Chapter 35 Dialectic, Disease Differentiation (Seeking Collection and Investment)

Hearing this, Liao Lao Chinese Medicine nodded and said: "Well, so, when you are young, you must pay attention to health preservation, eat and drink sparingly, live regularly, and do not work in vain." ”

Yan Shubo was thoughtful when he heard this, and said, "Master, can Chinese medicine cure cancer?"

After hearing this, Old Chinese Medicine Liao pondered for a moment and said, "If you want to completely cure cancer, I'm afraid it's very difficult. ”

Yan Shubo asked curiously when he heard this: "Why?"

Hearing this, Liao Lao TCM buried his head in the prescription paper, thought very seriously for a moment and said: "On the one hand, of course, it is the problem of our doctors, one is dialectic, and the other is medication. There are hundreds of mistakes in medicine: the doctor is wrong, the dialectic is difficult, the three causes are like three mountains, the three mountains have thousands of veins, and the disease has a root cause to look carefully. The doctor is wrong, the medicine is not in the middle, the attack is not the right symptom of cold and temperature, the real and the false are not light, and the hand must be strict and cautious. ”

After hearing this, Yan Shubo didn't understand much about it, but he also heard a few important words, one was dialectic, and the other was that the medicine was not in use, in other words, the doctor's diagnosis error and improper medication. This kind of thing exists not only in Chinese medicine, but also in Western medicine.

However, Western medicine now relies heavily on the results of machine examinations, and very few doctors do basic physical examinations.

With the development of science and technology, Chinese medicine has gradually begun to rely on the results of examinations.

Yan Shubo couldn't figure it out, now that there is a machine to help, how can there be a dialectical difficulty, and immediately said in disbelief: "Master, there are all kinds of examination equipment now, as long as we let the patient go to the hospital for examination, isn't it much easier to dialectic?"

Old Chinese medicine doctor Liao smiled when he heard this: "The results of the inspection equipment are Western medical diagnoses, and they are basically not linked to traditional Chinese medicine diagnoses. Take the stomach cancer patient just now as an example, the hospital, we, and the patient all know that she has stomach cancer, and it is natural that Western medicine treats stomach cancer, but we Chinese medicine people are not, stomach cancer is just to distinguish the disease, but not dialectic, the symptoms are different, and the medication is of course different. ”

Yan Shubo was dizzy by Liao Lao's Chinese medicine in the last part of the discussion, but he finally understood that Western medicine diagnosis is to distinguish diseases, not dialectics in traditional Chinese medicine, and he doubted at the moment: "Master, since distinguishing diseases is not dialectic, is there any benefit in distinguishing diseases?"

Old Chinese Medicine Liao showed a look of approval when he heard this, and said with a smile: "Well, you asked this question well, of course distinguishing the disease is not the same as dialectic. Syndrome differentiation and treatment is the principle and method of using TCM theories to observe, analyze, diagnose, treat and deal with diseases. It consists of two interrelated stages: dialectical and argumentative. The so-called syndrome differentiation refers to the analysis and identification of the syndrome of the disease, that is, based on the basic theories of the viscera meridians, etiology, pathogenesis, etc., through the analysis and synthesis of the symptoms, signs and other clinical data collected from the four diagnoses (looking, smelling, asking, and cutting), to distinguish the cause, nature, and location of the disease, as well as the relationship between evil and good, and then generalize and judge what syndrome it belongs to; Syndrome differentiation and treatment are two interrelated and inseparable aspects in the process of diagnosis and treatment of diseases, and they are the specific application of rational prescriptions in clinical practice. As a major feature of TCM diagnosis and treatment of diseases, syndrome differentiation and treatment is of great significance both theoretically and clinically. ”

Speaking of this, Liao Lao TCM picked up the water cup and took a sip of water, and continued: "Syndrome differentiation and treatment are not only different from symptomatic treatment, but also different from disease differentiation and treatment. In symptomatic care, "symptoms" refer to symptoms and signs, i.e., the various abnormal sensations that the person perceives on their own, or certain signs that are perceived by the doctor. For example, the cancer patient's stomach pain, vomiting, and so on. Symptomatic treatment is targeted with symptoms and signs as the main goal. The "syndrome" in syndrome differentiation and treatment is a generalization of a certain stage or type of pathogenesis in the development of a body's disease. Because it includes the location, cause, nature and relationship between evil and positive of the lesion, and reflects the pathological changes at a certain stage in the development of the disease, it can reflect the essence of the disease more comprehensively, profoundly and accurately than the symptoms. ”

Therefore, in the process of clinical diagnosis and treatment, it is necessary to deal with the relationship between the three, understand the disease and syndrome differentiation on the basis of analyzing the symptoms, and the treatment should be combined with syndrome differentiation and treatment, and the symptomatic treatment is only supplemented. In this way, we can not only grasp the development law of the disease, but also grasp the different symptoms in the course of the disease caused by various factors such as individual differences. ”

Yan Shubo listened to it, while quickly writing down the lecture of Liao Lao Chinese medicine in a notebook, the knowledge involved in the master's lecture is a bit complicated, but it is nothing more than symptomatic treatment, disease differentiation, dialectical treatment, symptomatic treatment is easy to understand, take stomach cancer patients as an example, medication to relieve stomach pain, vomiting is called symptomatic treatment, and this is also the name in Western medicine.

However, it is the first time I have heard of it, and according to the meaning of the master's words, it should be based on the patient's symptoms and signs plus the results of the examination, and the specific disease of the patient, such as stomach cancer.

Syndrome differentiation and treatment is a saying in traditional Chinese medicine, according to the master's words, it is much more complicated than disease differentiation, and it is necessary to go through four diagnoses and references.

After figuring out the difference, Yan Shubo's whole body was inexplicably light, but when he thought that there was no inspection instrument in ancient times, a thought suddenly popped up: "Master, in ancient times, the ancestors did not have instruments to do examinations, how did they diagnose and treat diseases?"

Liao Lao TCM not only showed no signs of impatience with Yan Shubo's behavior of breaking the casserole to ask the end, but showed a look of approval and admired the latter very much, because the questions raised by the latter always hit the nail on the head and grasped the essence of the problem, while Lu Wei, who likes to ask questions, has no rules at all, a hammer in the east and a stick in the west, asking a mess, and continuing to ask the same question not long after asking.

No matter how good the cultivation is, in the face of people like Lu Wei, there will be a day when you can't stand it.

There is a world of difference between the two, to put it mildly, there is no comparison at all.

And Du Ziyang is different from the two, he usually looks like he knows everything, but once he asks about it, he doesn't understand bullshit, and he belongs to the kind of person who doesn't learn and doesn't know how to do it.

Thinking of this, Liao Lao TCM felt a pity that he had a body of medical skills but no one inherited it, which could not but be said to be a big regret in life, but fortunately, God favored him and sent such a good seedling.

Yan Shubo didn't know that he had a high evaluation in his master's heart, even if he knew, he could only laugh, and now there was a very real problem in front of him, that is, he was powerless to take his father's illness, and he had neither arrogant capital nor arrogant confidence.

Liao Lao TCM smiled and said: "Yes, there were no instruments in ancient times, of course, it is impossible to see at once whether the patient's disease is stomach cancer, and it can only be eliminated one by one by trying. There were not many doctors who could treat incurable diseases in ancient times. ”

As soon as he finished speaking, the phone on the waist of Liao Lao TCM rang, and he took a look, and it was Li Weimin, director of the cardiology department of the County People's Hospital.

Old Chinese Medicine Liao glanced back at Yan Shubo, pressed the answer button, and said with a smile: "Hey, Director Li, what is the matter with you, a nobleman, looking for my old man?"

Director Li's laughing voice came from the microphone: "Look at what you said Lao Liao, can't I talk to you casually if it's okay?"

Old Chinese medicine Liao said with a smile: "I also want to talk casually, but I'm very busy now, so if you have anything to say, just say it." ”

Li Weimin had no choice but to get straight to the point: "We have a heart failure patient here, and I strongly request to prescribe a few pairs of Chinese medicine to eat, but I have no choice, I can only find you." As for the cost, the old rules, no problem, right?"

Old Chinese Medicine Liao groaned slightly when he heard this, nodded and said, "Okay." After 5 p.m., I came over after seeing the patient. ”

Taking advantage of the time when Liao Lao Chinese Medicine was on the phone, Yan Shubo quietly came to the medicine cabinet, picked up the prescription of the cancer patient and looked at it carefully: American ginseng, Poria cocos, centipede, yam, white flower snake tongue grass, half branch lotus, burnt astragalus......

Among them, American ginseng, yam, centipede Yan Shubo has heard a little, during the work in Tonghua Hospital, I have heard patients say that American ginseng is powdered to eat, as for what role it plays, it is unknown, since the name has the word "ginseng", it is estimated that it should be like ginseng tonic.