Under, Chinese medicine flavin

Chapter 31 Uncaria Wendan Soup

The combination of the four pulse conditions of the old man seems extremely complicated, and it is easy to distinguish the disease as long as you are careful and dialectical.

A deep pulse is a sign of weak viscera, a thin and slippery pulse is a sign of phlegm retention and dampness, and a rapid pulse is a sign of heat.

Depending on the severity of the stroke, and the different stages of stroke precursor, stroke onset, recurrent stroke, and stroke sequelae, there will be two or more phases of five pulse patterns: deep, thin, stringy, slippery, and counting.

Although Mayor Zhao didn't understand the four-character words Huang Su said, he still understood what a stroke meant, and asked anxiously: "Then Doctor Huang, can my father's illness be improved and cured?"

Huang Su said with some reservations: "As long as the wind is extinguished and the phlegm is resolved, there is still great hope to return to the self-care life before the stroke, but if you want to return to the state of a normal person before the stroke, it depends on the old man's physique. It's a long process."

Huang Su thought he was conservative, but in the eyes of Mayor Zhao, he felt that the young doctor was a bit exaggerated, and his complexion became ugly. He looked at Huang Su suspiciously.

After thinking that Huang Su might know his status as mayor, he was eager to show himself in front of him.

I don't know the seriousness of my wild words at such a young age. In order to treat my father these days, I have used all the medicines available, but my father is getting worse day by day. Healed his father's illness.

Observing the displeasure on Mayor Zhao's face, Huang Su explained: "Mayor Zhao, the wind and phlegm I mentioned are not the same concepts as the wind and phlegm you know. In the theory of traditional Chinese medicine, all diseases of the human body are caused by wind. , cold, heat, dampness, dryness, and fire are caused by the six evils. The pathogenesis of stroke is the accumulation of phlegm and dampness, heat transformation to generate wind, loss of yin qi, deficiency of righteous qi, deficiency in the root and reality in the superficiality, and reality in the opposite.”

"Whether it is the precursor of stroke, the onset of stroke, the recurrence of stroke, or the sequelae of stroke, there is always a combination of wind and phlegm running through it, but which is more important. Using the case of Western medicine as a similar example, the patient has the common cold and is already infected. Cold virus, if you want to treat influenza, you must kill the virus, so if you want to cure the root cause of stroke, you must stop the wind and resolve phlegm."

Generally the aura of stroke, wind and phlegm are light.Apoplexy and recurrent apoplexy are severe wind and phlegm.The sequela of stroke is that phlegm is heavier than wind.

This can be seen from the various periods of stroke, in addition to the symptoms they have.

All have the common indications of wind-phlegm, such as numbness of limbs, dizziness, forgetfulness, mood swings, irritability and insomnia, strong tongue, sticky speech, greasy fur, etc.

And these are equivalent to symptoms such as high fever, sore throat, and thirst in influenza.

After hearing Huang Su's explanation, Mayor Zhao knew that he had misunderstood and said, "Then ask Dr. Huang to prescribe medicine."

But I think in my heart whether it is exaggeration or not depends on the curative effect of the medicine you prescribe.

黄素和赵市长夫人要来纸笔，在纸上写道：桑寄生15g、钩藤12g（后下）、清半夏9g、陈皮9g、茯苓15g、菊花9g、石菖蒲12g、丹参15g、牛膝9g、川厚朴9g、生大黄5g（后下）、羌活3g、竹沥水60ml（兑服）
In order to dispel Mayor Zhao's worries, Huang Su explained: "It is well known in traditional Chinese medicine that extinguishing wind and resolving phlegm can treat stroke. However, in the treatment of stroke, some Chinese medicine often ignores the four elements. The wind is not dry, the liver and kidney are nourished but not greasy, and the righteousness is supported without hindering evil, which leads to a greatly reduced therapeutic effect."

"I choose Wendan Decoction from Qianjin Yaofang with Uncaria and Sangjisheng. Wendan Decoction has the effect of regulating qi and resolving phlegm, clearing dampness and heat without hurting the body, and Uncaria and Sangjisheng have the effect of softening the liver and quenching the wind. Injure the liver. Qing Pinellia: dry dampness and resolve phlegm, used for cough with damp phlegm, fullness in the epigastric cavity, cohesion of phlegm and saliva, and vomiting."

Knowing that Mayor Zhao still has doubts about himself.After Huang Su handed the prescription to Mayor Zhao, he explained the function of each traditional Chinese medicine.

Continue to instruct: "Mayor Zhao, traditional Chinese medicine should be fried in a casserole. Uncaria and rhubarb should be boiled for 10 minutes after other traditional Chinese medicines are boiled, and Zhulishui should be mixed with the medicine liquid after the traditional Chinese medicines are fried. , and bamboo leek water is not easy to buy outside, this prescription is better to go to the city hospital to get it, there is bamboo leek water in the city hospital. Take a dose first, and wait for today's stool situation. "

"Xiao Zhang, take the prescription and go to the city hospital to buy it." Mayor Zhao handed the prescription to Xiao Zhang, the nurse.

Huang Su reminded: "Mayor Zhao, we still need to buy enema tools. The patient cannot eat or drink. We need to take the medicine by anorectal feeding method, so the amount of medicine needs to be doubled."

Anorectal drug intake method, also known as traditional Chinese medicine enema, belongs to one of the methods of external treatment of internal diseases in traditional Chinese medicine. It is a method of pouring the decocted and filtered traditional Chinese medicine liquid from the valley, retaining it in the rectum and colon, and absorbing the medicine through the intestinal mucosa. method.

Traditional Chinese medicine enemas have a history of more than 2000 years. "Treatise on Febrile Diseases" once said: A large pig bile, laxatives, and a little vinegar are used to irrigate the valley road, such as eating a hectare, and eating bad things overnight when defecating. .

Since then, it has created a precedent for enteral administration of traditional Chinese medicine, and there have been records of taking medicine by enema with traditional Chinese medicine in the works of sages of all dynasties for more than 2000 years.

Mayor Zhao said: "Think about what else you need, write it down, and let Xiao Zhang buy it together."

Huang Su took a pen and paper to write down the enema tools: 14ml syringe, No. [-] anal canal, paraffin oil, and handed the list to Xiao Zhang, the nurse.

After Xiao Zhang took the prescription and left, Mayor Zhao said politely: "Dr. Huang has worked hard, go to the living room outside, and sit down with me and Bayin to drink tea and chat."

"Mayor Zhao, I won't go. Patients cannot do without people here. I'd better stay and take care of the elderly." Huang Su declined politely.

Mayor Zhao glanced at Huang Su approvingly, and led Bayin out of the bedroom with his wife.

In about an hour, Xiao Zhang, the nurse, came back with the traditional Chinese medicine he had bought.

Huang Su walked into the kitchen and instructed the nurse Xiao Zhang and Mayor Zhao's wife some precautions for frying Chinese medicine.

Treating stroke is also a long process, and the decoction in the future is probably Xiao Zhang's work.

First wash off the dust on the surface of the traditional Chinese medicine with running water, and then soak it in cold water for 10 to [-] minutes.

Then directly decoct the medicine with the water soaked in traditional Chinese medicine, first turn on high heat until the water boils, and then decoct on low heat for about 10 minutes.Add uncaria and rhubarb and cook for 10 minutes.Both Uncaria and rhubarb are medicinal materials that are highly effective and easy to decoct. If they are decocted for too long, the efficacy of the medicine will decrease.

Huang Su used a filter bag to filter the residue in the traditional Chinese medicine, and explained: "The temperature of the traditional Chinese medicine must be kept between 37 and [-]. If the Chinese medicine liquid is too hot, it will hurt the intestines, and if it is too cold, it will stimulate the intestinal tract to absorb the medicine. In severe cases, it may even cause cold pathogens to enter the body, causing abdominal pain and diarrhea. Therefore, we must pay attention to the temperature of the traditional Chinese medicine liquid."

After waiting for the Chinese medicine liquid to cool and warm, Huang Su walked into the old man's ward with the Chinese medicine liquid and demonstrated the steps of the traditional Chinese medicine enema to them.

Within three to 10 minutes of the traditional Chinese medicine enema, the paralyzed old man on the bed had abnormal movements, and he kept writhing on the bed with his left healthy limb.

"Excreted, help the old man to the bathroom." Huang Su said.

Bayin followed Mayor Zhao to the bed, helped the old man up together, and muttered: "Old leader, be careful, slow down."

Bayin and Mayor Zhao helped the old man into the bathroom together, Bayin came out and waited beside the bathroom, and after the old man finished using the toilet, he went into the bathroom and helped the old man out together with Mayor Zhao.

Seeing all the actions of Bayin, Huang Su had to admire Bayin from the bottom of her heart.

Know how to repay your kindness, and don't overwhelm the host.

Not only can he show his filial piety to the old leader like a parent and child, but if he is too careful, it seems deliberate, and if he is too small, it is not satisfactory.

At this point, it's no wonder that Mayor Zhao and Bayin get along so close, without any taste of superiors and subordinates.

As far as Bayin's sophistication is concerned, Huang Su said that he has learned it!learnt!
After the two helped the old man to lie down on the bed, Huang Su stepped forward to observe the old man carefully, and saw that the flush on his face had faded.

Huang Su asked: "Mayor Zhao, how much stool does the old man pass, and what is its shape?"

Mayor Zhao said: "A lot of black feces like jelly were pulled out."

Huang Su nodded and said: "What is discharged is the stagnation of the stomach and intestines for many days, so let the old man rest for a night first, and I will come back tomorrow to check the situation, and then add or subtract according to the specific situation of the patient."

Mayor Zhao also saw that his father's complexion had improved, and asked his wife to send Huang Su and the other two.

Standing in the garden in front of the villa, Bayin said politely: "Sister-in-law, don't send it off, let's go back! We are not outsiders, we can go by ourselves."

Said and led Huang Su to leave Mayor Zhao's house.

(End of this chapter)