I can hear the voice of Chinese medicine

Chapter 229 There are more and more people with heart problems now.
Astragalus Jianzhong Decoction?
Bupleurum and dragon bone oyster soup?

Mu Fangji soup?

Poria, almond and licorice soup?
Addition or subtraction?

Hearing this, the middle-aged man's face looked a little strange. There were really too many additions and subtractions to this prescription.

Having suffered from rheumatic heart disease for so many years, he has seen a lot of Chinese and Western medicine, and he knows some general Chinese and Western medicines.

He had heard of Huangqi Jianzhong Decoction, but less of the others, especially the last two recipes, which were the first time he had heard of them.

But it was the first time I saw someone like Lu Xuan, who used four prescriptions to add and subtract him at once, and I was a little surprised for a while.

"Doctor Lu, is my problem serious?" the middle-aged man said with a frown.

"I don't doubt what you mean. It's just that I have taken a lot of medicine before, but this is the first time I have seen so many additions and subtractions of prescriptions."

As if worried that Lu Xuan was overthinking, the middle-aged man explained again.

Lu Xuan smiled slightly, but he didn't care about the man's words, but explained: "After all, it's been a problem for more than ten years. You won't believe me if I say it's not serious."

The middle-aged man smiled mischievously.

Lu Xuan added: "Astragalus Jianzhong Decoction is sweet and warm to support the spleen. It can treat all signs of deficiency caused by five types of labor and seven injuries. If the chest is full and short of breath, add ginger. If the lung qi is insufficient, add pinellia.

Bupleurum plus dragon bone and oyster decoction can treat chest fullness, irritability, difficulty in urination, body pain, and inability to turn sideways. Dragon bone and oyster are added to calm the spirit, calm palpitations, and cinnamon twigs are added to promote yang energy and eliminate complex evils in the body.

The combined prescription of Astragalus Jianzhong and Bupleurum Longmuer Decoction can not only replenish deficiencies in the internal organs, but also be compatible with external evils in the meridians. It can treat rheumatoid arthritis and rheumatic heart disease from both the inside and outside. , the role of taking into account both qi and blood. "

The middle-aged man understood this. After all, when Lu Xuan mentioned his symptoms just now, he mentioned superficial symptoms and internal symptoms. According to this, it is indeed necessary to use these two prescriptions together.

Even if Lu Xuan explained the pharmacological and medical principles, he might not be able to understand them.

But after all, he had read some books, and if Lu Xuan explained some things, he could still understand them, but compared to Lu Xuan and Ji Xiuwen beside him, his understanding was only superficial.

However, even so, the middle-aged man was sitting upright with an extremely serious look on his face.

He has seen more than one Chinese medicine doctor, but he has never seen a Chinese medicine doctor like Lu Xuan who can explain it clearly to him.

I may not understand it after hearing it, but my confidence is much greater.

Lu Xuan was not surprised when he saw this.

Man himself is a very strange creature. He obviously cannot understand something, but if you speak it, it can have an excellent effect.

Many traditional Chinese medicine practitioners do not understand these principles. Therefore, when treating patients, in addition to some necessary instructions, they just prescribe some medicine for the patient to take back, but do not explain clearly to the patient the process of prescribing medicine based on syndrome differentiation, leaving the patient in vain. There is less trust.

The importance of patient trust to Chinese medicine is self-evident.

Trust often gets twice the result with half the effort.

Without trust, it is not impossible to achieve twice the result with half the effort.

Therefore, as long as there are conditions and time, and the patient wants to know, Lu Xuan will almost always explain the situation clearly.

Of course, it’s not that some Chinese medicine practitioners don’t want to say it, but they are only half-full and their memory is not very good. They can prescribe medicine, but if the truth behind it needs to be explained clearly to patients in Chinese medicine terms, not everyone can get through it. Do it easily.

Even at the Liannan Traditional Chinese Medicine Association, except for Huang Beishan and Zhang Jingcai, no one else could do it.

Even in this regard, Huang Beishan and the others were far behind Lu Xuan.

It is precisely because Lu Xuan knows this knowledge very clearly that he can treat people with ease.

In addition, with the help of voice, it is easy to prescribe prescriptions and treat diseases based on syndrome differentiation.

But it was hard for Lu Xuan to say these words, so he smiled at the middle-aged man and continued: "Mu Fangji Decoction is used to treat diaphragmatic drinking, fullness of breath, heartache, and dark complexion.

This square wood prevents Ji from entering the lung meridian. The lungs govern qi, and the qi turns into water on its own.
.Guizhi enters the bladder meridian, the bladder controls water, and water circulates and qi is transformed.

The two medicines are mutually beneficial, and the water moves to combine and disperse, so that the stubbornness in the heart can be eliminated.

Ginseng nourishes stomach yin, gypsum calms deficiencies and inverse conditions, restores yin and inverse conditions, and relieves asthma and fullness.

Under normal circumstances, if you encounter compensatory heart disease, you can often use this prescription to treat it. If you want to add or subtract it, it can be decided according to some symptoms of the patient.

As for why Poria, Almond and Licorice Decoction is added later, this prescription is effective for heart valve disease, so it is used in conjunction with Mu Fangji Decoction. "

The following words were not only meant for the patient, but most importantly for Ji Xiuwen.

Patients want to understand, but they don’t need to understand it in such detail.

Even if the patient knows how to use this prescription, it will be useless.

Ji Xiuwen, on the other hand, although his main focus is on digestion, it would be beneficial to know some of this knowledge.

Traditional Chinese medicine itself is a discipline that needs to consider the whole body. Digestive diseases are not only related to the digestive system, but also have great connections with the liver or heart, or other places.

Some diseases are even related to the whole body of the patient.

At this time, we can’t just consider the digestive system. The medicine we prescribe must be related to the whole body. Otherwise, if we just treat the digestive system, it will be no different from treating headaches and feet with Western medicine.

This is exactly why Chinese medicine is amazing.

"After practicing Chinese medicine for so many years, you are the first doctor who can explain syndrome differentiation and prescription in such detail."

The middle-aged man couldn't help but give a thumbs up and praised: "When I heard someone mention you yesterday, I was still thinking about a young man in his 20s. What can he know? Does he understand Chinese medicine? I think for my yesterday's I apologize for my ignorance. No wonder you have only been in the clinic for a day or two and so many people say you are a miracle doctor. Not to mention other things, your understanding and knowledge of Chinese medicine are not comparable to those of ordinary Chinese medicine doctors. "

Lu Xuan smiled slightly: "If you make it clearer, patients will have more trust in doctors, and it will be more effective in treating patients' symptoms.

Although explaining these will take some time, this is not an opportunity for everyone to understand traditional Chinese medicine.

The patient wanted to hear it, so I naturally said everything I could say. Besides, after I said it, not only did you listen, but my assistant also recorded it. For him, it was also a learning process.

If you are interested in traditional Chinese medicine, you can usually learn a little by yourself. Not only can you see some major problems, but at least you can still see some minor problems by yourself.

However, don’t use medicines indiscriminately. Medicines are three-part poison, and some medicines should not be used indiscriminately. "

"I've learned a lesson." The middle-aged man cupped his hand, then got the prescription from Ji Xiuwen, got up and prepared to pay the medical expenses.

"I told you that today's free clinic will be free of charge," Lu Xuan said.

The middle-aged man said: "The medical expenses are not much, only a dozen yuan. You still have to pay what you should pay. Your charges are not expensive, so we can't afford even the medical expenses. Although it is a free clinic, It is indeed good for patients and can save a lot of money, but doctors are also human beings and have to eat, so it is impossible to say that they will not charge a penny.

The money is not much, so don’t refuse. "After the middle-aged man finished speaking, he paid the money and left in a hurry before Lu Xuan got up. Lu Xuan looked helpless for a while.

But at the same time, I also think that if every patient was like the other, the doctor-patient relationship might become better.

Doctors understand patients’ difficulties, and patients understand doctors’ difficulties.

understand each other.

After the middle-aged man left, the young woman in line behind him came forward and smiled at Lu Xuan: "Hello, Dr. Lu!"

"Hello!" Lu Xuan nodded towards her.

"What's wrong with you?" Lu Xuan asked.

The woman said: "Chest tightness and tachycardia."

Hearing this, Lu Xuan couldn't help but raise his head that had just been lowered. He was surprised and couldn't help but frown at the same time.

Another patient with a heart problem.

Rapid heartbeat.

Rheumatic heart disease.

Are there so many people with heart problems now?
Although the previous middle-aged man was older than Lu Xuan, he was still less than forty. He had a heart problem, and it was more than ten years old, which meant that the other man also had a heart problem in his 20s.

The woman in front of her was only in her 20s, and she also had heart problems.

Cardiovascular and cerebrovascular diseases used to occur most frequently in middle-aged and elderly people.

But now, they are getting younger and younger.

That in itself is very abnormal.

But when I think about it carefully, I feel that this situation is understandable.

Why?

He smokes and drinks for a long time.

Cardiovascular disease has a wide impact, and it will also prevent the nutrients needed by the heart from being provided in a timely manner. After peripheral vascular disease of the heart, many people have obvious symptoms of chest tightness and difficulty breathing. The reason why this disease is becoming younger is related to long-term smoking and drinking. .

To maintain good health, the most important thing is to quit smoking and drinking. If you consume large amounts of tobacco and alcohol for a long time, harmful substances will not be excreted out of the body after being provided. They will continue to accumulate and affect the function of the organs. In addition to the lungs and liver, the damage will also accelerate. Diseases of blood vessels. After the blood vessels are damaged, the blood supply to the heart is blocked, and serious diseases will invade.

Although some people do not smoke, they consume a lot of second-hand smoke.

And secondhand smoke is more harmful than smoking.

Of course, cardiovascular and cerebrovascular diseases are affecting younger and younger people, which is not only related to tobacco and alcohol, but also to improper diet.

Whether the diet is reasonable determines the health of the body. Eating high calories for a long time, not knowing the taboos, and ingesting a large amount of foods that are not good for improving blood vessel function will accelerate vascular disease.

The more familiar high-salt foods, high-sugar foods, and high-fat foods all have hidden dangers in this regard.

If the disease enters through the mouth, cardiovascular disease will invade more quickly.

There is a saying that goes well. There are more and more diseases nowadays, and they are inseparable from food.

Of course, in addition to eating, there is another very important point, which is lack of exercise.

Nowadays, many young people are overly addicted to electronic products and have less and less time to go out for activities. Unlike before, they did not have the fun of these advanced devices in their lives, and they spent more time outdoors and making friends.

Moreover, since computers, mobile phones or other electronic products have become more and more advanced, many people are addicted to them. They basically always stay at home and play with these electronic products. They have less time to go out for activities and lack of exercise. The common results are decreased resistance and cyclic metabolism. It is slow and prone to obesity, and the combination of these factors also makes it easy for cardiovascular disease to invade.

The exercise mentioned here is not high-intensity exercise. Walking can be regarded as a kind of exercise. And as far as traditional Chinese medicine is concerned, it mostly advocates low-intensity exercise methods.

While thinking of this, Lu Xuan felt his pulse and listened to the woman's confession.

Chest tightness, impatientness, upset, palpitation, especially after taking a nap, headache on both sides, memory loss, long-standing, sometimes light and sometimes heavy, uneven pulse size.

Lu Xuan signaled Ji Xiuwen to record the woman's condition, while also talking about the prescription:

White peony root, licorice root, bupleurum, skullcap, ginger pinellia, dragon bone, oyster, Ophiopogon japonicus, rehmannia root, hemp seed, jujube, cinnamon twig, donkey hide gelatin (foreignized blend), dangshen, ginger

After Ji Xiuwen wrote down the prescription, Lu Xuan arrived: "The patient has chest tightness, palpitations, and headaches on both sides, which have not healed for a long time, and the pulse is uneven. Western medicine diagnosed him as tachycardia.

Press the place in the chest where Zong Qi gathers. If Zong Qi is insufficient or blocked, chest tightness syndrome will occur.

The heart governs the blood vessels, and if there is an imbalance between the heart blood and Zong Qi, symptoms such as irregular pulse, palpitation, impatientness, and upset often occur.

Both sides of the head belong to the Shaoyang meridian, and headaches on both sides are caused by blockage of the Shaoyang meridian.

The prescription is a combination of Shaoyao Licorice Decoction, Bupleurum plus Dragon Bone Oyster Decoction, and Zhigancao Decoction.

Shaogan Decoction is mainly used to treat Yingxue injuries and limb spasm and syncope;
Bupleurum Longmu Decoction is mainly used to treat chest fullness, irritability and irritability, and the mind is not in control;
Zhigancao Decoction is mainly used to treat pulse knots and palpitations.

The three prescriptions are used together to treat chest tightness, palpitations, lateral brain pain, and tachycardia. "

Ji Xiuwen nodded repeatedly after hearing this. Although the woman looked surprised, she didn't say anything. Instead, after getting the prescription, she asked: "Doctor Lu, can this be made into pills? I Although I live in Anjiang, I often have to travel for business. I am out and about almost every now and then, and I have no time to cook medicine.

Even if you cook the medicine at home in advance, if you go out for three or four days, the medicine will go bad. "

"That's a problem."

Lu Xuan groaned and said: "If it can be made into pills, you might want to ask Hui'an Pharmacy. If they provide this kind of service, that's fine. If not, you may have to find a place to solve it yourself, or If that doesn't work, you can do it at home, and making pills is not a troublesome thing.

If small pills are inconvenient, you can make large honey pills. One or two pills a day is more convenient than small pills. "

"Can you do this at home?" The woman looked surprised, obviously a little unexpected. She always thought that this kind of thing must be done by professionals, but she didn't expect Lu Xuan to say that she could do it at home.

"of course can."

Lu Xuan explained: "Refining pills is not difficult in the first place. Do you have a baking oven and powder grinding machine at home?"

"There's an oven and a food processor."

"That's alright, the most important thing is these two."

(End of this chapter)