I can hear the voice of Chinese medicine

Chapter 234 Chapter 233 Angelica sinensis plus Evodia and ginger soup
The young woman frowned, obviously not quite understanding what Lu Xuan meant.

She was about to ask when she heard Lu Xuan explain with a smile: "Why do we need the patient's cooperation?"

"Actually, it's very simple. You have to take the prescribed medicine as you should. You can't take it today and not take it tomorrow, or you can't take more or less. Of course, there are some reasons why it is difficult for the medicine to achieve the desired effect now. , but whether the patient cooperates or not is still very important.”

Having said this, Lu Xuan paused and continued: "Why do Chinese doctors generally only prescribe medicine for three or seven days, and rarely prescribe medicine for half a month or even a month to patients?
There is a reason for this. In the opinion of many people, Chinese medicine is not as effective as Western medicine, but this is not the case. As long as the syndrome differentiation is accurate, the effect of Chinese medicine will not be worse than that of Western medicine, or even better.

After taking the medicine for a few days, the disease is cured, but if you have to take it for a few more days, the extra medicine may destroy the original balance of yin and yang in the body, leading to physical pain. "

The young woman was thoughtful.

I seem to understand, but I don't seem to understand.

Lu Xuan also knew that although what he said was easy to understand, it was not easy for people who had never been exposed to traditional Chinese medicine to fully understand it.

He did not dwell too much on this, but returned to the topic: "Having talked about yin and yang, now let's talk about why dysmenorrhea occurs?
Nowadays, many young female friends have this problem, and it is mainly dysmenorrhea of ​​the deficiency-cold type. I think the deficiency-cold type accounts for more than 80% of it, especially for some unmarried young women. There are more things to do, so today we will mainly talk about how to treat the deficiency-cold type of dysmenorrhea.

When it comes to deficiency-cold dysmenorrhea, we have to mention a prescription. "

Hearing this, Ji Xiuwen immediately pricked up his ears.

Zhang Guangli seemed to have guessed something, but he still sat upright and looked at Lu Xuan.

"The prescription comes from Zhang Zhongjing's "Treatise on Febrile and Miscellaneous Diseases", "Danggui Sini plus Evodia Fructus and Ginger Decoction". It can be said to have an immediate effect in treating dysmenorrhea of ​​deficiency and cold type."

Lu Xuan looked at Zhang Guangli with a smile: "Zhang Guangli is an old Chinese medicine doctor. He should know this prescription, right?"

"Although my main focus is not in this direction, this recipe is very familiar."

Zhang Guangli nodded: "When I first came into contact with Chinese medicine, I heard my father mention it, and most of the Chinese medicine now deals with typhoid fever. Nine out of ten of the prescriptions are known, but how to use them? , which diseases should be used, this is a matter of wisdom and benevolence.

However, when Dr. Lu just mentioned the prescription, I had some guesses. Now it seems that I was not wrong. "

Zhang Guangli knew this prescription, and Lu Xuan didn't show the slightest surprise.

The director of the county hospital of traditional Chinese medicine may not have the same medical skills as Huang Beishan and others, but he may be able to sit in this position without any skills at all.

If you were really incompetent, you would most likely be unable to sit firmly even under your buttocks, and would have been removed a long time ago.

The head of a hospital probably knows everything, at least about typhoid fever.

Understanding typhoid fever and knowing this prescription is a nail in the coffin.

Zhang Guangli thought for a while and then said: "I know the prescriptions, but I am a little confused about the deficiency and cold type mentioned by Dr. Lu. How to judge it? I have some experience, but I don't have much exposure to this disease. , I wonder if Dr. Lu can talk about this?"

"What kind of cold type is it?"

Lu Xuan smiled slightly and asked and answered: "People with deficiency and cold type have several main characteristics. Let's talk about the tongue quality first today. Generally speaking, the tongue quality is light.

Some people are a little fat, with thin white fur, and some may even have some changes, such as dark spots or spots, if mixed with silt constitution. There are many such people.

The body shape is relatively moderate, or some can be a little fatter, but it does not mean that they are very fat. They usually eat a small amount of food and feel full after eating a little.

My complexion doesn't feel very rosy, it's generally pale, and my digestion and absorption function after eating is average.

Another point is that he is usually afraid of the cold and likes hot things.Normally, for example, when his hands and feet are cold, he likes to drink hot water, and when eating, he also prefers to eat something warm, but does not like to eat cold things. His personality is more introverted.

Why is it said that people with weak and cold constitutions have more dysmenorrhea?

Many such dysmenorrhea is caused by severe pain when menstruation first comes. After a few days, the dysmenorrhea gradually relieves.

The pathogenesis is mainly due to deficiency and cold.

What else will happen due to deficiency and cold? "

Having said this, Lu Xuan looked at Zhang Guangli and Ji Xiuwen.

"Si!" Zhang Guangli blurted out while Ji Xiuwen was still thinking.

"Yes, stasis will occur, and stasis is the cause of pain."

Lu Xuan smiled and nodded and said: "Let's take an example. For example, everyone knows that if the weather is hot in summer, water will not freeze. It is very simple. Water only freezes when it is below zero. Above it will not freeze. When the weather is cold in winter, the water will freeze easily.

The same is true for the water in our body. When the temperature is high, the water is vaporized and the flow speed speeds up. If the temperature is low, its flow speed slows down.

Traditional Chinese medicine believes that when it is warm, it is easy to flow, and when it is cold, it is easy to stagnate.

Cold doesn't just mean low temperature, but what does it mean in Chinese medicine?

A state of stagnation and blockage.

For example, some dysmenorrhea caused by uterine fibroids, endometriosis, etc., in our opinion, are mostly caused by severe uterine cold. We often say that if there is blockage, there will be pain, if there is blockage, there will be no pain, and if there is blockage, the pain will be caused by cold. Yes, blood will not flow out easily.

At this time, the body sends out a pain signal, which reminds us that the body should mobilize its troops and mobilize more Yang Qi and energy to help the menstrual blood drain out.

Many people may not quite understand what this means. To put it simply, it is just like when we drive on the road, for example, when some people do not obey the traffic rules and there is a traffic jam, we hit the car. Call the traffic department and the traffic department will send traffic police to guide you.

Pain is a traffic jam that sends a signal to send Yang Qi to help us eliminate congestion. It is equivalent to the traffic policeman sending energy. If it is cleared, there will naturally be no pain. "

"If there is pain, there will be no pain. If there is pain, there will be no pain. I have heard this saying." The young woman immediately answered.Lu Xuan smiled slightly, without any surprise.

This is said so much nowadays, even those who have never been exposed to traditional Chinese medicine have basically heard this sentence.

"Then how can we get through?"

Lu Xuan asked another question.

Diagnosis is very important, and similarly, prescription is equally important.

The syndrome differentiation is accurate, but if the medicine prescribed is inaccurate, not only will it have no effect, but it will aggravate the condition. This is the same as the consequences of a dialectical error.

Once the syndrome differentiation is accurate, the next step is how to treat the disease.

Pain means nothing.

If you want to relieve pain, you have to let it pass.

How to get through has become the most important thing to do.

With these things in his mind, Lu Xuan continued, facing the gaze cast by the young woman: "Because it is a blockage caused by deficiency and cold, then we must first improve the symptoms of deficiency and the other to improve the symptoms of cold. The symptoms, to put it simply, are warming and tonic.

Our prescription by Zhang Zhongjing is more effective. For dysmenorrhea, it is Danggui Si Ni plus Evodia Fructus and Ginger Decoction. This prescription can be found by everyone. It is recorded in detail in Treatise on Febrile Diseases and Miscellaneous Diseases, but the dosage we usually use is generally not Uehara. The dosage of the prescription is because the original article stated that if a person has chronic cold, he should use Angelica Sini plus Evodia Fructus and Ginger Decoction. In fact, Angelica Sini Decoction is originally a cold-repellent. If you add Evodia Fructus, It is even more powerful with ginger to dispel cold.

When we talk about this prescription, it actually refers to Guizhi Decoction. Guizhi Decoction. Everyone who has read "Treatise on Febrile Diseases" knows that Guizhi Decoction is the ancestor of all prescriptions. Many classic prescriptions have the shadow of Guizhi Decoction, and they are even modified from Guizhi Decoction. .

For example, cinnamon twig, peony, ginger, jujube, and cinnamon twig soup are added with angelica root, Tongcao, asarum and evodia.

In this prescription, Angelica sinensis is pungent, sweet and warm. It is mainly used to nourish blood and blood, because our essence and blood mainly come from liver qi. Angelica sinensis nourishes blood and blood to replenish liver qi. The combination of peony and peony is to replenish our blood deficiency. Peony is a yin medicine. Guizhi decoction contains cassia twig and white peony root. Guizhi is a yang medicine and white peony root is a yin medicine. Then there are two herbs, cinnamon twig and asarum. Both of them are yang medicine. The yang medicine is sweet and Warm has the effect of warming the meridians and dispersing the cold. It can push our cold air out, which is equivalent to clearing the car when it is blocked. It takes the main responsibility to clear the car, raise the temperature, and warm the meridians to dispel the cold.

So licorice and jujube mainly replenish qi and strengthen the spleen, because we know what kind of disease it is, it is blood stasis caused by deficiency and cold syndrome, so we not only need to solve the problem of blood stasis, but also solve the problem of deficiency.

To replenish the function of our spleen and stomach, some spleen-strengthening medicine and Gui Shao can replenish the blood. After the spleen is replenished, people can move smoothly, and the effect of replenishing the blood will definitely be better.

In this recipe, there is a very important medicine, which is Tongcao.

So what does Tongcao look like?

A long strip, thin and white, just like the thick vermicelli we usually eat, very light. "

Lu Xuan described the shape of Tongcao, and then continued: "Usually, we use Tongcao mainly to clear away heat, diuresis and promote lactation. For example, many mothers who are unable to breastfeed will use Tongcao.

We use this Tongcao here mainly to clear the meridians, and also to dredge the meridians.

Huang Yuanyu, the author of "Four Sacred Heart Sources", wrote a book called "Changsha Medical Explanation". The key points say that this Tongcao can relieve amenorrhea, so Danggui Sini plus Evodia and Ginger Decoction is warmer than Danggui Sini Decoction. The power to dispel cold is stronger.

If your cold is not that strong and the pain is not particularly severe, you can also use Danggui Sini Decoction. If your cold is very severe, Danggui Sini plus Evodia and Ginger Decoction is better for treating dysmenorrhea.

Nowadays, Japanese Kampo medicine is actually more widely used than our domestic traditional Chinese medicine, and the Japanese believe in traditional Chinese medicine more.

In his Kampo preparations, he pointed out that the Danggui Sini plus Evodia Fructus and Ginger Decoction can treat what?
Treatment of lower abdominal pain in women. What is lower abdominal pain in women?
Women's lower abdominal pain is mostly due to diseases such as menstruation and fetal delivery.

Usually, if the blood stasis is very serious, we can make a combination with other drugs. For example, we use Angelica Sini plus Evodia and Ginger Decoction for some compatibility. Some can add some peach kernels and safflower, which can improve the effect of warming menstruation and relieving pain. "

"Japan also sees Chinese medicine?" The young woman seemed to have heard about this for the first time, with a look of curiosity on her face.

"Look, not only look, but they also pay more attention to traditional Chinese medicine than we do."

Speaking of Japan, Lu Xuan paused and said with a smile: "As for our country's medical books, Japan's favorite is Treatise on Febrile Diseases and Miscellaneous Diseases. They have been studying this book for hundreds of years.

Hanfang, like Chinese characters and Chinese language, is one of the cultures with Chinese characteristics.

The Chinese medicine that spread eastward since the Tang Dynasty has continued to develop in Japan, and has now formed Japanese Chinese medicine with distinctive academic characteristics.From Yoshitoshi Higashi-dō to Otsuka Keisetsu, from Asada Sobo to Hosono Shiro, from Tanba Motokan to Mori Tateyuki, a large number of Japanese Kampo scholars used their intelligence and wisdom to jointly build an exquisite building of Kampo medicine.

On the basis of traditional Chinese medicine, they have established their own set of methods.

For example, Japanese Kampo medicine is highly practical.

There are two manifestations of this: First, attention is paid to prescriptions.

Jiyi Dongdong clearly pointed out: The science of medicine is prescription.

Compound recipes are the crystallization of ancient doctors’ experience in using natural medicines. They are the source of wisdom in treating diseases and are the core content of Kampo medicine.

The second is to pay attention to prescription evidence.Prescriptions and syndromes are the goals of clinical medication. They are extremely practical and effective if the prescriptions and syndromes correspond to each other.It does not dwell on general and superficial prescription meanings, but focuses on clear and standardized prescription evidence. This is the realism of Japanese Kampo.

But it is undeniable that Japanese Kampo also has many shortcomings. Japanese Kampo is just a superficial understanding of traditional Chinese medicine.

Why do I say this? "

Lu Xuan asked himself and answered: "First, it is inconvenient to add and subtract. Since Japanese Kampo promotes granular preparations, it limits the addition and subtraction of the flavor of the prescription and the increase or loss of the dosage. Over time, it also affects the use of Kampo in Japan. The research on single medicines, especially the research on medicine syndromes, is not in-depth, which can easily cause Japanese Kampo to have prescriptions but no medicine.

In China, there are also prescription preparations, but in most cases, when people see traditional Chinese medicine, they boil raw medicinal materials. Traditional Chinese medicine doctors will also increase or decrease the dosage of the prescription according to the patient's physical condition, and increase or decrease the dosage according to different symptoms. Some traditional Chinese medicines and Japanese Kampo are directly adapted from the classic prescriptions in ancient books. Without any changes, it is difficult to adapt to the current situation and prescribe the right medicine. This is why I say that Japanese Kampo has great disadvantages. .

And this is something we need to pay attention to. "

(End of this chapter)