Gong Ming stroked his white beard and said: "The patient has been bleeding for a long time and becomes a blood deficiency, and it is natural to replenish blood and qi, but because the injury is too severe, his blood withering has the image of yin and yang detachment, and it must be saved." In addition to replenishing blood and qi, the old man really can't think of any other way to cure this disease. ”

Qian Bushu nodded and said: "It makes sense, save the adversity and replenish the qi and blood at the same time." - Master, what do you see? ”

Gong Ming smiled and said, "No need to ask, his opinion must be different from ours two old guys." ”

Du Wenhao smiled and said, "I'm sorry, my opinion is indeed a little different from the two of you, I think that blood deficiency is only the appearance of the certificate, and it is the consequence of the wasted effort rather than the cause." If you only replenish blood qi, you will treat the symptoms but not the root cause. ”

Qian Buhui and Gong Ming glanced at each other, Gong Ming smiled: "How is it?" Am I right? Brother Du, you go on to say, how can we treat both the symptoms and the root causes? ”

The treatment of aplastic anemia has always been a long-standing problem faced by both Chinese and Western medicine, and the treatment of this disease by Chinese medicine has also gone through a long process of development. From ancient times to modern times, in a long historical period, until the founding of New China, the treatment methods were almost always based on nourishing qi and blood. Later, with the development of traditional Chinese medicine research, there were prescriptions for tonifying the spleen and kidney or liver and kidney.

After the development of the combination of traditional Chinese and Western medicine, studies have found that the pathogenesis of aplastic anemia is mainly related to the kidney, and most of them belong to the loss of kidney yin and qi and blood. This is the main idea of TCM treatment for aplastic disease. Therefore, Du Wenhao also decided to start from this perspective.

Du Wenhao said: "The patient has palpitations and shortness of breath, fatigue, pale complexion, pale lips, and pale nail beds. Hot hands and feet, night sweats, thirst and drinking, epistaxis (bleeding gums), epistaxis (nasal bleeding) and epistaxis (bleeding under the skin). The veins are thin, and the tongue is light. Blood belongs to yin, and yin deficiency includes blood deficiency, lack of heart blood, and hyperactive heart yang, so there are palpitations; Blood is the mother of qi, and those who are deficient in blood are also deficient in qi, so they have shortness of breath and fatigue; The blood does not honor the skin, so it is seen that it is pale and unpretentious, the lips are light, the nail bed is pale, and the tongue is light; Yin deficiency and blood deficiency generate internal heat, so I see that the hands and feet are hot; Deficiency of heat hurts the body, so there is thirst and thirst for drinking; Heat injury or forced blood to act in vain, so there is bleeding in multiple parts; The number of pulses is also a sign of yin deficiency and internal heat. ——Looking at the above symptoms, the syndrome differentiation should be kidney yin deficiency. ”

Gong Ming and Qian couldn't help nodding again and again. Gong Ming asked: "Brother Du, you only talk about dialectic, but you haven't said how to treat both the symptoms and the root causes?" ”

"Nourish yin and kidney!"

"Nourish yin and kidneys?" Gong Ming and Qian Bu were both stunned.

"That's right! Add or subtract Angelica tonifying blood decoction with the yin and kidney nourishing formula. The so-called solitary yin does not grow, the only yang does not grow, and the yang is long, so in the prescription medicine based on yin, a little yang tonic medicine is also needed, which is intended to be yang and yin. ”

Gong Ming spread his hands and said with a smile: "What a good one to nourish yin and nourish the kidneys!" Using this method to cure fatigue and blood dryness, brother, this is the first time I have heard of it, Brother Du really dares to be the first in the world! Doctor Qian, my method and your prescription are to change the soup but not the medicine, yours is not good, and mine is definitely not good. Since the road of replenishing qi and blood doesn't work, otherwise, let's try it according to Brother Du's method? ”

Qian Bushu nodded and smiled: "Well, although Master's recipe is unheard of, it makes sense, you can give it a try!" ”

The three agreed to first reduce fever and stop bleeding, and then nourish yin and kidneys to cure deficiency and blood dryness. After formulating the formula, you don't have to collect your own money to prepare.

The snow fell all night, and finally stopped the next morning, but it was still overcast.

Wu Cong and Silly Fat got up early in the morning and swept aside the snow at the door, the bluestone slab at the door would turn into ice if the snow was stepped on, which was very dangerous, and had to be swept away to prevent the patient from slipping. The patients and their families who came to wait in line early in the morning to get the number also helped to sweep together, and soon swept out a road.

Yingzi lit three fires in the lobby, one for Du Wenhao to see the sick, one for Silly Fat and Wu Cong to stand on the counter, and one big one for the patients who were waiting in line to see the disease.

After Du Wenhao got up, he first visited the hospitalized patients. Yan Miaoshou's son Pimple was already able to move in bed, but his injury was an infectious disease, and he couldn't leave the isolation ward until he fully recovered. Zhou Zhukuai's rotten boils are the most serious, so the recovery is the slowest, but he is completely conscious, and he can talk and eat. The Jingci host is already able to eat and drink normally, and he can walk slowly without support.

It's just that Konghui's stroke is a little troublesome, and although the person is awake, the hemiplegia and slurred speech have not improved significantly. This disease cannot be cured in three days or two days. Du Wenhao further adjusted the prescription according to the follow-up diagnosis and syndrome differentiation.

Lin Qingdai has been in charge of the construction of the backyard inpatient department, and everything is going well. Pushan's daughter-in-law came to Jishitang early in the morning to take the medicine prescribed by Du Wenhao and the three of them yesterday.

Two days later, Du Wenhao, Qian Bulu, and Gong Ming took the medicine prescribed by Du Wenhao to nourish yin and nourish the kidney, and came to Sankeliu Village again to give Pushan a follow-up.

After taking the medicine prescribed last time, Pushan's fever has subsided, and the bleeding has also decreased significantly. Pu Laohan used the money donated by Du Wenhao and them last time to buy some rice and come back to boil porridge for Pu Shan to drink, and Kudzu no longer eats it.

After the three of them returned to the doctor, they all thought that the prescription was correct, so they asked Pushan to start taking medicine to nourish yin and nourish the kidneys.

Pu Laohan said with a smiling face: "Doctor Qian, can you prescribe a few more medicines?" ”

"Why?" Money doesn't ask.

"That's right, I have a younger brother, I live in Liujiawan, and yesterday I sent a letter to say that he was sick, very sick, and wanted to see me, but he couldn't leave here. After discussion, it was decided that the family would stay for a few days, so that they could take care of him and come back after the New Year. So, I want to prescribe more medicine to bring with me, so that I don't have to run back and forth to the city. ”

The money is not collected: "It is okay to prescribe a few more payments, but not too much, because you have to adjust the compatibility medication at any time according to the patient's medication, and you can't expect a pair of medicines to completely cure your son's illness." Wait a while, you let people go back to the city with us, and the old man will prescribe a few more to bring back, and when the condition is better and he can move, he will come to the city for a while, and we will adjust the medication for the follow-up examination. ”

Pu Laohan thanked him repeatedly.

Three days later.

This morning, after Du Wenhao got up, he first gave a follow-up visit to the hospital for observation, and found that Yan Miaoshou's son had a pimple, and Zhou Zhukuai's wound was healing well, and it was no longer infectious. Only Jing Ci presided over the hall and Kong Hui Shi Tai stayed in the hospital for observation and treatment.

Du Wenhao came to the front hall and began to inquire. Today's weather is cold and there are not many patients, so Du Wenhao explained the medical theory to his second daughter while seeing a doctor.

The first patient was a middle-aged woman in her thirties, hunched up, waiting in line early in the morning with the support of her family. The first one to take the number. With the support of his family, he groaned and sat down at the table.

Du Wenhao asked, "What's uncomfortable?" ”

The middle-aged woman's mouth was not wide open, and her speech was slurred: "Joint pain!" ...... died of pain, ouch ......"

"Where does the joint hurt?"

"My whole body hurts! Jaws, hands, and knees! ”

Du Wenhao reached out and touched his chin, and moved slightly, and the middle-aged woman's moans immediately increased: "Ouch......!" ”

"Can't you open your mouth?"

"Hmmm......"

Du Wenhao took the middle-aged woman's hand, only to see that the middle finger and index finger joints of his right hand were as thick as small mallets, and the right wrist joint was red, swollen and deformed. Lifting the trouser legs, the knees are also red and swollen and deformed.

"How long have you been stiff and deformed?"

"It's been three or four months."

"Why are you here now?"

"At first, it wasn't too bad, I thought it was just a cold and cold, and I didn't get better after taking medicine, and the pain was terrible, so I went to Renyi Hall to find Dr. Xu to see, and prescribed some medicine, and the pain improved slightly. But after taking the medicine, I went to see it again, and then I learned that Dr. Xu was also sick and could not sit in the hall for a short time. I can't trust their other doctors. I picked up the medicine according to the original recipe and went back to eat, but it didn't work, it hurt more and more, it snowed last night, and the pain was the worst, I heard people say, Dr. Du of Wuweitang, you are good at the miracle doctor Hua Tuo's laparotomy healing technique, and you are good at treating incurable diseases, so you came early in the morning. ”

"Well, what's uncomfortable?"

"Fever, sore throat......, and dry mouth."

After Du Wenhao diagnosed his pulse and looked at his tongue, he explained to Pang Yuqin next to him: "The tongue is red, the moss is thin and yellow, and the pulse strings are fine, which is caused by the wind, cold and dampness attacking the meridians, flowing into the joints, and turning heat into heat." ”

Xue Fei'er on the side said: "No, it's such a cold day, the wind and cold and damp evil invade, it should be cold, how can it be hot?" ”

Du Wenhao laughed: "You should be watering?" What is cool when poured in? However, in addition to the heat winning type, there are indeed cold winning types and cold and hot mixed types. Different types of governance are also different. The difference between these three types lies in whether there are fever symptoms, the hot type should clear heat, detoxify and cool the blood, and the cold type should warm the meridians and disperse the cold, and activate the meridians. ”

Pang Yuqin said: "Then hurry up and treat her first, see how painful she is." ”

Bi syndrome is rheumatoid arthritis, is an autoimmune disease, from the perspective of Western medicine, the cause of the disease has been unknown, in terms of treatment, both Chinese medicine and Western medicine are difficult diseases, so far there is no specific treatment, treatment is limited to alleviate joint pain and morning stiffness and other symptoms, control and alleviate the development of the disease, maintain and restore joint function. Since Western medicine can cause severe gastrointestinal symptoms and damage to the liver, kidneys, nerves, etc., Chinese medicine is much more effective than Western medicine in this regard, and the side effects are much smaller.

Du Wenhao said to the middle-aged woman: "I will give you acupuncture to relieve the pain first, and then use the medicine to slowly recuperate, this disease is urgent, the pain is terrible, you come to acupuncture to relieve the pain, insist on taking the medicine, it should be relieved after a period of time." ”

"Okay! Thank you, Dr. Du. ”

Du Wenhao asked him to lie down on the small bed, take the acupoints of the temporomandibular joint, the lower Guan acupoint, the wrist joint Yangchi, Yanggu, Yangxi acupoint, the knuckle eight evil acupoints, the knee joint knee eye, Ququan, knee Yangguan, Yanglingquan acupoint acupuncture, the use of twisting and lifting the laxative method, acupuncture and moxibustion a stick of incense kung fu to collect needles.

The middle-aged woman moved her wrist: "Hey, it doesn't hurt much." Haha, Doctor Du, you are really a god! - Hey, I'm talking a lot. ”