Traditional Chinese Medicine Xu Yang

Xu Yang lowered his head, his expression became tense.

Xu Yang clasped his hands tightly: "I... I'm afraid that if I prescribe the wrong prescription, it won't cure the disease, but it will cause harm to others."

Qian Laodao: "The difficulty of traditional Chinese medicine lies in the dialectical treatment. In the treatment of diseases in traditional Chinese medicine, one should know the dialectics of the four diagnosis and eight principles, the correspondence of the six meridians and six qi, and the law of the rise and fall of yin and yang. Visceral visceral viscera."

"Traditional Chinese medicine is nothing more than twelve characters. Observe the pulse and symptoms, know what is wrong, and treat it according to the syndrome. You have dialectically correct, so what is the difficulty?"

Xu Yang remembered the previous incident again. He was indeed not good at clinical practice, but it wasn't that he didn't know how to treat diseases at all, but that he didn't dare to treat diseases at all.The psychological shadow caused by the previous incident was too great, and it almost ruined his life.

He grabbed the corner of his clothes and said nervously, "I'm afraid... I'm afraid that I'm making a mistake in dialectizing, I'm afraid that I'm prescribing the wrong prescription, and I'm even more afraid that I'm taking the wrong dose..."

Boss Qian scolded him with a straight face: "A doctor should walk on thin ice, be cautious, and look ahead as well as the future. But a doctor must not only have the ability to subdue dragons and tigers, but also have the self-confidence to draw chestnuts from the fire."

"As a doctor, you should take it as your duty to relieve the sufferings of the common people. You see the patient sitting in front of you, the pain is unbearable, but you are so timid, why do you want to be a doctor? Why do you need to be a doctor?"

Xu Yang clasped his hands tightly together.

The female patient said impatiently: "I said two doctors, please help me to prescribe some medicine, I am really in pain."

Mr. Qian said earnestly and solemnly: "Doctors are fighting all their lives, but the first thing we have to overcome is not the disease, but ourselves."

Xu Yang looked up at Mr. Qian, with a dazed expression.

Qian Lao looked at Xu Yang, and said calmly: "If you can't even beat yourself, then you are not worthy of being a doctor at all!"

Xu Yang clenched his hands tightly, his brows forming a pimple.He remembered the indifferent and mocking eyes he saw on the day he was fired.It's not that he doesn't know how to treat diseases, but he doesn't dare to treat them!

After a while, Xu Yang still didn't speak, but his struggle became more intense.

There was disappointment in Mr. Qian's eyes, and he shook his head slightly. He said to the female patient, "Comrade, come with me, and I will treat you."

"Okay." The female patient stood up holding her belly.

The two were about to go out, and the moment they reopened the door, they heard a rough voice from behind!

"After menstruating, the abdomen hurts first. Women have abdominal pain for several days before menstruation, and those who pass water after menstruation often have purple and black lumps. People think that it is very cold, but who knows that it is extremely hot and the fire does not melt. !"

Both of them looked back, only to see Xu Yang clenched his fists, with a tense expression, and shouted out these words.

"The husband's liver belongs to wood, and there is fire in it. If it is relaxed, it will be unobstructed, and if it is stagnant, it will not be raised. If the meridian wants to go but the liver does not respond, it will suppress its qi and cause pain. However, when the meridian is full, it cannot be stored, and the stagnant fire in the liver will burn. , forcing the meridian out from within, the fire will also be vented because of it."

"If it is purple and black, it is the image of two battles between water and fire; if it is formed into a block, it will be formed by frying with fire. If the meridian loses its meridian, it will be seized by the suffocating fire. The treatment method seems to be suitable for venting the liver. Fire is to vent the fire of the liver, if the stagnation of the liver is not relieved, the signs of heat can be removed, but the root of the heat has not been eliminated, so how can it be beneficial? Therefore, use...Xuanyu Tongjing Decoction."

After saying this, Xu Yang gasped heavily, as if he had exhausted all his strength, and those indifferent and mocking eyes actually retreated at this moment.

Old Qian laughed, this little comrade...

Chapter 6 Pregnancy Edema

Sunshine New Village Community.

"Dad, it's time to eat." Zhang Ke put the food on the dining table, and then went to push her dad over.

Zhang Sanqian was sitting in a wheelchair, his eyes were slanted and his mouth was slanted, and his hands were out of control. He made a six with one hand and a seven with the other.

Zhang Ke pushed her father to sit at the dining table, then picked up the bowl, took a spoon over, dug a spoonful of rice and fed it to Zhang Sanqian: "Eat."

Zhang Sanqian opened his crooked mouth with difficulty.Zhang Ke fed the food into his mouth, Zhang Sanqian chewed slowly with his mouth tilted, and looked ahead wearily.

Zhang Ke picked up a tissue and wiped the corners of her father's mouth. Her father, Zhang Sanqian, suffered a stroke four months ago. He is still hemiplegic. Hello.

While feeding Zhang Sanqian, Zhang Ke said, "Dad, the landlord Uncle Pan called today to say that the rent has been raised again."

Zhang Sanqian didn't speak, but was alone in a daze, with no expression on his face.

Zhang Ke looked at her father and sighed helplessly. She dug another spoonful of rice and handed it to Zhang Sanqian, but this time, he refused to eat it.

"What's wrong?" Zhang Ke asked.

Zhang Sanqian's eyes were blank, he moved his lips slightly, and stammered, "Close... close... close Mingxintang!"

Zhang Ke poked the rice spoon into the bowl, and said angrily, "Are you confused? This is my mother's life's hard work. You just shut it off if you say so?"

Zhang Sanqian tilted his neck, with a sarcasm on the corner of his mouth: "Chinese medicine...can't save...your mother...I still want...this clinic...why...why?"

Zhang Ke took several deep breaths, and finally said calmly, "You don't need to worry about the clinic, you just need to take care of yourself."

But Zhang Sanqian said: "I... don't want to treat... cure the disease..."

Zhang Ke suddenly said loudly: "What do you want to do if you don't want to treat the disease?"

Zhang Sanqian tilted his head, twitched his mouth a few times, his expression was a little excited, he stammered: "I...I should have...damn...you...you shouldn't have saved me! I die……"

Zhang Ke's chest heaved violently, and she scolded: "What beautiful things are you thinking about, you live well, you are going to die, who will pay the mortgage, who will pay the rent?"

Zhang Sanqian didn't seem to hear Zhang Ke's words, his eyes showed sadness, he shook his hands slightly, and said, "I... miss... your mother..."

Zhang Ke was also very blocked for a while.

Zhang Sanqian's eyes quickly turned red, sparkles flickered in his eyes, and his voice kept trembling: "I... want... to see... your mother..."

Zhang Ke rubbed his sore nose, smashed the bowl on the table, and said angrily: "Don't talk about it. You can live a good life. If you die, who will clean up all the mess?"

"Hurry up to get better for me, and then hurry up to earn dowry money for me! Let me tell you, if I can't get married, you can go down and meet my mother. I'll see how you explain to her!"

"Eat!" Zhang Ke yelled loudly, grabbed the bowl again, and took a large spoonful of rice to her father's mouth.

Zhang Sanqian then slowly opened his mouth again.

……

As the night gradually deepened, Zhang Ke stood on the balcony, looked at the vast night, and then looked up at the starry sky.When her mother was still alive, Mingxintang was the best Chinese medicine clinic in their county, and the business was very good at that time.

But after her mother passed away four years ago, Zhang Sanqian fell into a slump, so Mingxintang's business also plummeted. Until now, the family has been deserted, and their family's money has also been exhausted in the past few years.

After Zhang Sanqian fell ill a few months ago, Zhang Ke, who was still in college, hurried back to take care of her father.Now Mingxintang has internal and external troubles, and it may close down at any time.Her father has lost the ability to move again, and still has the will to die.There was another serious crisis in the family's economy.

So many heavy burdens were all on her shoulders, and the little girl couldn't breathe.

Zhang Ke sighed softly, looked at the brightest star in the sky, and said in a low voice, "Mom... I miss you too."

……

And Xu Yang also stayed in the gynecology department of Xiyuan Hospital for more than seven months in 1978, and he also studied with the teacher for more than seven months.

As Xu Yang himself said before, if he had not been expelled from the TCM hospital and he had also studied with the teacher, then with his talent and theoretical foundation, I believe he would soon stand out from the crowd of trained doctors.

In fact, he did too.

Among their group of doctors, Xu Yang is the one who has improved the fastest. Anyone who knows Xu Yang knows how hard and serious he is in his studies.

In the past six months, he has hardly done anything on his own. Apart from eating and sleeping, he is studying every day. These doctors in Xiyuan Hospital, especially those gynecologists, are consulted by Xu Yang every day.

Xu Yang's study of the clinical experience of Chinese medicine has reached a hunger and thirst, almost to the point of madness.

The teachers in the hospital were also very moved, and they remembered what Xu Yang had said that day when they assigned students as teachers.

He really didn't talk nonsense, he really worked hard and had a sense of collective honor!

In fact, people who have not experienced Xu Yang's half-year dark time will not understand that his life was over at one point, and he was completely useless.

But now, hope is in front of him again, he has another chance, a better chance, how could he give up, even if he bites his teeth, he will desperately cling to this chance of.

So Xu Yang grew up very fast, and his level has caught up with those doctors who came a year or two earlier than him, and he even beat Liu Mingda by a head.

This is what Xu Yang is most excited about.

"Xu Yang, the director asked you to go to his consulting room." Someone shouted at the door of the dormitory.

"Got it." Xu Yang closed the medical book and hurried out of the dormitory.

After trotting all the way to the consultation room, Xu Yang found that Liu Mingda was also there, and there was a couple sitting here.

Mr. Qian sat behind the desk, and when he saw Xu Yang coming in, he waved: "Xu Yang, come here, and give this lesbian a diagnosis. The patient has edema in pregnancy, and other questions are not allowed."

"Yes." Xu Yang hurriedly agreed, this is Mr. Qian's daily assessment, and the subjects of the assessment are him and Liu Mingda, and he and Liu Mingda are the better doctors in this period.

Xu Yang came over and nodded slightly to Liu Mingda.

Liu Mingda also smiled at him.

The two are now assigned to a dormitory, and the relationship is still good.

Xu Yang didn't sit down in a hurry, but stood up and looked at the female patient first. The female patient was pregnant and her stomach was already very big. It seemed that she had been seven or eight months old.

There are only four diagnostic methods in traditional Chinese medicine, which are based on observation, hearing and questioning. In fact, strictly speaking, the combination of four diagnostic methods is required for diagnosis, and it cannot be neglected.

But now it is the assessment of the two, so Mr. Qian deliberately omitted the consultation, which is also an increase in difficulty.In fact, many Chinese medicine practitioners now only know how to ask a doctor, and they don’t know anything if they leave the consultation!

Xu Yang said to the female patient: "Comrade, please roll up your trouser legs and let me have a look."

"Okay." The female patient's husband agreed, and squatted down to roll up his wife's fat trouser legs. When he rolled it up, he immediately saw that something was wrong. The female patient's legs were quite swollen.

The difficulty of Chinese medicine lies in dialectics. Syndrome is the pathogenesis. Chinese medicine believes that ordinary people are not sick.Healthy ordinary people will not get sick. Once they get sick, there must be a deviation in the body, an imbalance. This deviation is the pathogenesis, that is, the syndrome.

To put it bluntly, dialectics is to know what is the cause of the disease and what is wrong with the body.If the dialectic is correct, there will be no major mistakes in medication.

What Lao Qian has to do now is to ask Xu Yang and Liu Mingda to conduct a dialectical process without going through an interrogation, so as to accurately distinguish the patient's pathogenesis.

Xu Yang squatted down to observe the condition of the patient's swollen legs and feet, and then poked it with his finger, and found that the finger would sink deeply.

He stood up and took a closer look at the patient's face. The patient's face was also swollen. Xu Yang said to the patient: "Comrade, please stick out your tongue and let me have a look."

The patient sticks out his tongue.

After Xu Yang finished his tongue diagnosis, he also made a pulse diagnosis. After more than half a year of clinical study, his pulse diagnosis skills have improved by leaps and bounds, and now he can basically diagnose accurately.

After about 10 minutes, Xu Yang carefully diagnosed the pulse of both hands, and he nodded to Mr. Qian: "Director, I'm fine."

Mr. Qian nodded slightly, and said to the two, "Let's talk about the result."

Liu Mingda said: "The child is swollen, the disease lies in the deficiency of kidney yang."

But Xu Yang said: "The child is swollen, the disease lies in the deficiency of the spleen."

Qian Lao smiled slightly.

Chapter 7 Liu Mingda, Trapped by Love

There were two diagnostic results, and the patient was a little puzzled.

Xu Yang and Liu Mingda looked at each other.

Qian Laodao: "Tell me about your diagnosis basis, who will say it first?"

Liu Mingda adjusted his glasses, and said to Xu Yang: "Xu Yang, how about you..."

Xu Yang nodded: "Okay, no problem."

Liu Mingda made a long voice: "Let me talk first."

Xu Yang was speechless for a moment, this guy really likes to play panting jokes: "Okay, then you come first."

Liu Mingda nodded slightly, took a step forward, and said with a slight smile: "The patient's face is swollen, and his limbs are also swollen. It is obvious that the water is not moving. The tongue is white and greasy, and it is also damp and turbid. The syndrome. Then check the pulse condition, and it is diagnosed as slow, slippery and slightly delayed pulse."

"Shen pulse is for interior syndrome, late pulse is for cold syndrome, and slippery pulse is the pulse of the patient's pregnancy. Just now I touched the patient's hands and feet, and found that his limbs were slightly cold, with signs of cold limbs."

"To sum up, I judge that the patient has a deficiency of spleen and kidney yang, insufficient yang qi, and yang qi is suppressed by water and dampness. Therefore, the middle energizer loses its function and cannot transport and transform water and grains, resulting in the accumulation of water and dampness, resulting in flooding. , thus causing pregnancy edema in the patient! The treatment method should be to warm and tonify the kidney yang, invigorate the spleen and relieve dampness. The prescription uses Zhenwu Decoction to add and subtract."

Liu Mingda showed a satisfied smile.

Mr. Qian was noncommittal, then turned his head and asked Xu Yang: "Tell me your opinion."

Xu Yang said: "I have the same opinion as Dr. Liu Mingda about the rest. The patient is suffering from dampness. But the patient's pulse is not slow, but slow. The patient's left hand has a slow pulse, and his right hand is slow and weak."

As soon as these words came out, Liu Mingda was startled, slow pulse?Slow pulse is the main syndrome of cold, slow and weak is the deficiency cold; and slow pulse is the main syndrome of dampness, mostly spleen deficiency.

Xu Yang continued: "The patient is spleen deficient and spleen yang is weak, so it cannot transport and transform water and dampness, resulting in stagnation of water and air, invading between the skin and limbs, so the patient's swollen skin is thin and bright, and it is sunken when pressed. The treatment method should be To invigorate the spleen and dehumidify, promote water and reduce swelling. The prescription uses Baizhusan to add and subtract."

Mr. Qian said to Liu Mingda: "Liu Mingda, what is the patient's pulse?"

Liu Mingda said awkwardly: "Then Xu Yang...Xu Yang even mentioned slow pulse, it must be slow pulse, he is better than me anyway!"

Mr. Qian snorted angrily: "Then do you know the difference between a slow pulse and a slow pulse?"

Liu Mingda scratched his head and said in embarrassment: "One breath three times is slow pulse, one breath four times is slow pulse. Slow pulse comes and goes slowly, and slow pulse will be delayed even if you press it."

Mr. Qian glared at Liu Mingda, and said: "The slow pulse and slow pulse are very similar pulses, and it is very easy to get them wrong, but there is also a clear distinction between the two, which is above the pulse."

"Xu Yang took 10 minutes to diagnose the pulse in both hands; you are lucky, you didn't even get it in 5 minutes! I have been practicing medicine for 60 years, and I dare not go below 5 minutes. How dare you be so Meng Lang? I thought you were so good , as a result, you can't even tell the slow pulse from the slow pulse!"

Liu Mingda's face was flushed with embarrassment when he was scolded by Mr. Qian.

Xu Yang secretly glanced at Liu Mingda, he never thought that Professor Liu Mingda was so careless when he was young.