Traditional Chinese Medicine Xu Yang

Xu Yang called out twice: "Yiyi, Yiyi."

The little girl opened her eyes and looked at Xu Yang, but quickly closed them tiredly.

Xu Yang also sighed slightly, he was only over a year old and couldn't even speak.Why is it said that pediatric diseases are difficult to treat? Traditional Chinese medicine refers to pediatrics as dumb.

Such a young child can't even speak.A little older, it is also difficult to accurately express their feelings in words.

In traditional Chinese medicine, the combination of observation, hearing, questioning and combination of four diagnosis methods directly abolishes one consultation.Moreover, the pulse condition of children is difficult to diagnose, and children are very active, so the pulse condition is also difficult to diagnose accurately.

Therefore, Chinese medicine has been very cautious in the diagnosis and treatment of pediatrics throughout the ages, but several unique diagnostic methods have also been derived.

Xu Yang carefully started the face-to-face examination. The child's complexion was blue and yellow, he was coughing and wheezing, and his mouth was blue and his lips were pale.

The child's complexion is blue, and the nose column, between the two eyebrows and around the lips are often accompanied by high fever, which is called convulsion!

The lips are light, not dry and cracked, and the body fluid is not damaged?Such a high fever, fever for four days, body fluid is not injured?

Xu Yang continued to diagnose, and he took Yiyi's hand.He wiped Yiyi's right palm with the thenar part of his left hand, and found that the other's palm was not sweaty.Then he used the thenar of his right hand to measure the palm of Caiyi's left palm, and there was no sweat.

So hot, but no sweat.Sweating is the appearance of deficiency, and no sweating is the appearance of excess.

Evidence?

Xu Yang picked up Yiyi's hand and looked at the fingerprints of the index finger. This is a special diagnostic method for infants, which is only applicable to infants under the age of two.

Because children of this age have insufficient energy and blood, and their meridians are uncertain.The fingerprint collaterals of the index finger in children are branches of the lung meridian of hand Taiyin, so the diagnosis of the collaterals of the index finger in children has the same reference value as the diagnosis of the Cunkou pulse.

This is called children's index finger collaterals diagnosis method, also called children's fingerprint diagnosis method.

The index finger has three joints, which are divided into three levels: wind, qi, and fate.The first section is Fengguan, the second section is Qiguan, and the third section is Mingguan.

Xu Yang asked her to stretch out her index finger, and then grasped and fixed the other fingers.Then Xu Yang pushed Yiyi's index finger with his right thumb, from the tip of the finger to the base of the finger.

These few onlookers looked at it strangely.

"What are you doing?" Yiyi's father couldn't help asking.

Cao Dehua replied: "This is the method of diagnosing collaterals on the index finger of children, a special method of TCM for infants."

"Oh." Yiyi's father nodded. Hearing the name, he felt very powerful. He really deserved to be the apprentice of a national expert.

Liu Jingning also pursed his lips. He used to think this kind of thing was unscientific, but now he doesn't know what to say, he just feels confused.

After a few pushes, the collaterals became clear.

It is cyan, the main convulsive wind, directly above the vent.

Xu Yang's face was a bit dignified, and the three joints of his index finger were the three barriers of wind, qi and fate.

If the meridian is manifested in Fengguan, it means that the pathogenic energy enters the collateral, and the pathogenicity is light and the disease is mild. At this time, it is not serious. It's time to get serious.

The last section is the Mingguan. If the meridians penetrate from the Fengguan all the way to the lowest Mingguan, it means that evil spirits have entered the viscera, which may endanger life.

Looking at Yiyi's posture, if the condition is still out of control today, it will definitely turn into a serious condition, and it will be really dangerous.The condition was serious, and Xu Yang also felt a lot of pressure.

Xu Yang exhaled slowly, calmed down, and then reached out to touch Tan Yiyi's fingers.

"Huh?" Xu Yang frowned: "Your fingers feel cold?"

He put down Yiyi's two hands, and Xu Yang hurried down to touch Yiyi's two feet, her feet were also cold.Such a high fever, but the limbs are not warm.

"Hiss..." Xu Yang nodded slightly.

He continued to investigate, and pressed Yiyi's body with his hands, and found that Yiyi's chest was full and there was a diaphragm.

He turned his head and shouted to the outside: "Bring me a tongue depressor."

"I'll go." Liu Jingning replied, and he went to the nurse's station to get it.

Take the tongue depressor and hand it to Xu Yang.

Xu Yang pointed Yiyi to the natural light, and he said, "Come on, Yiyi, open your mouth, ah..."

Yiyi's mother also said to Yiyi: "Yiyi, let's open our mouths, ah."

Yiyi opened her mouth obediently.

Xu Yang put the tongue depressor in, pressed it lightly, probed in, and then quickly took it out.

"Ouch..." The root of Yiyi's tongue was stimulated and she vomited.

Xu Yang took advantage of this moment to observe Yiyi's entire tongue completely, the tongue was pale and the fur was gray.

Although it is a bit unbearable, it has to be done.With such a young child and such a serious illness, it is impossible for you to let her stick out her tongue obediently. Only by gagging can she observe the whole tongue completely.

Pale tongue, gray fur.

Pale tongue is the main syndrome of cold or deficiency.The tongue coating is gray and white, and the tongue coating is from white to gray, no matter where it is on the tongue, it is all pathogenic heat transmitted from exogenous pathogenesis.

"I understand." Xu Yang felt enlightened in his heart.

But Xu Yang didn't dare to be careless, because the child at this moment can't stand any misdiagnosis anymore, and if he doesn't control it, he will really turn into a serious illness!

Xu Yang saw that Yi Yi was very well behaved, so he lay quietly in his mother's arms. He had been diagnosing for so long, and the child didn't move around.

It is not impossible to diagnose the pulse condition of a child, but it takes time to diagnose the pulse, and it takes 5 minutes at the shortest, and children often do not have such patience.

So the difficulty in pediatrics is in diagnosis.

"Let's take another pulse." Xu Yang made up his mind. He held Yiyi's hand with his hand, and instead of placing it on the pulse pillow, he pressed his thumb on Yiyi's wrist at the inch of the pulse, and then used Put your index finger on the back of her wrist to act as a fixation.

From the outside, it looked like Xu Yang clamped Yi Yi's wrist with his two fingers.

There are three Cunguan chi parts on the Cunkou pulse. In the past, three fingers were needed to diagnose the pulse, corresponding to each part.But children under the age of two are too young, and their wrists have not yet developed.

So one finger can cover the three parts. This kind of diagnosis method is called "cutting three parts with one finger."

One finger is about to complete the work of the previous three fingers, this pulse is not so easy to diagnose.

Xu Yang exhaled a few breaths, calming down, the most important thing for pulse diagnosis is to calm down, if the doctor does not calm down, the diagnosis will be inaccurate.

Xu Yang made a detailed diagnosis, Yiyi was very obedient, she didn't move around all the time, she leaned against her very quietly, which made Xu Yang feel relieved.

After a while, Xu Yang checked the pulses of both hands.

It is the pulse of floating and slippery, and the floating pulse is the main symptom of the exterior, slippery is seen in the floating, and the main wind and phlegm are in the lungs.

Xu Yang breathed a sigh of relief, the situation was already obvious, he said: "Prescription!"

Several people outside were shocked when the diagnosis came out.

Chapter 68

Liu Jingning hurried over to get a pen and paper, and asked, "Doctor Xu, what happened to Yiyi?"

Xu Yang glanced at him and explained to him: "The patient suffered from Taiyang's stroke. There was a disharmony between the camp and the guard, and her lungs were not ventilated. Although she had a high fever, her feet were cold. And her tongue was pale. This is not a syndrome of heat." .”

As soon as these words came out, Liu Jingning's expression suddenly turned ugly.

Cao Dehua also took a careful look at Liu Jingning.

Xu Yang went on to say: "The pulse condition is floating and slippery, and the floating pulse is the symptom of the exterior. The wind and cold restrict the surface, and the yang energy floats outside to fight against evil. At this time, the body's nutrition and defense are out of balance, and there are manifestations of floating pulse and fever."

"This disease belongs to the feeling of wind and cold, and it should be treated with pungent and warm medicines to relieve the exterior, but the medicine of pungent and cool is used instead, so that the exterior is stagnant and evil, and the lungs are not ventilated, so coughing and panting. Moreover, Yiyi also has wind-phlegm and convulsions." Wind, open the prescription."

Liu Jingning's expression became even uglier, he let out a trembling breath, and picked up a pen to write the prescription.

Xu Yang stood up and said: "Treatment is to relieve the muscles and expel the wind, harmonize the camp and the health, lower the qi and calm the asthma, eliminate the pathogenic factors and get out the appearance, the method of combining bitterness and warmth with pungent and warming method, using cinnamon twigs and magnolia apricot decoction to add flavor."

"1.5g Guizhi, 1.8g white peony, 1.5g roasted licorice, 2 slices ginger, 2 jujubes, 1.8g Magnolia officinalis; 10 almonds, 3g silkworm, 1.5g Peucedanum."

Liu Jingning took the prescription and ran out the door.

Yiyi's parents were a little confused.

Xu Yang didn't say a word.

Cao Dehua was a little embarrassed.

After a while, Liu Jingning brought over the boiled medicine, and Yiyi took it.The chief doctor of western medicine also came over and looked at Xu Yang curiously, but Xu Yang was wearing a mask now, so he couldn't tell Xu Yang's age.

Now this patient is being consulted by Chinese and Western medicine, and he needs to nod before he can use the medicine.Just now Liu Jingning went to look for him and guarantied him, and he agreed. Now that he needs to take medicine, he naturally wants to come and watch.

Yiyi takes medicine.

Everyone observes.

Yiyi's parents are also very nervous, will it get better this time?

Doctors outside are also very nervous.

The director of western medicine has been looking at Xu Yang. If Liu Jingning hadn't guaranteed him, he might not have agreed.It's just that there are so many people now, he didn't say anything.

After a dose of medicine, after a while, Yiyi was sweating all over her body.

Xu Yang has been observing inside, he said: "Slightly sweating."

"The watch is off!" Cao Dehua showed surprise.

The logic of TCM treatment is to correct the deviation of the body with the deviation of the nature of the medicine.If it is empty, it will be replenished, and if it is real, it will be purged.If it is cold, it will be warm, and if it is hot, it will be cool.And the superficial syndrome needs to be solved, that is, the method of sweating, and sweating is the solution.

Clinically, there are also syndromes of wind-cold exterior and wind-heat exterior syndrome. Wind-cold is the exterior of wind-cold pathogens, and cold warms it. Therefore, the method of pungent warming should be used.

And wind-heat exterior syndrome is heat evil, and Xinliang is needed to relieve the exterior.Liu Jingning made a misjudgment last time, Maxing Shigan Decoction and Yinqiaosan are both Xinliang to relieve the symptoms, while Yiyi has the symptoms of wind and cold, and the medicine is not suitable for the symptoms, so the ineffectiveness is even worse!

Liu Jingning also heaved a sigh of relief.

The director of western medicine who just arrived also showed surprise.

Although Yiyi's parents don't understand medicine, they seem to be getting better.

After observing for a while, Yiyi opened her eyes by herself, turned her head to look here and there, and her spirit was much better.

I quickly called the nurse to take my temperature.

"38.2 degrees."

When the nurse reported this number, everyone was excited, and the high fever began to subside.

Yiyi's parents were even more excited, tears came out, they were too worried during this time, their one-year-old daughter became so ill, their hearts were almost broken, and now they finally saw the light of day.

The director of western medicine was also stunned.

Cao Dehua happily walked over and walked over again.This excitement can keep up with his promotion to deputy director.

Liu Jingning also showed a happy expression, but there was also a hard-to-conceal depression on his face.

At this time, it was past noon, and none of these people had eaten.

It was the nurse who came to remind me that everyone had forgotten about it.

Cao Dehua said: "Why don't you go to eat first, the observation and treatment after eating are the same."

Yiyi's mother hesitated to speak, she didn't want to let the doctor go, but it was inappropriate not to let people eat.

Yiyi's father immediately said: "Yes, yes, eat first, eat first. Oh, it's past the meal time now, how about I treat you, let's go out to eat?"

Xu Yang waved his hand: "It's okay, I'm not hungry, I won't eat."

Liu Jingning was also looking at Yiyi, and he also said, "I don't eat either."

Cao Dehua swallowed, he couldn't say that he was the only one who wanted to eat, he could only say: "I... I'm not hungry, and I don't eat either."

Yiyi's father looked at the director of western medicine: "Doctor Ma, you..."

The director of western medicine waved his hand, smiled and said, "I came here after dinner."

Well, no one was eating at all.

Xu Yang teased Yi Yi, and then he noticed the sound of a chicken in Yi Yi's throat.

"Shengji Zonglu" says: The lungs govern the qi, and go up to the throat. If the lung meridian is cold, the throat will be unfavorable, phlegm and saliva will condense, the airway will be tight, and the wheezing will be loud, like a water chicken.

This is because the lungs are still blocked, and the lungs are not ventilated, so there is the sound of water chickens.

Xu Yang went on to make a diagnosis. He found that the abdomen was still full, the cough and wheezing were still there, and the tongue was pale and the fur was gray.After taking the above dose of medicine, reconcile the Ying and Wei. At this time, although the Ying and Wei are in harmony, the lung qi is still closed and the phlegm dampness is blocked.

"Prescription." Xu Yang shouted again.

Liu Jingning came over with a pen and paper.

Director Ma of western medicine looked at Liu Jingning strangely, why did old Liu become an apprentice copying prescriptions, what is the origin of this person?Could it be a Chinese medicine expert from a big hospital?

Xu Yang said: "The wind and phlegm are disturbing, coughing and breathing up, there is a sound of water chicken in the throat, it is suitable to shoot Ganmahuang Decoction."

Xu Yang added and subtracted Shegan Mahuang Decoction, and Liu Jingning took the prescription and sent someone to fetch the medicine.