan hurriedly got up and followed Dr. Xing out of the clinic.

In the corridor, Huang Su said, "Tell me about the patient's condition."

Dr. Xing explained the patient's symptoms again.

However, Dr. Xing said that these patients had swelling of the lower abdomen and edema of the limbs, which was not what Flavin wanted to know the most, because urinary retention must be accompanied by swelling of the lower abdomen and edema of the limbs. Dr. Xing was equivalent to introducing a secret.

Huang Su walked into Dr. Liu's consulting room.

Dr. Liu hurriedly introduced: "The patient's family, this is Dr. Liu from the Department of Traditional Chinese Medicine of our city hospital."

The family members of the patient saw the young Flavin and felt as if they had seen him there.

Suddenly, the patient's family remembered that they had seen Flavin several times on the news broadcast of Prairie TV.

The family members of the patient thought: The doctor who can be reported on TV is definitely a famous doctor. It seems that this doctor did not lie to me.

The patient's family members hurriedly and excitedly held Huang Su's hand: "Director Huang, you must save my man. You said what happened to him, why he hasn't urinated for two days."

"Family, don't get excited, wait until your husband is diagnosed and treated."

After reassuring the patient's family, Huang Su walked on the stool that Li Yan had brought over, took one of the patient's wrists and began to diagnose the pulse.

The three fingers gently rested on the three parts of the inch, the inch, the chi, and the pulse under the fingers was tense, which was a floating and tight pulse.

A floating and tight pulse is mainly seen in exogenous cold, which is usually called typhoid fever in traditional Chinese medicine, and it is called sun typhoid in the treatment of typhoid fever.

Exogenous cold pathogens invade the body, and the body is full of righteous qi, which usually fights with the evil qi, causing the pulse qi to agitate outside, and then the pulse is floating and tight.

When diagnosing the pulse, the first feeling of flavin is not the patient's pulse, but the patient's skin is very dry, which means that the patient's body has been unable to sweat.

No matter how dry the outside world is, the perspiration of the human body will keep the skin in a relatively moist condition. Even if the skin is dry, there will be a certain amount of humidity.

In the current patient, the moisture of the skin is basically lost, combined with the appearance of the patient wearing cotton-padded clothes and aversion to the cold, and the situation of the flavin patient, a rough judgment has been made.

Flavin stretched out his arms, lowered his wrists and said to the patient, "Put out your tongue, I'll take a look at the tongue coating."

The patient slowly stretched out the tongue coating, only to see that the patient's tongue was reddish, and the tongue coating was white and greasy, and the greasy coating was the manifestation of the patient's edema.

Flavin got up and asked, "Did the patient's difficulty in urination appear after a cold?"

After Huang Su said this, the patient's family responded and said: "Our family is in the business of collecting medicinal materials. The rain two days ago was too sudden. My husband braved the rain to clean up the medicinal materials to dry outside. He caught a cold and caught a cold. He wanted to sleep and sweat and it would be fine, but the cold did not heal, but he had a strange disease of inability to urinate. Yes, my hands and feet started to get swollen yesterday, I heard that today is the day of the city hospital's visit, so we rushed over to see a doctor."

With that said, the woman was already weeping.

Huang Su has now identified the symptoms of the patient's difficulty in urination, and said to Li Yan, "Li Yan, go and cook a dose of Mahuang Decoction."

Li Yan thought to herself: If you have difficulty urinating, you should not prescribe a diuretic prescription. Why should you make Mahuang soup?

Although her face was puzzled, out of her adoration and trust in Flavin, Li Yan went out to decoct the medicine.

About half an hour later, Li Yan walked into the ward with the fried ephedra soup and asked the patient to drink it.

"Cover the patient with a quilt, and when the body sweats, the patient can urinate."

According to Flavin's instructions, the patient's family covered the patient's body with the quilt on the stretcher, and the other took a quilt from the carriage outside and covered the patient's body.

Before long, fine beads of sweat appeared on the patient's forehead.

When the patient's face is covered with a layer of fine sweat.

The patient said weakly: "I want to go to the toilet, I want to go to the toilet!"

Hearing the husband shouting to go to the toilet, the family members were happy to lift the quilt, and the man ran out barefoot without hesitation.

After a while, the man returned to the consultation room with a comfortable face, stepped forward and held Huang Su's hand excitedly: "Thank you so much, doctor, I can finally urinate again after two days, don't you know these days? I'm so sick of it."

The patient's family also said, "Dr. Huang, do you see what medicine my husband is taking?"

Huang Su gently shook his head and said, "Since the patient is already sweating, it means that his condition is cured. He only needs to eat two pairs of Mahuang soup to cure typhoid and cold."

Not long after Li Yan went out, she came in again with two sets of ephedra soup.

The patient's family took Mahuang Tang and left the clinic with great gratitude.

When the patient left, Huang Su saw Li Yan's face with confusion and said, "Why, I have doubts about my use of Mahuang Decoction to treat dysuria."

Li Yan nodded and said, "Isn't Wuling San supposed to be used as a diuretic to treat edema? I don't understand how to use Mahuang Tang."

This is why even Dr. Liu and Dr. Xing looked at Huang Su curiously and wanted to know the reason.

Huang Su glanced around the consultation room and saw a purple clay pot on the table.

Huang Su picked up the purple clay pot still filled with water and said, "The reason for curing diseases lies in this purple clay pot."

Saying that, Huang Su pressed his thumb on the air hole on the lid, the purple sand pot was tilted, but no water came out. When Huang Su released his thumb from the air hole, the tea in the purple sand pot was easily poured out.

Li Yan had just learned medical skills for more than half a year, and she still had no idea about the action of flavin pouring water.

Looking at Li Yan's appearance, Huang Su said with a smile: "The lid of the pot is like the lung cover of the human body, the lungs are the canopy of the five internal organs, and the place where the water comes out of the pot is like the bladder and urethra of the human being. Now I press the upper lung cover tightly, If it is blocked, the water in the teapot will not come down. The ventilation holes are open, and the tea will flow down continuously."

Chinese medicine believes that the lungs are the source of water. You can see that when a patient is wading in water and exposed to rain, the function of the lungs' main fur is blocked by the rain and dampness, so they are afraid of cold without sweating, and the pulse is floating and tight.When the lungs are closed due to wind-cold and dampness, it is like the upper orifice of the pot lid is blocked by pressing down, and the lower orifice will naturally not be able to urinate, and it will be difficult to discharge smoothly.

Once the urination is not smooth enough, the fluid retention in the body starts to swell.This is what the ancients called the method of lifting the pot and uncovering the lid. Through Mahuang decoction, it is appropriate to open the lung qi, open the upper orifice, and open the lower orifice. Through the lungs, urine can come out continuously. .

As soon as he heard that the lungs are the source of water, Li Yan suddenly realized that the contents of the "Huangdi Neijing" clearly appeared in his mind.

"Simple Questions: Differentiation of Meridians", "Yin and yin in the stomach, overflowing essence and qi, up in the spleen, spleen and dispersing essence, up in the lung, regulating the water channel, down in the bladder, water and essence in the four distribution, five meridians in parallel."

The root of the edema in Su Xiang·Shui-Heat Point Theory is in the kidney, and its end is in the lung.

It can be seen that the production of body fluid is mainly in the spleen (stomach), the distribution is mainly in the lungs, and the excretion is mainly in the kidneys.After the body fluid is generated, it must be transported to the lungs through the action of the spleen, so that it can be irrigated by mist and dew, soothing the skin, filling the body, lustrousing the hair, and applying cloth to the whole body.

Otherwise, various diseases and syndromes will occur in the five internal organs due to the heat of the lungs.Therefore, it is called "the lung is the source above water".

The lungs are the cover of the five zang-organs and six fu-organs, and belong to the Yang.The kidney is a water viscera, and it is said in "Su Wen·Water-heat Point Theory" that "earth qi is above", and it belongs to yin.In the "Su Wen: Yin and Yang Yingxiang Da Lun", there is: "Qingyang is the sky, and the turbid Yin is the earth; the air above the earth is cloud, and the weather is rain; the rain comes out of the earth, and the cloud out of the weather."

The basic principle of yin rising and yang falling is explained.Humans and nature share the same material basis and laws of motion, and the activities of zang-fu organs also follow the basic principle of rising and falling of yin and yang.If the lung qi does not descend, the water channels will be blocked; if the kidney qi does not rise, it will be disadvantageous to close the door.Therefore, it is said that the lungs govern "to adjust the water channels".

The function of the lungs to conduct water is mainly accomplished through the lungs' propagating and descending.Lung Qi Xuanfa distributes the body fluids of the human body on the fur and the whole body "like mist and dew" to replenish, moisturise, and protect various tissues and organs. When it spreads downward, the metabolized water continuously descends to the kidney, and through the gasification of the kidney, it is transported down to the bladder to generate urine and excreted from the body, thereby maintaining the balance of water and fluid metabolism in the body.

Li Yan said excitedly: "I understand, Dr. Huang, why did you only prescribe a dose of Mahuang Decoction to the patient, instead of using a special diuretic and drenching medicine, to release the wind-cold loose, the urination is not restricted and the discharge is smooth. , the edema will also disappear. Only when the lung qi is opened can the water channels be regulated and the bladder be transported down."

At this time, Huang Su looked at Li Yan with surprised eyes, and did not expect Li Yan to have such a high understanding of traditional Chinese medicine.

(End of this chapter)