I can hear the voice of Chinese medicine

Chapter 10 Stagnation of Liver and Qi, Deficiency of Qi and Blood
Seeing my aunt?

If his guess is correct, this aunt is not that aunt.

Although Lu Xuan has just graduated, he is still a master's student at Zhijiang University of Traditional Chinese Medicine. He has mastered some of the basics of traditional Chinese medicine, but he lacks clinical experience and has difficulty integrating it.

The fine sweat on Cheng Gaowen's forehead and her slightly pale complexion can be seen even if her eyes are fine.

Moreover, judging from Cheng Gaowen's ugly face, at this moment, the other party should be suffering great pain.

"Dysmenorrhea?" Lu Xuan asked subconsciously.

Cheng Gaowen gave a thumbs up, "It's amazing. It is worthy of a few dollars to cure a disease that costs tens of thousands of dollars in Western medicine. It is well-deserved."

Lu Xuan smiled bitterly and said, "Sister Cheng, please don't. Anyone who is not blind can see you like this."

"Just kidding, but you can cure the child with bone charcoal powder and castor oil. If you say you have no skills, I don't believe it."

Lu Xuan didn't explain, just smiled faintly, and then looked at Cheng Gaowen seriously: "Sister Cheng, before you see, please tell me about your situation.

But don't get your hopes up too much!After all, I am a fresh graduate. If you put all your hopes on me, then I will be under too much pressure. "

Lu Xuan said haha, and had no intention of doing everything for him. Although a newly graduated Chinese medicine practitioner like him was qualified to conduct medical consultations, few of them would actually conduct medical consultations. Most of them would follow an old doctor. Chinese medicine practitioners work behind the scenes, and while accumulating experience, they can also get advice from the other side.

The hospital will allocate an independent consulting room when they are really able to receive consultations on their own. This process may not take too long for Western medicine, but it takes at least three to five years for Chinese medicine, and it can take as long as seven or eight years.

Can a fresh graduate cure a child who accidentally swallowed a screw with bone charcoal powder and castor oil?
Cheng Gaowen somewhat didn't believe Lu Xuan's words, but felt that Lu Xuan was really modest.

But having said that, she knew her illness well. Cheng Gaowen had seen many Chinese medicine doctors over the years, but she still hadn't gotten better. When she heard Lu Xuan's words again, the glimmer of hope that had just been ignited in her heart also dissipated without a trace.

"It's okay, I just let you try it, it doesn't matter if you don't like it." Cheng Gaowen was very free and easy, and then began to talk about her physical condition.

Lu Xuan also put away his other thoughts and listened quietly, finally gaining some understanding of Cheng Gaowen's situation.

I had my menarche at the age of 14, and started to have menstrual cramps after I got married. It has been seven or eight years now, and the pain has increased dramatically this year.Later, I went for a gynecological examination and learned that there were three soybean-sized nodules on the left side of the posterior fornix, which were obviously tender and diagnosed as endometriosis.

In the past two months, I have suffered from severe abdominal pain, soreness in my lower back and numbness in my limbs during menstruation, fatigue and lethargy, and loss of appetite and loose stools.

Knowing this, even if Lu Xuan didn't want to ask, he gritted his teeth and said, "Sister Cheng hasn't...has a child yet?"

Cheng Gaowen can still bear the physical pain.

But being married for many years but still unable to conceive has always been the biggest pain in her heart.

"No." She shook her head, her eyes reddened.

really……

Lu Xuan shook his head in his heart. He did not expect that Cheng Gaowen, who seemed extremely cheerful, could not get pregnant due to endometriosis.

Seeing that Lu Xuan didn't speak, Cheng Gaowen's bright eyes flashed with nervousness, and his lips quivered slightly: "Can it be cured?"

Lu Xuan didn't say anything, but looked at her seriously: "Don't talk yet, be normal, wait until I have a look first."

Cheng Gaowen was stunned, but still cooperated with Lu Xuan's diagnosis and treatment.

"hand."

Cheng Gaowen put her hand on the pulse pillow.

Lu Xuan put his hand on it.

Cheng Gaowen's pulse condition is obviously different from that of ordinary people. Normal pulse conditions are also called flat pulse and regular pulse.The pulse is usually neither floating nor sinking, neither large nor small, with a uniform rhythm, calm and gentle, fluent and powerful, and the ulnar pulse sinks and takes continuously.

Cheng Gaowen's pulse was very small, weak and weak, like a thread under the finger.

However, even though it is small, you can always clearly feel the subtle beating, unlike the micro pulse that is blurred and extremely difficult to perceive.

Those with stringy and thready pulse often have symptoms of deficiency of both Qi and blood.

However, Lu Xuan did not dare to confirm.

Cheng Gaowen's pulse condition is not necessarily stringy and thin, there is another possibility.

Stringy pulse!
These two pulse conditions are similar, and it is difficult for inexperienced people to distinguish them. At this moment, Lu Xuan is in a dilemma.

Whether the pulse condition is judged correctly or not has a lot to do with it, and the prescriptions prescribed are different.

The most important thing is that if the pulse condition is wrongly judged and the medicine prescribed is not suitable for the symptoms, it will only add to the pain of the patient.

Quack doctors and famous doctors often make judgments based on subtleties.

Lu Xuan, who had little clinical experience in pulse diagnosis, found it difficult to make a judgment.

"Tongue."

Lu Xuan intends to find another way, maybe the expression on his tongue can help him make an accurate judgment on the pulse condition.

Diagnosing the pulse and looking at the tongue are necessary procedures in Chinese medicine. Cheng Gaowen is familiar with it and sticks out her tongue skillfully.

"The tongue is light red, with tooth marks on the edges, and the coating is thin and yellow." Lu Xuan thought silently in his mind.

Basically, anyone who has studied traditional Chinese medicine can see the symptoms of the tongue, but few people can judge the disease through the symptoms and see through the essence.

Lu Xuan smiled wryly in his heart, his six years of Chinese medicine were in vain.

But he is also very clear that this is the profoundness of traditional Chinese medicine, which is easy to learn but difficult to master.

Ordinary people can basically treat minor ailments of people around them with a little self-study. However, if you want to learn everything, without the guidance of someone, it is difficult to become proficient.

Having checked the pulse and read the tongue, I also know what kind of illness Cheng Gaowen is suffering from, but Lu Xuan doesn't know how to use the medicine when there is no way to judge whether it is true or not.

There are many medicines that can be used for endometriosis and dysmenorrhea.

However, prescribing medicine must be based on correct judgment of pulse and tongue signs.

This touched Lu Xuan's blind spot.

Having a headache, Lu Xuan subconsciously glanced at the Chinese medicine samples, somewhat speechless in his heart.

I usually talk too much, but when I really need them, I become dumb one by one.

Lu Xuan wanted to scold his mother a little bit.

Fortunately, this group of bosses who usually despise Lu Xuan seem to have heard Lu Xuan's call, and finally made a move.

[I'm about to cry, it's not easy!Finally waited for No.2 patient. 】

[Brother Bai Shu, tell me what's going on! 】

[Then let me tell you. 】

[I won’t go into the symptoms. The lady just said it, and everyone has heard it. I will talk about the pulse and tongue signs. 】

Listening to the noise in his ears, Lu Xuan was not worried, but relaxed. What he lacked now was accurate judgment on these two aspects.

"How about it?"

"Is it...not good to see?"

Cheng Gaowen asked, biting her silver teeth.

Lu Xuan pressed his hand and said comfortingly: "Sister Cheng, don't worry, wait until I make a judgment."

Although Cheng Gaowen felt there was little hope, she still worked hard to cooperate with Lu Xuan.

At this time, a voice sounded in Lu Xuan's ears again:
[Judging the pulse condition is actually not difficult. As long as one can distinguish the stringy pulse from the stringy pulse, it can basically be used as medicine to prescribe prescriptions, not to mention the tongue sign as an aid.

These two pulse conditions are actually very similar in terms of beating amplitude and symptoms. Both are characterized by narrow pulses and small fluctuations.But the astringent pulse is not only small in shape, but also sluggish. This lady's condition is obviously astringent pulse, not thin pulse.

In the human body, astringent pulse is mainly caused by qi stagnation and blood stasis, which impairs essence and blood. It is often caused by blood stasis in the body.

Moreover, it can also be seen from the tongue sign that the liver and spleen are stagnant, and both qi and blood are deficient. Treatment should be based on regulating qi and removing blood stasis, strengthening the spleen and replenishing qi, nourishing blood and regulating menstruation. '

There will be no pain in general, and blockage in pain. There will be no stasis in the body, the qi will flow through the limbs, the liver will be soothed and the spleen will be strong, the kidney qi will be strong, the disease will disappear on its own, and naturally it will not affect pregnancy.

As for the prescription, raw Puhuang, Wulingzhi, Liujinu, etc. should be used to promote blood circulation and eliminate blood stasis to relieve pain in the heart and stomach; Atractylodes, astragalus, Codonopsis pilosula, Jiaoshan hawthorn can strengthen the spleen and replenish qi...]

After some eloquent discussions, other Chinese medicines were amazed.

Among them, Lu Xuan was eavesdropping.

It's hard to imagine that Bai Shu analyzed Cheng Gaowen's illness in such detail.

While being shocked, Lu Xuan was even more ecstatic.

Getting the prescription is still secondary, the key is that Bai Shu's words are no less than a national player teaching himself how to judge the pulse and tongue signs and how to use the medicine. This is more precious than anything else.

Fortunately, Lu Xuan has a photographic memory, otherwise it would be impossible to remember all the information he received at once.

Seeing that Lu Xuan had fallen into silence for a long time, Cheng Gaowen couldn't help but withdrew his hand, and asked calmly, "How is it?"

"Is there a way?"

Cheng Gaowen's inquiry brought Lu Xuan back from his twittering to reality. After experiencing what happened with Nini, Lu Xuan was more confident in Bai Shu's judgment than ever before:
"Have."

"I'll prescribe a medicine, you take it for a week first, if you have any situation, you can contact me directly."

After he finished speaking, he turned Cheng Gaowen's medical record to the latest page, and began to write and draw on it: "15g raw Puhuang, 12g Wulingzhi, 9g Atractylodes macrocephala, 9g Jiaoshanzha, 12g Liu Jinu, 6g blood jelly , Wheat Bran Fructus Aurantii 6g, Motherwort 12g, Agrimony 18g, Codonopsis 9g, Astragalus 9g."

After finishing writing and putting pen to paper, Lu Xuan put the medical record aside, got up and walked into the Chinese medicine pharmacy to grab medicine.

With nothing to do, Lu Xuan wandered around the Chinese medicine pharmacy, memorizing the locations of various Chinese medicines. In less than 10 minutes, he walked out with seven patches of medicine.

"This is a week's supply. Sister Cheng, go back and drink it and try it. As long as there is no problem in the follow-up, there is a high possibility that your disease will be cured."

Even if it was just a prescription prescribed by the big boss Baizhu, Lu Xuan didn't dare to say that it would definitely work.

"Can it really be cured?"

Cheng Gaowen covered her mouth. In all these years, no doctor had ever spoken to her with such certainty.

Lu Xuan nodded, "After two or three months of conditioning, there is great hope for a cure. I'm just afraid that Sister Cheng will lose confidence."

"No lie, I really don't have any hope."

Cheng Gaowen didn't lie, but the next moment, the conversation changed: "But since you said that, Xiao Lu, I really believe you and take the medicine for a few months."

"It will be fine."

Lu Xuan nodded without thinking.

Cheng Gaowen's face was full of smiles, "That sister will lend you some good words."

After taking the medicine, Cheng Gaowen went straight to the first floor to pay.

Cheng Gaowen is a doctor herself. The health center pays more for medical insurance, and the reimbursement rate is very high. After seven prescriptions of medicine, the part that needs to be paid for by oneself is very small, less than forty.

"Dr. Cheng, what are you...?"

Seeing that Cheng Gaowen, the person in charge of the Pediatric Insurance Department, handed over the medical insurance card, Yuan Na was surprised.

Cheng Gaowen had no intention of hiding it, and said frankly: "Old problem, see Dr. Lu."

Yuan Na took the medical insurance card, inserted it into the machine for settlement, and chatted with Cheng Gaowen while operating it: "I heard that Dr. Xiao Lu has memorized the names of medicines since he was a child, knew medicinal materials, and memorized treatise on typhoid fever, and is also a top student of Zhijiang University of Traditional Chinese Medicine. Maybe it really can."

Yuan Na is also an old man in the hospital. Since she joined the hospital, she has been working at the registration window of the hospital. She also knows something about Cheng Gaowen's situation. She is about the same age as Cheng Gaowen, but her children are already in primary school. Now that she has no children, she feels sorry for him.

Years of disappointment made Cheng Gaowen give up the idea of ​​treatment, but now because of Lu Xuan's appearance, Cheng Gaowen has regained her confidence, and Yuan Na is also happy for him from the bottom of her heart.

"I think so too, but Xiao Lu has never admitted it. It's not a bad thing."

Yuan Na smiled, wouldn't it be wrong if she didn't admit it?
How could a graduate of a university of traditional Chinese medicine really have that kind of ability?

Not to mention Nini's child, but Cheng Gaowen. Ordinary Chinese medicine doctors would not even prescribe medicine after hearing this.

But Lu Xuan dared to prescribe medicine, and judging from Cheng Gaowen's mood, it was obvious that Lu Xuan gave her a lot of confidence.

Is this what fresh graduates can do?

Even if Lu Xuan wasn't gifted, he certainly had an old Chinese medicine practitioner in his family who had given him guidance since he was a child.

Yuan Na firmly believes in this.

It's not just her, most other people in the hospital have this idea.

……

The second floor.

Chinese Medicine.

Lu Xuan bared his teeth in a smile.

What is the most important thing for a TCM doctor?

It's not memorizing those medical books backwards, let alone memorizing various prescriptions, nor keeping the properties of each Chinese medicine in mind.

These are the most basic. Anyone who has studied Chinese medicine can do it if they are not lazy.

But there is one thing that not everyone can do.

The accumulation of clinical experience in traditional Chinese medicine.

Why did Lu Xuan always want to go to the Chinese Medicine Hospital?

The reason is that no matter how bad a traditional Chinese medicine hospital is, there will more or less have one or two experienced traditional Chinese medicine doctors, or they may have rich experience in some field that ordinary people cannot believe.

And these are all what Lu Xuan needs.

Only by following these people can we come into contact with more patients, accumulate more experience, and integrate the knowledge we have learned at the University of Traditional Chinese Medicine.

When Lu Xuan came to the health center, the biggest problem was that there was no one to guide him.

But now there is.

Such a group of big guys can undoubtedly enrich his clinical experience in traditional Chinese medicine.

Moreover, the most important thing is that it is not a person who is giving him instructions, but a group of people.

This means that even if he stays in the hospital, his medical skills can still grow rapidly.

Of course, there are prerequisites.

There are enough patients to call his number.

(End of this chapter)