Chapter 413: Jiang Huijia lectures
Jiang Huijia did not have many patients in the morning, and the first patient she received was yellow all over her body and had remote symptoms, which can indeed be called an incurable symptom in today's era. Pen × fun × Pavilion www. biquge。 info
Jiang Huijia diagnosed that this person was actually suffering from capillary cholangiohepatitis.
There is also a name for this disease, which is called jaundice.
Of course, there are many types of jaundice, and here, the patient's jaundice symptoms are mainly caused by capillary bile duct obstruction and bile stasis.
This makes the patient's whole body appear in a dark yellow state, which is very strange and terrifying in the eyes of the ancients who are not well informed and are easily affected by the thoughts of ghosts and gods.
Jiang Huijia has encountered such patients before, but she usually treats them with Western medicine. But fortunately, Mr. Jiang has always advocated pure Chinese medicine methods, and in Mr. Jiang's place, Jiang Huijia has seen his prescription medical case.
At this time, Jiang Huijia couldn't help but be grateful to Old Man Jiang in her heart.
Although there are differences between individual patients, Jiang Huijia is not a novice, but an experienced famous doctor, as long as she has ideas, it is easy for her to prescribe a prescription.
Jiang Huijia prescribed a unilateral prescription based on rhubarb aconite soup, and said: "Use ten doses first, and then come for a follow-up and adjust the unilateral prescription." ”
The patient said a little nervously: "Dare to ask the divine doctor, under the symptoms...... Is it serious?"
Jiang Huijia said with a smile: "This disease starts from the liver, and the syndrome is a lack of central yang, dampness and internal resistance, and the spleen is not responsible. It's not a strange disease, just get wet to get yellow, you don't have to be suspicious. ”
Many times, the patient's psyche often affects the body.
There are also many examples in modern times that people with mental health and active relaxation are more likely to overcome illness, while people who are suspicious and afraid of gloom all day long, even if they are not sick, may get sick after a long time.
In traditional Chinese medicine, this is called emotional injury.
Therefore, Jiang Huijia understands the importance of calming the patient's emotions, and now this patient seems to have been depressed for a long time because of the dark yellow appearance of his whole body, and if he is allowed to be depressed, even if he takes medicine, the effect will be reduced.
The patient finally relaxed with some gratitude, and with a little hesitation that still lingered.
Jiang Huijia explained the case to Liu Siyuan, Qiao Yan and Bai Guo.
Liu Siyuan asked: "Why do you use rhubarb aconite soup? Rhubarb aconite soup is mainly used to treat migraine pain and fever under the ribs. The gentleman actually used it to treat jaundice, which is really amazing...... Studied but cannot comprehend. ”
As he spoke, he scratched his hair and smiled embarrassedly as if he had asked a question.
Liu Siyuan has a lively and cunning temperament, and Jiang Huijia used to be very wary of him. However, after getting along for a long time, you can also find that his nature is not bad, and he is extremely smart.
He already has a solid foundation, even better than Qiao Yan, if Jiang Huijia wants to train a sitting physician who can take charge of himself as quickly as possible, Liu Siyuan is a good choice.
Jiang Huijia is not an ancient, she does not have the concept that secret skills cannot be passed on in her mind, on the contrary, if she can, she is willing to spread her medical skills faster.
Wouldn't it be a merit if we could save more people by spreading medical skills?
It's just that doctors can save people and kill people, and this concept was carefully admonished at the beginning of her medical studies. So even if she wants to teach, it is measured, orderly, and reserved.
Liu Siyuan is still a registered disciple, if he can completely pass the test one day, Jiang Huijia will not mind teaching him.
However, her reservations are mainly in acupuncture and surgery, and she does not dare to leave her hands behind when explaining cases. Otherwise, this is not a disciple, but a harm to the sick.
"Although rhubarb aconite soup is only a three-flavor medicine, it can be ever-changing. Jiang Huijia said, "I will add dried ginger, cinnamon branches, atractylodes, poria cocos, and Yinchen ...... to this recipe."
She explained one-sidedly and dissected in detail.
Although this person's jaundice is caused by the overflow of bile fluid, the root cause is the lack of Zhongyang and the loss of spleen luck. Therefore, to prescribe the right medicine, it should warm the yang and dissipate turbidity, strengthen the spleen and help luck. ”
"Doctors pay the most attention to syndrome differentiation and treatment. Jiang Huijia said, "What is the meaning of syndrome differentiation and treatment? The most important thing is not where the lesion is, but the cause, pathogenesis, evil, and truth...... It is important to know that the human body is a unified treasure and cannot be treated differently, as the so-called pulling a trigger and moving the whole body......"
She is simple and detailed, and the level of her lectures is really first-class.
Compared with many old-fashioned doctors who only ask their apprentices to memorize medical books and memorize unilateral prescriptions, they are really good at teaching their apprentices.
Compared with Western medicine, which has struggled in ignorance for too many years and finally rose rapidly, the inheritance of Chinese medicine is simply not known to be many times longer and more splendid.
However, famous doctors can write books and speak, but they may not know how to teach their disciples.
Especially when the ancients wrote books, they also paid attention to a small word, which is easy to lead future generations to guess: what does this sentence mean, and what does that sentence mean?
I can't finish guessing, but how many people can really understand the true meaning?
Those who can understand and can come out of the blue, those are the best among them, just like that, I don't know how many detours I have to take and how many years I have to ponder.
Where can it compare to Jiang Huijia's simple and straightforward, in-depth and meticulous lectures?
Jiang Huijia continued: "I specifically asked before, this patient is in business, doing waterway business, and has to take a boat from Jiangnan to the capital all the year round. Do you know why I went out of my way to ask the other party for a living?"
At the same time, Imperial Physician Zhao and his party, who had already walked to the main entrance of the withered grass hall, then paused.
They didn't hide their whereabouts very much, but Jiang Huijia happened to be facing away from the gate at this time, and Liu Siyuan was bowing his head and desperately taking notes, and the movement outside was ignored by several people.
Imperial Physician Zhao's face was very suspicious, among the several people in the group, he was walking behind, and the one walking in the front was an inner eunuch wearing an inner servant's robe.
In fact, Imperial Physician Zhao had been listening quietly in front of this door for about half a cup of tea, and after he came out of the palace, he came directly to the vicinity of the withered grass hall, in order to know whether the emperor would summon Jiang Huijia for the first time.
He didn't expect that he would meet Jiang Huijia to give a lecture to his disciples, and he didn't expect that Jiang Huijia would speak so wonderfully that even he was fascinated by it.
I only heard Bai Guo's lively voice and said: "The lady said that the patient's name, age and identity must be recorded on the medical case for later verification." ”
Liu Siyuan and Qiao Yan also agreed.
Jiang Huijia said: "This is just one thing, the most important thing is that the patient often walks on the waterway, and is susceptible to the formation of internal resistance by cold and dampness, so I can more accurately judge that if I want to remove yellowness for him, I need to chase the dampness for him first." Dry ginger is warm, cinnamon branches are warm and veined, Yin Chen is damp and yellow, and they work together to warm yang and strengthen the spleen, which is the right medicine. ”
Liu Siyuan finally said suddenly: "That's why Mr. prescribes prescriptions, and rarely uses precious medicinal materials. On the contrary, common medicines, as long as they are properly matched and prescribed to the right medicine, the effect may be better!"
Jiang Huijia nodded and smiled: "Good!"
Sure enough, Liu Siyuan has the best talent!
Prescribing the right medicine is the most simple medication principle, it is easy to understand, but I don't know how difficult it is to do!
Suddenly, I heard a sound of slapping outside the door.