I can hear the voice of Chinese medicine

Chapter 67 Interstitial Cystitis (23)

Holding the charge sheet, Ji Xiuwen was a little dazed.

It took a while to react, got up and walked into the Chinese medicine room.

After handing the medicine to Ji Yongfeng from the medicine pick-up window, he walked out of the Chinese medicine pharmacy.

At this time, patient No. 2 in the morning had also walked in and sat opposite Lu Xuan.

Ji Xiuwen froze for a moment, didn't dare to think too much, and quickly came to sit down opposite Lu Xuan, staring at Lu Xuan's serious face slightly lost in thought.

He doesn't understand.

Lu Xuan became the person in charge of the Department of Traditional Chinese Medicine of the Qiushi Street Health Center. He could understand that, after all, the Department of Traditional Chinese Medicine in the Street Health Center was not valued at all. In addition, when Lu Xuan came, he was the only person in the Department of Traditional Chinese Medicine. Come on?

You can't let someone who has never been exposed to traditional Chinese medicine be the person in charge, right?

But being the person in charge doesn't mean you suddenly have extraordinary medical skills!

Although he has only just arrived, he knows little about Lu Xuan's situation.

But what my mother said before cannot be false, and the dean, Hu Meiqiao, really values ​​Lu Xuan very much.

Not only Hu Meiqiao, but everyone else in the hospital trusted Lu Xuan's medical skills.

He still remembered what Cheng Gaowen and Zhou Liting said at the regular meeting just now. Regardless of whether they believed in Lu Xuan's medical skills, and the medicine prescribed to them should be effective, otherwise they would never have said that. words.

Also, the patient Ji Yongfeng who just left with the medicine.

From the smile on the other person's face, he knew that the situation of his good brother was completely out of his "control".

But, this is wrong!
Ji Xiuwen really didn't mean to despise or underestimate Lu Xuan, but this is really unscientific.

The two were admitted to Zhijiang University of Traditional Chinese Medicine at the same time with similar scores and lived in the same dormitory. They had a very good relationship. They knew Lu Xuan very comprehensively, but they were not too bad. They were inseparable.

If Lu Xuan's grades were better than his, he would admit it.

After all, these are all facts. From the time he entered Zhijiang University of Traditional Chinese Medicine, Lu Xuan's admission score was higher than his. From undergraduate to postgraduate, he was always under pressure. Various exams, every time he was overwhelmed On the one hand, it's normal to be better than him.

But even so, it's impossible for the difference between the two to become so big in half a year, right?
Originally, in Ji Xiuwen's view, even if Lu Xuan was better than him, within two or three years, he would not be able to sit in the clinic alone, and even become a miracle doctor with extraordinary medical skills and praised by many patients.

As long as Lu Xuan can only see minor illnesses, he can still accept it.

After all, as a graduate student from Zhijiang University of Traditional Chinese Medicine, I still have this ability, but some people are timid and dare not look, while some are bold and confident and dare to look.

In his eyes, Lu Xuan should belong to the latter category.

But it is definitely not to the extent that it can treat various difficult and complicated diseases.

This is no longer an unscientific question, but too metaphysical.

I thought that after graduating, everyone is the same, either as an assistant or taking medicine, anyway, don't even think about contacting patients, but now it seems that Lu Xuan has gone so far that he can't even see his back.

Who can believe this?

While Ji Xiuwen was still in a daze, Lu Xuan's hand had already landed on the opponent's pulse.

Patients are also describing some of their own situations.

Ji Xiuwen didn't dare to think too much, quickly came back to his senses, and listened quietly.

Patient Gao Suyun, female, 52 years old this year.

The patient went to the hospital for frequent urination, urgency, and repeated episodes of painful urination. The hospital always treated it according to urinary tract infection, but it did not heal for a long time. After cystoscopy, he was diagnosed as "interstitial cystitis" and given bladder water expansion Surgery and other treatments did not improve, so I came to see a doctor.

Below: frequent urination, urgent urination, painful urination, cold pain in the lower abdomen, slightly reduced temperature, obvious pain in the lower abdomen before and after urination, purple tongue, astringent pulse, urinalysis: occult blood (+)...

After listening to Gao Suyun's self-report, Lu Xuan suddenly raised his head and looked at Ji Xiuwen: "What do you think?"

Ji Xiuwen was a little caught off guard by Lu Xuan's sudden question, he was a little sluggish for a while, and it took him a while to react under Lu Xuan's reminder. He looked at Lu Xuan in surprise, thought for a while, and then said:

"Interstitial cystitis is a chronic, non-bacterial, full-thickness inflammatory disease of the bladder, characterized by perineal pain and discomfort, frequency and urgency of urination, and is a clinical syndrome of unknown etiology.

It often occurs in middle-aged women and is mainly characterized by fibrosis of the bladder wall.

At present, a large amount of evidence believes that interstitial cystitis is an autoimmune collagen disease. Western medicine uses non-surgical treatment and surgical treatment, but its curative effect is not reliable, the condition is easy to relapse, and the treatment is quite difficult. "

Hearing this, Lu Xuan shook his head slightly: "This is the understanding of Western medicine."

Obviously, Lu Xuan was not satisfied with Ji Xiuwen's answer.

Ji Xiuwen was helpless. He felt that his friend's expression at the moment made him feel a little strange, but after thinking about it, he said: "Interstitial cystitis should belong to the category of stranguria syndrome in traditional Chinese medicine. The name of stranguria first appeared in the "Internal Classics."

"Be confident in yourself."

Lu Xuan smiled, then suppressed the smile on his face, and said seriously: "Interstitial cystitis is called "drowning boredom" in "Su Wen·Liu Yuan Zheng Ji Da Lun Pian", and "Synopsis of the Golden Chamber·" "Combined Treatment of Pulse Syndrome and Syndrome of Accumulation of Wind and Cold in the Five Zang Organs" is also called "Lin secretion", and "Combined Treatment of Pulse Syndrome of Gonorrhea due to Accumulation of Wind and Cold in the Five Internal Organs" describes the symptoms of gonorrhea syndrome in detail: "Lenouria is a disease, and the urine is like millet shape. , the lower abdomen is tense, and the pain leads to the navel. "

The "Zhongzang Jing" divides stranguria syndrome into eight types: cold, heat, qi, labor, ointment, sand, deficiency, and excess; , cold and hot seven kinds.

In the Tang Dynasty's "Essential Prescriptions for Emergency: Linguan", it was the first time that the name "Five Lins" was proposed. "Waitai Mi Yao" specifically pointed out the classification of the five Lins: stone Lin, Qi Lin, cream Lin, Lao Lin, heat. Lin also, has been used up to now. "

Ji Xiuwen was dumbfounded, as if he had just met Lu Xuan for the first time.

This is not scientific!
He has also memorized these things, but it is absolutely impossible to remember them so clearly. Most of the time, he has to look up medical books. It can even be said that most of the contents are only a little bit of his impression.

To be able to achieve this level of skill requires having a photographic memory.

When the two were in school, they often studied together by asking questions and recited various medical books. Although Lu Xuan's performance was a little better than his, it was limited. Most of the time, he could only memorize one or two things. In a word, it is impossible to memorize all the contents of several medical books at once.

Not to mention students like them who have just graduated, even some veteran Chinese doctors may not be able to remember it.

It can even be said that it is impossible for anyone to remember so clearly.

Even a genius must talk about science!
But at this moment, Lu Xuan's performance really couldn't be described scientifically.

This guy doesn't seem to have memorized those contents at all, but he is one of those medical books. Otherwise, how could he know so much?
And just open your mouth?

Even if he put the medical books in front of him, he would have to read them for a while.

Ji Xiuwen yelled in his heart that it was unscientific, but Lu Xuan ignored Ji Xiuwen's weird eyes and asked, "Interstitial cystitis, purple tongue, astringent pulse, what's the cause?"

Ji Xiuwen opened his mouth, like a pissed off daughter-in-law, with a resentful expression on his face.

Lu Xuan turned his head and looked at Su Kenan again.

Su Kenan thought about it seriously, but after a while, she shook her head slightly. Obviously she didn't know.

Lu Xuan didn't care, and glanced at Gao Suyun: "Ms. Gao, I may need to delay you for a while."

Gao Suyun smiled: "It's okay, I'm not in a hurry."

What Lu Xuan would explain to the assistant had already spread among the patients, and everyone was not surprised.

Besides, in the eyes of many patients, Dr. Lu’s powerful medical skills should naturally be passed on to more people, the better, so that more patients can benefit.

Although the speed was a bit slow, no one said anything.

Everyone still understands the principle of fishing when the lake is dry and hunting when the forest is burned.

No matter how great Dr. Lu is, he is just a person, not a god. He can only see dozens of people a day, and only a very small number of the patients who can benefit from it.

However, if a group of Chinese medicine practitioners can become teachers under Lu Xuan's guidance, the beneficiaries will double or even explode exponentially.

Lu Xuan expressed his thanks, and then looked at Ji Xiuwen and the two:
"You have also heard what Ms. Gao just said. Urinary tract infections have been recurring for several years, and they have been treated with antibiotics for a long time. The long-term illness has weakened the body, and the use of bitter and cold products has further destroyed the righteousness. As the saying goes, long-term illness will not last long. "It will heal, and poverty will reach the kidneys." This will lead to kidney qi deficiency, yang qi deficiency, bladder degeneration and loss of qi, so frequent symptoms and green color are seen.

If kidney qi is deficient and unable to transpire body fluid, then you will be thirsty. Since it is not a real heat, you "want to rinse water but not swallow it." If the bladder qi is weak, it will be difficult to defecate, and you will need help with dosage to urinate.This disease is characterized by deficiency of kidney yang, and the evil of the sun spreads to the internal organs of the sun, resulting in unfavorable gasification of the bladder.

Insufficient kidney qi leads to weakness in propulsion and poor blood flow, so the tongue is slightly bruised and purple, which is a sign of blood stasis and cold coagulation in traditional Chinese medicine. "

Looking at Lu Xuan, Ji Xiuwen was astonished.

What the hell!

I didn't understand?

This time, Ji Xiuwen's look at Lu Xuan completely changed.

We have been classmates for many years, are you still the same you I know?

Although he didn't quite understand what Lu Xuan said, but...

These contents cannot be compiled casually. Without a certain foundation and skills, you may not be able to compile them randomly.

Ji Xiuwen knew this very well.

For the first time, Ji Xiuwen felt the fear of being dominated by a genius.

I originally thought that the two of them were at about the same level, and even if there was a slight difference, it wouldn't hurt. But at this moment, Ji Xiuwen realized how big the gap between himself and Lu Xuan was.

If you don't have any real skills, you can't say so much.

"Where did you... come from..."

At this moment, Ji Xiuwen had too many doubts in his mind to ask, but when the words came to his lips, he stopped in time, and then asked: "Then how to cure it?"

Lu Xuan thought for a while and said slowly: "For interstitial cystitis patients with kidney yang deficiency and blood stasis blocking the collaterals, the treatment principles should be to activate blood circulation and remove blood stasis, warm the kidneys and dispel cold.

Shaofu Zhuyu Decoction comes from Wang Qingren's "Yi Lin Gai Cuo", in which Chuanxiong and red peony root activate blood circulation and disperse blood stasis, nourish blood and unblock meridians;

Paojiang and cinnamon dispel cold and relieve yang, warm the middle and relieve pain; Corydalis lucidum activates blood circulation and removes blood stasis, dissipates stagnation and relieves pain, and adds peach kernel and safflower to promote blood circulation and remove blood stasis;

Frankincense, myrrh, promoting blood circulation, relieving pain, reducing swelling and promoting granulation: epimedium, dodder, psoralen, and medlar help kidney qi, increase the power of kidney to dispel cold; amber powder promotes blood circulation, removes blood stasis, diuresis and relieves stranguria.

All the prescriptions have the effects of warming the bones and promoting yang, transforming qi and relieving stranguria, promoting blood circulation and removing blood stasis.By dispelling blood stasis and unblocking the meridians, the kidney yang can be warmed, the bladder qi will open and close normally, and qi and blood will be unobstructed, then all symptoms will be eliminated on their own. "

"but……"

At this point, Lu Xuan changed the subject: "Strictly speaking, Shaofu Zhuyu Decoction is not completely symptomatic, and needs to be used with additions and subtractions. As for the specific prescription, it contains Paojiang, cinnamon, Corydalis, peach kernel, frankincense, and myrrh. , Chuanxiong, red peony root, safflower, psoralen, epimedium, dodder, wolfberry, amber powder, licorice."

Ji Xiuwen frowned.

He had heard of Shaofu Zhuyu Decoction, and the syndrome was blood stasis in the lower Jiao Shaofu.

The lower energizer includes the liver and kidney, due to dysfunction of the liver and kidney, stagnation of qi stagnation due to cold, poor drainage, and discomfort of blood stasis, which accumulate in the abdomen, so the symptoms include accumulation of pain in the abdomen, or miscellaneous diseases such as irregular menstruation .

The treatment should be to expel blood stasis, activate blood, warm yang and regulate qi.Therefore, Shaofu Zhuyu Decoction uses fennel, cinnamon, and dried ginger to taste pungent and warm in nature, enter the liver and kidney and return to the spleen, regulate qi and activate blood, and warm blood vessels; angelica and red peony enter the liver, promote blood stasis and blood circulation; , Ligusticum Chuanxiong, Yuanhu, and myrrh enter the liver, promote blood circulation and regulate qi, and make qi flow to activate blood, so that qi and blood can be activated smoothly, so it can relieve pain.

But why Lu Xuan added and subtracted things like this puzzled him.

If it were him, if he knew the patient's symptoms and the syndrome differentiation was clear, he might just prescribe a Shaofu Zhuyu Decoction instead of doing these additions and subtractions.

Lu Xuan seemed to see the doubts in Ji Xiuwen's heart, and explained: "Yang deficiency and blood stasis can be seen together, and there is damp stagnation in the bladder and qi stagnation in the collaterals. Too much nourishment may cause evil, and too much use of Qingli may damage the righteousness even more. Therefore, it is the right way to use the medicine to warm the Yang and not restrain the evil, and to activate the blood without destroying the blood and harming the righteousness."

"Do you understand now?" Lu Xuan looked at him and smiled slightly.

Naturally, he would not hide anything from this classmate of many years.

Ji Xiuwen was thoughtful.

"What about you?"

Lu Xuan turned around and looked at Su Kenan, who had been silent.

Su Kenan has done a lot of research on gynecological diseases in the past few days. Blood stasis is very common in gynecological diseases. He also has a thorough understanding of Shaofu Zhuyu Decoction. He can use this prescription to treat Gao Suyun's condition. There are still many doubts about interstitial cystitis.

Or rather, I don't quite understand.

Even if Lu Xuan explained it very thoroughly, it would not be understood in a short while.

Seeing that both of them were like this, Lu Xuan said calmly: "It doesn't matter if you don't understand. Write it down first. If there is anything you don't understand, ask me again."

After he finished speaking, he had already written down the prescription and handed it to Su Kenan to register it into the system.

When Gao Suyun paid the fee, Ji Xiuwen came back to his senses and looked at Lu Xuan with a complicated expression.

There is only one thought in his mind at the moment.

What happened in the past six months?
In other words, after Lu Xuan came to the hospital, what happened in the short period of half a month?
How can a person change so much.

　PS: Interstitial cystitis can be divided into many types according to syndrome differentiation, and the medicines for different symptoms are also different. Please do not use prescriptions indiscriminately without syndrome differentiation.

　　And I’m afraid that some people haven’t seen it, let’s talk about the update time again, nine in the morning, twelve at noon, eight in the evening, then 4000+ for each chapter, 12000+ for daily updates, and 20000+ for the leader
　　
　
(End of this chapter)