"Dr. Xu. Li Qing greeted Xu Yang.

Xu Yang just went out and bought two buns next door and came back for lunch, but before he could eat it, he saw Li Qing coming back, and he was also stunned: "What's wrong, is there something uncomfortable?"

Li Qing hurriedly shook her head: "No, no, my stomach is much better, it doesn't hurt much anymore, and the blood clots have come out." ”

"Oh, good. Xu Yang was relieved.

Li Qing introduced Xu Yang: "This is my friend Ah Cheng, she also has a period of pain, you can help her take a look." ”

"Good. Xu Yang agreed, walked to his seat and sat down, and then put the bun aside.

Li Qing said to Xu Yang, "Doctor Xu, why don't you have lunch first?"

Xu Yang shook his head: "It's okay, it's important to see a doctor." Come, sit down. ”

Ah Cheng looked at Xu Yang's appearance, and it didn't look like it.

She sat down next to Xu Yang, Xu Yang recorded the patient's information, and then saw her covering her stomach, and he said to Ah Cheng: "Give me your hand." ”

Ah Cheng gave him his hand, Xu Yang touched the other party's hand, and found that the other party's hand was relatively cold, it was summer now, and her limbs were still so lukewarm.

Zhang Ke and Song Qiang also watched curiously from the side, Mingxintang actually came back to visit, this is not unusual.

Song Qiang even wondered if this was the nursery that Xu Yang had found, it was really fake? He didn't even play fighting the landlord, and he had to watch Xu Yang treat his illness, which made him lose face.

Xu Yang asked again: "If you press it, will the pain be reduced a little?" ”

Ah Cheng replied: "Yes, and it is better to press it on my hot hand, it will be much more comfortable." ”

Xu Yang nodded, he likes to press warmly, dysmenorrhea is divided into virtual and real, happy pressure and happy press are mostly false evidence, and pain refusal to press is mostly empirical evidence, but the specific virtual and real need to be comprehensively considered through other diagnoses.

Moreover, there is less cold pain in the abdomen, and the pain is reduced when the temperature is obtained, which is mostly a cold syndrome. Is it evidence of the cold?

Xu Yang asked again: "How is menstruation, is it heavy? What about the color, is there any blood clots, and is the menstrual period normal?"

Ah Cheng replied: "The amount is small, the color is quite light, and there are blood clots." It's usually a postponement ......"

Xu Yang asked, "Does your back hurt?"

Ah Cheng said miserably: "It hurts, my waist is about to break." ”

Xu Yang asked about some other conditions, and then recorded them in the medical case, and did a face-to-face consultation, and saw that the patient's face was pale, which should be evidence of weak qi and blood and yang deficiency.

"Look at the tongue. Xu Yang said to Ah Cheng.

The tongue is light and has little lichen. A more typical sign of yang deficiency, light tongue is the most important indication for diagnosing yang deficiency, deficiency is less, yang deficiency is less yang, less yang, there will be cold syndrome. Therefore, yang deficiency is mostly the meaning of deficiency and coldness, and the deficiency is supplemented, and the cold is warm.

Xu Yang nodded secretly, his tongue diagnosis is still very accurate.

Song Qiang also leaned over to take a look, and then went back with a puzzled expression.

Traditional Chinese medicine believes that the state of a healthy person is the secret of yin and yang, and the so-called yin and yang secret, the spirit is the cure. When yin and yang are balanced, people are naturally not prone to illness.

What is the secret of yin and yang, for example, yin is 50 points, yang is also 50 points, and the balance of yin and yang is just 100 points. But if there is less yin, less is empty, and if there is yin deficiency, there are only 30 points.

Then the yin and yang in the body are unbalanced, and there will be more yang, which will produce a series of symptoms, such as dry mouth and bitter mouth, five heart irritation, short urine, and so on.

If there is no yin, make up for it, and make up for it if there is less yin, so that the yin will return to fifty points, and then it will be the secret of yin and yang.

But if yin is normal, and yang suddenly plays extraordinary, becoming 70 points, then it is empirical, it is too much, and the symptoms of yang are very similar to yin deficiency, but if there is too much yang, you have to expel it, and you have to use cold medicine.

Therefore, Chinese medicine must be dialectical and not symptomatic. The symptoms of yin deficiency and yang are very similar, good guy, if you see that you are on fire, you will go directly to a dose of cold medicine, then there will be a problem.

Therefore, the most difficult thing in Chinese medicine is dialectic. Symptoms are manifestations, while symptoms are causes.

And this kind of yin deficiency and yang reality can not be detected by modern medical equipment, and now many Chinese medicine practitioners also let you do B ultrasound, blood tests, and various laboratory tests as soon as they come up, how can this cure the disease?

Western medicine is fine with this, because that's the logic of their treatment. But traditional Chinese medicine is not, Chinese medicine pays attention to dialectical treatment, and the medicine of traditional Chinese medicine is to treat syndromes, not symptoms. Correct the deviation of the body with the deviation of the medicinal properties, and eliminate the symptoms of the syndrome.

............

At this point in diagnosis and treatment, it can be basically determined that it is a sign of deficiency and cold, and the uterus is weak and cold. But we still can't forget the pulse diagnosis, and the combination of the four diagnoses is the most important.

Xu Yang said to Ah Cheng: "Let's do another pulse diagnosis." ”

Li Qing asked first: "Do you want to lie down?"

Xu Yang nodded: "It's okay, if you lie down, your pulse will be clearer." ”

In the end, they chose to lie down for pulse diagnosis.

Xu Yang took someone to the clinic, and on the way, Li Qing also said to Xu Yang: "Doctor Xu, you must help Ah Cheng, she is in a terrible pain, and sometimes she faints in pain." ”

Xu Yang bowed slightly: "Okay." ”

"Hmm!" Li Qing nodded heavily.

Ah Cheng lay on her back on the consultation bed, her hands naturally spread out on the pulse pillow, and Xu Yang sat on the side to carefully diagnose her pulse.

Zhang Ke and Song Qiang also came to watch, and when they saw Xu Yang doing pulse diagnosis so meticulously, they both looked at each other a little.

Song Qiang even touched his chin and muttered to himself, "Fake, isn't it?"

Li Qing saw that Xu Yang also had three fingers on Ah Cheng's wrist for a while, one finger at a time, one finger at a time, one moment light, one moment heavy, and one moment pressed up and down......

Her eyes gradually widened, and finally she gritted her teeth a little angrily and secretly chirped: "Phew, scumbag!"

Half an hour later, Xu Yang finished diagnosing Ah Cheng's veins on both hands, which were the veins of Shen Chi and weak, and the veins of some thin veins.

In addition to distinguishing between the virtual and the real, the dialectic of traditional Chinese medicine should also distinguish between the inside and the outside, which can be understood literally, the symptoms are mostly diseases on the surface of the body, and the internal symptoms are mostly problems with the internal organs, and there are different treatment plans for treatment.

Chi pulse is the main cold syndrome, what is the late pulse, "Pulse Sutra" says "breathing three to, coming and going extremely late", a breath pulse only jumps three times.

The ancients did not have clocks and could not accurately time, so they used their own breathing to judge the number of beats of the pulse, and now they can use clocks, and the characteristic of the late pulse is that the pulse beats about 50 to 60 times a minute.

The pulse that is very similar to the late pulse is the slow pulse, and the difference between the two is that the slow pulse is one breath and four solstice, and the late pulse is one breath and three solstice. The main cold of the late pulse and the main dampness of the slow pulse are wrong, and the treatment plan will be very different, so it is necessary to require the four diagnoses to be combined to reduce mistakes.

For example, if you come to a professional athlete and your pulse is more than 50 times a minute, do you directly conclude that the person is cold? No, you must have four diagnoses and references.

There are also fine veins, and the main deficiency of the fine veins can also be the main dampness, so is it the weakness of qi and blood, or is it mainly the dampness of the spleen?

Just now, when Xu Yang was diagnosing the pulse of Ah Cheng's branch, he found that her pulse was especially late in the ulnar of her left hand, and her left ulnar was late, her kidney was weak and cold, her stool was turbid, and the woman's monthly letter was silent.

Kidney deficiency and cold is kidney yang deficiency, kidney yang deficiency can not warm the spleen, it will also cause spleen yang deficiency, so the spleen's qi and blood biochemistry is insufficient, qi and blood are weak, so the menstrual flow is small, so her pulse also appears in the characteristics of thin pulses.

Of course, the menstrual water comes out of the kidneys, the kidneys are deficient, the essence does not turn into blood, and the qi and blood are weakened, which will also lead to a small menstrual flow.

She has severe deficiency and cold, and her temper is insufficient, which is very easy to cause cold coagulation, so there are blood clots in her menstruation. Moreover, the spleen dominates the blood, and if the spleen is weak, it is unable to unify the blood, so the blood clots are stasis but do not disperse.

Considering that the other party is married, Xu Yang said: "Your palace cold is more serious, is it a little difficult to conceive like this?"

Ah Cheng didn't say anything yet.

Li Qing was stunned and said, "How do you know, Ah Cheng has been married for three years and is not pregnant yet." ”

"Oops. Ah Cheng slapped Li Qing embarrassedly.

Zhang Ke and Song Qiang were even more stunned, is it so powerful? It's really fake, isn't it really Tuo?

Zhang Ke bit his lip and looked at Xu Yang's face in a daze.

Xu Yang thought for a while and asked, "Have you ever had a miscarriage or miscarriage before?"

Ah Cheng's face suddenly became a little unnatural.