Chapter 31 The Culture of Chinese Medicine in Words

The female patient couldn't help but feel resentful when she saw that the old Chinese medicine doctor Liao had finished dealing with it in three or two clicks, and said with an angry face: "Doctor Liao, that's how you treat people? It's too irresponsible to finish seeing it in less than a minute, and you don't give any treatment, right? Do you know that I waited outside early in the morning in order to see you, and you treat your patient like this?"

Seeing this, Liao Lao TCM was not angry, and explained with a smile: "This beauty, your disease is very simple, it is an ordinary bronchitis, but it is just because the time has dragged on for a little time, and the phlegm and heat hurt Jin." The prescription my apprentice gave you is roughly correct, so there is no need to make a big change, just remove the expectorant and add a yin-nourishing medicine. How can you say I didn't do anything?"

The female patient was speechless by the old Chinese medicine doctor Liao, but she always felt that she had suffered a loss, and the waiting time was too disproportionate to the time of diagnosis, and she inevitably wanted the other party to take a closer look, but she didn't know how to refute it.

Just when the female patient searched for the tissue words of the intestines and stomach, the old woman who was being treated by Lu Wei smiled and said, "This big girl, listen to me about one thing." A few years ago, I went to an old Chinese medicine doctor because of stomach problems, and when he saw me, he asked me for my previous prescription, and guess what, he only increased the amount of medicine on the previous prescription. At that time, I was also bored, isn't the medicine the same, can I still turn the sky up if I increase the dose?"

When the old woman said this, her face was full of aftertaste: "At that time, the old Chinese medicine doctor told me that once the dosage is changed, the efficacy of the whole prescription will be different." ”

The female patient was in a much better mood when she heard this, and said in disbelief: "Auntie, may I ask you, how was the effect later?"

The old woman smiled when she heard this: "Don't believe it, after I took the medicine of the old Chinese medicine doctor, my symptoms have been reduced a lot in a week, which is really amazing." So, today, Dr. Liao changed two flavors of medicine for you, and added one flavor of medicine, which is already a good treatment for you. ”

The female patient heard the "oh" sound, and then her face showed embarrassment, and after thanking her, she picked up the prescription and came to Xu Junhai's side according to the instructions of Liao Lao Chinese Medicine, and asked the latter to recopy the prescription and grab the medicine with satisfaction.

After sending away the female patient, the next two were patients with simple conditions, and after Xu Junhai saw it, he went directly to take the medicine.

Taking advantage of this vacancy, Old Chinese Medicine Liao turned his head with a smile, looked at Yan Shubo and said, "Do you remember?"

Yan Shubo smiled when he heard this: "I remembered it earlier, didn't you use your mind to compose a sentence when you were in the previous assessment, but I used my mind to comprehend and answer, so I hid my mind." As for the other problem, it is the kidneys that store sperm. ”

Old Chinese Medicine Liao nodded with satisfaction and said, "Then do you see anything from the word 'spirit'?"

Yan Shubo couldn't help but be dumbfounded when he heard this, and shook his head awkwardly: "I don't know." ”

Old Chinese Medicine Liao smiled indifferently and said: "Just now you said that yesterday's illness was not in good spirits, doesn't it mean that his spirit and spirit are not good?

Yan Shubo suddenly realized when he heard this, and said with a smile: "You mean that the kidney and heart functions of the Tibetan essence and the hidden spirit are not good?"

Old Chinese Medicine Liao stroked his beard and smiled when he heard this: "Well, sure enough, the children can be taught, and they can be understood at one point." Therefore, when we receive patients, we can roughly judge the mental condition of the other party's heart and kidneys. But then again, there are no absolutes in the world, and after all, you still have to make the final judgment by combining the four diagnoses. ”

Yan Shubo scratched his head and said, "Master, what is the combination of four diagnoses?"

"The combination of the four diagnoses is the simultaneous use of the four diagnoses of looking, smelling, asking, and cutting, or paying equal attention to the four diagnoses, which is actually the concrete embodiment of the overall concept of Chinese medicine in diagnostics. It is of great significance to fully understand the disease, identify the authenticity, and explore the origin. "The Book of Difficulty" on the clouds: God is known by sight, holiness is known by hearing, work is known by asking, and ingenuity is known by cutting the pulse. Do you know the truth behind this?"

Yan Shubo was confused when he heard this, the master also thinks too highly of himself, and now he hasn't even laid the basic theory, how can he understand what "Difficult Scripture" is, something he has never heard of.

Liao Lao TCM seemed to not know what Yan Shubo was thinking, and continued: "Those who look at it can see its five colors to know its disease. Those who know it by hearing it will hear its five tones to distinguish it from their diseases. Ask those who know, ask them what they want, so as to know the origin of their disease. Those who know the pulse should diagnose their mouths and see their reality to know their diseases and where the diseases are. The scriptures say that what is known outside is called holy, and what is known inside is called God, and this is also said. ”

Yan Shubo heard it in a fog, but he could also guess what the master wanted to express, which was nothing more than wanting to say the importance of "looking, hearing, asking, and cutting", and he heard "five colors", "five tones", "five flavors" and "virtual reality" from the other party's words, these four points are nothing more than yin and yang and the five elements.

Yin and Yang are still relatively easy to understand, but the five elements are much more complicated, Yan Shubo watched it all night last night, and he was still puzzled by this, and it was difficult to figure out the inner meaning of it.

Now after listening to the master's words, I don't dare to slack off at all, even if it is difficult to figure out, then I have to do everything possible to take it down, just in the "four diagnoses and references" there are three diagnoses related to the content of the five elements, which is enough to show the importance of the five elements.

Thinking of this, Yan Shubo shook his head helplessly and sighed: "Master, I haven't understood the five elements now, and I'm afraid I won't be able to understand these four diagnoses for a while." ”

Hearing this, Liao Lao TCM smiled faintly and said: "Don't rush everything, especially studying medicine, it can't be learned overnight." However, with your talent, it should not take a few days to figure out the five elements, if you really can't, come back to me as a teacher when the time comes. ”

Yan Shubo smiled "um" when he heard this, and thanked him repeatedly.

Old Chinese Medicine Liao nodded with satisfaction, and shifted the topic to the case of bronchial asthma: "Shubo, apart from the difference in spirit, is there any other difference?"

Yan Shubo pondered for a moment when he heard this, and when his eyes fell on the yellow thick phlegm, his brain flashed, and he hurriedly compared Zhang San's symptoms, and finally made a major discovery, but he was afraid of saying the wrong thing, so he hesitated a little and said: "I feel that the symptoms of today's asthma patient are hot, and yesterday's patient is cold." ”

"Oh?" Old Chinese Medicine Liao's eyes lit up when he heard this, and he looked at Yan Shubo in disbelief, this guy was only able to distinguish the symptoms of cold and heat in a day's work, which he didn't expect, he forcibly suppressed the shock in his heart, and said, "Tell me your reason." ”

Yan Shubo was quite embarrassed when he heard this, he didn't know whether his judgment was right or not, and now when he heard the master ask, he could only catch the duck on the shelf: "Yesterday's patient's phlegm was thin, and today's patient's phlegm is yellow and thick, and there is constipation. Master, I don't know if I'm right?"

Old Chinese Medicine Liao nodded happily when he heard this: "The idea is very good, but the listed diseases are still debatable." In particular, constipation knots are not necessarily heat, and cold symptoms are the same as constipation. ”

Yan Shubo let out an ignorant "oh", the amount of information is too large for him at the moment, and he can't accept it for a while.

Old Chinese Medicine Liao didn't seem to notice the abnormality on Yan Shubo's face, and continued: "I see that you are growing very fast, so I will say one more thing, the patient's low back pain, qi deficiency and weakness, and cold and fear of cold yesterday are the symptoms of lung and kidney yang deficiency, which is the deficiency and cold syndrome of the Li certificate you said in the morning." ”

Yan Shubo's eyes lit up when he heard this, and he said with surprise on his face: "Master, you said that the asthma patient yesterday was the so-called yang deficiency patient?"

Hearing this, Old Chinese Medicine Liao nodded and said, "That's right, the asthma patient yesterday was a yang deficiency patient, and your father was a heart yang deficiency plus spleen and kidney yang deficiency, which was much more serious than him." ”

At this moment, Yan Shubo finally had a little understanding of his father's condition, it turned out that it was spleen and kidney yang deficiency and heart yang deficiency, dare to love these diseases are equivalent to heart failure in Western medicine, but the diagnosis is a bit complicated, not only the dialectic of yin and yang, but also the three organs of the five organs.

Just when Yan Shubo was worried about his father, it didn't take long for the old woman who was helping Lao Liao to take the prescription prescribed by Xu Junhai and walked over with a smile, and said as he walked: "Doctor Liao, please help me take a look." ”