I can hear the voice of Chinese medicine

Chapter 89 Adoptive Father, Teach Your Stupid Adoptive Son Carefully

Ji Xiuwen suddenly felt that he was a little redundant here.

He looked at his old classmate with contempt.

You still say it’s nothing, is this also called nothing?
Anyway, he 1 did not believe it.

"Or, let's pour another glass."

"Need not."

Su Kenan didn't care, and Lu Xuan didn't insist. Instead, he glared at Ji Xiuwen who was covering his mouth and laughing, coughed slightly, and asked Su Kenan to continue calling.

I watched it for nearly an hour.

Lu Xuan didn't pay attention to how many people he had already seen. He only knew that as soon as a patient left, someone else would fill it up immediately. He was so busy that he didn't even have time to drink his saliva.

At this time, a woman about 30 years old walked into the consulting room, her face was a little pale.

When she walked in, she subconsciously glanced at the three people in the consulting room, and finally her eyes fell on Lu Xuan, and said hello to Lu Xuan: "Doctor Lu."

"Sit down and talk."

Lu Xuan stretched out his hand to signal.

Zheng Shuixian nodded, came to sit in front of Lu Xuan, and put his arms directly on the pulse pillow.

Lu Xuan took the other's pulse, glanced at the other's tongue, and asked, "What's wrong with you?"

Zheng Shuixian nodded, then shook his head: "That's right, but it can't be said to be uncomfortable. It's just that the vaginal discharge has been a lot. This situation has been going on for two or three years. I went to the gynecologist for a gynecological examination. The gynecological examination showed cervical erosion of the third degree. .”

"What about the color? Is there any peculiar smell?"

Lu Xuan wrote down what the woman mentioned and asked again: "Do you usually feel uncomfortable in any other way?"

When asked about this, Zheng Shuixian thought for a while and then said: "As for the color, it seems to be a little yellowish in color, and the texture is relatively thin, but it is always there, and there is no peculiar smell. Normally, I feel dizzy, tired and weak, and my waist and knees are tight. Soft, no appetite, loose and unformed stools, and every afternoon, my limbs will be swollen, I don’t sleep well at night, I keep dreaming, and my belly feels very swollen all the time.”

Lu Xuan nodded and wrote down what Zheng Shuixian said in his medical record.

Main Symptoms: I have been experiencing heavy vaginal discharge for more than 3 years, white and yellowish color, thin and continuous vaginal discharge, odorless, pale complexion, dizziness, fatigue and weakness, waist and knees weakness, poor appetite, loose stools, and swelling of limbs in the afternoon. , poor sleep, dreaminess, distended lower abdomen, pale tongue, white coating, and heavy and thready pulse.Gynecological examination: Cervical III degree erosion.

Writing down these is mainly for the convenience of the next time the patient comes, without asking too many questions, and can clearly know which symptoms were prescribed for the last time, so as to prevent the patient from expressing unclearly.

Although Lu Xuan has a photographic memory, he can't guarantee that he can remember it completely.

After all, he sees too many patients in a day, and it is impossible to remember them all clearly.

A good memory is not as good as a bad writing.

Moreover, it is not Lu Xuan who can do this kind of thing alone, basically the Chinese medicine practitioners in charge will record it.

On the one hand, it is convenient for yourself, and on the other hand, it is also convenient for patients.

Western medicine, in fact, has given up the medical records. In most cases, it no longer records symptoms and prescriptions in the medical records, but only leaves traces in the computer system.

To be honest, Lu Xuan didn't agree with this approach.

Medical records have been used to record these things since they appeared.

You can't give up this practice for your own convenience.

Moreover, with these records, even if the patient goes to see a doctor elsewhere, the next doctor will know the previous doctor's judgment and what medicine the patient has taken, making it easier to identify the syndrome.

However, Lu Xuan also knows that this kind of thing cannot be changed by himself, so he can only be himself.

Since it was a gynecological disease, Lu Xuan did not prescribe medicine directly. Instead, he made room for Su Kenan and said, "Come and take a look."

Su Kenan intentionally focused on overcoming gynecological diseases, and he did not delay at the moment. His body moved a little, and his slender fingers landed on Zheng Shuixian's ruler.

Lu Xuan's eyes swept over Su Kenan's three slender fingers on Zheng Shuixian, and reminded: "If you can't feel it, you might as well try pressing down with a little force."

Su Kenan was stunned for a moment, and then pressed slightly harder as Lu Xuan said. After a while, a smile appeared in his eyes.

"If you press lightly, you won't get it. If you press it hard, you will get it. You should remember this sentence, right?" Lu Xuan said with a smile.

"Shen Mai." Ji Xiuwen answered the question leisurely from the side.

However, what greeted him was a roll of his eyes from Lu Xuan: "I didn't let you say it."

Ji Xiuwen is a depressed old classmate. After not seeing each other for more than half a year, his relationship is getting weaker and weaker!

When I was instructing him just now, I wasn't so meticulous. I even reminded him how to exert force and how to feel.

Ji Xiuwen glanced at Su Kenan with some taste, is he pretty?

He felt that it would not be bad if he went abroad twice.

"Thin pulse?" Su Kenan turned her head and looked at Lu Xuan expectantly.

"I haven't learned in vain these days."

Lu Xuan praised him, and Su Kenan suddenly smiled like a flower.

"The pulse is as thin as a thread, with clear indications, coming and going like a thread, and pressing it incessantly. This is a thin pulse. Clinically speaking, a thin pulse is mostly seen in deficiency syndromes."

Lu Xuan continued: "As for Shenmai, in the early "Neijing" and "Nanjing" and other books, Shen and Shi were often referred to together as an interchangeable word to describe the pulse condition. Except for the reference of "Dongshi", stone characters are generally not used. "Like a stone throwing water" is an objective description method to describe the vein body below and has a tendency to sink, but it is often used nowadays.

Therefore, when describing the sinking veins, it is often said that the sinking veins are close to the muscles and bones, with the tendency to be deep and downward, like a stone thrown into water, or like a cotton bag of sand. "

Su Kenan nodded seriously, keeping Lu Xuan's words in mind.

And Lu Xuan stopped talking about taking the pulse, and focused on leukorrhea: "leukorrhagia refers to women who have significantly increased leukorrhagia with abnormal color, quality, and smell. Or have vaginal and vulva dampness, redness, swelling Those who are itchy, have obviously too little vaginal discharge, or have no vaginal discharge can be called vaginal discharge.

Pregnancy symptoms can also be divided into physiological phenomena and pathological phenomena. For example, if vaginal discharge increases before and after menstruation, ovulation, and pregnancy, it can be considered a normal physiological phenomenon. If vaginal discharge does not increase during this period, it can be considered normal and if there are symptoms. It's called leucorrhea. "

"Have you read any medical books like this these days?" Lu Xuan asked.

Su Kenan nodded: "I've seen some."

"Which medical book contains the earliest relevant records?"

"Su asked."

"Do you still remember the content?"

Su Kenan groaned, and finally shook his head.

Lu Xuan is not surprised, not everyone can achieve the photographic memory like him, Su Kenan can remember to bring down the earliest record of Yu Suwen is already good, if it is an ordinary medical student, I am afraid that he can't even answer this question .

"Leukorrhagia was first seen in "Suwen·Gukong Chapter" "Ren meridian is a disease, and women have vaginal discharge and abdominal mass".

Lu Xuan patiently introduced: "In "Suwen·Ancient Innocence Theory" it is also mentioned that "for a woman, on the [-]th day, the heaven will reach the guizhi, the Ren pulse is open, the Taichong pulse is strong, and the menstruation is at the current time, so there is a child."

During this period, there will be obvious secretions, which are governed by the spleen for transportation and transformation, kidneys for closure and storage, controlled by the Renmai, restrained by the meridian, and distributed in the Yin orifices.

This is as Wang Mengying, a febrile disease expert in traditional Chinese medicine, said, "Women are born with vaginal discharge, and their fluids are always nourishing. It is not a disease at all."

For example, if the leukorrhagia is too much, the color has five colors, and the smell is unpleasant, it is a leukorrhagia.

Women's leucorrhea is a common disease and frequently-occurring disease in women. It is often combined with irregular menstruation, amenorrhea, vaginal itching, infertility, epilepsy, etc.

And in the ancient Warring States period, it was called taking doctors under the belt, and Bian Que passed HD Wengui's wife, that is, taking doctors under the belt.It can be seen how much Chinese medicine attaches importance to women's meridian pregnancy.And ancient Chinese medicine has summed up the experience of women's diseases, which is quite rich, and it also has extremely important reference value for us Chinese medicine practitioners. "

Having said this, Lu Xuan paused, and then continued, "I brought too many people with me. In ancient times, they were also called "Bai Wo", "Chi Wo", "Chi Bai Wo", "Bai Li", "Chi Li", "Chibaili", "Xiabaiwu", etc.

Zhang Zhongjing's "Synopsis of the Golden Chamber·Women's Miscellaneous Diseases and Pulse Syndrome and Treatment" mentioned that "a woman's menstrual flow is unfavorable, and white matter is released, and Fanshi pills are the main ones";
"Treatise on the Origin and Symptoms of Various Diseases, Miscellaneous Diseases of Women, Symptoms of Leukorrhagia" states that "leukorrhea disease" is called "leukorrhagia", which is divided into five colors and all symptoms;
Liu Wansu said in "Suwen Xuanji Original Disease Pattern·Additional Part" that "therefore, if the Ren pulse in the lower part is extremely damp and hot, body fluid will overflow and lead to vaginal discharge"; the theory of nourishing yin, the famous medicine of the Yuan Dynasty that founded the "Yin nourishing school" Zhu Danxi believes that "leucorrhea is mostly related to dampness and heat. In terms of treatment method, it is proposed to put dryness first, followed by ascending to replenish deficiency."
"Jingyue Quanshu · Women's Regulations · The Legacy of Dreams with Turbidity" pointed out that "shaking of the heart", "slip of desire", "rebellion in intercourse", "deficiency and coldness" and other damages to the kidneys lead to excessive leukorrhea , "Fu Qingzhu Women's Section · Leukorrhea" lists leukorrhea at the top of the book, and discusses its pathogenesis in white, yellow, red, blue, and black. The key symptoms.

Medical scientists of the past dynasties have almost the same understanding of leucorrhea. They believe that leucorrhea is mostly caused by spleen and kidney deficiency, dampness and heat cohesion invading the vagina and uterus, affecting the vaginal discharge, resulting in the loss of solidification of the Renmai and the failure of the Renmai.

However, although dampness is the main cause of this disease, there are also internal and external differences.

Why do you say that?

The three internal organs of the liver, spleen and kidney are the causes of internal dampness, such as spleen deficiency, internal water-dampness, kidney-yang deficiency, abnormal qi transformation, internal water-dampness, liver stagnation and earth damage, and liver-fire dampness and heat.This is caused by internal dampness.

Exogenous dampness can be caused by living in wetlands for a long time, wading in the rain, having an unclean acquaintance, or having sex during menstruation. All of these can be caused by dampness toxins, which can cause cervical erosion and inflammation of the vagina and appendages. "

Say it in one breath, not to mention the person who said it, but it makes everyone's scalp tingle when they hear it.

Anyway, at this moment, Ji Xiuwen's scalp was already numb.

He looked at his old classmate blankly, somewhat doubting that his old classmate was not a human being at all, but a Chinese medicine library.

The content of ancient medical books is not written in vernacular, and it is often difficult to read. There is no vernacular that is easy to understand, not to mention memorized, even if you read it from the book, you will be awkward.

But when it comes to Lu Xuan, everything that is obscure and difficult to understand, and everything that is difficult to pronounce, seems to not exist.

The most important thing is that he simply can't figure out how his old classmate wrote down all these contents.

You know, when Lu Xuan gave an example, he didn't just talk about a medical book, but he would talk about any medical book that has relevant records.

Memorizing medical books and content is fine, but it is very unscientific for people to memorize every part clearly.

Is this something a human can do?

Ji Xiuwen began to doubt life.

He couldn't help but glance at Su Kenan. This silly girl probably thought Lu Xuan was very powerful without thinking too much. She almost looked like Lu Xuan.

Seeing this, Ji Xiuwen suddenly felt like he had discovered some great secret. No wonder he taught him so carefully, so it was because he became Lu Xuan?

Thinking of this, Ji Xiuwen turned to look at his old classmates.

Foster father, I can do it too.

When Ji Xiuwen looked over, Lu Xuan felt strange. He subconsciously looked up and found that Ji Xiuwen was staring at him with dark eyes. He suddenly felt a chill on his back and quickly looked away, falling on On Zheng Shuixian:
"Ms. Zheng, I wasted your time."

"It's okay. This is good. I can also understand a little bit."

Zheng Shuixian showed a smile, and was not angry or anxious because Lu Xuan explained to Su Kenan about the disease. On the contrary, he acted gracefully: "Although I don't understand much, but I feel very powerful. More confidence."

"It's good to have confidence. Sometimes, feeling better is often better than taking medicine."

Lu Xuan laughed loudly, and then talked about Zheng Shuixian's condition: "The main reason for your disease is spleen deficiency and the loss of solidification of transportation and transformation. Damp evil injects damage to Ren Ren, causing the Ren Ren to be unstable, and the Ren Ren to be unconsolidated. If the spleen is too weak and the yang is weak, there will be loose stools, soreness and swelling of the limbs, etc. Cinnamon can replenish the fire of Mingmen to revitalize the yang. Adding two chen to the Wandai decoction can dry the spleen's dampness and resolve turbidity. For Qing, make the clear Qi rise and the turbid Qi fall. Dampness and turbidity are the most important. Among them, supplementing, dispersing, ascending, clearing, drying, and transforming all open the way for dampness evil. Make the spleen strong and strong, and the dampness and turbidity will disappear on their own. "

While talking, Lu Xuan had also written down the prescription.

Prescription: fried Atractylodes macrocephala, fried yam, Codonopsis pilosula, fried white peony root, plantain seed, fried Atractylodes lancea, tangerine peel, prepared pinellia, kouren, Bupleurum, raw licorice, Poria.

"Doctor Lu, may I ask how long I need to take the medicine for this disease?" Zheng Shuixian stretched out his head to look at the prescription written by Lu Xuan.

After thinking for a while, Lu Xuan said: "Keep a good mood, this medicine will have a good effect after taking it, and in the future, it should be enough to take it for a week or two to strengthen it."

"So fast?" Zheng Shuixian looked surprised. She had been suffering from this disease for three years and had been to the hospital many times. Although it sometimes had some effect, it didn't take long before she was back to the starting point, as if she had not been cured. .

Now I heard that it only takes two or three weeks to be cured, and I couldn't believe it all at once.

Lu Xuan didn't expect Zheng Shuixian to be so excited, and said bluntly: "It's not a serious illness, two or three weeks is enough."

"That's great."

Zheng Shuixian thanked her again and again. Although the illness is not a serious illness and is fatal, it is still a troublesome thing, more painful than some serious illnesses.

Now that I heard such good news, I cried with joy for a while.

"Stop being in a daze and go get someone some medicine." Lu Xuan patted Ji Xiuwen who was in a daze.

Ji Xiuwen reacted and walked into the Chinese medicine pharmacy with the charge receipt.

After trying it on both of them in the morning, I stopped trying it on two more people. The speed suddenly increased a lot. When it was approaching [-] noon, the last patient of the morning was finally sent away.

I looked at the time, and it was already past the end of get off work. Although there are still food in the cafeteria at this time, most of them are cold, so I glanced at the two of them, and suggested: "The food in the cafeteria should be cold, let's go out to eat, just in Want to eat something on the other side?"

"Okay!" Ji Xiuwen raised his hands in agreement.

Su Kenan hesitated and said, "I brought food."

Did you bring food?
Lu Xuan was stunned for a while. Su Kenan was from a rich family, and he had never heard of the rich second generation bringing food to work.

However, since Su Kenan brought the meal, Lu Xuan didn't force it, so he walked towards the opposite side of the hospital with Ji Xiuwen on his shoulders.

Seeing Lu Xuan's leaving figure, Su Kenan was slightly lost in thought, then stood up and went to the back, took out the lunch box from the small refrigerator and put it in the microwave.

I brought two servings of rice.

There is no Ji Xiuwen.

After Lu Xuan and Ji Xiuwen walked out of the health center, Ji Xiuwen suddenly turned his head with a look of resentment on his face:
"Father, please teach your stupid adopted son carefully!"

???

Lu Xuan had a question mark on his face, not knowing why.

Am I not careful?

(End of this chapter)