Two diagnoses appeared, and the patient was also a little puzzled.

Xu Yang and Liu Mingda glanced at each other.

Qian Lao said: "Tell me about the basis of your diagnosis, who will say it first?"

Liu Mingda helped his glasses and said to Xu Yang: "Xu Yang, or you ......."

Xu Yang nodded: "Okay, no problem." ”

Liu Mingda's long voice fell: "Let me say it first." ”

Xu Yang was speechless for a moment, this thing really likes to play with the panting stalk: "Okay, then you come first." ”

Liu Mingda nodded slightly, took a step forward, and said with a slight smile: "The patient's face is swollen, and his limbs are also swollen. Re-examination of his tongue showed that the tongue coating was white and greasy, which was also a sign of dampness and internal sleepiness. The pulse was re-examined, and the diagnosis was a slippery and slightly delayed pulse. ”

"The Shen pulse is the main pattern, the late pulse is the main cold pattern, and the slippery pulse is the pulse of the patient's pregnancy. I once touched the patient's hands and feet, and found that his limbs were slightly cold, and he looked like his limbs were cold. ”

"To sum up, I judge that the patient is due to spleen and kidney yang deficiency, yang qi is insufficient, and yang qi is suppressed by water and dampness, so Zhongjiao Jian Yun is out of luck and cannot transport water valleys, resulting in the accumulation of water and dampness, and it becomes a flooding trend, thus leading to the patient's pregnancy edema! Fang uses Zhenwu Tang to add and subtract. ”

Liu Mingda smiled with satisfaction.

Qian Lao was noncommittal, and then turned his head and asked Xu Yang: "Tell me your opinion." ”

Xu Yang said: "I have the same opinion as Dr. Liu Mingda, the patient is not lucky. However, the patient's pulse is not slow, but slow. The patient's left hand has a slippery pulse, and the right hand is slowly slippery and weak. ”

As soon as these words came out, Liu Mingda was stunned for a moment, slowing down the pulse, the main sign of cold is the late pulse, and the slow pulse is the main sign of dampness, and most of them are spleen deficiency.

Xu Yang continued: "The patient has a weak spleen, and the spleen and yang are not vibrate, so he cannot transport water and dampness, resulting in stagnation of water vapor and infiltrating the skin and limbs, so the skin of the patient's swelling is thin and shiny, and it is sunken. The treatment method should be to strengthen the spleen and dehumidify, and reduce swelling with water. Fang uses atractylodes to add and subtract. ”

Qian Lao said to Liu Mingda: "Liu Mingda, what is the patient's pulse?"

Liu Mingda said embarrassedly: "That Xu Yang...... Xu Yang said that the pulse is slow, it must be the pulse slow, he is better than me anyway!"

Qian Lao snorted angrily: "Then do you know the difference between slow pulse and slow pulse?"

Liu Mingda scratched his head and said embarrassedly: "One breath and three solstice are late pulses, and one breath and four solstice are slow pulses." The slow pulse comes and goes slowly, and the late pulse is late. ”

Qian Lao glared at Liu Mingda for a moment and said: "The slow pulse and the slow pulse are extremely similar pulses, and it is very easy to make mistakes, but there is also a clear difference between the two, that is, above the pulse. ”

"Xu Yang diagnosed the pulse of both hands and took ten minutes; you are good, you haven't even reached five minutes! I have been practicing medicine for 60 years, and I dare not go less than five minutes, how dare you be like this, Meng Lang? I thought you were so powerful, but I couldn't even distinguish between a slow pulse and a slow pulse!"

Liu Mingda's face was flushed and embarrassed by Qian Lao's scolding.

Xu Yang secretly glanced at Liu Mingda, he didn't expect Professor Liu Mingda to be so imprudent when he was young.

In fact, the cause of edema of pregnancy lies in the liver, spleen, and kidneys. To put it bluntly, it is qi stagnation, spleen deficiency, and kidney cold.

Qi stagnation will rise and fall out of division, Qingyang will not rise, turbidity yin will not fall, so the feet will be swollen at first, and gradually the legs. Mu Ketu, the normal excretion of the liver can restrain the stagnation of the spleen and dampness, and when the liver qi is stagnant, the dampness will not dissolve, resulting in the internal stagnation of dampness.

This is the water vapor in pregnancy edema, which focuses on regulating qi and dissipating dampness. When the liver qi is smoothed and the discharge is measured, the stagnation of the spleen is naturally restrained, the spleen is healthy, and the edema is naturally eliminated. The edema of pregnancy caused by qi stagnation is generally only swollen legs and feet.

Edema caused by spleen deficiency is due to the main movement of the spleen, and spleen deficiency is not transportable, resulting in the accumulation of water and dampness. And the spleen is the main muscle and limbs, so it will cause water dampness to flood the skin and limbs, so the patient will have facial swelling, or even swelling all over the body, and the water overflows under the skin, so the skin will be thin and shiny, and it will be sunken.

If the spleen is deficient, the middle yang is sluggish, so the belly and abdomen are full, and the breath is short and lazy; the spleen is deficient and unlucky, and the water and dampness stop inside, so the mouth is light and greasy, and the appetite is lost.

The spleen belongs to the soil, the lungs belong to gold, and the earth is born of gold, and if the spleen is deficient, the lung qi is insufficient, and the lungs are mainly promoted and regulated by the waterway, and if the lung qi is insufficient, the waterway is unfavorable, so there will be a shortage of urine. The water runs away from the intestines, so the stool is loose.

Pregnancy edema caused by spleen deficiency is called sub-swollen. In addition to the skin condition seen on the outside, there are many other symptoms, if you can join the consultation, it is estimated that Liu Mingda will not overturn.

The last one is because of the deficiency of kidney yang, the deficiency of kidney yang, the lack of power in gasification, and the loss of opening and closing, then it will become edema.

Because the kidney is the innate root, and the kidney yang is the fire of life, it can warm all the organs of the body. Once the kidney yang is weakened, the fire of the life gate is weakened, and the spleen and yang cannot be warmed, so it will also lead to spleen and yang deficiency, so many patients have spleen and kidney yang deficiency, and need to strengthen the spleen and warm yang, and promote water and dampness.

In fact, both of them have medicines for warming yang, but the emphasis is different, the former is more focused on strengthening the spleen and dispelling dampness, warming and replenishing the spleen and yang.

The latter is to relive and replenish the kidney yang, and at the same time strengthen the spleen and dispel dampness, because kidney yang is the fundamental pathogenesis. When the yang energy is normal, the vaporization is also normal, the water naturally transpires all over the body, and the edema disappears naturally.

The logic of TCM treatment lies not in treating people's diseases, but in treating people's diseases. Those who are ordinary are not sick. Healthy people don't get sick, and if you are sick, then your body must have deviated.

I have adjusted the deviation of your body with medicine, and your disease will naturally be cured. With the deviation of medicinal properties, correct the deviation of the body.

Its practical regimen of Liu Mingda to treat patients will also be effective. However, it is not very correct, so the effect will be slower, and the effect will be poorer.

So in many cases, it is not that traditional Chinese medicine is slow to take effect, but that the doctor is not dialectically correct at all, does not prescribe the other party, and the medicine is not right, how can the effect be fast?

As long as it is a prescription, it usually has the effect of drumming. Even many are a dose down, standing up and sinking!

While prescribing prescriptions to patients, Mr. Qian also instructed the two of them: "The general idea of treating edema in pregnancy is to strengthen the spleen and dispel dampness, but it is also necessary to distinguish the difference between water and gas and edema, and focus on medication, so that it can be as effective as a drum." ”

"In particular, we should pay attention to the benefits of water, and we should not use slippery medicines, otherwise we may hurt the kidneys and affect the fetal element. Women's medication, when the main thing is peaceful, especially for pregnancy diseases, it is necessary to be cautious to use warm, cold, steep, and slippery products, so as not to hurt the fetus, and should be cautious. ”

Liu Mingda and Xu Yang both nodded seriously.

Qian Lao wrote the prescription and handed it to the patient, then turned his head and glanced at Liu Mingda, and said angrily: "Especially you, what's going on lately? ”

Liu Mingda's face was flushed with embarrassment.

The diagnosis was over, and the two went to the dormitory.

Xu Yang asked Liu Mingda: "I also want to ask you, what's wrong with you lately?"

Liu Mingda scratched his head a little embarrassed: "It's nothing!"

Xu Yang was a little funny: "Even I can't say it?"

Liu Mingda was a little shy.

Xu Yang saw him like this and asked, "What's the matter, what happened to you?"

Liu Mingda waved his hand shyly: "Not yet." ”

Xu Yang immediately understood: "Yes, unrequited love." ”

Xu Yang shook his head, no wonder this guy has been in the wrong state recently, and he dares to be trapped by love.

Liu Mingda said angrily: "Oh! You will say cool things, and you won't help me think of a way." ”

Xu Yang asked, "Which lesbian do you have a crush on?"

Liu Mingda looked around cautiously, and then whispered to Xu Yang: "Just ...... Wang Jia, a nurse in the Department of Internal Medicine. ”

Xu Yang thought about it, but didn't remember who it was.

Liu Mingda whispered: "Hey, have you ever been with a partner? Do you know what to do, help me?"

Xu Yang immediately felt a pang in his heart, Professor Liu Mingda, a scholar of the Yangtze River, asked him to help, this favor, he also had to help!

Besides, he also has to help Professor Liu Mingda improve, otherwise if he continues to be trapped by love, then China will have one less gynecology powerhouse.

Xu Yang said: "It's simple, you just go and tell people that you like her and want to marry her and have children." ”

Liu Mingda was taken aback, and his face turned red all of a sudden: "Ah......? It's too straightforward, isn't it?"

Xu Yang said: "What is there to hide here?"

Liu Mingda squirmed and said, "What if people don't agree?"

Xu Yang said: "I'll teach you how to say it, and I'll make sure you succeed." ”

"Really?" Liu Mingda's eyes suddenly lit up, and he immediately stared at Xu Yang: "If you can really succeed, you will be my eldest brother in the future!"

"Ahem!" Xu Yang cleared his throat, stopped, turned his head to look at Liu Mingda and asked seriously, "Liu Mingda, are you tired?"

Liu Mingda also stopped, he was a little confused: "Not tired?"

Xu Yang said: "You have been running in my heart all day, aren't you tired?"

"Ahh

Xu Yang asked again: "Liu Mingda, is it okay to marry me, I will make you the second happiest person in the world." ”

Liu Mingda blushed and stammered: "For...... Why second. ”

Xu Yang replied: "Because of you, I am the happiest person in the world." ”

Liu Mingda was stunned, at this moment, Liu Mingda, a Yangtze River scholar and a national famous Chinese medicine doctor, felt that his heart was about to jump out of his chest.

"Whew!whew!" Liu Mingda jumped up all of a sudden, jumping around on the ground, dancing with his hands, and letting out a wolf howl in his mouth.

This stinky boy was so excited, he didn't know that there were such seductive words in this world.

"I know, I know. Liu Mingda was very excited, so happy that he immediately rushed out dancing.

Xu Yang shook his head and smiled, and shouted at Liu Mingda's back: "Come on, Liu Mingda!"

Then Xu Yang went back to the dormitory alone, he sat down and opened the medical book, and before he could read it for long, he heard someone at the door hurriedly knocking on the door: "Xu Yang, open the door quickly, it's not good, it's not good, Liu Mingda was arrested by the security department for playing hooligans." ”

"Click......" The book in Xu Yang's hand fell to the ground!