Chapter 186: The study asks the right question, and the preschool class is over

Zhang's hometown, in the study. Pen, fun, and www.biquge.info

Or three people sit opposite each other, Mr. Chen is a very good companion, although he does not speak most of the time when he is in the study, but his presence is very useful for the positioning of the atmosphere in the study, and it is difficult to say how it is, anyway, it is very important.

Zhang Lao didn't talk about the new content today, but said to Xu Guangling: "Humble words, about some basic conditions of the human body, as well as popular pathologies, etc., I have already told you about it, for the time being, it is over, and I will test you today." ”

Xu Guangling was a little expectant, but also a little nervous, and said solemnly: "Teacher, please speak!"

"Patient A, male, 28 years old, no medical history, no family history, 26 years old with irregular heart rate, the condition has become more and more severe in the past two years, often feels dull pain and tingling in the heart area, tachycardia occurs at noon every day. In the past year or two, many people have sought treatment, but the effect is very small. ”

Zhang Lao didn't say half a word of nonsense, and said directly, "Please give a summary of this patient." ”

Xu Guangling groaned.

There is only one condition in which there is no medical history, no family history, arrhythmia and tachycardia for up to two years, excluding a temporary nervous and stress reaction.

After sorting out his thoughts and words, about two minutes later, Xu Guangling said slowly:

"When the patient is obese, this disease is preliminarily determined to be fat accumulation, which is the hyperplasia of fat in the heart area, which leads to irregular heart rate, the accumulation of fat in the blood and the deposition of blood vessels, resulting in tachycardia, the body is overweight, and the metabolism of the viscera is disordered, resulting in excessive load on the heart, resulting in dull pain and tingling in the heart area. ”

"If this condition continues, the patient will suffer from high blood pressure, arthritis and other symptoms, lack of energy, fear of cold and chills, but at noon, the palms of the hands will be damp, and at night, the body will have a fever and other reactions. ”

If this situation continues, the patient will experience symptoms of lack of energy and restlessness throughout the day, and it will not be until the heat of the body at night can he achieve a short period of calm. ”

This is the fundamental analysis, and then here's how to deal with it:

"Male, 28 years old, no medical history, no family history, can consider fasting, dieting, rapid and mandatory weight loss. ”

"Get up before 7 o'clock in the morning, drink a large glass of honey water or ginseng water on an empty stomach, calculated as 500ml, and then do half an hour or an hour of exercise, which can be a walk, a brisk walk, or a high leg in place. ”

"Half an hour or an hour after exercise, eat breakfast, skip staple foods, and only eat plenty of vegetables to induce the breakdown of protein and fat in the body, and at the same time clean up impurities. ”

"A glass of milk for lunch, 200ml as a meter, bed rest for one hour to two hours after drinking milk, on the one hand, allows the body to metabolize and replenish, on the other hand, reduces the burden on the heart, and avoids rapid heartbeat during this time. ”

"Continue to eat plenty of vegetables for dinner, and if you start with unbearable hunger, you can replace it with yam porridge and potato soup. ”

"Dinner time should be at least two hours before falling asleep, when you fall asleep, continue to drink a large glass of honey water or ginseng slices on an empty stomach, if you feel weak, you can also take American ginseng lozenges and the like to sleep. ”

"After one to two months, the patient's physical burden will be significantly reduced, and problems such as irregular heart rate and tachycardia can be relieved and cured. ”

After Xu Guangling finished speaking, he waited for Zhang Lao's judgment.

Zhang Lao did not judge, but just nodded, in fact, it was not affirmative but noncommittal, and then continued to ask:

"Patient B, male, 34 years old, 174 cm tall, 62 kg weight, suffering from migraine, most of the onset in the afternoon, please give a review of this patient. ”

Xu Guangling pondered.

This second case is a bit more difficult than the first one.

The first one just now, in the school's parlance, is to send a score question, anyone who has a little understanding of the operation of the body, will not answer wrong, the difference is only in the answer is good or excellent, there is no problem in passing. And this second one is not difficult, but it has been comprehensively judged from the school examination.

There are many cases of migraines.

However, "male, 34 years old, height 174cm, weight 62kg", "most of the onset time is in the afternoon", this is the former means that it is not obese, the latter means that it is not neuralgia, so if there are no other serious conditions, the patient is most likely due to insufficient cerebral blood supply, which causes headache.

In addition, it is a migraine, not a headache, indicating that the patient's body qi and blood are both weak and stagnant.

The patient's weight is in the standard range, not thin or obese, but the qi and blood are deficient and stagnant, which means that on the one hand, there is a lack of exercise, on the other hand, most of the diet and sleep are not up to standard, or there is also a possibility that things are too frequent, resulting in a greater dissipation of essence and qi.

Qi and blood deficiency should be mainly nourishing, and qi and blood stagnation should be supplemented by exercise.

Xu Guangling thought for a while, and said this judgment and the treatment plan derived from this judgment.

After hearing this, Zhang Lao was still noncommittal, and then threw out the third case: "Patient C, male, 40 years old, suffers from frozen shoulder, lumbar disc herniation, and arthritis of the right leg, please give a review of this patient." ”

After Xu Guangling listened, he thought deeply for the first time.

This third case, compared to the second case just now, is a little more difficult because it provides more insidious conditions. If you put it in the school exam paper, this is already a question that is easy to lose marks.

However, it is not a problem.

Frozen shoulder, herniated lumbar disc, arthritis of the right leg, joint problems in the upper, middle and lower parts of the body, all three places, then it is not a joint problem, but a systemic problem.

Frozen shoulder and lumbar disc herniation can be considered to be long-term compression of the upper body.

However, it is only the arthritis of the right leg and not the two legs, which excludes the previous judgment, so in the final analysis, this is still a symptom of qi and blood stagnation, and it is due to stagnation due to deficiency, and on this basis, there is a long-term lack of activity, resulting in the phenomenon of "traffic jam" in the whole body.

There are problems in the upper, middle and lower positions, which means that this situation has not occurred for a while, and when it develops to such a situation, there should be no severe pain in the process, and the symptoms are slow accumulation, and long-term qi and blood deficiency will lead to visceral imbalance, and visceral imbalance will lead to further qi and blood deficiency.

Therefore, when frozen shoulder, lumbar disc herniation, and arthritis of the right leg all appear, it indicates that the patient's body is already in a rather worrying situation, and what is manifested is joint inflammation, and what is not manifested may be a hidden disease of the viscera, and it is recommended to conduct a systemic examination of his body.

After Xu Guangling answered, without pause, Zhang Lao continued to ask the fourth question: "Patient D ,......"

And so, one after another.

The conditions provided are not getting less and less, but the symptoms of the patients are becoming more and more complicated, and many strange cases are simply unseen and unheard of by Xu Guangling before, of course, Zhang Lao has not talked about it before.

But seeing that Zhang Lao asked so fluently, Xu Guangling felt that most of these cases should be real, and they were probably cases that Zhang Lao had indeed encountered before!

Moreover, Zhang Lao must have diagnosed it!

In other words, Xu Guangling feels that he is now probably comparing himself with a "Millennium First Divine Doctor".

Of course, there is no comparison, and the big defeat is his only ending, but Xu Guangling doesn't want to lose too badly, so next, every case, especially the one he doesn't get accurately, has to put all his mind into answering.

From patient A to patient G, from patient H to patient N, the alphabet is only half gone, Xu Guangling is already sweating on his forehead, and there is also some hidden sweat behind him, although it is not as good as sweating all over his body after practicing Tai Chi in the morning, but in fact, Xu Guangling feels more tired at this time.

Doing Tai Chi is only exerting oneself and not exerting one's mind, and at this time, it is simply physically and mentally exhausted.

Just when Xu Guangling was secretly worried about whether he had enough energy to deal with the next more cases, he saw Zhang Lao smile slightly, and there seemed to be a hint of cunning in that smile, well, Xu Guangling didn't know if he was wrong.

Then he heard the old man say, "All right, humble words, let's stop here today." ”