I can hear the voice of Chinese medicine

Chapter 68 Maybe it's because I'm on the phone (please subscribe after the third watch)
Ji Xiuwen hesitated to speak.

Looking at the fee receipt that Su Kenan handed over, he had no choice but to suppress all doubts, and walked into the Chinese pharmacy with the fee receipt.

Paojiang, cinnamon, Corydalis, peach kernel, frankincense, myrrh, chuanxiong, red peony, safflower, psoralen, epimedium, dodder, medlar, amber powder, licorice.

There are 15 kinds of Chinese herbal medicines. Ji Xiuwen has only officially started work today, and he is obviously not as familiar with the Chinese medicine store as Lu Xuan. When the medicines are ready and come out, a patient has already handed them to him through the window for taking the medicines.

Ji Xiuwen glanced subconsciously, they were all medicines for colds.

"No wonder so fast..."

Originally, when the patient put the payment receipt in the medicine window, Ji Xiuwen was still wondering what was going on, but after seeing the medicine prescribed by Lu Xuan, he suddenly understood.

If it's just a cold, it's easy.

Ji Xiuwen grabbed the medicine again and quickly returned to his position.

At this moment, a woman in her 40s dragged a teenage girl into the consulting room.

"Doctor Lu."

The woman walked in, and when she saw Lu Xuan, she greeted him quickly.

"Sit down and talk." Lu Xuan nodded towards her, but then looked at the ten-year-old girl.

Few parents bring their children here when they see a doctor, especially for such a big child, even if there is no class during the summer vacation, they will arrange certain remedial classes or do homework at home.

Bring it, if there is no accident, the probability of the child's physical problems is at least [-]%.

Of course, there are also some parents who have no one to bring their children, so they have no choice but to bring them.

But a girl of this age obviously doesn't need her parents to watch her.

"What happened to the child?" Lu Xuan asked.

Qi Shuyi sighed, and under Lu Xuan's questioning, she told the child's situation one by one.

Lu Xuan observed the girl's face and tongue while listening, and put his finger on the girl's slender wrist.

The girl is 16 years old and has been sick for more than ten days. She has chest pain, shortness of breath when lying down, loss of appetite, ups and downs pulse, dry and white teeth, and poor development.

I went to the hospital last week, and Western medicine diagnosed it as tuberculous pleurisy.

After listening to Qi Shuyi's words, Lu Xuan nodded slightly but did not speak.

Qi Shuyi said anxiously: "Doctor Lu, can Chinese medicine treat tuberculous pleurisy?"

"When I was in the hospital, I heard the doctor said that a thoracic puncture and fluid extraction operation was necessary. I hesitated as soon as I heard that the operation was required, and there was a high possibility of postoperative sequelae, and I didn't want my child to undergo surgery. I heard that Chinese medicine also It can be cured, thinking that taking medicine is better than surgery, and I heard that your medical skills are very good..."

Qi Shuyi said a lot, nothing more than that she didn't want the child to undergo thoracentesis and fluid extraction, and wanted to try Chinese medicine.

"OK."

Lu Xuan nodded. Seeing that Qi Shuyi was about to speak, he pressed his hand and looked at Ji Xiuwen and Su Kenan: "Let's talk about your understanding of this disease."

"You go ahead." Lu Xuan looked at Ji Xiuwen.

"I?"

Ji Xiuwen pointed to himself.

Lu Xuan nodded: "Yes."

Ji Xiuwen groaned, thought for a while, and told what he knew: "Tuberculosis pleurisy is a disease caused by Mycobacterium tuberculosis invading the body for the first time. There are five ways to cause tuberculous pleurisy. The first is hilar The bacteria of lymphatic tuberculosis flow back to the pleura through the lymphatic vessels;
The second type is tuberculosis lesion adjacent to the pleura that ruptures, allowing Mycobacterium tuberculosis or products of tuberculosis infection to directly enter the pleural cavity; the third type is acute or subacute hematogenous disseminated tuberculosis causing pleurisy; the fourth type is highly allergic , the pleura is highly reactive to tuberculosis toxin and causes exudation; the fifth thoracic vertebral tuberculosis and rib tuberculosis rupture into the pleural cavity.

However, needle pleural biopsy or thoracoscopic biopsy has confirmed that 80% of parietal pleura with tuberculous pleurisy has typical tuberculosis pathological changes. Therefore, direct spread of Mycobacterium tuberculosis throughout the pleura is the main pathogenesis of tuberculous pleurisy. "

This knowledge is basically taught in schools.

Zhijiang University of Traditional Chinese Medicine not only teaches pure Chinese medicine, but also combines Chinese and Western related subjects. Basically, every student has to memorize this knowledge, and they may get it in the exam.

Hearing this, Lu Xuan shook his head slightly: "This is the understanding of western medicine. Indeed, this is taught in school, and I have learned it, but I think, as a Chinese medicine doctor, you can understand these things, but the most important thing is The most important thing is to use the concept of Chinese medicine to understand and explain this disease, otherwise it will be difficult to learn Chinese medicine thoroughly.”

Ji Xiuwen was slightly silent, then nodded noncommittally.

"Try to feel the pulse." Lu Xuan motioned.

"it is good."

Ji Xiuwen was stunned for a moment, then nodded quickly without any pretense. Although he didn't know what happened to Lu Xuan, he would never let go of such a good opportunity to check the patient's pulse.

Isn't it just to have the opportunity to contact patients and accumulate clinical experience after leaving the county hospital of traditional Chinese medicine and running to the health center?

Now, if he had the opportunity, how could he let it go.

After thinking about it, Ji Xiuwen put three fingers on the girl's inch ruler without saying a word.

After a while, Lu Xuan asked, "How is it?"

Ji Xiuwen frowned slightly. This was the first time he felt the pulse of a patient. He was excited, but more nervous. In addition, the doctor was a good friend of his classmates for many years, which made it difficult for him to calm down. Difficult to judge.

This is the embarrassment of having no clinical experience.

Lu Xuan understands.

So before Ji Xiuwen could speak, he smiled and educated his friend on the basics of pulse-taking: "Pulse-taking is one of the four diagnoses of traditional Chinese medicine, also known as Qie. By taking pulse, we can judge whether the patient's inner body is actually Deficiency, heat or cold... Symptoms like these can be shown on the pulse of the wrist.

I have learned this, and so have you.

The four cores that need to be mastered to feel the pulse are also the key, you know? "

Ji Xiuwen quickly calmed down: "Floating and sinking are too late."

"Yes, it's the ups and downs. In addition, there are other pulse conditions. Those, after mastering these four conditions, you can go to further study."

Lu Xuan continued solemnly: "I don't know if you still remember, but it doesn't matter, let me talk about the ups and downs first.

Put your fingers on the Cunguan ruler, and touch it lightly, and you will feel the pulse, which is the floating pulse.Push it down a little harder, but there is still a throbbing pulse, which is a floating pulse.

If you press it down and feel the pulse beating strongly, this is a real disease, but if you press it down and feel the pulse beating weakly, this is a deficiency disease.

If the patient has a disease, he or she can judge based on the symptoms and the pulse condition how far the disease has progressed, whether the condition is serious or about to be cured, etc. "

Ji Xiuwen pressed the girl's pulse, thoughtfully.

At this point, Lu Xuan smiled and said: "If you put your hand on the pulse and you still can't feel it, and you keep pressing harder until you almost touch the bone, you can feel the obvious pulse. This is the Shen pulse." .

If you can’t feel it without using force, press a little harder, and you can feel it without pressing it all the way. This is called not sinking or floating.

You can also judge it separately according to the amount of force you exert. It can be summarized as either sinking (more force) or floating (less force). This situation is collectively referred to as medium. "

Speaking of this, Lu Xuan looked at Ji Xiuwen: "You try again."

Ji Xiuwen nodded slightly, and continued to try according to what Lu Xuan said. After a while, he raised his head and said, "I feel that there are ups and downs, and I don't know if my judgment is right."

Lu Xuan nodded towards him: "That's right, it's pulse ups and downs."

"The difference between ups and downs has something to do with pathogenic factors. When feeling the pulse, if the pulse condition fluctuates, it is related to the pathogenic factors and whether the Qi and blood are sufficient."

"for example."

"If a person catches a cold, the body wants to deal with these invading diseases on the "surface" layer of the body from the very beginning. At this time, the body will naturally mobilize the body fluid, qi and blood, and gather them on the body surface to fight. Therefore, the body If the qi and blood here are sufficient, the pulse will appear floating.

But if the problem can’t be solved here, the evil advances into the body, and the righteous energy retreats in, the qi, blood and body fluid will be concentrated in the middle (half the surface and half the inside), and the pulse will appear in the middle.

Evil qi wins again, enters in again, righteous qi defeats again, retreats inward, all retreats inward, here, the strength is accumulated, and the decisive battle with the evil spirits is fought, and the pulse becomes heavy.

Looking at it this way, where the body's righteous energy (blood, qi and blood) gathers, there will be feedback in the corresponding parts of the veins. "

Ji Xiuwen nodded, indicating that he understood.

But Lu Xuan continued: "Then let's talk about the pulse is empty and the pulse is solid. When feeling the pulse, sometimes I will slowly press down with more force, then reduce the force a little, and lift the finger back to the original position, and , repeated several times.

This is to use the fingers to feel the resistance of the pulse to the fingers.

When you press down, if you feel that the pulse is very hard, solid, and rebounds strongly, it proves that the pulse is powerful.

But if the finger presses down without much resistance, and even with a little more force, the pulse disappears, then the pulse has no power.

It’s like we can touch the soft rubber water pipe that is releasing water in our daily life. If the water intake is large and urgent, the water pipe will feel hard when pressed, and we don’t feel that we can press it.

But if the water intake is small and slow, the water pipe may be pressed up, and it can be pressed to the end with ease.

According to the force you press down and the rebound resistance you get, you can roughly judge whether the water intake is more or less, whether it is urgent or slow.

When we feel the pulse, we can also judge whether the pulse is strong or weak according to the feeling on the fingers.The kind with stronger power means that the body's righteousness is sufficient, and the kind with weaker power means that the body's righteousness is weak.

If the pulse of deficiency is found, it means that the righteousness is weak. When treating the disease, it is necessary to consider supplementing and supporting the righteousness first. When the righteousness is sufficient, the body will naturally be able to compete with the evil.

If the patient's pulse condition is strong and the righteousness is still sufficient, then the method of attacking and venting can be used to directly fight the pathogenic factors.

As a traditional Chinese medicine practitioner, there are many things that need to be paid attention to. It is necessary to make a correct judgment based on the patient's symptoms, pulse and other aspects, and decide whether to attack immediately or to cultivate the healthy energy first. As for fighting the disease, you have to let go. It can be arranged in the next step. "

Speaking of this, Lu Xuan smiled slightly: "Sometimes, this is the difference between a quack doctor and a genius doctor."

Ji Xiuwen's eyes widened and he became more and more confused.

If before he was still wondering why Lu Xuan was able to memorize the contents of those medical books so well, now it is no longer as simple as being surprised.

Rather, he was surprised and even shocked.

If you don't have some experience in pulse diagnosis, you can't explain so many reasons anyway.

These, in many cases, are the content that the school will not teach, and the skills that can really be applied in practice.

The two haven't seen each other for only half a year, but they are already very different.

Taking a deep breath, it took a while for Ji Xiuwen to recover from the shock, and then asked: "Then how should the little girl be treated?"

"I also said just now that tuberculous pleurisy is similar to the "chest pain" in Chinese medicine. The qi is concentrated in the chest,... The chest is located in the upper Jiao, which is the residence of the ancestral qi. It has the same qi as the outer part, so the treatment method is the same.

For the little girl's illness, Xiao Chai Hu Tang plus Gua Ling is the main treatment, Poria cocos, mulberry bark, reed root, coix seed, aurantium aurantium are supplemented, and Cordyceps and Ophiopogon japonicus are supplemented. "

The corner of Lu Xuan's mouth raised slightly: "Xiao Chaihu Decoction is good at treating hypochondriac pain, and the chest and hypochondrium are connected, so it can be treated well. Poria and other drugs can eliminate phlegm and purge water, ventilate and dry dampness, and are most needed by those with pleural effusion."

Those who use Cordyceps and Silver Bupleurum are all designed for the end of the school.

Cordyceps nourishes the essence and body, nourishes the lungs and kidneys, resolves phlegm and nourishes qi, and cures all deficiency and damage. Yin Bupleurum is a product for clearing heat and cooling blood. All heat in the bone town must be cured by this, and it is better than diverging. effect.

Ophiopogon japonicus enters the two meridians of the heart and lungs. It is a clear and moisturizing product. It is specially used to divide the qi in the lung meridian.

But licorice enters the twelve meridians of the hands and feet, and when used together with a cooling agent, it will pollute internal and external pathogenic heat, and it has the most powerful effect of harmonizing all medicines. "

"Sigh~"

As soon as Lu Xuan finished speaking, Ji Xiuwen couldn't help taking a breath.

At this moment, his gaze towards Lu Xuan was filled with disbelief.

Lu Xuan's understanding of medicinal properties and diseases has completely surpassed his imagination. This kind of knowledge reserves, research on pathology, and grasp of diseases are not at all a person who graduated from the University of Traditional Chinese Medicine in just over half a year. what students can do.

Shocked!

Shock like never before!
If the young man in front of him was someone else, Ji Xiuwen wouldn't be too impressed, at most he thinks that there are geniuses in this world, the kind of genius that you can't even touch the back no matter how hard you try.

Not really.

The young man sitting opposite him at the moment is his most familiar deskmate and roommate, Lu Xuan who has been with him for several years.

All along, Ji Xiuwen felt that he knew Lu Xuan very well.

But this time, he felt strange.

After Qi Shuyi paid the fee and took the little girl to the window outside to wait for the time to get the medicine, Ji Xiuwen's slightly squinted eyes slowly opened, and after exhaling, he stared fixedly at the familiar yet unfamiliar young man in front of him. , with a trace of suspicion in his eyes:
"What happened to you in the past six months?"

"I always feel that something is wrong. The person sitting in front of me is the Lu Xuan I know, but it doesn't seem to be."

Su Kenan didn't speak, and looked at the two quietly, his eyes finally fell on Lu Xuan's delicate face, thoughtful.

"Maybe it's because I turned on the hook!"

Lu Xuan replied with a smile.

He felt that he could no longer be objective when he said this, after all, he was really cheating.

only……

"Are you hanging up?"

Ji Xiuwen was stunned for a moment, and then burst out laughing. On the contrary, he didn't doubt him, and his originally puzzled expression was inexplicably relieved.

(End of this chapter)