Chapter 51

After the old people were sent away, most of the people who came over for examination were common diseases of the elderly.

For patients with high blood pressure, flavins should be soaked in water to drink chrysanthemum, cassia, hawthorn, and motherwort.For patients with hypotension, Guizhi Gancao Decoction is prescribed for mild cases, and cinnamon can be added or subtracted according to the situation if it is severe.

Before I knew it, it was the time for the noon break. Huang Su had eaten lunch, bid farewell to Yan Bing, and went back to the dormitory to take a nap while there was still time.

It was the first time to see such a high-intensity doctor after rebirth, and Huang Su felt a little tired because he didn't get used to it for a while.

The combination of the four diagnoses seems simple. Isn’t it just looking at the face, asking about the condition, looking at the tongue coating, and diagnosing the pulse condition? It's a very exhausting thing.

After waking up, feeling refreshed, Huang Su returned to the Department of Traditional Chinese Medicine. Not long after she put on a white coat, an old man walked into the outpatient clinic with the support of a middle-aged man.

The two just sat down, Huang Su asked: "Old comrade, what's wrong?"

The middle-aged man replied: "Five years ago, my father experienced a sudden loss of vision and stinging eyes. After going to many hospitals, they said it was chronic keratitis and corneal ulcer. The antibacterial eye drops prescribed by many hospitals did not work. Now the blurred vision has disappeared. It’s been three years. I heard that there is a Chinese medicine doctor for this physical examination, so I wanted to bring my father over to see if Chinese medicine has a cure.”

Listening to the middle-aged man's narration, Huang Su carefully observed the patient's eyes.

The patient's pupils were seen to be cloudy, with a sunken white in the middle, and a slightly yellowish color.There are clouds on it, like a white cloud floating in the black pupil, and scattered white spots are scattered around the pupil, or like stars, or like broken rice, or like fish scales.

"Old comrade, your disease is called Huayi Baishang in traditional Chinese medicine." Huang Su looked at He Hui and said, "He Hui, what is Huayi Baishang?"

He Hui replied: "Huayi Baisan is an eye disease characterized by black eyes, gray and cloudy, raised around, sunken in the middle, and shaped like petals."

"It is mostly caused by wind-heat toxins. In severe cases, the pupils may be tight and small. If the black eyes are ruptured and the yellow kernels protrude from the ulceration, it will become evil eyes and other evil symptoms. After the disease is cured, scars are often left. Severely affects eyesight."

Huayi white depression is often misdiagnosed as corneal ulcer by Western medicine, and the treatment according to the treatment of corneal ulcer is ineffective, resulting in a serious condition of the patient.

Huang Su looked at Na Risong again and continued to test the effect: "How many kinds of common white spots are there?"

Na Risong said confidently with a smile on his face: "I know the director. There are three types of Huayi white depression, wind-heat in the lung and liver, hotness in the internal organs, and deficiency of yang and coldness."

Symptoms of lung-liver wind-heat are black eyes with sudden white cloud, sunken in the middle, shaped like petals, or fish scales, but not extended in series, shameful eyes shed tears, red and painful.

Tongue condition and pulse condition are red tongue with thin yellow coating and rapid pulse.

The treatment method is mainly based on dispelling wind and clearing away heat, and modified Xiugan San is commonly used.

Commonly used medicines: Notopterygium, Fangfeng, Ephedra, Chrysanthemum, Mint, Equisetum, Tribulus terrestris, Octopus mulberry, Gardenia, Scutellaria baicalensis, Forsythia, Rhubarb, Angelica, Chuanxiong, Radix Paeoniae Rubra.

Symptoms of hot blazing viscera are that the nebula spreads from the surroundings, rapidly expands and connects in series, covering the pupils, or the nebula is thick and yellow in color, sunken in the middle, the pupils are tight and small, the yellow fluid rises up, the whites of the eyes are mixed with red, and the eyelids are red and swollen , hot tears, profuse pain in the head, fever and thirst, red urination and constipation.

Tongue condition and pulse condition are manifested as red tongue with yellow thick coating and rapid pulse.

The treatment method is mainly to relieve heat and unblock the internal organs, and Xiegan powder is often added or subtracted.

Commonly used drugs: skullcap, gentian, Anemarrhena, rhubarb, Glauber's salt, plantain seed, notopterygium, scrophulariaceae, angelica.

Symptoms of yang deficiency and coldness are clouding around the eyes, shaped like petals, gradually progressing, dark red arms, eye pain, no thirst, and cold limbs.

Tongue condition and pulse condition are pale tongue without coating or white slippery coating, thready pulse.

Occurs in advanced age and infirmity, or in those who have been overused and cold, and have not healed.

The treatment method is mainly to warm the yang and disperse the cold, and add or subtract Danggui Sini Decoction.

Commonly used medicines: Angelica, Guizhi, Peony, Asarum, Licorice, Tongcao, Jujube, Salvia, Safflower, Horsetail, Cicada, and Fangfeng.

Now that he knew what disease the patient was suffering from, Huang Su had an idea in his mind: "Old comrade, stretch out your hand and let me know the pulse."

It can be seen that the lower pulse is like a bow string, although the pulse is weak but beats rapidly, this is a pulse condition of strings and counts, and it is also a pulse condition with mixed cold and heat on the outside and inside, and it is different from the common types of flowers, nebula and white depression.

Huang Su said without changing his face: "The old comrade sticks out his tongue, let me see the coating on his tongue."

Careful observation of the tongue coating reveals that the patient's tongue has ecchymosis on both sides of the red edge, and the tongue coating is white and greasy, which is also different from the common tongue with white and white spots.

Huang Su didn't rush to make a conclusion, and continued to ask: "Old comrade, besides blurred vision and stinging eyes, do you have any other symptoms, such as mood, diet, and stool."

The old man replied: "I am often irritable and insomnia, I have no appetite, and my stools and syrup are out of shape."

Irritable mood means strong liver fire, lack of appetite and loose stool means weak spleen and stomach, but the flowers are cloudy and white, the main disease is the pupil, and the pupil belongs to the liver, so there must be nothing wrong with treating the liver as the main treatment.

Huang Su said: "He Hui, come over that day and carefully observe the patient's eyeballs, tongue and pulse condition, and tell me which kind of jaundice and white depression the patient belongs to."

After observing carefully for a while, Na Risong scratched his head and said, "Director, the patient's eyeballs look like hot wind in the pupils, but there are also star spots, broken rice, and fish-like eyeballs around the eyeballs, which are the characteristics of yang deficiency and coldness. I really don't know."

He Hui also let go of the old man's wrist and said, "Director, the patient's pulse and tongue are also closer to yang deficiency and coldness."

"So don't read dead books. Chinese medicine is the most taboo of rigidity and inflexibility. You have to combine the patient's situation and syndrome differentiation. Don't forget that the old man's condition has not recovered for five years."

Huang Su explained to Na Risong how the patient's current illness was formed.

From the main cloud in the pupils, it can be seen that at the initial stage of the disease, it must be due to the wind-heat in the liver meridian, and then the heat turns into fire, stagnant in the liver and gallbladder, and the heat injures yin, which causes the white cloud in the pupil.

If it is treated according to dispelling wind and dissipating heat, clearing liver-fire, nourishing yin and clearing heat, the natural medicine of Huayi Baisag will cure the disease.

Scattered nebula and small veins around the eyeballs are caused by a misdiagnosis by Western medicine and a five-year delay.

Long-term illness impairs yin and yang, not only the deficiency of yin and blood, but also the deficiency of yang qi, and chronic illness enters the collaterals, blood stasis in the liver, which is reflected in the tongue image, that is, red ecchymosis appears on both sides of the tongue where the liver and gallbladder are reflected.

This is a combination of deficiency and excess, mixed indications of yin and yang, and it can no longer be treated simply by dispelling wind and dissipating heat or warming yang and dispelling cold.

Deficiency and excess can be treated together, clearing heat and dispelling cold, nourishing yin and nourishing yang.It is a good prescription to add the medicine of promoting blood circulation and removing blood stasis with ebony pills.

Since the prescription is certain, Huang Su said: "Old comrade, your disease is called Huayi Baishang in Chinese medicine. It is a common eye disease. I will prescribe a prescription for you to drink ten doses first, and you will come back for a checkup after the physical examination. "

“何慧记方,乌梅去核12g、党参12g、黄连6g、干姜6g、桂枝6g、炒川椒6g、炒黄柏6g、当归9g、细辛3g、制附片12g。”

After Huang Su explained to the old man's son the precautions for making the attached tablets, he sent off the father and son who were constantly grateful.

This is the characteristic of traditional Chinese medicine in treating diseases with rationale. It is known that the pathology can be obtained by combining the four diagnostic methods and relying on the differentiation of the eight principles or the six meridians. The same medicine can treat duodenal ulcer, chronic bacillary dysentery, It can also treat so-called keratitis and corneal ulcer in modern medicine.

Not only that, ebony pills are often used in traditional Chinese medicine to treat ascariasis, hemorrhoids and various polyps.

"The Classic" says: "Remove dead muscles, clear moles, eat evil flesh."

Wumei Wan can remove necrotic muscles, moles on the body, and even polyps in the body.

Jisheng Wumei Wan, which is a combination of ebony and silkworm, can treat rectal polyps, vocal cord polyps, cervical polyps, and many other diseases that belong to polyps.

Sending off the old man, I spent another afternoon busy.

(End of this chapter)

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