Traditional Chinese Medicine Xu Yang

What a good young man, in order not to hold back the group, he took the initiative to admit that he was behind in spite of his face, and cried like this in order to ask for progress!

This young man really has a sense of collective honor!

People these days are relatively pure, they pay great attention to collectivism, and they pay great attention to sacrifice and dedication. It is rare to see such a shameless showman!

Elder Qian also looked at Xu Yang in a daze, let out a little breath, and said, "Okay, no matter what, you still have to obey the collective assignment, sit down first."

"Yes." Xu Yang agreed aggrievedly, is it still not possible?

Elder Qian looked at Xu Yang again, and continued to read: "Ma Fengqin, your teacher is Dr. Wang Dezhi; Liu Mingda...your teacher...is Dr. He Yunyu; Xu Yang...follow me..."

Xu Yang raised his head immediately.

Qian Lao folded the piece of paper and put it in his pocket.In fact, his original arrangement was Liu Mingda and him, Xu Yang and He Yunyu.

The announcement is over and the meeting is over.

The big stone in Xu Yang's heart finally fell to the ground, and the young doctor who was sitting next to him, who was wearing glasses and liked to breathe heavily, also rubbed his eyes, turned his head and said to Xu Yang with emotion: "Doctor Xu Yang, you... ...You really have a sense of collective honor, really... I was very moved when I heard it..."

Xu Yang was a little ashamed, the young man is still innocent these days: "Ashamed, ashamed, it's all for the collective. Oh, I haven't asked your name yet?"

The young doctor said: "Oh, my name is Liu Mingda."

"Oh." Xu Yang also nodded, turned to look for Mr. Qian, and he was going to study with Mr. Qian next.

"Hey? Wait, Liu Mingda!" Xu Yang suddenly turned his head and stared at Liu Mingda.

Liu Mingda was taken aback by Xu Yang's action.

Xu Yang's eyes widened, and the two faces in his memory merged together, but the young one in front of him was a bit too much.

Xu Yang looked at Liu Mingda's face completely dumbfounded, Changjiang scholar...enjoying special allowances from the State Council...national famous Chinese medicine practitioner...professor of Qi Province University of Traditional Chinese Medicine...top expert in TCM and gynecology...Qian Lao's most proud apprentice...Liu Mingda!

Chapter 4 Stronger than Liu Mingda

Professor Liu Mingda of later generations went to Xuyang and their University of Traditional Chinese Medicine to give lectures.

It was so lively, the auditorium that could seat 2000 people was full of their Chinese medicine students, the aisles were full of people, Xu Yang sat in the aisle, and didn't even have a chance to go up to ask for advice.

But listening to a lecture given by Professor Liu Mingda really benefited a lot.

Most of the Chinese medicine experts with so many official titles are scholars who study Chinese medicine or Chinese medicine, and they don't necessarily know how to treat diseases.But Professor Liu Mingda is different, he is a real clinical master.

People in the field of Chinese medicine say that Professor Liu Mingda is not old enough, so now he can only comment on the famous Chinese medicine practitioners in the country.

In a few years, he will surely win the highest official honorary title given to traditional Chinese medicine, which is jointly awarded by the three ministries and commissions and held every four years, and only 30 people will be selected for each "Master of Traditional Chinese Medicine".

How could Xu Yang have never thought that such an awesome person would sit beside him now and become a doctor at the same time as him?

In fact, what Xu Yang didn't expect was that he did something even more awesome just now.

Liu Mingda was also a little confused, he didn't know why Xu Yang was always staring at him.

Mr. Qian said to Xu Yang: "Comrade Xu Yang, come with me, we are going to start diagnosis and treatment."

"Yes." Xu Yang hurriedly agreed, and followed Mr. Qian.Before leaving the conference room, he looked back at Liu Mingda with lingering fear.

Why?Why do you have lingering fears?

……

On the way, Mr. Qian walked in front, and Xu Yang followed. He kept pinching his own flesh with his hands in his pockets. If the pain hadn't been fed back to his brain in time, he really thought he was hallucinating.

But everything in front of him told him that this was true!

Everything he feels in his body organs is telling him that this is true!

Xu Yang's heart slowly settled down, and surprises also quickly filled his whole heart.

Qian Lao walked slowly in front, Qian Lao is now 82, his health is not as good as before, and his walking speed is not fast.He thought for a while, then stopped and asked, "Xu Yang, how is your theoretical foundation?"

"It's... okay..." Xu Yang hesitated for a while, and he just said it was okay.

Mr. Qian nodded slightly: "Then let me test you. Do you know the mechanism of a woman's menstruation?"

Xu Yang quickly cheered up his spirits, and said: ""Su Wen. Ancient Innocence Theory" says: "A woman is seven years old, her kidney energy is strong, and her teeth grow longer; on the [-]th, when the sky is guizhi, the Ren pulse is open, the Taichong pulse is strong, and the moon is strong." Things are at the moment, so there are sons.'”

"Therefore, the occurrence of menstruation is because the kidney qi is strong, the heaven is guizhi, the conception vessel is unblocked, the Taichong vessel is strong, the viscera, qi and blood, and meridians are coordinated and act on the uterus, and the uterus stores and releases regularly, so menstruation occurs."

Qian Lao asked again: "What is the Taichong pulse and what is the Ren pulse?"

Xu Yang replied: "The Taichong pulse is the Chong pulse, which rushes into a sea of ​​blood, originates in the cell, goes up to the head, communicates with all yang meridians, descends to the feet, meets the three yin meridians of the feet, and connects with the Yangming meridian of the foot. The Stomach Meridian converges at the Qijie Point and merges with the Kidney Meridian of Foot Shaoyin, which is the hub for the gathering of qi and blood in the twelve meridians, which can gather qi and blood in the viscera, inject it into the uterus, and turn it into menstruation, which is the foundation of menstruation."

"The Ren Meridian is the sea of ​​Yin Meridians. It also originates from the cell, governs the Yin of the whole body, and is in charge of the essence, blood, body fluid, and liquid of the human body. It is the foundation of the human body's nourishment and governs the fetus. Only then can the uterus be nourished by semen, and menstruation is normal."

Elder Qian also breathed a sigh of relief, and asked again: "If it's a woman's blood syndrome, what should I do to treat emergency metrorrhagia?"

Xu Yang replied: "The commonly used prescriptions include Dushen Decoction, Shengmaisan, Qingregujing Decoction, Shixiao San, Juyuan San, Jiaoai Decoction, etc. If it is an emergency, it should be decocted with fire, and it can be taken as it is decocted. To prevent patients from dying of blood and Juesuo. Treatment must be dialectical first, and if qi is deficient, use ginseng to replenish qi and solidify the blood."

"If the blood is deficient, add donkey-hide gelatin, donkey-hide gelatin, eclipta, etc. to nourish the blood and stop bleeding; if the blood is hot, add agrimony, madder, thistle, and burnet to cool the blood to stop the bleeding; if the blood is cold, add mugwort leaf charcoal, cannon Ginger and psoralen warm the meridians to stop bleeding."

"For blood stasis, add Puhuang, Dried Blood, Motherwort, Panax notoginseng to stop bleeding; if the bleeding is heavy, add calcined keel, calcined oyster, sea squirrel, red stone fat to stop bleeding."

"Also, acupuncture is the quickest way to rescue the uterus, Sanyinjiao, Duanhong, Zhongji, Xuehai, Taixi, Guanyuan, Yinlingquan and other acupoints to stop bleeding. Auricular acupuncture: uterus, ovary , adrenal gland, heart, liver, spleen and other points, keep the needle for 10 to [-] minutes."

After finishing speaking, Xu Yang let out a breath slowly. He is still very proficient in theory. If he is allowed to go to the clinic, unless it is a simple and clear single disease, if it is a complicated disease, he can kneel here on the spot.

Mr. Qian nodded slightly. He originally thought that Xu Yang's foundation was terrible, but now he sees that he can still do it.Where is the shortest board, is this kid modest?He nodded with a smile: "The theoretical foundation is fairly solid."

"Well... a little better than Liu Mingda..." Mr. Qian added this sentence.

Xu Yang stopped leaving immediately.

Qian Lao took two steps forward, seeing that Xu Yang didn't follow, he turned his head suspiciously, but saw Xu Yang standing still, inhaling air continuously into his body.

Boss Qian was puzzled: "Xu Yang, what are you doing?"

Xu Yang said: "Slow down, it feels a little swollen..."

"Ah?" Qian Lao was taken aback for a moment, then he shook his head: "Hurry up and follow."

"Yes."

Mr. Qian felt that this new young doctor was a bit strange, he shook his head, and led Xu Yang into the consulting room.

Mr. Qian sat down on the chair, and said to Xu Yang: "Pull a stool and sit next to me, and you can make a diagnosis first."

"Yes." Xu Yang obediently moved a stool over and sat next to Mr. Qian.

Soon, there were patients knocking on the door.

"Please come in."

A female patient came in holding her stomach.

Qian Lao reminded Xu Yang: "Diagnosis and treatment of women's diseases must be clear about the relationship between the heart, spleen, liver and kidney, Chong Ren and Ren channels, and the uterus. When the situation arises, we must pay special attention to the combination of the four diagnosis methods, and don’t neglect them. Sit down and let’s start.”

The female patient came in and sat in front of the old-fashioned wooden table.

Xu Yang was a little nervous.

This female patient is here to treat dysmenorrhea.

While inquiring, he recorded the patient's condition: "21 years old, unmarried, he was upset, irritable, nauseated, dry mouth, premenstrual abdominal distension and pain, and waist pain, stagnant menstrual blood with purple-black blood clots, blood clots The pain in the back is slightly reduced, and the breast is full and painful, and the chest is full of pain."

Xu Yang said to the female patient: "Stick out your tongue and let me see, it sticks out."

Xu Yang was a little puzzled, frowned, and recorded in the medical record: "Red tongue?"

Xu Yang nodded and heaved a sigh of relief. Fortunately, it was a single symptom. He said to Qian Lao: "It should be qi stagnation and blood stasis, and the tongue should be red. The syndrome is liver stagnation. Liver stagnation leads to stagnation of qi, and abdominal distension and pain are also symptoms." Caused by qi stagnation, premenstrual pain is mostly positive. The patient is restless and irritable, which should be due to liver stagnation turning into fire and disturbing clarity. And the liver fire invades the stomach, causing disharmony between the liver and stomach, and stomach qi going up against, so there is nausea and want to vomit disease."

"And the head of the nipple is connected to the liver, the breast is connected to the stomach, the chest is distended and painful during menstruation, which is also caused by stagnation of Qi due to stagnation of the liver. Qi stagnation leads to blood stasis, and if it is blocked, it will cause pain. Therefore, the menstrual blood is stagnant and there are purple-black blood clots. It also causes distending pain in the lower abdomen, which affects the waist pain, and the blood clots fall and the pain is relieved."

""Fu Qingzhu Women's Science" says: "The meridian wants to move but the liver doesn't respond, so the qi is suppressed and painful." The syndrome has deficiency and excess, and qi stagnation is the real syndrome, but it is purged. It should relieve the liver and relieve stagnation. Naturally all diseases disappear..."

Qian Lao looked at him, frowned and said, "It's over?"

Xu Yang felt apprehensive: "Is it over?"

Qian Lao asked: "Pulse diagnosis, is the disease on the outside or inside? My good fellow, you forgot the most important pulse diagnosis? You are really not afraid of dialectical mistakes!"

Xu Yang muttered: "I haven't forgotten..."

Qian Laodao: "Then you are checking the pulse."

With a resentful expression on his face, Xu Yang bit the bullet and said to the female patient: "Stretch out your hand, let me check the pulse."

The female patient reaches out.

Xu Yang set the three parts of Cun Guan Chi and began to diagnose the pulse.

After a long while, Qian Lao asked, "How is it?"

"Hiss..." Xu Yang bit the bullet and said, "The jump is quite powerful."

Hearing this, Mr. Qian almost couldn't sit still, and couldn't help complaining: "You learned the pulse diagnosis from a cotton player?"

Chapter 5 Xuanyu Tongjing Soup

Xu Yang was also embarrassingly complained by Mr. Qian. The diagnosis and treatment of traditional Chinese medicine pays attention to the combination of four diagnostic methods, syndrome differentiation and treatment, especially the pulse and tongue diagnosis, and the pulse diagnosis is the most important.

Xu Yang is no longer good at tongue diagnosis, and he is even less good at pulse diagnosis. It's not that he doesn't know it at all, but he is very bad at it.Few young Chinese medicine practitioners can diagnose pulse now, let alone a fresh graduate like him.

After you graduate, you go to a traditional Chinese medicine hospital to take a pulse as a show, and they also ask you to go for a western medical examination.There are a few old Chinese doctors in the hospital who can diagnose pulse, but Xu Yang was fired before he learned from the teacher.

Xu Yang said with some embarrassment: "I'm not very good at pulse diagnosis."

Qian Lao asked, "Didn't the school teachers teach?"

Xu Yang said: "You didn't study very well?"

Mr. Qian shook his head slightly, looked at Xu Yang's posture, and said: "The three parts of the inch, the ruler, and the ruler are quite accurate, and the same size is not wrong, but your experience is lacking a lot."

Xu Yang responded with some embarrassment.

Mr. Qian said: "You have to work hard. You listen to me first. You first calm down. "Su Wen. The Pulse Wants to Be Subtle" says: Therefore, there is a way to maintain the pulse, and the emptiness is the guarantee. What is required is not only Patients need to be calm, and they require doctors to do the same."

Xu Yang exhaled a few breaths slowly to calm himself down quickly, and three fingers precisely fixed the three parts of the female patient's body.

Qian Lao said slowly: "Check the outline first, what's the inside and outside of Yin and Yang?"

When Xu Yang heard the words, he first pressed his three fingers together to judge his pulse.

Qian Laodao: "The pulse has three states of floating, middle and sinking, so the corresponding pulse diagnosis techniques are lifting, pressing, and searching to distinguish the depth of the pulse. Searching with light hands is called lifting, and taking heavy hands is called pressing, not lightly. Don't pay attention to humiliation and seeking, it is called seeking."

"Waiting with light hands, the pulse can be seen between the skin, the yang, the internal organs, and the response of the heart and lungs. To get it with heavy hands, the pulse is attached to the flesh, yin, storage, and the response of the liver and kidney. Neither serious nor heavy And take it from the middle, the pulse is in the flesh and blood, it is the time of the spleen and stomach..."

Xu Yang used his not-so-proficient pulse diagnosis to examine the pulse carefully, searching for it with three fingers together, and then pressing the three parts of the inch and the ruler with one finger.

There are three Cunguan chi parts on the Cunkou pulse, the index finger presses the Cun part, the middle finger presses the Guan part, and the ring finger presses the Chi part.Each part has floating, middle and sinking three periods, so there are nine periods in total, which is the three-part nine-waiting method in pulse diagnosis of traditional Chinese medicine.

Any moment of any part of Cun Guan Chi has its own physical condition, so it is necessary to diagnose each part, so a single finger is used for pulse diagnosis, and the beat of each part of the pulse should not be less than 50 beats.

Even unskilled people need to diagnose three or four 50 movements on one device, so it will take five or six minutes to diagnose one hand, and the pulse diagnosis time for the left and right hands must exceed 6 minutes.

Xu Yang began to examine the pulse seriously, but he calmed down, carefully diagnosing the pulse of each department, Mr. Qian was also guiding carefully, and Xu Yang was also recalling the feeling of the previous after-school practice in his mind.

Seeing Xu Yang like this, Mr. Qian nodded slightly.Although this young doctor is not good clinically, his theoretical knowledge is still very solid, and his talent is not bad, so he can calm down.

In terms of theoretical knowledge, Xu Yang is more solid, but clinically Liu Mingda is better, both of them are worth cultivating.

Elder Qian was on the sidelines guiding Xu Yang earnestly and carefully.

After a long time, Xu Yang finally opened his eyes, let go of the female patient's hand, and said excitedly to Qian Lao: "It should be Shen Xian's pulse. Pulse, and Shen Xing's muscles and bones can be obtained with heavy hands, so there should be no doubt about Shen's pulse."

"The "Mai Jing" says, 'Xiangmai, if there is nothing, press it like a bowstring'. I diagnosed that the end of the pulse is straight and long, like a bowstring, and it does not move when pressed, so it should be a stringy pulse."

"The Shenmai governs the interior syndrome, and the patient's left hand is sunken, and the left Guan is Shen, which is liver depression and full pain, fullness and abdominal distension, lack of food, upset, joy and anger, which is consistent with the patient's symptoms. And the stringy pulse can govern liver disease, and the pulse comes like a The bowstring is the liver vessel. The pulse is stringy and sinking at the same time, which is due to stagnation of qi."

"So I can be sure that the patient is suffering from stagnation of liver qi. Qi is the commander of blood. Qi stagnation is unable to push blood forward, so qi stagnation is prone to blood stasis. It is a syndrome of internal excess, but in reality it is purging. It should be relieved by soothing the liver. Yu."

Old Qian smiled.

Xu Yang suddenly had no idea: "I... am I wrong in my argument?"

Qian Laodao: "The dialectic is correct, so what prescription should be used."

Xu Yang's expression suddenly became tense.

Seeing that Xu Yang's expression became extremely unnatural, Mr. Qian asked curiously, "What's the matter? You've got the argument right, don't you know how to prescribe prescriptions?"

"No." Xu Yang pursed his lips and shook his head slightly.

Qian Lao asked, "What's the matter?"