I can hear the voice of Chinese medicine

Chapter 49 Clearing heat and dredging collaterals, dispelling wind and dampness

In the ear, the voice of the heart rang quickly.

[Bi syndrome, also known as rheumatism in modern times, is a common recurrent acute or chronic systemic inflammatory disease of collagen tissue, most notably involving the joints and heart.

Chinese medicine first appeared in "Su Wen · Feng Lun": "Thus, wind is the root of all diseases, and all its changes are due to other diseases. There are no permanent prescriptions, but there are winds."

Its symptoms are characterized by fever and migrating multiple ailments whenever there is an attack of wind and cold.

"Su Wen Feng Lun" says: "Wind changes due to good deeds. If the interleukin is opened, it will be cold and it will be hot. If it is closed, it will be hot and stuffy."

Another example is stated in "Jinkui Yaolu Zangfu and Meridians Sequential Diseases and Pulses Syndrome": "My wife is endowed with the five constant elements and grows due to the wind. Although the wind can give birth to all things, it can also harm all things, just like water can float or overturn a boat."

In the concept of traditional Chinese medicine, the maintenance of life depends entirely on Qi, which is considered to be the nutritional basis of all organizational activities.

As it is said in "Wang Chong Lun Heng": "The energy of heaven and earth combines with that of all things to generate themselves."

"Zhang Zaizheng Meng Dahe Pian" also says: "Dakang cannot be without Qi, Qi cannot stop gathering and become all things, and all things cannot stop dispersing and become too empty."

Generally speaking, the qi described in traditional Chinese medicine is regarded as yang qi. Therefore, in terms of pathogenesis, hyperactivity of qi refers to the syndrome of excessive heat. Deficiency of blood leads to wind; deficiency of qi is a sign of functional decline and pervasive yin and cold, and stagnation of yin and cold in the skin, meridians and joints leads to spasm and inability to move.

Cold accumulates in the meridians and joints, causing pain. 】

Lu Xuan was thinking as he listened. [Duhuo] talked a lot, but he still didn't say why Shangfei can cause rheumatic fever.

Helpless, he could only wait quietly.

He even didn't forget to give Liu Baizhe a relieved look.

"Doctor Lu, my illness...is it serious?"

However, Liu Baizhe really couldn't bear it. If Lu Xuan said a few more words, he would feel relieved. He didn't say a word like this now and frowned from time to time, which would give him a heart attack.

Liu Baizhe himself was not in a very good condition, so why did he suffer? When he asked, the cold sweat on his face became more intense.

Lu Xuan had no choice but to press his hands, and said in relief: "Don't worry, it shouldn't be a serious illness."

Hearing this, Liu Baizhe felt a little relieved.

It's just that Lu Xuan fell into deep thought again, which made him somewhat uneasy, for fear that he was suffering from some incurable disease.

Fortunately, after a few more minutes, Lu Xuan finally said, "I understand your situation pretty well. It's not a serious illness, but rheumatic fever caused by upper flu."

"Rheumatism?"

"What is rheumatism and heat paralysis?"

Liu Baizhe was full of doubts.

Lu Xuan explained: "It's what we usually call rheumatism."

"Rheumatism?"

Liu Baizhe looked at Lu Xuan in disbelief: "Dr. Lu, this is impossible. I just have an ordinary upper respiratory tract infection. How can this cause rheumatism?"

Not to mention Liu Baizhe, even Su Kenan couldn't help but blinked, and an unbelievable look flashed in his clear eyes.

In this case, let alone seeing it, she has never heard of it.

She covered her red lips with her beautiful hands. It took a while before Su Kenan came back to her senses and couldn't help but asked in a low voice: "Why does coldness cause rheumatism?"

"Yes, why?" Liu Baizhe was also very curious and full of curiosity. He had never heard of this!

Seeing that both of them were very curious, Lu Xuan, who had not planned to explain too much, had no choice but to smile and said: "There is a saying in "The Syndrome of Zang Fu Sequential Diseases and Pulses in the Essentials of the Golden Chamber": "The clear evil is at the top, and the turbid evil is at the top. At the bottom, the big evil is in the surface, the small evil is in the inside, the wind is in the front, the cold is in the fall, the dampness is in the lower part, the strain is in the upper part, the wind makes the pulse float, the cold pulse is tight, it will hurt the skin and joints, and the dampness will flow to the joints... …Extreme cold damages the menstruation, and extreme heat damages the collaterals.”

The meaning of this sentence is actually very simple. It shows that the wind, cold, damp and heat can hurt people and hurt the body. "

Having said that, Lu Xuan glanced at the two of them, and continued:

"In the concept of traditional Chinese medicine, dampness is one of the six evils. There is a saying in "Suwen Qi Tongtian Theory": "Because of dampness, the head is like a wrap." It is also called dampness, and dampness is the main qi of Changxia, so Changxia is more humid sick.

There is also this sentence in "Su Wen Tian Yuan Ji Da Lun": "Beyond the great yin, moisture dominates." Dampness is a yin evil with a heavy, turbid and sticky nature. It can block the movement of qi and also affect the spleen. of luck.

For example, exogenous dampness can cause weight loss, soreness in the waist, drowsiness in the limbs, pain in joints and muscles, and lingering pain, and internal dampness blocking the stomach and intestines. Therefore, patients with rheumatism and heat paralysis often suffer from epigastrium, chest tightness, indigestion, chest tightness and discomfort, difficulty in urination, and loose stools. Symptoms.

Another example is "Jin Kui Yao Lue Convulsions and Dampness Disease Pulse Syndrome and Treatment", it is said: "Dampness is a disease, the whole body is full of pain, fever, and the body color is like the original yellow."

There is also a record about dampness in the book "Treatise on the Causes and Symptoms of Diseases": "The person who notes it is "Zhu", which means that the sticky stickiness of the disease has stopped, so it is also noted that "Yi" is close to people. Ordinary people have the three qi of wind, cold and dampness combined, And it's paralysis.

Damp arthralgia is caused by excessive dampness, which is called damp arthralgia.Damp arthralgia, slow or urgent extremities, joint pain.

Evil qi comes and goes, continuous injection is not bad, and rest is endless, so it is wet injection. "

After speaking in one breath, Lu Xuan couldn't help taking a long breath, and his eyes fell on Liu Baizhe: "Your current situation is that the evil of wind and heat has invaded your body and merged with dampness, causing rheumatism and heat to combine evil. Rheumatic fever Evil stagnation flows into the muscles and joints, resulting in blockage of qi and blood in the joints of the muscles, meridians, and joints, and damp heat and evil poison transform into heat, so there will be symptoms of aversion to wind and cold, fever and sweating, redness, swelling and pain in the muscles and joints all over the body."

Seeing Liu Baizhe's bewildered face, Lu Xuan explained again: "There are actually discrepancies in this explanation, and it's not because I'm talking nonsense."

"Doctor Lu, you are joking, I don't mean to disbelieve you."

Liu Baizhe came back to his senses at this time, shaking his head like a rattle: "It's just that what you said is too obscure and difficult to understand. Those who have never studied Chinese medicine may have the same reaction as me. Moreover, these contents are confusing. It's hard to say."

However, Lu Xuan still said with a smile: "There is a saying in "Criteria for Syndrome and Treatment: Bi": "In patients with heat paralysis, the heat is transferred to the stomach and intestines, and external evils are encountered again, and the guest is in the meridians, and the yang is not healed. Therefore, numbness, numbness, but stuffy, the muscles are extremely hot, the body looks like a rat walking, the lips and mouth are cracked, and the skin color changes."

"How much can you understand?"

What he said was not only for Liu Baizhe, but also for Su Kenan.

In other words, the main question is Su Kenan.

After all, Liu Baizhe didn't study Chinese medicine. Maybe Liu Baizhe could understand what he said, but if he said he understood, it would be a bit embarrassing for the other party.

Only Su Kenan, who studied Chinese medicine, can understand a thing or two.

Sure enough, as soon as Lu Xuan asked this, Liu Baizhe was greeted with a wry smile: "Doctor Lu, you think highly of me too, let's not say that I don't remember much of what you just said, even if I do remember Yes, that's because they know me, and I don't know them.

It’s not a nice thing to say, I know all the words, but when I put them together..."

After finishing speaking, I couldn't help but shook my head: "I'm talking too much, so I shouldn't ask, and I wasted a lot of your time."

"It doesn't matter if you don't understand. Just try to understand."

Under Liu Baizhe's surprised gaze, Lu Xuan turned to look at Su Kenan.

Su Kenan bit her lip lightly and shook her head.

There wasn't much knowledge in this area taught in the school, and it was her first time coming into contact with it. It was her first time to hear a lot of what Lu Xuan talked about, so how could she understand it?

What puzzled her was that Lu Xuan was only two years older than her, how could he know so much, and he seemed to remember all the contents of the medical books, even every single word.

How did you do it?
And he can't?
In the past, when I was in school, I was amazed by what the professors said in lectures, and I was amazed how the instructor knew so much.

But after meeting Lu Xuan, Su Kenan felt that the sky he had seen before was too small, like a frog at the bottom of a well looking at the sky from a well.

Seeing that Su Kenan didn't speak, Lu Xuan thought that the other party was a little frustrated, so he said a few words of relief: "If you don't understand, then write it down first, go back and study it carefully, and ask me if there is something you don't understand. .”

At this time, Liu Baizhe realized that he was being self-indulgent.

It turns out that Dr. Lu explained so much to me, not for me, but for his assistant.

Liu Baizhe suddenly smiled bitterly, but still asked: "Doctor Lu, what medicine should I take for this disease? I have been really uncomfortable these days. I get cold and high fever at every turn, and I can't bear the pain in the joints of my limbs."

"It clears away heat and dredges collaterals, and uses the wind to transform dampness, so that stagnant heat can be cleared, dampness and turbidity can be dissolved, and joints and muscle collaterals can be unblocked, so redness, swelling, heat and pain can be eliminated."

Lu Xuan turned around and continued: "Gypsum, Anemarrhena, Radix Rehmanniae, Danbark can clear away heat, cool blood and reduce swelling, Coix Seed, Almond, Poria, Alisma can remove dampness, Trachelospermia Vine, Lonicera Vine, Duhuo, Sichuan Beef Knees, angelica root and red peony root activate blood circulation and unblock meridians, reduce swelling and relieve pain."

"but……"

"But what?"

"Your rheumatic fever numbness is not serious. I'm afraid it won't be cured by a single medicine. I'll prescribe you the medicine for three days first. After three days, you'll come back for a follow-up visit. I'll prescribe a prescription according to your recovery."

When it came to prescribing and taking medicine, Liu Baizhe suddenly lowered his head and looked at Lu Xuan with a little embarrassment: "Doctor Lu, are... these medicines expensive?"

"I have given all my salary this month to my wife, and I only have some money left for food."

Lu Xuan asked, "Did you pay your medical insurance in Yongcheng?"

"I paid it, the company paid it, but it was paid according to the minimum standard."

Speaking of this, Liu Baizhe became a little cautious, and his tanned face couldn't help but blush.

Obviously, for Liu Baizhe, who pays most of his salary to his family, he has to think carefully about whether he can afford it, even if it is just a few dozen yuan for medicine.

Even, it may be a huge expense for him, enough for him to eat in Yongcheng for several days.

Looking at Liu Baizhe's head that was almost buried in his chest, Lu Xuan opened his mouth, and suddenly realized that he couldn't say anything to comfort him.

There is only one thing that is fair in a person's life, and that is that everyone must die. This is an irreversible process in nature.

But this is unfair again. Rich people can use money to make themselves live better and live longer.

And people who have no money, even if they just see a minor illness, have to think carefully about whether it is worth paying the money.

To put it bluntly, for many people who don’t have much savings, most people’s idea is to treat minor illnesses and forget about serious illnesses. This saves the money and money when they are gone and returns it to their families after they leave. Leaving a hole that could take a lifetime to fill.

Lu Xuan's family is actually just an ordinary family. When I was a child, I was very envious of those rich families in the village. Now that I think about it, compared with Liu Baizhe in front of me, I am considered happy.

At least, you don’t have to worry about tens of dollars in medical expenses.

This is still a minor illness and pain, and it usually doesn't cost a lot of money.

Once a serious illness occurs, for many families who are not wealthy, it is tantamount to worsening the situation, or even the last straw that breaks the camel's back.

Now, if you have a serious illness, you may not have taken medicine if you see a Western doctor. The various registration fees and examination fees alone cost thousands of dollars, and it is not cheap to take medicine afterward.

If there are imported medicines in the prescribed medicines, which are outside the scope of medical insurance reimbursement, the medical expenses of a bottle of thousands or even tens of thousands are simply not affordable for ordinary families.

Even with medical insurance, the out-of-pocket part is a considerable expense for many families.

Many people could have lived for a few more years, or even several years, but because they could not afford medicine, they had to give up treatment.

Good medicine is not a good commodity.

Once you eat it, it will be good, and if you don't eat it, it will spoil. This is the love of capital.

It's cruel, but it's reality.

A reality that cannot be changed.

Capital only cares about how much they can earn, and does not care about the life and death of patients, which has nothing to do with them.

Not to mention Western medicine, even Chinese medicine, the price has risen over the years.

Why?

Channels and resources are in the hands of limited people, so it’s no wonder that the price of medicines is not high.

Just like the saying circulating on the Internet, if you make money, you need to be conscientious. If you lose money, you can earn more. If you lose your conscience, you can earn more.

Many times, Lu Xuan actually didn't want to think about these issues. He knew that he couldn't change them, and he couldn't change them at all.

All he can do is learn his skills well and use the least amount of medicine to restore patients to health.

Just like Liu Baizhe sitting in front of him, to put it bluntly, if there is no medical insurance, even if it is only three medicines, it is not a small expense. It is very likely that the other party will die and choose to bear it.

In the end, if you carry it on, you may die.

Maybe, Lu Xuan can subsidize a little to get in, but his salary is so much, how many people can he subsidize?

In this world, there may not be so many diseases, but only diseases of poverty.

Thinking of this, Lu Xuan let out a long sigh in his heart, and then smiled and comforted him: "It's okay, just pay the medical insurance, and the medical insurance reimbursement rate in Yongcheng is very high, I only prescribed three prescriptions for you, and it doesn't cost much. .”

Regarding the medical insurance in Yongcheng, except for the urban and rural medical insurance paid by individuals, which may not have a very high reimbursement ratio, the medical insurance paid by the company, even if it is only paid according to the minimum standard, will be reimbursed after the balance is used up, and then a certain percentage will be paid out of pocket. The proportion can basically reach more than 70%, and the out-of-pocket payment will not be higher than 30%.

"Is that so..."

"I can rest assured that."

Liu Baizhe breathed a sigh of relief, "But I still have to come here a few times. If I have time, go out and find some part-time jobs, and I'll earn back."

When he's done, he grins.

Lu Xuan was a little moved.

Even so, Liu Baizhe was never cynical.

He's in a good mood.

(End of this chapter)