I can hear the voice of Chinese medicine

Chapter 136 Nothing good will happen to you, Dean Hu, when you come here
The running water does not rot, and the pivot of the house does not stink.

What do you mean?
Flowing water will not become rancid, and door shafts that rotate frequently will not be eaten by insects. It is a metaphor that things that move frequently are not easily corroded by external objects.

When used in the context of gout, it means that people who sit all day and do not move much are more likely to suffer from gout.

Lu Xuan turned to look at Chen Xinghua: "It can be cured, but the prerequisite for it is that you cooperate. If you eat and drink from the sea every day and don't eat too much, the seafood and beer gout set meal will come every day, no matter how much medicine you take, it won't matter." use."

"I will definitely stop eating randomly this time." Chen Xinghua swore quickly.

"It hurts me to death from last night to now. I just heard that gout is very painful, but it hasn't happened to me. I feel that what everyone said is a bit too exaggerated."

"What now? How do you feel after experiencing it once?"

"Life is better than death."

Chen Xinghua sighed and said: "Dr. Lu, you don't know how long it took me to get here from the rental community. It's a 10-minute journey at most. I walked for half an hour. This is because I often see young men on the road. I have difficulty moving, so he ran up to help me for a while, otherwise I might not be able to finish the walk in an hour.

It's so painful that I can't even touch my feet. As long as I touch it lightly, I've never experienced that sore feeling in my life. "

"If you know it hurts, then you should pay more attention to it, especially what you eat."

"I got it."

"But, Doctor Lu, isn't this disease incurable?"

"Who said it can't be cured?"

"I heard people who go to big hospitals say this. They can only rely on taking medicine. When taking the medicine, you are fine. But if you don't take the medicine, you will fall ill within two days. And this is in the case of taboos, not very taboos. If so, just taking medicine will have no effect at all.”

Lu Xuan thought for a while and explained: "Most Western medicines only treat the symptoms but not the root cause. Taking the medicine will naturally have an effect. It is normal for you not to take it again. However, this does not mean that taking Chinese medicine will definitely cure the root cause. While treating the root cause, you must also Patients must cooperate in their daily lives. If they don’t change their past eating habits, it’s useless even if you tie the doctor to your belt.”

"Uh-huh."

Chen Xinghua nodded repeatedly. Although it was only one night, he was really terrified.

"Actually, I've never heard that gout can be so severe before, and I don't have any friends with gout. The only contact I've had is in the hospital, and we don't have much friendship with each other, so naturally I don't talk much about it. Who knew gout could be so painful?"

When Chen Xinghua said this, Lu Xuan didn't say anything. It didn't seem like a lie. In fact, even now, many people still haven't heard of this disease.

But it has to be said that gout patients are getting younger and younger.

When gout was first discovered, many people had the same attitude as Chen Xinghua and didn't think it was anything.

Even if someone reminds me, there is still no taboo food, big fish and meat, and beer lobster every now and then.

Then I thought, there is nothing wrong with my body anyway, it doesn’t matter whether I see a doctor or not, or I can buy some medicine online, take some diclofenac sodium to relieve pain, take sodium bicarbonate tablets at night to alkalize the urine, drink more water, and so on. After the operation, it may be fine in about a week.

Since then, patients have naturally relaxed their vigilance.

The scar healed and the pain was forgotten until it finally became serious and I developed tophi and had to undergo surgery.

It's just that at this time, it can be regarded as suffering.

Moreover, when it comes to tophi, traditional Chinese medicine cannot treat it in a short time.

Thinking of this, Lu Xuan looked at the other party and explained: "Your condition is that you are too obese, and you have too many daily entertainments, and you eat too much meat and wine, which leads to metabolic disorders. The wrist joint is swollen and painful."

Hearing this, Chen Xinghua didn't say anything. He knew that what Lu Xuan said was true.

Ji Xiuwen frowned, "There seems to be some records in this regard in the Nei Jing."

"of course."

Lu Xuan smiled and said, "I don't know if you remember, but there is such a passage in "Nei Jing·Qi Tongtian Lun", "Dampness and heat will not rush, big tendons will be soft and short, small tendons will be relaxed and long, soft and short muscles will be tight, and long muscles will become fistulas. "."

"A little impression."

"It's useless to have a little impression. Let's not just remember everything. At least you have to remember a general idea. You have to know exactly what was said. Otherwise, you can't just read the book when you meet a patient in the future, right?" Lu Xuan asked back.

Ji Xiuwen was extremely depressed. I don't have a photographic memory, so how could I remember it so clearly.

However, he also knew that what Lu Xuan said was an undeniable fact.

If you don’t remember these contents, let alone understand their meaning, let alone cure diseases and save lives.

In traditional Chinese medicine, clinical experience is important, but the foundation cannot be ignored. Without a solid foundation, you cannot build a skyscraper.

"Give me a year, and I promise to memorize the internal classics thoroughly." Ji Xiuwen looked serious. This time, he really planned to go all out.

It has nothing to do with him in future gatherings or anything like that.

Now that he is led by Lu Xuan, he has a huge natural advantage over others. If he doesn't work harder, this advantage will be caught up by others sooner or later.

Moreover, he was also there during the previous regular meeting.

Once the building behind the health center is opened, the Department of Traditional Chinese Medicine will have to recruit a lot of people. Who knows if people like Gu Huahua will come over. By then, everyone will be classmates. Lu Xuan can't just teach him and not teach others. ?
When that time comes, he won't be treated like this.

You have to take advantage of now and improve yourself crazily.

Even then, when other people come, he may already have the ability to sit alone.

In this way, the gap will naturally become wider and wider.

When Ji Xiuwen thought of this, he was very excited, but he soon calmed down. Whether he could stand up or not would depend on his own efforts.

Just as Lu Xuan said, if he didn't go to the party, he could learn a lot at home in one day. The key is that he could review the medical records he came into contact with last week several times to deepen his memory.

Instead of going out to eat and drink, and throwing all the business aside.Seeing Ji Xiuwen's seriousness, Lu Xuan didn't say any more, but continued: "Damp-heat arthralgia, you know how to treat it, right?"

"The treatment focuses on clearing heat and removing dampness." Ji Xiuwen thought for a while and said.

Lu Xuan nodded slightly and continued: "This disease is mentioned in "The Synopsis of the Golden Chamber: Combined Treatment of Stroke and Lijie Diseases and Pulse Syndrome", "Sheng Ren's pulse is astringent and small, shortness of breath, spontaneous sweating, and pain in every joint. Flexion and extension are all caused by drinking alcohol, sweating and exposure to wind."

Obese people usually have more qi deficiency and weak exterior defense, so they sweat out and are prone to apoplexy. In addition, drinking and eating high-calorie things, fighting against the wind, stagnates the joints, so the joints are swollen and painful like tiger gnaws, which is unbearable.

Zhu Danxi has the clearest explanation of the etiology and pathogenesis of gout. He believes that gout patients are most likely to have their blood boil due to heat. Afterwards, they may wade in cold water, stand in wetlands, fan to cool themselves, or lie down in the wind to keep the cold outside. Tuan, hot blood is cold, dirty and astringent, so it hurts, the pain is severe at night, and it travels in the yin.

Why? "

Lu Xuan asked himself and answered: "Because the human body's metabolism is relatively slow at night, the damp and turbidity flows into the joints and accumulates, causing unbearable pain. This is just like the "Notes on the Synopsis of the Golden Chamber", "If you are rich, you will be fat. People with excessive dampness and astringent and small pulse are symptoms of paralysis.Therefore, the Qi is short due to dampness, spontaneous sweating occurs due to wind, the Qi and blood are paralyzed by evil, and the pain cannot be bent or stretched.However, because of how wet a fat person is, why is it small and astringent suddenly? Is it because of alcohol-dampness? Why is the pain increasing and sweating endlessly? Isn’t it because of being wet? It's caused by the wind."

Ji Xiuwen stopped talking and was very calm.

He is now used to Lu Xuan's ability to talk about the contents of various medical books. He must be envious, but he also knows that he can't do it. It is good to be able to memorize the "Nei Jing" backwards and forwards in one year.

As for other medical books, you can only study and understand them on a daily basis.

Seeing this, Lu Xuan said no more and took Chen Xinghua's medical records over.

Symptom: Gout (acute stage) damp-heat congestion
Treatment Principles: Clear away heat and dampness, reduce swelling, unblock meridians and relieve pain.
Simiao Powder is flavored with stir-fried Phellodendron cypress, stir-fried Atractylodes, Radix Yuanshen, Honeysuckle Vine, Angelica Sinensis, Red Peony Root, Sichuan Achyranthes Root, Trachelospermia Vine, Chicken Spathel, Poria, Fangji, Plantain Seed (fried).

After finishing writing, Lu Xuan looked back to confirm that there was no wrong prescription before he handed the medical record to Su Kenan and entered the system to register.

Ji Xiuwen, on the other hand, looked up curiously.

However, this location, coupled with the fact that it is opposite, even if you can see the writing, you can't tell what medicine was prescribed. Seeing this, Lu Xuan explained:
"The Simiao Powder used is flavored. Among them, Jiaohuangbai, Fried Atractylodes, Poria, Fangji, Plantain Seed, Phellodendron, and Atractylodes are bitter and cold, clearing away heat and drying dampness; Poria, Fangji, and Plantain are expelling dampness and diuretic; Angelicae Sinensis and Red Peony are promoting blood circulation and removing blood stasis. Swelling and relieving pain, Lonicera japonica, Milletia sinensis, Trachelospermum unblock meridians, promote qi and relieve pain, reduce swelling and clear away heat. Achyranthes achyranthes leads all the medicines to return to the meridians, which can treat dampness and heat, redness and swelling of ankles and knees. It should be effective in treating gout.

However, gout is more common in damp pain, but it can also be divided into those with blood-heat blockage, phlegm blockage, and liver and kidney yin deficiency.Treatments vary, but again, the main ones are to clear away heat, unblock meridians, reduce swelling, promote dampness and turbidity. It should be applied in addition or subtraction in each syndrome type. Don’t stick to the same formula. It should be applied according to the syndrome and added flexibly. Only by reducing the amount can the effect be achieved.

For example, if the skin is burning, you can add Anemarrhena to clear away heat, purge fire, nourish yin and moisturize dryness; if the ankle joints are swollen, you can add Acanthopanax bark; if you have a fever and have a bitter mouth, add Bupleurum, Scutellaria baicalensis, etc. to clear away heat, dry out dampness and relieve diarrhea. Fire detoxifies; for constipation, add rhubarb and Cistanche deserticola to moisten the intestines and relieve constipation. "

By the time Lu Xuan finished speaking, Su Kenan had already registered the information. After Chen Xinghua scanned the QR code and paid the money, Ji Xiuwen was about to get up and take the payment form to grab the medicine. Unexpectedly, Su Kenan had already gotten up. Went into the pharmacy.

Ji Xiuwen stood up and was stunned for a moment, then looked at Lu Xuan in surprise.

"Let's go with her."

While Su Kenan was grabbing the medicine, Lu Xuan told Chen Xinghua: "After you get the medicine, go back and decoct it. You can also decoct it on your behalf, but you will be charged a decoction fee."

"I'll take it back."

Chen Xinghua quickly said that he also wanted to decoct the medicine, but he was unable to move now and could not go to the health center again, so he had to take the medicine back first.

Lu Xuan nodded and continued: "Remember to avoid food, you should know what to eat and what not to eat, otherwise tophi will really form, and it will be much more painful than now. Once Chinese medicine cannot remove tophi, then It needs surgery to clean it up.”

"I remember, I will definitely avoid it."

"When I go back to decoct the medicine, plantain is a seed type of traditional Chinese medicine, and the seed type of traditional Chinese medicine contains a lot of mucus, so it needs to be wrapped and fried without opening it. The doctor will remind you of this when you take the medicine. .”

"Uh-huh."

Chen Xinghua carefully remembered all this in his mind.

Lu Xuan didn't say much and asked Chen Xinghua to wait at the medicine pick-up window. He then moved to the computer and clicked the next number.

To Lu Xuan's surprise, when patient No.2 came in, Su Kenan also came out of the Chinese medicine room, which surprised both Lu Xuan and Ji Xiuwen.

He can still understand Ji Xiuwen's speed of catching medicine. After all, this guy has been catching medicine for a week, and he is more or less familiar with the formation of prescriptions, but this is the first time Su Kenan went to the pharmacy to take medicine, so he didn't expect the speed to be so fast. .

However, now is not the time to be curious about this. Patient No. 2 has already sat in front of Lu Xuan and talked about some of his situation.

Lu Xuan had no choice but to suppress his doubts and listen to the other party's story carefully.

And this moment.

Hu Meiqiao parked her car in the parking lot underneath the building and took the elevator to the seventh floor.

When they arrived at the old leader's office, the door was closed, but Hu Meiqiao knew that the old leader should be inside. She had called to confirm before coming.

She even made an appointment a day in advance.

Otherwise, if you come directly, you will most likely not encounter it.

Stepping forward, Hu Meiqiao took a breath and gently knocked on the door a few times.

After a while, a strong voice came from inside: "Please come in."

Hu Meiqiao pushed the door open and saw a middle-aged man in his 40s sitting inside. He smiled and shouted: "Old leader, you are busy."

Hu Meiqiao's old leader is now the top leader of the district health bureau. His name is Ma Shanjun. He is not too old, in his 40s, and has a bright future. Not only does he look young, he is also very capable, resolute and majestic.

Ma Shanjun also came from the medical system. He was a deputy chief physician and then transferred to administration. Later, he was transferred from the hospital to the administrative system. Until now, he serves as the top leader of the district health bureau.

When Ma Shanjun was the deputy chief physician, Hu Meiqiao was his subordinate, so he could be regarded as Hu Meiqiao's old leader.

Naturally, Ma Shanjun would take some care of his old subordinate.

Otherwise, I wouldn't have spent a whole morning here waiting for Hu Meiqiao to come to my door.

Hearing Hu Meiqiao's voice, Ma Shanjun raised his head and said angrily: "I don't know if I'm busy or not, but I'm sure of one thing. If you, Dean Hu, don't come, nothing good will happen if you come."

(End of this chapter)