The next day, in the morning.

Xu Yang came to work in Mingxintang.

He asked Zhang Ke to pack the medicine first, and then went upstairs directly to decoct Zhang Sanqian later.

"Morning, Mr. Xu. ”

While the two were busy, a man ran in from outside.

It's Xu Yuan.

Xu Yang turned his head to look at him, and he asked, "Morning, did your dean ask you to come to me?"

Xu Yuan hurriedly shook his head: "No, no, it's my holiday today." So I want to come over and learn how to copy with you...... I don't know if it's okay?"

Zhang Ke and Song Qiang both looked at Xu Yuan.

They still don't know about Xu Yang's involvement with the Chinese Medicine Hospital in the past few days, but they only know that Xu Yang has gone to the Chinese Medicine Hospital to help a few times. But now a young man suddenly came over and wanted to copy the prescription with Xu Yang, which made them a little unexpected.

Song Qiang sat in the back and asked, "This is the young doctor who came with Director Zhong last time?"

Zhang Ke nodded, and she said more bluntly: "Yes, it's the one who came to find fault last time." ”

Xu Yuan's face turned red all of a sudden, so embarrassed.

"Ahem. Xu Yuan coughed tactically a few times, and then said, "Last time...... It was me who was reckless, I apologize, I apologize. ”

Xu Yang said: "It's okay, I'm just going to go to the doctor, come with me." ”

"Hey, okay!" Xu Yuan immediately happily agreed.

Zhang Ke glanced at the kid and pointed to the packaged Chinese medicine on the counter, she said, "Xiao Xu, bring the medicine." ”

When Xu Yuan heard this title, he was stunned: "Xiao Xu?"

Zhang Ke glanced at him and said, "Nonsense, I'm Dr. Xu's boss." ”

Yes, I can't afford to mess with it. Xu Yuan laughed a few times and obediently picked up the medicine on the table.

Song Qiang also shook his head, revealing a look of sympathy.

The three of them walked into the community.

went upstairs and went to Zhang Ke's house.

After entering the door, Xu Yang said, "Close the doors and windows." ”

Zhang Ke nodded: "Now, Xiao Xu, go close the window." ”

Xu Yuan was stunned again.

Xu Yang shook his head speechlessly: "Hurry up, don't ink, you still have to go to work." ”

Zhang Ke also smiled and said, "Okay, okay, let's come together." ”

Xu Yuan put the medicine in his hand, and several people closed the doors and windows of the house together.

Zhang Ke went in and pushed her father out.

Xu Yang said to Xu Yuan outside: "The patient has had a stroke for two months, and it has not healed so far, the right half of his body is paralyzed, his tongue is stiff, and his speech is slurred. Do you know why I have to close the doors and windows?"

Xu Yuan was obviously stunned for a moment, he didn't know.

And Zhang Ke has already pushed Zhang Sanqian out.

Zhang Sanqian still looked like his eyes were crooked and his mouth was slanted, his expression was depressed, and he looked bored.

"This is the patient, right?" Xu Yuan asked.

Zhang Sanqian also raised his head slowly, and when he saw Xu Yang's face, his boring eyes suddenly widened.

Xu Yuan also looked at Zhang Sanqian a little strangely, and then looked at Xu Yang.

Xu Yang bowed slightly, and he asked Xu Yuan first: "Do you know the cause of the stroke?"

This is about to take the exam, Xu Yuan immediately lifted his spirits, and he organized the language: "Stroke is caused by internal injuries, fatigue, diet, emotion or external evils and other factors, resulting in yin and yang imbalance, qi and blood reversal, and upward rush to the brain. The main symptoms are sudden fainting, unconscious, hemiplegia, squint of mouth and eyes, and poor speech. ”

Xu Yang smiled, and he said, "Standard textbook answers." ”

Xu Yuan scratched his head a little embarrassed.

Zhang Sanqian looked at these two young people strangely, what are these two people doing?

Zhang Sanqian glanced at Zhang Ke who was standing on the side again, and saw that his daughter was looking at Xu Yang without blinking.

Zhang Sanqian's eyes immediately showed a look of enlightenment.

Xu Yang said: "The disease of stroke has been around for a long time. In the "Neijing", it is called 'great convulsion', 'servant attack', 'partial dryness', and 'prickly wind'. ”

"The Golden Essentials" lists the names of stroke diseases for the first time, and puts forward the theory of inner deficiency and evil. Zhong Jing pointed out that the cause of stroke is 'the emptiness of the veins and the evil of the wind'. ”

And according to the depth of the evil and the severity of the disease, it is divided into the middle meridians, the middle meridians, and the middle intestines and the middle organs. In terms of treatment, it is to disperse the wind and dispel the evil and support the righteous qi. ”

Xu Yuan had already taken out his notebook and took notes.

Zhang Sanqian looked at the two of them with disgust, and pouted with a crooked mouth, how many years ago did you deceive girls into pretending to be old-fashioned?

Xu Yang said to Xu Yuan again: "What about the middle viscera, it can be divided into yang closure certificate, yin closure certificate and exit certificate. The symptoms of this yang closure syndrome are faintness, unconsciousness, trismus, hands clenched, face redness and shortness of breath, or phlegm like saws, or body heat and restlessness. The tongue is yellow or greasy, and the veins are many and slippery. And what about the yin......"

Xu Yang reviewed the clinical dialectical points with Xu Yuan little by little.

Xu Yuan also honestly remembered his notes.

After finishing speaking, Xu Yang said to Xu Yuan: "I have already told you the main points of dialectic, will you now dialectically verify the cause of this patient?"

Xu Yuan was thinking.

Xu Yang said to Zhang Ke: "You go and fry the medicine first." ”

"Good. Zhang Ke responded and went to the kitchen with the medicine.

Xu Yuan thought for a moment and asked, "Well, the patient's tongue is like a ......"

Xu Yang didn't let him look at Zhang Sanqian's tongue, he said directly: "The tongue is slightly red, and the moss is thin and white." ”

"Huh?" Xu Yuan was slightly stunned, this tongue hint is not obvious.

Xu Yuan asked about Zhang Sanqian's symptoms again.

Zhang Sanqianli didn't want to pay attention to him.

Xu Yuan was helpless.

The patient was so uncooperative, Xu Yang was a little uneasy, so he said to Xu Yuan: "The patient has no other symptoms as far as you see these symptoms." In addition, the patient's right hand cannot move, and the right hemibody is paralyzed. ”

"That's all?" Xu Yuan was stunned.

Xu Yang nodded.

Xu Yuan was even more confused, and the patient's symptoms were also not obvious, basically the common symptoms of stroke patients, unable to speak, and not acting well.

In fact, this is the difficulty of curing diseases, although the various symptoms are clearly written in the textbooks, but the patients are not born according to the textbooks.

Xu Yuan thought for a while and said, "Hmm...... According to the time since the onset of the patient's illness, the acute phase has passed and the recovery phase has been transferred. And if the patient has no other symptoms, only hemiplegia, I think it can be used to replenish yang and return five soups. ”

"Half of the body is lost, mostly because of the loss of vitality. Replenish yang and return five soups, reuse astragalus, can greatly replenish its qi. Its compatibility also includes meridian medicine that invigorates blood circulation and can treat meridian congestion and should be effective. ”

Zhang Sanqian squinted at Xu Yuan, and although it was very difficult, he still rolled his eyes.

Xu Yang asked, "Qi deficiency and blood stasis?"

Xu Yuan said: "Uh...... Because the patient's symptoms are not obvious. Then we call it stroke, and Western medicine calls it stroke. Generally, half of the body is due to cerebral vascular infarction. ”

"Because it doesn't work, qi is the handsomeness of blood, and it must be right to make up for its qi, and it is necessary to have qi to command blood, and it has the principle of blockage? ”

Xu Yang shook his head and smiled.

Xu Yuan's heart hung in at that time, and he asked, "Teacher Xu, am I not right?"

Xu Yang said: "Typical Western medicine thinking, see stasis, see blockage and unblockage. Thanks to the fact that there are various instruments now, it can be illuminated that the patient has a cerebral infarction, but in ancient times, without these instruments, how could there be bruising?"

"Uh......" Xu Yuan didn't know how to answer for a while.

Xu Yang said: "It is not that the five soups of Yang Replenishment and Five Soups cannot be used, but the premise is that you have to dialectically determine whether the patient is qi deficiency and blood stasis, and the tongue image is light purple or ecchymosis, and the patient's tongue image does not remind this." When the symptoms are unclear, pulse diagnosis should be used as evidence. ”

"You have two mistakes, first, you simply assume that the patient is in recovery two months after hearing that he has had a stroke. Second, when the symptoms are unknown, they do not respect the pulse syndrome and make judgments based on Western medical diagnosis. ”

"It is important to know that in the treatment of diseases in Chinese medicine, there must not be half a preconceived notion in mind. We should keep in mind Zhongjing's guidance of 'looking at the pulse and evidence, knowing what is wrong, and treating it with the evidence'. ”

"In the future, before each treatment, recite these 12 characters again before the patient can be diagnosed. Xu Yang said to Xu Yuan.

"Got it. Xu Yuan replied sullenly.

Zhang Sanqian rolled his eyes, crooked his mouth and stammered in a low voice, "You...... Feign...... Loading ......"