I can hear the voice of Chinese medicine

Chapter 145: Exhaustion, urgency, and various shortcomings, Huangqi Jianzhong Decoction is the master

"This is the overall function of the three burners. If we talk about the respective functions of the three burners, we have to mention one sentence."

"The upper burnt is like mist, the middle burnt is like retting, and the lower burnt is like filth?"

Lu Xuan looked at Ji Xiuwen in surprise: "Have you ever understood?"

"I know a little bit." Ji Xiuwen nodded.

"When I was in school, I came across it once in the library."

"Tell me?"

"Okay, but I don't know as much as you do."

"It doesn't matter. Just remember to say as much as you want."

Hearing this, Ji Xiuwen thought for a moment, and then said: "Shangjiao is like mist, which means that the heart and lungs of Shangjiao are compressed with qi and blood, like mist and dew, irrigating and warming the internal organs and tissues of the whole body.

According to the division of the three burners, the upper burner mainly refers to the chest, including the heart and lungs.

The heart governs blood and drives blood throughout the body.

The lungs govern qi, and are responsible for spreading the hair, calming down and dispersing the essence of water and grain throughout the body.Therefore, the physiological function of the upper burner is mainly to transmit the essence of water and grain, that is, qi and blood.

Just like what the "Difficult Sutra 31 Difficulties" you just mentioned said: "The triple burner is the path of water and valley... The upper burner is located under the heart, lower diaphragm, and in the upper mouth of the stomach. It is mainly within the body and does not come out."

As for Zhongjiao, like retting, I don’t remember it very clearly, but I do know a little bit about the meaning. Retting means soaking. "

Lu Xuan couldn't help but give him a thumbs up. He didn't have a photographic memory, so it was pretty good to be able to remember so much content. Moreover, he only glanced at it when he was in school. Although he didn't remember everything, it had to be said that Ji Xiuwen's memory was good. He has good abilities and is gifted in this area. If it were an ordinary person, he might not be able to do it at all.

"Zhongjiao is like retting, and retting does indeed mean soaking."

Lu Xuan nodded and explained: "The so-called retting means that the spleen and stomach are ripe, transporting water and grain, and then turning into qi and blood.

The middle burner mainly refers to the upper abdomen, including the spleen, stomach, liver, gallbladder and other internal organs.

The stomach governs decomposition, the spleen governs transportation and transformation, the liver and gallbladder governs drainage, and secretes and excretes bile to aid digestion.

Therefore, the middle burner has the function of digesting, absorbing and transmitting the essence of water and grains and transforming Qi and blood.

"Nanjing" also holds this view, for example, 31 Nan said: "The middle burner is in the epigastrium of the stomach, neither up nor down, and is mainly decomposed by water and grains."

At this point, Lu Xuan paused and continued: "As for the lower burner, the lower burner mainly refers to the lower abdomen, including the kidneys, bladder and large and small intestines. "Difficult Classic · 31 Difficulty" said: "The lower burner... is responsible for distinguishing and clearing. Turbid, the main thing is to go out but not in, so as to preach. "It means that the main physiological function of the lower burner is to conduct waste and excrete two stools.

For example, "Lingshu Ying Health Association" said: "The lower burner is separated from the ileum, injected into the bladder and seeped into the stomach. Therefore, the water and grains often live together in the stomach, becoming dregs and both go down to the large intestine to form the lower burner. They seep and all. Lower, it secretes different juices, and penetrates into the bladder along the lower burner."

This means that the lower Jiao has the function of excreting the two bowels.

The excretion of dross is the discharge of stool from the large intestine, and the second is the discharge of urine from the bladder.

As for the main problem when there is fire in the upper Jiao and cold in the lower Jiao just mentioned, it is that the middle Jiao is blocked.

As long as the middle burner is opened, the upper burner and lower burner will be opened up, and Qi and blood will form a complete circuit. This is just like the importance of opening up the Ren and Du meridians in some martial arts novels.

The triple burner governs the whole body. If it is blocked, the body's Qi will be disordered. "

"There are so many things that Sanjiao can say. If we could study and understand just these, I don't even know how many years it would take." Ji Xiuwen sighed with emotion.

"Otherwise you think Chinese medicine is very simple?" Lu Xuan said angrily.

Hearing this, Ji Xiuwen looked at Lu Xuan sharply. For others, Chinese medicine is indeed difficult. After studying it for seven or eight years, in the end, he still had a blank slate when faced with clinical practice. He couldn't even do the most basic pulse diagnosis. to, let alone syndrome differentiation and treatment.

Moreover, even after many people have graduated from school, they still have little to learn and do not have three to five years of clinical experience, so they may not be able to sit alone in a clinic.

The key point is that this only means that you can sit in the clinic alone, but it does not mean that you can cure the disease.

For some common diseases, it is still possible to prescribe prescriptions according to the footsteps of predecessors.

But for slightly more complicated illnesses, I’m afraid there’s nothing we can do about it.

However, for Lu Xuan, Ji Xiuwen did not see any difficulty. His photographic memory alone gave Lu Xuan a terrifying advantage in learning Chinese medicine.

What’s more, it’s much more than that.

The most frightening thing is not that Lu Xuan has a photographic memory, but that his research on the contents of medical books is much more profound than that of most veteran Chinese doctors.

And it’s completely easy to draw inferences from one instance and make a comprehensive understanding.

For Lu Xuan, being proficient in Chinese medicine is probably more than one plus one equals two.

Thinking of this, Ji Xiuwen couldn't help but roll his eyes at Lu Xuan.

Everyone else could say this, but when it came from Lu Xuan's mouth, he felt weird.

Facing Ji Xiuwen's strange look, Lu Xuan simply chose to ignore it. His situation was different from others.

Forget about photographic memory, there is also the miraculous ability of voice. Thousands of Chinese medicines can help him when he is in trouble, answer questions, and even give complete prescriptions in addition to syndrome differentiation and treatment. .

How can a life of cheating be comparable to that of ordinary people?
There were just some things that Lu Xuan couldn't say. Being able to expose his photographic memory would also save Ji Xiuwen from being suspicious every day. Rather than being asked by Ji Xiuwen every day how he did it, it would be better to expose something proactively and divert the other party's attention. , and the skill of photographic memory is just right.

With this ability, Ji Xiuwen probably won't doubt anything else.

Lu Xuan is not worried about the miraculous ability of his voice being exposed. As long as he doesn't tell it, who can know?

However, rather than having more trouble, it is not less trouble.

"Aunt Song's condition is that the middle coke is weak and cold."

Lu Xuan looked at Song Meilian and continued: "Cold syndromes in traditional Chinese medicine are generally divided into two categories: external cold and internal cold. External cold is caused by feeling the wind and cold from the outside world, which is what we usually call wind-cold cold.

Among them, Ephedra Decoction is a representative prescription for treating external cold. This is basically a prescription that must be memorized. In school, the instructor also said it countless times. This prescription is also involved in the medical records of many famous Chinese doctors. I don’t need to Let me tell you that you also know the symptoms corresponding to this prescription. "When Lu Xuan said this, he took a sip of water and continued: "Internal cold is caused by insufficient yang energy in the human body. Insufficient yang energy cannot warm the body, and people will be afraid of the cold, weak and sleepy, lack of energy, loose stools, and urination. Qing, Chang, etc., according to the different organs, there are differences such as spleen yang deficiency, kidney yang deficiency, surface yang deficiency, etc.

Weakness of the spleen yang leads to symptoms caused by the accumulation of cold air and the accumulation of moisture, such as loose stools, loose stools, or loose stools that are uncomfortable; abdominal distension that is mild and sometimes severe, usually lighter during the day and worse at night; abdominal pain , continuous or dull pain, likes warmth and pressure; vomiting, no desire to eat or drink; women's leucorrhea is thin and abundant; or acute cholera with vomiting and diarrhea; it can also be used for non-stop drooling after a serious illness.

Therefore, for Aunt Song's condition, the treatment should be to strengthen the spleen and replenish qi, warm the stomach, and use Huangqi Jianzhong Decoction with flavor. "

As Lu Xuan spoke, he recorded the prescription and necessary precautions in the medical record:

Prescription: 30g astragalus, 10g cassia twig, 15g white peony root, 15g licorice, 15g fried atractylodes, 10g ginger pinellia, 5g amomum villosum, 40g fried yam.

And asked: "Do you have fresh ginger and jujubes at home?"

"There are some."

Song Meilian was already shocked by Lu Xuan's erudition, and it took her a long time to react. However, Shi Guanlan's mouth had already been opened wide enough to put down several eggs at the same time.

Just now Li Yuquan said that Dr. Lu was able to do things with ease in his situation. Although she felt that he would not lie to her, she still had some doubts in her heart.

After all, it is extremely difficult to completely trust someone without seeing it with your own eyes.

But just now, Lu Xuan's bombardment of remarks really made her head buzz.

It takes a lot of erudite and talented people to be able to understand the contents of various medical books and explain the principles easily.

Although she didn't understand what she heard, she still felt unclear.

It's not that Shi Guanlan has never been exposed to Chinese medicine, but she has never seen any Chinese medicine doctor who has such an understanding of Chinese medicine as Lu Xuan.

It felt to Shi Guanlan as if these medical books were all written by Lu Xuan, otherwise how could he know so clearly?
She didn't know much about the others, but there were two living examples in front of her.

Lu Xuan's two assistants couldn't tell this. Even if they could remember some knowledge, they were only scraps.

Shi Guanlan suddenly believed that the young doctor Lu in front of him was really capable, and the medicine he prescribed to the uncle had a great effect, otherwise the other party would not defend Lu Xuan so much.

At the same time, he also raised hope that Lu Xuan could take good care of his mother's illness.

If such a powerful doctor couldn't see her mother's illness well, then there would be nothing good about Chinese medicine.

After all, if even Dr. Lu can't do it, wouldn't anyone else be able to do it?

When Shi Guanlan was thinking about this, Lu Xuan's voice was already ringing in her ears: "After taking the medicine back, put three slices of fresh ginger and five jujubes together, 6 doses, decoct in water and take, 1 dose per day, first Boil for about 20 minutes for the first time, boil for about 30 for the second time, mix the two pans well, and take it warmly 30-60 minutes after breakfast, lunch and dinner.

Usually, it is appropriate to eat slightly hard scones and dry steamed bun slices as the main food, with less oil, and be sure to avoid sweets to keep your mind free. "

"Changqingzhi?" Song Meilian looked confused.

Lu Xuan smiled and explained: "Just keep a good mood."

Lu Xuan didn't know how many patients he had said this to, but he still took the trouble to tell them that compared to medicine, Changqingzhi is the real good medicine.

It has no side effects and stimulates the body's self-healing ability.

"Oh, that's it." Song Meilian responded with a smile.

Lu Xuan, on the other hand, handed the medical record to Ji Xiuwen, took a look at it, and immediately explained: "Huangqi Jianzhong Decoction comes from "Jingui Yaolue, Blood Paralysis, Deficiency and Pulse Syndrome, No. [-]", "Xulao Li" If there are any shortcomings, Huangqi Jianzhong Decoction can treat it. "

Huangqi Jianzhong Decoction is mainly used to treat acute syndrome of asthenia and dysentery due to deficiency and cold in the middle Jiao.Aunt Song's condition is characterized by repeated attacks and long-term treatment, with spleen deficiency as the main syndrome.

The spleen and stomach are the foundation of acquired nutrition, and the nutrition of the whole body comes from the digestion and transfer of the spleen and stomach.

Once the spleen and stomach are affected, the digestion and absorption function will decrease, nutrient absorption will be insufficient, and the body will be weak.

In addition, Aunt Song herself did not know how to take care of herself, and her irregular medication was also an important factor in the protracted and unhealed stomach problems.

Therefore, Huangqi Jianzhong Decoction is used. The prescription includes astragalus, atractylodes, and licorice to nourish the middle and replenish qi, strengthen the spleen and stomach; amomum villosum and pinellia warm the middle and reduce dampness; peony and licorice are sweet and reduce yin, soothe and relieve pain; yam nourishes the lungs. Spleen and kidney.Add Citrus aurantium husk later to regulate the rise and fall of spleen and stomach qi.

If the middle Jiao is deficient and cold, there is less food intake, and the biochemical source is insufficient. If it is warm and replenished, abdominal pain will occur; if the diet increases, the Qi and blood biochemistry will be strong.

The Qi of the spleen and stomach will be strong, transportation and transformation will return to normal, and stomach pain will stop.

Replenishing Qi, invigorating the spleen and nourishing the middle, the special effects are macroscopic, the comprehensive prescription is to replenish the middle Qi, strengthen the spleen and nourish the stomach; if it is treated with neutrality, the disease will be cured on its own. "

Ji Xiuwen knew that Lu Xuan was talking to him. After all, he chose the digestive system. When he met patients in this area, he would naturally talk more. He also took the opportunity to answer questions: "Doctor Lu, what about treatment?" Regarding epigastric pain, what should a doctor pay attention to?"

"In the treatment of epigastric pain, it is emphasized to "observe the pathogenesis and treat each patient according to its own disease". Patients with weak spleen and stomach should "avoid hard and use soft" when taking medicine to avoid excessive dryness."

Lu Xuan thought for a while and said: "Recognize the relationship between various symptoms, and seek the pathological essence through the analysis, summary, and deduction of clinical phenomena.

Once the pathogenesis is grasped, the essence of the disease will be grasped, and the treatment will be more targeted, which can effectively guide clinical practice.

方中可重用黄芪，用量在30～60g，亦可配伍党参；胃脘胀重者加厚朴10g理气健脾；口黏者可加藿香10g；泄泻者加重山药30～60g、芡实30g；纳差者鸡内金15g、焦山楂10g、白豆蔻10g；脘腹冷痛者加吴茱萸3～6g；泛酸甚者加海螵蛸15g。

It is still the same sentence after all, the prescription is dead, but the person is alive. When dealing with different diseases and symptoms, as doctors, what we have to do is to use medicine based on syndrome differentiation and add or subtract appropriately to achieve the best results. Effect.

Although you and I have studied Chinese medicine for so many years, we don’t know that Chinese medicine is more extensive and profound than you and I imagined. Ordinary people may never find its profound meaning and understand all the contents throughout their lives. "

Hearing this, Ji Xiuwen fell into silence. He knew that what Lu Xuan said was reasonable. Ordinary Chinese medicine practitioners would never be able to understand its profound meaning in their lifetime, let alone comprehend it.

But as I said, these are ordinary people, and do not include top monsters like Lu Xuan.

If others can't do it, it doesn't mean that Lu Xuan can't do it.

Ji Xiuwen also believed that Lu Xuan could do it.

How old is Lu Xuan?
25 Six, he still has a long life to live. He has already achieved such high achievements. Ji Xiuwen doesn't even dare to think about how high he can reach in just a few decades.

(End of this chapter)