Rural Chinese Medicine Li Maoyang

Chapter 595 Discussion at the morning meeting

Chapter 595 Discussion at the morning meeting

Morning meeting the next day.

The clinic's morning meetings are becoming more and more formal. The main reason is that the details are more reasonable and standardized. There are more omissions in diagnosis and treatment based on medical records, and the efficiency of answering questions is also higher.

Bai Xiaoyun, Li Xiaohua, Jiang Xiaoxue, and Yang Qing and Su Xiaomei who occasionally attended the morning meeting all thought of questions in advance and asked them quickly and concisely during the morning meeting.

At the end of this morning's meeting, Li Maoyang saw that everyone was fine, so he mentioned the strange illness of the farmer in Da County that Meng Dacheng told him last night.

Pan Linlin, 47 years old, became ill more than three years ago.

At the beginning, I felt dizzy, palpitations, restless limbs, and gradually became bedridden. I was afraid of light, and I shut myself in a dark room for many years. The second thing is to do it in the dark.

Because she couldn't see the light, and said that when she saw the light, her eyeballs would swell!

Second, she couldn't move.He complained of a tight pain in his chest, as if a flood hit his heart, like a river hitting a stone!

If the person moves a little, the symptoms like a flood of water hitting the heart will aggravate!
For three years, the patient has been in panic and fear almost all the time.

For more than three years, no matter how many doctors I have hired, I can't see it well!
"Uncle Zhang, have you ever seen this kind of disease? I feel so strange!"

After Li Maoyang told the patient's condition, he asked Zhang Hengchu.

Well, he doesn't call Zhang Hengchu Dr. Zhang anymore, and it feels more natural to call him Uncle Zhang.

Zhang Hengchu shook his head when he heard this, and became thoughtful.

"This is too weird, can you be afraid of light to such an extent?" Zhang Yazheng said in surprise, "General photophobia, from Western medicine, is likely to be caused by chronic conjunctivitis and other reasons. Eye drops and other medicines can basically solve it.

According to traditional Chinese medicine, it is considered to be caused by deficiency of liver yin.

The liver opens to the eyes, and if the liver yin is insufficient, it will not be able to moisten the eyes, which will cause symptoms such as photophobia in the eyes.

Generally speaking, if you persist in massaging the Jingming, Sizhukong, Nianlong, Taichong and other acupoints for a period of time, or take some medicines such as Hupo Huanjing Pills, Qiju Dihuang Pills, Mingmu Dihuang Pills and other medicines for conditioning, you can basically get better.

It is too rare to be afraid of light to such an extent!

Moreover, it was accompanied by symptoms like a flood of water hitting the heart. What is the root cause of this disease that can cause such a rare condition? "

After hearing what Zhang Yazheng said, Bai Xiaoyun quickly lowered her head and typed on her mobile phone to take notes.

Li Xiaohua and Jiang Xiaoxue were still craning their necks to listen in a daze. Seeing Bai Xiaoyun taking notes, they also hurriedly took notes.

Ge Gen looked at Zhang Yazheng, with pensiveness in the corner of his eyes, not only thinking about the strange illness Li Maoyang said, but also secretly comparing himself with Zhang Yazheng, feeling that although Zhang Yazheng was a few years younger than him, this medical Common sense is by no means weaker than him.

Thinking of this, he clenched his fists involuntarily, he had to work harder, otherwise if Zhang Yazheng pushed him away, he would be ashamed to gain a foothold in this clinic!

Zhang Hengchu continued to ponder for a while, then frowned and said, "It feels like running porpoise disease."

Li Maoyang rolled his eyes when he heard this, but didn't make a sound.

He knows very little about running dolphin disease. He only knows that running dolphin disease is caused by a breath in the body running upwards like a pig, so it is called running dolphin disease (pig: generally refers to pigs).

He decided to go down and investigate the disease, but at this time he chose to hide his clumsiness.

But Zhang Yazheng couldn't hide his doubts in his heart, looked at his father and said softly: "Isn't Bengu disease a kind of qi disorder? But this strange patient feels that the water is hitting his heart!"

One is air, the other is water, two different things, right?

Zhang Hengchu glanced at his son and said, "The patient's feeling is just a feeling, and it may not be the same thing as the real situation.

Besides, the patient may not be able to express her feelings clearly.

Therefore, the patient said that the flood hit his heart, but it may not be true that the flood hit his heart. "

Li Maoyang's eyes froze for a moment, feeling that Zhang Hengchu's words might be the key to solving this strange disease, so he firmly remembered them.

"If it's Bentunqi, this strange disease is not surprising." Ge Gen said.

"Tell me?" Zhang Yazheng looked at Ge Gen and said.

"Running dolphin disease is essentially caused by the gathering of qi into lumps and then rushing around.

Well, it is mainly caused by the upward thrust of this qi.

"On the Causes and Symptoms of Various Diseases" believes that Bentun Qi is mainly caused by the patient's two emotions of panic and worry, which lead to the rush of Kidney Qi.

Later, Tang Rongchuan extended it in "Supplements to the Brief Notes of the Golden Chamber". He believed that the kidney qi is cold and reversed upwards, which will cause water qi to linger at the heart. This is a kind of galloping disease; On the contrary, this can be regarded as a kind of running dolphin disease.

So……"

Ge Gen couldn't continue talking at this point, and he suddenly felt that some logical links were missing in his series of conversations.

But for a while, he couldn't figure out what logical link was missing.

Anyway, he can't go on deriving now.

Li Maoyang on the other side lost his mind and said with a smile: "Yin deficiency in the liver cannot control the liver yang, which will cause the liver yang to become weathered and fire upside down.

This is in line with what Yazheng said earlier, the deficiency of liver yin, which leads to the lack of moisture in the eyes, so that the eyes are afraid of light.

Deficiency of liver yin can lead to a lack of moisturization in the eyes, and cause the patient's eyes to be sensitive to light. If the liver yang is caused by weathering and fire, the situation will definitely be more serious!
That's why this patient named Pan Linlin is very sensitive to light, her eyeballs will swell when she sees light! "

After hearing this, Ge Gen said loudly: "Yes, that's it!"

Bai Xiaoyun on the side asked weakly and in a low voice: "I have a question that I don't understand, are there two rushing qi in the patient's body?
One goes straight from the kidneys to the heart, causing the patient to feel like floods are hitting the heart; the other goes straight to the head and face from the liver, causing the patient's eyes to be afraid of light, and the eyeballs will swell when they see light? "

When she asked this, her face was flushed, and her hands were twisted nervously, feeling that this question was too naive?

Ge Gen said with a smile: "Ben Tun takes abdominal pain as its main syndrome, and this syndrome takes abdominal pain and the consciousness of a rush of Qi from the lower abdomen to the chest as the main points of syndrome differentiation.

But it doesn't mean that the breath rushing upwards from the lower abdomen must come from the kidneys.

The liver governs the fascia of the body, and its meridians are located in the abdomen, covering the chest and flanks.

Therefore, although the patient feels that there is a burst of qi from the lower abdomen rushing up to the heart and chest, but this qi does not necessarily come from the kidneys, it is probably caused by the liver qi, rushing upwards from the lower abdomen along the liver meridian, so it is still counted as an upward reversal of liver qi. .

Therefore, the qi rushing up from the lower abdomen and the upward reversal of liver qi that causes the eyeballs to swell belong to the upward reversal of liver qi. "

After hearing Ge Gen's explanation, Bai Xiaoyun suddenly realized and nodded quickly.

But the eyes of Li Xiaohua and Jiang Xiaoxue on the other side were full of confusion, and Ge Gen's words were a little confusing. They were weak and didn't understand.

"The meridians of the liver run so long from the feet to the head, so if the liver qi is reversed, there will be a burst of qi in the lower abdomen rushing towards the chest, and if this qi is strong enough, it will continue to rush towards the head!

So it will cause chest pain and eyeball swelling at the same time. "

Li Maoyang made gestures on himself and explained to Li Xiaohua and Jiang Xiaoxue.

What he said was not so precise, but Li Xiaohua and Jiang Xiaoxue couldn't say it so accurately, they could only understand it when he said it so roughly.

Sure enough, after what he said, Li Xiaohua and Jiang Xiaoxue understood immediately.

Zhang Hengchu pondered for a while and said: "A lot of Bendun Qi is caused by the two emotional problems of panic and worry. The kidney stores the will, and the liver stores the soul. Both of these two organs can be affected by emotions and cause the Bendun Qi. .

Dr. Li also said just now that this female patient has been in a state of panic and fear for many years, and it is very possible that she will have a runaway qi.

It's just that the patient's condition can only be judged by seeing the patient with his own eyes. "

After Zhang Hengchu said this, everyone pondered for a while.

Li Maoyang feels that after this discussion, his thinking has been opened, but he has not fully figured out the medical theory of this disease, and he has to continue to discuss.

After all, he knew too little about Ben Dunqi, far less than Ge Gen and Zhang Yazheng.

"Master, outside patients and accompanying family members can't wait."

Bai Xiaoyun looked at the time on her phone and reminded Li Maoyang.

It's time for a consultation.

"That's fine, let's discuss this strange disease later." Li Maoyang also looked at the time on his phone, stood up and said.

The morning meeting ended here, and Li Maoyang forgot about the strange disease that Meng Dacheng told him for the time being, and he will find time to discuss it later.

However, through this strange disease and this morning meeting discussion, he once again saw his own shortcomings clearly.

Although he has become famous as a doctor now, it is mainly because of the blessing of the system. To be honest, his medical foundation is too lacking, and the most important thing is that his theoretical foundation is not very good.

After all, his time to study medicine is still too short!
So after that, I have to spend a lot of time to make up lessons for myself.

Alas, medicine is indeed a science that can be learned from time to time.

 The second update today.35 chapters are owed plus changes, the remaining 44.88 meters are rewarded, and 78 monthly tickets.

  
 
(End of this chapter)

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