I can hear the voice of Chinese medicine

Chapter 221 Lu Xuan’s fanboy, Dean Zhang
Anjiang County is very small, and it only takes about ten minutes to drive from Lu's Clinic to the county hospital.

When getting off the car, Lu Xuan thanked the driver and hurried towards the nephrology department of the county hospital.

Chronic renal failure is a disease that can be said to be serious or not serious.

However, what he captured from Zhang Guangli's words was that the patient's condition was already serious. In this case, delaying for one more minute would be in danger.

What Lu Xuan can do is to arrive as early as possible, even if it's just 1 minute, it's a good thing.

In medical matters, sometimes even if you arrive just one minute earlier, the result may be different.

A life that might have been lost may have been saved because of this one minute of early arrival.

When he came to the discussion room that he had agreed with Zhang Guangli, the door of the discussion room was closed. Lu Xuan stepped forward and knocked on the door. A voice soon came from inside: "Who is it?"

It wasn't Zhang Guangli, it should be another doctor from the county hospital.

The moment the sound came out, it didn't take long for the closed door to be opened.

Lu Xuming opened the door, looked at the young man standing at the door, and frowned: "Hello, who are you looking for?"

"Is Dean Zhang Guangli here?" Lu Xuan asked.

Hearing that it was Zhang Guangli, Lu Xuming was stunned for a moment, but soon he thought of something again, and looked at Lu Xuan with a look of surprise in his eyes: "Are you Dr. Lu Xuanlu?"

"Ah."

Lu Xuan nodded and responded, "Who are you?"

Lu Xuming quickly held Lu Xuan's hand, introduced himself with a smile: "My name is Lu Xuming, director of the Nephrology Department of the County Hospital, and this is President Zhang Guangli."

"Director Lu, Dean Zhang."

Lu Xuan greeted the two of them, and then went straight to the topic: "How is the patient's condition now?"

Looking at Lu Xuan's unimaginably young face, Zhang Guangli was stunned for a moment. Although he knew from his voice that Lu Xuan was not very old, probably only in his 20s, when he really saw Lu Xuan At that time, I was still shocked.

But at this time, he knew that he was not surprised at Lu Xuan's age. When faced with Lu Xuan's questioning, he turned to look at Lu Xuming: "Director Lu, you know something about the patient's condition, please tell me."

Lu Xuming nodded and said in a deep voice: "Patient Li Dali, male, 65 years old. He went to the hospital because of "whole-body edema has been recurring for 1 year and worsened for 1 week." Symptoms: general edema, tiredness, fatigue, loss of appetite, chills and cold limbs. , low back pain, abdominal distension and oliguria. "

Hearing this, Lu Xuan's expression changed. His whole body was swollen, which proved that the patient's kidney function was almost gone. In this case, it was hard to say how long the patient could live.

Coupled with the chain reactions that renal failure may cause, the patient's life is always in danger.

Even when news of the patient's death came the next moment, Lu Xuan was not surprised.

The most critical thing is that the patient's whole body has been swollen repeatedly for nearly a year. During this year, there have been too many accidents.

Lu Xuan's heart sank as he hadn't come into contact with the patient yet.

This patient named Li Dali is in very bad condition.

Even he didn't dare to say that he was sure that he could bring the other party back from hell.

However, Lu Xuan did not panic because the patient's condition was in danger, but continued to listen to Lu Xuming talk about the patient's other conditions.

Only after a thorough understanding of the patient's physical condition can we better intervene in treatment.

The examination indicators of Western medicine can also play a supporting role in the syndrome differentiation and treatment of traditional Chinese medicine.

This is similar to taking pulse and tongue diagnosis.

The difference is that Western medicine generally does not know how to check the pulse and tongue coating, while Chinese medicine basically understands some of the examination indicators of Western medicine.

Lu Xuming continued to talk about the patient Li Dali's condition: "Signs: blood pressure: 120/80mmHg, 24-hour urine protein quantification 4.2g, abdominal distension, obvious ascites, and lower limb edema.

A hospital outside the hospital diagnosed her with nephritis and renal failure.In other cases, Dean Zhang has also seen the patient and can ask him to talk to you, Dr. Lu. "

"The tongue is light and fat, the coating is white and greasy, and the pulse is heavy and thready." Director Zhang Guangli of the County Hospital of Traditional Chinese Medicine immediately added.

"I can be regarded as specializing in kidneys, but Anjiang County Traditional Chinese Medicine Hospital has never treated patients with chronic renal failure. I have no experience in this area. In addition, the patient Li Dali's condition is quite serious. I am not sure. For treatment, I found Mr. Huang Beishan, who had experience in this field and was half my teacher, and then I found you, Dr. Lu, through Mr. Huang Beishan’s introduction.”

"Dr. Lu, our county hospital has no good solution for the patient's current situation. Now it depends on whether you have any good plan. If not, we can only ask the patient to transfer to the province, and we will give him a good plan." He contacted the First or Second Provincial Hospital." Lu Xuming also said whatever he had to say.

He definitely couldn't save the patient Li Dali's condition. Now his only hope was on Lu Xuan.

But since Lu Xuan was so young, he was somewhat doubtful.

So I said it directly.

And what he said is true. If it doesn't work, it can only be sent to the province.

Forget it in the city, the city's hospitals may not be able to treat such a serious patient in a year. Speaking of experience, it is not much better than that in Anjiang County.

There is no way, good medical resources are concentrated in the provincial capital.

Not just medical resources, but other aspects as well.

After hearing this, Lu Xuan thought for a while and said, "I want to see the patient first before talking."

Lu Xuan probably had some thoughts about the situation introduced by Lu Xuming and Zhang Guangli, but this was just the judgment of the two of them and had nothing to do with him. Lu Xuan still hoped to see the patient's condition with his own eyes before deciding how to formulate a treatment plan. .

Faced with Lu Xuan's request, Lu Xuming naturally agreed. The four of them came to the intensive care unit. Lu Xuan checked the patient's pulse and tongue coating, and after observing the patient's condition for a while, he left the intensive care unit.

"Doctor Lu, how is the situation?"

Outside, Zhang Guangli, who had been silent, asked eagerly.Although he didn't think Lu Xuan really had any insights, he thought that the person Huang Beishan admired so much must be somewhat capable. Not to say he was better than Huang Beishan, but he shouldn't be too bad. He was definitely much better than his peers. .

Moreover, now all hopes are placed on Lu Xuan.

Zhang Guangli could only hope from the bottom of his heart that Lu Xuan could really have a corresponding treatment plan for Li Dali's illness as Huang Beishan said.

Others also cast glances at Lu Xuan.

Lu Xuan thought for a while and said: "Chronic renal failure has no corresponding disease name in traditional Chinese medicine. According to its clinical evolution, it belongs to the traditional Chinese medicine categories of "drowning poison", "guange", "long closure", "kidney wind", "edema", Categories such as "consumption fatigue" and "kidney fatigue".

There are two main views on the understanding of chronic renal failure in modern Chinese medicine.Some people believe that chronic renal failure belongs to multiple diseases in traditional Chinese medicine.For example, chronic renal failure is classified into "Guange", "edema", "shuangshu", "consumption", "drowning", "kidney wind", "water-gas disease", "uremia", etc. in traditional Chinese medicine. There are also some people who advocate the use of a Chinese medicine disease name to summarize chronic renal failure. For example, they believe that chronic renal failure should be named "deficiency renal failure". Some people think that chronic renal failure belongs to the category of "kidney fatigue" in traditional Chinese medicine.

Looking at the national standard "Clinical Diagnosis and Treatment Terminology of Traditional Chinese Medicine" compiled in the past few years, the traditional Chinese medicine name of chronic renal failure in modern medicine is chronic renal failure.

However, after looking at the patient’s condition, and based on the test results, I can conclude that the patient has edema caused by spleen and kidney yang deficiency. "

"Spleen and kidney yang deficiency..."

Zhang Guangli kept chanting these four words.

He basically knew everything Lu Xuan said before. Even if he didn't know the details that Lu Xuan said, it was generally not much different. It's just that his memory wasn't enough for him to remember it as clearly as Lu Xuan did. .

The edema caused by spleen and kidney yang deficiency mentioned by Lu Xuan suddenly hit the point.

What traditional Chinese medicine pays attention to in treating diseases is syndrome differentiation. Only when the syndrome differentiation is clear can it be easier to prescribe and treat the disease.

If the syndrome differentiation is correct, the overall prescription will not be too different.

It can be said that the most important thing in treating diseases with traditional Chinese medicine is syndrome differentiation.

If the syndrome differentiation is inaccurate, the prescribed medicine will naturally have no effect.

"So spleen and kidney yang deficiency is the key to his edema?" After thinking about it, Zhang Guangli had to ask his doubts.

Although Lu Xuan said that the patient had spleen and kidney yang deficiency, Zhang Guangli had no idea and did not know whether Lu Xuan's dialectic was correct or not. He had to use this method to determine whether Lu Xuan's medical skills were as good as what Huang Beishan said. So powerful.

After he asked these words, there was a look of expectation on his face.

From the chat he had just had with Lu Xuan, he learned that Lu Xuan was from Anjiang County. If Lu Xuan was really as powerful as Huang Beishan said, then Anjiang would be considered a top master of traditional Chinese medicine.

This is definitely a happy thing for the Anjiang traditional Chinese medicine community.

Faced with Zhang Guangli's inquiry and probing, Lu Xuan did not criticize, but thought for a while and said: "As for the causes of chronic renal failure, I think it can generally be divided into three aspects. The first is the invasion of external evils. From the outside to the inside, the condition recurs and worsens;
Secondly, it is due to mental trauma or excessive thinking, disordered living habits, and abnormal daily life;

The third factor is the deficiency of the lungs, spleen and kidneys, which is triggered by external evils, overwork, or improper treatment, which further causes the internal organs, yin and yang, qi and blood to become imbalanced, and wind, cold, damp-heat, blood stasis, poison and other real evils breed.

"Su Wen·Li Tong Lun" says "exertion leads to Qi depletion"; "Su Wen·Qi Tongtian Lun" also says "therefore strong force will damage the kidney qi."; "Spleen and Stomach Treatise", a medical book, also mentions "physical form" Labor causes spleen disease”;
I wonder if Dean Zhang has heard of Mr. Zheng? "

"That Mr. Zheng?" Zhang Guangli's eyes moved.

Seeing that Zhang Guangli had heard about it, Lu Xuan nodded slightly and said: "Mr. Zheng divided the causes of chronic renal insufficiency into primary causes, standard causes and inducements. The primary cause is the deficiency of the spleen and kidneys, and the standard cause is that the kidney disease lasts for a long time, causing the loss of clear secretion and turbidity. The function of the qi causes dampness and turbidity to be stored in the body, spreading throughout the triple burner, affecting other organs, and causing the disease.

Mr. He Lianchen called this kind of dampness and turbidity "drowning poison enters the blood, and blood poison enters the brain."

The triggers are sudden exposure to external evils, lack of lung qi, failure to regulate the body, unfavorable water channels in the triple burner, retention of dampness and turbidity, combined with original spleen and kidney deficiency. After sudden exposure to external evils, the spleen and kidneys are even more damaged; or improper eating or excessive eating. Fatigue damages the spleen and stomach, aggravating spleen and kidney deficiency.

Among them, whether it is ancient medical books or Mr. Zheng and Mr. He Lianchen, they all mention one thing, that is, spleen and kidney deficiency.It can be seen that chronic renal failure is closely related to spleen and kidney deficiency. It can even be said that it causes edema and a series of symptoms throughout the patient's body.

Looking at their medical books and some related remarks, most doctors believe that this disease is mainly caused by abnormal ascending and descending functions of the organs, and the result of the indiscriminate reversal of clear and turbidity. It is a syndrome of deficiency in origin and excess in excess. The disease is mainly located in the spleen and kidneys.

Deficiency of righteousness and excess of evil are present throughout, and the pathogenesis is based on deficiency of the spleen and kidneys, and retention of dampness and turbidity is the standard.There are four major pathological mechanisms: "deficiency, excess, blood stasis, and poison". Deficiency is the basic pathogenesis of this disease, and it is centered on kidney deficiency and affects the heart, liver, spleen, and lungs over time.

Deficiency of kidney yang in this disease is characterized by soreness and pain in the waist, aversion to cold and cold limbs, and a deep and thready pulse.Traditional Chinese medicine believes that "long-term disease enters the kidneys" and "long-term disease will lead to deficiency." Kidney disease is mostly caused by insufficient innate endowment, poor emotions, and improper diet, resulting in insufficient spleen and kidneys, and yang deficiency.

The disease is caused by deficiency of the spleen and kidney, and water and dampness is retained in the middle burner.In short, it is a syndrome of deficiency in origin and excess in excess. The treatment principle is to warm yang and diuresis, that is, to warm the spleen and bones, diuresis and reduce swelling. "

Zhang Guangli secretly exclaimed in his heart. He originally wanted to use this method of questioning to test whether Lu Xuan was as capable and powerful as Huang Beishan said, but he did not expect that he would get such a result.

These things cannot be memorized just by rote memorization.

Moreover, the matter was urgent, and it only took more than ten minutes for Lu Xuan to rush over from the time he answered the phone. He didn't have time to read the content at all, but he was able to explain things related to kidneys very thoroughly.

From childhood to adulthood, from shallow to deep, this was not explaining to him at all, but a top Chinese medicine master, Xinglin Sage, explaining the true meaning of Chinese medicine to his students.

Just now, Zhang Guangli was not sure whether Lu Xuan was ready for the diagnosis.

But now, his remaining doubts had completely disappeared without a trace, leaving no trace at all.

The young man in front of him, who is only in his 20s, is really capable.

Huang Beishan said that his medical skills were not as good as Lu Xuan's. Before, Zhang Guangli thought he might be joking, but now, Zhang Guangli had a feeling.

What Huang Beishan said may be true.

At this moment, Zhang Guangli was truly amazed.

Regardless of his status as the head of the hospital, he showed an expression like a student and humbly asked for advice: "Doctor Lu, what you mentioned is warming the spleen and bones, diluting water and reducing swelling. This is the treatment method. If you are prescribing medicine, you need to use it. Which medicines?”

"The prescription is to use Wuling Powder plus Jin to treat the increase and decrease of kidney qi."

Lu Xuan smiled slightly and said: "Porus 1, Poria, Alisma, Atractylodes, Guixiao, Rehmannia glutinosa, Aconite, Dogwood, Mudan Bark, Yam. 7 doses. Decoction in water. If the patient's urine output increases, lower limbs The edema is reduced and the urinary protein is reduced. Just add or subtract from the original prescription and continue taking it.”

(End of this chapter)