I can hear the voice of Chinese medicine

Chapter 244 Lotus leaf ginseng capsules for the treatment of tuberculosis
"The third is the syndrome of cold blood stagnation and evil obstruction of the throat. Although this syndrome is not seen much, even if you search online, it is difficult to find relevant reports, but it is of great reference value. If you think about it later, If we understand, we will elaborate further.”

Lu Xuan smiled slightly and continued: "The fourth type is the syndrome of exogenous dampness and warmth, evil attack on the throat. The symptoms are mainly aversion to cold, fever, heavy limbs, and nausea. This type of patient generally has a red tongue and yellow and greasy coating. , slippage, obvious redness and swelling of tonsils or suppuration are the main characteristics.

Treatment should be to clear away heat and dampness, resolve phlegm and dissipate stagnation, detoxify and soothe the throat.

You can use manna disinfectant, that is, talc, artemisia, skullcap, calamus, Akebia, fritillary, Shegan, forsythia, white cardamom, patchouli, mint or Sanren decoction, that is, Magnolia officinalis, Diphthonga, talc, Pinellia ternata, light bamboo leaves, white cardamom, almonds, coix kernels, etc. can be added or subtracted.

If there are concurrent evils entering Shaoyang, add Bupleurum, Scutellaria baicalensis, Artemisia annua and the like. "

"The fifth is the syndrome of evil entering Shaoyang and causing heat and poison to block the throat. This type of condition is actually a combination of Shaoyang and Yangming, where the heat and poison are blocked and the throat is blocked.

The main characteristics include persistent cold and heat, bitterness and fullness in the chest and flanks, no desire to eat, dry and hard stools, red tongue, wiry or stringy pulse, red, swollen and congested tonsils or suppuration, etc.

The treatment is suitable for resolving Shaoyang, clearing Yangming, detoxifying and soothing the throat.

Dabupleurum decoction can be used, which includes Bupleurum, Scutellaria baicalensis, Citrus aurantium, rhubarb, red peony and Pinellia ternata.

You can add heat-clearing, detoxifying, sore throat and pain relieving products.

However, this depends on the patient's symptoms. It can be added if necessary, but it can be omitted if not necessary. Prescribing the right medicine is the key. "

Ji Xiuwen nodded slightly and kept it in mind.

Although Lu Xuan talked a lot, after following Lu Xuan for so long, Ji Xiuwen also mastered some good skills, and the memory content was completely different from before.

In the past, every time Lu Xuan said something, he wanted to write it down word for word, but naturally he couldn't.

But now, he only needs to remember the core content.

Of course, there are still cell phone recordings.

He can't really rely on his own brain. A good memory is not as good as a bad writing.

He didn't have Lu Xuan's photographic memory, so he had to make a recording so that he could listen to the recording only when his memory was fuzzy.

His current thinking is that if he can avoid troubling Lu Xuan, he will not trouble Lu Qing, and he will solve the difficulties that he can solve by himself.

Without him, Lu Xuan had told him more than once that after the Lu Xuan Traditional Chinese Medicine Hospital was established, Ji Xiuwen would have to go to the clinic by himself.

Although it would still be some time, to be honest, he was still panicking.

I can only be more independent now.

Otherwise, when it comes to the consultation, he doesn't know anything and has to ask Lu Xuan everything, which would be embarrassing.

It is precisely based on this consideration that Lu Xuan would often let Ji Xiuwen try it on his own, while he would sit aside and occasionally remind him or her.

Unless he encounters some diseases that Ji Xiuwen has never been exposed to, Lu Xuan will talk more.

Just like now, Lu Xuan had rarely seen cases of tonsillitis before, so he naturally wanted to talk to Ji Xiuwen more about this aspect of the disease.

Although Ji Xiuwen specializes in digestion, as a Chinese medicine practitioner, it is impossible for him to only know this.

Some common diseases need to be understood more or less.

Lu Xuan would naturally explain it in more detail.

Lu Xuan also knew that Ji Xiuwen was under a lot of pressure now. After smiling slightly, he added: "Sixth, the syndrome of excessive lung and stomach heat and fumigation of the throat. In this case, the patient usually presents with fever, thirst, red face, and constipation. The main symptoms are yellow or short red urine.

The main characteristics are red tongue, yellow and thick coating, slippery and strong pulse, and obvious redness, swelling and suppuration of tonsils.

Treatment should be to clear the lungs and stomach, detoxify and soothe the throat.

Liangge powder can be used, that is, Glauber's salt, rhubarb, gardenia, forsythia, skullcap, mint, licorice, honey or Qingyan Lige decoction. Forsythia, gardenia, skullcap, mint, burdock, sapsip, schizonepeta, and xuanming powder. , honeysuckle, scrophulariaceae, rhubarb, licorice, platycodon, and coptis.

If heat evil damages the body fluid, add Ophiopogon japonicus, Rehmannia glutinosa, Trichosanthin powder, etc. to clear away heat and promote body fluids.

The seventh type is the syndrome of insufficient righteousness and swallowing due to evil poisons. This syndrome is more common in the elderly and frail patients or patients who have a history of insufficient righteousness, and often manifests as subacute suppurative tonsillitis.

It is characterized by difficulty in swallowing, no fever, slight thirst, constipation, yellow urine, red and swollen tonsils, or sticky secretions, and weak pulse.

The treatment is suitable for strengthening the body, dispelling evil, detoxifying and soothing the throat. Tuoli Disinfection Powder can be used to add or subtract. Clinically, Ye Huangqi Jiedu Decoction is commonly used, which is raw astragalus, angelica root, scrophulariaceae, honeysuckle, dandelion, skullcap, red peony root, saposhnikovia root, white peony root, and saponin root.

The eighth type is liver meridian fire stagnation and fumigation throat syndrome. This type of patients presents with chest and hypochondrium discomfort, heat in the palms and soles, dry throat and mouth, irregular menstruation, red tongue, stringy and thready pulse, fever, and sore throat, etc. as the main features.

Treatment should be to soothe the liver and nourish yin, detoxify and soothe the throat. Danzhi Xiaoyao Powder can be added or subtracted, and detoxification and sore throat products can be added as appropriate.

The eighth condition is stagnation of heat in the lungs and stomach, and fumigation of the throat, which is more common in chronic tonsillitis.

The main characteristics are dry and painful throat, dry mouth, red tongue with yellow coating, slow and strong pulse, red and swollen tonsils, etc.

Treatment should be to clear the lungs and stomach, resolve phlegm and dissipate stagnation, detoxify and soothe the throat.

Commonly used Qingjin Liyan Decoction, that is, Platycodon, skullcap, Fritillaria, Ophiopogon japonicus, burdock, gardenia, mint, licorice, Akebia, and Scrophulariaceae are reduced. Add oysters, prunella vulgaris, salvia miltiorrhiza, etc. to remove phlegm and dissipate stagnation, activate blood circulation and remove blood stasis.

The ninth type is the syndrome of kidney yin deficiency and throat stagnation due to yin deficiency, which is characterized by yin deficiency and excessive fire, phlegm condensation, and phlegm stagnation in the throat. The treatment is suitable for nourishing yin and reducing fire, resolving phlegm and dissipating stagnation, and clearing the throat. You can add Zhibai Dihuang Decoction to taste.

The tenth type, syndrome of yin deficiency, dampness and heat, and fumigation of the throat, is characterized by overall yin deficiency, red tongue, yellow and greasy coating, thready or slippery pulse, red and swollen tonsils with signs of suppuration, etc.

Treatment should nourish yin and moisturize dryness, clear away heat and promote dampness. You can drink nectar, that is, raw rehmannia glutinosa, cooked rehmannia glutinosa, artemisia, citrus aurantium, skullcap, loquat leaves, licorice, dendrobium, asparagus, Ophiopogon japonicus, plus Scrophulariaceae, Platycodon, honeysuckle and the like.

The tenth type is the syndrome of qi deficiency, phlegm coagulation, and evil stagnation in the throat. The main characteristics are symptoms of chronic tonsils due to deficiency of spleen. The treatment is suitable for replenishing qi and strengthening the spleen, resolving phlegm and dispersing stagnation. You can add Fritillaria fritillary, oyster, astragalus, etc. to Liujunzi Decoction.

No. 11, a syndrome of yang deficiency and evil stagnation in the throat, with symptoms of chronic tonsils due to kidney yang deficiency or spleen and kidney yang deficiency. Treatment should be to warm the kidneys and strengthen yang, resolve phlegm and disperse stagnation. It can be added or subtracted from Jingui Shenqi Pills and Xiaoxuan Pills (Plassophyllum sibiricum, Fritillaria fritillaris, and oyster).

No. 12 species..."

and also?

When Ji Xiuwen heard this, he couldn't help but swallowed.

He originally thought that eleven kinds of them were already terrifying, but he didn't expect that there were even more. Western medicine can divide tonsillitis into three types at most, and the medications used are actually similar.

Whether it is chronic tonsil inflammation, acute tonsil inflammation, or an acute attack of chronic tonsils, there is actually no difference in the use of Western medicine, which is mainly anti-inflammatory.

For more serious cases, surgery may be recommended.

Then there is no more.

But Chinese medicine is obviously different.

Traditional Chinese medicine has an extremely strict classification of tonsil inflammation, and there are so many classifications that no one would dare to believe it. There are as many as more than a dozen types.

Moreover, among these dozen cases, each medication is different, and they are all very different.

To a certain extent, this can be considered a real solution to the problem.

Although he has become resistant to Lu Xuan's evil behavior, Ji Xiuwen is still secretly smacking his lips. I am afraid that I can only remember these contents with a photographic memory.

For any normal person, let alone remembering so many kinds, even one of them would not be able to remember it in such detail.

While Ji Xiuwen was swallowing his saliva, Lu Xuan had no intention of stopping. He continued: "No. 12, which is also the last situation. This is a syndrome of phlegm and blood stasis combined with evil stagnation in the throat. According to Western medicine, Chronic tonsillitis is common.

Generally, the main characteristics include a tingling or obstruction feeling in the throat, a dry throat requiring gargling, dark tongue or petechiae, or greasy coating, and stringy and slightly slippery pulse, which may also be symptoms of qi deficiency.

Treatment should be to dispel phlegm and remove blood stasis, soften and disperse hard stagnation.

To deal with this situation, Xiaomo Decoction is often used, which is astragalus, angelica, atractylodes, saposhnikovia, leech, rhubarb, peach kernel, sea pumice, white mustard seed, prunella vulgaris, farsia, bile grass, and wine rhubarb.

Or use Buyang Huanwu Decoction combined with Xiaoxuan Pills to replenish qi, activate blood circulation, remove phlegm and disperse stagnation. "

After speaking, Lu Xuan turned his head and glanced at Ji Xiuwen: "That's all, you can study it when you have time."

After he finished speaking, he turned around and chatted with the patient who had come over for a minute or two.

The patient who came in was named Luo Lanlan, female, 34 years old, from a county under Yongcheng, and a housewife.

Through a detailed chat with the patient, Lu Xuan learned about the patient's condition. The patient had been feeling unwell a few years ago. His main complaint was that he had stopped menstruating for one and a half years, had a sallow complexion, was coughing and tired, and was unable to work. He thought it was tuberculosis.

During this period, I went to the hospital, received treatment, and took medicine, but it never got better. Later, I went to the hospital to take a X-ray, and after the hospital X-ray examination, I was diagnosed with infiltrative tuberculosis.

Tuberculosis, the disease name in traditional Chinese medicine is tuberculosis. It has a history of more than 2000 years. As early as in the "Huangdi Neijing", it was mentioned that "big bones and flesh are high, and big flesh is indented. Cough, wheezing; body heat, small pulse and disease."

Traditional Chinese medicine believes that tuberculosis is caused by tuberculosis worms invading and eroding the lungs. It is a contagious chronic wasting disease with cough, hemoptysis, hot flashes, night sweats and gradual body weight loss as its main clinical manifestations.

Tuberculosis treatment is based on the principles of fighting tuberculosis, killing insects and tonifying deficiency and strengthening vitality. Traditional Chinese medicine treats pulmonary tuberculosis, focusing on syndrome differentiation and treatment as a whole, focusing on cultivating and nourishing qi. According to different physical constitutions and different stages of the disease, through tonifying deficiency and strengthening the body, regulating stomach and strengthening the body. The spleen normalizes the movement and transformation of the spleen and stomach, and restores healthy qi to reduce and eliminate the toxic and side effects of anti-tuberculosis drugs.

Infiltrative pulmonary tuberculosis is mostly caused by exogenous secondary pulmonary tuberculosis, which is caused by repeated tuberculosis infection.

After listening to the patient's self-report and the X-ray examination the other party brought, Lu Xuan thought about it and gave the other party a prescription:
Lotus leaf charcoal, Magnolia officinalis, Amomum villosum, Sichuan Jun charcoal, American ginseng, donkey hide gelatin beads, lily, Panax notoginseng, Angelica charcoal, Laochuanxiong, Shengdi charcoal, Hangshao, Scutellaria baicalensis, coptis, Scrophulariaceae, Gardenia.

After writing down the prescription, Lu Xuan then told: "The health center does not have the service of refining honey pills. After you go back, you can grind the sixteen flavors of this medicine into very fine powder and refine the honey into pills. Each pill is about 9g weight.

Take one pill each morning and evening with boiled water. This recipe should be taken for one month. "

"what?"

Luo Lanlan obviously didn't expect that he would have to go back to refine the honey pills for this medicine. Can he refine this thing by himself?
"I'm afraid I won't be able to do this." She really didn't have much confidence.

Lu Xuan smiled and said: "It's not a big problem. Some traditional Chinese medicine pharmacies in Yongcheng will definitely provide the service of refining honey pills. You can go find it. If it doesn't work, you can make it yourself. If you don't understand anything, you can tell me in the group then. Just ask for advice. This thing is not as troublesome as you think. It is not much different from making steamed buns at home. You will know when you go back and try it."

Luo Lanlan took the payment form issued by Ji Xiuwen, paid the money and said, "Then I'd better find out if there is a pharmacy that provides the service of refining honey pills."

"Row."

Lu Xuan asked again: "After you have taken one batch of lotus leaf and ginseng capsule pills, come back for a check-up."

"Can this be cured by taking this medicine?"

"I don't dare to say that it will definitely work, but there is a high probability that it will work." Lu Xuan said with a smile.

When Luo Lanlan got up to grab the medicine, Lu Xuan turned to look at Ji Xiuwen and said: "The effectiveness of this medicine is first reflected in the treatment principle of "cultivating soil to generate gold".

The lotus leaf in the prescription is the most magical.

The lotus leaf grows under the water and soil, among the filth, and possesses the energy of Shaoyang for hair growth;

It can best promote Yang Qi, disperse blood stasis, and retain good blood.

Jiegu Zhizhu Pills use lotus leaves to cook rice to increase stomach qi. This is the meaning.

In this recipe, lotus leaves are stir-fried in charcoal to make them have the effect of astringing the burning and bitterness, so that the original good product for rejuvenating the spleen and stomach and clearing yang becomes the one that has the effect of both burning and bitterness entering the heart and astringing the dissipation of heart fire.

The other herbs used for frying charcoal also have this meaning.

In this way, the symptoms of tuberculosis patients who have red cheekbones every afternoon can gradually disappear. At the same time, lotus leaf charcoal and Sichuan Magnolia officinalis, Amomum villosum, Sichuan Jun charcoal and other medicines that mediate stomach qi can help each other. Achieve the effect of cultivating soil and producing gold.

Symptoms of pulmonary tuberculosis such as bone steaming fever, cough, night sweats, etc. must be treated by combining the two methods of clearing the deficiency and excess of Qi and blood, and nourishing blood and Qi, and nourishing body fluid, in order to be effective.

Qin, Lian, Zhi, and Xuan in the prescription are designed for the former; Siwu Decoction, ginseng, glue, and lily are designed for the latter.

Panax notoginseng enters the blood component of the liver and stomach, and is used for both circulation and qi. Together with the lotus leaf, which enters the spleen and stomach Qi components, they can complement each other in stopping bleeding and treating epilepsy. "

"I haven't heard of this recipe. Did you create it yourself?" Ji Xiuwen thought for a while and asked.

"So, but it doesn't count."

Lu Xuan explained: "This prescription is a folk prescription. Its origin is not yet understood, but there are many people who have used it. This is the first case I have personally treated. We still have to see how effective it is, but there are One thing is certain, the effect of this prescription on women is faster than that on men."

(End of this chapter)