Chapter 105: The Method of Drawing Wages from the Bottom of the Cauldron
A disease can classify these Chinese medicine practitioners on the spot.
These little Chinese medicine doctors told them the answer, but they didn't understand the reason.
Zhong Hua, on the other hand, was a little unsure.
He Dongjun had already judged it after reading the previous prescription list.
That's the difference between their level and level.
It's just that He Dongjun can't figure out why Xu Yang can judge without looking at the prescription of the former doctor, is he guessing?
The other little Chinese medicine doctors, you look at me, I look at you, and they are all whispering: "Accommodation and food can also cause coughing?"
Xu Yang replied: "The patient is overeating, which leads to food accumulation, so that it becomes food in the large intestine and cannot be excreted. It is true that Yang Mingfu does not say that he can cough, but you can't die studying! Chinese medicine should be dialectical based on the whole, have you forgotten that the lungs and the large intestine are the inside and outside of each other?"
The little Chinese medicine doctors were all stunned.
Xu Yang said: "If the real heat in the intestines is transferred to the lungs, it will cause the lungs to be dysfunctional, and there will naturally be a cough." Not only that, but we will find that this kind of cough is more severe than ordinary cough. ”
The little Chinese medicine doctors looked at each other.
Xu Yang then instructed these little Chinese medicine doctors and said: "This is why some children have been constipated for several days after eating and accumulating, but they have fever, cough, respiratory tract inflammation and other symptoms. ”
"Even if you use anti-inflammatory and other Western medicines, they often don't have good results. The reason is very simple, because the real heat of the large intestine has not been removed, which is like the fire at the bottom of the kettle, the fire under you is so strong. ”
"It's naturally going to be very hot up there, and if you blindly cool it down, you can't get it down. To extinguish the fire below, this is the root of the pathogenesis, this is the method of drawing wages from the bottom of the kettle in Chinese medicine. ”
Everyone finally understood.
Zhong Hua was still puzzled and asked, "But Doctor Xu, why can you suddenly judge that it is the evidence of Yang Ming's strength? Phlegm and heat obstruction of lung are also very possible, and the symptoms shown by the patient are all consistent." ”
The others nodded as well, and this was what confused them as well.
Professor He also looked at Xu Yang, and he didn't understand how Xu Yang judged directly.
In "Su Wen Cough Theory", it is said: All five organs and six organs can make people cough, not only lungs.
Cough is a disease that is not easy to treat, the internal organs, internal and external evils will cause coughing, and sometimes the disease mechanism is not accurate, and it will not be cured for a long time.
At this time, it depends on the doctor's level, and the previous diagnosis of the pulse is the pulse of the slippery number. Then there are several signs of the pulse of the slippery number, including phlegm and heat, and food accumulation.
In addition, the patient's cough has phlegm, the red face is mostly seen in phlegm and heat obstruction, and the tongue is also the main heat syndrome, all the evidence leads to phlegm and heat obstruction of the lungs, and then cough.
Therefore, many doctors will directly use cough and phlegm to clear away heat, but after treatment, it has no effect. When the patient comes for the second time, he may only think of the food accumulation and change the prescription.
But many times, you don't get the result once, and people don't look for you at all the second time. If you think you've been cured, then you won't be able to improve.
And for those experienced old Chinese medicine practitioners, he can't judge so simply, he must be cautious, since the diagnosis is the pulse of the slippery number, he will definitely ask if there is phlegm and food.
If you ask it, there is.
Here we have to screen out a group of people, whether it is cough caused by food accumulation, or phlegm and heat obstructive lung. How to focus on the medication, if you still can't judge well, then you have to give it a try.
A higher level of TCM will find more evidence.
Xu Yang said: "Didn't you hear the family members say that the child started coughing after falling asleep? Why don't you cough during the day, but only when you sleep at night?"
Everyone was stunned.
Xu Yang said again: "If phlegm and heat obstruct the lungs, how can there be reason not to cough during the day? And the phlegm coughed up by phlegm and heat obstructing the lungs is mostly yellow phlegm." Didn't you listen carefully? The patient coughed up white saliva, but no phlegm came out. ”
Xu Yang continued: "And according to the law of the twelve meridians, Yang Ming's intestines are solid and coughing, and the cough is generally more intense at night, especially in the early morning. ”
"Yes, yes, yes. The aunt hurriedly agreed: "It's just that he coughed badly in the second half of the night, and we all couldn't sleep because of him." ”
Now everyone understands completely.
It's just that Professor He is still frowning, it's not that he doesn't understand this disease, after reading the prescription, he has already judged that the medicine used to promote lung and cough is ineffective, and the Western medicine is also ineffective.
That's probably not a problem with coke.
This is based on experience and skill.
For example, Zhong Hua also read the prescription list, but he didn't dare to conclude directly, instead he was thinking that it might be that the medicine was not right, and he didn't pay attention to clearing heat well, so the effect was not good. He wasn't sure either, and he was hesitating.
But what Professor He didn't understand was that Xu Yang didn't read the prescription list, and after he diagnosed the pulse, he had already determined that the other party was caused by food accumulation.
He wasn't just asking about food accumulation, but he had already judged Yang Ming Fushi, and he had been asking Yang Ming Fushi about the situation, as if he already knew the answer.
Was it because of a coincidence? He'd seen this kind of medical case?
Professor Ho was puzzled.
One of the people in the crowd asked weakly, "But didn't the patient pull the water out?"
Xu Yang looked at this scumbag a little speechlessly: ""Treatise on the Epidemic of Warmth: Stool": Those who have a hot knot bypass, with a solid stomach, the internal heat is closed, the stool is closed first, and the next benefit is continued, pure stinky water, and there is no feces at all. Didn't I tell you that the hot knot flowed by? There is no stool, and the stinky water is pulled out, which is also evidence of the intestines. ”
The man's expression froze.
Xu Yang asked the scumbag again: "Then what recipe should I use?"
The man thought for a moment and said, "Since it's caused by food accumulation, then Baohe pills......"
Xu Yang said: "As for the Baohe pill, it is not a big problem to eliminate food accumulation, or to treat children's food accumulation and fever." But this kid is already a proof of Yang Ming's heart, and your effect will be slow. ”
The man's face suddenly showed embarrassment.
Xu Yang looked at the man and said, "And the evidence of Yang Ming's sincerity is very likely to be seen in serious illness, and even life-threatening, aren't you afraid of treating the disease slowly?"
Like this epidemic, many patients showed symptoms such as high fever, cough, poor stool, and shortness of breath in the early stage of the epidemic. Then it quickly spreads, and after two or three days, it becomes a dying illness such as evil heat and internal closure, and yang qi bursting!
Treatment, on the basis of correct syndrome differentiation, is to act decisively, so as to effectively block the transmission of the disease and save the patient's life!
"Huh, is it so serious?" the aunt was startled by Xu Yang's words.
Xu Yang replied: "Your child can't reach this point." ”
Auntie is a little relieved.
Xu Yang continued: ""Jin Kui Yaolu" said: 'Those who have a slippery pulse are real, there is food and lodging, and the next is healed, and it is advisable to have a great Chengqi soup. Don't be afraid of this kind of antidox, if the dialectic is correct, it can be used, and the guidance of the medical saint will not be wrong. ”
Professor He looked at Xu Yang, and he said, "Then you can make a prescription." ”
"Good. Xu Yang nodded and wrote the recipe.
Da Cheng Qi decoction is a powerful agent, and many Chinese medicine practitioners are afraid of its strength, afraid of hurting the right, and dare not use it.
But the evidence of Yang Ming's true life is sometimes life-threatening. At such a critical juncture, it is not this kind of fierce medicine that cannot save people's lives.
Therefore, there are often Chinese medicine practitioners who say that only if you can really master the use of this soup in clinical practice can you say that you can be a mature Chinese medicine practitioner who can cure diseases!
After Xu Yang finished writing the formula, he handed it to Professor He: "Teacher, you can take a look." ”
Professor He took it and looked at it, his brows furrowed slightly, this recipe is to add a few flavors of medicine to the Dachengqi soup, add the medicine to clear the lungs and heat, and the Yuan ginseng for Fuzheng.
Professor He looked at Xu Yang with some surprise, he hadn't seen him for more than half a year, had Xu Yang made such rapid progress? If he had stayed in the hospital and studied clinical practice, Professor He believed that Xu Yang's progress would be rapid, and he had this confidence.
After all, he laid a solid foundation for Xu Yang at the beginning, and after he went to the clinic, he would naturally make rapid progress. But he has been expelled for more than half a year, and he has been reduced to that kind of small clinic, who did he learn from?
Professor He was a little puzzled, or did he say that this patient happened to have seen exactly the same medical record? After all, Xu Yang's theoretical foundation is too solid, and the reading comprehension of medical records is also one of the foundations.
At this time, there were several knocks at the door.
Xiaohui pushed the door in, and she said, "Professor He, Director Qi invites you to come over and consult with the patient." ”