I can hear the voice of Chinese medicine

Chapter 99 What is good at?How about writing a full course?

Return to the clinic with excitement.

Ji Xiuwen was wondering why it was already working time, why Lu Xuan hadn't come back yet, when he saw Lu Xuan walking in with a happy expression.

"What's wrong?" Ji Xiuwen asked subconsciously.

"It's nothing, the dean has something to do with me."

Although the matter of going to Liannan for a consultation was definitely confirmed, Lu Xuan didn't plan to say anything before he received the official notice. Otherwise, wouldn't it be embarrassing if the matter turned renegade?
He pretends it doesn't matter now.

Of course, I am happy in my heart for sure.

Regarding going to Liannan for a consultation, let alone a young Chinese medicine practitioner in his 20s, even the well-known chief Chinese medicine doctors in Yongcheng would not be able to suppress their excitement when they heard the news.

To be able to do this without surprise, Lu Xuan felt that he had done well enough.

Seeing that Lu Xuan didn't want to say more, Ji Xiuwen didn't delve into it, thinking that it might be something that needed to be kept secret, otherwise the dean wouldn't call Lu Xuan alone.

Lu Xuan came to his seat and sat down. He took a sip of water and said to Su Kenan, "Call your number. Don't let the patients wait too long."

"Ah."

Su Kenan was still obedient and carried out Lu Xuan's orders without any compromise.

Not long after, today's patient No. 1 walked in with a child in his arms.

"What happened to the child?"

Lu Xuan glanced at the little boy who was about four or five years old, and then at the woman in her early thirties.

The woman sat down and said with a sad face: "Doctor Lu, my child has been restless and crying for a while, and suddenly wakes up in the night, shouting, restless and crying, sometimes it can scare people to death in the middle of the night. , I want to put him to sleep in another room, but I don’t feel safe. If I keep doing this, I’m going crazy.”

Lu Xuan pondered for a while after listening, then raised his head and asked, "What behaviors do you do after waking up halfway?"

The woman thought for a while and said: "It's just rolling around on the bed, crying and restless, sometimes it looks a little sluggish, but sometimes it can fall asleep peacefully, by the way, sometimes when I suddenly wake up, my face and lips are all pale. It's red and red."

"How about pee and poop?"

Lu Xuan put his hand on the child's hand. The child might be a little worried and took his hand back, but the woman comforted him for a few words before the child stretched out his hand again.

"The urine is yellowish, even after drinking water, and the stool is dry."

Lu Xuan nodded after hearing this, and then looked at the child's tongue before taking his hand back.

Red tongue, tongue coating or white or yellow, pulse strings and rapids.

Seeing Lu Xuan take away the hand that checked the pulse, the woman quickly asked: "Doctor Lu, what's going on with my child? Why is this happening?"

Su Kenan and the other two also cast their eyes over.

Except for yesterday's patient with a fever for no reason, today's child's situation should be considered strange among the cases they have seen.

"Infant night convulsions!"

When several people looked at him with curious eyes, Lu Xuan's faint voice sounded at this moment.

"Infant night convulsions?"

Several people were full of doubts.

Lu Xuan explained with a smile: "Night convulsions in children refer to children suddenly waking up in sleep, staring and sitting up, restless, with a fearful facial expression, or yelling, moving hands and feet, or wandering regardless of height. At this time Children who shout often do not wake up, and usually last for several minutes. After waking up, they often cannot remember the attack clearly, and sometimes they can continue to fall asleep after the attack.

Regarding children's nocturnal convulsions, in fact, there have been relevant records in traditional Chinese medicine.

For example, "Treatise on the Causes and Symptoms of Diseases: Crying Symptoms": "Children cry when they suddenly wake up in sleep. The wind-heat evil Qi multiplies in the heart. The heart generates heat and the spirit becomes unstable, so lying uneasy causes fright. And cry."

The number of night terror attacks in children varies, and some may suddenly startle when falling asleep during the day, causing confusion, walking around, and talking gibberish. However, the attack time is variable and often occurs once every 10 days or so.

Modern medical research believes that this shock is often related to the spirit, such as watching horror stories, TV, and mental stimulation before going to bed.

The clinical manifestations of night convulsions in children are generally that after falling asleep for a period of time, they suddenly sit up, scream, scratch and touch, and are restless. They even hold on to the clothes of adults, or hold on to adults tightly, with a look of fear on their faces. symptoms, shortness of breath and even a feeling of death.

And this situation generally lasts for several minutes before waking up, and can continue to fall asleep after calming down, and sometimes wanders regardless of high or low when waking up.

However, if this disease occurs frequently, symptoms such as mental lethargy, indifferent expression, and physical weakness may be seen. "

Hearing this, both of Su Kenan subconsciously glanced at the little boy.

Indeed, the little boy's condition is indeed a little listless, and he shows an abnormal thinness, not the kind of natural thinness, which is relatively easy to judge.

And the woman obviously didn't care about what constituted nocturnal convulsions in children, she hugged the child a little tighter, "Doctor Lu, my child is usually quite normal and doesn't get sick very much, why did this happen? We didn't show him I’ve watched horror movies, and I seldom beat or scold, it shouldn’t be like this!”

Lu Xuan shook his head and said, "Watching horror stories before going to bed, watching TV, and mental stimulation are only related to modern medical explanations. From the perspective of traditional Chinese medicine, this disease is a burning heart and liver, that is, heat in the heart and liver. It is caused by liver fire disturbing the heart orifices. Mainly upset, troubled in the chest, unable to sleep, suffocated in the chest.

For example, "Pediatric Medicine Zhijue" says: "Treat children with heat accumulation in the middle and body heat and mania." Children with heat accumulation in the lungs and stomach, symptoms such as aphthous sores and red tongue, or swollen and painful gums, dry stools, and red tongue can be treated with It is more effective when combined with Bamboo Leaf Gypsum Decoction. "

At this point, Lu Xuan also recorded the prescription in the medical record: "In this way, I will prescribe a gardenia and black soybean soup with rushes for the child. You can boil it in water at home and take it three times a day. You can also put the medicine in the Decoct the medicine here and come over in the afternoon to get the medicine."

Lu Xuan wrote and handed the medical record to Su Kenan.

Su Kenan took a look at the prescription and was taken aback for a moment.

It's not that there are too many medicines, but that the prescriptions prescribed by Lu Xuan include too few Chinese medicines. There are only four kinds of medicines, and they are all very common Chinese medicines.

However, this look only appeared for a short time, and Su Kenan recovered quickly, and seriously printed out the payment receipt in the prescription registration and recording system, and handed it to the woman to scan the code to pay.

After the woman paid the money, Ji Xiuwen picked it up and prepared to go to the Chinese pharmacy to get the medicine. After glancing at the prescription, he was also taken aback for a moment, and then suddenly understood why Su Kenan showed that look.

The child's situation is so complicated, who knows that only four kinds of medicines are prescribed.

The woman paid and saw that Ji Xiuwen had entered the pharmacy. After saying hello to Lu Xuan, she went out and waited.

A lot of time was wasted looking for Hu Meiqiao this morning. Lu Xuan didn't wait for Ji Xiuwen and asked Su Kenan to continue calling.

As soon as the number was called, patient No. 2 walked in.

The man was probably in his early thirties, not from Yongcheng, but working here. When he got up for morning exercises two days ago, his throat suddenly burned, became dry, and hurt. Shortly after breakfast, his throat became swollen and painful, he had a headache, and he had fever. I had an aversion to cold, dry thirst and less phlegm. After taking antibiotics and Liushen Pills, my symptoms did not subside. In the afternoon, my throat was swollen and painful, I had difficulty swallowing food, I had a headache, aversion to cold, and a high fever of 38.9°C, so I came to seek treatment.

Lu Xuan took out the flashlight and looked at the man's pharynx, and found that it was congested and purple, and there was purulent mucous membrane attached, and the follicles on the back wall of the pharynx were swollen.

"Does it hurt here?" Lu Xuan pressed on the swollen lymph nodes under his jaw.

"It hurts..."

The man kept shouting for pain, and after telling Lu Xuan where the pain was, Lu Xuan nodded and recorded the situation.

The submandibular lymph nodes are swollen and tender, and the pain extends to the roots of the ears and mandible. Dry mouth, bitter taste, dry stool, and red and yellow urine.

The tongue is red, the coating is yellow and thick, and the pulse is floating and heavy.

Lu Xuan has encountered many Mai Fu, but this was the first time he saw Hong Mai.

Hongmai veins are wide, full and powerful, like waves, coming and going.

It governs the prosperity of Qi and heat, and also governs the prosperity and decline of evil spirits.

Internal heat is abundant, the pulse channels are expanded, Qi is strong and blood surges, so the pulse is flooded. If the pulse is flooded due to long-term illness, Qi deficiency, or illness such as fatigue, blood loss, long-term diarrhea, etc., the pulse is flooded.

Physiological flooding of the pulse can be seen in summer, when the yang energy is exuberant in summer, and the pulse condition is slightly full.

Cui Yanzhong: "Dr. Lu, what's going on with me? Is it strep throat? But I've taken medicine. Unexpectedly, not only did it not get better, it actually got worse."

"Acute pharyngitis." Lu Xuan nodded.

The throat is the main channel for people to breathe and eat. The pharynx is in front and behind the throat, so it is called the throat.

For example, "Lingshu Jingbie" and other articles call the pharynx "嗌" and "pharynx swallowing", which is the common channel for eating and breathing.

Such as "Jade Key of the Chonglou" "The swallower also mainly benefits water and valleys, is the system of the stomach, and is the channel of stomach qi."

In ancient medical books, it is often called together with the throat, such as "Lingshu Wuyan Chapter", which says "throat is the way to hydrate".

The pharynx referred to in modern medicine is divided into nasopharynx and hypopharynx.

Therefore, a disease in the throat will first affect voice, breathing, diet, etc.

The local redness, swelling and pain or ulceration into pus are mostly related to today's acute tonsillitis, acute and chronic pharyngitis and throat tumors.

Ancient medical books often call it laryngeal paralysis. For example, "Suowen·Yin and Yang Differentiation" says: "One yin and one yang are knotted, which is called laryngeal paralysis."

Sore throat, the throat is swollen and painful, and the water cannot enter. It is due to the accumulation of wind poison in the throat, which generates heat. The disease is more acute and the damage is severe. If it is not diphtheria, it is also acute throat edema, pain and high fever. Some cases are pus-forming, and wind-toxins are in the heart. The theory is death from depression. It should be checked and treated in time, and the local swelling, pain and fever will soon recover.

For example, the Syndrome of Dry Throat and Dry Mouth has been pointed out in "The Synopsis of the Golden Chamber·Combined Treatment of Blood Paralysis, Deficiency and Pulse Syndrome" as follows: "deficiency tuberculosis, tenesmus, palpitations, epistaxis, abdominal pain, infertility in dreams, sore limbs, irritability and heat in the hands and feet" , dry throat and mouth.”

Sore throat, such as "Treatise on Febrile Diseases: Differentiation of Taiyang Disease Pulse Syndrome and Treatment" pointed out that "dry throat, dry mouth and sore throat" are closely related to the depression of exogenous pathogenic heat.

Throat diseases are mostly caused by exogenous wind-cold and indigestible yin and yang stagnation, resulting in throat paralysis. The pathogenesis is mostly related to the lungs, heart, stomach, and kidneys.

"Really!" Cui Yanzhong opened his mouth, and he just said casually. After all, when he had pharyngitis before, he took medicine several times and it was basically cured, but this time it was fine. , but more and more serious.

So I just guessed it casually, but I didn't expect it to be true.

Cui Yanzhong asked: "How could it be so severe? I used to have strep throat often, but it would be cured in a day or two."

Seeing the patient's curiosity, Lu Xuan also patiently explained: "Your condition is an acute attack of pharyngitis caused by excessive heat in the lung and stomach. Acute pharyngitis has a sudden onset and a ferocious onset, but if it is treated properly, the effect will usually be obvious.

You are inherently hot and have excess heat. In addition, during morning exercise, you feel wind evil stagnating in the throat, which combines with the excess heat in the stomach. Therefore, the symptoms include swelling and pain in the throat that extends to the roots of the ears and mandible, showing signs of heat in the lungs and stomach.

The treatment is suitable for clearing away heat and detoxifying, soothing the throat, reducing swelling and unblocking the bowels.

I'll prescribe you side medicine, and you can decoct it in water once or twice. "

As Lu Xuan spoke, he wrote down the prescription. Cui Yanzhong seemed to be a little curious about the prescription, so he couldn't help stretching his head to take a look.

Lu Xuan, seeing Cui Yanzhong's curiosity, patiently explained: "The prescription of Radix Polygonatum, Radix Rehmanniae, Niu Seed, Silver Flower clears away heat and cools blood, Coptis Rhizoma, Scutellaria baicalensis, Phellodendron, Rhubarb, Gypsum Radix, clears excess heat, clears the bowels, angelica root, and white peony root. It activates blood circulation and relieves pain. The dried stems carry the medicine upward. Licorice harmonizes the medicines, detoxifies, reduces swelling and expels pus.

This prescription is very effective in treating acute pharyngitis, laryngitis, and acute tonsillitis.There are methods such as prescriptions, but there are additions and subtractions when applying them according to the specific symptoms of the patient. Flexible application is the real method.

If you really want to have a sore throat attack, you must not use medicines indiscriminately. If you use the wrong medicine, not only will it not cure, but it will make the symptoms worse. "

Although Cui Yanzhong didn't understand, he still nodded.

……

In the morning, Lu Xuan saw it very quickly. There was no special case, and Lu Xuan did not introduce it to the two of them in detail.

When the last patient left with the medicine in the morning, Lu Xuan and the others thought about going to the cafeteria to eat together. At this moment, an unfamiliar number called.

Lu Xuan wanted to hang up subconsciously, but seeing that this landline belongs to Yongcheng, and Hu Meiqiao said that someone from Liannan will contact him in the past two days, after thinking about it, he went outside and connected the phone .

Over there, a female voice came: "Is this Dr. Lu Xuan from Qiushi Street Health Center?"

"I am, are you?" Lu Xuan took a deep breath.

"Oh, I am the person in charge of Liannan Traditional Chinese Medicine Association. My surname is Wu. I am calling you today because I want to invite you to come to Liannan Traditional Chinese Medicine Association for a consultation. I want to ask for your opinion."

"Yes." Although he knew in the morning that he was going to Liannan for a consultation, Lu Xuan couldn't help being overjoyed when he heard Liannan's invitation.

"Then when are you free here?"

"Weekends are fine."

"Two days?"

"As far as I know, Dr. Lu, you have to sit for five days at the health center. If you stay for two days in a row on the weekend, there will be no time to rest. You can see if you can choose one day."

"Then Saturday."

Originally, Lu Xuan thought that he would just go to Liannan for two days of weekend medical treatment, but when he heard this, he thought about it. If he went to Liannan for two days, he would not even have a day off.

It doesn't matter to him whether he takes a break or not. It would be best to accumulate more clinical experience, but he is also worried that if something happens to him at any time, it will be in trouble.

"By the way, when are you free to come to the Liannan Traditional Chinese Medicine Association and let's discuss the situation of the consultation? What do you think?"

Lu Xuan thought for a while and said, "Just this Saturday, Teacher Wu, what do you think?"

"Okay, when the time comes, just give me a call."

"There's one more thing I want to ask you."

"Teacher Wu, tell me."

"Because we here will have a sign introducing the doctors who are attending clinics, so I would like to ask, what diseases do you specialize in, so that we can write them down and prepare them in advance. Will you start consultations this Saturday or next week? Starting at six is ​​fine.”

Lu Xuan: "What are you good at? Or just write general subjects."

Wu: "..."

Good at all subjects?

What a big breath!

(End of this chapter)