I can hear the voice of Chinese medicine

Chapter 230 Did the doctor change his mind or did the patient change his mind?

The woman hesitated.

"This one……"

"Dr. Lu, you know how to do it, so it naturally seems simple to me. I have never done any of these things. Even if you say you do it, it won't be that simple when I do it."

When the woman said this, she glanced behind her. Apart from her, there was no one else in line. The few people behind her turned around when they heard that it would be more cost-effective to go to Hui'an Pharmacy tomorrow and they could save 200 yuan. left.

Seeing this, the woman thought for a while and said, "Dr. Lu, you see there are no people queuing up today. If you are free, can you tell me in detail, so that I don't have to go back and make a mistake and the medicine will not be effective."

As she spoke, she had already taken out her phone, obviously preparing to record.

When it came to making honey pills, let alone women, even Ji Xiuwen couldn't help but touch Lu Xuan with his hand and gave Lu Xuan a few looks.

Seeing this, Lu Xuan did not refuse.

Although this will waste a lot of time, there are no patients to see later, so it doesn't matter if you waste some time.

Thinking of this, Lu Xuan nodded, and then said: "Okay, let me talk about it."

The woman's face lit up with joy and she quickly turned on the recording on her phone.

Ji Xiuwen on the side was not idle either. While taking out his mobile phone, he also used pen and paper to prepare to write down some key points.

"Honey pills are the most commonly used dosage form in traditional Chinese medicine. In addition to powders, the most important thing about current Chinese patent medicines is to make them into honey pills. The effect may not be as good as that of freshly fried traditional Chinese medicine, but it is more convenient. Not only is it easy to carry, but its shelf life is not comparable to that of freshly fried Chinese medicine.”

Hearing this, the woman nodded. She also proposed this idea after hearing that Chinese medicine could be made into honey pills.

"It doesn't matter if the effect is not good. The worst thing is that you can take it for a longer period of time. The most important thing is convenience."

"Convenience is convenience, but if you take it again and it doesn't work or the effect is not very good, don't take it. Taking medicine that has no effect is not only bad, but it will put a burden on the body. You have to pay attention to this matter. Okay." Lu Xuan ordered.

The woman said: "I remember. If it doesn't work, I will stop the medicine immediately. I just don't know how to contact you then."

"It's nothing. I'll ask him to pull you into the patient group later. If you have any questions, you can tell me directly in the group." Lu Xuan said, pointing to Ji Xiuwen who was sitting next to him.

The woman's face lit up with joy and she nodded repeatedly.

Lu Xuan continued: "In fact, there are related records in ancient medical books about traditional Chinese medicine honey pills. "Health Prescriptions" contains records of honey and jujube paste as pills: "Fei Lian, Fang Kui, Shi Wei... and use Mi Ruo. Zaozhi pills are as big as sheep arrows. "This is the first record of seeing honey pills in the history of Chinese medicine.

Not only the "Health Prescription", but also the "Treatise on Febrile Diseases", which is very famous in Chinese medicine, also records 5 cases of pills, 3 cases are Miwan, Lizhong Pill, Wumei Pill and Maziren Pill.

As for the "Synopsis of the Golden Chamber", there are more pills. Of course, although the honey mentioned in it is honey, the honey that can be used to make honey pills also needs to be refined. For example, in the prescription of Shenqi Pills, "Make the powder of the right eight flavors, refine it." Mihe Wanwuzi is big." "

"Why do you have to use honey to make pills? Can't anything else be used?"

The woman thought for a while and asked: "For example, maltose and the like, after boiling these can also be used to make pills."

Lu Xuan smiled slightly and explained: "The reason why honey is used to make pills is because refined honey has the effect of alleviating medicinal properties and is mostly used for chronic diseases.

At the same time, honey pills can prevent the easily oxidized components of traditional Chinese medicine from denaturing, and the refined honey has strong adhesion. After being mixed with medicinal powder, the pills are not easy to harden and have greater plasticity. The resulting pills are smooth, moist, slow to disintegrate, and have long-lasting potency. "

"Oh!" The woman suddenly realized.

Indeed, she didn't know if maltose or the like was used as a binding agent to soften the properties of the medicine. Refined pills would harden easily and had little plasticity. Maybe the maltose had just been mixed with the medicine powder, and the maltose would have It's hardened and there's no way to make pills.

"As for making honey pills..."

Lu Xuan continued: "In fact, it is not as complicated as you think. The method of making honey pills is mainly divided into several steps: formula powdering, honey refining, medicine mixing, pill making, and packaging.

Of course, there are no personal requirements for packaging, as long as it is clean enough. "

The woman nodded and wrote it down.

Lu Xuan added: "Now let's talk about the formula and powdering. This step is very easy. After baking the medicine according to the formula over a low fire or drying it in the sun, use a powder machine to beat it into fine powder, and put it into a sterilized basin before making pills. spare.

After beating into fine powder, the next step is to mix the honey. The honey is mixed with the weight of the medicinal powder in a ratio of 1:1.2 to 1.5. For example, for 1000g of medicinal powder, mix 1200~1500g of honey. If the medicinal material contains sugar, If there is a lot of gum or starch, it can be equipped in a ratio of 1:1-1.2.

The third step is to refine honey, which is to refine honey. The purpose of honey refining is to remove impurities, destroy enzymes, kill bacteria, evaporate water, and enhance viscosity.

This step is very important. You cannot use honey directly, you must use refined honey. Only in this way can you ensure the quality of the honey pills. It will not easily produce bacteria and destroy the efficacy of the honey pills, and the storage time will be relatively long.

When refining honey, boil it over a strong fire first, then change to a slow fire. At the same time, put a bowl of cold water next to it, and pay attention to the color of the honey. When you find that the honey is yellowish, use a bamboo chopstick to dip a drop in the honey. Then move the bamboo chopsticks over the bowl of cold water and let the honey drip into the water. If the honey does not spread out in the water but sinks to the bottom, which is what we often say "drops form beads", the honey is considered ready. "

It can be said that Lu Xuan explained the steps of refining honey in great detail, fearing that if he did not explain it thoroughly enough, the woman would not know how to make honey pills.

Moreover, the step of refining honey is indeed more important. If the honey refining is not done well, it will directly affect the efficacy of the medicinal materials.

Both Ji Xiuwen and the woman listened carefully to this step.

Not only these two people, but also Li Feng and Lu Xuan's cousins ​​almost pricked up their ears and listened attentively, for fear of missing even a little bit of content.

Lu Xuan said: "If the honey cannot be refined to the right temperature, you cannot make pills. Of course, it is not good to go too far, so you must control the heat.

There are three types of refined honey, namely young honey, medium honey and old honey.how to explain?

Tender honey is made by heating and boiling raw honey until the temperature reaches 105℃~115℃, filtering and defoaming. Its color does not change significantly, it loses less water, and is slightly sticky. It is suitable for foods containing more starch, mucilage, and sugar. , fat and other viscous medicinal materials are used to make pills;

Medium honey is made by heating raw honey and boiling it for a long time or continuing to heat tender honey to 116°C ~ 118°C. The foam is light red and shiny. It is sticky when hand-twisted, but cannot be stretched into long white strands. It is suitable for partially sticky or sticky honey. Medicinal pills made from some fibers;
As for old honey, raw honey is heated for a longer period of time or tender honey and medium honey are heated to 119°C to 122°C to fully evaporate the water. The bubbles are reddish-brown, shiny, and very sticky when twisted by hand. It can pull out white silk and is suitable for making pills from medicinal materials that contain a lot of fiber or minerals and have poor viscosity.

As for the temperature, you don’t need to think about it in detail, just have a rough idea.

When we make honey pills on a daily basis, most of the time we use medium honey. 1000g of honey can produce about 800g of refined honey. 1000g of traditional Chinese medicine powder requires about 1200g of refined honey. "

"Now that the honey has been refined, the next step is to prepare and mix the medicine. This step is relatively simple compared to refining honey, and there is not so much to pay attention to."

Lu Xuan smiled and said: "Pour the refined honey into the medicinal powder in the sterilized basin with a spoon, and use thick bamboo chopsticks to stir the medicinal powder, just like adding water and flour before making dumplings, pouring the honey and mixing For medicinal powder, stop adding honey when you can hardly see any dry medicinal powder. Be careful not to add too much. If there is too much honey, it will be difficult for the pills to form.

Add a little less at the beginning. If it is less, you can continue to add refined honey. If it is too much, you will not be able to get it out. At that time, you can only add more medicinal powder to remedy it.

After mixing, at this time we can mix the medicine and honey into a ball in a sterilized basin as we usually do with noodles. "

At this point, Lu Xuan also laughed: "Now that the noodles are mixed, the next step is to roll the strips and mix the pills. This step is actually easier. The only thing you need to pay attention to is to prevent the pills from sticking to your hands or utensils. When rolling strips and making pills, you can apply a small amount of sesame oil or peanut oil on the palm of your hand. This will not only prevent stickiness, but also make the pills smooth and shiny."

"Dr. Lu, I see that there are small pills and big pills now, especially the big ones. If I go back to make honey pills, how should I choose?" the woman asked.

Lu Xuan turned back: "You can choose this yourself. If you make it into a small honey pill, you need to take more at one time. If you make it into a big pill, you can take one at a time. In comparison, the big pill is more convenient and less troublesome. If you don’t have tools, it’s not that convenient to make pills. For large pills, you just need to do a good job of sterilizing them and just rub them with your hands.”

When the woman heard this, she immediately smiled and said, "That seems to be the truth."

"However, homemade honey pills generally don't contain any preservatives. How do you know if the honey pills are bad?"

Lu Xuan explained with a smile: "Pills should be kept airtight and moisture-proof. Generally, they can be placed in a cool and dry place indoors. However, pills often deteriorate due to improper storage methods or too long storage times. The pills have deteriorated. Pills can no longer be taken because they have completely lost their efficacy. Not only can they not cure diseases, they may also cause new diseases.

To identify whether pills have deteriorated, you can look at the appearance color. The surface of normal honey pills should be smooth and round, and be brown or black brown. Those coated with cinnabar or gold foil should be vermilion or golden yellow respectively;
Moreover, fresh pills usually have a special traditional Chinese medicine aroma. If they are honey pills, they should also have the aroma of honey.If the pills have a strange or sour smell but no normal Chinese medicinal smell, it means they have gone bad.

Also, when the above two methods are unable to make a judgment, you can taste it directly with your mouth and judge through the sense of taste.Normal pills have a strong smell, but spoiled pills have a sour smell and no sticky feeling. This is especially true when taking the medicine on an empty stomach in the morning, so you should stop taking it immediately. "

The woman nodded and replied: "It seems that it is indeed not that difficult."

"It's not difficult in the first place, but for people who have never made honey pills, when they hear that they want to make honey pills, they think that it is something that professionals can do. It is not just you who think so, most people will think so. think."

Lu Xuan said: "But after I made it myself once, it was not as difficult as I thought. On the contrary, making honey pills is very simple. You can just mix noodles and make steamed buns at home. Making honey pills is much more difficult than making steamed buns. Steamed buns, at most, have an additional process of refining honey.

Except for the honey refining, everything else is actually not much different. You will know when you try it later. "

"I've written it down, thank you Dr. Lu." the woman said quickly.

Lu Xuan said: "There is nothing to thank you for. This is also your duty as a doctor."

But the woman shook her head in disapproval: "What Dr. Lu said is wrong. If it were another doctor, if I had asked him how to make pills, he would have looked down on me and even kicked him out. How could I Like you, not only are you willing to speak, but you also speak so carefully.

I also know something about traditional Chinese medicine. So far, I am afraid that you are the only one who takes patients at heart like those traditional Chinese medicine doctors who saved lives and healed the wounded in ancient times.

Everything he says and does is for the benefit of his patients, unlike other doctors who only care about money. The most important thing is money, and he has no ability. This is what makes people hate him the most. "

There seemed to be many stories about the woman, and when she said this, a cold look appeared in her eyes.

Lu Xuan saw it, but didn't ask any further questions.

These stories had little connection with the patient's illness, and it was not easy for him to ask too many questions.

However, when it came to this, Lu Xuan thought for a while and said: "I'm not as good as you said, but there are still good doctors, and there are a lot of them. Maybe you just encounter less of them."

"Maybe." The woman didn't mean to refute.

Just like the middle-aged man at the beginning, even though Lu Xuan said that he did not have to pay for the medical expenses, the woman still paid. Not to mention the medical expenses, she paid the medical expenses just because Lu Xuan told her how to make honey pills. willingly.

Watching the woman leave, Lu Xuan was lost in thought. After a while, he turned to look at Ji Xiuwen: "Xiuwen, you said that the doctor-patient relationship is so bad now. Has the doctor changed or the patient changed? Why do doctors now have such a bad relationship? The patient-patient relationship is completely different from before, and the same situation occurs not only in Western medicine, but also in Chinese medicine."

Ji Xiuwen shook his head: "You don't even know this, let alone me."

"Maybe people's hearts have changed." When the two of them were silent, Li Feng, who was sitting over the medicine cabinet, said a rare sentence, which immediately attracted the attention of the three people.

Several people cast their gazes over and landed on Li Feng.

Seeing the three people looking at him, Li Feng suddenly felt that he had spoken too much, but facing the gazes of the three people who refused to look away, he could only sigh and said: "In the past, what everyone thought about most was the next meal. What, after all, at that time even eating was a problem, even survival was a problem, how could you think so much.

This kind of thing happens not only to ordinary people, but also to doctors.

Nowadays, living conditions have improved, and few people still need to think about what to eat for their next meal. No matter whether the food is good or not, at least they don’t have to worry about survival. Without these worries, people will have more to think about.

Doctors want to make more money and change their lives, and so do patients. There are so many temptations in real life that it’s difficult for people to keep their minds unchanged! "

(End of this chapter)