Some book friends proposed. The knowledge of Chinese medicine involved in the book is very interesting. By invitation only; , I don't understand, so I have to skip it, and I suggest that you can explain it a little when you narrate, so as to increase the interest and increase some knowledge of the motherland's medicine.

Lao Mu felt that this suggestion was very good, so he decided that from now on, Lao Mu would explain the etiology, pathogenesis and the logical reasoning process of syndrome differentiation in combination with the relevant theories of traditional Chinese medicine, and strive to make it reasonable.

Although traditional Chinese medicine is difficult to learn and master, but the truth is understood, it is still very interesting, I hope that Lao Mu's book can help book friends to have more understanding of the medicine of the motherland.

Qian Bushui replied respectfully: "Back to Master, there is a cloud in "Golden Hide": "The husband has a drink in his heart, and his back is cold." As described in the palm of the hand, it is consistent with the patient's symptoms, so the pre-diagnosis of decay is also argued to be careful to drink. Thinking carefully about Dr. Geng's prescription, there is nothing wrong with it, why the medicine is ineffective, and the old decay is not clear, please ask the master for advice. ”

What is Drink Attention? This has to start from the foundation of traditional Chinese medicine, which believes that the spleen and stomach are the same as the main digestion, and the metaplasia of subtle substances and qi, blood, and fluids required for life activities. It all depends on the digestion of the spleen and stomach. The spleen has a normal function of transport, which is called spleen qi and healthy luck, and the spleen absorbs the water in it on the basis of the subtlety of the water valley, generates it as jin fluid, and transports it to the whole body. Once the spleen is out of health, the yang qi of the spleen and stomach is weakened. The dysfunction of transporting water will lead to stagnation of water in the body, resulting in "phlegm drinking". Dropsy. and other lesions, as the so-called "spleen deficiency and dampness, spleen deficiency edema, and spleen are the source of phlegm."

The "drink and keep in mind" of the dialectical between the money and Dr. Geng is that there is a meaning of keeping a drink in the heart, "keep drinking." It is because of the deficiency of spleen and stomach yang, and the spleen is not healthy, which causes the transported fluid to condense and not work, and this kind of condensed fluid stays under the heart for a long time, just like a piece of ice.

Traditional Chinese medicine thinks. The human heart will produce high-temperature, damp and hot qi, which will be dispersed through the heart and Yu acupoints on the back of the person, but because the fluid is stagnant in the heart, the cold qi is above the heart, suppressing the heart yang. It cannot be transmitted to the back, so if you drink carefully, you will feel cold in the heart of the back of the heart.

On the other hand, if the place where the back of the heart is big is cold, it means that the spleen is out of health, and the fluid is stagnant in the heart, that is, the so-called "drinking and paying attention to the heart". The "Guishu Gantang" advocated by Qian Bushui and Dr. Geng has the effect of warming yang and drinking, strengthening the spleen and promoting dampness, and mainly treats the stagnation of jin fluid caused by insufficient spleen yang. It is a representative prescription under the treatment drink mind.

Du Wenhao listened. Shaking his head, he said: "You have only noticed that the dialectic should be comprehensive, and you can't only see one aspect, so the dialectic will be biased." This girl's asthma began at a young age, and she had a short shoulder lift, and she didn't have the problem of drinking and paying attention to it, and the problem of the kidneys not absorbing qi, didn't you notice? Answer: Although Guishu Gantang can be drunk with warm yang, it cannot tonify the kidneys and absorb qi, so use this. Fang Zi cured the disease, although Xinyang was temporarily restored, because the kidney qi was not absorbed, so she was out of breath, and the symptoms did not change fundamentally"

To understand the meaning of Du Wenhao's "kidneys do not accept qi", first explain the function of the kidneys in your own medicine.

In the theory of Chinese medicine. The function of the kidneys is not exactly the same as the function of the kidneys in Western medicine, and part of the kidney function in Chinese medicine is attributed to the respiratory system. Traditional Chinese medicine believes that the lungs belong to gold and the kidneys belong to water. Gold and water go hand in hand. The lungs are the main breathers, and the kidneys are the main ones to absorb the qi. The air inhaled by the lungs is sent to the kidneys, and the kidney qi has a sealing effect, absorbing the gas inhaled by the lungs and storing it. The gas is brought to the necessary depth in order to exchange with the turbidity produced in the body.

Once the kidney qi is weakened, the intake is weak, and the inhaled gas cannot be completely absorbed, the person's external manifestations will appear to breathe more and inhale less when breathing, and the breath will be panting after a little activity. In other words, in the final analysis, this symptom is caused by the lack of kidney qi and the inability to absorb the "kidney intolerance".

Because Dr. Geng and the money did not collect the use of the Guishu Gantang, which could not replenish the kidneys and absorb qi, the root cause of the girl's illness was not treated. Naturally, I was panting.

Du Wenhao continued: "In addition to these two reasons, the patient has been wheezing for many years, and the lung qi is reversed, and a lot of phlegm will go up with the adverse qi, and the chest and lungs are empty, which is most likely to make the phlegm drink accumulate, and the phlegm drink is hidden deep in the lungs. It's hard to expel cough and vomit, so I can only gasp for breath. It's also a reason for panting. ”

Du Wenhao dialed this, and when all the doctors heard it, they all nodded frequently, and couldn't help but brush their beards in admiration. Qian Bushui and Dr. Geng also suddenly realized that they were ashamed.

Doctor Geng bowed down and said: "The imperial doctor is really clever, just asthma, but there are many causes such as cold drink stagnation, kidney inadmissibility, phlegm drinking and hiding lungs, and the contemptible people can't recognize the cause clearly, and the natural syndrome differentiation is not accurate. Shame on you! ”

If you don't accept the money, you will be ashamed and say: "Master had a clear scrape in Dongda County at the beginning:" The evidence of asthma is marked in the lungs. The disciple once disagreed, but later the master used this to cure the patient of asthma for many years, and the disciple understood the reason. But he is not good at using this method, and when he encounters a similar case this time, he doesn't know how to change it, which is really embarrassing. ”

Although Du Wenhao has more practical experience than Qian Buhui, Du Wenhao has more than a thousand years of experience in traditional Chinese medicine than Qian Buhui.

Du Jianhao smiled: "Hehe, you don't have to be discouraged, you have done a good job." Now you talk about it. How can this disease be cured? ”

"Well, when the kidney qi is used to calm the water mansion, this is one of them; Revitalize yang qi to cool off the cold, this is the second; Don't be stale to clear the air, thirdly.

But. The disciple is stupid, and he doesn't know what medicine can take care of all three at the same time. Please ask Master for advice.

Du Wenhao smiled and said, "Yang and soup!" ”

The doctors listened. They were all taken aback. Doctor Xie stepped forward and arched his hand: "The imperial doctor talked about the cause of the disease before. We are all convinced. Deeply so. This yang and male. "It is for the treatment of osteopathy, prolapse and other cold syndromes. If it is used for asthma "this", hehe, the old decay really does not know the deep meaning, and please ask the imperial doctor for guidance. ”

Du Wenhao said: "The prescription has never been a prescription only for a certain disease, as long as it can cure the disease, the prescription is correct, no matter what disease the prescription was used to treat before, it can be used for other purposes." ”

The doctors nodded frequently, stroked their beards and smiled without collecting the money: "Master once said: "Fang is dead, people are alive, if you can't use the prescription with the certificate, even if it is a prescription, it will not cure the disease, and even worsen the condition." ”

Du Wenhao smiled, this is when the two of them were fighting doctors in Dongda County, Du Wenhao taught to scrape money and not accept master and apprentice, I didn't expect him to remember it in his heart.

Du Wenhao nodded and said, "Yes, in Yang and soup, the role of Rehmannia is mainly to nourish yin blood. However, Rehmannia also has a very important effect, which is to nourish kidney yin, fill in lean marrow, and is an important medicine for tonifying kidney yin, which just corresponds to kidney qi deficiency. Evidence that the kidneys are not receptive. Deer horn gum, tonifying the kidneys and helping yang, strengthening muscles and bones, combined with rehmannia rehmannia, nourishing blood and helping yang, in order to cure its roots, a total of the king's medicine. Among them, Rehmannia must be heavily dosed, at least eight coins must be used

Du Wenhao explained the prescription dispensing. All the doctors were stunned, and even claimed that it was

Du Wenhao continued: "Stay in your heart, answer Guishu sweet soup can only make Xinyang temporarily cheer up, and the cold condensation is suppressed, but it cannot be eliminated. For cold condensation and dampness, it must be resolved by the medicine of warmth, and the dry ginger and cinnamon in the recipe are warm products, dry ginger can dissipate cold in the warmth, warm the lungs and drink, and can break the yin and yang; Because the cold is in the camp blood, and cinnamon can not only cure the rise of deficiency and yang, but also enter the camp to warm the blood, which is just the right sign to keep drinking the heart and phlegm to drink the lungs; Ephedra can be used to promote the meridians, induce yang qi, and open cold knots; White mustard seeds are cold and phlegm damp stagnation, which can reach the outside of the skin membrane, and the latter two flavors can not only make the blood and qi clear, but also make the cooked ground and deer gum supplement without stagnation. Licorice is used raw to detoxify and adjust medicines. Ladies and gentlemen, isn't this exactly what is prepared for this disease at the moment? ”

Dr. Xie applauded first, and the rest of the doctors were also amazed and applauded.

Dr. Geng was even more intoxicated when he heard it. Shaking his head and exclaiming, "Wonderful! That's wonderful! It can be used for the evidence of asthma. Who can do that if they don't know how to do it? Admire! Admire! ”

Du Wenhao smiled: "I'm also talking on paper, whether it's useful or not, I have to use it to know."

Doctor Geng said: "It must be useful, if this side is useless, then only the gods have a way." ”

Dr. Xie also said happily: "Yes." Then we don't need to study medicine, let's go to the Tao of immortals and learn the art of ghosts and gods, hehehe"

All the doctors looked up to the sky

At that moment, Dr. Geng took up the pen and wrote the prescription. After handing it to Du Wenhao for confirmation, he handed it to the girl's parents to take the medicine according to the prescription.

The old couple couldn't understand what Du Wenhao said, but they could also see that the doctors respected Du Wenhao, and they knew that there was hope for their daughter's illness at this time, so they were all excited and hurriedly thanked each other.

After this girl took one dose of medicine, her asthma was greatly reduced, and after three doses, not only did her asthma sores heal, but she was also able to work in the field, but she was a little dizzy and sweaty, and then came for a follow-up visit.

Du Wenhao then went on to see a second patient with incurable diseases. Coincidentally, this is also a wheezing patient, only much more severe than just now.

The patient was also a woman, an old lady in her sixties, with a gray head. Lying on his side in bed, with constant asthma. Her son stood aside, looking at Du Wenhao with an anxious face.

Du Wenhao sat down on the chair next to her bed. He asked, "Old man, are you looking at asthma?" ”

"yes!" The old woman nodded, panting like pulling a bellows, and coughing hard from time to time: "Old disease, snort" has been almost thirty years, and in recent years, the cough and wheezing have become more and more severe, and the cough "especially recently" has become more powerful

Du Wenhao glanced at the middle-aged man next to him and asked the old woman, "Old man, this is your child, right?" If you struggle to speak, let him speak for you, or correct it if it is wrong. Are you optimistic? ”

The old woman nodded gratefully.

Du Wenhao asked the middle-aged man; "Does your mother have phlegm in her cough, what kind of phlegm?

"There is phlegm, and the phlegm is white, foamy, and relatively thick."

"Is it easy to cough up phlegm?"

"Hmm" The middle-aged man hesitated for a moment, didn't seem to notice, and said casually: "It's okay." "The new address of this site has been changed to summer: foot couplet concave Peng embedded, please board 6 circle reading

The old woman shook her head again and again: "No! cough cough "phlegm is not good cough, snort" I want to cough it out, cough cough "cough out this chest is more comfortable, cough cough "not so stuffy, panting better, whew,"

"What other symptoms?

The middle-aged man said: "Well, my mother often said that she had a headache, swelling when she was in pain, and often sweated, afraid of the wind, flustered, and short of breath. ”

"Is it hot?"

"It's not hot."

Du Wenhao asked about diet, sleep, stool and past medical history, and there was nothing special. Looking at the tongue and checking the pulse, the tongue is dark and fat, the moss is thin and white, and the pulse is slippery.

Du Wenhao asked whose patient it was. A fat doctor came over and bowed down: "Imperial Doctor, this is a contemptible patient, the contemptible surname is Li, this old woman has asthma, the contemptible syndrome is the lungs of the external evil, and the heat in the inside, the phlegm is hot in the inner tomb, and the abnormality is reduced, so that the cough and asthma do not stop." ”

The external evil in the lungs of external evil offenders, including external causes such as wind cold, wind heat, and dry evil, different external causes, and different syndromes, are all external evil attacks the surface, and Wei Yang is derelict in its function or due to external evil in the lungs, resulting in the loss of lung qi. And the wind chill caused by the external evil attack table is the first. If it is not cured, it will often invade the body and turn into a syndrome. The external evil horn is hot, that is, the so-called "heat in the inside." ”

In the theory of traditional Chinese medicine. In addition to the anatomical respiratory function, the lungs also travel mainly water, on the one hand, through the action of lung qi. The water that transports the spleen qi to the lungs and the lighter part of the essence of the water valley are spread upwards to the orifices of the head and face, and reach the fur to form sweat and discharge. On the other hand, through the suppression of lung qi, the thicker part is transported inward and downward to the internal organs, and finally urine is formed.

Once the external evil attacks the lungs. It causes the function of lung qi and water to be abnormal, which will cause the water transmitted by the spleen to the lungs to not be dispersed normally. As a result, it accumulates in the lungs and becomes phlegm. Water accumulation in the lungs can block the airway, resulting in wheezing and coughing.

If the external evil is dry evil. It burns the fluid, causing the phlegm to be small and sticky, making it difficult to vomit.

Dr. Li continued: "Contemptible people treat the syndrome with Ma Xing Shi Gantang and flavor. Among them, Yan ephedra and almonds are three coins each, boxing juzi, Suzi, mulberry white skin, and Dilong are five coins each, and yellow tea, angelica, white peony, and licorice are three coins each. Melon wilted kernels and husks are four dollars each, and gypsum and houttuynia cordata are ten dollars each.

After taking the medicine, the wheezing and coughing worsened, and the shortness of breath increased. There is nothing wrong with contemptible reasoning. It is really incomprehensible why not only is it ineffective, but the condition is aggravated, so I sent it to ask the imperial doctor for advice

Du Wenhao listened. The smile became a little embarrassed, and he lowered his head and groaned for a moment. Only then did he look up and look at the money.

Qian Bushui hurriedly bowed down and replied: "The disciple's dialectic is the same as that of Dr. Li, and there is nothing wrong with examining his prescription, but somehow, why it doesn't work." ”

Du Wenhao frowned. He groaned for a different moment, and said to the old woman: "I'll touch you again, and the address of this station has been changed to: Foot Union Concave Peng Embedded, please Deng 6 Yuan Reading."

Take the old woman's hand. Du Wenhao closed his eyes and carefully observed the pulse, and after a while, he slowly let go, speechless for a while.

All the doctors looked at Du Wenhao, waiting for him to give him guidance, but Du Wenhao was like an old monk in a trance, half-closed his eyes, motionless, not knowing what he was thinking.

Yingzi couldn't understand the medical case they discussed, she only cared about how Du Wenhao was, seeing that he looked extremely tired, she didn't feel distressed, and whispered in his ear: "Young Master, let's rest for a while, let Imperial Doctor Qian replace them for a while, continue to watch crazy first, and then later."

Listened to Yingzi's words. Du Wenhao's eyes lit up, and he couldn't help but turn his head over, grabbed Yingzi's hand, and kissed it, this sound was very loud, and everyone in the audience heard it.

The doctors were stunned. Du Wenhao laughed: "My Yingzi is smart!" Do you say, is there a girl in the world who is smarter than my Yingzi? Definitely not! Hahahaha"

The doctors looked at each other, not knowing what the imperial doctor meant, and they all accompanied them to play haha.

Du Wenhao said to the old woman's son: "Is the medicine that Dr. Li prescribed before gone?" ”

"Ah, after taking it, my condition worsened, so I didn't take it anymore

"Bring it to me right away!"

The middle-aged man hurriedly agreed, ran to the door, and called the family members waiting outside to hurry back and bring the old lady's remaining medicine to the imperial doctor. Several relatives agreed and hurried away.

The doctors were puzzled, and Dr. Xie arched his hand and said, "Imperial Doctor, could it be that this medicine asked."

Du Wenhao nodded: "To be honest, my syndrome differentiation and medication are exactly the same as those of Dr. Li and the inferior disciples, but I don't know why there is no curative effect. I really don't understand why it doesn't work. It was my pretty girl who reminded me of that! In vain I show the reason for the existence of the problem, the reason for which it may well exist."

Yingzi was ashamed and ashamed. He said in a low voice: "Young Master." What did I say? You're making fun of people! ”

"This time it's real!" Du Wenhao said happily, "If you let them replace me for a while, let me think, will any of the drugs in the prescription be replaced by others, using fake or inferior drugs, which has not produced curative effects!" ”

Everyone immediately understood, Dr. Li's face turned red, he hesitated for a moment, and finally stepped forward and hugged his fists and said: "Lord Imperial Doctor, this old woman is a disease diagnosed in the despicable medicine shop, and she is also a medicine picked up in the despicable medicine shop. ”

Du Gonghao smiled and said: "This official absolutely believes this, let's wait and see first, you know, the problem of medicinal materials is not only a problem of fake and inferior medicinal materials." ”

The imperial doctors all made it clear that they believed it, and Dr. Li naturally had nothing to say, so they all waited quietly.

Yan Miao shook a folding fan and stood behind and listened, a little incomprehensible, seeing that Du Wenhao was closing his eyes and recuperating, and the rest of the doctors did not speak, waiting for the medicine to be delivered, the scene was quite depressed, so he took the opportunity to ask the confusion in his heart, folded the fan, squeezed forward and bowed and hugged his fist and said: "Master, the apprentice has a problem with this case, I don't know if the ancestor can guide the maze." ”

Du Wenhao didn't open his eyes, and said lazily: "Let's talk about it." ”

"Yes, Shizu, the ephedra in the Ma Xing Shi Gantang is a taste, bitter and bitter, and the sex is fierce, this old woman is old and frail, wheezing and coughing for more than 30 years, and her lungs will be weak, I am afraid that I am not tolerant to this medicine, why not give up ephedra and change other medicine? .

Du Wenhao opened his eyes slightly, glanced at him strangely, closed his eyes again, and said slowly: "Hmm" Then tell me, why is it mixed with the flavor of ephedra in Ma Xing Shi Gantang? ”

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