Chapter XXVIII

The first patient to come in was an old man about sixty years old, who was supported by a young man, and as soon as the young man came in, he hurriedly said to Wang Zhi: "Doctor Wang, please show my grandfather quickly, he has been coughing all the time these days, and he coughs very badly." ”

"Sit!" Wang Zhi smiled lightly, asked the old man to sit down, and began to check the old man's pulse.

About a minute later, Wang Zhi let go of the old man's wrist and said softly: "The old man should have a history of coughing and phlegm for many years, and the symptoms are mostly aggravated in winter, eagerly accompanied by shortness of breath and chest tightness. ”

Saying this, Wang Zhi turned his head to look at Qian Senhu and said, "How should I use medicine for this disease." ”

Qian Senhu heard Wang Zhi ask himself, thought about it for a while, and hurriedly said: "You can use three coins for Taizisen, six coins for Mai Dong, two coins for Schisandra chinensis, three coins for refrigerated land, three coins for yam meat, three coins for yam, three coins for danpi, and six coins for Poria cocos, and take it by boiling." ”

"Well, that's good, you can add two coins of Zexiao and six coins of salvia, let's prescribe medicine" Wang Zhi nodded with satisfaction and said.

"Okay master." Qian Senhu quickly wrote the prescription, while thinking about Wang Zhijia's two flavors.

Wang Zhi took the prescription handed over by Qian Senhu, glanced at it, and said to the young man: "Your grandfather's disease is a chronic disease, you must pay attention to taking medicine on time, let the old people exercise more, do less physical work, and avoid catching a cold." ”

After sending the old man out, Wang Zhi began to receive the next patient.

The patient was a measles patient, and Wang Zhi explained to Qian Senhu while examining it: "The disease is divided into three stages, the first stage is the incubation period, and the time ranges from six to eighteen days. The second stage is the prodromal phase, which usually lasts three to four months, and the most prominent symptom is fever

The third stage is the eruption stage, about two to five days, generally starting on the fourth day of fever, the rash begins at the hairline behind the ears, decreases to the forehead and cheeks, and then spreads rapidly from top to bottom, and finally reaches the limbs, and the rash on the tips of the hands, feet and nose is the same

This disease can be treated with traditional Chinese medicine, the first step is to cool the surface, clear the lungs, can be used honeysuckle, forsythia, kudzu root each two and a half money, nepeta, parsnip, cimicifuga, mutong, bamboo leaves, front hu, each two money decoction to take, the second part of the heat and detoxification, accompanied by diarash, can be used Xihe willow, cicada wings, Pueraria root The third step is the rash return stage treatment, the pathology is to nourish qi and nourish yin, clear the remaining evil, available"

After Wang Zhi finished speaking, he looked at Qian Senhu and said, "Do you know that there is a reverse treatment for this disease?" ”

Qian Senhu scratched his head, a little embarrassed, although he has graduated for more than a year, but there is almost no experience in treatment, this period of time I still asked Wang Zhi a lot of things, in order to treat some simple typhoid fever and rheumatism, this kind of disease To be honest, if you use Western medicine, Qian Senhu knows a little, but when it comes to using Chinese medicine, it is a little difficult.

Ignoring Qian Senhu, Wang Zhi prescribed medical records to the patient and arranged for the patient to be hospitalized first, although this disease is simple, but if the treatment is not timely or neglected, it will cause some complications, so hospitalization is the safest.

Sending the patient away, Wang Zhi looked at Qian Senhu with a smile and said: "All kinds of diseases have causes, and in the final analysis, this disease is the invasion of evil cold, which belongs to the category of typhoid fever.

There is a cloud in the medical book: "Yang deficiency will produce external cold, yin deficiency will produce internal heat, and yang sheng will produce external heat, and the qi of all yang will be subjected to the upper coke, and the warm skin will be divided between the flesh, and now the cold will invade the outside, so that the upper coke can not be promoted, and the yang energy can not be fully reached to the warm skin to divide the flesh, so that the cold is left on the surface of the skin, so that cold eczema and other symptoms occur."

The Yellow Emperor said that yin and yang are the general laws of the universe, the outline of all things, the origin of all changes, and the root of growth and destruction. To cure a disease, we must seek the root of the change in the disease, and the truth is nothing more than the word yin and yang. Taking the changes in nature as an analogy, the qi of the pure yang gathers at the top and becomes the sky, and the qi of the turbid yin accumulates at the bottom and becomes the earth. Yin is more static, and Yang is more restless; The yang is generated, and the yin is grown; The yang lord kills, and the yin lord collects. Yang energy transforms power, and yin energy forms the body. When it is extremely cold, it will produce heat, and when it is extremely hot, it will produce cold; Cold air can produce turbid yin, and hot air can produce clear yang; If the qi of the pure yang is lower and does not rise, the disease of diarrhea will occur. If the turbidity of yin qi rises and does not fall, the disease of fullness will occur. This is the normal and abnormal change of yin and yang, so there is a difference between reverse and positive syndrome in disease.

When treating, it is natural to diagnose and treat the cause, and I have already talked about the treatment of the disease, and you should also introduce the reverse treatment. ”

"This master, because it should be to clear heat and detoxify, open and close the lungs, clear heat and detoxify, open and close the pharynx, calm the liver and extinguish the wind, clear the camp and detoxify, isn't it?" Qian Senhu was not stupid in the first place, and Wang Zhi suddenly understood.

"Well, that's not bad, no matter what kind of cause of the disease is the same, you have to remember that the way of Chinese medicine is also ever-changing, no matter how you change the prescription and the treatment at will, it all revolves around the cause." Wang Zhi explained in detail and invited the next patient again.

This time, Wang Zhi explained to Qian Senhu for each patient, from pulse differentiation to pathological inference, and finally syndrome differentiation treatment, Qian Senhu listened to it comfortably, but the patients outside were a little confused, many people heard that Dr. Wang's treatment speed is fast and the effect is good, but this time it is a little slow.

Although these people were a little confused, no one complained, after all, Dr. Wang was able to diagnose and treat carefully and slowly, which was naturally better.

Wang Zhi was in it for diagnosis and treatment, and there were still more than a dozen patients waiting for him to get off work, at this time Wang Zhi naturally slowed down, no way, it was not easy for patients to come once, if it was not today's turn, then he would have to come again tomorrow.

Fortunately, Wang Zhi deliberately sped up the speed, and finally finished reading all the patients before getting off work, and walked out of the consultation room with Qian Senhu, Wang Zhi asked softly: "What have you gained today?" ”

"This," Qian Senhu said with some embarrassment: "The harvest is still there, but I can't say it." ”

"That's right?" Wang Zhi smiled with satisfaction: "The real harvest and comprehension is that you will understand it if you have yourself, and it is normal if you can't say it, you just need to remember that the way of Chinese medicine focuses on cultivating the mind, and the mind is calm and deep, and the mind is chaotic and shallow." ”

"Got it, master." Qian Senhu nodded, and asked with some confusion: "Master, don't they all say that Chinese medicine has the way of being assisted by monarchs and ministers, how do you say this?" ”

"Hehe," Wang Zhi smiled lightly: "The various organs of the human body are like a court, the heart, which dominates the whole body, is the official of the monarch, and people's spiritual consciousness and thinking activities come out of this." The lungs are the officials of the Xiangfu, just like the Xiangfu assists the monarch, and regulates the activities of the whole body because of the Lord's body. The liver, the wrath of the Lord, the bravery like the general, is called the general's officer, and the strategy comes from this. In the middle of the heart, it is the minister who maintains the heart and accepts its commands, and the joy of the heart is transmitted by it. The spleen and stomach are the officials of the cang, and the tasteless yin and yang are digested, absorbed, and transported by their action. The large intestine is the organ of conduction, which can transport the dross of food, so that it can be excreted from the body in the form of feces. The small intestine is the organ of the feast, which bears the food that goes down in the stomach and further differentiates and clears the turbidity. The kidney is a strong official, which can make people exert their strength and produce all kinds of tricks. Sanjiao, the official of the deceiver, is able to pass through the waterway. The bladder is the official of the state capital, which stores the fluid, and through vaporization, it can eliminate the urine ......"

Wang Zhi paused and then said: "This writing organ has its own small court, each of which has a corresponding function and role, and it is natural to treat it differently when it is treated."

Qian Senhu listened to Wang Zhi's eloquent talk on the side, and remembered with his heart that although these things Wang Zhi said were basic, they were also of great significance.

Wang Zhi looked at Qian Senhu's serious expression and was also satisfied, although Qian Senhu was sleek, but he had a good surname and was also very interested in traditional Chinese medicine, otherwise even if Wang Zhi had a heart, it would be difficult for Qian Senhu to make great achievements.

ps: Xiaoxiao is a little dizzy today, maybe it's the reason why I haven't slept well these days, I'm sorry for having to change it today, Xiaoxiao will try to make up for it, thank you for your support and comments, I hope you will continue to work hard, and put Chinese medicine on top, Xiaoxiao is also taking time to recharge, try to write a Chinese medicine text that everyone likes.

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