Chapter 38 Severe Illness of Beriberi

In terms of the relationship between disease and syndrome, the same disease is often reflected differently in different individuals. Zhou Quanlin came to the conclusion through careful study that the so-called same disease and different syndromes, the same disease, and the syndromes can be completely different, so when considering the treatment plan, in addition to examining the disease, we should also focus on considering the change factors of the syndrome.

Western medicine emphasizes the identification of diseases and the common factors of diseases, such as anti-tuberculosis, all of which require the use of anti-tuberculosis drugs, and there is no difference at all.

However, the difference in traditional Chinese medicine is that although people have tuberculosis, each person's individual differences are different, that is, the symptoms are different, and they should be treated differently, and the prescription and dosage should be adjusted.

Western medicine wants to find common factors in the complex pathological changes, that is, to strengthen abstract concepts, which is the best thing about Western medicine.

However, TCM emphasizes the individuality of each patient on the basis of the commonality of the same disease. Syndrome differentiation in TCM is to find out the unique personality of the patient, so it not only emphasizes the common diseases, but also grasps the characteristics of individuality, which is the most superb aspect of TCM.

Each article in the "Treatise on Typhoid Fever" is premised on the identification of diseases, and further dialectical evidence must be further distinguished, which is the preciousness of this monograph, so it is said that "Treatise on Typhoid Fever" is a bible for medical diagnosis.

From the conceptual point of view, Chinese medicine is stronger, Chinese medicine not only has a history of more than 2,000 years, but also has a lot of excellent traditional medicine, there are many famous masters, and there are many strange cases of diagnosis like legends.

It's a pity that the inheritors of Chinese medicine are not so competitive, we did not come from behind, but made Chinese medicine into a chaotic situation, although Chinese medicine is excellent, but not inherited well, which is related to the inheritance method, related to the soft power of a country, and related to the standardization of Chinese medicine, because Chinese medicine does not have high-standard national standards, there is no effective means of inheritance.

For example, pulse diagnosis, many students learn the four dissimilarities, so the application will be greatly discounted, and it is impossible to distinguish between syndromes and treatment, which is different from Western medicine, because Western medicine finds the lack of doctors' level according to the results of laboratory tests and various instrument examinations.

However, it is difficult to treat TCM if it is not well distinguished, it is difficult to learn, master, and improve the level of TCM, and it is really difficult to be a good TCM.

Zhou Quanlin has a deep understanding of this.

……

Zhou Quanlin's process of learning Chinese medicine is legendary, but learning is one thing, being a doctor for a few years is quite hard, going to the mountains and going to the countryside to diagnose and treat diseases for the people, encountering all kinds of strange diseases, is the most inexhaustible wealth in Zhou Quanlin's life.

Among the diseases encountered by Zhou Quanlin was beriberi.

In August of this year, the sister-in-law of Lin Qingxiang, the director of the county guest house, was sick, and Lin Qingxiang happened to know Zhou Quanlin, so he came to Zhou Quanlin to ask.

"Qingxiang, why are you free, is your lover's lumbar protrusion cured?" Seeing Lin Qingxiang's anxious face, Zhou Quanlin thought that he was coming to him for his wife's old problems.

"Doctor Zhou, there's nothing wrong with the illness of the insider. It's just that my sister-in-law's feet have a problem, I want to ask if you can take a look! ”

As the so-called Chinese medicine does not distinguish between internal and external diseases, everything that can be seen can be seen.

If the hand is cut by a knife, there should be no big difference between the treatment methods of Chinese medicine and Western medicine.

It is often a stubborn chronic disease, and Western medicine can not find the cause, and some patients think of Chinese medicine.

"What's wrong with your foot, it's hurt?" Zhou Quanlin was very curious, if he was injured, wouldn't it be over if he went to the hospital to bandage it.

"It's not an external injury, my sister-in-law has beriberi, it's been 6 years, and every summer it's rotten feet, this year it's bad, swollen and rotten, and now I'm vomiting and vomiting, and I'm a little delirious."

"Qingxiang! Qingxiang, it's so serious, it's going to delay the condition. "Zhou Quanlin really didn't expect that a beriberi disease would be dragged into a serious illness, how can he endure it for 6 years.

"Then, Doctor Zhou, you see me bring her here."

"What else to carry, hurry up and I'll go over and take a look, now the patient should not move."

"Good! Quick, I've got the car ready. ”

Zhou Quanlin took the medicine box, said hello to the doctor in the same room, and went to the clinic with Lin Qingxiang.

Getting into the jeep prepared by Lin Qingxiang, Zhou Quanlin said: "Qingxiang, listening to your description, I feel that this disease is likely to have been poisoned into the blood, and it is a critical disease of attacking the heart. ”

"Okay, I wrote it down, Quan Lin, her sister and I have always felt that the girl's family has this beriberi, and we are embarrassed to meet people, take care of it, and apply some special medicine to get better, I don't want to drag the disease seriously."

"Qingxiang, beriberi is not big, but if it is serious, it will be acutely infected, and the poison of dampness and heat will enter the blood and attack, which is called 'beriberi attacking the heart' in ancient times, which will endanger life."

"This disease has existed since ancient times."

"Yes, there it is! Take me to see it. ”

Arrived at the quaint Chinese-style courtyard of Lin Qingxiang's house, the yard was neat and clean, and a thick and sturdy jujube tree was planted in the middle of the yard, Lin Qingxiang led Zhou Quanlin to the west wing, which was a woman's boudoir, although the house was not big, but it was neat and warm.

"Shi Xian, I brought Dr. Zhou here, how is Shi Hui's illness?"

Lin Qingxiang's wife, Shi Xian, hurriedly stood up and spoke to Zhou Quanlin, "Doctor Zhou, you are here, my sister Shi Hui is not in a good condition, and I am about to send her to the hospital!" ”

"Sister-in-law, hello, Brother Qingxiang just introduced Shi Hui's condition to me, I don't think it is appropriate to move, now I will immediately diagnose her and prescribe a prescription, do not hesitate to do so, at present, Shi Hui's illness can be big or small, rescue is the focus."

"Okay, Doctor Zhou, you can quickly diagnose Shi Hui!"

First of all, Zhou Quanlin looked at Shi Hui's tongue, the tongue coating was yellow and thick and sticky, and then the pulse was diagnosed, and the pulse was smooth and solid.

Looking at Shihui's feet, his feet were abnormally swollen, and the pus did not stop, the pus and blood were viscous, the legs were red and swollen all the way to the top of the knees, and the lymph nodes in the groin were red and swollen, and there was pain when pressed slightly.

"Shi Hui, how do you feel now?"

"Dr. Zhou, my stomach is very swollen, no, I want to throw up." Then Shi Hui vomited non-stop, sweating, and his consciousness was a little unclear, and when he asked something, Shi Hui shook his hand and said nothing.

"Sister-in-law, how is Shihui's second poop in the past two days?"

"The stool was dry, and I didn't poop for three or four days. She had also been constipated before. ”

"It can be determined, Shi Hui, it is damp heat that turns poison into the blood, the intestines are solid, and the filth is attacked, it must be a critical disease of beriberi attacking the heart."

"Ahh Dr. Zhou, don't scare me, my sister is only 25 years old! She's fine, how can I explain it to my parents! Shixian was very nervous and a little overwhelmed.

"Sister-in-law, don't be afraid, I'll prescribe a prescription immediately, let Brother Qingxiang grab the medicine, although this disease is serious, we still have a way."

"Really, you can scare me to death, hurry, Dr. Zhou, prescribe a prescription quickly."