Song Yi

Chapter 109 The Woman With Arthralgia
Gong Ming stroked his white beard, and said: "This patient has been bleeding for a long time and has blood deficiency. It is natural to replenish blood and qi, but because of the severe injury, his blood dryness syndrome has signs of separation of yin and yang, and it is not a rescue." No. Apart from nourishing blood and nourishing qi, I really can’t think of any other way to cure this disease.”

Qian Bushou nodded and said: "It makes sense, saving the enemy and nourishing Qi and blood at the same time. ——Master, what do you think?"

Gong Ming laughed and said, "You don't need to ask, his views must be different from those of us two old fellows."

Du Wenhao smiled and said: "I'm sorry, my opinion is indeed a little different from the two of you. I think that blood deficiency is just the appearance of the syndrome, and it is the consequence of exhaustion rather than the cause. If you only replenish blood, it will It’s not a cure for the symptoms.”

Qian BuShou and Gong Ming looked at each other, and Gong Ming smiled and said, "How is it? Am I right? Brother Du, go ahead and say, how can we treat both symptoms and root causes?"

The treatment of aplastic anemia has always been a long-standing and difficult problem faced by both Chinese and Western medicine, and the treatment of this disease by Chinese medicine has also experienced a long development process.

From ancient times to modern times, in a very long historical period, until the founding of new China, the treatment methods were almost based on nourishing qi and blood.Later, with the development of Chinese medicine research, prescriptions for nourishing the spleen and kidney or liver and kidney appeared.

After the integration of traditional Chinese and Western medicine, studies have found that the pathogenesis of aplastic anemia is mainly related to the kidneys, and most of them are caused by the loss of kidney yin and the deficiency of both qi and blood. Method.This is the main idea of ​​TCM treatment of aplastic anemia.Therefore, Du Wenhao also decided to start from this angle.

Du Wenhao said: "The patient has palpitations, shortness of breath, general fatigue, pale complexion, pale lips, and pale nail beds. Hot hands and feet, night sweats, thirsty to drink, bleeding teeth (bleeding gums), epistaxis (bleeding in the nasal cavity) and Muscular bleeding (bleeding under the skin).

Thready pulse, pale tongue.Blood belongs to yin, and yin deficiency includes blood deficiency, insufficient heart-blood, and hyperactivity of heart-yang, so there are palpitations; blood is the mother of qi, and those with blood deficiency are also deficient in qi, so they have shortness of breath and fatigue; blood does not brighten the skin, so they appear pale , pale lips, pale nail beds, pale tongue;
Deficiency heat damages body fluid, so thirsty and want to drink; heat damages blood collaterals or forces blood to flow indiscriminately, so multiple parts bleed; pulse breakdown is also a sign of yin deficiency and internal heat. ——Looking at the above symptoms, the syndrome should be kidney yin deficiency. "

Gong Ming and Qian Bushou couldn't help nodding their heads.Gong Ming asked: "Brother Du, you only talk about syndrome differentiation, but you haven't said how to treat both symptoms and root causes?"

"Nourishing yin and tonifying kidney!"

"Nourishing yin and tonifying kidney?" Gong Ming and Qian Bushou were both taken aback.

"That's right! Use nourishing yin and nourishing kidney formula combined with Danggui Buxue Decoction to add and subtract. The so-called solitary yin does not grow, and solitary yang does not grow, and when yang grows, yin grows. Therefore, in the prescription that mainly nourishes yin, it is necessary to add a small amount of yang-tonifying medicine. It is intended that yang grows and yin grows."

Gong Ming spread his hands, and said with a smile: "What a nourishing yin and nourishing kidney! It's the first time I've heard of this method to cure exhaustion and blood stasis, brother. Brother Du really dares to be the first in the world! Doctor Qian, my method And your prescription is to change the soup without changing the medicine, yours won't work, and mine will definitely not work. Since the way of replenishing qi and blood doesn't work, how about we try Brother Du's method?"

Qian Bushou nodded and smiled: "Well, although Master's prescription is unheard of, but it makes sense, you can give it a try!"

The three agreed to reduce the fever and stop the bleeding first, and then nourish the yin and nourish the kidney to treat the exhaustion and blood dryness.After drawing up the prescription, I don't need to collect my own money to prepare it.

It snowed heavily all night, and finally stopped early the next morning, but the sky was still gloomy.

Wu Cong and Shapang got up early in the morning and swept away the snow at the door. The snow on the bluestone slabs at the door would turn into ice if stepped on. It was very dangerous and had to be swept away to prevent the patient from slipping and falling.The patients and family members who came to line up early in the morning to get their number also helped to sweep together, and soon a path was found.

Yingzi lit three fires in the lobby, one for Du Wenhao to see the doctor, one for Sha Pang and Wu Cong, and a larger one for the patients waiting in line to see the doctor.

After Du Wenhao got up, he first visited the patients who had returned to the hospital.Yan Miaoshou's son, Geda, is already able to move around in bed, but his injury is an infectious disease, and he cannot leave the isolation ward until he fully recovers.

Detective Zhou's rotten boils are the most serious, so his recovery is also the slowest, but his mind is fully awake, and he can talk and eat.Hosted by Jing Ci, she is able to eat normally and walk slowly without support.

It's just that Kong Hui's stroke is a bit troublesome. Although he is awake, his hemiplegia and slurred speech have not improved significantly.This disease cannot be cured in three or two days.Du Wenhao further adjusted the prescription according to the follow-up diagnosis and syndrome differentiation.

Lin Qingdai has been in charge of the construction of the inpatient department in the backyard, and everything is progressing smoothly.Pu Shan's daughter-in-law came to Ji Shitang early in the morning and took away the medicine prescribed by Du Wenhao and the three of them yesterday.

Two days later, Du Wenhao, Qian Bushou, and Gong Ming came to Sankeliu Village again with the Yin-nourishing and kidney-tonifying medicine prescribed by Du Wenhao to give Pushan a follow-up consultation.

After taking the medicine prescribed last time, Pu Shan's fever has subsided, and the bleeding has also decreased significantly.Old man Pu bought some rice with the money donated by Du Wenhao and the others last time, and cooked porridge for Pushan to drink.

After the three follow-up visits, they all thought that the prescription was right, so they asked Pu Shan to start taking the medicine for nourishing yin and tonifying kidney.

Old man Pu said with a smile on his face: "Master Qian, can you prescribe a few more doses of medicine?"

"Why?" asked Qian Bushuo.

"It's like this, old man, I have a younger brother who lives in Liujiawan. Yesterday I asked someone to send a message saying that he was very sick and wanted to see me, but he couldn't leave here. After discussing it, we decided to go to the family. I will stay there for a few days so that I can take care of him and come back after the Chinese New Year. So, I want to prescribe more medicine to take with me so that I don’t have to go back and forth in the city.”

The money is not accepted and said: "A few more payments are fine, but not too much, because the compatible medicines must be adjusted at any time according to the patient's medication situation, and you can't expect a single medicine to completely cure your son's illness. Wait a while and let someone Follow us back to the city, and the old man will prescribe a few more payments to bring back, and when the condition improves and you can move, it is better to come to the city, and we will adjust the medication for the follow-up visit."

The old man Pu thanked repeatedly.

three days later.

This morning, after Du Wenhao got up, he first followed up with the patient who was staying in the hospital for observation. He found that Yan Miaoshou's son's pimples and that of Detective Zhou's wounds had healed well, and they were no longer contagious. He was discharged from the hospital and went home to recuperate.Only the presiding officer Jingci and Mrs. Konghui were left in the hall for observation and treatment.

Du Wenhao came to the front hall and began to ask a doctor.The weather was cold today and there were not many patients, so Du Wenhao explained the medical theory to the second daughter while seeing a doctor.

The first patient was a middle-aged woman in her thirties, with a hunched body, and with the support of her family, she came to wait in line early in the morning to see a doctor.The first to get the number.With the support of his family, he sat at the table moaning.

Du Wenhao asked: "Why is it uncomfortable?"

The middle-aged woman didn't open her mouth wide, and spoke vaguely: "Joint pain! It hurts to death..., ouch..."

"Which joint hurts?"

"My whole body hurts! Jaws, hands, and knees!"

Du Wenhao reached out and touched his chin, and moved it lightly. The middle-aged woman's groans immediately increased: "Ouch...!"

"Don't you open your mouth too much?"

"Um……"

Du Wenhao took the middle-aged woman's hand, and saw that the middle finger and index finger joints of his right hand were as thick as a mallet, and the right wrist joint was red, swollen and deformed. When he touched it, he felt scorching hot. When he touched it, the middle-aged woman was in pain. Call.Lifting up the trouser legs, the knees were also red, swollen and deformed.

"How long has your joint been swollen and deformed?"

"Three or four months."

"Why did you come to see a doctor now?"

"It wasn't too bad at first, I thought it was just a cold, and it didn't get better after taking the medicine. The pain became severe, so I went to the Renyi Hall to see Dr. Xu, prescribed some medicine, and the pain improved slightly.

But after I finished taking the medicine, I went to see him again, and only then did I know that Dr. Xu was also sick, and he couldn't sit down for consultation for a short time.I can't trust their other doctors.

I picked up the medicine according to the original prescription and went back to take it, but it didn’t work, and the pain became more and more severe. It snowed last night, and the pain was the worst. I heard people say that Dr. Du of Wuweitang is good at the miracle doctor Hua Tuo, who cuts open the abdomen and heals the wounded. Skills, and good at treating difficult and miscellaneous diseases, so I came early in the morning. "

"Well, what else is uncomfortable?"

"Fever, sore throat..., and dry mouth."

After Du Wenhao checked his pulse and looked at his tongue, he explained to Pang Yuqin next to him: "The tongue is red, the coating is thin and yellowish, and the pulse is stringy and thready. Heat paralysis."

Xue Fei'er at the side said: "No, it's such a cold day, with wind, cold and damp evil invading, it should be cold, how can it be hot?"

Du Wenhao chuckled: "You think it's watering? What's cold is cold when you pour it in? However, in addition to the heat-predominant type, there are indeed cold-prevention types and cold-heat mixed types. Different types of treatment are also different. They are not the same. The difference between these three types lies in whether or not there is a fever symptom. The hot type needs to clear away heat, detoxify and cool the blood, while the cold type needs to warm the meridians and dispel the cold, dredging the meridians and activating collaterals.”

Pang Yuqin said: "Then let's treat her first, seeing how painful she is."

Bi syndrome is rheumatoid arthritis, which is an autoimmune disease. From the perspective of Western medicine, the cause of the disease has been unknown. In terms of treatment, both Chinese and Western medicine are difficult diseases. So far there is no specific treatment method, and the treatment is only It is limited to relieve symptoms such as joint pain and morning stiffness, control and relieve the development of the disease, and maintain and restore joint function.

Since western medicine can cause severe gastrointestinal symptoms and damage to the liver, kidney, and nerves, traditional Chinese medicine is much more effective than western medicine in this regard, and its side effects are much smaller.

Du Wenhao said to the middle-aged woman: "I will give you acupuncture and moxibustion to relieve pain first, and then take medicine to treat it slowly. This disease is not urgent, and the pain is severe. You can come to acupuncture and moxibustion to relieve pain. If you keep taking the medicine, it should be relieved after a period of time. "

"Okay! Thank you, Doctor Du."

Du Wenhao asked him to lie down on a small bed, and selected acupoints from Xiaguan on the temporomandibular joint, Yangchi, Yanggu, and Yangxi on the wrist joint, Baxie on the finger joint, Knee Eye, Ququan, Knee Yangguan, and Yang on the knee joint. Acupuncture and moxibustion at Lingquan point adopts the method of twirling, lifting and reducing.

The middle-aged woman moved her wrist: "Hey, it doesn't hurt so much. Haha, Doctor Du, you are really amazing! —— Hey, I can speak much more fluently."

　PS: It is getting farther and farther away from the third position, and there is already a difference of 33 votes.Request monthly ticket reinforcements!
　　
　
(End of this chapter)