Traditional Chinese Medicine Xu Yang
Page 165
And there is edema of the face and legs, high blood pressure, often fluctuating between 15090--184100, sometimes dizziness, palpitation, chest tightness, irritability, poor sleep, poor appetite, and tasteless taste.There is sticky sputum, no cough, normal stool, and red and yellow urine.
After being treated by traditional Chinese medicine in the Municipal Hospital of Traditional Chinese Medicine, the edema disappeared, but the night sweats remained.After that, please treat me.The patient's pulse is deep and weak at the right cun chi, closed strings, counted at the left cun, counted at the left close strings, and sinks at the left chi.The quality of the tongue is dark, and the fur is thick and dirty.
But Xu Yang's judgment was not written down in this medical record, other than these, there were only the prescriptions prescribed by the previous doctor.
"Eh..." Yao Bing's brows were furrowed together, he nodded and concluded, "Well...he must be sick!"
Come on again!
The people around took a breath of cool air one after another!
A look of embarrassment appeared on Liu Ju's face.
Xu Yang shook his head slightly, he said: "This patient's condition is quite special and has learning value. Have you all read it? Let's discuss it too!"
This case can be said to be the test site for today, so Xu Yang deliberately didn't add his own judgment, nor did he explain it in detail, just let them judge.
Yao Bing breathed a sigh of relief, just don't stare at him alone.
Xu Yang said: "First judge the patient's pathogenesis, where is the disease!"
Yao Bing's eyes lit up immediately, this question is not difficult, all the diagnostic information has been made, just sum it up directly, this is a translation question!
Yao Bing just wanted to show himself to others, but just as he opened his mouth, he heard the mouth of the guy next to him turn into a machine gun.
That's right, this product is Xu Yuan.
"Mr. Xu, I think so. First of all, judging from the pulse information, the Shenwei refers to the cold deficiency in the interior, and the two parts of the right inch and chi correspond to the lungs and the gate of life. The right Guanxian is mainly the syndrome of stomach cold and abdominal pain."
"However, the patient's left-hand pulse is counted in detail in the left inch, and the left inch corresponds to the heart. The main symptom is insomnia. The number of strings in the left guan indicates heat in the liver meridian. The number in the left chi is deep. The pulse in the deep number is internal heat."
"On the whole... On the whole... the tongue is dark, the fur is thick and greasy, and the main syndrome is excessive dampness. Therefore, it should be that the patient has yin deficiency and liver heat, and then there is dampness in the body. Now the patient's liver heat is the main symptom. There is also stomach cold, and the triple energizer is out of order, unable to consolidate astringency and suppress sweat."
Xu Yang nodded: "That's right."
Xu Yuan's face suddenly revealed a reserved look of pride: "Mr. Xu has won the award, but I am ordinary, haha..."
The people around him despise him to death.
Yao Bing swallowed, and what the hell, isn't this bonus question for himself? How could it be snatched by this guy!For a while, Yao Bing felt that Xu Yuan was not so pleasing to the eye!
Xu Yang asked again indifferently: "Then how should I treat it?"
Xu Yuan replied without thinking: "Since it is liver-heat due to yin deficiency, it is natural to nourish yin and clear heat to treat the root cause, and then use the method of reducing astringency and sweating to treat it."
The face of the person next to him suddenly became strange.
Xu Yang snorted angrily: "Look at the prescription of the former doctor."
"Ah?" Xu Yuan hurriedly snatched the prescription from Yao Bing's hand, and took a closer look. The previous doctor also had the same idea, but the effect was not good!
Xu Yuan's brows suddenly became a pimple.
It shouldn’t be, why is the fundamental solution not correct?
Yao Bing narrowed his eyes slightly, why did he feel that this knowledge point was a little familiar, as if he had read it somewhere.I have some impressions, but why can't I remember it.
It's just a little bit short!
Yao Bing's whole face was wrinkled, just like someone who has been constipated for a long time, it's about to come out, but it just can't come out!
Chapter 271 Strong Analysis
Xu Yang chuckled, suppressing this point temporarily, he said: "To analyze the disease, we must first analyze the cause of the disease. We must not only know what it is, but also know why it is."
"Once we know the cause of the disease and how the patient got sick, we will not be far from solving the puzzle, and we will know how to treat it!"
The little Chinese doctor next to him frowned.
Xu Yang said: "Cure a disease, it's like solving a case, it's a process of solving puzzles!"
The careful Zhuang Zhuang looked at the medical record in his hand, frowned slightly, and asked, "Director Liu, you just got sick when you came back from Hunan. When did you go to Hunan?"
Director Liu was also willing to cooperate, because he also wanted to know what was going on with him. He said, "It's about the beginning of September, almost the beginning of autumn. I remember it was the beginning of autumn in Hunan."
Zhuang Zhuang's eyes light up slightly, Li Qiu?
Xu Yang glanced at him, this kid's train of thought was on the right track.
Zhuang Zhuang took a deep breath, and with some doubts, he asked, "Have you ever eaten badly in Hunan?"
Director Liu shook his head: "It seems not yet."
Xu Yuan saw that Zhuang Zhuang had already asked several questions, but he still didn’t have any. How could he make Zhuang Zhuang look better than before, so he hurriedly asked, “Is the Hunan food delicious?”
This time even Director Liu was obviously taken aback, and looked at Xu Yuan strangely, but he still replied: "The taste is not bad, but it's very spicy!"
"Oh." Xu Yuan responded, showing a thoughtful expression.
Liu Ju couldn't help asking: "Is this also related to the illness?"
Xu Yuan nodded solemnly, then continued to think.
Xu Yang turned his head and squinted at Xu Yuan, this guy!Then Xu Yang continued to look at Zhuang Zhuang, Zhuang Zhuang's car was on the right road, but if he wanted to run down the curb or take the main road, it would depend on this.
Xiao Tao also turned her head to look at Zhuang Zhuang, secretly cheering him up in her heart.
Zhuang Zhuang frowned, he was still thinking about it, but suddenly he was distracted by Xu Yuan's funny question, he was angry, but he heard Liu Ju's answer.
Very spicy!
Zhuang Zhuang seemed to have a flash of lightning coming in from his head, and his expression froze all of a sudden.
Xu Yang also kept an eye on Zhuang Zhuang.
Zhuang Zhuang immediately picked up the medical record in his hand, took another look, and asked quickly: "Ju Liu, during that time...how was the weather where you stayed during that time? Was it hot and humid?"
Xu Yang smiled.
Director Liu nodded and said: "Yes, yes, it rained every day for the past ten days, ouch. The weather over there is already hot, and when it rains, it's like a steamer, which is very uncomfortable. I went out for a few times, mainly The weather is horrible."
Zhuang Zhuang nodded vigorously, he turned to Xu Yang and said, "Mr. Xu, I understand."
Xu Yang also smiled slightly. Zhuang Zhuang is actually the best of these small Chinese doctors. He has a solid theoretical foundation, a flexible mind, and is good at analysis.Don't look at the big and the three rough, but in fact, he is as careful as dust, and he is the one who discovers the beauty most of the time!
Xu Yang said: "Then tell me!"
Xu Yuan was anxious dryly, it's over, this time Zhuang Zhuang is going to play tricks again, the key is that he hasn't figured it out yet!
But he couldn't.
In fact, Xu Yuan has been competing with Zhuang Zhuang. Yes, Xu Yang thinks Zhuang Zhuang is the best among the young Chinese doctors in their hospital, but Xu Yuan is not convinced, he thinks that he is the strongest.
So he loves to compete with Zhuang Zhuang the most, and he has to bump into Zhuang Zhuang from time to time, and he refuses to admit defeat at all.Even when he asked the patient a question just now, he had to intervene. Don't you think it's boring?
The situation of these two people actually made Xu Yang often think of Hao Zhuangbi and Gao Huaxin back then.Xu Yuan is a copy of Hao Zhuangbi, and Zhuang Zhuang is like Gao Huaxin.
The two are enemies for life.
However, in terms of ability, these two boys are not as powerful as Hao Zhuangbi and Gao Huaxin who are of the same age. These two boys are at best low-profile versions.
Didn't it mean that Hao pretended to be aggressive and planned to take another apprentice!I don't know if he will feel friendly if he sees Xu Yuan?
Xu Yang couldn't help shaking his head with a smile, he thought it was quite interesting.
"Mr. Xu, am I wrong?" Zhuang Zhuang asked with some uncertainty.
"Ah?" Xu Yang pressed the center of his eyebrows, recalling the past, and accidentally lost his mind, he hurriedly stopped his mind, and said: "Sorry, I was distracted just now, please say it again."
"Oh." Zhuang Zhuang responded, and said: "Although the patient's body has yin deficiency and liver heat, this is not the cause of the disease. It is because the patient encountered continuous rain for many days in the humid area at the beginning of autumn. It’s not sunny. So the evil of summer heat and dampness is caused by external factors.”
"Dampness evil invades the body, suppresses depression and transforms heat, and damp heat stays in the body for a long time, which leads to the abnormality of the triple energizer, and the disharmony between the camp and the guard. The damp heat and steam force the body fluid to gather up, so it becomes a disease where there is sweat on the top and no sweat on the bottom."
Xu Yang nodded and praised: "That's very good."
Strong smiled.
Xu Yuan curled his lips. He also said something just now, so he only made a good point.After Zhuang Zhuang talked about it, he took a very good one, which is too partial!
Yao Bing made the same expression as Xu Yuan, he was a little hit now, he really felt like he couldn't do anything anymore.
Xu Yang asked again: "Then how should I treat it?"
Zhuang Zhuang said: "It is true that the patient's root is Yin deficiency and liver heat, but the symptom is summer-damp depression. But in this case, we need to abandon the root and follow the standard."
"Dampness is already a problem, and if you nourish yin, it will only get worse, and it can't be cured at all. The patient's condition is indeed very complicated, but it must be analyzed layer by layer, paying attention to the priority."
"Therefore, it is necessary to dispel heat and dampness, and resolve both the exterior and the interior. And because the patient has stomach cold, the treatment should focus on Wei Zhongzhou. Therefore, it should be based on dispelling heat and dampness, supplemented by regulating the spleen and stomach, and taking into account liver yin."
"Because stagnant damp heat is the biggest difficulty now, as long as the stagnant heat is relieved, the disturbed triple burner can be unblocked. The stomach qi can also be reconciled naturally, the camp and guard can also be reconciled, and naturally there will be no sweating."
"The former doctor saw that Yin deficiency, liver heat, and frequent sweating, so he took medicines to nourish yin and reduce astringency. But the damp heat has not gone, these medicines are not there at all, and will only help the damp heat more!"
Xu Yang kept nodding: "Very good, very good, very well said!"
Zhuang Zhuang scratched his head, feeling a little embarrassed.
Xu Yang said to several people: "So, this is why you must analyze the cause of the disease. If you know how the disease comes, you will know how to cure it."
"When treating all seasonal diseases, I tell you to remember eight words. You must pay attention to the influence of weather and seasonal solar terms on diseases!"
Xu Yang said in a solemn tone: "Remember these eight words 'you must first be old, and you must not cut the harmony of the sky'!"
After finishing speaking, Xu Yang turned his head and glanced at Yao Bing.
Yao Bing was stunned, at this moment, he finally remembered!
Chapter 272
Yao Bing finally remembered, he had seen this knowledge point last night.
Just before going to bed at night, his mother packed everything for him, and then he went to Xu Yang's guest room to find him, and found Xu Yang reading a book.
It happened that the medical record was very similar to this one. Xu Yang also marked a lot of knowledge points below with a pen. On it, there was a statement about the impact of seasonal solar terms on the disease, and a specific analysis of the obedience to the standard.
When he left, Xu Yang specially gave him this book, so that he could read these medical records carefully, and then sort out the relevant discussions.
I also took the book and left, and said I wanted to read it, and I did read it, so why didn't I have any impression?
Yao Bing frowned, and then he immediately showed a dazed look, he remembered, when he saw halfway, the phone suddenly ding-dong.
Next...he went with someone to play multiplayer games in the Canyon of Kings...
Then, I checked Weibo and Moments... I didn't sleep until midnight...
Embarrassment suddenly appeared on Yao Bing's face, and he couldn't help feeling remorse.What a great opportunity to show off to others, why did I play with my phone last night!
Yeah!
Yao Bing regretted it very much.
This was clearly Xu Yang's chance to show off to him, why didn't he seize it?
"Xu Yang should know by now that I didn't read a book last night, right?"
Yao Bing carefully looked at Xu Yang's face, but he didn't notice any obvious changes. He didn't know whether to breathe a sigh of relief or continue to be embarrassed.
……
Bureau Liu was quite happy. Although he couldn't understand the meaning and the way of doing it, he probably knew what was going on, and he felt more at ease.
The impact of climate and weather on the human body is a common thing. It is like getting a cold easily after being exposed to rain, heatstroke due to high temperature, and catching cold when cold air suddenly comes.It is also very common in life, and there is nothing incomprehensible.
It's just that Director Liu didn't expect that during that period of high temperature and heavy rain like a steamer, he would sweat profusely at night and be sick for several months.
Director Liu couldn't help shaking his head and smiling bitterly. He asked curiously, "Dr. Xu, there were several colleagues who went with us at that time. Why didn't they get sick?"
While prescribing medicine for Liu Ju, Xu Yang said, "Not everyone who smokes will definitely get cancer."
Liu Ju was startled when he heard the words, and then laughed.
Xu Yang went on to say: "Healthy Qi is inside, and evil cannot be done. Many people get sick because of the weakness of righteousness, so they give the opportunity to external evil. If the whole house is full of gentlemen, how can there be a place for villains?"
"When a person is over forty, the yin energy is half. The body's various functions are already declining. If you don't pay attention to your daily life, your body will easily become weak. So in fact, this is why many middle-aged people are prone to various diseases. One of the causes of every disease!"
"They are more stressed than young people, but their bodies are far inferior to young people. Coupled with the still bad living habits and all kinds of evil debts accumulated when they were young, can there be no problems?"
"Come out to hang out, you have to pay it back!" Xu Yang said half jokingly.
But Yao Bing didn't listen to it very well, he always felt that Xu Yang's words meant something.
Director Liu also nodded in agreement. Middle-aged people are most afraid of cancer, and they are afraid of it. People around them are all diagnosed with cancer in their 60s and [-]s. Who is not afraid!
Xu Yang reassured: "Don't worry too much, you must maintain a cheerful mood. Many illnesses are caused by bad emotions. In addition, continue to take medicine, and come to me at any time if you feel uncomfortable."
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