Traditional Chinese Medicine Xu Yang
Page 211
Liu Mingda was also slightly surprised to see Xu Yang getting angry while talking.
Xu Yang continued: "So if this prescription continues to be used, the spleen yang will be severely injured, and the temper will sink all at once. Traditional Chinese medicine believes that the spleen governs the production and cleansing, and it is the temper that supports our internal organs. Once the temper sinks, it is easy to cause the internal organs It prolapsed, and you saw it in the end."
"In addition, it has been lost for a long time, and the deficiency of spleen yang affects the deficiency of kidney yang, so the door is not closed, so your daughter-in-law has more diarrhea at dawn for more than a week. This is called Wugeng diarrhea, and we call it kidney diarrhea. You are now both spleen and kidney yang deficiency, and there is evidence of a decline in the temper."
The patient's husband scratched his head, and immediately said angrily: "Damn it, that bastard quack doctor is hurting people!"
Xu Yang also didn't say anything to help the Chinese medicine doctor explain, you don't know syndrome differentiation, don't know how to adapt, see the disease and treat the disease, and use the formula to check the house, you can't get a problem.You said that if syndrome differentiation is difficult, it is understandable to be wrong, and it is obvious that the spleen is weak, so you can still be wrong.Being scolded by the patient deserves it!
The patient's husband hurriedly asked, "Then... what should I do then?"
Xu Yang said: "It should be made up of fire and earth, so as to save the mistakes of the former medical medicine."
After the patient's husband glanced at Xu Yang, he immediately looked at Liu Mingda again.
Liu Mingda also nodded, and said, "Let me prescribe two prescriptions for you, so as to save you the trouble of making an appointment next time."
"Okay, okay." The patient's husband hurriedly agreed.
Liu Mingda prescribed prescriptions on the computer, Xu Yang went over to look, the first prescription was Sishen Pill with added flavor.The second prescription was handwritten by him.
Liu Mingda said: "When the diarrhea is gone and I can eat, I will switch to this recipe."
Xu Yang glanced at it, it was the flavored Buzhong Yiqi Decoction, the patient's temper was sinking, and it was very true that Buzhong Yiqi could improve his temper, but Xu Yang still frowned a little.
Liu Mingda turned his head to look at Xu Yang again, and he asked, "Do you have any other ideas?"
The patient couple also looked over in surprise.
Xu Yang shook his head: "No."
Liu Mingda asked again: "Do you want to use Sini soup directly?"
Xu Yang just smiled. Every doctor has his own medication style, and he didn't force everyone to be like him.
Liu Mingda pulled out the social security card and returned it to the patient and his wife. He found an opportunity. He said to Xu Yang: "I was talking about you before, you need to be careful with the medication, and it must be appropriate. The point of wanting to escape."
"You are still young, so you must be stable. Don't be greedy for the so-called efficacy. In many cases, the rapid curative effect is based on the premise of fierce medication. Such risks are not only reflected in patients, but you are also easy to be caught. handle."
Facing Liu Mingda's instruction, Xu Yang just nodded without arguing.
Liu Mingda finally uttered the words of education, and suddenly his thoughts became clear, his heart became much more relaxed, and his complexion improved, but he was suffocated in front of him.
The patient's couple also went out, and the patient's husband cursed and said that he wanted to settle accounts with that quack doctor.
Xu Yang and Liu Mingda also shook their heads helplessly.
After Liu Mingda educated Xu Yang, he was about to continue to call the number. Before he could wait to order, he saw the door was pushed open, and the head of the gynecology department poked his head in. He said, "Teacher, our gynecology department has taken over a comparative The troublesome uterine bleeding patient is in an emergency condition, is it convenient for you? I want you to check it out."
Chapter 352
Upon hearing this, Liu Mingda and Xu Yang put down the patients in the outpatient clinic and went to see the patient in serious condition.
In fact, this is the norm in hospitals. The larger the hospital, the more likely it is to encounter intractable diseases and critical illnesses. For ordinary people, it may be rare to encounter them once in ten years, but for doctors, this is really commonplace.
Liu Mingda went out and asked, "What's going on?"
The director of the gynecology department quickly replied: "The patient has been suffering from dysfunctional uterine bleeding. He went to other places for medical treatment some time ago. He found a Chinese medicine doctor and prescribed a lot of tonics. He took a large dose of astragalus, angelica, donkey-hide gelatin, and Longmu."
"I took more than a dozen doses, and then my menstruation was no longer due, and my abdominal pain was like colic. On the second day, I started to collapse, and I had a lot of blood in a day. After three days, the collapse stopped, and it became dripping continuously for 7 days. .Because I felt very uncomfortable, so I came to seek treatment under the persuasion of my family."
"This is the medical record we made earlier." The director of the gynecology department handed over the medical record.
Liu Mingda took it and looked at it.
Xu Yang also pondered slightly, women's abnormal menstrual bleeding is called metrorrhagia in traditional Chinese medicine, metrorrhagia is actually two kinds of conditions, to explain it simply, metrorrhagia means blood metrorrhagia, and there is a lot of abnormal bleeding.Leaking means that it is dripping endlessly, and it will continue to leak for a long time after menstruation.
These two diseases are often transformed into each other during the development process, for example, blood collapse over time, qi and blood consumption, can also become leakage; prolonged leakage, the disease progresses day by day, can also become collapse.Therefore, physicians of all dynasties all called it metrorrhagia.
Just like what is said in "Ji Sheng Fang": "The disease of metrorrhagia is basically a syndrome. If it is mild, it is called leaking, and if it is serious, it is called collapse."
Metrorrhagia is a relatively common disease among women. The two alternate with each other, and cause and effect are related. Therefore, this disease is sometimes difficult to cure. Often, female patients cannot be cured within half a year.
This can be regarded as one of the difficult diseases in the gynecology department. As the director of the gynecology department just said, I am afraid that this patient is already a difficult and serious disease, otherwise he would not have come to ask Liu Mingda to check it out.
After reading the medical records, Liu Mingda conveniently handed over the medical records to Xu Yang.
Xu Yang also brought it over to have a look.
Soon, several people went to the director of the gynecology department.
The director of the gynecology department led the two of them in. The patient leaned on the chair, frowning. The temperature outside is quite low now. Although the room is warmer, the temperature is not too high. It's just that the female patient is sweating finely on her forehead. Pearl, and also panting slightly.
Liu Mingda glanced at it and asked, "Did you exercise vigorously when you came here? Did you come here by running?"
Her husband replied: "No, I don't have the strength to run, I came slowly."
As soon as these words came out, the hearts of the three doctors sank together.
Xu Yang immediately gave her a face-to-face consultation. The woman's complexion was sallow and lacklustre, which was a sign of weak Qi and blood.According to the medical records just seen, the woman's hemoglobin is only 6g.
Liu Mingda stepped forward and asked, "How do you feel now?"
The female patient replied feebly: "I'm tired, I have no strength, my heart feels uncomfortable, I always feel palpitations, and I can't sleep at night."
Liu Mingda said: "Stick out your tongue and let me have a look."
The female patient sticks out her tongue.
After Liu Mingda read it, he checked the patient's pulse, Xu Yang was not polite, and went forward to diagnose the other hand.
On the contrary, the director of the gynecology department was stunned for a moment, this kid is really rude and bold!
After a while, the two glanced at each other, without saying a word, they exchanged hands with each other, and then they continued to take the pulse carefully, but still did not speak.
It's just that the movements were very smooth and smooth, and the expressions of the two of them didn't show any strangeness. Instead, there was an indescribable sense of tacit understanding, as if they had practiced many times before.
This scene made the director of the gynecology department stunned.
After a while, the pulse diagnosis is over.
Both of them frowned.
Liu Mingda looked at Xu Yang and asked, "Xu Yang, what do you think?"
Xu Yang said: "The patient suffered from metrorrhagia for a long time. According to the other three diagnoses, it is obvious that the qi and blood are weak, but from the diagnosis of her pulse condition, it should be a weak pulse, which can correctly reflect the condition, but on the contrary. The pulse of Hongshu appeared, and the pulse reached 128 beats per minute."
"The combination of pulse and syndrome is auspicious, and the opposite is bad. In addition to his spontaneous sweating and panting, the condition of the disease should be in danger of further changes. I am afraid that it is very likely that the qi will flow out with the blood. The condition of the disease at this time It's already very dangerous."
When the patient and his wife heard this, their expressions suddenly changed. They were frightened by what Xu Yang said.
The director of the gynecology department also nodded. He also saw that the condition was dangerous, so he asked Liu Mingda to come over and take a look, because he couldn't make a decision at the moment.
The head of the gynecology department looked at Liu Mingda, and he asked, "Teacher..."
Liu Mingda also nodded: "Xu Yang's analysis is quite right. The patient's condition is indeed very serious. If he can't control it immediately, the Qi may be lost along with the blood, and the situation will suddenly turn serious."
The director of the gynecology department nodded: "That's fine, how about I arrange for them to be hospitalized immediately."
The patient and his wife are even more confused, do they still need to be hospitalized?
The female patient said in confusion: "I...is it so serious? I just bleed a little too much, why don't you just prescribe me some blood-enriching medicine?"
The director of the gynecology department shook his head and said angrily, "Your disease is caused by taking blood-tonifying medicine."
"Huh?" The patient and his wife were dumbfounded.
The director of the gynecology department said: "If not, you will go to the western medicine hospital next door. In your case, you must be hospitalized for observation, and you must control it, otherwise it will be dangerous."
The patient couple's expression froze.
The female patient panted in a panic: "We only take Chinese medicine because we believe in Chinese medicine. This...how can it still be...so serious? I just took some blood-enriching medicine, why are you saying it will be fatal? "
Liu Mingda also frowned.
Xu Yang said: "You don't need to be transferred to another hospital. We can also admit you here. As for whether you need to be hospitalized, after taking a dose of medicine first, check the situation. If it is stable, you don't need it. It’s better to be hospitalized for observation.”
The patient and his wife looked at each other, a little panicked, because before they came, they didn't think it would be so serious.
The head of the gynecology department frowned: "Xu Yang..."
However, Xu Yang reached out to stop the director of the gynecology department, and his expression was a little dignified. He said: "The condition is urgent, so hurry up and prescribe the prescription. In order to prevent the qi from going out with the blood, it needs to be strengthened urgently."
Xu Yang immediately turned his head to look at Liu Mingda. The patient was in an emergency, so he didn't think too much about it. He opened his mouth and said, "Mingda, help me write the prescription."
"Okay." Liu Mingda agreed without even thinking about it.
But after the sound, there was a sudden silence in the consulting room.
Liu Mingda himself was stunned.
Chapter 353 Acting like a drum is responsible for patients
The director of the gynecology department looked at Xu Yang and then at Liu Mingda.
what's the situation?
He always felt that Xu Yang was very arrogant, but he never thought that he would be so arrogant, and he would call Professor Liu Mingda by his name directly, he is a national player.
Even if you don't talk about it, they are decades older than you, right?He also went to your school to give you a lecture, no matter how you count, he is also half of your teacher?
Calling him by his first name is extremely arrogant!
The director of the gynecology department looked at Liu Mingda again. His teacher was also very funny, and he actually agreed. Is his mouth so fast?
But he didn't know, at this time Liu Mingda was also in a daze, why did he agree, did he speak so fast?
Isn't he still educating this reckless boy in front of him?Just now I took the opportunity to talk to him, why did this kid open his mouth and call himself when he met a critical patient, and he agreed without even thinking about it?You promised so happily?
Liu Mingda suddenly felt uncomfortable, what's the matter?
Xu Yang also touched his nose in embarrassment, he really called Shunzui.
Liu Mingda exhaled heavily, and criticized with a calm face: "It's frizzy, what does it look like?"
Xu Yang and the director of the gynecology department were slandering at the same time, and they didn't know who was frizzing just now.
Liu Mingda frowned again, and said angrily to Xu Yang, "Write down your prescription, and I'll review it for you."
"Oh." Xu Yang agreed honestly, and hurried to write the prescription.
Liu Mingda was still full of greasy stomach.
The director of the gynecology department couldn't help but want to laugh.
Liu Mingda glared at him again, seeing that this guy still wanted to gloat, he immediately said angrily: "Why are you standing around? You..."
For a while, Liu Mingda didn't know what to ask the director of the gynecology department to do.
The head of the gynecology department also looked at Liu Mingda dryly. He shouldn't be doing anything right now, he was listening to the teacher's orders.
Liu Mingda wanted to retaliate, but he couldn't find a word for a while, and Liu Mingda became even more angry.
The director of the gynecology department scratched his head, and suddenly said with a bit of idleness, "How about I get you a glass of water?"
Liu Mingda finally found the topic, and immediately said angrily: "It's working time now, the medical treatment is the most important thing, are you so free? Why don't I let them fill your shift?"
The head of the gynecology department was speechless for a moment, damn, the hot face was stuck to the cold butt.
Liu Mingda said: "If you are free, go over and discuss with Xu Yang how to prescribe."
The director of the gynecology department touched his nose and passed away resentfully.
Xu Yang took advantage of this time to write the prescription, he shook the prescription, took it over and said, "Professor Liu, please read it over."
Liu Mingda took it over to watch, and the director of the gynecology department came over.
The two raised their brows slightly, oh, 100g of cornus was used for the first medicine.
Before they asked questions, Xu Yang explained: "Now the patient is panting spontaneously due to sweating. This is because the liver qi has been injured, and the blood has been drained too much, and the blood cannot be stored. I am afraid that the qi will be released with the blood, so it must be removed urgently, otherwise Once it changes, it will be dangerous."
"But cornus is the best at gutting. It has the power of constricting the liver, strengthening the kidney, and rescuing the body. The power of gutting is very strong. If the disease is urgent, it must be reused. According to my experience, it can be effective when it is used to more than 90g."
Liu Mingda and the director of the gynecology department glanced at each other.
Xu Yang went on to say: "Seeing blood to stop bleeding, and even the big taboo of blood syndrome, are also mistakes that doctors are very easy to make. The mistakes of former doctors are that they make mistakes."
"It should be known that treating blood is like treating water. When you see bleeding, you will blindly block it, blindly use various large doses of blood-enriching medicine, and savage tonic will only lead to more filling and stasis. , instead use more blood-enriching medicine.”
"It's like adding more water to the river. Over time, the dam will naturally be washed away, causing metrorrhagia. This is why the patient's metrorrhagia is so serious."
The patient and his wife were stunned. Is this really the case?How did they replenish blood and make mistakes?
Xu Yang said: "That's why I used red ginseng and Wulingzhi in the recipe."
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