I can hear the voice of Chinese medicine

Chapter 163: Feeling angry, creating a homemade recipe called Suidou Pills
"You mean to separate the traditional Chinese medicine hospital and establish a second-level traditional Chinese medicine hospital?"

Ma Shanjun thought he had heard wrongly and couldn't help but confirm with Yi Gang again.

"Correct."

Yi Gang explained: "If we just upgrade the health center on the basis of it, it would be too underestimated. Since we are going to do it, we must do it to perfection and separate the traditional Chinese medicine department of the health center. Come out to establish a second-level traditional Chinese medicine hospital, and Dr. Lu will serve as the president.”

Ma Shanjun took a breath: "Yi District, is this too big of a leap?"

"It's okay to separate the Department of Traditional Chinese Medicine and establish a Traditional Chinese Medicine Hospital, but Dr. Lu serves as the dean..."

Ma Shanjun hesitated, gritted his teeth and said, "Let me put it this way, Dr. Lu has only graduated from school less than a year ago. His rank is not incompatible with the conditions for being a dean, but none of them meet the requirements. We It’s nothing, I think Dr. Lu has this ability, but others may not think so!”

"Old Ma, do you think I can't think of this problem?"

Yi Gang asked back and said with a smile: "Yes, it is true that Dr. Lu is not satisfied with the conditions for being the dean, so we can take a step back. Acting as the dean is still okay. When Dr. Lu meets the conditions, he will become a full member." , such a simple thing.”

"Okay, let's not talk about this for now. Let's talk about how to separate the Department of Traditional Chinese Medicine. There is also the issue of staffing."

"Yi District, establishing a traditional Chinese medicine hospital requires a lot of funds." Ma Shanjun thought for a moment and said.

Yi Gang waved his hand and said: "Money is not a problem. As long as our plan is passed and the person nods, the funds will naturally be available. The most critical and core issue is staffing. How many people are needed and how many are qualified?" Doctors, how many attending doctors, how many chief physicians are needed, how many nurses are needed, we have to discuss this, so that we can write the plan and hand it over to that person. As for other issues, we don’t have to worry about it, that person will go back naturally. coordination."

"Yi District is still seeing clearly. I'm the one who got into trouble." Ma Shanjun couldn't help but give a thumbs up. He raised this question mainly because he underestimated Ji Huan's energy.

"Stop flattering me, old man, and finalize this plan as soon as possible and form a document so that I can report to that person." Yi Gang said angrily.

Ma Shanjun stood up with a smile: "Yi District, please rest assured that the plan will be sent to your office within a week."

"If anyone else said this, I would have regarded it as bragging, but if you, Ma Shanjun, said this, I would take it seriously."

Yi Gang smiled and said, "Okay, I'll give you a week."

Although Hu Meiqiao didn't say anything, she rolled her eyes.

During the past few days, besides catching up on plans, she had no time to do anything else.

But having said that, once this plan is passed, it will be the best choice for Lu Xuan. In the future, Lu Xuan will have the greatest freedom in the hospital, and the health center will be together with the newly established traditional Chinese medicine hospital. With the same brand, the health center can also benefit from this, and once this plan is passed, her position may also have to change.

Thinking of this, Hu Meiqiao was also very motivated and wanted to get up immediately and go back to write the plan.

Fortunately, after chatting about some details, Yi Gang didn't say much more and asked the two of them to go back and discuss it themselves and try to finalize the plan within a week.

……

Liannan Traditional Chinese Medicine Association.

in the afternoon.

As Lu Xuan expected, there were several more people calling him at the Liannan Traditional Chinese Medicine Association in the afternoon, but they were all old acquaintances who had seen him at the health center before. Apart from taking a pulse, the prescriptions were all It doesn’t take long to add or subtract from last week.

As soon as several patients left, clinic 249 became quiet again.

Especially compared with other clinics, this is no longer quiet, but seems deserted.

Lu Xuan looked at the computer and saw that there were no patients behind him, so he lay down on the table and rested without thinking.

I don't know how long it took, but Lu Xuan suddenly heard someone calling him. He looked up and saw Gu Huahua standing at the door.

"Gu Huahua, did you call me?"

"Well, Mr. Zhang has a patient here. He wants to see you and take a look at the situation. He can't make up his mind at the moment, and he doesn't want the patient to waste time and experience. He said it would be more reassuring for you to go over and take a look."

"what's the situation?"

Lu Xuan stood up quickly, straightening his white coat that was a little wrinkled from resting on the table. He came to the door, looked at Gu Huahua and said, "Let's go, talk as we go."

Gu Huahua nodded. He was not jealous at all towards Lu Xuan now, he only had gratitude in his eyes.

Just because of his status as Lu Xuan's classmate, the elders also treated him with special treatment. At the end of the day, he would always be given one or two opportunities to get started, which was much better than staying in a traditional Chinese medicine hospital.

Moreover, the most important thing is that every time he is asked to try his hand, the elder will explain the patient's condition in detail.

Gu Huahua knew very well that the treatment he received had nothing to do with him. Lu Xuan brought all this.

He also respected Lu Xuan more and more.

The two immediately came to clinic 215.

When Zhang Jingcai saw Lu Xuan come in, he quickly greeted him enthusiastically: "Xiao Lu is here, sit down quickly."

Lu Xuan came and sat down next to Zhang Jingcai.

Zhang Jingcai smiled and said, "I thought you wouldn't come today."

"It's okay to go back. Besides, I don't have many patients here. When Gu Huahua came to see me just now, I lay there and rested for a while."

"The one who didn't let you go back to rest? After all, you've been busy all night and haven't slept much."

"I said it, I said it several times."

"Then you're still here?"

"Knowing that patients from the previous health center have made appointments online, I can't just go back to sleep and let them go to the hospital in vain, right?"

Lu Xuan said: "It's nothing. If I really don't come, Liannan Traditional Chinese Medicine Association will definitely contact them to cancel the number. But if they registered the number here, the number at the health center will not be taken away." , if I don’t come today, they will have to face the situation of having no medicine for half a month. Half a month is not long or short. For some diseases, this half month may be the most critical time. Once it is stopped, After taking the medicine, I might have to start over again, do you think I can do that kind of thing?"

"We can't! As a doctor, how can we break our trust with our patients?"

"They may not say anything, but I feel really bad about it!"

After speaking, Lu Xuan couldn't help but spread his hands.

Zhang Jingcai glanced at Lu Xuan: "If everyone thinks like you do, I'm afraid there will be a lot less conflicts between doctors and patients. Many medical disputes are mostly caused by small things that eventually turn into big things."

"You can't say that. Medical staff are also human beings. They face so many patients and family members every day. It's understandable that they sometimes feel bad. We are a little better. There are only so many people every day. Nurses in large hospitals treat several patients a day. When there are hundreds or even thousands of people, sometimes the tone is inevitably bad. Generally speaking, everyone has difficulties, and at this time, we have to understand each other."

"If you can't understand it, the doctor-patient conflict will arise."

"Of course, hospitals are now too utilitarian. Hospitals were originally sacred places for saving lives and healing the wounded, but in the end they became places for making money. Some hospitals make tens of billions or even tens of billions of profits a year. Do you think there can be no conflicts between doctors and patients?"

At this point, Lu Xuan sighed: "The hospital has performance requirements for doctors. Doctors can only prescribe random medicines, prescribe more medicines, and prescribe a lot of check-ups for minor illnesses. Can there be no profit? Doctor-patient relationship Is it strange that it can be good?
Not everywhere is like Liannan Traditional Chinese Medicine Association, which only collects what should be charged, and does not take away any money that should not be charged. Naturally, doctor-patient disputes cannot be seen.

Speaking of which, Lao Zhang, you have seen everything clearly. It is much easier to come to Liannan Traditional Chinese Medicine Association for a consultation than to go to a big hospital. The cost is not as much as that of a big hospital, but you feel good! "

"It's not just because of these."

Zhang Jingcai said: "I don't like the overt and covert fighting in big hospitals. I just want to see a doctor. Why do I have to do those dirty things? It's annoying to hear that, so I didn't sit in the hospital for a long time before I came out. I really can't stand that kind of thing." environment."

"The general environment is like this, and it cannot be changed by individuals."

Lu Xuan sighed and said: "Old Zhang, forget it, let's not mention these, let's talk about the patient's condition first."

"it is good."

Zhang Jingcai nodded and then introduced the patient's condition to Lu Xuan in detail.

Patient Zhang Qixia, female, 36 years old.

In the spring and summer a year ago, her upper body swelled due to her husband's suicide.

"Air drum?"

When he heard this, Lu Xuan subconsciously said a word.

Qi drum, the name of a disease in traditional Chinese medicine, has two types.

One type is bloating caused by stagnation of Qi. It is mentioned in "Rejuvenation of All Diseases: Bloating": "It is hollow and has no object, and it is like a bulge. The urine is short and astringent and unfavorable. The disease is solid and difficult to treat. Use Fenxiao Decoction." ." The second type is swelling of the whole body caused by Qi deficiency. There is a record of this in "Stone Chamber Secret Records: Internal Injury Gate": "Qi Shi is swelling caused by Qi deficiency, which is like water stasis but not water stasis. Its symptoms are like water drums. The condition is like that, but the skin and flesh when pressed are not as good as mud ears. The swelling will start from the feet first, and then gradually swell to the upper body, and then the head and face will be swollen." The treatment is changed to the medicine of strengthening the spleen, promoting qi and adding diuretic, and then use Xiaoqi San.Do not treat it with water, and do not eat salt.

"I have the same opinion as you. When I heard Ms. Zhang talk about her situation, I felt that it was qi bulging syndrome."

After saying this, Zhang Jingcai continued to talk about the condition of the patient Zhang Qixia: "After more than half a year of treatment, the condition has become worse and worse. I have been unable to sleep or lie down for a long time, and I can only sit half up and half up."

When Zhang Jingcai mentioned this, Lu Xuan glanced at Zhang Qixia subconsciously and heard Zhang Qixia crying: "Doctor, I really can't help it. I haven't seen you for more than half a year in the hospital, but it's getting worse. Originally, I only had a swollen abdomen at the beginning, but now there is no part of my upper body that is healed. If Dr. Zhang and you are not good at it, I will have no choice but to end my life early, otherwise it would be better to die."

"Ms. Zhang, there are no obstacles that you can't overcome. Your disease is not an incurable disease. It's just a bloating, and it hasn't reached the level of despair." Lu Xuan said quickly.

Just a sigh of relief...

If these words were said by other young Chinese medicine practitioners, no matter who they were, they would probably feel arrogant.

If the Qi drum was really so easy to cure, Zhang Qixia wouldn't have been treated in the hospital for half a year without any effect, but it was getting worse and worse.

But these words came from Lu Xuan's mouth. Instead of feeling arrogant, Zhang Jingcai nodded secretly.

When the patient falls into despair, it is natural for a doctor to give him hope, and a doctor's confidence can sometimes work faster than medicine.

As expected, after Lu Xuan said this, Zhang Qixia asked with surprise: "Is it true?"

"Of course, can I still lie to you?" Lu Xuan smiled slightly at Zhang Qixia.

He was somewhat sure about the treatment of qi drum, and it wasn't just to boost the patient's confidence. If he was really not sure, he wouldn't dare to talk so loudly, otherwise he wouldn't be able to cure it, which would be troublesome.

"Thank you, Dr. Lu."

With hope, Zhang Qixia's complexion also improved a lot.

Lu Xuan continued to ask about Zhang Qixia's situation. After seeing it with his own eyes, he couldn't help but take a breath.

The symptoms of Zhang Qixia's syndrome are that her abdomen is bulging like a pillow, her waist and back are so swollen that her skin is bursting, white spots appear, her chest is protruding like a mound, her breathing is suffocated, her whole body is full and painful, and she is extremely painful.

Based on what Zhang Qixia told about and the results of the examination, there is no doubt that the symptom she suffered was "qi drum".

"Xiao Lu, how are you doing?"

"It should be very angry."

"The qi drum is definitely a qi drum. To be honest, I'm a little unsure about how to treat it. That's why I asked Gu Huahua to call you over to take a look. You are familiar with medical books. The seven major factions of traditional Chinese medicine have research. I will discuss the symptoms with you. It is more accurate, and there will be no mistakes in the prescribed medicine. It does not require multiple prescriptions to identify the syndrome." In this regard, Zhang Jingcai did not feel that he was superior to others just because he was older or had a higher rank.

Not only not, but actually willing to learn from others.

Take the strengths of others and make up for your own shortcomings.

Moreover, he knew Lu Xuan's abilities very well. Different medicines prescribed by others would be able to treat the symptoms, and he believed that Lu Xuan would be able to do it.

Zhang Jingcai continued: "From the perspective of pathogenesis, qi descends from above, but when it comes to its origin, it actually rises from below. The yang in the barrier is the root of qi.

Qi rises in the liver and spleen, and the liver and spleen rotate to the left, warming and transforming into clear yang, which is why qi rises in water.

The liver and spleen do not rise, and the yin energy becomes depressed and sinks, so there is swelling below the umbilicus.

……

If the spleen earth is trapped, the stomach earth will be reversed.

If the spleen is depressed, the liver wood will be depressed at the bottom; if the stomach is inverse, the gallbladder fire will be depressed at the top.

The heat at the lower part is caused by the liver wood not rising, and the heat at the upper part is caused by the gallbladder fire not descending.

The root cause of the disease is dampness and coldness, while the symptoms are dampness and heat. It is advisable to purge dampness and relieve stagnation, replenish spleen yang and reach wood qi, and clear away stagnation and heat in the bladder.

For this case, I plan to use Guizhi Ginger Sand Soup. "

"Guizhi ginger sand soup?" Lu Xuan's face showed confusion.

"Ah."

Zhang Jingcai nodded and saw something was wrong with Lu Xuan's expression, so he asked, "Is it possible that Xiao Lu has other ideas?"

"The qi does not turn into water, and the left side sinks downwards and becomes a qi drum; the liver and spleen do not rise, and the yin-type qi becomes depressed and sinks, so there is swelling below the navel. Guizhi Jiangsha Decoction can indeed be used for this, but..."

Lu Xuan paused and said: "Ms. Zhang's condition is much worse than what was recorded in Guizhi Ginger Sand Decoction, and it took another half a year. It is definitely not something that ordinary soothing and bloating products can be effective. Lao Zhang, not I said, I’m afraid this Guizhi Ginger Sand Decoction won’t be able to cure Ms. Zhang’s illness, and it will be ineffective because the medicine is not effective enough.”

Zhang Jingcai fell into deep thought, then raised his head and said: "What you said is indeed true. Her condition is much more serious than what is recorded in the Guizhi Ginger Sand Decoction. Guizhi Ginger Sand Decoction alone really has no effect, but there is no need. As for the Guizhi and Ginger Sand Decoction, what should I use? Or should I add or subtract from the Guizhi and Ginger Sand Decoction to add some medicine for soothing qi and reducing swelling?"

"Use Suidou Wan." Lu Xuan said a recipe name.

Zhang Jingcai frowned slightly, obviously he had never heard of it.

Lu Xuan explained with a smile: "4.5 grams of Gansui, 20 grams of Croton, 2.4 grams of Trigonella, 2.4 grams of Curcuma, and 1.5 grams of Yuangui.

In addition to the croton bean being made into bean frost, the medicine is ground into very fine powder, boiled rice is used as the core, and the cooked water is boiled to make mung bean-sized pills, which are Suidou pills. "

"Is this your own recipe?" Zhang Jingcai whispered.

"That's it."

It is not self-made, but no one has used it. It is no different from self-made. Lu Xuan is somewhat embarrassed to regard the hard work of his mentors as his own.

"I'll ask Lao Wu to apply for a patent for you later."

"Row."

Lu Xuan also knew the meaning behind Zhang Jingcai's words and did not refuse. Anyway, he didn't have to do it himself, and there were not many patients with gas drum. To be honest, even if he applied for a patent for this kind of prescription, he wouldn't make much money.

If you apply, you are just afraid that unscrupulous businessmen will apply for it and use it to make profits.

"Tell me more about your Suidou Wan." Given the opportunity, Zhang Jingcai did not want to let Lu Xuan go easily. It would be good to know more about him. Although there are not many patients with qi drum, who can guarantee that he will not encounter him in the future?

You can't just ask Lu Xuan to see you every time you encounter this kind of patient, right?

I, Zhang Jingcai, am over 70 years old, don’t I want to lose face?

Lu Xuan didn't know what Zhang Jingcai was thinking. The other party wanted to know, and he didn't intend to hide it. He said directly: "Fang Zhong uses the two strong flavors of gansui and croton."
Medicine is the king, and there is no other medicine that can eliminate phlegm, water accumulation in drinking water and stagnation of turbid turbidity.

Many ancient medical scientists have introduced these two medicines.

Kou Zongshi said: "Gansui is good at traveling on water and is useful for attacking fortresses."

Zhang Yuanyuan said: "Gansui reaches directly to the place where water vapor is trapped, and it is the holy medicine for draining water."

Li Shizhen said: "The kidney governs water. If it condenses, it will be phlegm. If it overflows, it will be swelling. Gansui can release moisture from the kidney meridian and cure the root cause of phlegm."

The combination of Gansui and Croton, which is known as "cutting off the pass and seizing the pass", is even more powerful in eliminating water and dampness.However, this prescription uses Kansui and Croton, which are both broad and strong, and use slow and urgent medicines to play the role of strong medicines in slowing down the attack.

The kansui must be simmered with bread and detoxified before use; the croton shell and the white membrane must be removed. If the heart and white membrane are not removed, it will be nauseating. If the white membrane is not removed, it will hurt the stomach. Fry and press the oil to become croton cream. Use again.

This is consistent with Li Shizhen's theory that "don't take too much gansui, and the disease will stop", as well as the theory that Croton "is slow when cooked and strong", and "light use can also be used to soothe and moderate the disease."

Sanleng and Curcuma are used to promote qi and dissipate stagnation, break blood and eliminate accumulation, and are used as ministers.

Yuan Gui has a pungent, sweet and hot taste, which can unblock all the meridians, replenish the true fire of Mingmen, and enhance the power of bladder gasification.

The Mingmen True Fire is the most important driving force of life. When the Mingmen True Fire weakens, the bladder loses its energy and is unable to transpire water, so the water stops overflowing. Moreover, water and Qi have the same origin and synonyms, and they have the same origin in the human body. They are mutually reinforcing each other and cannot be completely separated.

Yuangui warms and replenishes life-fire, that is, it transforms qi and moves water. It is used in two pairs of strong medicines. It can not only enhance its ability to drain and relax qi, but also play a protective role in the body, so as to drive away evil spirits without harming the good. Purpose. "

　Why did I forget to update regularly?Sorry, sorry, it's a few minutes late, and the computer keeps crashing in the background.

　　
　
(End of this chapter)