Chapter 96: Same Disease, Different Treatment
This reminded Lao Mu of the Battle of Shangganling, how hard the battle was. At the moment, the powerful enemy is at the foot of the mountain, and there are only three votes away from our position! The position may be lost again at any time!
There were still eight votes away from the No. 3 position in the front, and in the afternoon our troops once attacked only three votes to the front of the No. 3 position, and even the enemy's guns could be seen clearly, but unfortunately, the enemy's reinforcements arrived, and our troops were forced to retreat, and failed to plant the red flag on the No. 3 height.
How fierce will today's battles be?
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Pang Yuqin nodded: "! - Look, his forehead is sweatless, his face is flushed, his body trembles slightly from the cold, and his tongue is thin and white; Smell, he coughs from time to time, but his breathing sounds are not phlegm-sounding; asked, he complained of chills and fever, and aching joints; Cut, the pulse floats tight and powerful. The combination of diagnosis methods should be the empirical evidence of the typhoid fever table that Mr. just mentioned! β
Du Wenhao applauded: "Absolutely correct! Well, Yu Qinlan is smart, and sure enough, Bing Xue is smart, and she is a doctor! β
Xue Fei'er pouted and scratched her face with her fingers: "Hehe, my family praises my family, and I'm ashamed!" β
Pang Yuqin blushed shyly, lowered her head and said: "When I talked about the Eight Gang Syndrome Differentiation in the previous life, I said that if the patient feels fever and chills at the same time, this is a typical feature of the manifestation, and the so-called 'there is a point of chill and a syndrome', so his illness is on the surface. And cold and fever are characteristic of sun disease, and the disease is in the sun. Mr. Du also said that he was suffering from external wind and cold, so he judged it to be empirical evidence of solar typhoid fever, and I was just opportunistic. β
Du Wenhao said: "I just said a lot. You can remember to learn and apply. This is the best place for a medical student. Seemingly. Yuqin was born to study medicine. β
Xue Fei'er said: "Okay, okay, the two of you are numb!" And this is me. And two more sick miles! - Can you tell us what solar typhoid fever is to prove it? β
Du Wenhao smiled. Dao: "The solar typhoid table proves that the evil guest of the wind and cold is on the surface of the sun. Weiyang was suppressed and the camp was gloomy and stagnant. Outer bundle of cold evil. The body's yang energy cannot be dissipated. So the whole body is hot. The Lord of the Cold is hidden. The pores of the skin are closed. Naturally, there is no sweat block. If you lose the normal function of resisting the cold and evil ground, you will naturally feel cold. Because the cold evil enters the body between the meridians. Yang Qi is uncomfortable, so the joints will be painful. To put it simply. If the patient feels a cold afterward. The body was cold, hot and not sweaty. Pain in joints all over the body. Most of it is the empirical evidence of the solar typhoid table. Do you understand? β
"Confused." Xue Fei'er tilted her head and recalled. Turned his head and asked Pang Yuqin: "What about you?" Got it? β
Pang Yuqin's face was slightly red. Moment. Nodding.
"You get it. Anyway, I'm making up the numbers. All right. Now it's time to argue. You teach us how to do it below, right? β
Pang Yuqin also widened her eyes and looked at Du Wenhao.
Du Wenhao said: "Dialectical treatment, dialectical argument must be accurate, treatment must also be accurate, if the dialectic is correct, the choice of scripture is not right, it will not work." Doctors of the past generations have left a lot of valuable prescriptions for us to choose and apply when treating common typical diseases, and we only need to make appropriate additions and decreases according to the specific conditions of syndrome differentiation according to these prescriptions, and then we can get specific prescriptions. β
"Then is there a prescription for this disease?"
"Absolutely! To treat this disease, the medical saint Zhang Zhongjing has a famous prescription, called 'ephedra soup', which uses three coins of ephedra, two coins of cinnamon branches, four coins of almonds, and one coin of moxibustion licorice. Decoction. β
After Du Wenhao finished speaking, Pang Yuqin copied the prescription according to his dictation, sent it to the counter to pick up the medicine, and the patient took the consultation fee with the medicine, thanked him and left.
The second patient was a farmer, about thirty or forty years old, with a coarse cloth shirt, hemp rope tied around his waist, a blue cloth wrapped in broken flowers, wearing straw sandals, a foot of mud, rolled up his trouser legs, and sat at the table with a big grin, without waiting for Xue Fei'er to speak, he preemptively said to Du Wenhao: "Mr. Du, although my disease is also a cold, but it is different from the one in front, I am afraid that only you can cure it, and the two of them can't touch the door!" β
Xue Fei'er was very unconvinced: "Oh? What's so great about a cold that you can't even touch the door? You're underestimating us. β
"Girl, I don't underestimate you, I've been sick for two or three years, and I've found a lot of doctors, but I can't cure it. I heard that there is a young doctor surnamed Du in your county, who is good at Hua Tuo's laparotomy healing technique, and even worships him as a teacher if he doesn't charge money, so I came here with hope. My name is Heizi, I am from Heiao Village, forty miles away from the county seat, and I came early in the morning before dawn. I'll have to rush back to see a doctor. β
Xue Fei'er was very happy, turned to Du Wenhao and said, "Sir, did you hear that?" He is forty miles away from the country. β
"Well, what's wrong?"
"Not really?" Xue Fei'er's eyes widened, "Dozens of miles of countryside!" So I know your name from afar, your fame is getting bigger and bigger, and one day it will be spread to the capital, long live what kind of illness there is, maybe I will ask you to go to the palace to see him sick! β
"The more you talk about it, the more outrageous it becomes! Okay, hurry up to see a doctor, people have to rush back. - It's just that this big brother, since you have been sick for two or three years, it has dragged on for a long time, but I'm afraid that the syndrome differentiation is a bit complicated, don't worry, you can be safe, and you can treat the disease when you see it
That's why you came to me. β
"Yes, Mr. Du, I understand this reason, Cheng, let the two girls show me first, and Mr. Du, you will have a follow-up consultation."
"Okay, two doctors, please!"
"I'll come first!" Xue'er didn't give in, thought about it, and said to herself: "Look and hear, look first!" Half got up, shook his head around the patient's sunspot, and said to Du Wenhao suspiciously: "He ......, he looks normal, not like he is sick!" β
The patient said with a bitter face: "Girl, you see that I am not sick now, but I have been sick for two or three years, and I have a fever once or twice a day, and the fever is not high, but the fever makes people dizzy and unable to work, afraid of the cold, sometimes it is useless to use any cold clothes." My throat still hurts, and my joints hurt! β
Pang Yuqin took a closer look and said, "His complexion is not normal, you can see that his mouth is abnormally red." Let me see your tongue. β
The patient hurriedly stuck out his tongue.
Pang Yuqin stared at it for a while, and said to Wen Hao: "Mr. Du, his tongue is very strange, how to argue?" β
Du Wenhao took a closer look and said: "His tongue seems to be a bit complicated, and you still can't understand what you are learning now." You see, his tongue is pale red and moist, white and greasy, this is a cold sign, pay attention to the tongue color is still slightly purple, this is Chen Han's long-term stagnation of the syndrome has lasted too long. - You will cut his pulse again. β
"Good!" Xue Fei'er naturally took the lead, and after diagnosing the pulse, she said: "This pulse is also quite tight and can be touched as soon as you touch it, it is a floating pulse, just like the patient just now." β
Pang Yuqin nodded after diagnosing the pulse: "Yes, it's the same pulse." β
Du Wenhao checked the pulse first, and then nodded: "Wrong, it's the same."
Pang Yuqin said: "The same pulse, could it be that this patient also has evidence of typhoid fever?" β
Xue'er shook her head and said, "That's not right! He has been having a fever for two or three years, and the fever is relatively low, Mr. Du said, the empirical evidence of typhoid fever is a kind of evidence, you think, two or three years, how can there be such a long evidence? I'm afraid it's long overdue to turn into a certificate. β
When Pang Yuqin heard her say this, she had no idea and looked at Du Wenhao.
Du Wenhao said: "The empirical evidence of solar typhoid fever is caused by feeling external evils, and the severity of the evil and the rise and fall of the evil are different, and the severity of the symptoms of cold and fever will also be different. If the evil is light, the cold and heat will be light, and if the evil is heavy, the cold and heat will be heavy, and the evil will be prosperous, and the cold and heat will be heavy; If evil flourishes and declines, both cold and heat are heavy; If the evil is prosperous and the evil is declining, the cold is heavy and the fever is light. But in any case, the simultaneous or alternating occurrence of fever and chills is a prominent feature of typhoid fever and is not limited to the length of time. Combined with his tongue like the main cold, it confirmed the pulse diagnosis and asking the clinic, so Yuqin was right, his disease was the same as the one in front, and it was also the empirical evidence of solar typhoid fever. β
Xue Fei'er pouted and said, "It's her again." Why can't I get it right? He rolled his eyes and said, "This time I came to prescribe a prescription,ββ I still use ephedra soup!" Right? β
Du Wenhao shook his head: "Yes, not all right!" β
"Why?"
"Ephedra soup is the essence of Xinwen sweating, excessive sweating will hurt people's righteousness, he has been sick for a long time, he has been injured, and he is not durable to take it, so the amount of licorice in the middle of the formula should be large. Only one penny is used in the front, but this time it can be added to six coins, and there is no moxibustion! Strive to alleviate the vigorous sweating, and only take two doses. He came from afar, and it was not easy to return to the doctor, so the prescriptions were taken together. - After taking these two doses, you will sweat and reduce fever, but the camp and the guard will be out of harmony, so you should continue to take Guizhi Tang to add flavor, clear the yang and relieve the surface, and reconcile the camp and the guard. β
Du Wenhao said that Guizhi soup was compatible, Pang Yuqin remembered it, and sent it to the counter to pick up medicine.
Xue Fei'er thought for a while and said curiously: "Since they are all empirical evidence of typhoid fever, why are they used differently?" β
Although the two of them have the same symptoms, their physical conditions are different, the length of onset is different, and the pathogenesis is different, so of course the treatment methods cannot be the same. This is the principle of 'different treatments for the same disease'. β
The farmer took the medicine, paid for the consultation, thanked him, and left.
Du Wenhao and his second daughter hurriedly came to the back hall dining room for lunch, and when the doctor had time to eat, he ate tightly, otherwise, he couldn't eat when the patient came, and he needed to be rescued when he encountered an acute illness, and it was common to be hungry for a day.
Sure enough, he had just finished eating the first bowl, and before he could add food, the stupid fat hurriedly ran in: "Mr. Du, Doctor Qian is here!" β
"Oh." Du Wenhao did not raise his head and continued to eat.
"There was also a sick person, brought in by horse-drawn cart."
"Oh," Du Wenhao thought to himself, he didn't collect a lot of money, and he was also a person who practiced medicine, and he hadn't come to visit when he was eating, since he came, there must be some patient who couldn't handle it, so he sent it to call him for a consultation, and continued to take a big bite of rice, and then talk about eating first.
"The patient vomited blood! It seems like dying. β
Du Wenhao couldn't eat anymore, threw away the bowl, and stood up.
Silly Fat added: "It's from Fucheng, and there is a doctor from Fucheng to accompany me."
β
"From Fucheng?" Du Wenhao was stunned. Fucheng is one or two hundred miles away from the county seat, and it can be regarded as coming from afar to see yourself from Fucheng. I didn't expect that my reputation was even known to the people of Fucheng, and at the same time, I felt a little proud of it, but I also felt a faint uneasiness in my heart. I can't even handle the doctor and the money in Fucheng, and if I come to find myself, this disease will definitely not be light.
Silly Fat said one more sentence, which made everyone stand up: "βThe patient is a nun!" β