Chapter 759: Analysis of the condition

Seeing Ye Chen standing on the podium, his head was the Tao, and he knew exactly what these students wanted to hear, there was no doubt that in Zhang Binlun's opinion, Ye Chen was indeed enough to be a teacher, not just a student.

is as young as Ye Chen, if he really wants to be a university teacher. In fact, although it is very rare in universities at home and abroad, there are some of them.

However, now Ye Chen is just a student, which makes Zhang Binlun feel wasted.

While Zhang Binlun continued to listen, Ye Chen continued: "Now I examine this female patient, and I find that in addition to the specific symptoms on the table, I look at her tongue now, and I find that her tongue is dark and white and greasy. ”

"Open the tongue part of your "Diagnostics of Traditional Chinese Medicine", and the tongue image you are talking about now is here. Tongue diagnosis, also known as tongue diagnosis, is an important part of the diagnosis method to observe the changes in the tongue body and tongue coating to detect the changes in the disease. ”

It can be said that the tongue and the viscera meridians are closely related, the tongue is the seedling of the heart, the hand is less yin and the heart meridian is the tongue, the tongue is the spleen outside the larynx, the foot is too yin and the spleen meridian is connected to the tongue, scattered under the tongue, the kidney hides the essence, the foot is less yin and kidney meridians and the tongue, the liver hides the blood, the main tendon, its meridians are in the tongue, the lung system reaches the throat, and is connected to the root of the tongue. The tongue coating is formed by the evaporation of the stomach and the valley gas on the tongue. ”

"As for how to look at the tongue image, if different tongue images show different symptoms, let Teacher Liao explain it to you in detail in class, but I won't talk about it for now. It can only be said that looking at the tongue is very important for a doctor, and it is also very important for the treatment of patients. Because traditional Chinese medicine is different from Western medicine, Western medicine can use various modern medical devices to observe the patient's internal organs. ”

"From the time it developed to the present, Chinese medicine has not seen the situation in the patient's body through those medical devices at all. However, by looking at the tongue, for example, the tongue image just mentioned, you can know the condition of the patient's internal organs, and you already know this, let alone say it. ”

At this point, Zhang Binlun admired it even more after hearing it. Many people don't know why doctors always ask patients to stick out their tongues or hold a small flashlight to look at them, thinking that this is redundant.

In fact, when you really know that the meaning is in it, you don't ask so much. However, many ordinary doctors themselves can't explain it clearly, and now Ye Chen has explained it very clearly, why should he see the patient's tongue clearly?

Ye Chen continued: "I said in this case that the patient's pulse was dark tongue and white and greasy. Among them, the tongue is dark, which first talks about the tongue color, the tongue color can be divided into light red, which is the situation of normal people, and then to light white, which mainly represents the symptoms of the patient, belonging to qi and blood deficiency or yang qi weakness, and then the red tongue, which represents the patient's main heat syndrome, the redder the tongue represents the more heat potential, and the bruised and purple tongue mainly shows that the breath is not running smoothly, as for the symptoms of the bruised and purple tongue, you can look at it in the textbook, and the dark tongue means that the tongue color table is purple and dark, which means that the patient has symptoms of congestion and internal obstruction。 ”

"When it comes to the patient's white and greasy, it means that the patient is mostly damp, the phlegm has stopped drinking, or the food accumulation has not yet turned into heat. Of course, this is already judging from the tongue coating in the tongue image, and if I want to make it clear, I am afraid that it will take half a class, so I will tell you about these when Mr. Liao arrives. ”

Now Ye Chen has simply explained to his classmates the importance of looking at the tongue image, as well as the situation of the tongue image, which represents the patient's situation.

"When it comes to the female patient's pulse, it's slippery. This is already talking about the importance of cutting the pulse and pressing the pulse, at this point, in the last lecture, Mr. Liao in the class, has proved the importance of cutting the pulse, I will not say it anymore, as for the meaning of the pulse symbol, the pulse is slippery, indicating that this is a compound pulse, that is, including both the Shen pulse and the slippery pulse, the Shen pulse is very clear, the main is the evidence, that is, the disease of the viscera. Slippery veins are generally phlegm drinking, food accumulation, and real heat. ”

Now Ye Chen has specifically looked at the patient's specific symptoms, the situation of the doctor before, and now the tongue and pulse that appear on the table, and can naturally judge what kind of disease the symptoms of this female patient belong to?

In such a situation, it is natural to be able to go through the dialectic of Chinese medicine, and then come to the treatment and write the prescription.

"I have analyzed the situation of the female patient, and the attending doctor can already prescribe medicine in this case. However, I won't talk about the dialectics of Chinese medicine, the treatment of Chinese medicine, and the prescriptions, but let me ask Professor Zhang first, and let him come to diagnose it.

Zhang Binlun listened to it with relish, but he didn't expect that when Ye Chen asked him, Zhang Binlun thought that Ye Chen was going to test him.

Zhang Binlun smiled and said, "Since Ye Chen wants to test me, then I will say it now." According to Western medicine, the condition of this female patient is menopausal syndrome, and according to traditional Chinese medicine, it is Chongren's disorder depression, which belongs to depression in traditional Chinese medicine. ”

When Zhang Binlun said it, Ye Chen knew that what he said was right, and said with a smile: "What Professor Zhang said is right, this is the patient's illness, Yu Zheng." Basically, if there is no mistake in the dialectic here, there will be no mistake in prescribing the specific symptoms and prescriptions for the patients with depression syndrome. ”

Of course, the following classmates have already heard of the term menopausal syndrome, and many times, they also describe that some women are crazy and sarcastically that the other party is menopause.

This is undoubtedly swearing.

Of course, female menopausal syndrome is a transitional period in which a woman's function gradually declines to completely disappear, and a series of clinical symptoms appear due to physiological and psychological changes, such as hot sweating, irritability, palpitations, insomnia, or depression and forgetfulness.

According to the clinical table, this disease belongs to the category of "premenopausal and postmenopausal syndromes" in traditional Chinese medicine.

The occurrence of this disease is the physiological changes that occur in women before and after menopause, when the kidney qi gradually fails, Chong Ren is deficient, the essence and blood are insufficient, the day is gradually extinct, and the menstruation is about to be interrupted to menopause, but some women are unable to adapt to these physiological changes due to the influence of physical or mental factors, as well as other factors, so that the balance of yin and yang is out of balance, and the dysfunction of viscera qi and blood is a series of symptoms of visceral dysfunction.

Just now Ye Chen said that the female patient is 56 years old, and the woman has not yet had menopause in her 50s, which obviously indicates that it is too late, and it is also a little abnormal, which will definitely cause some problems, and it is this female patient who has specific symptoms such as depression syndrome.

While those classmates were still pondering, they naturally basically knew the situation of this patient's case.

However, in view of this situation, if the treatment is carried out, how to prescribe medicine, which has a lot to do with dialectical treatment and pharmacy, how to prescribe medicine, how many medicines, at this point, I am afraid that it will be difficult for Ye Chen to explain it clearly to them in detail for a year.