I can hear the voice of Chinese medicine

Chapter 239: I’m not afraid of Western medicine’s smiling faces, but I’m afraid of Chinese medicine’s low eyebrows.
"Shape is the body, posture is the attitude. Morphology is a method of diagnosing diseases by observing the patient's body fat, thinness, strength, movement and posture, which is what we often call inspection."

Seeing the two people talking so much, Lu Xuan couldn't help but answer: "The human body is an organic whole with the five internal organs as the center and the internal and external parts corresponding to each other. The strength and weakness of the body, the changes in movement and stillness are closely related to the rise and fall of the essence of the organs and the movement of qi and blood.

If the internal strength is strong, the external body will be strong; if the internal body is weak, the external body will be weak.

Abnormalities of yin and yang, qi and blood in the organs can be manifested as morphological abnormalities, which can be used as the basis for diagnosing diseases.Different shapes can reflect differences in physical constitution, indicating the tendency of certain diseases and the specificity of syndromes.

Inspection may be easy or difficult, but compared with pulse diagnosis, inspection may be subject to more interference. The same symptoms appearing in different people do not necessarily mean the same disease.

For some people, they may be healthy and have no symptoms, but for others, they may have a problem with their body, maybe it is their liver or their kidneys.

Different lifestyles and people from different places will also have a great impact on the results of the consultation.

If you want to apply inspection in practice, you need a lot of clinical experience, and it is best to combine the results of pulse diagnosis and tongue diagnosis to continue making judgments, rather than relying on inspection alone.

Inspection is sometimes accurate in identifying syndromes, but sometimes it is difficult to tell. "

Hearing this, Ji Xiuwen was actually a little confused.

It can be said that he and Lu Xuan have known each other since college. It was only half a year after graduation that the two of them met.

How much clinical experience can Lu Xuan accumulate in half a year?

In terms of clinical experience, Lu Xuan actually doesn't have much more than him.

But in such a situation, the medical skills of the two are completely different.

One is just a newly graduated intern, and the other can already be called the Xinglin Sage.

This gap is so big that no one would believe it.

That is to say, Lu Xuan doesn't know what Ji Xiuwen is thinking, otherwise he might want to say it.

He does not have much clinical experience, but he has many opinions!

With thousands of years of accumulated experience, anyone can become a monster in the field of traditional Chinese medicine.

What kind of diseases have not been seen with these medicinal materials?

Speaking of this, I am afraid that even if all the traditional Chinese medicine doctors in the world unite, they will not have as much experience.

The three of them didn't chat much. After Lu Xuan said something, he turned around and continued to treat the next patient.

This time it was not a young man, but an old man who looked to be in his sixties.

The old man was smiling, but his expression was a little uncomfortable. Following him should be the old man's wife, an old woman in her early sixties.

After the old man came to sit in front of Lu Xuan, he extended his hand to Lu Xuan.

With a smile on his face, Lu Xuan put his hand on the uncle's pulse and asked, "What's wrong with you, uncle?"

Before the uncle could say anything, Lu Xuan felt the uncle's pulse for a while. The smile on his face disappeared in an instant, and his brows became furrowed. He pressed his slightly loose fingers on the uncle's pulse. Down.

Lu Xuan's brows suddenly furrowed deeply, causing the originally relaxed and joyful atmosphere to suddenly become serious.

Zhang Guangli also saw something was wrong.

I'm not afraid of Western doctors smiling, but I'm afraid of Chinese medicine's low eyebrows.

This sentence is not a joke.

To make a highly skilled Chinese medicine doctor frown is enough to show how serious the patient's condition is.

"Dr. Lu, what's wrong?" Zhang Guangli asked quickly.

"Come and see."

Lu Xuan didn't say anything, but gave up his position.

Although Zhang Guangli was confused, he still put his hand on the uncle's pulse.

After a while, Zhang Guangli's expression darkened.

"How is it?" Lu Xuan asked.

Zhang Guangli frowned: "The pulses of Cun, Guan and Chi in the hand are all strong and powerful, just like the pulse of Taiyang disease and the string of Shaoyang disease. The pulse is strong and powerful. This is unique to Yangming disease." Pulse!"

"Correct."

Lu Xuan nodded and responded: "Three days of typhoid fever, Yangming pulse is strong. "Typhoid fever for three days", three days is the period when Shaoyang governs Qi. Now "Yangming pulse is big" appears. A big pulse means the pulse is strong and powerful. It is the exclusive pulse condition of Yangming disease, just like the floating pulse of Taiyang disease and the stringy pulse of Shaoyang disease. If the pulse is floating, large and stringy, it means that it is a three-yang disease of Taiyang, Yangming and Shaoyang.

Chen Xiuyuan believed that originally the disease should have taken advantage of the Qi and pivoted out, but now the pulse is large, indicating that it has been transferred to Yangming, and the evil has returned to the middle earth and will not be transmitted again, so it cannot be solved from the pivot of Shaoyang.

However, the uncle's pulse condition is unknown. Dean Zhang can find out by pressing hard. "

"how is this possible?"

Zhang Guangli didn't believe it, so he pressed the uncle's pulse forcefully as Lu Xuan said. After a while, he seemed to feel something, and he was suddenly shocked: "This..."

"The pulses of Cun, Guan and Chi in the hand are all strong and powerful when taking them up, but when taking them down, they are empty and weak, showing signs of bursting out. Fortunately, they are not counted." Lu Xuan took a breath, feeling slightly relieved.

Flood and submergence are opposites. The one that floats the most is a flood, and the waves on the water are surging;

Hong: Hong pulse is distended and accompanied by vomiting, Yin deficiency and fire rising.The only season is summer and the moon, which comes and goes slowly.

The Jing says: "All abdominal distension and enlargement are due to heat." Vomiting is cold when it first starts, and heat when it is depressed.

The Sutra says: "Everything that goes up and down belongs to fire." When Yin is deficient and Yang is exuberant, the pulse will be profuse and flooded.But summer is in season.

Binghu said: "Floating and floating is a flood vein."

"Su Wen" says: "The prosperity comes and the decline comes."

The float is slightly larger, the slippery band is long, the incoming force is strong and the incoming force is strong, and the incoming force is full and powerful, and the incoming force is attenuated.

"Doctors' Right Eyes": The Hong Pulse is very strong, like a flood, rising and falling, and the torrents fill the fingers.

According to the body shape of the flood vein, it is broad and grand, like the waves of a flood. The incoming force is turbulent and full. When the force is removed, its force gradually weakens. When the force is slow, the force is weak, and it is covered under the fingers.

And what are the characteristics of Hongmai?
First, when the flood pulse pulses upward, it floats as big as a finger, rises and fills up, and looks like a wave of flood. When it falls, it looks like a falling wave, with the force weakening, the wave amplitude is flat and long, and it also has the appearance of slipping numbers.

Secondly, when lightly touched, the pulse is full and powerful, with the characteristics of floating and solid. The shape of the pulse is clearly discernible. When pressed deeply, it weakens and becomes weak (or lacks energy), tending to be large and gentle.

Thirdly, for a flat person, the pulses in the Cun, Guan and Chi parts of the two hands are large and the pulses are too high.However, there are no pathological symptoms and they are all physiological pulses.

Hong Lili, this is too much, Hong Dawei, this system is not enough, mostly caused by deficiency of heart Qi, or deficiency caused by injury to yin, which is mostly caused by long-term illness, physical weakness, blood loss and dehydration, prolonged diarrhea, irritability, etc.

If it floats, it will flood, if it presses hard, there will be nothing, or it will be broad and rootless, and there will be no spirit. This is because the Yin Qi is cut off and the solitary Yang rises, and the Qi does not return to its origin.It can lead to the death of yin syndrome, or the period when the true essence is lost.Symptoms include high fever, profuse sweating, irritability and thirst, coughing, vomiting and diarrhea, blood loss and fatigue.

These contents all illustrate the problem of Hongmai.

For an elderly person in his 60s like me, it is impossible for a normal pulse to be loud and strong, but it does occur. This means that there is something wrong with the uncle's body, and it is a big problem.

Coupled with the trend of developing towards pulse counting, it can even illustrate the problems. It is mentioned in the poem "Binghu Pulseology" that the pulse comes and goes and then declines, and the full finger is torrential in response to the summer. If it is in the spring, autumn and winter months, when the sun rises and disperses the fire, don't be suspicious.

Similar poems also record that when a strong pulse comes, it beats like a wave, and when it fades, it becomes strong like a wave. If you want to know where the real pulse is, you can press the length of the string to feel the strength.

The main disease poem describes the symptoms of Hong Pulse very clearly. Pulse Hong Yang should be filled with blood and should be deficient. If the patient is living in a hot and flaming place, fullness and stomach churning must be treated early. Deficiency of Yin and diarrhea may cause diarrhea.When the heart is full of fire, it becomes scorched, and when the lungs are full, the gold becomes unbearable.Liver-fire and stomach-deficiency can be seen in the guan, and kidney-deficiency and yin-fire can be seen in the ruler.

"Doctor Lu, what exactly is this disease?"

Zhang Guangli took a breath and said: "I have been practicing medicine for many years, and I have never encountered this kind of pulse condition in an elderly person. If you hadn't reminded me, I might have thought that only the pulse was strong, and it would be difficult to see the number of pulses at the end. "

Zhang Guangli knew in his heart that if the pulse was only strong, although there was a physical problem, the condition was not serious. But if the pulse had developed in the direction of the pulse number, it would not be a minor problem and could be fatal.

Moreover, the uncle is not young and may not be able to get sick.

"The foot pulse is full of Yang, and the Taixi River is not cut off!"

Lu Xuan said eight words.

Zhang Guangli frowned and said, "What do you mean?"

Lu Xuan said directly: "According to this syndrome, it is purely caused by "deficiency in the lower part and convulsion in the upper part". The yin is not maintained and the yang is not used. The "heart" is the official of the monarch.

"The gods come out", and the reason why the heart can emit the gods depends entirely on the mutual communication between the true water in the kidneys and the heart fire. This is so-called: water and fire are both harmonious, and yin and yang are harmonious.

The patient is a person who is overworked and has insufficient heart fire. Therefore, it loses its mutual assistance with kidney water. As a result, yin does not rise and yang does not fall, and the cheekbones become red. The six meridians are strong and strong, and sinking Take symptoms such as feeling empty and weak, cold hands and feet. "

"Jue disease!" After hearing the word "Xiaxu Shangju", Zhang Guangli suddenly sat up from his chair, with a look of disbelief on his face.

Some even couldn't believe it.

What is epilepsy?

Syncope syndrome generally refers to a type of illness that involves sudden fainting, unconsciousness, and cold limbs, followed by gradual awakening soon.

Traditional Chinese medicine believes that the causes can be roughly divided into two categories. One is usually excessive liver yang, improper diet, mental stimulation or severe pain, etc., which causes the qi movement to be disordered, the blood to flow with the qi to reverse, or the phlegm to rise with the qi, which blocks the mind. And hair;

Another cause is due to weak vitality, injury to Qi and body after illness, or blood loss, etc., resulting in the inability of Qi and blood to ascend.

According to the Internal Medicine, syncope syndromes include "violent syncope", "cold syncope", "heat syncope", "fried syncope", "thin syncope", and "corpse syncope".

In later generations, there were "phlegm syndrome", "food syndrome", "qi syndrome", "blood syndrome", "roundworm syndrome", "summer syndrome", etc. See each article for details.

There are many types of syncope, but no matter which type of syncope it is, the patient is expected to faint.

But although the old man's face in front of him looked a little ugly, and the pulse diagnosis results were also very poor, and even moved in the direction of the pulse count, he actually did not faint.

This is different from the symptoms of epilepsy.

Even, the difference is huge.

Zhang Guangli opened his mouth and was about to explain his opinion. But at this moment, the old man who was still sitting in front of several people suddenly lost his breath and became unconscious.

Fortunately, his wife was right behind him and reacted to catch him.

And Lu Xuan seemed to have expected it. The moment the uncle fell, his hand had already wrapped the patient's arms from the side.

Seeing this scene, Zhang Guangli was completely stunned.

He was about to say that the patient's symptoms were very different from those of syncope. At least he didn't faint. But he didn't expect that before he could say the words, the old man who was sitting there in good health actually fainted.

At this moment, Zhang Guangli still didn't know that Lu Xuan's judgment was correct.

The uncle is a convulsion syndrome caused by deficiency of the lower body and upper convulsion.

However, at this moment, he could no longer think too much. He quickly got up and came to the patient: "What should I do? Doctor Lu."

It was also his first time to receive such an emergency patient, and he was at a loss for a while.

As the manager of Hui'an Pharmacy, Lin Mu was also shocked and even a little panicked.

If this person is missing from Hui'an Pharmacy, Hui'an Pharmacy will have a huge responsibility.

However, he also knew that there was nothing he could do at this moment, and it was not the time to shirk responsibility. Not only could he not shirk responsibility, but he also had to be brave enough to take responsibility. So he took a breath and stepped forward and said, "Doctor Lu, I You are not a doctor. Since you know the patient's condition, I believe you can do it. Just tell me what medicine you want to use and we will fully cooperate."

"If the medicine is not available, the county hospital of traditional Chinese medicine will prepare it." Zhang Guangli also quickly answered.

Although Hui'an Pharmacy is the largest pharmacy in the county, when it comes to traditional Chinese medicine, it is still inferior to the county Traditional Chinese Medicine Hospital.

The medicines available in Hui'an Pharmacy are definitely available in the County Hospital of Traditional Chinese Medicine.

While the county traditional Chinese medicine hospital has it, Hui'an pharmacy may not have it.

"Doctor Lu, you must save our old man!" At this time, the old man's wife also panicked and cast a look at Lu Xuan for help.

The old man's fainting soon attracted the attention of others.

The people who were still queuing up gathered around, and everyone was talking about it.

"Ji Xiuwen, support the uncle with Dean Zhang." Lu Xuan made a quick decision and then checked the patient's condition.

The patient's cheeks were red and he was confused.Cold hands and feet...

Lu Xuan stood up and looked around at everyone, "Although this disease is very dangerous, it can still be cured. Manager Lin, please quickly take out 9 grams of the American ginseng and boil it in a pot of boiling water in the store to make the soup to strengthen your vitality."

I prescribe a medicine and immediately prepare the medicine to save the patient. "

Defeated tortoise shell, dodder seed, rehmannia glutinosa and white poria god

Runyuanzhikezhigancaobeiwuweidigupi

Artemisia annua, roasted astragalus, fried atractylodes

As Lu Xuan spoke, he wrote down the prescription and gave it to someone to get the medicine.

Lin Mu was already prepared. When he heard that Lu Xuan asked for American ginseng, he brought it without saying a word.

Hui'an Pharmacy has a lot of these health products, and you can get them easily.

The decoction of American ginseng is relatively fast. After the water is boiled, wait for a while and wait for the American ginseng water to cool down a little, then quickly give it to the patient.

After the old man drank the American ginseng soup, Lu Xuan breathed a sigh of relief.

Also a little fortunate.

The old man's life is long enough.

If this happens elsewhere, the consequences would be disastrous if rescue is not provided in time.

(End of this chapter)