I can hear the voice of Chinese medicine

Chapter 144 There is fire in the upper burnt and cold in the lower burnt

Song Meilian hurried towards the consulting room.

"Mom, wait for me."

Shi Guanlan shouted from behind, but when she shouted, Song Meilian's figure had disappeared before her eyes and entered the traditional Chinese medicine clinic.

Seeing this, Shi Guanlan had no choice but to trot to follow.

When she entered the consulting room, she saw that her mother had already sat down and started chatting with Dr. Lu.

When she came closer, she heard Song Meilian talking in detail: "Doctor Lu, my name is Song Meilian, I am 61 years old..."

Shi Guanlan couldn't help but cover her face. With your introduction, those who knew knew you were here to see a doctor, and those who didn't knew thought you were here for a blind date.

However, she didn't say anything. She just stood behind her mother and listened quietly to her mother describing her symptoms. However, her eyes fell on Lu Xuan, staring at him with curiosity.

She was very curious, how could such a young man who was several years younger than her have such great abilities?

Even symptoms such as bile reflux after gastrectomy for gastric cancer can be easily dealt with, and an old man who said that he may not live for a year and a half was brought back from the gate of hell. This ability, even for those who are familiar with it. I'm afraid even the veteran Chinese doctors can't do it easily, right?

Moreover, Lu Xuan's delicate appearance made her couldn't help but look at him twice.

Lu Xuan is not like the kind that is so handsome, but very handsome, and the more you look at him, the more attractive he becomes. Coupled with the aura of his own attributes due to his abilities, Lu Xuan seems to have an extremely attractive nature. temperament.

While Shi Guanlan was staring at Lu Xuan, Song Meilian's voice was already ringing in her ears: "Three years ago, I had a dull stomachache due to cold. This part was particularly full, and I couldn't take any medicine. It kept recurring. Later, I couldn’t bear it anymore, so I went to the hospital for a gastroscopy, and the results of the gastroscopy showed..."

At this point, Song Meilian was startled and smiled awkwardly: "The name is a bit too long. I can't remember it even at my old age."

"It's okay, Auntie. Did you bring the examination you did at that time?" Lu Xuan asked.

"No, I've been checking it for a long time. I thought it was useless so I didn't bring it. I didn't know I would forget it."

Song Meilian was talking when Shi Guanlan behind her heard this and said: "Chronic atrophic gastritis with intestinal glandular metaplasia and bile reflux gastritis."

"Intestinal metaplasia?"

Lu Xuan was slightly startled. This was already a sign of the disease.

In the introduction of Western medicine, intestinal glandular metaplasia refers to intestinal epithelial metaplasia, which refers to the replacement of gastric mucosal epithelial cells by intestinal mucosal epithelial cells. Intestinal mucosal epithelial cells similar to small intestinal or large intestinal epithelial metaplasia appear in the gastric mucosa.

This is a common lesion of the gastric mucosa and is often seen in various chronic gastric diseases.

Lu Xuan nodded and motioned to Song Meilian to place her hand on the pulse diagnosis and feel the other person's pulse and tongue signs.

When diagnosing the pulse, Lu Xuan was not idle. He asked some things he needed to know and recorded them all in the medical record.

Symptoms: epigastric fullness, dull pain and discomfort, noisy, thick and white phlegm, aversion to cold and preference for warmth, cold limbs, severe hiccups in the morning, which improves after meals, abdominal distension in the afternoon, abdominal pain after eating spicy food, diarrhea, and loose stools for 2 days ~3 times.

Check that the tongue is dark, with tooth marks on the edges and no coating, and that the pulse is thin.

After finishing writing, Lu Xuan did not write down the prescription, but motioned to Ji Xiuwen to take his pulse and see the situation. This guy was now focusing on digestive system diseases, and Song Meilian's situation obviously had to be explained clearly to him.

"How about it?"

Lu Xuan asked.

Ji Xiuwen thought for a while and said, "The tongue is dark, with tooth marks on the edges, no coating, and a thin pulse."

"Yes, what about identification?"

Ji Xiuwen thought about syndrome differentiation for a long time. There were too many conditions involved in the patient, and he couldn't name them all at once. However, it was clearer if the pulse was thin, but it was difficult to accurately identify the syndrome just by feeling the pulse, so he didn't say anything. What.

Seeing this, Lu Xuan didn't ask any more questions, but said: "Aunt Song's situation seems complicated, but in fact it is always the same."

Ji Xiuwen sat upright and listened carefully.

He has decided to focus on the digestive system, so naturally he has to listen carefully to this topic.

Su Kenan on the side had already turned on the recording and prepared notes, although the direction she decided was gynecology.

The two of them had just prepared everything when they heard Lu Xuan's voice ringing in their ears: "Light tongue is more common among internal injuries and miscellaneous diseases. It usually has deficiency syndrome. The daily manifestations of the disease are long and difficult to cure quickly. Caused tongue The reason for paleness is usually caused by deficiency of qi and blood and spleen deficiency and cold-dampness.

And there are tooth marks on the edge, which is usually caused by the fat body of the tongue being compressed by the tooth edge. Therefore, tongue with tooth marks is often seen together with a fat and big tongue. It is usually due to spleen deficiency and is mainly a deficiency syndrome.If the tongue is pale and moist, it means spleen deficiency and excessive cold and dampness.

On the other hand, due to the relaxation of tongue muscles and insufficient mouth opening, it is a deficiency of spleen qi.

If it is pale white, moist and has tooth marks, it is due to cold-dampness; if it is red and has tooth marks, it is due to spleen deficiency or qi deficiency; if it is red, swollen and full of mouth, with tooth marks on the edges, it is mostly due to dampness and phlegm stagnation;

This is divided into two types: Qi deficiency and Yang deficiency:

Qi deficiency type: weak spleen, main symptoms: pale tongue, thin white tongue coating, fat and tender tongue body, tooth marks on the edges of the tongue, pale complexion or yellowish flaccidity, shortness of breath and laziness, heavy head and body swelling, fatigue and fatigue, spontaneous sweating, Diet decreases, abdominal distension after eating, nausea and vomiting, loose stools and diarrhea, thin and weak pulse.Treatment principle: Buzhong and Qi.

Yang deficiency type: Mainly dull: the tongue is pale and white, the surface of the tongue is moist and fluid, or the surface of the tongue is watery and smooth, the body of the tongue is round, fat and tender, with tooth marks on the edges.Pale or blue-black complexion, mental fatigue, tiredness and a tendency to lie down, pale mouth but no thirst, poor appetite, cold pain in the abdomen, cold stomach and cold limbs, clear urine, or edema, and a heavy pulse micro.Treatment principle: Pungent and warm to nourish yang.

No coating, which is called mirror tongue in Chinese medicine, is a sign caused by yin deficiency. It can include insufficient stomach yin, depletion of stomach yin, weakness of qi and blood, deficiency of spleen yin, and deficiency of kidney yin. Deficit.

The main reason is that the Yin fluid is damaged, which can cause the symptom of no coating. The normal tongue coating should be light red tongue and thin white coating.

There should also be a light, thin coating on the tongue, which is normal. If the coating is thick, it is a symptom of a disease.

If there is no coating, no coating at all, it can only mean that the stomach yin has been greatly damaged. However, it is not only necessary to look at the tongue coating, but also to see if there are other syndromes.

As for the thin pulse, the thin pulse also indicates deficiency syndrome.

Mainly refers to yin deficiency and blood deficiency. Insufficient yin blood means that the blood vessels are not full, so the pulse is small and thin.

In chronic illness and deficiency syndromes where both yin and yang, qi and blood are insufficient, the pulse will also become thin.

In the case of simple Yang deficiency and Qi deficiency, the pulse will appear weak and weak. When the Yang deficiency and Qi deficiency are more severe, leading to the dangerous stage of Yang death and Qi detachment, the pulse will appear to be buoyant and weak.In patients with severe water-dampness, because the water-dampness fills the skin, the blood vessels are squeezed and appear small, but thin and soft.

The opposite of the thin pulse is the large pulse. The pulse is wide and fluctuates greatly under the finger, like turbulent waves. The pulse beats with strong force, is deeper when falling, and has larger fluctuations. This pulse condition is more common in patients with high fever, and The occurrence is often accompanied by pulse counting.

Judging from the results of hearing, hearing and asking, as well as some of the situations reported by Aunt Song, the treatment should be to strengthen the spleen and replenish qi. However, Aunt Song had epigastric pain caused by catching a cold, and the stomach must be warmed. In summary, Song My aunt's condition is that the middle Jiao is deficient and cold. "

"Zhongjiao Xuhan?" Ji Xiuwen showed an expression as if he had heard this word for the first time.

Although Su Kenan seemed to have heard it somewhere, he didn't remember it clearly. He didn't say anything, but looked at Lu Xuan quietly.

"Never heard of it?" Lu Xuan glanced at Ji Xiuwen in surprise.

It was normal that Su Kenan had never heard of it. After all, she was only an undergraduate and had not been exposed to too many things. But Ji Xiuwen had never heard of it, which was indeed a bit inappropriate.

He had heard of this word when he was an undergraduate, but the situation at that time was similar to that of Ji Xiuwen now. He had seen it, and he knew something about it, but his knowledge was limited.

Ji Xiuwen shook his head: "No, this must be the first time I heard it. The most common thing I heard about the three burners before is that the upper burner has fire and the lower burner has cold."

"Since you have mentioned the upper burner and the lower burner, I would like to take this opportunity to talk about the three burners of the human body."

Lu Xuan recalled something and continued: "The triple burner is a hidden image. It was first seen in the Huangdi Neijing. It is the largest organ among the five internal organs. It is connected with the pericardium meridian and includes the upper burner, middle burner and lower burner.

According to the general rules of the occurrence and development of febrile disease and the characteristics of the changes in symptoms, Chinese medicine uses the upper, middle, and lower focal points as the key to comprehensively analyze and summarize various clinical manifestations in the course of febrile disease, so as to distinguish the stages of the disease process and identify the transmission of the disease. The differentiation method of changing, clarifying the location of the lesion, summarizing the types of syndromes, analyzing the characteristics of the pathogenesis, establishing the treatment principles and inferring the prognosis.

As for the upper Jiao having fire and the lower Jiao having cold, it is precisely because the middle Jiao is blocked that there is fire in the upper Jiao and cold in the lower Jiao. In Chinese medicine, the upper Jiao and lower Jiao are both derived from the "Triple Jiao". "

You have been familiar with acupuncture during this period, so you should know the Shaoyang Sanjiao Meridian of the Hand. "

Ji Xiuwen nodded, of course he knew this, otherwise the study these days would have been in vain. If he really didn't know, he would have to be criticized by Lu Xuan again.

When he saw Lu Xuan now, he felt as frightened as when he saw his teacher when he was a student.

Seeing that Ji Xiuwen knew about it, Lu Xuan continued: "The heart, liver, spleen, lungs, and kidneys, as well as the small intestine, gallbladder, stomach, large intestine, bladder, and the triple burner are also mentioned as the triple burner. So how to divide the triple burner?
The triple burner is one of the six internal organs and is the collective name for the upper, middle and lower triple burners.

Above the diaphragm is the upper burner, that is, the heart and lungs are the upper burner, the spleen and stomach are the middle burner, and the liver, kidneys, large and small intestines, and bladder are the lower burner.

The triple burner has the function of channeling vital energy, water grains and water fluids in the human body, and the function is based on a certain shape and quality.

But this form is not a specific organ organization, but a generalization of some organ organization and its functions.

Therefore, the triple burner is invisible. To put it figuratively, the "triple burner" is actually a large channel in the human body.

The meridians mainly run on the limbs, and they run in two-way lanes; in comparison, the triple burner runs on the torso of the human body, which runs in two-way eight lanes.

When it comes to Sanjiao, we have to mention the theory that Sanjiao is the companion of vitality. "

Speaking of this, Lu Xuan paused and then continued: "

The theory that the three burners channel vital energy was first seen in the "Nanjing".For example, "Difficulty Sutra·31 Difficulty" says: "The triple burner is the path of water and valley, and the place where Qi ends and begins."

"Nanjing · 38 Nan" also said: "There are six Fu organs, which are called triple burners. They have the distinction of original qi and govern all qi." "Nanjing · 66 Nan" says: "The triple burner is the distinction between original qi. Shiye, the master circulates the three qi and experiences the five internal organs."

What do you mean?
This passage undoubtedly illustrates that the triple burner is the path for the human body's vitality to rise and fall. The human body's vitality reaches the internal organs and all parts of the body through the triple burner.

Yuan Qi, in the concept of traditional Chinese medicine, is the most fundamental Qi of the human body and the driving force of life activities.The vital energy is rooted in the kidneys, enters the twelve meridians through the triple burners, and reaches the internal organs. Therefore, the triple burners are called the differential envoys of vital energy.

Because the triple burner circulates vitality throughout the body and is the channel for the human body's qi to rise and fall in and out. It is also the place where qi transforms. Therefore, it is said that the triple energizer has the function of presiding over all qi and is in charge of the qi movement and qi transformation of the whole body.If the vitality is weak and the triple burner channel is not running smoothly or is declining, it will lead to Qi deficiency in the whole body or in certain parts. "

Hearing this, Ji Xiuwen's eyes lit up and he said quickly: "Speaking of this, I thought of something. In addition to channeling vitality, Sanjiao seems to have the ability to move water valleys and water liquids."

"Yes, that's true." Lu Xuan nodded.

"Do you still remember the many related remarks in "Suwen"?"

""Plain Questions"?"

Ji Xiuwen thought about it for a while, but had no impression. He could only shake his head and smile bitterly.

Lu Xuan also knew that not everyone has the ability to remember photographs. It was really difficult for Ji Xiuwen to remember the contents of so many medical books, so he explained with a smile: ""Suwen·Jin Guizhen Comments" calls the triple burner One of the six fu organs, "Suwen·Wu Zang Bie Lun" calls Sanjiao the house of transmitting transformation, which has the function of transmitting and transforming water and grain.

"Suwen·Liujie Zangxiang Lun" says: "Sanjiao... is the foundation of the warehouse and the residence of the camp. It is also called the utensil, which can transform the dregs and change the flavor into and out of the body."

The meaning of this sentence undoubtedly points out that the triple energizer has the function of transforming the subtle changes of water and grain into nutrient qi and transmitting the residue.

The path of water and grain in the human body and the end of qi, including the digestion of food, the absorption of subtle substances, and the excretion of dregs, can be summarized as "the triple burner, the path of water and grain".

And according to the different locations of the upper, middle and lower three burners, they play different roles in the movement of water and grains. There are specific descriptions that the upper burner is responsible for receiving water, the middle burner is for decomposition, and the lower burner is for clearing, turbidity, and discharge.

This is to summarize the functions of digestion, absorption and excretion of food and drink by running water valleys with triple energizers.

As for the movement of water, this is discussed in many places in the "Nei Jing". For example, "Suwen·Linglan Secret Code" says: "The triple burner is the official that determines the evil, and the water channel comes out."

"Lingshu·Benshu" says: "The triple energizer is the internal organ of Zhongdu, and the water channel comes out. It belongs to the bladder and is the solitary internal organs." This just shows that the triple energizer is the organ that manages water in the human body. It has the functions of clearing water channels and running the body. The role of water.

Human body water metabolism is a complex physiological process, and it is also the comprehensive effect of a series of physiological functions of multiple organs.

This point is mentioned in "Su Wen·Meridians and Meridians": "Drinking into the stomach, the essence and Qi travel upward, and pass upward to the spleen. The spleen and spleen disperse the essence, and return to the lungs, unblock the water channels, and pass downward to the bladder. The water and essence are distributed in four directions. Bu, the Five Classics go hand in hand.”

Therefore, whether the triple burner water channel is unblocked or not will not only affect the movement of water, but will also inevitably affect the distribution and excretion of water by the relevant organs.

If the triple burner water channel is unfavorable, the functions of the spleen, lungs, kidneys and other organs in regulating water and fluids will be difficult to achieve, resulting in abnormal water and fluid metabolism, disorders in the distribution and excretion of fluids, and the development of phlegm, edema and other diseases.

As the "Nei Jing Zang Xiang Lei" says: "If the upper Jiao is not treated, the water will flood the plateau; if the middle Jiao is not treated, the water will remain in the middle cavity; if the lower Jiao is not treated, the water will disturb the bowels."

(End of this chapter)