Chinese medicine doctor Xu Yang

The next day, morning.

Xu Yang came to work at Mingxintang.

He asked Zhang Ke to pack the medicine first, and then went directly upstairs to boil the medicine for Zhang Sanqian.

"Good morning, Teacher Xu."

While the two were busy, a person ran in from outside.

It's Xu Yuan.

Xu Yang turned to look at him, and he asked: "Good morning, did your dean ask you to come to me?"

Xu Yuan hurriedly shook his head: "No, no, I have a day off today. So I want to come over and learn how to copy prescriptions from you...I wonder if that's okay?"

Zhang Ke and Song Qiang both looked at Xu Yuan.

They don't know yet about Xu Yang's involvement with the Traditional Chinese Medicine Hospital these days. They only know that Xu Yang has gone to the Traditional Chinese Medicine Hospital several times to help. But now a young man suddenly came over and wanted to copy Xu Yang's recipe, which surprised them.

Song Qiang sat in the back and asked, "Is this the young doctor who came with Director Zhong last time?"

Zhang Ke nodded, and she said more bluntly: "Yes, that's the one who came to make trouble last time."

Xu Yuan's face turned red all of a sudden, he was so embarrassed.

"Ahem." Xu Yuan coughed a few times tactically, and then said: "Last time... I was rash. I apologize, I apologize."

Xu Yang said: "It's okay, I just have to go to the clinic, so come with me."

"Hey, okay!" Xu Yuan immediately agreed happily.

Zhang Ke glanced at the boy, pointed to the packed Chinese medicine on the counter, and said, "Xiao Xu, bring the medicine."

When Xu Yuan heard this title, he was stunned: "Xiao Xu?"

Zhang Ke rolled his eyes at him and said, "Nonsense, I'm Dr. Xu's boss."

Yes, I can't afford to offend him. Xu Yuan laughed a few times and obediently picked up the medicine on the table.

Song Qiang also shook his head, showing a sympathetic look.

The three of them walked into the community.

Went upstairs and went to Zhang Ke's house.

After entering, Xu Yang said: "Close the doors and windows."

Zhang Ke nodded: "Hey, Xiao Xu, go and close the window."

Xu Yuan was confused again.

Xu Yang shook his head speechlessly: "Hurry up, stop inking, you still have to go to work."

Zhang Ke also smiled and said: "Okay, okay, let's come together."

Xu Yuan put the medicine on his hand, and together they closed the doors and windows of the house.

Zhang Ke went in and pushed her father out.

Xu Yang said to Xu Yuan outside: "The patient suffered a stroke two months ago and has not recovered yet. His right side of the body is paralyzed, his tongue is stiff, and his speech is unclear. Do you know why I have to close the doors and windows?"

Xu Yuan was obviously stunned for a moment, he didn't know.

And Zhang Ke has already pushed Zhang Sanqian out.

Zhang Sanqian still had the same crooked eyes and slanted mouth, with a depressed expression and a lifeless look.

"Is this the patient?" Xu Yuan asked.

Zhang Sanqian also slowly raised his head. When he saw Xu Yang's face, his lifeless eyes suddenly widened.

Xu Yuan also looked at Zhang Sanqian and Xu Yang strangely.

Xu Yang nodded slightly. He first asked Xu Yuan: "Do you know the cause of stroke?"

It was time for an exam. Xu Yuan immediately cheered up. He organized his words and said: "Stroke is caused by accumulated internal injuries, labor, diet, emotions, or external evil factors, which lead to imbalance of yin and yang, and reversal of qi and blood. A disease caused by an upward attack on the brain. The main symptoms include sudden coma, unconsciousness, hemiplegia, squinting of the mouth and eyes, and difficulty in speaking."

Xu Yang smiled and said: "Standard textbook answer."

Xu Yuan scratched his head in embarrassment.

Zhang Sanqian looked at the two young men strangely. What were they doing? Questions and answers, just like an exam?

Zhang Sanqian glanced at Zhang Ke who was standing aside and saw his daughter looking at Xu Yang without blinking.

Zhang Sanqian's eyes immediately showed a look of enlightenment.

Xu Yang said: "Stroke has been a disease for a long time. In the "Nei Jing", it is called 'Da Jue', 'Pu Chi', 'Bian Ku', and 'Military Wind'."

"In Synopsis of the Golden Chamber, the name of stroke was listed for the first time, and the theory of internal deficiency and evil was put forward. 'Where evil gathers, its Qi must be deficient.' Zhongjing pointed out that the cause of stroke is 'collateral meridians' Emptiness and wind evil have entered it'."

"And according to the depth of the evil and the severity of the disease, it is divided into the middle meridians, the middle meridians, and the middle organs. The treatment is to dispel the wind and disperse the evil and support the healthy qi."

Xu Yuan has already taken out his notebook to take notes.

Zhang Sanqian looked at the two people with disgust, and curled his crooked mouth. Is this a show? How many years ago was this old trick of pretending to deceive girls?

Xu Yang said to Xu Yuan again: "The middle organs can be divided into yang closed syndrome, yin closed syndrome and detachment syndrome. The symptoms of this yang closed syndrome are coma, unconsciousness, clenched teeth, clenched hands, and red face." Shortness of breath, or the sound of phlegm like sawing, or body heat and restlessness. The tongue has yellow or greasy coating, and the pulse is stringy and slippery. And the Yin is closed..."

Xu Yang reviewed the key points of clinical dialectics with Xu Yuan bit by bit.

Xu Yuan also memorized the notes honestly.

After finishing speaking, Xu Yang said to Xu Yuan: "I just told you the key points of dialectics. Can you now dialectically diagnose the cause of this patient's disease?"

Xu Yuan was thinking.

Xu Yang said to Zhang Ke: "Go and fry the medicine first."

"Okay." Zhang Ke responded, took the medicine and went to the kitchen.

Xu Yuan thought for a while and asked: "Well, the patient's tongue is like..."

Xu Yang didn't let him look at Zhang Sanqian's tongue. He said directly: "The tongue is slightly red and the coating is thin and white."

"Huh?" Xu Yuan was slightly startled. The information prompted by the tongue image was not obvious.

Xu Yuan asked about Zhang Sanqian's symptoms again.

Zhang Sanqian didn't want to pay attention to him.

Xu Yuan was helpless.

Xu Yang was a little helpless when the patient was so uncooperative. He told Xu Yuan, "The patient only has the symptoms you see and no other symptoms. In addition, the patient cannot move his right hand and has right hemiplegia."

"That's all?" Xu Yuan was startled.

Xu Yang nodded.

Xu Yuan was even more confused. The patient's symptoms were not obvious. They were basically common symptoms of stroke patients. They could not speak clearly and had trouble moving.

In fact, this is the difficulty in treating diseases. Although the various symptoms are clearly written in the textbook, the patient does not get sick according to the textbook.

Xu Yuan thought for a while and said: "Well... according to the time since the onset of the patient's illness, he has passed the acute phase and entered the recovery phase. And if the patient has no other symptoms and only has hemiplegia, I think it can be used Tonify yang and return five decoctions."

"Hemiplegia is mostly due to loss of vitality. Yang Huanwu Decoction, with the emphasis on astragalus, can greatly replenish the qi. It is also combined with meridians that activate blood circulation and dredge meridians, which can treat congestion in the meridians and should be effective."

Zhang Sanqian looked at Xu Yuan sideways, and although it was difficult, he still rolled his eyes.

Xu Yang asked: "Qi deficiency and blood stasis? How can you see it?"

Xu Yuan said: "Well... because the patient's symptoms are not obvious. Then we call it a stroke, and Western medicine calls it a cerebral apoplexy. Generally, hemiplegia is caused by infarction of blood vessels in the brain."

"Because it is blocked. Qi is the commander of blood. It is definitely correct to replenish it. If Qi controls the blood, does it have the principle of blockage? Then add blood-activating and blood-stasis medicine to dissolve the congestion in the brain. It should be Effective."

Xu Yang shook his head and smiled.

Xu Yuan felt anxious at that time. He asked, "Teacher Xu, am I right?"

Xu Yang said: "Typical Western medicine thinking is to see stasis and remove blood stasis, see blockage and remove blockage. Fortunately, there are various instruments now that can detect brain infarction in patients. But in ancient times, if there were no such instruments, how could we see stasis?"

"Uh..." Xu Yuan didn't know how to answer for a moment.

Xu Yang said: "Buyang Huanwu Decoction does not mean that it cannot be used, but you must first identify whether the patient has qi deficiency and blood stasis. The tongue may be lavender or have ecchymosis. This patient's tongue does not remind this. When treating various symptoms When you are unsure, you should rely on pulse diagnosis.”

"You made two mistakes. First, after hearing that the patient had suffered a stroke for two months, you simply concluded that he was in recovery. Second, when the symptoms were unclear, you did not respect the pulse syndrome and made rash judgments based on Western medical diagnosis."

"It should be noted that Chinese medicine practitioners must not have any preconceived notions in their minds when treating diseases. Remember Zhongjing's guidance, 'Observe the pulse and syndrome, you will know what the problem is, and treat it according to the syndrome.'"

"Every time before you treat a disease in the future, you must recite these twelve words before you can diagnose and treat the patient." Xu Yang told Xu Yuan this sentence.

"I know." Xu Yuan replied dully.

Zhang Sanqian rolled his eyes, tilted his mouth and stammered in a low voice: "You...pretend...pretend..."