I can hear the voice of Chinese medicine

Chapter 94

Generally speaking, patients' emotional reactions are quite stressful. The most common one is poor mood, followed by emotional fragility, emotional instability, easy irritation, and easy acceptance of negative language suggestions and inductions.

Worrying about whether you have some incurable disease, this may be some thoughts that every patient will have.

Long-term disease torture, personality traits often change.

Gone is the cheerful, exuberant image, replaced by sluggishness, emotional fragility, cautiousness, passive dependence, sensitivity, suspicion, and self-centeredness.

People who pay too much attention to the body's feelings and care too much about changes in their condition will quickly develop a depressed mood once they receive negative hints. However, seeing patients who have recovered well can also build confidence instantly.

Therefore, the more important thing is to find one, at most two trustworthy doctors, and carry out rehabilitation treatment strictly according to the doctor's guidance.

Do not seek medical advice on a large scale, get a variety of different opinions, and stand at a crossroads, at a loss.

It is okay for patients to encourage each other, but it is best not to ask about experience, because other people’s experiences may not apply to you, and other people’s diseases are not the same as your own.

Pan Yuqian is in such a state of mind now. While the months-long fever has caused her torment, it is also rapidly destroying her emotions.

Especially after undergoing countless treatments without any improvement, this kind of destruction will be magnified infinitely by herself.

"Doctor Lu, even you can't find the reason why I have a fever for no reason?"

Before her friend introduced her, Pan Yuqian had known Lu Xuan. She had heard many cases of Lu Xuan curing some difficult and complicated diseases. So far, she had never even encountered a disease that even Lu Xuan was helpless to deal with.

Knowing these things, Pan Yuqian's confidence was greatly boosted, and she spent several days at home trying to grab an account, and finally got on Lu Xuan's account this afternoon.

But at this moment, after learning about her situation, Dr. Lu's silence for a long time made her let go of her heart rise again.

Pan Yuqian looked at Lu Xuan worriedly, fearing that she would get bad news from Lu Xuan in the next moment.

The cause of her fever could not be found, or it was an incurable disease.

Seeing that Lu Xuan didn't respond, Ji Xiuwen impatiently touched Lu Xuan's arm, and reminded him in a low voice, "Doctor Lu."

A haze quickly spread in my heart. Is my old classmate going to be broken today?
Ji Xiuwen was extremely worried, but after thinking about it carefully, he felt that his expectations of his old classmates were too high.

Doctors are not omnipotent, they don't know all kinds of diseases, and they don't know everything.

Even some divine doctors in ancient times were helpless sometimes.

What's more, Lu Xuan has only graduated not long ago. To be able to do this, and to have the current medical skills, he has already surpassed his peers by a lot, and he is not even inferior to any famous Chinese medicine doctor.

It is too difficult to not break the golden body.

Thinking of this, Ji Xiuwen couldn't help but sigh.

At this time, under Ji Xiuwen's reminder, Lu Xuan also quickly came back to his senses, seeing Pan Yuqian staring at him with a gloomy expression, he hurriedly comforted him: "Don't worry, I probably thought about your situation, we should talk to you Shaoyang disease has something to do with it."

"Shaoyang disease?"

Pan Yuqian is not a Chinese medicine doctor, nor has she ever taught herself, so when Lu Xuan said this word, she couldn't help frowning, but Ji Xiuwen looked at Lu Xuan with curiosity and doubt on her face.

Lu Xuan explained: "Frequent cold and heat are the typical cold and heat symptoms of Shaoyang disease. The specific manifestation is that fever and aversion to cold appear intermittently, coming and going, alternating, several times a day, with no certain time pattern, which is caused by stagnation of Qi. The imbalance of camp and guard is caused by the conflict between good and evil."

Ji Xiuwen nodded, he knew this, but he didn't think about it.

Now that Lu Xuan mentioned Shaoyang disease, when he compared it with Pan Yuqian's condition, it was quite similar.

Thinking of this, Ji Xiuwen said: "Although Ms. Pan's condition is roughly similar to Shaoyang's disease, but when you think about it carefully, it is different."

"You're right."

Lu Xuan was not surprised that Ji Xiuwen could discover this.

Then he explained: "Ms. Pan's symptoms include chills, fever, cough and other exogenous factors. The fever persists after antibacterial treatment with western medicine. The cause of the disease is still difficult to be determined after hospitalization. Antibacterial, antiviral, antimalarial, antituberculosis and Hormone and other methods of treatment have not been able to control the fever, and then damage the righteousness.

The patient's fever lasted for several months, but her mental and food intake was acceptable. Based on this, it can be concluded that Ms. Pan's fever was due to internal injury and qi deficiency. Insufficient righteousness caused the internal growth of yin fire, which turned from qi deficiency and yang into yin, and the health system Indications and fever treatment.

Therefore, Ms. Pan's situation is most similar to Shaoyang Qi syndrome, but there are some differences.

According to Mr. Li Dongyuan’s "Theory of Spleen and Stomach: Injuries caused by fatigue due to eating and drinking are first caused by heat": Insufficient vitality causes yin fire. "We should supplement it with pungent, sweet and warm ingredients to raise its yang, and sweet and cold to purge it." According to the treatment principle of "fire", combined with the clinical characteristics of the patient, the Buzhong Yiqi Decoction is imitated, which is sweet and warm to remove severe heat, and the Chaigui Decoction is used to resolve too little.

Use Codonopsis pilosula, Astragalus membranaceus, and Atractylodes macrocephala to greatly replenish the middle qi, strengthen the spleen and stomach, and if the spleen and stomach qi are sufficient, nourishing blood will be generated by itself, and yin fire will be reduced;
Radix Cimicifuga and Bupleurum radiate heat by raising yang, tangerine peel wakes up the spleen and stomach, eliminates stagnation and eliminates dampness, angelica nourishes blood and nourishes blood, and the power of ginseng, qi and rhizome can increase yang qi, revitalize vitality, and self-regulate nutrient and blood. heat removal;
Add Chai Gui Ge half decoction, on the one hand, use Guizhi decoction plus kudzu root vegetables to dispel the external evils of the Sun Meridian, and use Xiaochaihu decoction to reconcile the half external and half internal evils of Shaoyang.

It seems that this formula treats both the external and the internal, taking into account the evil of the sun and the setting sun, and the deficiency of the lunar yin, both strengthening the body and exorcising the evil. "

Hearing this, Ji Xiuwen nodded subconsciously: "I have read the medical book written by Mr. Li Dongheng, and I vaguely remember mentioning the idea of ​​warming the body to cure severe fever, but I have forgotten the details."

Lu Xuan smiled and said: "During the Jin and Yuan Dynasties, Mr. Li Dongyuan pointed out in "Theory of the Spleen and Stomach: Theory of Insufficiency and Excess Transmission of the Spleen and Stomach": "The husband's diet is out of order, the cold and temperature are uncomfortable, and the spleen and stomach are injured.

This is because joy, anger, worry, and fear deplete vitality and support the fire of the heart. Fire and vitality are not mutually exclusive. If fire prevails, it will take advantage of its earth position, which is why we are sick.

"Tiao Jing Lun Pian" says: "If a disease produces yin, the food, drink, and residence will cause yin and yang to be happy and angry." 'It is also said: 'Yin deficiency leads to internal heat... there is fatigue, the body Qi is weak, the grain Qi is not strong, the upper burner is not working, the lower epigastrium is blocked, the stomach Qi is hot, and the hot air smokes the chest, so the internal heat is. 'Once the spleen and stomach are injured, the five chaos will interact with each other. "

He also said in "On Internal and External Injuries Distinguish Confusion and Diet and Tiredness": "Only use pungent, sweet and warm medicines to nourish the middle, increase the Yang, and relieve the fire with sweet and cold, and then heal.

"Nei Jing" said: "The laborer warms it up", "the damaged one warms it up".Gai Wen can get rid of severe heat, and the medicine of bitter cold should not be used to laxate the stomach! "

Mr. Li Dongyuan clearly put forward that "temperature can eliminate great heat".The method of removing heat with sweetness and warmth is to use drugs such as pungent, sweet and warm in nature to invigorate qi and promote yang, supplemented by slightly cold products to remove yin and fire. "

Ji Xiuwen couldn't help but give a thumbs up.

Lu Xuan glanced at him angrily: "So I want you to read more medical books. Not only do you have to read them, but you also have to understand and write them down. There is a golden house in the book, and there is a beauty like jade in the book. If you read more, In fact, I can understand many things, and I understand everything.”

Ji Xiuwen looked at Lu Xuan helplessly, very depressed.

Without a photographic memory, there are so many medical books, how can I read them all?
In a lifetime, being able to thoroughly understand one or two medical books is already very good. To understand all the books, not to mention him, even those old Chinese medicine practitioners who have been immersed in the field of Chinese medicine for five or sixty years may not be able to do it.

When encountering similar situations, it's good to be able to vaguely remember such a thing.

As for writing it down completely, Ji Xiuwen didn't even dare to think about it.

……

Time is like running water, and the time of the afternoon is gone.

For the patients in the afternoon, Lu Xuan did not explain them in detail. To be able to understand one or two diseases a day, and to try to differentiate the pulses of two or three patients is enough for Ji Xiuwen and Su Kenan.

Without a photographic memory and an inhuman comprehension ability, it would be considered a miracle to be able to understand a disease in one day.

Moreover, it depends on whether the two of them review it a few times when they go back, otherwise they may not be able to understand it, and it is even more likely to forget it.

Forget it, it's all back to zero.

Before getting off work, Ji Xiuwen grabbed the medicine for the last patient and handed it over to the decoction pharmacy for the decoction. The patient would come to pick it up tomorrow morning.

Speaking of which, the job in the pharmacy is not easy.

There are hundreds of people a day, and at least [-]% of the patients will choose the decoction service.

Therefore, working overtime in the pharmacy is common.

However, because the machine is sufficient, several pairs of medicines can be prepared at the same time, so the speed is not slow.

When Lu Xuan and the others packed up their things and were about to leave, the decoction shop was almost busy.

Su Kenan's ankle improved a lot, but Lu Xuan still helped her up the elevator, then went back to the consultation room to pick up his things, and left the hospital with Ji Xiuwen.

I came to a small restaurant opposite the health center and ordered three dishes and one soup.

After taking his seat, Ji Xiuwen showed eager little eyes.

Lu Xuan was still thinking about going to the Ninth Hospital at night, when he looked up, he saw Ji Xiuwen staring at him with a strange emotion in his eyes.

"Why are you looking at me?" Lu Xuan couldn't help but ask.

"Brother, no, foster father, you agreed to tell me about the treatment of stomach problems after get off work, will you not forget?" Ji Xiuwen looked helpless.

"Don't forget!"

Lu Xuan explained: "Isn't it because I'm afraid that you won't be able to remember if you say too much?"

Ji Xiuwen thought about it, Lu Xuan did tell him a lot today, his mind was almost muddled, and if he didn't have a day or two to look back, it would be difficult to digest what he learned today.

But how could Ji Xiuwen, who had already prepared for it, give up so easily? At worst, it would just be recording.

As he spoke, he took out his phone while Lu Xuan rolled his eyes, and turned on the recording: "Tell me, if you can't remember, if you don't understand, I'll go back and listen to the recording by myself."

Lu Xuan suddenly felt that it would be better for Ji Xiuwen to call him his own father.

My father was not so patient when he came.

But Ji Xiuwen wanted to know more about this, and Lu Xuan didn't refuse, and decided to grant his wish: "Why don't you ask, otherwise there are so many digestive system diseases, I don't know where to start to tell you."

Ji Xiuwen thought for a while and said, "Let's start with the duodenal ulcer and hemorrhage that I've seen. I've heard of it, and I'm still deeply impressed. Let's get to know it quickly."

"Okay, let's start with Mr. Liu's situation."

Taking advantage of the time before the food was served, Lu Xuan began to say in a voice that only two people could hear: "Stomach pain and vomiting for a long time, the pulse will be stringy... If the body fluid is deficient, the falling Yang pulse will be floating and astringent. If the stomach is yang deficient, if astringent causes stomach yin deficiency, it will hurt the spleen, and if the spleen is damaged, the grains received in the stomach will not be transported and digested, and the dross will be released, instead, the undigested matter of the old grains will be regurgitated.

If the pulse appears to be softened, it means that the earthy energy has not yet been defeated.

If the stomach is too small to accommodate content, and the stool is dry like sheep feces, once every three or four days, it means that the spleen and stomach functions are both weak, and most of them belong to chronic atrophic gastritis.And chronic atrophic gastritis, its card is more, mostly refractory to ulcer.

Therefore, especially in Jingyun: "The syndrome is Yin deficiency, and the liquid is exhausted and astringent."

What do you mean?
This sentence means that the body fluid in the stomach is deficient and cannot be digested, and the food received cannot be digested and is vomited.

This makes me have to mention a sentence that Mr. Li Dongheng said in his medical book: "The pulse is a deficiency of diaphragmatic qi, and the stringy pulse is an exuberance of liver qi. The pulse is strong, and the number of strings is fighting together. It is the liver qi invading the diaphragm and the stomach is still cold." .

Therefore, the heat in the diaphragm is not really hot and cannot be treated by cold. The cold in the stomach is not really cold and cannot be treated by heat.

It sounds like there are many contradictions here, and it is difficult to differentiate and treat it. First, it is not true heat and cannot be treated by cold.

First, it is not really cold and cannot be treated with heat. How can we treat it accurately?
In the treatment of syndrome differentiation, it is necessary to search in the groping, and it should be based on warming and nourishing the true qi. If there is the harmonious qi of the liver in the stomach, the grains received will naturally dissipate, dredge and smooth, and this is the harmonious qi of the liver.

If it floats, it will generate heat, if it sinks, it will generate cold. If it is warm, it will absorb the heat by itself. If it is nourished, it will be deficient and cold. If it is attacked by both severe heat and severe cold, the true qi will become more deficient, the body fluid will be exhausted, and the sea of ​​grains will gradually decline. Both digestive tract and systemic symptoms are serious. "

Ji Xiuwen frowned and thought about it, and asked after a while: "Then how should we treat this situation?"

When to treat?
Lu Xuan smiled and said: "This is based on the method of using Huangqi Jianzhong Decoction, adding and subtracting from the formula. For Huangqi Jianzhong Decoction, add one or two halves of Shengqi to Xiao Jianzhong Decoction. Zhang Zhongjing used this prescription to treat asthenia. Tuberculosis is urgent, and all symptoms are insufficient.

This prescription is used to treat symptoms of yin and yang deficiency, but it is more suitable for those with yang qi deficiency.Deficiency of yang qi means that it loses its warmth, so there is tightness in the abdomen; deficiencies refer to the deficiency of yin and yang qi and blood. For treatment, Huangqi Jianzhong decoction is used to replenish qi to establish Zhongzhou. The astragalus in the prescription is to replenish deficiency and replenish qi.

Therefore, in the Fu on the nature of the medicine, it is said: "Astragalus is sweet, Tuoli solidifies the surface, and all deficiencies are not lacking", such as "Zhizhi Fang". The Qi is weak, the hair is withered, and the hair falls out." "Zhang's Medical General" says: "Injured by fatigue, cold and damp discomfort, body heat and headache, spontaneous sweating and aversion to cold, weak and weak pulse."

Speaking of this, Lu Xuan paused, and then said: "As far as modern times are concerned, Huangqi Jianzhong Decoction is mostly used for digestive system diseases, such as gastritis, gastroparesis, aplastic anemia, long-term low-grade fever, peeling hands and feet, and chronic Pharyngitis and gynecological diseases, etc.

The so-called deficiencies are those in which yin and yang, qi, blood, body fluids, etc. are already deficient. As for the internal organs, the five internal organs should be in excess but not deficient, and the six internal organs should be deficient and not in excess. However, those with deficiency and excess should not go too far. If it goes too far, it will inevitably lead to physiological and pathological problems. changes in. "

Having said that, Lu Xuan didn't say much anymore.

There are too many digestive system diseases, and the knowledge involved is not 01:30, let alone eating for a while, even if it takes several days, I am afraid that I can’t finish one-tenth of it.

"By the way, don't go back after dinner." Lu Xuan took a sip of boiled water and looked at him and asked.

"what?"

Ji Xiuwen turned off the phone's recording, looked up and asked.

"If you have something to do, forget it. I thought that if you have nothing to do at night, you can accompany me to the Ninth Hospital. There are still several stroke patients who need acupuncture and moxibustion for them."

Ji Xiuwen's eyes lit up immediately: "Brother, I'm free, I'm free."

(End of this chapter)