Chapter 57: Three Mistakes in a Row
Xu Yang has already left.
If it weren't for the responsibly responsible attitude towards the patient, he would have not wanted to stay for a long time. He told Liu Yanfa the dialectical point, and saw Liu Yanfa ask the next few questions.
Xu Yang knew that he had understood.
The difficulty of traditional Chinese medicine lies in the dialectic, as long as the dialectic is correct, there will not be much deviation in the medication. Moreover, with Liu Yanfa's ability as a city-level expert, I believe that there will be no deviation.
"Dr. Xu. A voice came from behind him.
Xu Yang looked back and saw that it was Gao Drizzle who followed.
Gao Drizzle trotted a few steps, her face was full of embarrassment, she said, "I'm really sorry, Dr. Xu, I didn't expect them to hire another doctor, which made you a little embarrassed." β
Xu Yang waved his hand: "It's okay, it's just to cure diseases and save people." β
Gao Xiaoyu nodded, keeping up with Xu Yang's pace, she said, "I can see that you relieved Expert Liu, right?"
Xu Yang smiled: "There is nothing that cannot be solved, the patient conceals the diagnosis and treatment records, and it will be more difficult for the doctor to diagnose and treat." Besides, they are all their own people, and they should help. β
"Your own people?" Gao Xiaoyu thought for a while and said, "Oh, you are classmates with that person named Yang Chen, right?"
Xu Yang bowed slightly, his relationship with them was not only like this, he had already had a friendship with their master Wang Rende.
Gao Xiaoyu asked, "Doctor Xu, what is the reason why Mrs. Xie is sick?"
Xu Yang replied: "Summer dampness and heat, damage to the gastrointestinal function, and cause diarrhea. For a long time, the soil is lazy and the wood is depressed, and more warm supplements, coupled with a hot temperament, anger hurts the liver, and it helps the liver to heat and burn the yin, so the diarrhea does not heal for a long time. β
"Huh?" Gao Xiaoyu didn't understand a word.
Xu Yang explained: "Didn't she say that she traveled abroad during the Spring Festival, and she went to a hot place, which was summer. Therefore, damp heat and external evils invade the human body and cause diarrhea. β
"After returning to China, he has not been cured, and the damp heat and external evil remain in the body. And she is irritable, women are already angry, and irritable is even more prone to liver depression. β
"Mu Wang takes advantage of the soil, the liver fire is too strong, and the spleen is hurt. The spleen is born and clear, and the spleen deficiency affects the normal rise and fall, and cannot rise normally, and the nutrients cannot be transfused to the heart and lungs, and disperse throughout the body, so the whole body will be weak. The liver wood is too much soil, the qi machine rises and falls abnormally, and the long-term diarrhea does not stop. β
"Oh. Gao Drizzle finally understood: "Then what are the five more laxatives they are talking about?"
Xu Yang explained: "The five more laxatives are also called chicken laxatives. Every morning, when the rooster crows, the intestines are ringing, the abdominal button is painful, and the pain is reduced after diarrhea. This disease is generally more common in middle-aged and elderly people, especially middle-aged and elderly men. β
"Most cases are kidney qi is not solid, kidney yang deficiency, so it is also called kidney diarrhea. If it is more serious, it will also affect the spleen and yang deficiency, resulting in yang deficiency in the spleen and kidneys. β
"Because Yin Mao is the time when yin and yang are handed over, and if kidney yang is insufficient, yin and cold are abundant. At this time, the yang energy has not arrived, the yin energy is extremely strong, the fire is not warm to the earth, and the spleen and yang are not warm, so the luck is abnormal, and diarrhea occurs. β
"The symptoms of this type of patient are clear and long urine, frequent nocturia, loose and unformed stools, cold lumbar spine, warm and cold abdomen, pale tongue.
"This kind of five-more diarrhea caused by kidney yang deficiency is very effective with Sishen Pill. If the spleen is also yang deficiency, you can also add medicine to warm the spleen. β
Gao Drizzle was puzzled and asked, "Then why didn't Mrs. Xie use the Four Divine Pills to cure it?"
Xu Yang replied: "Because she is not because of kidney yang deficiency at all, she does not have the appearance of yang deficiency, but has heat evidence." Yin Mao is wood, for the time of Shaoyang's main order.
At this time, when the liver wood was easy to flourish, coupled with the dampness and heat, she was short-tempered, and the liver fire was more vigorous, and the spleen was more serious at this time, so she had diarrhea in the early morning. β
"In addition, when Yin Mao was in Yinmao, Shaoyang combed the soil too much, so he also had symptoms of abdominal pain. There are a lot of grumpy people who often have diarrheal diseases. Therefore, it is most important to maintain emotional stability. β
Gao Xiaoyu also smiled slightly, took a step out of her long legs, she turned her head and glanced at Xu Yang: "Doctor Xu is still very good, they all say that the real Chinese medicine is in the people, and I can see it today." β
Xu Yang said: "You're polite, those who treat diseases seriously and save people are real Chinese medicine." β
After Gao Drizzle was stunned, she smiled again, she is a cold woman, and she usually doesn't like to laugh.
Xu Yang glanced back at the villa and sighed slightly. In fact, Liu Yanfa's level is still okay, but he made the mistake of empiricism.
As soon as I saw that the other party had diarrhea and lost 30 pounds in half a year, I concluded that the other party had diarrhea for a long time, and when I heard that the other party had diarrhea for five years, I concluded that the other party had kidney yang deficiency.
Xu Yang glanced at Gao Drizzle beside him again, in fact, this matter also has something to do with Gao Drizzle. When he first entered the door, Gao Drizzle's husband took the heat of Gao Drizzle into the blood room to talk about it.
At that time, Liu Yanfa was already contemptuous, thinking that people in such a small place had no knowledge, and a disease that could be cured by Chinese medicine practitioners in a mere hot blood room was also regarded as an incurable disease.
Therefore, when he was treating Mrs. Xie, he seemed to be cautious, but in fact, he had already been careless.
This is a big taboo for doctors!
During the consultation, he asked indiscriminately, and after being interrupted by Mrs. Xie, he did not continue.
During the tongue diagnosis, I heard him say that the tongue coating was white and greasy, but when he was not dry and wet, Xu Yang knew that he had gone astray.
So Xu Yang immediately reminded him to pay attention to the quality of his tongue. At that time, he also saw that there was something wrong with his tongue, but it was still out of preconceived notions and overconfident attitude, not to say that it was pale red.
When the pulse is diagnosed, it is wrong again. The string veins are diagnosΓ©ed into thin veins, and the two veins are very similar and easy to mistake. His pulse diagnosis time was too short, and he had a preconceived impression.
So one mistake and one mistake and three mistakes in a row.
It's not that Liu Yanfa's level is not good, but that he has committed a taboo as a doctor.
If the Xie family had informed the previous TCM diagnosis and treatment, Liu Yanfa would have discovered his mistake. But they just hid it again.
So Expert Liu's overturn is just around the corner.
Mrs. Xie is already hot inside, and with this kind of warm and astringent medicine, the situation will only get worse. The mistakes made by doctors before are also here. It is important to know that long-term diarrhea may not hurt the patient, Xu Yang has carefully diagnosed, and the patient has no illusion.
Xu Yang couldn't help but shake his head and sigh, Chinese medicine is different from Western medicine, and the diagnosis made by medical instruments is very objective and true.
The four diagnoses of TCM are all subjective, so this requires TCM to have sufficient clinical experience and ability, and more importantly, to absolutely maintain a calm mind, and not to have preconceived impressions.
The word "quiet" alone has stumped countless Chinese medicine practitioners.
......
Xie Family Villa.
Liu Yanfa and several people came out, and the consultation fee was obtained, but this time it was extremely unpleasant.
"Alas!" Liu Yanfa sighed.
Yang Chen and Cao Dehua followed behind, and they didn't dare to talk more.
Liu Yanfa looked up at the sky, he slowly exhaled a breath, and said with palpitations: "I didn't notice it for a while, and I almost lost my face." β
Liu Yanfa turned his head and asked Yang Chen: "That young man, is it your classmate?"
"Well, yes. Yang Chen nodded hurriedly.
Liu Yanfa sighed and said: "The future is terrifying." β
Cao Dehua's face was also crooked.
Yang Chen had nothing to say, Xu Dashen really deserved to be Xu Dashen, and he thought that after he was expelled, this life was over. I thought that Xu Yang's medical skills were not as good as his own, but he turned out to be even more powerful than his master, which is really a bull's criticism!
Liu Yanfa thought for a while and asked, "Is he from a family of traditional Chinese medicine?"
Cao Dehua glanced at Liu Yanfa, isn't this a question he also asked in the morning?
Yang Chen replied: "No, his father is a barefoot doctor in the village, not a traditional Chinese medicine doctor. β
"Oh. Liu Yanfa responded: "Then who is his master?"
Cao Dehua took another look, didn't he also ask?
Yang Chen said: "He doesn't have a master, he is now in a small clinic." β
"Is it really a genius?" Liu Yanfa was also a little skeptical about life: "Young and with excellent medical skills, it is rare not to be arrogant or impatient." If he hadn't asked you to pass on the word today and let me save some face, I'm afraid I would have made a big fool. β
Cao Dehua was also stunned when he heard it.
Liu Yanfa said: "How can such a talent deign to be in a small clinic? I think you can tell him about it and introduce talents to our hospital." As long as he is willing to come, I will talk to the hospital leaders about it. β
Yang Chen was a little embarrassed and said, "I'm afraid this is not too convenient. β
Liu Yanfa asked suspiciously: "Why?"
Yang Chen said with some hesitation: "He...... Ever out of ...... Serious medical malpractice. β
"What?" both were shocked.