Traditional Chinese Medicine Xu Yang

"Drip... Get the acceleration package."

Xu Yang breathed a sigh of relief: "It's okay, it's okay, I thought I became smarter."

Xu Yang hurriedly received it, and clicked to use it.

"Congratulations, you have been accelerated for two seconds!"

Xu Yang rolled his eyes and almost fainted out of breath.

…………

Zhang Ke came very early today, and she was also very preoccupied.The current situation of the clinic is indeed not optimistic. Now there are only two people in the clinic, Song Qiang and Xu Yang.

Song Qiang is also quite versatile, he can do massage, acupuncture, moxibustion, cupping, everything, no matter who comes, he will give them such a set, and when the patient leaves, he feels comfortable.

So Song Qiang still has a group of clients. When they are tired at work, they can ask him for a massage after get off work, which is not expensive anyway.

It's a good Chinese medicine clinic, which looks like a health club.

Of course, massage and acupuncture can also cure diseases, but Song Qiang can't!

In fact, this is also the current situation of many small private Chinese medicine clinics. They do not know how to treat diseases, and no one believes that they can treat diseases.They also have no other profitable items, they can only rely on transforming into a health club.

As for Xu Yang... Zhang Ke frowned...

Xu Yang really doesn't know how to treat diseases, doesn't have clients, and doesn't know how to fool around.

The whole three-no product...

Xu Yang also arrived at the clinic soon, and saw Zhang Ke as soon as he entered the door, Xu Yang was in a daze for a while.

Song Qiang also came. As soon as this man came, he turned on the computer and played Happy Landlords ecstatically.

Anyway, the clinic has no business, and the usual style of painting is Song Qiang fighting the landlord, Xu Yang reading medical books, and Zhang Ke playing with his mobile phone.

It's just that Xu Yang didn't read medical books today, and Zhang Ke didn't play with his mobile phone. Only Song Qiang fought against the landlord as usual.

Xu Yang picked up his mobile phone and sent another Weibo without giving up: "Chinese medicine is still a big deal!"

"Drip, get the acceleration package."

Xu Yang clicked on it, and it was only a second!

Is it poor publicity?

How to promote it?Text or video?

Xu Yang's head is getting bigger, he can't!

Want to spend money on hot searches?How much does it cost?

Poverty restricts me from becoming a famous doctor of my generation.

Xu Yang patted his swollen head, and rubbed his chest and hypochondrium, his stagnation of liver and qi became more and more severe.

Xu Yang studied for a long time, but he didn't have any clue.

And Zhang Ke told the two of them, and went home to take care of her father to take medicine, and now only Xu Yang and Song Qiang were left in the clinic.

After a while, Xu Yang shook his head, temporarily putting down the messy thoughts in his head.He opened the medical record, found the phone number of yesterday's patient Li Qing, paused, and made a call.

"Hello, Ms. Li Qing? Oh, it's me, I'm Dr. Xu Yang from Mingxintang, yes, we met yesterday. Just... Do you have time to come to the clinic again? Yes, I want to help you again Diagnose the pulse, okay, come right away, okay."

Li Qing arrived very quickly, and she was working next to her. When she came over, Li Qing was frowning, her stomach was already hurting.

"Doctor Xu." Li Qing took care of the handsome young man with a smile on her face.

"Comrade Li, sit down." Xu Yang told Li Qing to sit down. When the patient came, he put down all the messy thoughts in his head. He still has this bit of professionalism.

Li Qing was taken aback: "Comrade?"

Xu Yang hastily changed his words: "Er... Ms., Ms. Li, drink a glass of water first, take a rest, and I'll check your pulse later."

"Oh." Li Qing agreed.

Even Song Qiang, who was concentrating on fighting landlords, couldn't help raising his head and glanced at Xu Yang, what the hell is this kid doing?Also check the pulse?Will he?

Xu Yang asked, "Is the abdominal pain better?"

Li Qing frowned and said: "No, it's still uncomfortable. I had my period last night."

After finishing speaking, Li Qing looked at Xu Yang's face again.

Xu Yang poured water for Li Qing, let her rest for a while, and then asked her to take her hand and put it on the pulse pillow. Xu Yang calmed down, fixed Li Qing's Cun Guan Chi three parts, and began to diagnose the pulse carefully.

Yesterday Xu Yang withdrew not long ago, but today it takes a long time to check the pulse.

Li Qing didn't feel abnormal at the beginning, but then she felt that something was wrong. The time for pulse diagnosis is too long, right?

What's more, after the three fingers were finished, it became a single finger, and one finger turned around on my wrist, pressing back and forth lightly and heavily for a long time.

Li Qing's face turned red all of a sudden, this is not a pulse diagnosis!

Li Qing took a sneak peek at Xu Yang's handsome, melancholy face, and she suddenly realized something in her heart. Damn, I really didn't make a mistake this time.

She said in a very sophisticated tone: "Oh, I'm so tired from work, I don't know where to eat tonight..."

Chapter 9 Shaofu Zhuyu Decoction and Liujunzi Decoction

During the pulse diagnosis, chatting between the patient and the doctor is the most taboo, because it will easily disturb the doctor.

Xu Yang said to Li Qing: "Don't talk, just calm down and let me check the pulse first."

Li Qing was slightly taken aback, is the handsome guy so serious?

Xu Yang was still a little dazed when he returned to the real world, but now that he started treating patients, he immediately put himself into it.

Xu Yang used five methods of lifting, pressing, searching, pushing, and finding the pulse on Li Qingcun's pulse. Yes, besides these, there are more than [-] kinds of pulse conditions, but the techniques are basically these five.

Li Qing looked at Xu Yang's serious and melancholy appearance, and the other party's constant pressure on her wrist with various techniques, Li Qing couldn't help shaking her mind, and laughed from time to time.

Xu Yang frowned, let go of Li Qing's hand, and said to her, "Let's go, go to bed and lie down."

Li Qing was startled for a moment: "Ah? It's too fast!"

"No." Li Qing hurried back to find love: "Why do you lie down?"

Xu Yang explained: "The Qi and blood flow more smoothly while lying down, and the pulse condition is clearer."

"Okay." Li Qing could only agree.

The two entered the consultation room, Li Qing was lying on her back on the consultation bed, her arms were naturally flat on the soft pulse pillow, and Xu Yang sat beside her and took the pulse carefully.

Song Qiang raised his eyes and glanced at Xu Yang curiously, then continued to fight the landlord without following him.

Chinese medicine is very serious about pulse diagnosis. "Plain Questions. The Essence of Pulse" says: "The diagnosis method is often based on Pingdan, Yin Qi has not moved, Yang Qi has not dissipated, diet has not been taken, meridians are not filled, collaterals are well-balanced, Qi and blood It is not chaotic, so it can be diagnosed as a pulse."

In ancient times, the pulse diagnosis required patients to wake up in the morning without even eating, just like the current liver function test and blood draw.This is naturally the most accurate, but this requirement is a bit unrealistic, and no one will keep it later.

Moreover, there are also requirements for the waiting time. "Lingshu. Genjiepian" says: "Fifty battalions a day and one night, and the battalions are the essence of the five Tibetans. Those who should not be counted are called crazy students."

Therefore, each part of the pulse must beat at least fifty times during the pulse diagnosis. There are three Cunguan Chi pulses on the Cunkou pulse, and there are six in total in both hands. It takes at least 5 minutes to diagnose the pulse in traditional Chinese medicine.

For those less skilled Chinese medicine practitioners, it takes more than ten minutes and repeated diagnoses to get an accurate conclusion.

As for those Chinese medicine practitioners whose combined left and right hands take less than 5 minutes, don't even think about it, he certainly doesn't know how to diagnose the pulse, and taking the pulse is just for show.Or he was overconfident and only roughly diagnosed the pulse of both hands, but did not carefully diagnose the pulse of each part of Cunguanchi.

There are also those martial arts dramas and even some historical dramas in which Xuansi diagnoses the pulse, the mother is a black doctor of Chinese medicine, what nonsense?

If Xu Yang hadn't studied with Mr. Qian for a year, he wouldn't know how to diagnose pulse.

After 10 minutes, Xu Yang finished examining the pulses of both hands, he let out a long breath, the result of the pulse examination came out, it was a thin pulse.The sinking pulse is the internal syndrome, and the thin pulse dominates dampness, and also dominates deficiency!

Fine veins are characterized by being thin and small, like continuous silk threads, which should refer to thin, straight and soft.The micropulse is characterized by being extremely thin and weak, seemingly absent, and never ending.The difference between the two is that one refers to continuous, and the other seems to be non-existent.

These two pulse patterns are easy to confuse.

There are also stringy pulses, which are similar to fine veins.However, the stringy pulse is pressed like a bowstring, and the thin veins are pressed like a silk thread.This subtle difference is a test of the level of Chinese medicine.

There are 28 kinds of pulse conditions, and each pulse condition has three or four very similar pulse conditions. Do you think it can be diagnosed after a short period of time?

Xu Yang confirmed it many times before confirming that it was a deep and thin pulse.

The fine veins control dampness, and also control deficiency.But the patient Li Qing has blood stasis caused by cold coagulation. The syndrome of cold coagulation is clearly a positive syndrome, so how could it be a deficiency?And the fine veins can also be a syndrome of dampness, syndrome of dampness?

Was my previous judgment wrong?

Xu Yang fell into deep thought.

Li Qing got up from the bed and asked Xu Yang: "Doctor Xu, how are you doing?"

Dysmenorrhea can be divided into excess syndrome and deficiency syndrome. Dysmenorrhea is mostly syndrome syndrome before and during menstruation.If it still hurts after menstruation, it is generally a syndrome of deficiency. If you are not proud, you will suffer from pain, so if you are deficient, you will make up for it.

Xu Yang thought for a while and asked, "Does your period still hurt?"

Li Qing replied: "Sometimes it hurts early, sometimes it hurts after it comes."

Xu Yang nodded slightly.

Xu Yang said to Li Qing again: "Stick out your tongue and let me have a look."

Li Qing stuck out her tongue.

Qian always attaches great importance to tongue diagnosis, so Xu Yang's tongue diagnosis skills have also improved rapidly after following his teacher this year.

Yesterday, he only saw a pale red tongue with a thin white coating, which can be said to be a normal tongue appearance, but today, he saw that something was wrong, and there was also a fat tongue, which he hadn't noticed before.

The tongue is thick and large, the fur is thin and white, which is the syndrome of spleen deficiency, water dampness and phlegm retention.

Xu Yang said to Li Qing again: "Put your tongue up."

Li Qing was obedient and tongue-tied again.

"Sublingual varicose veins! Mostly it is a sign of blood stasis."

"I understand." Xu Yang suddenly realized.

Fine veins govern deficiency and also dampness, the spleen governs movement and transformation, and deficiency of the spleen impairs movement and transformation. Naturally, there is dampness syndrome, and her tongue phenomenon just confirms this point.The patient is not suffering from cold coagulation and blood stasis, but spleen deficiency and palace cold, and stagnation of Qi leads to blood stasis.

That's right, she has a cold syndrome, her lower abdominal distension and pain are also cold and painful, and the pain is relieved when she gets warm.But the most important thing is not the cold syndrome, but her spleen deficiency.

The spleen is the source of qi and blood biochemistry, and if the spleen is deficient, the qi and blood will be weak. If you are not producing at the source, how can you be full of qi and blood?

In addition, the spleen is trapped by water dampness, so it is lazy to speak when the body is tired.She was already weak in qi and blood, and she lost a lot of qi and blood during menstruation, and her uterus lost its nourishment, which made it even more humiliating and painful, so it also hurts after menstruation.

And deficiency of the spleen leads to deficiency of qi, and qi is the master of blood, and it is because qi unifies blood to run healthily in the human body.That's right, she has a cold syndrome, the blood congeals due to the cold, but it stagnates due to qi deficiency.

This is the reason why many girls do not suffer from dysmenorrhea after taking a cold shower and eating raw and cold food. People have abundant qi and blood, even if they are cold, the qi governs the blood, and there will be no blood stasis in the meridians at all.

Righteousness is inside, evil can't be done!

It is also because of the deficiency of the spleen that the disharmony of the spleen and stomach is caused, and the disharmony of the stomach is lowered, so the stomach qi is reversed, and only the symptoms of retching occur.

Moreover, the spleen governs the promotion of clearness, and the stomach governs the reduction of turbidity.One up and one down, the movement is moderate. Now the spleen deficiency causes the stomach qi to go up and down, so the patient has the symptom of wanting to vomit.And the turbid Qi does not descend and stagnates in the middle, so it leads to abdominal fullness and constipation.

So her stool is dry, only once every two or three days.

This is all caused by spleen deficiency.

So her dialectics are inside, deficiency, and cold, which are proper Yin syndromes.

Chinese medicine pays attention to the dialectics of eight principles, yin and yang are the general principles, interior, deficiency and cold are yin syndromes, and exterior, excess and heat are yang syndromes.Those who are good at diagnosis, check the color and press the pulse, first distinguish between yin and yang.

If you use yang medicine for yin diseases and yin medicine for yang diseases, there will be no big mistakes.

Therefore, Chinese medicine must be able to dialectical arguments.If Xu Yang didn't know pulse diagnosis or tongue diagnosis, it would be difficult to accurately find out the syndrome of spleen deficiency only by asking the doctor, and then it would be difficult to cure it.

So this is also the reason why many people find that the effect is not good after reading Chinese medicine. It's not that Chinese medicine is not good, but that the doctor you see can't dialectical, and he can't cure diseases!

Xu Yang patted his head in annoyance, yesterday he was really wrong in his dialectics, and his dialectics became the evidence of coldness, thinking that it was the evidence of real coldness.However, Shaofu Zhuyu Decoction is also a proof, it can warm the meridian and expel blood stasis, and she will have an effect after eating it.

However, symptoms of spleen deficiency such as vomiting, nausea, constipation, body fatigue, abdominal distension, etc., cannot be treated by this prescription.Cold coagulation and blood stasis are just symptoms, while spleen deficiency is the essence.

He cured cold coagulation blood stasis, only cured a mark.If the spleen deficiency is not cured, the next time it is cold, blood stasis will still occur in the lower Jiao.

Symptoms will also come out, so if he only prescribed Shaofu Zhuyu Decoction yesterday, it will only relieve dysmenorrhea after eating, but it is very likely to return to the original state in the next month, and then it will not heal for a long time, and the curative effect is very poor.

The root cause of spleen deficiency is incurable, and it is difficult to be a good doctor.

This is the difference between having a master and not having a master. If Xu Yang relied on himself, he would really be caught blind clinically.

Xu Yang let out a sigh of relief, and said to Li Qing: "The medicine prescribed yesterday is not correct, I will prescribe some for you. Oh, don't drink the Siwu Tang prescribed for you yesterday, wait until the newly prescribed medicine is finished before drinking it." drink."

Xu Yang also secretly blamed himself, yesterday he was wrong in dialectics, the medicine Chuanqiong in Siwu Decoction is for promoting qi.People with qi deficiency cannot move qi again, and those with qi deficiency will only hurt their qi by themselves. They need to replenish qi first and then move qi, or replenish the middle and do it!

"Okay." Li Qing also agreed, but she was thinking about what to have for dinner in her heart.