Under, Chinese medicine flavin

Chapter 291 TCM Arthralgia
"Xiaoxue, stick out your tongue, let me see the tongue coating."

Huang Xue sticks out his tongue, the tongue is dark red, the tongue body is fat and tooth marks, the tongue coating is yellow and greasy, especially the base of the tongue is thick and greasy.

Flavin asked: "Is there any constipation and abnormal menstrual leucorrhea."

"Yeah! It's basically only once every five or six days. During the two months of menstruation, there is a lot of leucorrhea, and there is also yellow secretions in the middle."

In Huang Xue's heart, Huang Su was not a doctor, but his brother.

Such a girl's private matter, tell her brother, Huang Xue said that in the end, it was as delicate as a mosquito, and her face was red from shyness.

Flavin then asked: "Is there any phlegm in the throat, and is there any foreign body sensation and pain in the throat."

Huang Xue nodded, but did not speak.

"Put out your hand and I'll take a pulse."

Huang Su's three fingers were placed on Huang Xue's wrist, and the pulses of both hands were smooth and smooth, especially two feet.

Seeing Huang Su let go, Second Aunt Huang Su hurriedly asked, "What's the matter with your sister's illness?"

"Second aunt, don't worry! Xiaoxue's current situation is that he is suffering from the evil of rheumatism externally, and the internal spleen is deficient and damp, and the long-term accumulation generates heat. "

Muscle paralysis disease is in the muscles. The spleen dominates the muscles, and the spleen and stomach are the source of qi and blood metaplasia. If the spleen and stomach are healthy and qi and blood are congested, the muscles will be abundant and not paralyzed.Therefore, the treatment of muscle paralysis should be based on the spleen and stomach.

Since ancient times, in Chinese medicine literature, where rheumatism is mentioned, it has two meanings: first, it refers to the cause; second, it is the name of the disease.

There are records about "rheumatism" in "52 Disease Prescriptions" unearthed in Changsha.

"Shen Nong's Materia Medica" records as many as 26 kinds of "rheumatism".

In the "Huangdi Neijing", there are 17 occurrences of "rheumatism" in addition to the Bi Lun chapter.

Zhang Zhongjing's "Treatise on Febrile Diseases" in the Han Dynasty is even more characteristic. None of the 398 articles in the book mention "bi", but there are many references to rheumatism.

In the Synopsis of the Golden Chamber, it is very clear that "rheumatism" was first proposed as the name of the disease.For example, "the patient is in pain all over the body, and the person who has a fever is called rheumatism."

"For those with rheumatism, heavy pulse, sweating and aversion to wind, Fangji Huangqi Decoction is used."

However, Chinese medicine has gone through more than 2000 years, coupled with the different understandings of rheumatism among successive generations of doctors, and the diversity of naming basis of traditional Chinese medicine, it is reflected in the various names of rheumatism mentioned in ancient medical books.

Some are named after the cause, such as: heat arthralgia, damp arthralgia, wind-cold-damp arthralgia, etc.; some are named after the main symptoms, such as line arthralgia, pain arthralgia, stagnation arthralgia, Zhou artifact, etc.; some are named after the lesions, such as skin Paralysis, flesh paralysis, pulse paralysis, tendon paralysis, bone paralysis, lung paralysis, spleen paralysis, heart paralysis, liver paralysis, kidney paralysis, etc.; some are named after the pathogenesis, such as deficiency paralysis, full paralysis; some are named after the season of onset , such as Meng Chun Bi, Meng Xia Bi, Meng Qiu Bi, Meng Dong Bi, etc.

According to incomplete statistics, there are more than 340 kinds of rheumatism-related disease names mentioned in Chinese medical books.

This stage is a stage in which traditional Chinese medicine treats rheumatism from simple to complex.

After the founding of New China, the teachers proposed a strategy for the development of traditional Chinese medicine.

In the 70s and [-]s, Chinese medicine began to conduct in-depth research on Bi syndrome. The number of researchers participating in the research continued to increase, and academic organizations in various provinces and cities gradually improved. In view of the fact that the name "Bi disease" also existed in ancient times, in order to avoid the "syndrome" in the name of Bi syndrome Confused with the "syndrome" in the syndrome, and emphasizing the concept of the disease name of Bi syndrome, "Bi syndrome" was renamed "Bi disease".

Arthralgia and arthralgia have been used for many years, but as a large disease category, it still cannot cover all sub-diseases, such as gout, crane knee wind, calendar festival, etc. The disease should belong to the category of paralysis.

On the contrary, although some diseases are called "bi", such as chest paralysis, throat paralysis, etc., they are another independent disease and do not belong to the category of paralysis.

Finally, according to the theory of traditional Chinese medicine and literature records, modern traditional Chinese medicine basically no longer uses Bi disease, but collectively calls it "rheumatic disease".

According to the characteristics of etiology and pathogenesis, the complicated and chaotic rheumatic diseases are classified into five types of rheumatism diseases, namely dry arthralgia, postpartum arthralgia, gout, five-body arthralgia, and five-organ arthralgia.

This is also the greatest achievement of traditional Chinese medicine in rheumatism since the founding of the People's Republic of China, making rheumatism from complex to simple.

When Western medicine listed rheumatism as one of the five major terminal diseases, the cause of the disease could not be found and the treatment could not be done.

Traditional Chinese medicine has undergone new changes in rheumatism.

"We don't understand Chinese medicine, so you can tell me how to treat it."

Second Aunt Huang Su is a high school Chinese teacher. She can understand what Huang Su says in half-literal language, but she doesn't understand Chinese medicine either.

"I gave Xiaoxue a pair of spleen-invigorating and dampness-removing tapes, along with acupuncture and moxibustion to disperse wind-dampness and relieve pain."

黄素结果黄母递过来的纸笔写道：太子参12g、柴胡12g、荆芥穗12g、桂枝8g、赤芍12g、白芍12g、炒杏仁9g、炒薏苡仁30g、黄柏9g、炒苍术15g、炒白术15g、士茯苓20g、车前子（包煎）15g、鸡冠花12g、椿根皮12g、生龙骨30g、生牡蛎30g、络石藤15g。

Huang Sukai's recipe is Fu's Wandai Decoction, plus Atractylodes and Cortex Phellodendri as two wonderful powders, and reuses tuckahoe, chun root bark, cockscomb, and psyllium to transport the spleen and clear heat and remove dampness. , Yingwei reconciliation, muscle paralysis self-healing.

The customer who bought the goods saw Huang Su writing the recipe, and asked Huang Fu curiously: "Uncle Huang, this is?"

"This is my son. He is now the director of the Department of Traditional Chinese Medicine at the No. 1 People's Hospital in Grassland City. This is not because he came back from the Chinese New Year holiday. His sister is not feeling well. This is not because he is prescribing medicine for his sister."

When Father Huang spoke, there was pride in his tone.

"I moved here for four or five years, and I have always heard that you have a son, but this is the first time I have seen him." The man gave Father Huang a thumbs up: "Department director of the city hospital, your son is amazing."

Since Huang Su went to university, he has limited time to go home every year.

Many new neighbors around, do not know flavin.

Huang Su handed the prescription to the second aunt: "Second aunt, let Xiaoxue drink five doses of the medicine first, and let her go back to Prairie City with me while the school is on winter vacation. I will give her a thorough treatment and send her back. It doesn't affect learning."

Second Aunt Huang Su said, "If it wasn't for the fear of delaying her study, we would have sent her to Prairie City when she just got sick."

Hearing that he was going to get the medicine, Father Huang pointed to the neighbor who bought the goods and said, "It's good that Liu Dong from the pharmacy next door is here. He has a very complete range of Chinese medicines there."

The street where Huang Su and his family are located is considered a commercial street in the town, and the surrounding neighbors are all doing business.

And in this kind of town, the best businesses to do are shops and pharmacies.

"Second uncle, go grab the medicine, and second aunt will stay with Xiaoxue for acupuncture."

"Dad, do we have a room with less dust, so I can give Xiaoxue acupuncture." Huang Su looked at the environment at home and asked.

Father Huang said, "Our family just sells things. Where can there be such a room."

At this time, Liu Dong said: "Brother Huang, why don't you take your sister to my place, my mother used to be a doctor in the county hospital, and now she retired and went home and opened her own clinic. The places where patients receive drips are often disinfected. It should meet your requirements."

"Brother Liu, then I'll trouble you!"

After Huang Su thanked him, he went to the pharmacy next door with his second uncle and Huang Xue with Liu Dong.

In the clinic, there are four beds for infusion, and a patient is infusion.

"This is……"

Liu Dong came in with a group of people, and Liu Dong's mother looked at Liu Dong suspiciously.

Liu Dong explained: "This is the son of Uncle Huang next door, who is doing acupuncture to his sister in our clinic."

"Use whatever you want!"

"Thank you auntie!"

"I've always heard Brother Huang say that his son is a doctor, and this is the first time I've seen him today."

Liu Dong's mother arranged a hospital bed for Huang Su and Huang Xue.

"The hospital is busy with work. I haven't been home for two years. In addition, when I go to school, I only go home for winter vacation. Many new neighbors around me don't know each other."

Huang Su let Huang Xue sit on the consultation bed.

Liu Dong's mother said with deep sympathy: "When the doctor has holidays, when I work in the hospital, I am often on duty during the Spring Festival. Now that I am retired, I can spend the New Year with my family."

"We want to take a vacation, but sickness won't take a vacation."

Yan Bing walked into the clinic and handed the silver needle box to Huang Su.

Flavin opened the silver needle box and began to sterilize the silver needles.

Huang Xue looked at the slender silver needles and said with some fear, "Brother, why are these acupuncture needles so long? Will they hurt a lot?"

"Relax, acupuncture won't hurt." Huang Su comforted his nervous sister.

Liu Dong's mother also persuaded: "Little girl, don't worry! Acupuncture doesn't hurt at all."

Liu Dong also came over and said, "It's the first time I've seen acupuncture."

Huang Su picked up Huang Xuedu's right arm, and the first needle was to puncture the Waiguan acupoint of the right arm with acupuncture.

Seeing Huang Xue staring nervously at the long needle in his hand.

Huang Su stroked Huang Xuede's wrist and found her tense muscles tense.

In such a tense state, it is not conducive to get angry when applying needles.

Seeing that his sister was so nervous, Huang Su gave up the first place where Huang Xue could see, but turned around and came behind Huang Xue, preparing to tie the Fengchi acupoints on both sides of his neck.

Seeing Huang Su standing behind her, Huang Xue did not move for a long time, and asked cautiously, "Brother, what's wrong with you!"

"I've been pierced, doesn't it hurt at all?"

Seeing that Huang Xue's neck muscles suddenly relaxed, Huang Su decisively used the purging method to acupuncture the wind pools on both sides.

After the injection, Huang Sucai turned around and walked in front of Huang Xue and asked, "Does it not hurt at all?"

Huang Xue nodded: "Yeah! It just feels sore and swollen when I feel acupuncture."

To dispel Huang Xue's fear of acupuncture, Huang Su then used the purging method to acupuncture the Waiguan point of Huang Xue's right wrist, the Hegu point, Zhongwan point of the left hand, and Zusanli of both legs. Stab the Heding Point above the knee of the right leg, and the Yangling Spring of both legs.

Fengchi is an important acupoint for the treatment of wind, which is matched with Zusanli, which can not only dispel wind and relieve the surface, but also dispel dampness with the stomach; Waiguan is the acupoint and collateral point of the Sanjiao Meridian of Hand Shaoyang, which is connected with the Yangwei Channel; Hegu is the hand The original acupoint of the large intestine meridian of Yangming has the functions of dispelling external heat, expelling wind and soothing the throat; Heding is the extraordinary point outside the meridian, and Yanglingquan is the foot-shaoyang combined point, which has the functions of dredging the meridians and activating the collaterals, dispelling dampness and relieving pain; Wan, Zusanli and Wei Jiangni to stop vomiting.Several acupoints are used in combination to play the functions of dispelling wind and dampness, activating collaterals and relieving pain, clearing heat and soothing throat.

Muscle paralysis is in the muscles, and constipation is in the large intestine. At first glance, the two seem to be unrelated, but from the perspective of zang-fu syndrome differentiation, they are both related to the spleen and stomach.Constipation is mostly caused by dryness and heat, or internal stagnation of cold and dampness, deficiency of qi and blood, insufficient body fluids, loss of intestinal fluid, depression and qi constipation. There are those who are real, and there are those who misuse cold and cold to become cold and secret.

From the perspective of internal medicine dialectics, it is not only subtle, but also very rich in treatment principles, and the prescriptions and medicines are completely different.

In the treatment of constipation, acupuncture and moxibustion use acupoints to have a two-way regulating effect. Whether acupuncture points are selected based on syndrome differentiation or meridian selection, compared with internal medicine, it is much more concise.

Looking at Huang Su's smooth acupuncture technique, Liu Dong's mother praised: "Xiao Huang's acupuncture technique is proficient. This is the first time I have seen it in the county hospital for so many years."

Huang Xue said proudly: "My brother is amazing. He is the director of the Department of Traditional Chinese Medicine of No. 1 People's Hospital in Grassland City."

As a doctor, Liu Dong's mother naturally knows how difficult it is to be the director of a department, but medical technology and handling skills are both indispensable.I didn't take the position of director until I retired, that is, I lacked enthusiasm in dealing with things.

Liu Dong's mother couldn't help but admire Huang Su, and looked up and down carefully.

Huang Su rubbed Huang Xue's head: "You talk too much, just be honest with you."

Huang Xue stuck out his tongue at Huang Su and made a grimace.

Huang Su raised his wrist and looked at the watch in his hand. Seeing that half an hour had passed, he began to needle Huang Xue.

After getting the needle, Huang Su asked, "Does your throat still hurt?"

Only then did Huang Xue subconsciously touch his throat with his hand, and said in surprise, "Brother, you are so powerful, my throat doesn't hurt much."

Flavin continued to ask: "Feel the muscles of the body, the wrists and knees with both hands, whether the soreness is relieved."

Huang Xue said with hindsight: "Brother, it really doesn't hurt as much as before, you are so amazing!"

Huang Xue jumped out of bed excitedly, jumping back and forth with Huang Su in his arms.

Liu Dong also came over and asked in surprise, "Acupuncture is really so magical!"

Huang Su explained with a smile: "Of course it works quickly. Acupuncture is the fastest treatment method in traditional Chinese medicine. Therefore, acupuncture is often used as a first aid method."

Liu Dong's mother asked, "What's wrong with your sister?"

Huang Su explained: "It was just over a month ago that there was heavy snow on the ground after school, and after suffering from the cold and dampness, there were some early symptoms of rheumatism."

"I didn't expect Xiao Huang to have such superb medical skills at such a young age."

People of Liu Dong's mother's age have experienced the honeymoon period of Chinese and Western medicine in the 70s and [-]s, and they all know the power of Chinese medicine.

At that time, there were severe cases in the hospital that could not be solved, and it was common for Chinese and Western medicine to cooperate in treatment.

They would rather treat the patient as a guinea pig and watch the patient suffer under the pain, rather than cooperate with Chinese medicine.

It has become the norm for minor illnesses to be treated as serious illnesses and serious illnesses to be treated as terminal illnesses. If a patient spends less than a day in the hospital, the loss is all money.

"Auntie, you are wrong, but my medical skills are barely able to pass."

Huang Su's words are not self-deprecating. If you just use acupuncture techniques to acupuncture Fengchi, Waiguan, and Neiguan, the effect will be better.

Huang Su continued: "Auntie, today I have to give my sister acupuncture and moxibustion, and I have to trouble you."

"You can use it here. It's a pleasure to see such superb medical sayings."

After Huang Su thanked Liu Dong's mother and son again, he took Huang Xue home.

(End of this chapter)