Pulse diagnosis is the most taboo for patients to chat with doctors, because it will easily disturb the doctors.

Xu Yang said to Li Qing: "Don't talk yet, calm down, let me finish the pulse first." ”

Li Qing was slightly stunned, is the little handsome guy so serious?

Xu Yang was still a little stunned when he first returned to the real world, but now that he had started to diagnose and treat patients, he immediately fully immersed himself.

Xu Yang used five techniques to diagnose the pulse on Li Qingcun's mouth and pulse, lifting, pressing, finding, pushing, and actually diagnosing the pulse, lifting and pressing to find the three pulses is to diagnose the ups and downs and slow three pulses, the pushing method is to diagnose the pulse, and the method is to diagnose the long and short pulses, and there are more than 20 kinds of pulses in addition to these, but the techniques are basically these five kinds.

Li Qing looked at Xu Yang's serious and melancholy appearance, and the other party kept pressing on his wrist with various techniques, Li Qing couldn't help but sway, and laughed from time to time.

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

Li Qing was stunned for a moment: "Ah, it's too fast!"

"It's not. Li Qing hurriedly went back to make up for it: "Why are you lying down?"

Xu Yang explained: "When lying down, the qi and blood run more smoothly, and the pulse is clearer. ”

"Okay. Li Qing had no choice but to agree.

The two entered the diagnosis room, Li Qing lay on her back on the consultation bed, her arms were naturally flattened, placed on the soft pulse pillow, and Xu Yang sat on the side to carefully diagnose the pulse.

Song Qiang raised his eyes and glanced at Xu Yang curiously, and then continued to fight the landlord, and did not follow up to look.

Traditional Chinese medicine is very serious about pulse diagnosis, "Su Wen: Pulse to Subtlety" said: "The diagnosis method is often based on Pingdan, the yin qi has not moved, the yang qi has not dispersed, the diet has not entered, the meridians have not flourished, the veins and veins are evenly adjusted, and the qi and blood are not disordered, so it can be diagnosed with the pulse." ”

The ancients required patients to not even eat in the morning when they woke up, just like testing liver function and drawing blood. This is naturally the most accurate, but this requirement is a little unrealistic, and then no one will keep it.

Moreover, there are also requirements for the waiting time, and it is said in the "Lingshu Root Knot Chapter": "Fifty camps in one day and one night, with the camp as the essence of the five Tibets, those who should not be counted are called crazy." ”

Therefore, when diagnosing the pulse, the pulse of each part should beat at least 50 times, there are three inches and feet on the pulse of the inch, and there are a total of six parts of the two hands, plus the time of pressing the three fingers together in the early stage, even if it is a skilled old Chinese medicine doctor to diagnose the pulse, it will take at least five minutes.

For those who are not very proficient in traditional Chinese medicine, it takes more than ten minutes and repeated diagnosis to get an accurate conclusion.

As for those Chinese medicine practitioners whose left and right hands don't even add up to five minutes, don't think about it, he definitely won't be able to diagnose the pulse, and the pulse is just a look. Or they are overconfident, only roughly diagnose the pulses of both hands, and do not carefully diagnose the pulses of each part of the ruler.

There are also those martial arts dramas and even some historical dramas in the suspense of the pulse, his mother is Chinese medicine black, what nonsense?

If Xu Yang hadn't studied with Qian Lao for a year, he wouldn't have been able to diagnose the pulse.

Ten minutes later, Xu Yang finished diagnosing the veins of both hands, he exhaled a long breath, and the results of the pulse diagnosis came out, which was a thin vein. The Shen pulse is the evidence, the fine pulse is mainly wet, and the main void!

The veins are characterized by being thin and small, such as continuous silk threads, which should be referred to as thin straight and soft. The characteristics of the micro veins are extremely thin and weak, as if they are absent, and the desire is endless. The difference between the two is that one should be referred to continuously, and the other is that there is nothing that seems to be.

It's easy to get these two veins wrong.

There are also string veins, which are also very similar to thin veins. But the strings are pressed like bowstrings, and the thin veins are pressed like silk threads. This subtle difference is a great test of the level of Chinese medicine.

There are 28 kinds of pulses, and each of them has three or four pulses that are very similar to them.

Xu Yang determined it many times before and after, and only then did he determine that it was the vein of Shen Xiao.

The fine veins are mainly wet, and they are also mainly empty. But the patient Li Qing is cold coagulation and blood stasis, and the evidence of cold coagulation is clearly empirical, how can it be false?

Could it be that my previous judgment was wrong?

Xu Yang fell into deep thought.

Li Qing got up from the bed and asked Xu Yang, "Doctor Xu, how is it?"

There is a difference between real and false symptoms of dysmenorrhea, and the pain before and during menstruation is mostly empirical, but it is pain that is not passed, and the treatment method is real but laxative. If it still hurts after menstruation, it is generally a false evidence, and if it is not honorable, it hurts, so the deficiency is made up.

Xu Yang thought for a while and asked, "Do you still hurt after your menstruation?"

Li Qing replied: "Sometimes it hurts in advance, and sometimes it hurts after coming." ”

Xu Yang nodded slightly.

Xu Yang said to Li Qing again: "I'll take a look when my tongue sticks out." ”

Li Qing stuck out her tongue.

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

Yesterday he only saw that the tongue was pale red and the moss was thin and white, which can be said to be a normal person's tongue, but today, when he looked at it, it was not right, and the tongue was fat, which he didn't see before.

The tongue is fat and large, and the moss is thin and white, which is evidence of spleen deficiency and damp phlegm drinking.

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

Li Qing was obedient and tongue-stricken.

"Varicose veins under the tongue are mostly evidence of blood stasis. ”

"I see. Xu Yang suddenly realized.

The main deficiency of the fine veins is also the main damp syndrome, the spleen is mainly transported, and the spleen deficiency is unfavorable, naturally there is a damp syndrome, and her tongue image also just confirms this. The patient is not cold and blood stasis, but spleen deficiency and uterine cold, and blood stasis due to qi deficiency and stagnation.

That's right, she has cold evidence, she has less abdominal distension and pain, and she has less temperature and pain, but she is a cold evil guest in the lower coke. But the most important thing is not the cold evidence, but that she has a weak spleen.

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

In addition, the water is damp and sleeps the spleen, so I am tired and lazy. She was already weak in qi and blood, and she lost her qi and blood during menstruation, and the uterus lost its nourishment, so it was even more dishonorable and painful, so it also hurt after menstruation.

Moreover, spleen deficiency is qi deficiency, and qi is the handsome of blood, which is the healthy operation of qi and blood intake in the human body. That's right, she has a cold certificate, and her blood is congealed because of the cold, but she is stagnant because of qi deficiency.

This is why many girls take cold showers and eat raw and cold food, and they will not have menstrual cramps.

Righteousness is stored in the body, and evil cannot be done!

It is also because of the spleen deficiency that it leads to the disharmony of the spleen and stomach, and the disharmony of the stomach is reduced, so the stomach qi is reversed, and there are symptoms of retching.

Moreover, the spleen is mainly clear, and the stomach is mainly turbid. One rises and one falls, and the operation is moderate, and now the spleen deficiency leads to the reversal of stomach qi, so the patient has nausea. And the turbidity does not fall, and it stagnates in the middle, so it leads to abdominal distension and constipation.

So her stool is dry, and she only does it once every two or three days.

This is all due to spleen deficiency.

Therefore, her dialectic is inside, void, and cold, a proper yin evidence.

Traditional Chinese medicine pays attention to the dialectic of the eight outlines, yin and yang are the general outline, the three elements of inside, deficiency and cold are the yin syndrome, and the appearance, reality and heat are yang symptoms. Those who are good at diagnosing should check the color and follow the pulse, and don't be yin and yang first.

If you use yang medicine for yin disease and yin medicine for yang disease, there will be no big mistake.

Therefore, Chinese medicine must be able to demonstrate dialectically. If Xu Yang does not know pulse diagnosis and tongue diagnosis, it is difficult to accurately find the evidence of spleen deficiency by asking alone, and it will be difficult to cure it radically.

So this is also the reason why many people find that it is not effective after reading Chinese medicine, not that Chinese medicine is not good, but that the doctor you see will not be able to dialectic, and he will not be able to treat diseases!

Xu Yang patted his head with some annoyance, yesterday the dialectic was really wrong, and the dialectic became the evidence of cold condensation, thinking that it was the evidence of the real cold. However, the soup of less abdomen and blood stasis is also a proof, it can warm the meridians and chase blood stasis, and she will have an effect if she eats it.

However, nausea, nausea and constipation, as well as fatigue, laziness, bloating and other spleen deficiency diseases, this prescription cannot be treated. Cold coagulation and blood stasis are just the target, but spleen deficiency is the foundation.

He cured cold and blood stasis, and only cured a target. If the spleen deficiency is not treated, the next time you encounter cold, you will still have blood stasis in the lower coke.

The symptoms will come out the same, so if he only opened a soup with less abdomen and stasis yesterday, it will become that he can only relieve menstrual cramps after eating, but it is very likely to return to his original state next month, and then it will not be cured for a long time, and the effect is very poor.

The root 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 you rely on Xu Yang himself, he will really be blind clinically.

Xu Yang let out a breath and said to Li Qing: "The medicine prescribed yesterday is not correct, I'll help you prescribe some more." Oh, don't drink the Siwu soup that was prescribed to you yesterday, and drink it when the newly prescribed medicine is finished. ”

Xu Yang also secretly blamed himself in his heart, yesterday's dialectic was wrong, there is Chuanqiong in the Siwu Soup, which is qi. Those who are deficient in qi cannot resume qi, and those who are deficient in qi will only hurt their qi even more, and they need to replenish qi first and then practice qi, or make up for it!

"Okay. Li Qing also agreed, but in her heart she was thinking about what to eat at night.

Seeing that Xu Yang was going to open a prescription again, Song Qiang was also a little surprised, could it be that this product was going to open Siwu soup again?

Xu Yang put his hands on the keyboard, his expression became a little nervous again, and those indifferent and mocking eyes resurfaced and attacked him.

"Heh......" Xu Yang shook his head and smiled, and these pictures disappeared in an instant.

Xu Yang shook his head, tapped on the keyboard and said, "I'll prescribe another recipe for you, and use the Shao Belly Chase Stasis Soup and the Six Gentlemen's Soup to add or subtract." Qi stagnation and dampness are suitable for the six gentlemen's atractylodes and licorice, and for constipation, rhubarb, burnt betel nut and xiao san should be increased. There are hot medicines in the recipe to neutralize these bitter cold medicines, so you don't have to worry about them damaging the yang energy. ”

Xu Yang used to only recite the classics, and he would not mix drugs according to the actual situation of the patient, but now it is different.

Li Qing's face was a little downcast: "How long will it take to take effect this time?"

Xu Yang smiled slightly, and said confidently: "The medicine is not only the right proof, but it should stand up and sink into the disease, and the effect is like a drum." ”