I can hear the voice of Chinese medicine

Chapter 139: Initial disease is in the lungs, long-term disease is in the kidneys

The pulse is deep and thin, and the tongue is pale and lacks luster.

A thin and weak pulse indicates a deficiency of Qi and blood in the body.

Pulse sinking means that the pulse position is low. It should not be pointed when it is touched lightly, and it can be found only by pressing it hard.

Thin pulse means that the pulse is as thin as a line, but it should be obvious.

Weak pulse means that the pulse is heavy, thin, soft and weak.

Whether the pulse is heavy, thready or weak, these three conditions indicate that the patient is deficient in Qi and blood.

If the patient's Qi and blood are deficient, especially if the spleen is weak, the biochemical source of Qi and blood will be insufficient, resulting in the inability of blood to fill the arteries, resulting in a thin and weak pulse.

Patients with this kind of pulse condition may experience general weakness in daily life, or may be frail and sickly.

Lao Zhou's situation undoubtedly confirms this point.

However, this was the first time Lu Xuan, a patient with allergic rhinitis, met him. Instead of treating the disease dialectically according to what he knew, he chose to listen to the opinions of the big guys.

As soon as Lu Xuan focused on his inner voice, he heard Gan Jiang's shout:

【Oh haha!This should be Dr. Lu’s first contact with patients with allergic rhinitis. 】

[It seems that I have never come into contact with this type of patient before. I wonder if Dr. Xiao Lu has done any in-depth research on this type of disease. Rhinitis does not sound like a serious disease, but it is not easy to cure. 】

[Dr. Lu is so great, so it shouldn’t be a big problem! 】

【That’s hard to say! 】

[The key is that this patient surnamed Zhou not only has rhinitis, but is already in very poor health. Treatment may require manganese medicine. 】

[When it comes to manganese medicine, we have to talk about Aconite. 】

[It has been said that Mr. Fu Zi has not been out for a long time. The first time was the patient named Zhang Song. 】

[Aconite boss is still too low-key. If it were dried ginger, he might have jumped out at this time. 】

[Is the person who just spoke a little too much? Is my dried ginger that kind of medicine? 】

【Hmph! 】

[Boss Aconite? 】

[Here, I don’t know where you get the energy. 】

[Tell me. 】

[Since everyone has said so, let me tell you. 】

[Everyone applauds and welcomes. 】

After cheers that seemed to come from Gan Jiang, Aconite's voice sounded in Lu Xuan's ears:

[Fuzi]: [Let’s first talk about the treatment of this aspect by Western medicine. I have seen a lot of it over the years. 】

[Sit back and wait for the boss to lecture. 】

[The newbie is listening carefully to the class. 】

[Aconite]: [Western medicine generally treats allergic rhinitis with cell membrane stabilizers or inflammatory mediator release inhibitors, such as sodium cromoglycate, ketotifen, Toplast, or antihistamine drugs, such as chlorpheniramine. , astemizole (astemizole), desloratadine, loratadine (Claritan); leukotriene receptor antagonists, such as zafirlukast, montelukast, etc.; and nasal use Topical nasal application of steroids and non-specific desensitization therapy;

Non-specific desensitization therapy has the effect of enhancing the patient's body's tolerance to allergens, with a more solid effect and a longer course of treatment; specific desensitization therapy is a new method that has only been popularized and applied in recent years, but its indications are too narrow. The course of treatment lasts for about one and a half years or longer, and it is difficult to have an effect on all types of allergens, and the effect still needs further clinical evaluation.

However, Western medicine methods basically treat the symptoms rather than the root cause, causing photodesensitization. They do not take into account the patient's physical condition, and the possibility of recurrence is extremely high. I don't think I need to say that everyone knows this. 】

[What about Chinese medicine? 】

[Fuzi Xiaoxiao]: [The advantages of traditional Chinese medicine in treating this disease are mainly reflected in regulating the balance of yin and yang in the body through syndrome differentiation and treatment, that is, consolidating the root cause and preventing recurrence; modern pharmacological research on traditional Chinese medicine shows that many drugs can treat multiple pathologies of allergic reactions. The link plays an intervention role and has a certain effect in controlling the attack state, but in general it is not as targeted and effective as Western medicine.

According to the pathological understanding of this disease through integrated traditional Chinese and Western medicine, allergic rhinitis is caused by insufficient yang energy in the lungs, spleen and kidneys, which may be mainly due to the imbalance of the body's endocrine system, autonomic nervous system and immune system, as well as genetic factors, that is, the functions of self-regulation and self-stabilization insufficient.

Clinically, although Western medicine drug therapy is effective in controlling allergic reactions, it cannot regulate and condition the self-stabilization of the endocrine, autonomic nerves, and immune systems. This may be an important reason why Western medicine cannot achieve a consolidated therapeutic effect in the treatment of allergic rhinitis.

The syndrome differentiation and treatment of traditional Chinese medicine, acupuncture therapy, etc., have obvious effects in adjusting the functions of the endocrine system, autonomic nervous system, and immune system of such patients.

The main idea and basic method for treating allergic rhinitis is to use TCM syndrome differentiation and treatment or acupuncture treatment to permanently improve the patient's functional status, and then cooperate with Western medicine to control the symptoms as soon as possible.

However, there are also drugs in traditional Chinese medicine that can control rhinitis attacks. You should have heard of "Jinjian·Biyun Powder".

The occurrence of this disease is closely related to the deficiency of Yang Qi in the lungs, spleen and kidneys, specific constitution, and lack of solid defense. Therefore, it is not allowed to be invaded by wind, cold, foreign air or unclean air such as pollen, or it may be triggered by certain foods, causing paroxysmal attacks. Nasal itching, sneezing, and long runny nose occur repeatedly.It may also be caused by internal stagnation of heat, imbalance of yin and yang, or a mixture of cold and heat.

The types are further divided into six types: cold excess of the lung meridian, deficiency of lung qi, deficiency of spleen, deficiency of kidney yang, internal stagnation of heat, and mixed cold and heat.

Patients with cold deficiency in the lung meridian usually suffer from asthma and insufficient yang qi in the internal organs. Cold evil can invade the lung meridian, causing congestion and stagnation in the nasal orifices, resulting in imbalance of Xuanjiang and Qi, resulting in persistent sneezing.

Regarding this point, the Zhongzang Sutra says: "Lung qi flows through the nose. If it is harmonious, you can smell the smell and smell. If there is cold, you will be prone to coughing, but in fact, the nose will be runny and clear."

Patients with lung qi deficiency often have congenital deficiencies, physical weakness, postpartum physical weakness, and malnutrition after illness, resulting in lung qi deficiency, weak external defenses, loose interstitium, imbalance of nutrition and defense, and wind-cold and foreign qi taking advantage of the deficiency to attack, which is called qi deficiency. sneeze.

Patients with spleen deficiency are basically due to acquired deficiencies, spleen deficiency, or even spleen yang deficiency. The earth does not generate metal, clear yang does not rise, and the lungs lose their support. Therefore, spleen deficiency means that the lung qi is insufficient and the defense surface is not solid. Susceptible to invasion by external evils, such as sneezing or sneezing.

There are also patients with kidney yang deficiency. The cause of the disease is often insufficient kidney yang, loss of warmth in the lungs, weak defense surface, and susceptibility to the invasion of external evils; and insufficient kidney yang, weak Mingmen fire, or deficiency of both spleen and kidney, unable to The warm water solidifies and ingests the water liquid, and the cold water invades it, resulting in clear nasal discharge and a bet of mucus.

Regarding this, there are some records in Volume [-] of "Yi Fa Yuantong·Runny Nose and Clear Ninharsis": "The kidney collaterals connect to the lungs, and the kidney yang is weak and the yin and cold are generated internally. The body fluids cannot be restrained, and the clear nasal discharge will also come out." .That's the truth.

As for patients with stagnant heat, the lungs, stomach or bladder have stagnant heat, and the qi cannot be transformed. The qi of the sun is blocked below, and the qi of cold water invades and spreads above, causing stasis. "Su Wen·Bi Lun" says: "In patients with cell paralysis, there is pain in the bladder in the lower abdomen, and if the soup is made of fertile water, it will be astringent in the urine, and the upper part will be clear mucus."

Not only "Su Wen", but also Volume 59 of "Wonderful Prescriptions" also has related records: "The nose is covered by the stomach meridian of Foot Yangming. The pulse of Yangming intersects with the left and right and is injected into the nostrils. The nose is connected to the lungs. orifices, so the lung qi is flowing through the nose. The evil heat and dryness are in the two meridians and are issued in the nose, which is the syndrome of suffocation and sneezing."

As for the final combination of cold and heat, it means that the sneezing is not cured for a long time, and the evil enters Jueyin. Jueyin governs the exhaustion of yin and yang, which can easily lead to mixed cold and heat, imbalance of nutrition and health, and disease. 】

After Aconite finished speaking, Lu Xuan's ears suddenly became quiet, but soon Ganjiang jumped out and asked: "This patient's condition is so serious that it cannot be cured by ordinary medicine, right?"

【nature. 】

[The patient's condition was delayed for more than thirty years. The initial disease was in the lungs, but the long-term disease affected the kidneys.It can no longer be effective only by replenishing qi and strengthening the surface, dispersing wind and dispersing cold.If all diseases cannot be cured, the cure lies in the kidneys. The key to this syndrome is that the vitality in the kidneys is not solid.The kidneys are the foundation of innateness and are responsible for growth, development, strength and aging.All the so-called "allergic" diseases are caused by congenital deficiencies, that is, low immunity.Treating from the kidney can be said to be the root cause of the disease.It replenishes qi and strengthens the surface, desensitizes and relieves itching. It only scratches the itch. It is difficult to treat the symptoms and the root cause, and the recurrence rate is extremely high. 】

【I see. 】

[What about medication? 】

[Aconite thought for a while and said:] [(Prepared) Aconite, ephedra, asarum, red ginseng (stewed separately), Zhigancao, four kidney flavors (wolfberry, dodder soaked in wine, salt psoralen, celery Lingpi), fresh ginger, dates, scallions, and musk (taken as a drink), add 1500 ml of cold water, simmer over low heat to take 500 ml, and take 2 divided doses.

Also prepare "Jinjian·Biyun Powder": Grind a little powder of Goose Herba, Asarum, Ligusticum Chuanxiong, Xin Yi and Qingdai into the nose, twice a day. 】

Hearing this, Lu Xuan also withdrew his attention and took a breath.

He knew the situation, and Mr. Fu Zi even gave him a prescription, but Lu Xuan was a little embarrassed.

The main reason was that Aconite was mentioned in the prescription, so he had to be cautious.

Commonly used yang-supporting drugs in traditional Chinese medicine include cinnamon twig, ginger (including fresh ginger, dried ginger, cannon ginger, etc.), evodia, cumin, etc. There is also a very important medicine, which is prepared aconite, that is, processed aconite.

Among the yang-supporting medicines commonly used by the yang-supporting school of traditional Chinese medicine, aconite is known as the "first important yang-supporting medicine". Taking it can easily cause body heat, nosebleeds, mouth swelling and pain, palpitations and insomnia.

As everyone knows, aconite is like a general in medicine, with hot properties. Regarding this medicine, Yu Tuan, a doctor in the Ming Dynasty, said, "Aconite has a majestic quality and has the energy to cut off generals and seize them. It can lead to twelve qi-tonifying medicines." Through the meridian, it is used to recover the lost Yuanyang; it is used to induce the loose medicine to open the internal organs to expel the wind and cold on the surface; it is used to induce the warm medicine to reach the lower Jiao to remove the cold and dampness inside."

Although aconite is so important, it is somewhat toxic after all. It contains chemical components such as aconitine. If taken in excess, it can cause toxic reactions. The toxicity is mainly damage to the nervous system and circulatory system.

Therefore, there are special dosage specifications for Aconite in the Pharmacopoeia.

However, aconitine can be degraded by sustained high temperatures and will no longer be toxic to the body after degradation.In clinical practice, there are certain things to pay attention to when controlling the "fierce horse" of Aconite.

First of all, this medicine targets yang deficiency syndrome. Patients will have symptoms such as chills, loose stools, excessive phlegm in the throat, and prone to recurring colds.

It is worth mentioning that not all patients with yang deficiency are afraid of cold. Some patients are not afraid of cold but are afraid of heat. After syndrome differentiation, they still have yang deficiency syndrome.

In other words, the doctor's syndrome differentiation must be accurate. If the patient does not have Yang deficiency syndrome, of course it cannot be used.On the contrary, as long as the constitution of Yang deficiency is identified, this medicine should be used as soon as possible to bring the patient back to normal state.

Secondly, when using this medicine, you should pay attention to the decoction method. It is generally required to simmer the medicine for one hour to one and a half hours, and it must be calculated from the time when the water is boiled. If there is not enough water in the middle, you can only add boiling water, not cold water. 2. The second decoction is also done in boiling water.

In addition, when using this medicine, you need to pay attention to its compatibility. Generally, it is paired with licorice and ginger, which can reduce the thermal toxicity of this medicine.

Also, the supply of aconite must be reliable. If the aconite is improperly prepared or too much gallbladder is added, the efficacy will be reduced and the risk of medication will be greatly increased.

If a poisoning reaction does occur, there is no need to be nervous. You can take a large amount of honey orally, or 60g of raw licorice, 30g each of parsnips and black beans, add 150ml of water and 150ml of honey to boil, and use the medicinal solution to brew 30g of mung bean powder in batches. Generally, it is mild to moderate. The toxic reaction can be eliminated by the above method.

However, if it is a severe toxic reaction, you need to be sent to the hospital for treatment immediately and should not be taken lightly.

When the patient Zhang Song came for treatment, Lu Xuan saw that the patient was in critical condition. In addition, not long after he came to the health center and he had just acquired the magical ability of voice, Lu Xuan became more and more confused when his brain became hot.

Thinking about it now, I feel a little lucky.

Fortunately, the medicine Xinsheng prescribed worked. Otherwise, something would have happened to Zhang Song. Even if he did not die because of the medicine he prescribed, if Zhang Song's family members were unreasonable and ignored some exemption form, if they had to make trouble, they could definitely say so. It was a medical accident.

When it comes to going through judicial procedures, the law will not say that Zhang Song was terminally ill and will die soon. It will only see that Zhang Song was still well when he went to see a doctor, but after taking his medicine, he died. By that time, there will be no excuses.

Moreover, not only Lu Xuan himself, but the entire health center had to be dragged into the water.

Once things get big, others won't care so much. They will only see people being executed by you, Lu Xuan, and other things are beyond their scope of thinking.

And when that time comes, not to mention Lu Xuan will be held legally responsible, even if he is not held accountable, his reputation will be completely ruined.

Reputation is difficult to maintain, but it is extremely easy to destroy it. A medical accident is enough.

By then, I am afraid there will be very few people who will seek medical treatment from him.

Moreover, I am afraid that I may not even be qualified to see a doctor.

Therefore, Lu Xuan naturally has to be cautious when prescribing Aconite to patients.

It's okay to want to save people, but the prerequisite for saving people is to protect yourself.

Lu Xuan still thought about the dosage of aconite. Even if it wasn't too much, it was at least a lot less than Zhang Song's, but it still exceeded the pharmacopoeia dosage.

Thinking of this, Lu Xuan looked up at Old Zhou and Guo Huaishu, and said solemnly: "Uncle Zhou's condition is a bit serious. If he could find a doctor who is good at this disease to treat him from the beginning, he might have been cured long ago, but now he has already recovered." Over the past thirty years..."

"Doctor Lu, can this be cured?" Guo Huaishu asked quickly before Lu Xuan could finish speaking.

Lao Zhou looked at Guo Huaishu and shook his head: "Lao Guo, don't worry. It's been more than 30 years and I'm used to it. In fact, I can feel it. I'm afraid my body won't be able to hold on for long. It may be three or more years." I'm afraid he will be gone in five years, or at least one or two years."

"Lao Guo, you are not allowed to say these depressing words. Dr. Lu hasn't finished speaking yet, so there is still a chance." Guo Huaishu quickly interrupted Lao Zhou, but his expression was a little uncomfortable.

Anyone can tell that Lao Zhou's physical condition is not optimistic.

Guo Huaishu was not a fool, so how could he not know?

Seeing that both of them looked bad, Lu Xuan quickly interrupted them: "Can you wait for me to finish? I don't think I said it can't be cured, right?"

Guo Huaishu and Lao Zhou were stunned at the same time. Can it be cured?
Just as he was wondering, he heard Lu Xuan say: "In Lao Zhou's case, the initial illness is in the lungs, and the long-term illness affects the kidneys. If the kidneys have been damaged, you may have to use aconite. The aconite itself is poisonous, but the dosage If it's not serious, it doesn't matter. Lao Zhou's medicine has to be cooked here, and Uncle Guo will come over to get it in the afternoon."

When he heard that Lao Zhou's illness could be cured, Guo Huaishu immediately breathed a sigh of relief: "As long as it can be cured, don't you just come and get the medicine in the afternoon? It's not a troublesome thing. I'll come over again in the afternoon."

Guo Huaishu agreed, and Lu Xuan said no more. He wrote down the prescription and handed it to Su Kenan for registration. Then he looked at Ji Xiuwen and said, "You will send the medicine directly to Uncle Wang for frying. Watch the whole process. Come back after the medicine is cooked and packaged."

Ji Xiuwen also knew that aconite was highly toxic, so he nodded in agreement.

However, when he got the charge sheet, he took a deep breath at Lu Xuan's boldness.

At this dosage, I am afraid that even Lu Xuan would dare to open it.

This was already beyond the pharmacopoeia dosage. If something happened to the patient, Lu Xuan would probably have to peel off the skin.

But he also knew Lu Xuan's temperament. If he refused to save someone, he would no longer be the Lu Xuan he knew.

In this situation, if it were him, he would probably make the same choice.

because!

He is a doctor who never forgets his original intention and saves lives!
(End of this chapter)