I can hear the voice of Chinese medicine

Chapter 154: Taking advantage of Dean Zhang

Lu Xuan took the medicine and turned a deaf ear to this.

However, he did not speak, but Huang Beishan on the side mentioned him: "Dean Zhang, don't be sentimental. Even if you want to learn from a teacher, our Xiaolu may not accept you as a student. Do you really think we can’t beg for mercy?”

After finishing speaking, he added: "Xiao Lu, do you think so?"

Lu Xuan turned around and smiled.

Although there had been some unpleasantness with Zhang Jiwei just now, it was better for Huang Beishan, a junior, not to participate in the jokes between the older generation.

Huang Beishan also knew that Lu Xuan would not respond to these words, so he looked at Zhang Jiwei angrily: "You don't want to learn if you like to learn."

"However, Dean Zhang, I'm serious. It's a waste of your talent not to learn Chinese medicine. If you had wanted to learn Chinese medicine back then, you would have been the director of the Provincial Traditional Chinese Medicine Hospital. National-level famous Chinese doctors would be at your fingertips. It’s even possible to get into the Security Council. Unlike me, I’m still a little short of getting into the Security Council, but Xiao Lu should be able to do it in the future.”

"Are you serious?" Zhang Jiwei became a little more serious.

Huang Beishan rolled his eyes: "Nonsense, can I still lie to you about this kind of thing? If you don't believe it, you can ask Xiao Lu, I will fool you, but Xiao Lu won't fool you, right?"

Zhang Jiwei subconsciously cast his gaze on Lu Xuan, but when he thought of some unpleasant things that happened before, he looked a little embarrassed.

Although he and Huang Beishan were making a lot of noise, they were still old acquaintances after all, and they could calm down in a short time.

But Lu Xuan, who saw him for the first time today, blushed and didn't have the nerve to speak at this moment.

Even if he opens his mouth, people may not pay attention to him.

By then, it would be embarrassing.

Especially since Huang Beishan and Zhang Jingcai are both here, he still needs to look more old-fashioned.

"It can be seen from the lines that eating less can reduce yin. Even in traditional Chinese medicine, there are not many. Lao Huang is right. Dean Zhang is indeed very talented, but this is just the tip of the iceberg. Whether it can be done or not remains to be seen. Just look at the whole picture." Lu Xuan explained seriously.

Although he had just gotten into trouble with Zhang Jiwei, Lu Xuan thought about it. If Zhang Jiwei really wanted to learn from his teacher, he really didn't want to refuse.

Carrying forward Chinese medicine cannot be achieved by one person. It requires a group of like-minded comrades. It is also necessary for more people to understand Chinese medicine, get in touch with Chinese medicine, and even learn Chinese medicine.

It would indeed be a waste of money to leave Zhang Jiwei, the dean of the First City Hospital, without accepting it.

Adapting Western medicine to Chinese medicine may have a good impact.

However, Zhang Jiwei obviously didn't expect that Lu Xuan, who looked innocent and harmless, would like Huang Beishan and have his mind set on him.

At this moment, seeing Lu Xuan admitting his talent, Zhang Jiwei was obviously a little moved.

Although he said he looked down on Chinese medicine, Chinese medicine, which has been passed down for thousands of years and is still standing, would not be alive today without Sanbanaxe.

Moreover, countries such as Europe, the United States, Japan and South Korea are paying more and more attention to traditional Chinese medicine. This is an undeniable fact.

In terms of treating malignant tumors, the concepts of traditional Chinese medicine are indeed much more advanced than those of Western medicine. Nowadays, when treating malignant tumors, Western medicine has actually moved closer to the concepts of traditional Chinese medicine. They know that relying solely on cutting, radiotherapy and chemotherapy will not be effective at all, and will only destroy cancer cells. It spreads more and more, and eventually there is no cure.

Even if Zhang Jiwei doesn't want to admit it, he still has to face this fact.

Moreover, Huang Beishan mentioned that most of the entrants to the security committee are Chinese medicine practitioners, and the number of Western medicine doctors is very small. From this point of view, it is enough to show how important Chinese medicine is in the eyes of senior officials.

Of course, Zhang Jiwei didn't think so far ahead. After all, he is not young now. It is basically impossible to reach the level of being able to join the insurance committee in the field of traditional Chinese medicine, unless he has Lu Xuan's talent.

But even if it's not for these reasons, it doesn't hurt to learn more for yourself.

Live and learn.

In the future, when I get older and retire, I might be able to go to the Liannan Traditional Chinese Medicine Association like people like Huang Beishan and go to the Liannan Traditional Chinese Medicine Association to take care of the health of my family.

This is not what Western medicine can do, Chinese medicine is the expert in this field.

But self-study at this age seems a bit unrealistic.

There are many concepts in Chinese medicine, and if you want to study them thoroughly, you can’t just master them in a short while.

In addition, he is the dean of the First City Hospital and does not have so much time to research.

At this time, if there is a teacher, learning will naturally get twice the result with half the effort.

But if he, a director of Western medicine and also the director of the first city hospital, went to learn Chinese medicine from a young man in his 20s, he felt a little uncomfortable.

Of course, this is not the point.

The most important thing is that he must be mentally prepared to be criticized by others.

Zhang Jiwei couldn't help but shudder at the thought that he might be cast aside by thousands of Western doctors.

Any intention of learning from a teacher was instantly gone.

It's not the time yet, unless he is willing to give up his current status as the president of the First City Hospital.

No need to think about it at this time.

Isn’t the position of the dean of the First Municipal Hospital a good one?

What kind of Chinese medicine should I study?
I will continue to study after I retire.

Thinking of this, Zhang Jiwei looked extremely determined: "I'd better keep my one-third of an acre of land, otherwise I might still be counting the money for you if it is sold by you, Lao Huang."

Zhang Jiwei's choice made Huang Beishan sigh. He had actually guessed such a result.

If a dean of Western medicine goes to lick Chinese medicine, this will definitely trigger a heated discussion. By then, it is hard to say whether Zhang Jiwei can still sit down as the dean.

Unless Zhang Jiwei is willing to give up his current status, will Zhang Jiwei be willing to give up his identity as the dean and become a student?
Not to mention Zhang Jiwei, even Huang Beishan couldn't do the same.

Seeing that Zhang Jiwei could not be fooled, Huang Beishan suddenly lost all interest.

Zhang Jiwei, on the other hand, although he had no intention of becoming an apprentice, was full of curiosity about Lu Xuan's prescription: "Dr. Xiao Lu, I see you want to decoct the medicine yourself. Is this large dose of aconite also included in the decoction?" Anything that needs attention?”

Not only Zhang Jiwei was curious about this question, but Huang Beishan and Zhang Jingcai couldn't help but cast curious glances.

Both of them are not from the Vulcan school. In the process of syndrome differentiation and treatment, the possibility of using Aconite is very small. Even among the patients they have seen over the years, there has never been a patient who needs to use Aconite.

Even if there is, it is within the safe dosage range of the pharmacopoeia, and it is completely incomparable with the madness of the Vulcan sect.

Moreover, no matter how crazy they were, the two of them would not dare to use Aconite indiscriminately without being able to accurately grasp its medicinal properties.

Seeing all three people looking at him, Lu Xuan thought for a while and said: "There are great differences in the indications and curative effects of raw and processed Aconite. Li Shizhen of the Ming Dynasty concluded that Aconite "disperses when used raw, and strengthens when used cooked". The rule is highly praised by many doctors.

Raw aconite is processed to reduce toxicity, enhance safety, facilitate oral administration, and facilitate storage.

There are more than 70 methods of preparing aconite that have evolved since the Han Dynasty. From the Han Dynasty to the Tang Dynasty, the method of preparing aconite was mainly based on the artillery method. By the Song Dynasty, it developed to the use of liquid excipients and concoctions. The ancient method is still used after the Ming Dynasty. But steaming and other wet methods are the main ones.

Because the heat and time of the "cannon" method are difficult to control and affect the curative effect, it has almost been replaced by the dipping and bleaching method and the moist heat method in modern times.

The processed products of modern prescription medicines of Aconite mainly include Heishunpian, Baifupian, Huangfupian, etc.

The most proficient in the preparation of aconite is the Vulcan sect. The doctors of the Vulcan sect attach great importance to the preparation of aconite. "

Hearing this, Huang Beishan and others were not surprised at all.After all, the medicine Aconite is used most by the Vulcan Sect, and every time it is used, a large dose of Aconite is used. If one does not know how to prepare it and does not pay attention to how to remove the toxicity while maintaining the effect as much as possible, then a large dose of Aconite will , let alone a person, even an elephant can be so poisonous that it cannot stand up.

There is no doubt that the Vulcan Sect attaches great importance to the preparation of Aconite, otherwise they would not dare to use Aconite in such large doses to treat diseases.

"Actually, many current methods of preparing aconite are problematic."

Lu Xuan said something that made several people curious.

After hearing this, Huang Beishan asked: "How do you say it?"

"The current processing is driven by interests and does not follow ancient methods when processing."

Lu Xuan explained: "Indeed, this is done to be safer, but when preparing the monkshood, the Danba water was too heavy, and the soaking time did not meet the requirements of ancient methods, and it was not rinsed in long running water.

Therefore, the problem of Aconite prepared in many places now is very serious. The most serious one is Danba Water-based Cold, which is a pure yin substance.Aconite is a pure yang thing, and gallbladder water is a pure yin thing. If the gallbladder water is too heavy, it is difficult for large doses of aconite to have the effect of qualitative change, and it is even possible that the gallbladder water is too heavy and will go to other aspects. produce qualitative changes. "

When everyone heard it, it seemed to be such a truth, and they nodded one after another.

Originally Aconite was used to support the Yang, but in the end the pure Yin Danba Water damaged the patient's Yang.

At this time, the toxicity of aconite is gone, but the effect of large doses of aconite is limited. In the end, the patient may still criticize the doctor, thinking that the doctor is a quack, misleading people, or even harming people.

It is obvious that the medicine is not working, so how can the doctor be so innocent?
Huang Beishan continued this topic and said: "I don't know if you have read the book "Thinking about Traditional Chinese Medicine"."

"I've seen a little bit. Liannan Traditional Chinese Medicine Association happened to be purchasing it at that time. I took it back and looked at it a few times." Zhang Jingcai nodded.

Lu Xuan shook his head. Not to mention seeing it before, this was the first time he had heard of it.

However, he could tell from the title that this was not an ancient book, but a work by a certain modern Chinese medicine practitioner, Xinglin Sage.

There are many such books. From modern times to modern times, TCM masters have emerged one after another, and many masters have written books.

On the one hand, you can pass on your understanding of traditional Chinese medicine, and on the other hand, your writings will also greatly increase the reputation of the doctor himself.

Lu Xuan has not read it, which is not surprising to Huang Beishan. There are so many books now, but only a few people have read them. However, it is an ancient medical book. As long as those who study Chinese medicine, even if they do not remember the content, they have read it several times. .

"I remember that "Thinking about Traditional Chinese Medicine" talked about the preparation of aconite, but the main point in it was that it had nothing to do with the preparation of aconite, but used preparation and replication to introduce the relationship between traditional Chinese medicine and traditional Chinese medicine."

Huang Beishan continued: "Traditional Chinese medicine and traditional Chinese medicine cannot be separated, because the discoverer of traditional Chinese medicine is actually a doctor. The relationship between traditional Chinese medicine treatment and medicinal materials is very important. A good doctor even needs to supervise the collection, administration and use of medicine, because The quality standards of traditional Chinese medicine are really complex and cannot be left entirely to pharmaceutical companies like Western medicine.

Traditional Chinese medicine and Western medicine can be said to be completely two-way street. The biggest difference between the two is that in Western medicine, medicine and medicine can be separated. Those who research medicines only focus on research, those who manufacture medicines only manufacture medicines, and clinicians only focus on administering medicines. and medication are subject to their respective technical standard systems.

The medicine and medicine of traditional Chinese medicine are integrated. The effects of traditional Chinese medicine can not only be applied by doctors, but also discovered by doctors. The application of medicines also varies from person to person.

I think this is very reasonable. In the past, traditional Chinese medicine and traditional Chinese medicine were indeed not separated. The doctors prepared the medicines themselves. Even if they were busy, students and disciples would check and prepare the medicines on their behalf, while they themselves would ensure the final quality. That’s it.

But for now, if traditional Chinese medicine and traditional Chinese medicine want to be indistinguishable, unless they open their own medical clinics, public hospitals or medical institutions basically require bidding for medicinal materials, and it is really difficult to determine the quality of the medicines.

Like us, we have been practicing medicine for decades, but we may not have even been to a traditional Chinese medicine pharmacy a few times, and we have never seen the medicine, and we have no way of talking about the quality. "

Speaking of this, Huang Beishan couldn't help but sigh.

"I'm afraid it's difficult to guarantee the success of opening a medical clinic by yourself."

Zhang Jingcai, who had been silent until now, rarely spoke up: "As I said before, all the good medicinal materials have been exported, and what remains is the second-class medicinal materials. Even if the higher quality ones are selected, the cost of treatment will be high. The relative price has gone up. Even if you give the patients the purchase price, it will not be low. But then the medical center will not make money, but will always be in a state of losing money. In the short term, it will be fine, but as time goes by, several people will lose money. How much?
Even so, I'm afraid some patients will say that the price of the medicine you prescribe is high, much more expensive than that in the hospital. After all, the patient doesn't care whether the medicine you purchase is of better quality. He only knows that the same medicine is priced at yours. higher.

In this case, do you still dare to purchase high-quality medicinal materials?

Unless your family owns a gold mine, opening a medical clinic is unrealistic. "

The words are crude but not crude, and cruel is a bit cruel, but this is the fact.

In the final analysis, the current social status quo is completely different from that in ancient times.

"Okay, let's not talk about this anymore. Let's first listen to Xiao Lu's treatment of Aconite detoxification." Huang Beishan stretched out his hand to interrupt everyone's thinking.

"No matter how much we talk about these things, it is useless. If the fundamental problem is not changed, the effect of traditional Chinese medicine will not be improved for a while. Instead of worrying about these things here, we should think carefully about how to use the worst medicine. , getting the desired effect is the real thing.”

Zhang Jingcai nodded and said no more.

Lu Xuan, on the other hand, continued the topic of preparing aconite: "There is not only one way to detoxify aconite, the combination of aconite and other drugs can also reduce the toxicity and increase the effectiveness. A reasonable combination can not only reduce the toxicity of aconite, but also improve the efficacy or Expand its treatment scope to make it more adaptable to the needs of complex diseases.

Regarding the record of the combination of Aconite and Aconite to reduce the toxicity, "Shen Nong's Materia Medica" mentions that "whenever aconite is used in popular prescriptions, it must be combined with licorice, ginseng, and ginger to control the poison."

In "Treatise on Febrile Diseases and Miscellaneous Diseases", Aconite is often combined with ginger, licorice, ginseng or dried ginger, rhubarb and other drugs, such as Zhang Zhongjing's Sini Decoction and Ganjiang Aconite Decoction. The combination of dried ginger and Aconite not only enhances the recovery of yang. It has the effect of relieving adverse effects, warming the body and dispersing cold, and can reduce the toxicity of aconite.

Like Mr. Li, whenever using aconite, he must add twice the amount of licorice.

What do you mean?
In fact, when the amount of aconite used in a prescription exceeds 30g, regardless of whether it is included in the original prescription, add 60g of licorice. This is twice the amount of licorice. This not only effectively regulates the production, but also eliminates the toxicity without compromising the medicinal properties of aconite. Do not reduce it to get the best effect. "

"In addition to concocting and combining other drugs, there should be other ways to remove the toxicity of aconite?" Zhang Jiwei asked curiously.

The main reason was that he had just seen that Lu Xuan had not concocted the aconite, and he did not know whether the aconite used by Lu Xuan had been concocted. For the sake of that person's safety, he had to ask more.

Otherwise, what will happen if Lu Xuan is chatting with them and forgets about Aconite?
Of course, more than that, Zhang Jiwei himself is also curious about removing the toxicity of aconite.

Although he knew that aconite was poisonous, he was not a traditional Chinese medicine doctor and didn't know much about it.

"of course."

Lu Xuan glanced at Zhang Jiwei and said: "Also, even if it is detoxicated by decoction for a long time, the toxicity of aconite is closely related to the length of decoction. Insufficient decoction time and improper decoction method have been recognized as the causes of aconite poisoning. One, the long-term decoction method is also the main method to reduce the toxicity of Aconite in clinical application of traditional Chinese medicine.

Zhang Zhongjing's recipes for Sini Decoction and Tongmai Sini Decoction all say: "Take three liters of water, boil one liter and two combined."

For example, several famous doctors from the Vulcan Sect, when the dosage of aconite exceeds the prescribed dosage, the decoction time will often exceed two hours, and it will also be used in combination with dried ginger, licorice and other drugs to reduce its toxicity. "

"Doesn't that mean that this medicine needs to be decocted for at least two hours?" Zhang Jiwei raised his finger and pointed to the decoction pot in front of Lu Xuan.

"The dosage of aconite exceeds the regulation by nearly ten times. Two hours is the minimum. If there is still time, it is safest to boil it for three hours. However, generally speaking, boiling water for two hours is enough to remove the toxicity of aconite. Generally speaking, boiling water for two hours is enough to remove the toxicity of aconite. There will be no poisoning," Lu Xuan explained.

"Two hours, I don't know if that person can survive until the medicine is cooked." Zhang Jiwei had some worry on his face.

"Dean Zhang, don't worry. Let alone two hours, there shouldn't be any problem for three or four hours." Lu Xuan reassured.

He had treated Ji Huan himself, and he had an idea of ​​how long he could survive. Let alone three or four hours. If nothing unexpected happened, five or six hours would be fine. It was just hard to say this to Zhang Jiwei directly.

However, Zhang Jiwei was slightly relieved after hearing this, and then took out his mobile phone and sent a message to Zheng Xianjue: "Pay close attention to that person's physical condition. Also, it's getting late now. Find someone to help you today." No one who comes for consultation orders a meal, and four more meals are sent to the Chinese medicine pharmacy. The matter is urgent and we cannot let everyone go hungry to save people."

"Okay, I'll let someone arrange it right away."

Zheng Xianjue sent a message, and then said: "Dean, I think this person's situation is quite good. Do you really want to send him to the province?"

"Are you going to say it?" Zhang Jiwei replied directly, making Zheng Xianjue dare not say anything more.

He goes and asks, do people know him?

When the time comes to ask "Who are you?", it will be embarrassing.

(End of this chapter)