Traditional Chinese Medicine Xu Yang

Zhang Hua rubbed his hands, a little timid, but also a little eager to try.

"It's over!" The old lady rolled her eyes.

Xu Yang added: "You write the prescription first, I will review it, and I will make some changes later."

"Huh..." The old grandma let out a breath and came back to life.

"That's fine." Zhang Hua agreed, and then went to ponder over the prescription.

Xu Yang looked at Zhang Hua who was farting, and then looked back at the old lady.From joining the war to the present, the most difficult to treat are these elderly people with multiple underlying diseases.

Most critically ill patients are like this, including those who died, and most of them are elderly people who suffer from various underlying diseases and have very weak Qi.

So this old lady must be a big problem, so this must be the object of Xu Yang's close attention.Zhang Hua was asked to draw up the recipe just to train him, how could this kid really get started.

So the old lady's worries are completely unnecessary.

After Xu Yang's diagnosis was over, he went to the next ward to continue diagnosing and treating patients.

……

Zhang Hua's prescription was handed in later, but Xu Yang didn't give any comments.Later, when Zhang Hua checked the old lady's prescription list, he showed a thoughtful look.

This is Xu Yang's rewritten prescription.

Bupleurum 30g, Scutellaria baicalensis 15g, Jiang Pinellia 15g, Ginger 15g, Jujube 5g, Citrus aurantium 20g, Rhubarb 10g, Paeoniae Alba 15g, peach kernel 10g.Granules, repeat with hot water, take one dose twice in the morning and evening, observe the stool condition.

……

Second diagnosis.

After the patient took the medicine, the nausea and vomiting disappeared, the stool was formed once a day, and the urine was yellow. Other symptoms were the same as before, and the pulse condition of the tongue was the same as before.

This means that the symptoms have improved to a certain extent, but it is obvious that this is still far from what Xu Yang expected. If this continues, the patient's condition will still be very dangerous if the disease progresses further.

After Xu Yang pondered, he decided to change the number of times the patient took the medicine to three times a day to strengthen the ability to clear the turbidity of the organs, so he continued to take the medicine.

Three consultations.

The patient was fatigued, coughed and coughed for a few hours after taking the medicine, and still had shortness of breath after activities, but the oxygen inhalation flow rate was lowered to 3Lmin, abdominal fullness was relieved, the mouth was still bitter, and he did not drink much water. Run it once, shape it.

The tongue is dull and dark, the fur is yellow and white thick and greasy, the pulse is deep and thready, and the chi pulse is deep and weak.

……

For many days in a row, the patient's condition has not improved significantly, which also makes Zhang Hua, who has been paying attention the whole time, a little anxious.

Before he came, including after he came, he had been studying the real medical cases here.He knew that if the disease could not be controlled for a long time, the old lady would be in danger.

After the two went out, Zhang Hua hurriedly asked: "Mr. Xu, Mr. Xu, how is the patient's condition?"

Xu Yang frowned and remained silent.

Zhang Hua asked cautiously: "Is the patient very dangerous?"

Xu Yang nodded: "It's a bit troublesome."

Zhang Hua's face was also tense.

Xu Yang said: "The patient now has dry mouth, bitter mouth, fullness in the abdomen and other visceral syndromes. However, there are also syndromes of deficiency such as mental fatigue, loss of appetite, shortness of breath when moving, and deep and weak pulse. This is a typical syndrome of deficiency and excess. Both, external reality and internal void.”

Zhang Hua immediately said: "Then our treatment should pay attention to both the deficiency and the excess. After all, what we paid attention to before was only treating the symptoms, but did not treat the underlying deficiency."

Xu Yang glanced at him and said, "Young people's brains are quick!"

Zhang Hua was a little embarrassed.

Xu Yang added another sentence: "Then how to treat it?"

"This..." Zhang Hua hesitated.

Xu Yang didn't test him, so he said directly: "Use the Four Reversals to transform the body, replenish vitality, and help kidney qi."

Zhang Hua hesitated even more: "The patient's damp heat has not been completely removed, will it be possible to use the hot Si Ni..."

Xu Yang said: "The four evils have been modified and restricted by adding cold honeysuckle. And it is used to ignite the real fire of the door of life, supplement the fire to generate soil, and cultivate the soil to generate gold. Besides, in Da Chai Hu Tang is If you don’t stop taking it, take the two medicines intermittently, and treat both symptoms and root causes.”

Chapter 700 Don't Eat Watermelon

Zhang Hua showed all his thoughts.

Xu Yang asked him: "Do you like watching martial arts?"

Zhang Hua shook his head.

Xu Yang asked again: "Have you always watched martial arts TV series?"

Zhang Hua nodded quickly.

Xu Yang pointed out: "Doing Chinese medicine is like being a martial arts master in a martial arts movie. The medicinal materials and prescriptions are the [-] kinds of weapons and practice secrets in our hands."

"We can't be afraid of these things. Instead, we are afraid of weapons. Isn't that putting the cart before the horse? No matter what kind of weapon it is, we must learn to use it."

"The same goes for Sini Decoction. If you don't know how to use it, you can't use it recklessly. A minor illness will turn into a serious illness. But if you encounter such a critical situation, you dare not use it boldly."

"When the patient's condition deteriorates, our hesitation will delay the patient's life. To overcome this, courage alone is not enough, what is more needed is the ability to catch dragons and subdue tigers."

Zhang Hua was a little dazed.

Xu Yang smiled and didn't say much, he was not as good as Zhang Hua back then.At that time, he was in the darkest and lowest period of his life, not to mention controlling powerful medicines, he didn't even dare to use ordinary prescriptions.

Xu Yang patted Zhang Hua on the shoulder and said, "Don't worry, take your time."

Zhang Hua nodded vigorously.

One of the most basic viewpoints of Chinese medicine is the theory of human body connection, and the connection of viscera in Chinese medicine is completely different from that in anatomy.

For example, Sini Decoction is the first prescription for recovering yang, rescuing adversity, and tonifying fire.The kidney is the viscera of water and fire, since the five elements belong to water, it also hides the true fire of life.

The relationship between the spleen and stomach and the kidneys is like the relationship between a pot and fire. The spleen and stomach belong to the earth, and the fire is supplemented to make the earth.The lungs belong to gold, and the soil is filled to produce gold.

It's like some people always feel that their lungs are not very good, so they will buy various lung-tonifying medicines, including a certain lung-tonifying pill that is sold well on the market.

how to say.

The lungs are delicate organs, which means not only that evil enters from the mouth and nose, the lungs are the first to be attacked, so they are the most vulnerable to injury.In addition, it also refers to his own delicateness, so he is not so suitable for attacking or making up.

Of course, there are indeed diseases, let’s say something else.

But for ordinary people, there is really no need to invigorate the lungs. Instead of invigorating the lungs, it is better to invigorate the spleen and stomach.The same can act on the lungs, but it is not easy to have disadvantages.

So, in general, for ordinary people's health preservation, the spleen and stomach are generally taken care of first, and there is nothing wrong with this.

Having said that, let me say something more.

It is summer now, and "Treatise on Febrile Diseases" says, "In May, the Yang Qi is on the surface, and the stomach is weak and cold, and the Yang Qi is slightly inside..."

Throughout the spring and summer, the yang energy is thriving, with an upward and outward trend.Man and nature are the same. For the whole small world of the human body, Yang Qi is also outward.

Therefore, the changes brought about are that the internal yang energy is reduced, and the yang deficiency makes it easy to get cold.The most obvious one is the abdomen. In summer, many people still feel the stomach is cool.

So there is a folk saying that eating radish in winter and ginger in summer, ginger is warm and has the effect of warming the middle and stopping vomiting.Why do you still eat warm ginger in such a hot summer? This is the reason.

But now the conditions of the people are so good that they are served by ice watermelons in summer.

Watermelon is very sweet and cold, so there is a common name called natural white tiger soup.It is indeed effective to relieve heat.

But most people in contemporary society really don't need to relieve summer heat.

I spend [-] hours in an air-conditioned room. The workplace has air-conditioning. After get off work, I squeeze subways and buses, which also have air-conditioning.When I went to the mall for a meal, the air conditioner was turned on lower than anyone else, and when I got home, it was also air-conditioned.

Where does summer sickness come from, so many Chinese medicine doctors say that modern people are more likely to experience cold evils than heat evils in summer.

There are often people who turn on the air conditioner very low at night and blow on themselves all night.When I woke up the next day, I had a headache and sore neck and back. This is because of the wind and cold. I have a wind and cold in summer. Tell me!

Moreover, people’s conditions are good now, every family has sickness, all kinds of cold drinks, popsicles, iced watermelons, iced fruits, and eating random meals, can the spleen and stomach be cured?

Especially ice watermelon, the sweet and cold nature will hurt the spleen yang, and the diuretic nature will hurt the yin.Therefore, if I eat too much watermelon, I will eat more and drink more, and I will urinate more. It is obviously sweet and cold, but I will easily get angry if I eat too much watermelon.

Especially if the spleen and stomach are not very good, it is easier to have diarrhea after eating. The cold and dampness of watermelon is very harmful to the yang.

Especially in summer, everyone is prone to yang deficiency in the body, let alone why. From the perspective of Chinese medicine, it is not recommended to eat watermelon.

It's just that I know it's useless to say it, and it's impossible for everyone to do it.But anyway, try to eat as little as possible.

The reason most contemporary people suffer from yang deficiency also has a lot to do with the development of modern technology.Therefore, in summer, it is more suitable to replenish the Yang Qi in the body.

For example, in summer, you can eat some ginger properly, and you can also do moxibustion. Moxibustion has a strong effect of rejuvenating depression, removing dampness and nourishing yang.

The most suitable time of the year for moxibustion is the dog days. After July 7, it will be in ambush, and patients with spleen and stomach deficiency and cold can also move.

Moxibustion can be done at home by yourself, it is not difficult.

Let me provide you with a few acupoints. Zusanli, Qihai and Zhongwan acupoints are Luo Tianyi’s moxibustion tonifying spleen and stomach prescriptions. These three acupoints can be used together with moxibustion to treat all spleen and stomach deficiency and cold syndromes.

In actual treatment, the doctor will also assign acupoints according to the patient's physical condition.For example, it is often paired with Guanyuan and Neiguan. Guanyuan can nourish the kidney, and Neiguan also has the effect of harmonizing the stomach, relieving pain and reducing stomach qi.

……

The current Dachaihu Decoction and Sini Decoction are all made into granules in the factory according to the custom-made recipes of this epidemic. They can be taken directly after brewing, which is very convenient.

The patient started to take Dachaihu Decoction and Sini Decoction.

Zhang Hua still pays close attention to the changes of his condition every day, which is his job.This kid is also very studious. He will make a diagnosis for the patient after each medication, and will record it in detail.

A few days later, after Zhang Hua's diagnosis, he found that the patient's symptoms of fatigue and fatigue had improved, the bitterness in the mouth was also significantly reduced, and the shortness of breath after exercise was also significantly reduced.

But still a little dry mouth, like to drink cold drinks.The symptoms of heaviness and headache all over the body have disappeared.The appetite is normal, the stool is once a day, the quality is loose, and the sleep is normal.

The obvious condition has improved obviously, Zhang Hua was immediately overjoyed, and immediately made an appointment for a chest CT examination for the patient, so he reported the news to Xu Yang.

Xu Yang came over to check, the patient's tongue was dark red and stagnant, the fur was white and slightly greasy yellow, and the pulse was thready and slippery.

Xu Yang is also very excited, his condition is under control!

Chapter 701 Navel Needle

In fact, things like treating a disease are often not so thrilling, or they are trying to turn the tide.The real drama or excitement exists in or in film and television works.

Most of the real treatment is very boring. Just like this patient, he took Da Chaihu Decoction first, and the symptoms improved slightly, but they were not obviously controlled.

Therefore, Sini Decoction was added.

Sini Tang and Bupleurum bupleurum were closely monitored every day, and it took about a week before it was really controlled to ensure that it would not deteriorate. Only when the treatment reached this point could it be regarded as a successful step.

Follow-up continued treatment and improved day by day.

In fact, to put it bluntly, it is so boring.

Although the undercurrent is turbulent and dangerous, it is not so thrilling to say it.

Chinese medicine often says that the effect is like a drum, and it is often in the midst of an emergency, which comes and goes quickly.But in some weak diseases, especially when the patient is very weak and has been ill for a long time, there is no such thing as a drum.

The effect must be effective, just like this patient, every time the medicine is taken, it is effective.But what really played a decisive role was after taking the medicine for more than a week.

The same is true when seeking Chinese medicine for treatment. Generally, it takes three or four doses, and it should be effective.But as for three or four doses can be cured, or play a decisive role, it depends on the situation.

If after three or four doses, there is no improvement at all, it is usually a mistake in syndrome differentiation, and the medicine or doctor should be changed.

Like this patient, after the disease is basically controlled, the drug is continued, but the effect is not better.At the tenth consultation, the patient's mood continued to improve, his energy was still good, and his sweating increased.

Slightly afraid of the wind, no obvious shortness of breath in resting state, no chest tightness, no cough and sputum, normal appetite, no dry mouth and bitterness, stool 1-2 times a day during the medication, rotten and not smelly.

The body of the tongue is dark red and stagnant, the fur is white and slightly greasy and covered with yellow, and the pulse is thready and stringy.

The overall condition of the patient is improving, but new symptoms such as fear of wind and sweating have appeared. Zhang Hua lacks clinical experience and some don't understand, so he is a little worried.

Xu Yang instructed him, saying that this is the beginning of the disease, and it is a good thing that the yin syndrome has turned into yang syndrome.

One of the big theories of Chinese medicine treatment is that the path of evil is the path of its return.Generally speaking, it comes from the three yangs, and finally comes out of the three yangs.

Evil comes from the surface, and it still comes out through the surface in the end, which actually indicates that this is a good thing.Xu Yang took advantage of the trend and stopped using Sini Decoction, but switched to Guizhi Decoction to reconcile Yingwei and promote internal evils to come out.

Many inexperienced doctors are prone to stumble on symptoms. One of the symptoms should be solved, and the other is the problem of subduing evil.

Xu Yang also took the trouble to tell Zhang Hua about this problem.

Seeing that Zhang Hua was still in a daze, Xu Yang also told him about the mistakes he made last year when he was treating a young soldier who had dysentery because of fighting floods.

At that time, when the academic center had just been established, this young man had been treated in several hospitals in the province, so he was sent to him.

When it was delivered, the young man had almost [-] days of dysentery.Xu Yanggang took over, but the medicine couldn't cure it, and only later did he think about the problem of solving the watch.

It is the method of turning the boat against the current of Yu Jiayan in the Qing Dynasty. Although a hundred days have passed, it is still possible to solve the dysentery by removing the surface.