Master Doctor in the City
Chapter 759: : Analyze the condition
Seeing Ye Chen standing on the podium, his head is clear, and he knows exactly what these students want to hear. There is no doubt that in Zhang Binlun's opinion, Ye Chen is indeed enough to be a teacher, not just a student.
If you are as young as Ye Chen, if you really are a college teacher. In fact, although it is very rare in universities at home and abroad, there are some.
However, now Ye Chen is just a student, which makes Zhang Binlun feel wasted.
While Zhang Binlun continued to listen, Ye Chen continued: "Now I have checked the female patient and found that in addition to the specific symptoms above, I now look at her tongue and find that her tongue is dark and the fur is white."
"Open up the tongue inspection part of your "Diagnosis of Traditional Chinese Medicine", and the tongue picture we are talking about is here. Tongue inspection, also known as tongue inspection, is to observe the changes in the tongue body and tongue coating to detect changes in the condition. The method of diagnosis is an important part of inspection."
"It can be said that the tongue is closely related to the viscera meridian, the tongue is the seedling of the heart, the hand Shaoyin heart meridian is the tongue base, the tongue is the throat outside the spleen, the foot Taiyin spleen meridian connects the tongue base, disperses the sublingual, and the kidney stores the essence. The Foot Shaoyin Kidney Meridian holds the tongue, the liver stores blood, and the main tendons. Its meridians are in the tongue, and the lungs reach the throat and are connected to the root of the tongue. The tongue coating is formed by steaming the gas from the stomach to the tongue."
"As for how to look at the tongue picture, if different tongue pictures show different symptoms, let Teacher Liao give you a detailed explanation in class. I will not talk about it for now. I can only say that looking at the tongue picture is very important for a doctor. It’s important, and the treatment of patients is also very important. Because traditional Chinese medicine is different from Western medicine, Western medicine can use modern medical devices to observe the condition of the internal organs of patients."
"From its development to the present, traditional Chinese medicine has not used those medical devices to see the patient's internal conditions. However, you can know the patient's internal organs through observation, smell, and inquiries, such as the tongue image just mentioned. You already know this point. Not to mention it."
Zhang Binlun admired this point even more after hearing this. Many people don't know why the doctor always asks the patient to stick out his tongue when he sees the patient, or irradiate it with a small torch, thinking it is unnecessary.
In fact, when you really know the meaning inside, you won't ask so much. However, many ordinary doctors can't explain it clearly. Now Ye Chen has explained clearly, why should he see the patient's tongue clearly?
Ye Chen continued: "I said in this case that the patient’s pulse is dark tongue and greasy fur. Among them, the tongue is dark. First of all, the tongue color can be divided into light red. It is just normal. The condition, then to pale white, mainly represents the patient’s symptoms, which are due to deficiency of qi and blood or weak yang, and then red and crimson tongue, which means that the patient has the main heat syndrome. The more red the tongue, the more intense the fever, and the purple tongue. It mainly shows that the breath does not work smoothly. As for the symptoms of the bruised tongue, you can look at it in the textbook. The dark tongue means that the tongue shows a dark purple color, which means that the patient has symptoms of internal congestion."
"Speaking of the white and greasy coating of the patient, it means that the patient is mostly wet and turbid, the phlegm is stopped in the drink, or the food accumulation has not been heated. Of course, this is already judged from the tongue coating in the tongue. I want to make it clear. Class, so I will tell you these things when Teacher Liao arrives."
Now Ye Chen has briefly explained the importance of the tongue picture to his classmates, and the appearance of the tongue picture represents the patient's condition.
"Speaking of the female patient’s pulse condition, it’s heavy and slippery. This is already talking about the importance of pulse cutting and pulse pressing. On this point, in the last lecture, Teacher Liao had already proved the importance of pulse cutting. I won’t say it again. As for the meaning of the pulse condition, the pulse is heavy and slippery, indicating that it is a compound pulse, which includes both Shen and Hua pulses. The Shen pulse is very clear. The main thing is the internal syndrome, which is the disease of the viscera. The Hua pulse is generally Phlegm, food accumulation, real heat."
Now Ye Chen has been able to determine the symptoms of this female patient from the specific symptoms of the patient, the condition of the doctor before, and the condition of the tongue and pulse.
Under such circumstances, it is natural to use Chinese medicine to dialectically, and then to treat and write a prescription.
"I have analyzed the situation of the female patient. In this case, the attending doctor can already prescribe prescriptions. However, I will not talk about the dialectics of Chinese medicine, the treatment of Chinese medicine, and the prescriptions. I will ask Zhang first. Professor, let him see the diagnosis. If this happens to the patient, what kind of disease is it?"
Zhang Binlun listened with great gusto. He didn't expect that when Ye Chen asked him, Zhang Binlun thought Ye Chen was going to test him.
Zhang Binlun smiled and said, "Since Ye Chen wants to test me, I will tell you now. According to Western medicine, the performance of this female patient belongs to menopausal syndrome. According to Chinese medicine, it belongs to Chongren disorder depression. Depression in Chinese medicine."
When Zhang Binlun spoke it out, Ye Chen knew that he was right, and smiled: "Professor Zhang was right. This is the patient’s disease, depression syndrome. Basically, if there is no error in the dialectic here, he will target Yu Yu. There will be no mistakes in the specific symptoms of the patients and the prescriptions."
Of course, the following classmates have already heard of the term menopausal syndrome, and many times, they describe when some women go crazy and satirize each other's menopause.
This is undoubtedly cursing.
Of course, female menopausal syndrome is a transitional period in which certain functions of women gradually decline to disappear completely. Due to physical and psychological changes, a series of clinical symptoms appear, such as heat and sweat, irritability, palpitations, insomnia, or depression Forgetfulness etc.
According to clinical manifestations, the disease belongs to the category of "pre- and post-menopausal syndromes" in Chinese medicine.
The occurrence of this disease is the physiological changes that occur in women before and after menopause, the kidney qi is gradually depleted, the Chong Ren is insufficiency, the essence and blood are insufficient, the Tiangui is dying, the menstruation is about to be stopped and the menopause occurs, but some women are due to physical or mental factors, and The influence of other factors makes it impossible to adapt to these physiological changes for a while, causing a series of syndromes of visceral dysfunction caused by the imbalance of yin and yang, and the dysfunction of viscera, qi and blood.
Just now, Ye Chen said that the female patient was 56 years old, and the woman had not had menopause in her 50s. This obviously means that she was too late. It is also abnormal and will definitely cause some problems. Female patients have specific symptoms such as depression.
When those classmates were still thinking, they naturally knew the situation of this patient's case.
However, in response to this situation, how to prescribe a prescription for treatment has a lot to do with dialectical treatment and pharmacy. How to prescribe and how much to prescribe. On this point, I am afraid that Ye Chen will give them a detailed explanation. It's hard to make it clear every year.
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