Chapter XXVII: The Dialectic of the Eight Outlines

Anyway, I couldn't understand it, after Yan Shubo copied these contents, he read all the content again, and only then did he understand that in addition to the typical eight-gang diseases, there are also two-gang syndromes like "deficiency and cold syndrome", and even three-gang syndromes such as "deficiency and cold syndrome".

In addition to syndromes, there are also true and false diseases that need to be distinguished, such as true cold and false heat, true heat and false cold syndrome, etc., in addition to various cross diseases, such as the surface and the void, the surface and the truth, the upper and the lower real, the upper and the lower and the false, and the dead yin and the dead yang, etc.

After reading it, Yan Shubo couldn't help but smile bitterly, and secretly said: "This thing of Chinese medicine is so complicated, it's like arranging troops, true and false, false and real, and giving people ecstasy at every turn." ”

However, Yan Shubo finally has self-knowledge, knowing that his steps are a bit big, "the road must be taken step by step, and the food must be eaten one bite at a time", he still understands, and when he thinks about it, he also understands why the master Liao Lao Chinese Medicine asked him to lay a good foundation.

Judging from the name of the Eight Gang Dialectic, everything is inseparable from its origin, which completely revolves around the attributes of yin and yang, and is to apply the theory of yin and yang to clinical practice.

After figuring this out, Yan Shubo suddenly had a hint of realization in his heart.

Yan Shubo quickly skimmed through the copied notes, and suddenly found the answer to a certain question from it! That is, the question I asked Liao Xingchun just now, the relationship and difference between yin and yang and the other six outlines: Yin and yang syndrome differentiation is the two outlines to distinguish the nature of the disease, clinically the yin pattern refers to the deficiency and cold pattern of the Li pattern, and the yang pattern refers to the real heat of the Li pattern.

In this way, the eight-outline dialectic makes sense.

Figuring out the relationship between the Eight Outlines Dialectics does not mean that Yan Shubo understands the connotation and essence of the Eight Outlines Dialectics, and his understanding of the Eight Outlines Dialectics stays in a literal understanding, and it is too early to absorb the essence of the Eightfold Dialectics.

Who didn't let him get the golden finger?

No matter how good a person's understanding is, he has to take it step by step.

Yan Shubo pondered for a moment, and finally decided to start with the differentiation of cold and heat, after all, it was confirmed from Liao Xingchun's mouth just now that Liao Qiang's daughter-in-law's illness was cold, and there were ready-made cases for reference.

Generally speaking, the cold pattern is the pattern of the body's yang energy deficiency or the feeling of cold evil, and the heat pattern is the pattern of the body's yang energy being abundant or feeling the heat evil.

In other words, it is the "Basic Theory of Traditional Chinese Medicine" that yin and yang are partial or weak, "Yang is hot, Yin is cold", "Yang deficiency is cold, Yin deficiency is hot".

The cold syndrome is a syndrome manifested by the evil of feeling yin and cold (such as cold evil and damp evil) or yang deficiency and yin prosperity, the weakness of yang qi in the viscera and the attenuation of functional activities, which can be divided into the surface cold pattern and the internal cold pattern. Clinical symptoms include: chills, cold limbs, lack of thirst or preference for hot drinks, pale complexion, cough with white sputum, abdominal pain and warmth, loose stools, and clear and long urine. The tongue is pale and pale, and the pulse is slow.

After reading these contents, Yan Shubo didn't know much about it, but he couldn't help but say that he didn't gain anything, and finally understood that cold can be caused by the invasion of the body by the cold.

As soon as he saw the word "cold", Yan Shubo instantly remembered that Liao Qiang's daughter-in-law drank ice drinks, the weather was already cold in spring, and drinking ice drinks made it worse, no wonder if there was no abdominal pain!

For the rest of the content, Yan Shubo can only memorize by rote, and he can't understand the meaning at all.

After reading the cold disease, Yan Shubo shifted his attention to the heat certificate again.

The heat pattern is a syndrome that feels the evil of yang heat (such as wind evil, heat evil, fire evil, etc.) or yang prosperity and yin deficiency, excessive yang energy in the viscera, loss of yin fluid, and hyperfunctional activity, which can be divided into surface heat pattern and heat pattern. Clinical symptoms include: fever, no chills, irritability, thirst and cold drinks, red face, yellow and thick sputum, abdominal pain and coldness, dry stool, and short and red urine. The tongue is red, yellow, and has a number of pulses.

After reading the whole content, Yan Shubo didn't know much about it, but he had a vague feeling in his heart that this heat syndrome seemed to be very similar to clinical manifestations such as purulent tonsillitis, lobar pneumonia, and appendicitis.

At this point, Yan Shubo once again encountered the same problem, that is, he was not sure whether what he wanted was correct or not.

He thought of Liao Lao Chinese Medicine and Liao Xingchun, and finally decided to give up and find someone to ask tomorrow.

However, when my eyes fell on the three names of purulent tonsillitis, lobar pneumonia, and appendicitis, I had an inexplicable feeling in my mind that there seemed to be some kind of connection between the three, and as for what kind of connection, I couldn't remember it for a while.

"Well, it would be nice to have someone to talk about. Yan Shubo pursed his somewhat dry lips and said with longing.

Just one day, Yan Shubo encountered too many incomprehensible problems, and he really didn't have the heart to start the head machine, and inadvertently reminded him of the days of Tonghua Hospital, where everyone was at the same level, discussing medical problems without any scruples, winning without arrogance or impatience, and losing without feeling ashamed, and making progress together in the discussion.

However, since you have encountered a problem, you can't avoid it and put it on the shelf.

Yan Shubo opened his mobile phone again and searched for the above three disease names on Du Niang:

Purulent tonsillitis, severe sore throat, worsening when swallowing, pain that may radiate to the ear. At the onset of the disease, it can also cause chills, high fever, body temperature can reach more than 38.5 °C, accompanied by headache, decreased appetite, fatigue, general malaise and other symptoms. The main pathogen is beta hemolytic streptococcus.

Lobar pneumonia: an acute inflammation involving more than one lung segment and predominantly diffuse fibrinous exudation in the alveoli. Lesions begin in localized alveoli and rapidly spread to one lung segment or entire lobe. The clinical onset is abrupt, often starting with high fever and chills, followed by chest pain, cough, rust-colored sputum, dyspnea, signs of lung consolidation, and elevated peripheral blood white blood cell count. Common causes of illness include cold, exertion, or rain. It is mainly caused by Streptococcus pneumoniae.

Appendicitis: typically presents with metastatic right lower quadrant pain with fever, nausea, and vomiting, with fixed tenderness in the right lower quadrant. The most common pathogen is Escherichia coli.

After looking at the clinical manifestations of the three, fever is a common clinical feature, in addition, coughing up yellow sputum, abdominal pain and cold are also consistent with the manifestations of heat syndrome.

As for the pathogenic bacteria, they are three types of bacteria: beta-hemolytic streptococcus, Streptococcus pneumoniae, and Escherichia coli.

After the word "bacteria" came out of his mind, Yan Shubo's eyes lit up, and he suddenly had a realization in his heart, etiology said that bacteria cure diseases, and there is its primary inflammation: the primary inflammation caused by various pathogenic bacteria is related to its distribution in the human body, characterized by local redness, swelling, heat, pain and dysfunction.

The characteristics of this bacterial treatment seem to be compatible with the heat syndrome!

Suddenly, a bold idea popped up in Yan Shubo's mind: Could it be that the heat is not the bacterial infection in Western medicine?

"Hey, I've made the same mistake again, and I'm thinking a little far. Yan Shubo couldn't help but smile self-deprecatingly: "I haven't figured it out yet, and I want to compare it with the disease of Western medicine, which is a bit whimsical, right?!"

Despite this, Yan Shubo finally wrote down what he thought in his notebook so that he could check and check it at the appropriate time.

Yan Shubo rubbed his temples, picked up his mobile phone and took a look, and found that time slipped away so fast, and before he knew it, it was half past ten.

He decided to put aside the cold and heat questions for the time being, and first memorized the five elements comparison table, and then said, if the master wants to ask again tomorrow, it is better to be prepared, so as not to be too passive.

After reading it for about an hour, Yan Shubo suddenly felt sleepy, yawned, and slept in his clothes.

……

Nothing was said all night.

Early the next morning, Yan Shubo rubbed his sleepy eyes, reluctantly turned off the alarm on his bedside mobile phone, and after washing, he quickly browsed the notes he made last night, and then walked out of the door and looked up at the slowly rising sun.

Feeling the vigor of the rising sun, Yan Shubo couldn't help but feel good and walked quickly towards the first floor.

As soon as I walked out of the small western-style building from the back door, I saw three familiar figures, and after a closer look, it was the master, the master and Liao Xingchun who were panting all the way over.

Yan Shubo stepped forward with a smile and greeted, "Master, you are ......"