Chapter 17: Following the Teacher (1)
After the etiquette is over, it's time to eat.
Old Chinese medicine doctor Liao went downstairs, opened the door on the first floor, and smiled and invited a group of people waiting for treatment outside the house to come over for dinner.
After hearing the news of Liao Lao TCM's apprenticeship, everyone congratulated themselves, some people shirked and said that they had eaten in the restaurant, some people smiled and agreed to it, and someone in the center wrapped a red envelope, which was to give Liao Lao TCM a fortress.
Liao Lao TCM naturally rejected everyone sternly.
During the meal, Yan Shubo greeted the five senior brothers and sisters in front of him, got to know each other, and added each other's contact information, but it was difficult to remember so many people and names for a while, and he had to put some thought into it in the future.
The only thing that impressed me the most was a middle-aged man in his forties, who spoke a lot during the whole process, and was very humorous, and looked very approachable, and everyone called him "Second Senior Brother".
After some excitement, the five brothers and sisters left their homes.
After a follow-up visit, Yan's father grabbed Chinese medicine for a month, then returned to his hometown with Yan's mother and left Yan Shubo at Liao's house.
The Liao family regained their calm again and continued to receive patients as usual.
Yan Shubo, led by Liao Xingchun, went to the room on the third floor near the stairs and placed the belongings he brought.
Listening to Liao Xingchun's introduction, this room was originally lived by the fourth senior brother Luo Xing, a very handsome guy.
Tidying up the room is a common thing for Yan Shubo, who was born in the countryside, and after sending Liao Xingchun away, he quickly cleaned up his hands and feet, carefully took out the books, and placed them on the small bookshelf in the room like a baby.
When it was over, Yan Shubo suddenly remembered the red cloth bag given by the master, took it and opened it, and it was an old and unbearable "Treatise on Typhoid Fever", which looked a little old, the writing paper was rough and yellowish, and the words inside looked like they were carved, and many of them were traditional characters.
In the open space at the end of the paragraph, there are many marks and comments, but because of their age, some words are very vague and difficult to guess.
And underneath the old "Treatise on Typhoid Fever", there is a notebook lying quietly.
Yan Shubo opened it and saw that the font in the notebook was neat and clear, and it was effortless to read.
Yan Shubo couldn't understand why the master gave him a worn-out copy of "Treatise on Typhoid Fever" as a meeting gift, and also gave him his own notes, these two things seemed too sparse and ordinary.
However, since it was a gift from the master, Yan Shubo naturally did not dare to throw them away, so he carefully locked them in a drawer and left the room.
If Liao Lao Chinese Medicine knew about this, he would definitely be so angry that he blew his beard and stared, he regarded this old "Treatise on Typhoid Fever" as if it were a baby, and the second apprentice Zeng Shijun wanted to fight the idea of the book several times, but he was stunned and did not let him succeed.
Yan Shubo naturally didn't know that such an old engraving version of "Treatise on Typhoid Fever" could no longer only look at the use value, but the collection value behind it.
When they came to the hall on the first floor, everyone was busy treating patients in an orderly manner.
Yan Shubo tiptoed to the side of Liao Lao Chinese Medicine, and stood behind him without saying a word, carefully observing the other party's words and deeds.
After listening to the conversation between Liao Lao TCM and the patient, Yan Shubo roughly judged that the other party was diagnosed with bronchial asthma in the hospital because of cough and asthma, and was relieved by infusion treatment in the hospital for half a month, and the condition recurred less than ten days after being discharged.
During his work in Tonghua Hospital, Yan Shubo received the most patients for bronchopulmonary diseases, most of whom suffered from chronic bronchitis because of smoking, which was relatively easy to treat, while bronchial asthma was the most headache, after dexamethasone and aminophylline were controlled, they would recur within a few days, even if they were sprayed with albuterol in the throat, it would not work.
Yan Shubo had a headache about this, and he didn't know if there was a problem with the diagnosis or the treatment.
It's a pity that Tonghua Hospital has a single examination, and it is impossible to further examine it at all, so he can only suggest that the patient go to a higher-level hospital, and at the same time leave a phone number so that he can return to visit at any time.
Judging from the results of the subsequent return visits, those patients who had no effect went to a big hospital, the outcome was about the same, and the treatment effect was not obvious, so they could only rely on taking theophylline sustained-release tablets plus albuterol spray (or better sulitide) to survive naturally in the summer, and some patients really couldn't stand it and turned to traditional Chinese medicine for treatment.
Yan Shubo was puzzled by this, how could he have no ambitions, but there was no solution.
Since they met, Yan Shubo naturally wanted to figure it out, and immediately pointed his ears and listened to the conversation between the two.
Liao Lao TCM checked the patient's pulse, then picked up the tongue depressor and glanced at the tongue coating, then took the prescription from the patient's hand, glanced at it lightly, and said, "Zhang San, how many years have you been in asthma?"
The patient known as "Zhang San" thought carefully for a moment when he heard this, and said, "I'm afraid it's been more than ten years, and it started in my thirties." At the beginning, it only took a few days to get a sling, but in the past two or three years, it didn't work, and I couldn't move, and I started to wheezing as soon as I moved. ”
Hearing this, Old Chinese Medicine Liao nodded and said, "Do you have cold pain in your waist, how many times do you get up to go to the toilet at night?"
Zhang San nodded like a chicken pecking rice when he heard this: "It hurts, the back hurts very much, every time I do something a little, the pain is even worse, and I feel that my waist is not in my body." If you can't sleep at night, if you don't use an electric blanket or hot water bottle, the bed will still be cold in the early morning. As for going to the toilet, go to the toilet two or three times a night. ”
Hearing this, Old Chinese Medicine Liao nodded with a smile and said, "Zhang San, you have two deficiencies in the lungs and kidneys, and the kidneys don't accept qi, I'll prescribe a prescription for you to replenish the lungs and kidneys, you can eat it for a month to see the effect." ”
Zhang San let out an expressionless "oh": "Doctor Liao, is there anything to avoid?"
Old Chinese medicine doctor Liao glanced at Zhang San when he heard this: "You have to strengthen nutrition, don't be picky eaters, usually eat more soup and vegetables, and eat less spicy." And don't drink cold water, drink warm water. Don't blow the air conditioner in the summer. ”
Zhang San smiled helplessly when he heard this: "No way, I'm a picky eater, and I resolutely don't eat non-taste dishes." ”
When Liao Lao TCM was prescribing the prescription, Yan Shubo picked up the prescription on the side and took a cursory look, and found that the prescription doctor's signature was written with Xu Junhai's name, which seemed to be prescribed by Senior Brother Xu, and it was estimated that it was not prescribed correctly.
After reading the prescription, Yan Shubo raised his head curiously, quickly looked around the hall, and had a general understanding of the environment of the hall. In addition to the six masters and apprentices in the hall, there were also three pharmacists who were catching Chinese medicines, and they kept shuttling around the medicine cabinet like bees working among the flowers.
At the time of the assessment, the four senior brothers and sisters were still sitting at the four diagnosis and treatment tables at the door, taking the pulse of the patients, diagnosing the disease, and prescribing medicines.
The other three are much worse, especially Du Ziyang's movements are very rusty, and he often forgets this and that, obviously he hasn't been getting started for long.
After the prescription was issued, Liao Lao TCM handed the prescription to Zhang San to grab the medicine, and then he had to take a look at Yan Shubo: "Are they all settled?"
Yan Shubo nodded with a smile and said, "It's all settled, does the master have any instructions?"
Old Chinese Medicine Liao shook his head when he heard this, and then seemed to think of something, and turned his head to look at Zhang Sandao: "You heard a lot on the side just now, right? If you use the ideas of Western medicine, there must be your diagnosis and treatment plan, right?"
Yan Shubo nodded when he heard this, and did not say too much, but waited for the master to continue.
Sure enough, Old Chinese Medicine Liao nodded undeniably and said, "What is your diagnosis of Zhang San?"
"Bronchial asthma. ”
"Where's his sick place?"
"In the lungs. ”
"Lung, what?"
"The lungs are the main divisions for breathing, the main for water, towards the hundred pulses, and the main sections. ”
"Why is Zhang San gasping?"
"Huh?" Yan Shubo was a little confused by a series of questions from the other party, and when he heard why he wheezed, he couldn't help but think of the explanation in Western medicine, and immediately said: "Asthma is a chronic inflammatory disease of the airways involving a variety of cells, including inflammatory cells of the airways (such as eosinophils, mast cells, T lymphocytes, neutrophils) and structural cells (such as smooth muscle cells, airway epithelial cells, etc.) and cellular components. Key features include chronic airway inflammation, hyperresponsiveness of the airway to multiple stimuli, widespread and variable reversible airflow limitation, and a range of changes in airway architecture with prolonged disease. ”
Yan Shubo added: "Exercise, cold air, environmental pollution, smoking, drugs (such as aspirin, etc.), mental and psychological factors, etc., can stimulate the high responsiveness of the airways, so wheezing and shortness of breath occur." ”
Old Chinese medicine Liao smiled faintly when he heard this: "Well, yes, the foundation of Western medicine is quite good." However, what I want is not a Western medical explanation, but an explanation with the knowledge in "Basic Theories of Traditional Chinese Medicine". ”
"Huh?" Yan Shubo laughed embarrassedly when he heard this, scratched his head embarrassedly and said, "Master, I really can't answer this." ”
"Then do you know why Zhang San only needs to move a little bit, which causes wheezing?"
Yan Shubo was a little embarrassed when he heard this, and shook his head quite embarrassed.
"Why does Zhang San have low back pain, sensitivity to cold, and can't sleep hot at night?"