Under, Chinese medicine flavin

Chapter 265 The Traditional Chinese Medicine Properties of Western Medicine

After the middle-aged couple left.

Zhang Cheng looked at Huang Su with a very unnatural expression, like a child who made mistakes.

"Zhang Cheng's performance was very good just now. Although there were mistakes in the consultation, he had a very good attitude to ask questions if he didn't understand. This time, the assessment of you is to examine your clinical practice ability. If you find any shortcomings, I will give it to the doctor who will take you in the future. refer to."

"Don't be nervous, just show your true strength."

Huang Su swept over Qin Liang and Amur and asked, "Who is the next patient?"

Amur raised his hand and said, "Director, let me come first."

Amur thought that as a clinical student of traditional Chinese medicine, he couldn't rank behind the acupuncture major!
The second patient, who walked in was a young man.

In Prairie City, it is already the season of early summer, when the temperature is most suitable. People usually wear long-sleeved thin shirts, or long-sleeved outers and short-sleeved inners, while men wear short-sleeved shirts directly.

After the man sat down, he looked exhausted and did not like to talk.

When the man sat down, Flavin clearly saw the patient shudder.

Sitting in the clinic, Amur did not notice this.

If you look closely, the cheekbones on both sides of the man's face are red.

Amur took a deep breath and asked gently, "This patient, what's wrong with you?"

The patient said lazily: "Half a month ago, I felt sore, feverish, cold, and headache. I was dizzy all the time. I thought it was a cold and I was taking cold medicine, but my body didn't. It has improved, but the condition has worsened. In the past few days, I have started to have a sore throat and expectoration. This morning, there was blood in my expectoration. Why don't you go to the hospital to see a doctor?"

Amur recorded the patient's symptoms in detail and continued to ask, "Is your body sweating?"

With Zhang Cheng's lessons learned, Amur has become more calm

The patient replied weakly: "I didn't sweat at first. Later, after taking aspirin for several kinds of colds, my body began to sweat, and I still sweated a lot. I thought that if I sweated, the cold would get better faster. It's getting more and more serious."

After listening to the patient's explanation of the symptoms, Almu was completely out of ideas. He looked at Fla Su in doubt and asked, "Director, I heard the patient's description that he should have a cold, but the patient has a situation of understanding the table, why is it more serious?"

"Remember what I said just now! The authenticity of the evidence depends on the pulses, and the authenticity of the pulses depends on the tongue." Huang Su continued: "There is no way of treating the disease, just look at the patient's tongue coating, the tongue image is always the best reflect the patient’s condition.”

Amur suddenly realized, and began to examine the patient's tongue.

After examining the patient's tongue, Amur said uncertainly, "The patient's tongue is red, with a thin, yellow and dry tongue coating. This is the tongue pattern of interior heat syndrome. The patient has a cold, so how could it be interior heat syndrome?"

Huang Su stepped forward and said, "Look carefully, whether the patient's tongue is red or crimson."

Amur hesitantly said: "Director, I am still a little confused about the distinction between pale tongue, red tongue, dark tongue, and purple tongue."

Huang Su asked casually, "Did the professor who taught you tongue diagnosis not take you to the hospital to explain the example?"

Zhang Cheng interjected: "Director, don't you know that the professors who teach us have never worked in the hospital, so how can they give us an example to explain? Every time he follows the script and the pictures, the pictures have color differences. It makes us even more confused."

Chen Jingshan once talked to Huang Su about the situation of the College of Traditional Chinese Medicine, but he did not expect that those teachers who can only lecture and do not know how to treat diseases have become the mainstream of the school.

Even teachers who can't see a doctor can expect them to teach students who can see a doctor. It's just self-deception.

However, in the 90s, when a certain doctor led the reform of Chinese medicine education, all Chinese medicine universities were flooded with such eloquent and incompetent professors.

Hearing what Zhang Cheng said, Flavin was relieved about their sparse clinical skills.

"Almu, now that you know that the patient has a dark tongue, what syndrome do you mean the patient is?"

"Crimson tongue is mostly caused by heat entering the blood, invagination covering the heart, and excessive heat injuring the yin."

Flavin nodded with satisfaction to Almu's answer. Although his clinical ability was insufficient, his basic knowledge was still solid.

Huang Su said to He Hui, "He Hui, please diagnose the patient's pulse."

He Hui examined the pulse of both hands of the patient and said, "Director, the pulse of the patient's two hands is fine and counted, and it is indeed the pulse of internal heat injuring the yin."

Aermu said even more confusedly: "Director, the patient has a cold, how can there be a fever and a yin injury?"

"Because the patient took a lot of antipyretics."

Huang Su's answer made Na Risong puzzled: "Director, what does this have to do with the patient taking antipyretics."

"Of course it does, because Western medicine also has medicinal properties."

Flavin asked the patient, "Besides taking aspirin, what other antipyretics have you taken?"

The patient replied, "I am taking paracetamol in addition to aspirin."

Huang Su nodded and said: "That's right, aspirin and paracetamol are all drugs to relieve sweating, dispel wind and remove heat, but because the patient takes too much, there are too many products to relieve the skin, and the body is out of control. Unable to win, so that the evidence of change swarms, and the bad elephants grow in clusters.”

Body out of camp refers to the symptoms caused by emotional internal injury, consumption of camp and essence.

"Plain Questions Shu Five Defects Theory" says: "After tasting the noble and then the low, although you do not suffer from diseases, the diseases arise from the inside, and it is called escape from the camp."

Symptoms include body weight loss, mental haggard, tasteless food, chills and frights, forgetfulness, and limb atrophy.

Flavin continued to ask the patient, "Did you experience profuse sweating while lying down after taking the medicine to reduce the fever?"

The patient nodded hurriedly: "To the doctor, every time I go to bed, my bed sheets are wet. I thought it would be better if I sweated, but I didn't care. Who knows that the disease is getting worse and worse."

"The patient is not strong in defense, sweating constantly, and the yin fluid is greatly damaged. Do you think this situation is familiar?"

After Huang Su asked the question, he looked around at Qin Liang and the three of them, and saw that the three of them were confused.

At this time, Na Risong said, "This is the same as in the Treatise on Febrile Diseases, where the sun stroke is manifested as a deficiency syndrome, and the misuse of Mahuang Tang is the same as the insufficiency of defense and sweating."

Na Risong asked again: "Director, how did you know the medicinal properties of Western medicine?"

Huang Su explained: "While Western medicine is studying the active ingredients of Chinese medicine, our Chinese medicine is also studying the medicinal properties of Western medicine. Zhang Xichun is the pioneer of Chinese medicine research on the medicinal properties of Western medicine, which is earlier than Western medicine research on the effective names of Chinese medicine. From the 50s to the 70s , when Chinese medicine was at its peak, Chinese medicine practitioners even did detailed research on the medicinal properties of a large number of commonly used western medicines."

"After the reform, Xisheng Zhongwei, many Chinese medicine practitioners began to doubt the theory of Chinese medicine, not to mention the use of Chinese medicine theory to study the medicinal properties of Western medicine."

In Western medicine, aspirin, ibuprofen, loxoprofen sodium, acetaminophen, etc.

Acetaminophen is paracetamol.

After listening to Huang Su's explanation, the faces of the five people became solemn.

Seeing that the topic went off the rails, Huang Su said, "Amur, did you notice when the patient was seeing a doctor that the patient shivered when he sat down?"

Amur shook his head in confusion: "Director, I really haven't noticed this, is there any problem?"

"For this phenomenon, Chinese medicine calls it aversion to cold, which is a symptom of chills on the outside and vexation on the inside. It is mainly due to the internal heat evil, the yang qi being blocked, unable to penetrate to the muscle surface, so that the muscle surface is deficient. Caused by the yang qi."

Huang Su stared at the three new doctors and emphasized: "Traditional Chinese medicine pays attention to seeing, hearing, inquiring, and inquiring. Chinese medicine consultation does not start when the patient sits across from you, but starts from the moment the patient walks into the consultation room. It is a good habit to carefully observe the patient's face, movement, emotion, and body shape first, and don't miss any subtle situation of the patient, and in the future, you must practice this ability through continuous clinical practice."

"Director, we remember!"

The three of Qin Liang nodded in unison, feeling that their director spoke better than the professor of his school, and it was still useful.

"When we go back to the patient, it can be seen that the patient is not a cold with cold, but the patient is a symptom of internal heat, but due to the misuse of Western medicine that understands the surface, the yin fluid is seriously injured, resulting in aggravation of the actual heat, so the patient is not suffering from cold. A cold, but a spring plague."

Zhang Cheng asked in confusion, "Director, how could it be spring plague? It's already summer."

Huang Su said: "Prairie City is located in the extreme north of China, and spring is slower than that in the south. May and June are the seasons for spring plague. You will know when you participate in the grassland inspections. The inspections in May are mainly for prevention. It is the cold and the spring plague. Today, due to the heavy rainfall in May, the temperature is already low, and the onset of the spring plague will naturally be delayed."

What is spring temperature?It occurs in the spring, and it is a warm disease with heat and yin injury on the inside or the same disease on the outside and inside at the beginning, which is called spring temperature.

Since the early spring plague is characterized by the symptoms of internal heat, it is different from the general febrile disease, so the predecessors classified it as the scope of Fuxie febrile disease.

The cause of its onset is generally considered to be the loss of essence and qi in winter, the feeling of cold evil being hidden in the interior, the stagnation of heat for a long time, and the release of yang qi in spring, the overflow of pent-up heat, or the feeling of new evil causing fu-heat. send.

Clinically, it is often classified by spontaneous and novel induction.Before the onset of spontaneous fever, there are more prodromal symptoms such as limb fatigue, discomfort at night, dry mouth and throat, short, red and hot urination, or soreness in the waist.After the onset of the disease, symptoms such as fever, headache, restlessness, thirst and redness, little or yellow coating on the tongue, rapid pulse, and other symptoms appear; for those with new symptoms, the above symptoms of internal heat are accompanied by aversion to cold, no symptoms. Symptoms such as sweating or less sweating, floating pulse or cough etc.

Huang Su went on to explain: "The symptoms of spring plague are very similar to those of Taiyang stroke and Taiyang typhoid fever. When they see cold and heat without sweating, many people who do not have solid knowledge of Chinese medicine will mistakenly think that typhoid fever is cold, and they will use Guizhi decoction, Mahuang decoction relieves the skin.”

Hearing Huang Su's words, Almu lowered his head slowly, because he was about to prescribe ephedra soup for the patient.

Kai Ma Huang Decoction has the same effect as the patient taking antipyretics, which can relieve sweating, injure the body and consume gas, so that the symptoms will be changed.

Amur asked uncertainly, "Director, should the patient be prescribed heat-clearing and detoxifying drugs?"

At this time, Na Risong and He Hui also looked at Huang Su, and they were not sure about the disease that would complicate the condition due to misuse and change of syndrome.

Huang Su explained: "The patient is a febrile disease with a syndrome of overheating, and it turns to extreme heat that hurts the yin. The treatment should be divided into two steps. First, clearing the heat should be the main thing, paying attention to protecting the body fluid, and then promoting the body fluid and nourishing the yin to remove the residual heat."

Qin Liang wisely handed the prescription to Flavin.

黄素接过处方单，坐下写道：太子参10g、生地黄12g、熟地黄12g、天冬9g、麦冬9g、女贞子6g、旱莲草6g、石斛9g、竹叶9g、黄连7g、牡蛎（先下）15g、鳖甲15g。

Huang Su handed the prescription to the patient and told the patient: "This prescription should be taken for half a month before going back. During the period of taking the prescription, it is best to eat two pears a day, which can clear heat and eliminate phlegm. If there is a condition for juicing, it is best to drink pears juice."

Huang Su emphasized: "Don't take the antipyretic medicine you took before."

"Thank you, Doctor Huang!"

The patient took the prescription, slowly got up and bowed, and his movements and words were all weak.

In fact, the patient has misused the medicine to relieve the appearance, in fact, the door has been opened, the sweat is not stopping, the tongue is dark and yellow, the cough is phlegm and blood, and there is a crisis.

After the patient left, Huang Su said to the three: "You have now also seen the importance of the four diagnostic methods of traditional Chinese medicine combined with ginseng. These two patients do not look at the tongue and pulse, and their physical symptoms are almost the same, but one is pungent and hot. The drug treatment that relieves the surface, the other is the drug treatment that clears heat and nourishes yin.”

Speaking of this, Huang Su paused for a while and said in a serious tone: "I don't care how you studied in school before, from today onwards, you have to start with your leading doctor. The most basic things in the diagnosis and treatment of ginseng must be mastered.”

"After a year, I will assess you. If you can't achieve my goals, I'm sorry, I can only let you go. As long as I am in the Chinese medicine department for one day, I will not allow a doctor in the Chinese medicine department. In the diagnosis and treatment of ginseng, only Western medicine test sheets and Chinese medicine medicines are prescribed. Such doctors not only ruin the reputation of Chinese medicine, but are also irresponsible for the life and health of patients."

The three of Qin Liang also replied solemnly: "Director, we understand!"

At night, Huang Su was sitting on the sofa and carefully reading a medical book, when the mobile phone on the coffee table suddenly rang.

Huang Su took the phone and saw that it was a call from Chen Jingshan, and hurriedly connected.

"teacher!"

On the phone, Chen Jingshan asked: "Huang Su, those three should go to work in your hospital when they graduate, how are their performances?"

Huang Su did not answer Chen Jingshan's words, but asked: "Teacher! I have only graduated for more than two years. How can the education of our Department of Chinese Medicine be so degenerate!"

Hey!
Chen Jingshan's helpless sigh came from the phone.

After a long time, Chen Jingshan's voice came from the phone: "Huang Su! The Department of Traditional Chinese Medicine will not be like this forever."

(End of this chapter)