I can hear the voice of Chinese medicine

Chapter 178 Two basic principles should be considered as the first priority when treating a disease, and rescuing Yang should be urgent at the critical moment of life and death.

Liu Shao himself often mentioned it in the live broadcast room.

He also told some anecdotes about seeing Lu Xuan for medical treatment. In particular, Lu Xuan would explain the medical theory and pharmacology to the patient in detail, which made many people in the live broadcast room doubtful.

Some people believe it, while others are full of doubts about Liu Shao's words.

After all, in the current social environment, many people doubt that there are really such kind doctors?
It doesn’t matter if you have a good attitude. Many doctors still have a good attitude.

There are doctors with bad attitudes, but they are not many. At most, they are like rat droppings and spoil the whole pot of porridge. Over time, the doctor-patient relationship becomes worse and worse because of these people.

But doctors like Dr. Lu, as Liu Shao said, are still quite rare.

Therefore, Li Chengyuan was curious, could Dr. Lu really explain it in such detail?

Just when Li Chengyuan was confused, Lu Xuan glanced at Liu Shao helplessly. He originally wanted to go back and talk to Ji Xiuwen alone, but now that Liu Shao wanted to know, he had no choice but to say:

"According to "The Synopsis of the Golden Chamber: Combined Treatment of Blood Paralysis, Deficiency and Pulse Syndrome", it says: "For patients with low back pain due to deficiency, tightness in the lower abdomen, and difficulty in urination, Shenqi Pills are the main treatment. "

The uncle's condition has developed to the late stage of chronic renal failure, and the syndrome is kidney yang deficiency, so Jinkui Shenqi Pills are used as the basis of the modified formula to warm and nourish kidney yang, transform qi and circulate water.

In the prescription, Rehmannia glutinosa is an important medicine for tonifying the kidneys and replenishing essence. It is combined with dogwood and yam, so-called "three yin supplements simultaneously." By igniting fire slightly, the yang in the kidneys can be replenished, yin and yang complement each other, and hardness and softness complement each other;
At the same time, Poria cocos and Alisma are used to dilute infiltration and dampness, and Peony bark is used to activate blood circulation, disperse blood stasis, and clear away fire in the kidneys.

The uncle has a pale tongue, loss of appetite, and edema in both lower limbs, so he uses the medicinal combination of astragalus and atractylodes to strengthen the spleen, nourish qi, diuresis and reduce swelling;
The herbs of tangerine peel and Gorgon root regulate qi stagnation, astringent and astringent, and nourish the kidneys; the herbs of Achyranthes bidentata and cicada are used to promote blood circulation and dispel wind, remove and unblock collaterals, and the cooked rhubarb relieves turbidity and detoxifies the viscera. The whole recipe works together to nourish the kidneys, strengthen the spleen, and strengthen the spleen. It has the effect of promoting blood circulation and diuresis, purging turbidity and detoxifying. "

Liu Shao quickly glanced at the prescription written by Lu Xuan in the medical record. After memorizing it quickly, he turned to look at Old Man Li: "Uncle, you heard me, Dr. Lu is amazing. Hearing his tone, I I know that your disease can definitely be cured, and it will even take effect in a month or two."

Although Old Man Li is a farmer and has not read many books, he still knows the truth. What Lu Xuan said really gave him great confidence.

If we are not sure about the treatment, who can explain the medical science and pharmacology in such detail?
The doctors he had contacted before could not do this.

Moreover, although Dr. Lu is a bit young, his medical skills are indeed not weak.

His son Li Chengyuan is a fan of Liu Shao. He actually saw Li Chengyuan watching Liu Shao's live broadcast. He still remembered that Liu Shao was not like this more than a year ago. He had no energy and looked sick. , it feels like half a foot has already stepped into the Palace of Hell, and only the last step is missing.

But looking at Liu Shao's current appearance, he looked like a man who had half stepped into the Palace of Hell. He had no doubt that Liu Shao was a normal person.

He saw the changes in Liu Shao's body, otherwise he, who was unwilling to receive treatment, would not have agreed to his son's resignation and come to Yongcheng.

It’s not that I’m afraid of death, death is better than poverty.

It was because of his son's words that made him want to live.

In addition, hearing that the cost of treatment was not high gave him a glimmer of hope.

Now, after listening to Lu Xuan's words, Old Man Li felt that maybe he really shouldn't die, just like Liu Shao said, he didn't deserve to die after meeting Dr. Lu.

The two of them were full of confidence, which made Lu Xuan dumbfounded: "Old Liu, I didn't even dare to say that it would be effective in a month or two. How dare you say that?"

Liu Shao smiled and said, "How dare you say that?"

"Dr. Lu, this is a truth I have learned from treating patients over the years. You can only listen to [-]% to [-]% of what the doctor says. Of course, I am not talking about quack doctors here. You can't stop even [-]% of what quack doctors say.

I'm talking about doctors like you who can't listen to all this kind of stuff. "

"What are you talking about?" Lu Xuan was really curious now, what else could this guy say.

Liu Shao said: "For a disease that is certain, no matter how sure the doctor is, he will not dare to say it for sure. After all, if you say that it can be cured in one or two months, it will have no effect in the last one or two months. After taking three It only took a few months to see results gradually. Isn’t that a loss of your own brand?

There is a saying that goes well: Leave a thin line in life so that we can meet each other easily in the future. Although it is not very appropriate to use this sentence as a metaphor, it is the same truth.

You said two to three months, I think one or two months at most will be enough. "

"It doesn't matter what you said."

"Of course, you are the expert in this area, so what you say must prevail." Liu Shao spared no effort to flatter Lu Xuan.

"By the way, Doctor Lu, besides the treatment method you mentioned, is there any faster way?" Liu Shao asked with a smile.

"Why are you asking this?"

Lu Xuan frowned.

Liu Shao rubbed his hands and said quickly: "It's nothing, I'm just curious, just curious. Doctor Lu, don't get me wrong. Even if there is a faster way, if you don't use it, you must have your reasons."

"Of course, it's okay if you don't have it. We're just purely curious."

"Yes, yes, but that method is not very suitable for use on uncle." Lu Xuan thought for a while and said.

Liu Shao's eyes widened: "Is it really true?"

He just asked casually, but he didn't expect it to happen.

Not only Liu Shao looked surprised, but even Ji Xiuwen looked at Lu Xuan in surprise. In this situation, is there a faster way to treat it?

real or fake?

"The quickest way is not necessarily the best." Lu Xuan said helplessly.

Liu Shao nodded repeatedly and said: "I know that different people and different situations require different treatment plans. Dr. Lu, I understand this. Not to mention Chinese medicine, even Western medicine sometimes treats the same disease differently. Case."

"As long as you know."

Lu Xuan was really worried that this guy was talking nonsense to the uncle about a faster way, but the uncle was reluctant to give up money. He thought that he would get better faster and spend less money, so he had to let him prescribe the fastest medicine. .

But as a doctor, he cannot be led by his patients.

What medicine to prescribe is decided by the doctor, not the patient.

Otherwise, if something goes wrong with eating, it will be hard to tell.

Liu Shao grinned: "Can you tell me?"

Ji Xiuwen also cast a curious look.

"Chronic renal insufficiency, in addition to the prescription I just prescribed, is the method of supporting Yang." Seeing that several people were a little curious, Lu Xuan had to quickly say: "Chronic renal insufficiency is caused by kidney disease and other reasons. Renal function deteriorates, causing a decrease in renal excretion, secretion and regulatory functions, water and electrolyte disorders, and azotemia.

Clinical manifestations are: mild fatigue, loss of appetite, dizziness, headache, reduced urine specific gravity and varying degrees of anemia.It is accompanied by symptoms in the digestive system, cardiovascular system, respiratory system, hematopoietic system, nervous system, electrolyte and acid-base balance, etc. "

"Of course, this is the understanding of Western medicine."

Lu Xuan paused and continued: "The traditional Chinese medicine understanding of the pathogenesis of chronic renal insufficiency is that chronic renal failure belongs to diseases such as "long closure", "guange", "edema" and "consumption" in traditional Chinese medicine."

Liu Shao and others nodded. Although Lu Xuan did not mention the others, they still remembered the word "Guan Ge" quite clearly.

"The location of this disease is in the spleen and kidney. Traditional Chinese medicine believes that the kidney is the foundation of innateness, and the spleen is the foundation of acquired nature. The yang qi of the spleen and stomach needs to rely on the yang qi of the kidneys to warm yang, and the yin of the spleen and stomach depends on the yin in the kidneys. Moisturizing; the spleen and stomach transform the essence of water and grains acquiredly, which can help the kidneys control water and mutually nourish hair.

Only when the kidney yang is strong, the warming qi is active, and the spleen and stomach can warm the yang and absorb it vigorously, the normal operation of the internal organs can be ensured. "

"but……"

Lu Xuan changed the topic and continued: "However, the causes of chronic renal insufficiency are complicated, and people who develop this disease often do not develop it in a short while, but usually last for a long time.

Traditional Chinese medicine often says that long-term illness leads to kidney qi deficiency, insufficient qi transformation, weak spleen and stomach qi, abnormal transportation and transformation, and further kidney yang deficiency.

The spleen and stomach lose their warmth, the qi is not transformed, and the middle yang is weak, resulting in spleen and kidney yang deficiency, and symptoms such as aversion to cold, cold limbs, soreness and pain in the waist, fatigue, and anorexia are seen.

Yin and cold gather together, attacking the spleen and stomach, causing loss of transportation and transformation, causing water to stagnate in the middle burner or overflow the skin.

Symptoms such as nausea, anorexia, inability to eat, difficulty urinating, and abdominal distension can be seen clinically. "

Speaking of this, Lu Xuan paused and looked at a few people: "I wonder if you have read the book The Theory of Circular Movement of Traditional Chinese Medicine."

His eyes moved away from Ji Xiuwen and fell on Liu Shao.

The one who cultivates literature for a long time is Chinese medicine.Even if you don't remember the contents of "Circular Movement Theory of Traditional Chinese Medicine", you have read some of it and must have an impression. As for Old Man Li and his son, they are probably not curious about this knowledge, so they will naturally not buy such medical books. Look, as for Liu Shao, who is more curious about Chinese medicine, there is still a possibility that he will go see it.

Seeing Lu Xuan looking at him, Liu Shao scratched the back of his head in embarrassment: "I bought it, but I didn't read it."

"Just read it when you have time. It doesn't matter if you don't fully understand the truth. It's better to remember something than not knowing anything at all."

"I'll definitely look back."

When Lu Xuan saw his situation, it was more likely that he would not look at it.

But he didn't say much. Liu Shao was not a doctor, and he didn't study this. It didn't matter whether he looked at it or not.

As for Ji Xiuwen, this guy has been studying the "Nei Jing" recently. If he is asked to study the "Circular Movement Theory of Traditional Chinese Medicine", he will not be able to do it at all.

Thinking of this, Lu Xuan continued: "The "Circular Movement Theory of Traditional Chinese Medicine" believes that the human body's qi, blood, and internal organs move in large and small circles as a whole, and the circulation is unprovoked.

The movement of the circle depends on the warming of wind and wood, and the warming of wind and wood must depend on the earth (spleen and stomach) and the yang heat (kidney yang) under the earth. This yang heat is actually the heat of metal descending, earth lying, and water storing.

However, if you lower the nobleness, it can rise. If you sink the nobleness, you can float it. If you hide the nobleness, you can rise.The noble energy of the middle energy can rotate.

"Su Wen Zhi Zhen Yao Da Lun" states: "Therefore, the transformation from the original is born from the origin, the transformation from the specimen is the transformation of the specimen, and the transformation from the middle is the transformation."

Mr. Li, a great doctor of Fuyang School, once said that caring for people should be the first priority in treating diseases, and saving Yang is the most urgent thing at the moment of life and death.

Therefore, in the treatment of chronic renal failure, supporting Yang is the first priority.

All in all, this disease is based on spleen and kidney yang deficiency, and is characterized by dampness, turbidity and blood stasis. The deficiency and excess of the yang compete with each other. The treatment should be based on supporting yang and taking into account both the symptoms and the symptoms, so as to achieve the ideal curative effect. "

"I seem to understand a little bit." Liu Shao suddenly raised his head and said.

"Oh, tell me." Lu Xuan gestured.

Liu Shao thought for a while and said: "According to what you said before, Dr. Lu, when it comes to the method of supporting yang, the treatment seems to be mainly based on nourishing kidney yang, but I don't quite understand the difference between them.

The same method is used to replenish kidney yang, so why can’t the method of Fuyang School be used in the uncle’s case? "

"Good question."

Lu Xuan patted his thigh and said: "Whether it is the prescription I just prescribed or the method of the Fuyang School, it is true that they are designed to support Yang, but there are differences, and the biggest difference lies in the medicine."

"What medicine?"

"aconite!"

Lu Xuan explained: "The prescription I prescribed for my uncle mainly warms and tonifies kidney yang, and the speed is relatively slow. If aconite is added, the effect of supporting yang will naturally be much better, but the speed is also fast. If you want to hasten, Otherwise, it is not enough, unless the uncle's condition is too serious and he has to focus on Fuyang.

Some patients are in more serious condition than the uncle, with edema all over the body. At that time, aconite must be used to save the patient first. As the great doctor Mr. Li said, saving the Yang is the most important thing at the moment of life and death.

What does it mean?
Explain that when rescuing people, you can put aside other considerations for the time being. People cannot be saved, and there is no need to think about what will happen if you use Aconite. "

"Do you understand the difference now?"

"understood."

Liu Shao nodded and grinned: "Speaking of great doctors, Dr. Lu is as great a doctor as Mr. Li in my heart."

"I can't compare with Mr. Li."

Lu Xuan laughed at himself: "Mr. Li and I, it's just that the stars don't dare to compete with the sun and the moon. Mr. Li's status in the world of Chinese medicine is like Mount Tai, the first of the five mountains, and is highly respected. It can be said that he is the leader of the ancient Chinese medicine school in our country. The founder, he used pure Chinese medicine principles and methods to treat emergencies, and applied heavy doses, which often yielded miraculous results and saved thousands of critically ill patients. He was even called "Modern Zhang Zhongjing".

With 50 years of clinical front-line practice, he has created more than 20 traditional Chinese medicine prescriptions. In particular, the prescription "Pege Jiuxin Decoction" has made Mr. Li famous as Aconite. It is unknown how many lives have been saved. The famous traditional Chinese medicine master Deng Lao Geng praised him highly as "the backbone of Chinese medicine". "

"Mr. Li has been treating patients all his life. He has saved more people than anyone who knows me. He has spent countless times out of his own pocket to treat patients. This was especially true when he was the director. How long have I been sitting in the clinic? Time? How many people were saved?"

"and……"

Lu Xuan took a breath and continued: "Mr. Li's greatness lies not only in how many people he has saved, but also in his prescriptions, which tell us Chinese medicine practitioners that Chinese medicine has unlimited possibilities.

If you are really interested in traditional Chinese medicine, you might as well look for Mr. Li's works, but just read it and don't learn from it. The title of Mr. Li and Aconite is not for nothing. "

(End of this chapter)