Chapter 175: Xiao Lang Intermediate Rank
Taking advantage of the time for the two to think, Xu Yang happened to finish reading the patient's previous cases, and Xu Yang now knew it.
Xu Yang closed the medical record book, and he said to Xu Yuan and the others: "If the two of you can thoroughly understand the patient's condition and know how to treat it, then the two of you can be said to be a more mature Chinese medicine practitioner." ”
The two of them were immediately overjoyed.
As soon as Xu Yang's words came out, everyone else also looked at these two little Chinese medicine doctors. Even Zhang Ke in the counter could see it, and Zhang Sanqian, who was sitting in Song Qiang's position, also raised his eyes to look at it.
Even the patient and his wife came to see it.
The two of them immediately cheered up, this was a chance to prove themselves.
Xu Yang also looked at them and smiled. According to the standard of the system, these two people are actually still in the more outstanding category of apprentices, and they have not yet reached the middle level of Xiaolang.
Xiao Langzhong is a more mature Chinese medicine practitioner. The doctor is a county-level expert, and Zhong Hua is a doctor. As for Cao Dehua's words, he is only one of the better ones in Xiaolang, and he should not be at the level of a doctor.
He is mainly too energetic in the mix, which drags down his medical skills.
The two of them quickly thought about it, why did the pain start in the evening at the beginning? Is there anything special about this time? It shouldn't be because of the meal, breakfast and lunch are also meals.
Xu Yang put down the medical record book, and he reminded the two: "If you want to think about what caused it, you must go back to the patient himself." ”
The two were stunned again.
"Oh! I see. Zhuang Zhuang looked excited.
Xu Yang said: "Zhuangzhuang, you say." ”
Xu Yang also called him such a cute nickname.
Zhuang Zhuang didn't care so much, so he said a little excitedly: "Five or six o'clock in the evening is the time of Shen You." The five elements of Shenyou belong to gold, and the liver belongs to wood, and Jin Kemu belongs to wood. ”
"The patient himself was depressed and uncomfortable, and it was the lungs that were ordered by the Lord at the time of Shen You, Jin Kemu, which was originally beneficial restraint. But at this moment, it aggravates the discomfort of the liver qi being contained, and it also makes the liver qi more than the spleen and soil, so the initial pain is at this time!"
Xu Yang kept nodding: "Not bad, not bad, what you said is good." ”
The strong theoretical foundation is still very strong, especially the mastery of these traditional theories, which is still very good.
Zhuang Zhuang was complimented, and a big smile immediately appeared on his huge face.
Xu Yuan licked his lips, as a senior fan of pretending to be forced, he could pretend to be three points without forcing him, and now seeing that Zhuang Zhuang was pretending to be forced in front of him, he felt uncomfortable in his heart!
Xu Yang asked Xu Yuan again: "So, what should be the current treatment idea?"
Zhuang Zhuang also looked at Xu Yuan.
Ah, here's the chance to pretend!
But Xu Yuan was confused, where did he know. The logic of TCM treatment is dialectical treatment. Now the dialectic is clear, that is, the liver is depressed and the spleen is suppressed, so it is good to soothe the liver and relieve depression, strengthen the spleen and nourish the blood.
But the former doctor used this medicine, but it didn't work.
Strange!
Could it be that the dialectic is wrong, and it's not right, didn't Mr. Xu say the same thing just now, Mr. Xu is always right?
The dialectic is right, and the idea of medication is no problem, so why is it useless, and how to treat it now?
Zhuang Zhuang also showed a thoughtful look.
Xu Yuan was even more anxious in his heart, and he would be embarrassed if he couldn't answer. Zhuang Zhuang replied that he didn't, doesn't that mean that he is better than himself?
In fact, these little Chinese medicine doctors are all more energetic.
Xu Yuan walked on his horse, his face was flushed, and he was harder than when he was constipated.
Xu Yang was afraid that he would jump into a pit on the ground of Mingxin Hall, so he reminded: "You should know this treatment idea." ”
"Should I know?" Xu Yuan wondered in his heart, why should I know?
"Oh!" Xu Yuan suddenly shouted.
The patient couple was taken aback by him.
Xu Yang and Zhuang Zhuang looked calm, they had already prepared in their hearts, this little bastard would scream every time he thought about it, and he scared Cao Dahua last time.
Xu Yang said: "Say, how to treat it?"
Xu Yuan said excitedly: "There is a cloud in the "Neijing" that 'the yin is not cured, and the yang is bright. 'Yin is the liver, Yang Ming is the stomach, if the previous medicine is ineffective in treating the Yin, it should be the main treatment of Yangming. ”
"Although his stomach pain is caused by liver depression and soil, but the liver is ineffective in soothing the liver and relieving depression, it should be mainly to strengthen the spleen and stomach, so that the gasification operation of Zhongjiao is not stagnant, and then less supplemented with liver products, it should be effective. ”
"Not bad. Xu Yang also nodded in approval.
Xu Yuan also breathed a sigh of relief, and then raised his head proudly at Zhuang Zhuang. I didn't expect it, I was punished for copying the "Neijing" before! You didn't, right? This is the gap!
Zhuang Zhuang also looked tired, and he didn't know what he was proud of. Zhuang Zhuang also said: ""Jin Kui Yaolu" also said, 'When you see the disease of the liver, you should know the liver and pass the spleen, and you should first realize the spleen. This is also the treatment idea of this disease. ”
Xu Yuan was also stunned, and he asked in a low voice: "Zhuangzhuang, have you been punished by Teacher Xu for copying "Jin Kui Yaolu"?"
Zhuang Zhuang was also stunned: "What? Why was he punished for plagiarism?"
Xu Yuan was stunned again, turned his head to look at Xu Yang, should he be the only one who will be punished for copying, right?
Xu Yang said again: "So, why do you want to read more classics, in fact, this is not for fun, because the mystery of healing is hidden in this." ”
"You see, the patient's liver meridian blood deficiency is full of fire and liver qi is stagnant, and the spleen and stomach are restrained too much, which is evidence of the truth in the void, and it is not easy to treat. ”
"The former doctor was trapped in soothing the liver and relieving depression, and used too many products to open up, but it hurt the spleen and stomach, and the stomach hurt later. ”
"This also reminds you that no matter what disease you treat, you must pay attention to protecting your stomach qi and never hurt your spleen and stomach. The spleen and stomach are injured, and all kinds of diseases are numerous. Not only is this disease not curable, but it will also cause more trouble, so be cautious. ”
Both nodded.
Xu Yang began to prepare a prescription, he said: "Since it is mainly a solid spleen, you can reuse yam as the king, the yam color is white into the lungs, the taste is sweet and returns to the spleen, and the liquid is rich and beneficial to the kidneys." It can strengthen the spleen and lungs, strengthen the kidneys and improve the essence. Add atractylodes, malt, chicken gold, magnolia, and licorice to strengthen the spleen and stomach. ”
"Then use wolfberry, scutellaria, wheat winter, and Hangzhou peony to nourish the yin and soft liver. Since the patient is caused by liver depression, although we mainly focus on the spleen, we can't ignore the products that treat the liver, what medicine should be used?"
This is a test of medicine.
The first reaction of the two of them was Bupleurum, the medicine for the liver is like Bupleurum, and Bupleurum is the best at soothing the stagnation of liver qi.
But these two people immediately wanted to come back, no, if it was so simple, would Teacher Xu still test the two of them? Although Bupleurum is the best medicine for the liver, it must also be analyzed in the specific condition......
Xu Yang didn't care about the two people who were thinking anxiously, he continued to write prescriptions and medical orders.
The patient didn't look at Xu Yang now, but looked at the two little guys with blank eyes.
After a while, Xu Yang wrote down the prescription and the doctor's order, he typed out the prescription, and then said to the patient: "Go over there to grab the medicine, and think about prescribing more in the future, don't be rigid for a while." What you lose now, you will always get back in the future. ”
But the patient didn't drink Xu Yang's chicken soup at all, he was still watching these two guys, and he didn't even pick up Xu Yang's prescription.
Xu Yang also showed a wry smile, and he asked these two people: "I said that you two have figured it out?"
The two glanced at each other, then turned their heads to look at Xu Yang, and said in unison: "Use cinnamon branches!"
Xu Yang smiled.
At this time, the system, which had been silent for a long time, suddenly sent a message.
"Drip ......"
Book Reading House