I can hear the voice of Chinese medicine

Chapter 47

"The third type is liver qi attacking the stomach."

Lu Xuan smiled slightly, and began to talk about the third case of bile reflux gastritis after gastrectomy.

"This type of patients are usually in a bad mood, and for a long time they become depressed. The liver qi invades the stomach, suppresses the spleen earth, and fails to accept the stomach. Therefore, they suffer from epigastric and epigastric pain, hiccups, vomiting of sour water, and anger. If you don’t eat well afterwards, it can easily cause upper gastrointestinal bleeding.”

Hearing this, Li Yuquan knew that his situation should belong to the fourth category.

The liver qi attacking the stomach has nothing to do with him. Although he has cancer, he is usually in a good mood and rarely gets angry.

And when it came to liver qi attacking the stomach, Lu Xuan also took a special look at Li Yuquan.

Li Yuquan's condition is actually quite serious, but fortunately he can let it go and is not depressed because he has cancer. Otherwise, given his condition, he would have died a long time ago.

Thinking of this, Lu Xuan continued: "In traditional Chinese medicine, it is believed that the liver governs catharsis, sexual happiness leads to evil and depression, and the liver belongs to it. Because depression is not dredging, it restrains the spleen and causes it to rise and fall abnormally.

And because the liver and gallbladder are exterior and interior, the gallbladder is attached to the liver, which belongs to less fire. If the liver is stagnant, it is easy to turn into fire and generate heat, and the qi of the liver and gallbladder is the most likely to offend, so the upper abdomen is full, the mouth is bitter and dry, and the night is not good. Ma, uneasy dreams.

When wood and fire meet with spleen dampness, dampness and heat will condense together, and the sour and bitter liquid in the stomach will be spit out from multiple violators.

Due to subtotal gastrectomy, poor healing of gastrointestinal anastomosis often occurs, the stomach capacity is small and the liver-stomach qi does not decrease, so bile and sour saliva are spit out, which is to relieve depression and stagnation of gallbladder, and negligence of catharsis. , Stomach loss and fall, caused by bile ascending. "

"Then how to treat it?" Su Kenan rarely asked proactively.

Hearing this inquiry, Lu Xuan also looked back at her in surprise, and then said with a smile: "It should be used to soothe the liver and promote Qi, and harmonize the stomach.

Bupleurum, Citrus aurantium, Cyperus cyperi, Angelica, White peony are used to soothe the liver and gallbladder and relieve the stomach, ocher, Inula, Poria, and roasted licorice are used to relieve the stomach, Bletilla striata protects the gastric mucosa, and can be added later according to the condition Astragalus is used to invigorate Qi and promote muscle growth, which is intended to strengthen the body. "

After finishing speaking, he glanced at Su Kenan who was deep in thought, "You can write down what you don't understand first, and we will discuss it later."

Su Kenan came back to his senses, and nodded obediently: "Yes."

Lu Xuan turned his head, looked at Li Yuquan and said, "Mr. Li's condition belongs to the fourth type, bile reflux gastritis with qi stagnation and blood stasis."

"Qi stagnation and blood stasis?" Li Yuquan frowned.

"Correct."

Lu Xuan explained: "Qi stagnation and blood stasis refer to the pathogenesis of stagnation of qi for a long time, resulting in blood stasis. In the concept of traditional Chinese medicine, the normal operation of blood depends on the promotion of qi. If the flow of qi is not smooth, blood cannot flow , the blood stops and the stasis is born.

There is a saying in "Shou Shi Bao Yuan" that goes like this: Those who block Qi are the masters of blood. When Qi moves, the blood flows; , the blood will not work for a while.

"Blood Syndrome" also has related remarks: Qi stagnation leads to blood coagulation.

Qi stagnation and blood stasis are mutually causal, Qi stagnation causes blood stasis, and blood stasis aggravates Qi stagnation.

The liver governs dredging and storing blood, and the dredging effect of liver qi plays a key role in regulating the movement of qi. Therefore, stagnation of qi and blood stasis are mostly closely related to liver failure to dredge and drain. "

Speaking of this, Lu Xuan paused, and continued: "So for bile reflux gastritis caused by qi stagnation and blood stasis, the first thing is to promote qi and blood circulation, remove blood stasis and strengthen the body. In the case of Mr. Li, he directly uses Fuyuan Huoxue Decoction Just add flavor.

In the prescription, Bupleurum soothes the liver and gallbladder, Angelica nourishes blood and activates blood, Shanjia breaks stasis and dredges collaterals, peach kernel and safflower dispel blood stasis and regenerates, betel root moistens dryness and disperses blood, licorice relieves spasm and relieves pain, and rhubarb is reused to cleanse stasis and septic blood.

When all medicines are used in combination, qi and blood flow smoothly, the liver and collaterals are dredged, and the stomach feels light.

Zhang Bingcheng said: Those who are gone will go, those who are alive will be born, the pain will be relieved and the vitality will be restored.The old recipe is named after Fuyuan. "

Li Yuquan seemed to understand, thought for a while, and then showed an embarrassed smile: "Forget it, don't think about it, it's not that material, Doctor Lu should prescribe me medicine."

Lu Xuan smiled slightly, wrote down the prescription, and then instructed: "After taking the medicine, if the reflux symptoms persist, you have to continue taking this medicine for a while.

At that time, just take the list and prescribe the medicine. If you are really worried, you can come to the follow-up consultation. "

……

After Li Yuquan's father and daughter left, Lu Xuan subconsciously checked the time, only to realize that almost half an hour had passed.

If he hadn't started the consultation half an hour earlier, the patients waiting outside would have been scolding their mothers by this time.

However, even so, the mother and daughter who just walked into the consultation room were somewhat depressed, especially the mother, who was muttering and didn't know what to say.

But after seeing Lu Xuan, his brows instantly relaxed, and he said with a smile: "Hello, Doctor Lu."

"Hello." Lu Xuan nodded politely.

"Who is uncomfortable?" he asked.

Wang Yuanfeng pulled the girl behind her to her, and began to say: "Doctor Lu, this is my daughter. She doesn't know why during this period, and every time she gets her period, she comes one day earlier. Not to mention the small quantity, the color is also very light, probably It takes more than a week to be clean, and every time I have a period, my abdomen hurts, and I have dizziness, fatigue and other symptoms.

During this period of time, she didn't sleep well at night, saying that she often dreamed. "

Hearing what she said, Lu Xuan then set his eyes on the girl's face.

Not to mention his pale complexion, he felt exhausted, as if he hadn't slept in many days.

"Doctor Lu, what's going on with my daughter?"

"Is it because of your period?"

Wang Yuanfeng asked.

"Let me check my pulse first."

"Quickly, give your hand to Dr. Lu." Wang Yuanfeng turned to her shy daughter and said.

"Doctor Lu, please excuse me."

Under Wang Yuanfeng's urging, the girl stretched out her slender arms strangely.

Lu Xuan put his finger on it and felt it carefully.

[It seems to be a gynecological disease that Dr. Lu is good at! 】

[It's boring, it's not a complicated disease, I don't even have any interest in it, when will there be a patient that even Dr. Lu can't handle! 】

[How can you say that, wouldn't it be better if there were no diseases in the world? 】

[Do you think it is possible? 】

[Dreams are good, but reality is crueler than imagined. 】

[Stop talking, I have so much free time, why not talk about this girl’s condition. 】

[What is there to say, the pulse is deep and weak, the tongue is pale, and the thin white fur, plus some of her previous symptoms, it is not difficult to differentiate the syndrome. The patient is young and weak, and she is still a student. She must be nervous about studying at this age, and too much thinking has damaged her temper. , Spleen injury leads to insufficient energy in the middle, imbalance of Chong and Ren, loss of blood in the sea, and kidneys are involved over time.

The kidneys are responsible for storing essence. If the kidney qi is deficient, it will lose its ability to seal and store the essence. Therefore, if the spleen is deficient, it will not be able to control the blood. If the kidneys are not strong, the blood will be released and nourished. Therefore, in the early stage of menstruation, there will be a lot of fluids and endless dripping. 】

[Dan Jiang, you still have this temper, can't you calm down a little? 】

【I'm the medicine for the fire, you want me to be calm? 】

【forget it. 】

When Lu Xuan checked his pulse, his ears were already full of noise.

Especially dried ginger, the anger is still hot.

However, the sentence of dried ginger is true, the medicinal material that helps the fire, you can make it quiet, is it possible?
The more he listened to his inner voice, the deeper Lu Xuan understood.

Before, he was somewhat speechless when faced with these complaints about Chinese medicine, but now that he thinks about it, these guys are not so annoying, but actually very lovable. They are like a group of knowledgeable teachers with thousands of years of experience. They are teaching the same students together in their own way.

And this student is Lu Xuan.

It can be said that without this group of teachers, Lu Xuan probably wouldn't have been able to contact a few patients in his life, let alone like now, his account on the Internet would have to be robbed.

Not to mention, there is also the clinical experience accumulated during this period of time, which is invaluable.

Now, for this group of teachers, he can only feel grateful.

Without their "relentless teaching", how can we achieve our present glory.

Although it is still far from glory, Lu Xuan is already very satisfied with what he has achieved in just half a month.

As long as you work hard to learn, it is only a matter of time before you become a great doctor.

[Ganjiang, since you have said so much, why don't you talk about the menstrual symptoms in detail? 】

[Let’s just say it, although I don’t know as much about this disease as the familiar boss, but I still know something. Since you have said so, if I don’t say it, don’t you think I’m bragging here. 】

["Suwen·Ancient Innocence Theory" has a saying: For women, when the sunflower arrives on February [-]th, the Ren pulse is open, the Taichong pulse is strong, and the menstruation is at the current time, so there is a child. 】

[I asked you to talk about treating diseases, but don’t talk about these things. 】

[What happened to the endorsement? 】

Gan Jiang was speechless for a while, and continued;

[There are many women who are disordered before and after menstruation, but there are roughly three reasons for it...]

Hearing this, Lu Xuan also became more and more serious. There are some things that are impossible to learn in school, so he also cherishes what these teachers say.

"Doctor Lu, why is my daughter's period always abnormal? If it's like ours, it's fine. She's still a child, and logically speaking, there shouldn't be an early period!"

Lu Xuan was immersed in listening to his heart. It was not until Wang Yuanfeng asked that he came back to his senses and pressed his hands: "Ms. Wang, please be patient. I probably know about your daughter's situation."

"Really, Doctor Lu?"

"Can you talk to me?"

Wang Yuanfeng looked at Lu Xuan with surprise.

"Ah."

Lu Xuan nodded, but now he turned his head to Su Kenan and said, "Check your pulse."

Su Kenan still behaved well and did whatever Lu Xuan asked her to do.

After Su Kenan took his pulse, Lu Xuan said with a smile: "Talk about your understanding first, and I will point out what's wrong, and I'll add what I didn't say."

"Ah."

Su Kenan nodded slightly.

On the other hand, Wang Yuanfeng looked surprised, his eyes flashed across the faces of the two, and he suddenly understood why the last person stayed in the consulting room for so long.

It turned out that Dr. Lu brought his apprentice!
Although this will waste time, Wang Yuanfeng also knows that both traditional Chinese medicine and Western medicine are basically trained in this way, and all the patients have to do is cooperate.

Thinking of this, she didn't say anything.

However, Su Kenan couldn't help but blushed at the mention of a woman's menstrual disease: "Patients have thin pulses, and thin pulses are mostly seen when qi and blood are deficient and dampness is heavy.

Pale tongue and thin white fur may be related to deficiency of qi and blood, insufficiency of effort, and deficiency of yang.

Taking all things into consideration, the patient's irregular menstruation may be caused by Qi and blood deficiency? "

After finishing speaking, he looked at Lu Xuan subconsciously: "I... I don't know if what I said is right."

"Yes, but not entirely."

Lu Xuan said calmly.

When hearing the first half of the sentence, Su Kenan's face was still full of joy, but just after the next sentence fell into his ears, he couldn't help being a little depressed, drooping his head, and was a little hit.

Lu Xuan shook his head, he didn't give any comfort, but thought for a while and said, "There are roughly three reasons for menstrual disorders."

"One is stagnation of qi, disharmony of kidney qi, stagnation of liver qi, the major collaterals of Chongmai and Shaoyin originate from the kidney, and the Chongren will be in the cells, stagnation of liver qi and deficiency of kidney qi, emotional irritability, and naturally irregular menstruation .

The second is caused by accumulated cold and wind-cold.The cold guest lives in the uterus and blocks its true yang. If the yang qi is insufficient, it will cause cold. If the qi is cold and the blood is already cold, the qi and blood will be cold, the uterus will shrink, and the qi and blood will coagulate. Black lumps, pain in the lower abdomen, these patients are generally chilly and pale. "

Hearing this, Wang Yuanfeng couldn't help but look at her daughter.

Not only her, Su Kenan also subconsciously glanced at the girl.

Both of them obviously noticed the word pale mentioned by Lu Xuan, and subconsciously thought that the girl's condition belonged to the second type.

Noticing the eye movements of the two, Lu Xuan was not surprised at all.

In fact, not only Su Kenan and Wang Yuanfeng, but anyone else would think so after hearing this explanation.

This is why many responsible doctors now advise patients not to search randomly online.

Most of the conditions mentioned on the Internet are special cases and are not absolute.

When many doctors respond to a certain symptom, they will subconsciously refer to a patient they have treated. However, people who check this information online will not judge these and will only subconsciously compare their symptoms with those on the Internet. Correspond to what the doctor says one by one. Sometimes it is better not to check, but once checked, it may become a "terminal disease".

For example, reflux esophagitis is not a serious disease in itself. If there are no other conditions, it can be cured by taking a few medicines. But if you go to the Internet to check, it is likely to be esophageal cancer Then I was depressed all day long. It was originally a minor illness, but it may eventually develop into a serious illness.

This kind of situation is really too much.

Lu Xuan shook his head and said, "For those who study medicine, it is most taboo to judge the disease based on a certain symptom."

Su Kenan blinked, and replied in a low voice: "Yes, I wrote it down."

Seeing this, Lu Xuan nodded slightly, and looked at Wang Yuanfeng: "Ordinary people are the same, don't go to the Internet to check if you feel uncomfortable, and don't match some of your symptoms with those on the Internet. Sometimes there is nothing wrong with it. , In the end, they were frightened into a serious illness, and some were even frightened to death by themselves."

Wang Yuanfeng smiled awkwardly, but quickly nodded seriously: "Thank you, Dr. Lu."

After glancing at the two of them, Lu Xuan smiled slightly, "Her condition is not caused by accumulated cold and wind, but belongs to the third kind of deficiency. That's why I said what you just said is right, but it's not entirely true."

Su Kenan looked up at him with confusion on her face, which touched her blind spot.

Lu Xuan explained: "If it is caused by emptiness, where does the emptiness come from?"

Lu Xuan asked and answered his own question: "I won't mention a few things here, thinking hurts the spleen, and sexual strain hurts the kidneys. The spleen governs thinking and controls the blood, and it also controls menstruation; the kidney governs the cell palace, which stores essence and circulates blood. If the spleen and kidneys are damaged, menstruation will be disrupted."

"Why?"

"Those who cover menstruation are water yin and blood."

"Belongs to the two main channels of Chongren and Ren, which belong to Yin and Yang, pouring into the sea of ​​blood, the upper part is milk, the lower part is menstruation, the spleen and stomach are both empty and cannot nourish the two channels of Chong and Ren, the sea of ​​blood is empty, and the uterus cannot be filled There is no blood left."

"The kidneys govern the storage of essence, and essence is the foundation of the human body. Therefore, it is said in "Suwen·Liujie Zangxiang Lun": The kidneys govern stinging, and the essence is the foundation of sealing and storage. The meaning of this sentence is that The kidneys have the functions of generating, storing and dispersing essence. If the kidney essence is insufficient, the geranium will be exhausted and the tide will not flow on time. If the kidney qi is sufficient, the geranium will arrive every month. The two show a rhythm of growth and decline."

Speaking of this, Lu Xuan paused for a while before continuing: "So, her menstrual disorder is actually a deficiency of both the spleen and the kidney, the spleen and the kidney are both nourishing, and the key is to replenish qi and absorb the blood, rather than a simple deficiency of qi and blood. "

Su Kenan nodded, thoughtfully.

But Wang Yuanfeng couldn't help asking: "Doctor Lu, I don't really understand what you said, so I just want to know why my daughter is like this?"

Lu Xuan subconsciously glanced at the girl, seeing her eyes dodge, he could only remind him: "The child is still young, and learning is not everything, parents should not put too much pressure on the child.

When you are under a lot of pressure, you will think more. Excessive thinking can easily hurt your temper. In addition, your daughter is very weak, so it is strange that her menstruation is normal. "

Wang Yuanfeng: "..."

Wang Yuanfeng suddenly regretted breaking the casserole and asking the end, but she nodded again and again to Lu Xuan's admonition: "Doctor Lu, I understand, I must communicate with the child well when I go back, and don't put too much pressure on her."

Lu Xuan didn't say much, but lowered his head and wrote the prescription:

Roasted astragalus, fried Atractylodes macrocephala, fried angelica, fried white peony root, round meat, dodder seed, rehmannia charcoal, dried ginger charcoal, Schisandra chinensis, Codonopsis pilosula, cornus, Morinda officinalis, Bupleurum, cohosh, tangerine peel, Poria.

After finishing the writing, he raised his head and said to Wang Yuanfeng, "It should take two weeks to heal after going back home. Again, don't put too much pressure on the child, otherwise no matter how much medicine you take, it will be useless."

Seeing Lu Xuan mentioning this matter again, Wang Yuanfeng smiled wryly: "Doctor Lu, don't worry, this is my own child, how can I not feel bad?"

"I'm not a stepmother."

Wang Yuanfeng muttered something in a low voice, which made Lu Xuan a little bit dumbfounded.

Didn't I just remind you?

(End of this chapter)