Traditional Chinese Medicine Xu Yang
Page 108
Xu Yang was slightly taken aback.
Ah Cheng patted her husband: "How long has it been? How can we know if it's a boy or a girl?"
Her husband also smiled embarrassedly.
The aunt in line behind also interjected: "Boys and girls, you are not allowed to ask now. Besides, you can't tell the pulse of boys and girls. Is it, Dr. Xu?"
Xu Yang chuckled and didn't answer.
Seeing that Xu Yang didn't speak, the aunt behind asked again: "Doctor Xu, do you know how to cure infertility?"
Xu Yang said with some hesitation: "It will be a little bit, but at your age, Auntie... I'm afraid it's not easy."
Auntie was stunned.
Others were also stunned.
The auntie waved her hand and said dumbfoundedly: "What, I mean my daughter-in-law, who wanted a second child but never got pregnant. How old am I, I can do it, and neither can my old man!"
"Oh." Xu Yang also laughed.
Everyone around laughed, and the clinic was filled with a joyous atmosphere.
In fact, pulse diagnosis can be used to diagnose pregnancy and men and women, as it is said in "Main Pulse Seeking Truth": "A woman who sees a slippery number after a break is considered to be pregnant."
Generally speaking, the slippery pulse is more common during pregnancy, but it does not mean that the slippery count is definitely pregnant.It is necessary to rule out pathological pulse conditions, so it is necessary to add consultation when making a diagnosis.
Of course, if she is pregnant and sick at the same time, her pulse condition will also change accordingly, and she needs to be screened.For example, if you have abdominal pain during pregnancy, your pulse will be heavy and astringent.
Then it can also be judged from the ulnar pulse. If the pulse condition of the ulnar part is continuous, pregnancy can also be judged.
Therefore, generally speaking, to judge whether you are pregnant, in addition to carefully screening the pulse condition, you also need to join the other three diagnostics, and the four diagnostics are combined to make a comprehensive judgment.
As for the diagnosis of male or female, generally speaking, a woman can be judged after four months of pregnancy. "Mai Jing" says that the left disease is difficult, the right disease is a daughter, and both diseases give birth to two sons.He also said: "The left side of Chimai is big enough to be a man, and the right side is big enough to be a woman. Both the left and right sides are big enough to give birth to two sons."
As for the accuracy, it is naturally impossible to be [-]%.If it is more accurate, it is actually a test of Western medicine.
However, it is generally not recommended that you find a Chinese medicine doctor to test men and women, and it is not recommended that Chinese medicine doctors say the sex of the fetus, because this is not good and violates medical ethics!
When we talk about this, it is mainly an academic discussion. Let’s talk about what is the happy pulse that is always mentioned in costume dramas?
Chapter 174 Stomach Pain
"Teacher Xu." There was a clear sound from the door.
Several people in the room looked out, it was Xu Yuan.
Xu Yuan walked in with a smile.
Xu Yang also nodded slightly, and asked, "Why are you here so late today?"
Xu Yuan chuckled: "It's nothing, I just did something small."
Xu Yang didn't ask any further questions, and said, "Then don't waste your time, you should also go ahead and pre-diagnose the patients with the same sign."
"Okay." Xu Yuan happily agreed, put down his backpack, and ran over to pre-diagnose the patient with that brawny little Chinese doctor.
This is Xu Yang's request for them at present, and they just have this opportunity to exercise their dialectical ability.It just so happened that they were there, so they made a diagnosis first, and then they came to check the answers.
Otherwise, at other times, they have all diagnosed and have no place to answer the question.
Xu Yuan took out his notebook, and walked to the side of the burly little Chinese doctor.
The little Chinese doctor of the strong man was showing the patient's tongue. After reading the tongue, he recorded it in his notebook, and then asked Xu Yuan: "What's the matter with you today, why are you here so late?"
Xu Yuan smiled meanly: "Didn't I tell you everything, I went to deal with some small things."
The brawny little Chinese doctor frowned and asked, "Look at you smiling so cheaply, you don't know what a good thing it is!"
Xu Yuan was not happy to listen: "Zhuang Zhuang, you are insulting my personality!"
That's right, this strong little Chinese doctor has a very cute nickname, Zhuang Zhuang. I don't know which lesbian gave him a nickname.
The brawny little doctor looked suspiciously at Xu Yuan several times.
Xu Principle is that the old god is there, so he doesn't panic at all.
But the patient became a little impatient, and he asked: "Hey, I said, have you two finished chatting, can you show it to me?"
Xu Yuan said: "Look at it, come, stretch out your hand to check the pulse."
The patient stretched out his hand, and the two checked his pulse.
……
Xu Yang continued to see the patient here. After prescribing the prescription, he said to the patient: "At that time, there will be a printed doctor's order, which will be put together with your medicine. Don't lose this doctor's order. Be serious. Look. Do you know how to read?"
It was an older grandfather who came to see the doctor, and he nodded with a smile: "I know, I'm educated."
"That's good." Xu Yang also smiled, and now he has printed out the doctor's order directly with the medicine. Before, he just dictated the way of taking the medicine and paid attention to it.
But since Brother Long had an accident last time, Xu Yang also reflected on it.Although I said that I ordered it, but it is not guaranteed. Some patients go in the left ear and out the right ear.A good memory is not as good as a bad pen, but it is more reliable to print it out.
So now there is an additional step of printing the doctor's order.
The old man went to the counter to pay for the medicine.
Mingxintang's business is very good now, and queuing has become a daily routine.Everyone is also very busy, and Zhang Sanqian has fully recovered, and has started to see the doctor.Although he is an old doctor, his volume of consultations is completely inferior to that of Xu Yang.
Zhang Ke was also busy at the counter. According to Zhang Sanqian, he wanted Zhang Ke to go back to school and continue his studies.But Zhang Kefei said that he was not in good health, and she wanted to stay and take care of him.
Zhang Sanqian, who made it up, is starting to doubt himself now, is it because Xu Yang diagnosed some disease and didn't tell himself.
Song Qiang has been busy with health care...
Compared with the previous few people, the current Mingxintang is unprecedentedly grand.The current situation in this bustling city is better than when her mother was in the clinic.
Zhang Ke also showed a relieved and relaxed smile. Anyway, she kept her mother's hard work.
……
Besides, Xu Yuan and Zhuang Zhuang also encountered difficulties.
When the two pre-diagnosed the patient, they both felt a little strange.The two held the patient's diagnosis and treatment records and looked at each other.
Xu Yuan asked: "Are you sure that taking this traditional Chinese medicine didn't work?"
It was a middle-aged couple who came, and the husband was sick.
The middle-aged man nodded silently.
His wife said, "Yes, it's useless."
The two looked at each other, more puzzled.
Zhuang Zhuang said: "Let's mark this, and ask Teacher Xu later."
Xu Yuan also nodded: "Okay."
The couple didn't say anything. Everyone knew that the two of them came to learn from the teacher. As apprentices, it's normal that their level is a little bit worse.
Soon, it was the couple's turn.
Xu Yuan and Zhuang Zhuang also hurried over.
Seeing that these two people had also come, Xu Yang asked, "What's the matter, what's the condition of this patient?"
Zhuang Zhuang looked at his notes and said: "Shock and stomach pain. The patient reported that at first he only felt pain in the chest and flanks occasionally in the evening, and later his appetite also ached, and then it developed to be painful every evening, and now he feels it all the time. pain."
Xu Yang also frowned slightly.
Xu Principle said: "We diagnosed the patient. The patient was depressed because of previous business failure, and the liver qi was excited, which caused pain in the chest and hypochondrium. Then the liver wood took advantage of the earth, restrained too much, and the earth acted as a wood injury, resulting in Stomach pain. Now the patient is not eating properly and the pain is endless."
"The patient has also received diagnosis and treatment before, and has taken both Chinese and Western medicine. But the effect is not good. We focused on the patient's taking of Chinese medicine."
"After the previous doctor's diagnosis, he used medicines to soothe the liver, relieve depression and invigorate the spleen. We also diagnosed the pulse and tongue conditions. It is indeed liver depression and qi stagnation, so we are also a little confused."
Xu Yang nodded, and looked at the couple again. The husband was indeed frowning tightly, with a worried look on his face.
In other cases, Xu Yang heard these two talk about it, so Xu Yang said: "Take it here, I'll check the pulse."
After a while, Xu Yang checked the pulses of both hands.The patient's left pulse is stringy, hard and deep, indicating that the blood in the liver meridian is deficient and the liver qi is stagnant.The right pulse is stringy and weak, weak and weak, and the right pulse stringy can control stomach cramps or spasms of hands and feet.
Stringy but weak, in fact, it also proves that the soil is a wood injury, so the spleen and stomach are too much injured, and the health is lost, so it hurts, and it will not digest when eating.
Xu Yang looked at his tongue, and asked again: "How long has it been hurting?"
The patient himself did not want to speak, but just held his stomach.
His wife replied: "It's been more than three months. It's been like this since the business went bankrupt. Alas, at first it was just pain around the ribs on both sides, and then it started to hurt the stomach. Now it hurts every day, and it's rarely comfortable. .”
"I used to be busy with work and had to socialize every day, but now I don't have to be busy. Instead, I am sick all over. At first, the pain started in the evening, and now it hurts all day long."
Xu Yang looked at the other party's diagnosis and treatment records, and asked again: "It started to hurt in the evening, right? What time is it?"
His wife replied: "It's about five or six o'clock, a period of time before and after dinner, so I said that it might be because I didn't eat well before."
The patient frowned and said displeasedly: "When did I not eat properly? I used to be busy, didn't I eat all three meals? Now I am idle every day, but I can't eat a single bite."
His wife said: "Then why do you feel pain when you are eating? Your stomach problem is because you don't eat well, so you come out hungry!"
The patient said again: "Then why doesn't it hurt when I have breakfast and lunch?"
"Huh?" His wife was obviously stunned for a moment, but she didn't know how to answer.
Xu Yang also smiled slightly, and asked Xu Yuan and Zhuang Zhuang, "You two, explain to someone."
The two were also taken aback.
Chapter 175
Taking advantage of the time the two of them were thinking, Xu Yang happened to finish reading the patient's previous cases, and now Xu Yang has a good idea.
Xu Yang closed the medical record, and he said to Xu Yuan and the two of them: "If you two can figure out this patient's condition thoroughly and know how to treat it, then you two can be said to be relatively mature Chinese medicine practitioners."
The two were immediately overjoyed.
As soon as Xu Yang said this, the others also looked at the two little doctors.Even Zhang Ke at the counter could see it, and Zhang Sanqian, who was sitting in Song Qiang's seat, also looked up.
Even the patient's couple looked over.
The two immediately cheered up, this is an opportunity to prove themselves.
Xu Yang also looked at them and smiled.According to the standard of the system, these two people actually belong to the relatively outstanding category of apprentices, and they have not yet reached the level of young doctors.
Xiao Langzhong is a relatively mature Chinese medicine practitioner.A doctor is a county-level expert, and Zhong Hua is a doctor.As for Cao Dehua, he is only one of the better ones among the young doctors, and he should not be regarded as a doctor.
The main reason is that he was too active in mixing relationships, which dragged down his medical skills.
The two quickly thought about it. Why did the pain start in the evening?Is there anything special about this moment in time?It shouldn't be because of the meal time. Breakfast and lunch are also meal time.
Xu Yang put down the medical records, and he reminded the two of them: "If you want to think about what caused it, you must return to the patient himself."
The two were startled again.
"Oh! I see." Zhuang Zhuang showed excitement.
Xu Yang said: "Zhuang Zhuang, tell me."
Xu Yang also called him such a cute nickname.
Zhuang Zhuang didn't care too much, so he said excitedly: "Five or six o'clock in the evening is Shenyou time. The five elements of Shenyou belong to metal, the liver belongs to wood, and gold restrains wood."
"The patient is suffering from liver stagnation, and at the time of Shenyou, it was the main command of the lung meridian, gold restraining wood, which was originally a beneficial restraint. But at this moment, it aggravated the liver qi being restrained, and made the liver qi take advantage of the spleen soil even more, so This is where the first pain is!"
Xu Yang kept nodding: "Not bad, not bad, not bad."
Zhuang Zhuang's theoretical foundation is still very strong, especially the mastery of these traditional theories is still very good.
Zhuang Zhuang was praised, and a big smile immediately appeared on his huge face.
Xu Yuan licked his lips. As a senior fan of pretending to be aggressive, he can pretend to be three points without being forced. Now seeing Zhuangzhuang pretending to be aggressive in front of him, he feels so uncomfortable!
Xu Yang asked Xu Yuan again: "Then, what should be the current way of treating diseases?"
Zhuang Zhuang also looked at Xu Yuan.
Ah, here's the chance to pretend!
But Xu Yuan was at a loss, how could he know.The logic of TCM treatment is dialectical treatment.Now it has been dialectically clear, that is, stagnation of the liver suppresses the spleen, so it is enough to soothe the liver and relieve stagnation, invigorate the spleen and nourish the blood.
But the former doctor used such medication, but it was ineffective.
Strange things!
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