Since the discovery of the Eastern Han Dynasty tomb in 1981, the true dosage in Zhongjing Jing Fang has been confirmed, and since then, the debate on dosage in the Chinese medicine community has not stopped.

In his later years, Mr. Li also ran for a long time for this, and many old Chinese medicine doctors also ran for it.

Of course, many Chinese medicine practitioners have begun to try new doses, and they have slowly applied them to clinical practice, and they have achieved excellent clinical results. But for those poisonous drugs, few people dare to move.

The reason is simple, pharmacopoeia is codex.

Within the dose, something happens, that is called an individual event, and the pharmacopoeia will protect the doctor. However, if the dosage is exceeded, the doctor needs to be responsible in the event of an accident.

In the 60s, there was a famous cardiovascular doctor Dong Wei who returned from studying at the Imperial Medical College, and was sent to Li Lao's middle school in their county as a school doctor.

He was not only amazed by the curative effect of Li Lao, but also praised his ability to treat critical cases of heart failure that surpassed that of modern medicine. But I am worried that if Li Lao uses such a dosage, once something happens, he will be imprisoned.

Li Lao still didn't care about it, he went to the rescue wholeheartedly, and never considered personal gains and losses. Fortunately, Mr. Li met a good leader, and every time the dean helped him sign and take responsibility for him. In the absence of the chief, the local public security chief will sign for him.

In fact, for so many years, people in the field of Chinese medicine have been promoting the reform of pharmacopoeia. There is no Chinese medicine that does not scold the pharmacopoeia, but unfortunately, the effect is very small, and the Chinese medicine pharmacopoeia has long been not the final word of Chinese medicine.

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Xu Yang sat down to write a prescription, he said: "The patient's symptoms are very obvious, it is yang deficiency and cold condensation, deep cold and cold, and blockage, so that the body is trapped by the yin and cold, and it causes real heartache and gangrene. ”

"Because of the blockage, cold coagulation and blood stasis, so it is necessary to activate blood and dispel blood stasis. And because qi is the handsomeness of blood, qi is blood, so it is necessary to take astragalus as the king's medicine, and to reuse, to greatly replenish its qi, and qi can promote blood. ”

"Shengqi is the best at toxins and pus, sores and muscles, which is the essential medicine for carbuncle and the first choice for the treatment of gangrene. However, because of its peaceful medicinal properties, it is difficult to work if it is not reused. Therefore, reuse 240g of raw qi. ”

The little Chinese medicine doctors looked at each other, and without much hesitation, they all began to take notes again. What Xu Yang told them was the principle of treatment and the strategy of medication, which are all the most valuable clinical experience.

Xu Yang said: "The patient's body is trapped by the cold, the cold evil is deep in the meridians, deep into the blood, and the real pain is true, and the limbs are cold. Therefore, use angelica four reverse soup to return to the yang to save the adversity. ”

"Angelica sinensis four reverses, nourishing blood and veins, treating cold hands and feet, thin pulse, just in line with the patient's symptoms, the patient's dorsal foot artery has disappeared, and the pulse of the inch mouth is also thin and slow. Aconite and angelica should be used up to 60g.

"The patient's hands and feet are numb, the cold enters the meridians, and the legs have severe pain like electric shocks, so they need to use Evodia ginger soup. Wu Zhuyu is the best at antispasmodic, with Angelica sinensis four reverses, back to the yang and relieving adversity, in order to relieve the patient's pain, relieve numbness and spasm of the hands and feet. ”

"In the end, the patient's illness is too long, not only is the blood deficient and stasis, but the cold coagulation in his body is like freezing. At this time, the non-common twelve meridians inside and outside, the hot aconitum soup cannot defeat the enemy and drive away the cold. ”

Therefore, it is necessary to combine the aconitum soup, and the usage should respect the meaning of Zhongjing. The amount of boiled licorice should be twice that of Chuanwu, and 60g of boiled licorice should be used for 30g of Chuanwu, which is enough to supervise the poison of aconite.

"In addition, 30g of black adzuki beans and parsnip should be added, which are important medicines for restraining black and poisoning. Although there are no these two flavors in Zhongjing Aconitum soup. ”

"But when I taste aconite and Chuanwu, I often use this soup to detoxify. These two also have related herbal treatises, which record that these two can detoxify the poison attached to the black. I also used this soup to save the people of Nakagawa black poison. ”

"Adding these two is more secure to ensure that aconite and chuanwu will not be harmed. Now it is difficult for pharmacies to enter Shengchuan Wu, and you can't learn the method of Zhongjing to concoct Chuanwu, but you can add 150g of honey to the soup, and it's the same. ”

"These are all the experience of the predecessors of Chinese medicine in the application of Wu Annex, only by learning how to control this kind of fierce general, Chinese medicine in the treatment of critical and serious diseases, in order to have the weapon to defeat the enemy. ”

"You must remember that what you think is an unconventional use of these poisonous medicines is not a mess, but you should be cautious. Only if you have tasted it yourself, you will know it in your heart. I also suggest that you can try Chuanwu and aconite after work to try the feeling of detoxification after poisoning. ”

A group of small Chinese medicine doctors at the scene gasped.

Xu Yang said: "Many disciples of the old Chinese medicine sect will be asked to taste Wufu and other medicines, and they dare not use them, how dare they use them for patients?"

Everyone looked at each other a little.

Several Western doctors looked at each other and were very unimpressed. Xu Yang's so-called caution is still too rough for them.

How a Western medicine is used in clinical practice is to go through a very complex drug testing process, verification again and again, pharmacological research, animal experiments, human multi-batch taking experiments, again and again, and after going through very complex procedures, it dares to be used in clinical practice.

Do you dare to use it on a patient with only two sips of your own?

That's too messy, isn't it?

There is no safety or security at all.

Several Western medical directors shook their heads one after another, and they all had opinions in their hearts, but they didn't say anything.

Even Zhong Hua and Cao Dehua frowned.

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Xu Yang sighed slightly and said, "I know that you think it is very unscientific to determine the dosage based on your own experience of taking medicine, because after all, you are not sick, and the patient is dying, so naturally it cannot be equated." ”

A group of small Chinese medicine doctors nodded their heads.

Xu Yang said helplessly: "It is correct to maintain the necessary suspicion of the previous people's drug experience. Let you taste aconite and Chuanwu, poison yourself, and then use medicine to detoxify, just to prove that these medicines can restrain the poison of Wufu, so that it will not harm patients when used on them. ”

"With this kind of medicine, we have to be more cautious than anyone else, and I also hope that there are medical research institutions that can give reliable conclusions, but those institutions that study Chinese medicine, few people understand Chinese medicine. ”

"Medicine is a practice-oriented discipline, and we must not advocate empty talk and despise clinical practice. The pharmacological research of the Institute of Medicine is not fully representative of traditional Chinese medicine, and we can only rely on our own poison testing. ”

"After actually trying it, you will find that Zhongjing is right. Isn't Zhongjing Jingfang's more than 1,800 years of clinical experience more reliable than that of the Institute of Medicine, and doesn't it prove its safety and efficacy?"

The little Chinese medicine doctors looked at each other and wanted to take notes, but they didn't know how to write.

Professor He also sighed slightly.

Xu Yang looked at them and said, "I am very opposed to you daring to use large doses of Wufu medicine when you get started, because it is irresponsible to the patient." ”

"I suggest you learn from an experienced Chinese medicine practitioner. Only if you have seen enough, learned enough, and tasted enough, can you use it in clinical practice. Because we are saving people, not harming people. ”

"But the real dosage and compatibility of Zhongjing's prescription, after you have relevant clinical experience, on the basis of dialectical correctness, you can use it boldly, because Zhongjing will not be wrong. ”

Zhong Hua and Cao Dehua looked at each other and smiled wryly. Zhongjing is right, but the pharmacy has to be willing to administer the medicine. Zhongjing is right, after the patient makes trouble, the doctor who prescribes the prescription is responsible.

Xu Yang continued to write, he said: "The cold evil of the patient enters from the surface, from the surface to the inside, and the evil has been subdued for many years. The weaker the patient's righteous qi, the deeper the invasion of cold and evil becomes, and now it has entered the blood and has become a dying disease. ”

"Since the disease is advanced by the surface, it should be solved by the surface. The way evil comes is the way it goes. Traditional Chinese medicine is never about killing diseases and evils, but about strengthening the right and driving away evil spirits. ”

"Uphold righteousness and expel evil. Therefore, since the solution of the table is the first, the evil spirit goes out. If there is no way to correct and drive away evil spirits, even if you use hot medicines such as black attachment to drive away cold evils. ”

"There is no way out of the cold evil, it is necessary to open the door and chase the thief, otherwise it will be difficult to cure. Therefore, ephedra and cinnamon branches should be added.

"The fine Xin is the general who supports the righteousness, and can hide the deep cold and cold of the three yin meridians, and bring it out from the inside. When using the basic dosage described in the theory of typhoid fever, we must not learn from the Song people's Chen Cheng or Li Shizhen's saying that the fine punty is not more than money. ”

"Add a few flavors of insect medicine to relieve pain, this is all the formula. After Xu Yang wrote the prescription, he looked at everyone with a calm expression, and he said, "I will bear all the consequences." ”

The hearts of the Chinese medicine practitioners present trembled.

Xu Yang picked up the paper, but the paper in his hand was suddenly snatched away by Professor He.

Xu Yang was stunned.

The others were also stunned.

Professor He put the recipe on the table, then took out a pen and wrote his name on the recipe.

"Teacher...... You ......" Xu Yang was suddenly shocked.

Professor He shook his head, he smiled bitterly, and said, "I can't persuade you, so I have to help you take responsibility." ”