Under, Chinese medicine flavin

Chapter 50

The next day, early in the morning.

Huang Su pressed the alarm clock next to the bed, got out of bed in a daze, and turned on the chandelier in the bedroom.

Prairie City is one of the northernmost cities in China. At seven o'clock in the morning in December, the sky is still dark.

Seeing yesterday's busyness, Huang Su estimated that the Department of Traditional Chinese Medicine would be even busier today, so she woke up early on purpose.Get dressed, go into the bathroom and start washing up.

Walking out of the dormitory, Huang Su zipped up the down jacket, faced the crescent moon in the dark night, and walked towards the hospital cafeteria. Every breath brought out a puff of white mist. The winter in this grassland city is colder than that in Hei province in his hometown.

Walking into the cafeteria, there are already many medical staff eating breakfast.

Huang Su was not in a hurry to have breakfast, but sat down and waited for Yan Bing's arrival.

The two have been in love for more than two months. Ever since Huang Su stopped Lu Yan's acupuncture treatment, they didn't really spend much time together. Breakfast and lunch have become the time alone that they cherish especially.

In a short while, Yan Bing appeared at the gate of the cafeteria wearing a long white down jacket. Her attire and her cool temperament complemented each other perfectly.

Huang Su got up to greet Yan Bing, and let's have dinner together.

It has been two months since the relationship was confirmed, and the sweetness has not dissipated, and the two of them ate a meal for more than half an hour.

Walking into the Department of Traditional Chinese Medicine, Na Risong and He Hui had already cleaned the clinic inside and out.

Looking at the enthusiasm of the two, it is estimated that they are still immersed in the excitement of yesterday's busy work.

Huang Su took off his down jacket and put on a white coat, knocked on the door and said, "That Risong, there were a lot of patients yesterday, have you sorted out all the medical records?"

"It's all sorted out, Director, take a look."

Na Risong happily took out the medical record folder from his backpack and handed it to Huang Su.

Huang Su carefully looked through the medical records from beginning to end, then closed and said, "Not bad!"

Most of the more than 20 veteran cadres who came yesterday had some common geriatric diseases, but there were really two patients with aura of stroke. stroke.

From this point of view, the annual physical examination of veteran cadres in Grassland City is not a performance project, and it has indeed eliminated hidden dangers to the health of many veteran cadres.

Not long after, a 20-year-old young man helped an elderly man in his 60s into the outpatient room.

The old man was wearing a thick down jacket and a thick otter cap wrapped around his head. The old man was still shrinking his neck and shoulders, his body was shaking, and he looked chilly.

When the old man sat down, Huang Su asked, "Old comrade, what's wrong with you?"

The young guy replied: "My grandpa has had abdominal pain for more than two years. It started before meals, and he felt bloated after eating. He often hiccupped and there was pantothenic acid in his stomach. He had barium meal fluoroscopy in the gastroenterology department and was diagnosed as ten. For duodenal ulcer, I prescribed magnesium trisilicate tablets and proglutamine tablets to my grandfather, but it didn’t help.”

The old man interjected: "I went for a follow-up visit and gave me a barium meal fluoroscopy. The doctor said that I can only do surgery, but I am really afraid that I won't be able to leave the operating room due to my physical condition. Just in time for the physical examination at the end of the year, I saw the news again last night. , They say that Dr. Huang is very skilled in medicine, let me see if Chinese medicine can treat my disease."

Huang Su listened to the grandparents and grandson's description of the condition, and observed the patient carefully, only to see that the patient was pale, thin, spoke in a low tone, and lacked energy.

Huang Su said: "Old comrade, let me take your pulse first."

The old man stretched out his arm, Huang Su only felt that the pulse under his fingers was like strings and weak, especially the two feet seemed to have no pulse.

"The old comrade sticks out his tongue, I'll take a look at it."

The old man stuck out his tongue.

Huang Su observed carefully and found that the patient's tongue coating was white, greasy and dry, both sides of the tongue were obviously raised and dark in color, and the middle of the tongue was slightly collapsed.

After looking at the coating on the tongue, Huang Su asked: "Do you have a bitter mouth, dry mouth, upset and irritable?"

Hearing that Huang Su was right about his situation, the old man's eyes lit up and he replied: "Every morning when I wake up, my mouth is dry and bitter, and my mouth tastes bitter every day. I'm also in a bad mood, especially at night because I'm often upset and can't sleep. Doctor, what is wrong with me?"

Huang Su said: "You have liver-stomach disharmony, cold and heat syndrome, add or subtract ebony pills, warm and clear, replenish and eliminate, and your condition will improve, ebony is most suitable for cold and heat symptoms."

The pulse is stringy and thin, and the pulse is insufficient. The first thing many people think of is liver and kidney yin deficiency and pain.

It can be combined with the tongue phenomenon, the tongue coating is white and greasy, and the white coating is the main syndrome, which is also in line with the syndrome of yin deficiency. However, the tongue coating is dry, which is a manifestation of heat syndrome, indicating that there is heat in the viscera.

Looking at the condition of the tongue, both sides of the tongue govern the liver and gallbladder, and the protrusions on both sides are obvious and dark in color. The tongue is a sign of strong liver and weak stomach, upper cold and lower heat.

The patient has a strong liver and a weak stomach, disharmony between the liver and stomach, mixed with cold and heat, and symptoms of liver depression and spleen deficiency.

“何慧记方，乌梅12g、黄连6g、黄芩12g、细辛3g、当归9g、良姜9g、党参15g、肉桂6g、干姜6g、制附片12g、泽兰6g、莪术6g、三棱6g。”

The wood evil is rampant, and the middle soil will be trapped. Therefore, the yang of the spleen and stomach is supported by pungent, hot, sweet and warm, and the acid is used to calm the liver. Zhongzhiyang.

Black plum enters the liver to nourish liver yin, Coptis chinensis and Scutellaria baicalensis clear away heat from the liver and gallbladder, Asarum, ginger, cinnamon, dried ginger, Zhifu tablets warm and promote spleen yang, Angelica, Codonopsis pilosula nourishes qi and blood, Eupatorium, Sanleng, Curcuma invigorates blood circulation and removes blood stasis.

Huang Su took the prescription written by He Hui, and wrote the precautions below and handed it to the old man's grandson, telling him: "Zhifu tablet is slightly toxic, it should be decocted for an hour before adding other medicines, once a day. Take ten doses, drink ten doses first, and come back for a reexamination after the physical examination."

After seeing off the grandparents and grandchildren, Na Risong walked into the outpatient clinic with the next medical examiner, who was also an old man in his 60s.

Just as the old man sat down, Huang Su asked, "Old comrade, what's wrong with you?"

The old man said: "I have had diarrhea for more than three years. I defecate as little as four or five times a day, and sometimes it can reach more than ten times."

"Old comrade, let me take your pulse first."

The old man stretched out his arm, Huang Su pressed down hard with three fingers, and the pulse beat when he touched the bone, but the pulse was weak, and his breath was only three or four beats (equivalent to about 1 beats per minute), and the pulse was difficult, like a light knife scraping bamboo, intermittent Uniformity, this is a deep and astringent pulse, which is a mixed pulse condition.

Huang Su continued to ask while feeling his pulse: "Old comrade, what does it feel like to defecate, and what is the shape of the defecation."

The old man replied: "During defecation, the chrysanthemum door has a feeling of falling, and it takes a lot of force to pass, but the defecated stools are all syrupy, often mixed with white things like jelly, and sometimes even blood. Mixed red and white. I went to the anorectal department, and the doctor told me that it was some kind of chronic bacillary dysentery, and prescribed me furazolidone and prednisone. I was able to get better for two days after taking the medicine, and relapsed as soon as the medicine was stopped.”

The old man continued: "Later, I went to the Sino-Mongolian Hospital and prescribed Shenling Baizhu Powder, but the more I ate it, the worse my stomach became."

Huang Su nodded, knowing that the old man had pus and blood in his stool, and continued: "Old comrade, stick out your tongue and let me see the coating."

The old man stuck out his tongue, and saw that the whole body of the tongue was light red, and the tip of the tongue was reddish. This was in line with the pathology of Shenmai with weak viscera and insufficient Qi, but the red tip of the tongue proved that there was fire in the heart, lungs or stomach.

The tongue coating is white and thin, but the base of the tongue is thick, which is in line with the pathology of the late class pulse governing cold and dampness.

The base of the tongue is white and thick, and the base of the tongue dominates the lower energies, where dampness and cold stagnate. The lower energies include the kidneys, large and small intestines, bladder, male prostate, and female uterus.

Huang Su continued to ask: "Old comrade, how is your diet, and you don't have frequent hiccups."

The old man said: "Poor diet, sometimes one meal a day, sometimes two meals a day, hiccups after eating, and smelly. Doctor, what is wrong with me?"

The burp after a meal has a rotten taste, indicating that there is fire in the stomach.

Combined with the patient's symptoms, Huang Su said: "Old comrade, your illness is due to cold and damp retention in the intestines, resulting in chronic dysentery, prolonged illness and injury to the spleen and kidney."

For chronic dysentery with feces, pus and blood, ebony pills can relieve the evil of yin and yang, so it can be seen that ebony pills are very suitable for syndromes of yin and yang mixed, cold and heat, and deficiency and reality.

Combined with the pulse and symptoms of the old man, it can be seen that the upper part is hot and the lower part is cold, the spleen and kidney yang are deficient, and the Qi and blood are deficient. The addition and subtraction of Wumei Pills is the most appropriate treatment.

The doctors at the Zhongmeng Hospital saw that it was a double knife. Seeing that the tongue dominates the cold syndrome, they thought that the spleen and stomach were deficient and cold, but they didn’t know that the upper heat was cold and the lower heat was blocked. The tonic was like adding fuel to the fire.

It would be a big mistake to use Yigong Powder, Lizhong Decoction, Shenling Baizhu Powder, etc. for the treatment of spleen and stomach diseases.

“何慧记方，乌梅12g、黄连6g、黄柏炭6g、党参15g、当归9g、炮姜9g、炒川椒6g、细辛3g、肉桂6g、制附片12g、广木香9g。”

Huang Su explained to the old man in detail the precautions on how to decoct and make supplementary tablets.

(End of this chapter)