Rural Chinese Medicine Li Maoyang

Chapter 86

To see a doctor in traditional Chinese medicine, the "syndrome" must first be identified.

That is to say, to identify the etiology and pathogenesis of the patient.

Using the means of seeing, hearing, asking and feeling, according to the various symptoms and pulse and tongue conditions displayed by the patient, it is possible to identify the cause of the patient's illness, where the illness is now, and what characteristics it manifests.

This is the so-called "proof".

The specific disease name in Western medicine is just a symptom, not a "syndrome" in Chinese medicine.

For example, colds, myocardial infarction, pancreatitis, and other disease names in Western medicine are just symptoms in Chinese medicine.

Why do patients get a cold, why do they get myocardial infarction, and what are the specific characteristics of the patient's cold and myocardial infarction? This is the "syndrome" of traditional Chinese medicine.

According to this concept of treatment, Western medicine has been treating symptoms, while Chinese medicine has been treating deeper causes and pathogenesis.

The most important thing in TCM differentiation of "syndrome" is the six meridians and the eight principles.

Syndrome differentiation of the six meridians is to distinguish which meridian and viscera the disease is in, and how the disease is transmitted and changed.

The six meridians refer to Taiyang, Shaoyang, Yangming, Taiyin, Shaoyin, and Jueyin.

The Eight Principles Syndrome Differentiation refers to deficiency, excess, cold and heat on the exterior and interior of yin and yang.

The advantage of syndrome differentiation of the six meridians is that it is more convenient to judge the transmission and changes of the disease.

It is rumored that after combining this technique with the five lucks and six qi, a real great doctor can accurately judge when a patient's illness started and when he will recover.

Or, when and when the patient will die.

But now there are very few doctors who really know this dialectical method.

The Eight Principles of Syndrome Diagnosis is relatively concise and clear, and it is the main method used by doctors today.

The Eight Principles of Syndrome Differentiation, yin and yang are the general principles, the disease is on the outside and inside, whether it is deficiency or reality, whether it is cold or hot, these are the things that doctors must distinguish when they see a doctor, otherwise it will be difficult to prescribe medicine.

For example, cold and heat, cold disease is treated with heat, and febrile disease is treated with cold, if the cold and heat cannot be distinguished, how to prescribe medicine?
Is it time to prescribe cold medicine?Or should I prescribe fever medicine?

At this time, Li Maoyang couldn't tell whether Ouyang Xiaomei was cold or hot.

So at this moment, his expression paused slightly, and his clenched fists were sweating.

"Elder sister, let Xiaomei expose the knife and come to us to see."

Qiao Guoguo, who was on the side, saw that Li Maoyang paused slightly and clenched his fists, so he knew that he was in trouble at the moment, so he turned to the WeChat video channel.

"Good good!"

Ouyang Li on the opposite side hurriedly said.

Then Ouyang Xiaomei left the video, and after a while, Ouyang Xiaomei's thoracic incision and drainage port appeared in the camera.

The incision was about 9 centimeters long, and the drainage hole at the lower end was also 3 centimeters long. It was light red and flat, and thin brown pus flowed out.

There is a faint black halo 1.5 cm wide around the scars of the incision and around the drainage port.

In addition, the upper right abdomen swelled indistinctly.

"How does the drainage port taste?" Qiao Guoguo asked.

This is also a question that does not allow silence.

"A bit fishy."

In the camera, Ouyang Li smells her daughter's drainage mouth with her nose.

"Sister, you press and tap Xiaomei's liver like me, ask Xiaomei how it feels?" Qiao Guoguo said again.

In the camera, Ouyang Li pressed and tapped her daughter Xiaomei's liver according to Qiao Guoguo's instructions, and Xiaomei's cry of pain came from the opposite side of the screen.

This shows that there is obvious tenderness and percussion pain on palpation of the liver.

Then Qiao Guoguo asked about Xiaomei's pain, and learned that it was a dull pain during the day, and the pain was severe at night.

In the end, Qiao Guoguo asked Ouyang Li to pass over Xiaomei's pre- and post-operative X-rays and test sheets, as well as the subsequent medication prescriptions.

"Well, sister Ouyang, let's analyze Xiaomei's situation and give you an answer, shall we?"

Seeing that Li Maoyang was still a little confused, Qiao Guoguo said to Ouyang Li.

"Okay!" Ouyang Li said.

Then the two ends hung up the video call. Seeing that Li Maoyang was in trouble, Aliya hurriedly turned off the live broadcast with the excuse that it was time for the live broadcast.

Li Maoyang sat quietly, like a log.

He couldn't tell the difference between cold and heat, so he couldn't report to the system.

His mind is now in chaos.

Qiao Guoguo started to drink the medicine. While drinking the medicine, she looked at the content of the inspection and interrogation that she had recorded just now, and pulled the logical line, trying to analyze whether Ouyang Xiaomei's body was cold or hot.

She didn't dare to disturb Li Maoyang, and let him sit there in a daze.

Alia also didn't dare to disturb Li Maoyang, she followed suit, Qiao Guoguo didn't bother Li Maoyang at this time, then Li Maoyang at this time must not be disturbed.

Li Maoyang stood up and walked out. He wanted to take a walk in the yard alone, which might help him clarify Ouyang Xiaomei's condition.

Dark yellow face, emaciated body, distension of the abdomen, lack of appetite, bitter mouth and dry throat, thirsty and unwilling to drink, yellow urine and loose stools, pale tongue with white coating...

He thought over and over again the contents of these inspections and inquiries, and gradually realized that if he got stuck in these specific symptoms again, and distinguished the overall cold and heat according to whether the symptoms were more fever or more cold, then It might be hard for him to figure it out...

So he had to jump out of these trivial symptoms and look at Ouyang Xiaomei's situation from a holistic perspective!

What is the overall situation of Ouyang Xiaomei?
I am thin and thin, with weak Qi and blood, and I have another operation, my Qi and blood are seriously injured, and then there is endless pain, pus keeps leaking from the drainage port, and the liver suppresses the spleen and stomach, and my appetite is poor. All these situations are superimposed Under the condition, can the righteousness and body fluid in her body be sufficient?
Therefore, on the whole, Ouyang Xiaomei must be weak in energy and blood!
This can be seen from her dark yellow face and pale tongue with white fur. As for the fiery image mixed with yellow urine and dry mouth, it is just some floating fire.

Therefore, even if she has some heat symptoms, it is a deficiency heat, which is produced when the righteous qi in the body is fighting against the evil qi.

The overall condition of her body is cold.

Therefore, it is natural to use hot medicine!
After figuring out this key question, Li Maoyang immediately felt relieved and his thinking became more flexible!

He thought about and sorted out Ouyang Xiaomei's condition again, organized his language carefully, and reported to the system in three items: inspection, interrogation, and auscultation.

He reported in detail, the general meaning is that Ouyang Xiaomei's disease syndrome is that the pathogenic poison has not been cleaned up after the operation, and the righteous energy is weak, unable to overcome the evil, causing the pathogenic poison to entangle into a carbuncle, and the skin festers and causes pus.

But it is a pity that although he reported seriously and carefully, his two examinations and auscultation were still not passed by the system, and he only got a drug effect deduction reward when he reported one examination.

When reporting the conclusion of the smell diagnosis, one item of the olfactory diagnosis was missing. He only reported the diagnosis conclusion of the patient Ouyang Xiaomei's voice, which was deemed not comprehensive enough by the system and was not rewarded.

When reporting the conclusion of the consultation, he was assessed by the system as not reporting in detail enough. Therefore, his conclusion of the consultation was not passed by the system and he was not rewarded.

In the end, he only got a drug effect deduction reward when reporting the observation conclusion.

After the system gradually raised the standard for judging him, this result was also normal.

There is no pulse diagnosis for remote patients, and there is no smell diagnosis for auscultation, so it is unlikely to be rewarded for auscultation. In this way, only observation and interrogation can be expected to receive system rewards in the four diagnosis.

This made it very difficult for him to obtain two consecutive drug effect deduction rewards in one remote patient consultation.

And if you can't get two drug effect deduction rewards, it is impossible to synthesize another system to prescribe medicine rewards.

So, this time he has to prescribe the medicine himself!

The reward for prescribing medicine by the system that is still reserved in his system is reserved for that Sijin, which cannot be used easily.

After all, Si Jin came all the way to see a doctor, so he couldn't let him make a trip in vain.

……

An opportunity to deduce the effect of the medicine, he must be careful when prescribing the medicine this time!
Apart from thinking about it myself, I'm afraid it's unavoidable to ask the second uncle for advice.

It can be done as long as the law does not prohibit it, and the system has not prohibited him from asking other doctors for prescriptions!
Li Maoyang quickly used his brain to think about what medicine to prescribe to Ouyang Xiaomei.

He didn't want to ask the second uncle in advance, he had to think about it first and prescribe the medicine before asking for advice!

Only in this way can he really learn his skills!
　Second update today.

　　
　
(End of this chapter)