Chapter 164: The Difference Between Strokes
Zuo Gui and Zuo Shaoyang glanced at each other, and Zuo Gui said vaguely: "It's okay." - What about your family? ”
"It's enough to eat ...... for a few days. But it's not a big problem, anyway, ......, hehe, anyway, we have a ...... of rice from the Yamen, the people of the Yamen, they should not be hungry ......, hehe. Hope smiled reluctantly, as if there was something inconvenient to say. Then he lowered his voice: "It's better to find a way to save more food, now there is no rice and noodles on the market." ”
Zuo Gui nodded and asked, "By the way, there were a lot of officers and soldiers who came yesterday, I'm afraid there are tens of thousands of people, there are people living on the street outside our pharmacy, why haven't you seen it today?" ”
"Some are concentrated in the state yamen and county yamen, and some have gone up to the city tower to defend, and most of the rest of the officers and soldiers ......" Hou Pu looked left and right again, stretched his head over, and lowered his voice: "It is not dawn this morning, and there are about tens of thousands of officers and soldiers out of the city, I heard that they are going to conquer the rebels!" ”
Zuo Shaoyang nodded secretly, thinking that this was also a helpless way, the food of the officers and soldiers accompanying the army was all burned by the rebels on the road, and most of the grain stored in the yamen in the city was burned by the rebels. Tens of thousands of people have nothing to eat now, so they must take the initiative to attack, and while they are not hungry and still have some strength, they will strive for a decisive battle with the rebels.
However, it is clear that the rebels are adopting guerrilla tactics, and they will certainly not confront the officers and men now, and they will only wait for the officers and men to be so hungry that their chests and backs will be close to their backs, and they will lose their combat effectiveness, and then they will come down the mountain to reap the fruits of victory. Therefore, the officers and men are afraid that they will return in vain in this attack.
As he was talking, someone from the blacksmith shop came to deliver the surgical instruments and pressure cooker that Zuo Shaoyang ordered last time, and the money had already been paid.
Zuo Shaoyang immediately tested the pressure cooker, put the surgical instruments that needed to be sterilized and the replacement medical gauze into the pressure cooker, and the deerskin ring for sealing was soaked in clear oil, took it out and washed it, put it in the pressure cooker, and boiled it on the stove after closing. Nervously observed.
The pressure cooker has not moved, Zuo Shaoyang's heart is hanging, for fear that the pressure will be too great and it will explode, so that people will hide out, and he will hide outside the kitchen door to listen, his heart is beating.
Finally, he heard the sound of the pressure limiting valve turning, and his heart was happy, and the probe looked, the pressure limiting valve of the pressure cooker was successfully sprayed!
Zuo Shaoyang was very happy, waited for a meal, and after reaching the disinfection time, he took it off and deflated, opened it and saw that the instruments and gauze inside were normal. The disinfection equipment is qualified and can be used!
With these sterile instruments and gauze, disinfectant potions and Jinchuang medicine have been prepared, Zuo Shaoyang is sure that if he starts a war, he will not be afraid of the wounded.
Next, Zuo Shaoyang set out to make plaster bandages. This one is relatively simple. The gauze has been bought, cut the gauze into long bandages of different widths, remove a few edge yarns and make raw edges, and then lay the bandages flat on the table, sprinkle gypsum powder on the bandages, wipe them with wooden boards, roll them while wiping, and the elasticity is moderate. When using, soak it in water, scoop it up, squeeze out the water, and then use.
The plaster bandage was made, and some pads were made for the inside of the bandage. This is to protect the skin and other soft tissues of the bony protrusion from pressure and injury, and is used to pad the bandage before dressing.
When Zuo Shaoyang was almost done, he suddenly heard someone shouting at the door: "Zuo Langzhong!" Zuo Langzhong, help! ”
When they looked to the door, they saw a man carrying an old woman on his back, panting through the door.
Zuo Gui hurriedly said: "What's wrong?" ”
"My mother seems to have had a stroke, help."
Zuo Gui was a little at a loss, because the small bed had been occupied by Old Lady Qu and there was no way to place it. In the midst of the chaos, Miao Peilan took a roll of cover and put it in the open space in front of the medicine cabinet: "Put it here!" ”
The man didn't have Zuo Gui's signal, so he naturally didn't dare to put it at will, and looked at Zuo Gui in a panic. Zuo Gui hurriedly said: "Put it down!" The man hurriedly put the old woman on the floor.
Hou Pu saw that there was a patient, and his father-in-law wanted to diagnose the patient, so he didn't dare to delay, so he took his wife and children to leave.
Zuo Gui squatted down to inspect the old woman, and saw that the old woman's eyes were dull, her body kept twitching, and he hurriedly asked, "What's wrong?" ”
The man said with a crying voice: "Originally, I didn't buy food yesterday, my mother was trembling and didn't know how to get better, and at night, a fire burned half of the sky, and I was frightened, and then my mother said that I had a headache and dizziness, and my fingers were numb." Because of the curfew, I didn't dare to walk around, so I barely got up early in the morning, and my mother said that I had a headache and nausea, my fingers were numb, my limbs were soft and weak, I couldn't see things clearly, my mouth was sticky, and I didn't want to eat. Then I found that the right half was not working, and I couldn't speak clearly, and then I had convulsions, and the uncle next door said that it seemed to be a stroke, and I rushed to the hospital. He also said that someone posted a notice on the street, saying that Guizhitang's treatment for stroke was cheap and good, so he carried it, Zuo Langzhong, save my mother. ”
Zuo Gui asked the old woman, "This sister-in-law, can you hear me?" ”
The old woman nodded slightly, and said vaguely: "Hear ......, you can hear ......." ”
Zuo Gui carefully recognized and heard her words clearly, and couldn't help but be overjoyed, turned back to Zuo Shaoyang and said, "She can still speak!" ”
When the old woman came in, Zuo Shaoyang came over and stood behind Daddy Zuo Gui and looked at it, listened to what Daddy said, nodded and said, "Yes, although my tongue is strong and my language is not clear, I can answer questions and my mind is still clear." Feel the pulse and look at the tongue first. ”
"Hmm!" Zuo Gui raised his wrist to diagnose the pulse, pondered for a moment, and said: "The pulse is strong and powerful, the tongue is red, the moss is thin and yellow, and the veins under the tongue are light purple and thick. ”
Zuo Shaoyang's heart was wide and said: "This stroke is okay, it's just a middle meridian, and it's relatively light." ”
"What is the Middle Meridian?" Zuo Gui stroked his beard and said.
Before the Tang and Song dynasties, the analysis of the etiology and pathogenesis of stroke did not distinguish between the middle meridians and the middle viscera, and Zuo Shaoyang used to analyze Li Damiang's illness to Zuo Gui, but he did not analyze it theoretically, so it was the first time Zuo Gui heard such an assertion.
Zuo Shaoyang decided to tell his father Zuo Gui about the theoretical knowledge of stroke, but after dealing with the patient's side first, he asked his father Zuo Gui to wait a while and told the patient's family that the treatment of stroke in Guizhitang was a secret that Guizhitang did not pass on, so the patient and his family could not ask to see the prescription, and second, they could not ask to see the dispensing, and the medicine could not be taken away, so they could only boil it in Guizhitang, pour the soup and potion into the jar and take it back to drink, and come back after eating. The patient's family members don't understand medicine, and they can't understand the prescription and dispense, so they naturally agree.
In order to keep it secret, Zuo Shaoyang didn't even open the prescription with the surname Suo, and directly picked up the medicine and boiled it. After the decoction was boiled, he said to his father Zuo Gui: "The old bell doctor taught me that stroke can be divided into two categories: the middle meridian and the middle viscera according to the severity of the disease. Generally, it is limited to limb inflexibility, hemiplegia, crooked mouth and eyes, and slurred speech; The middle viscera is much more severe, the disease is very ferocious, generally will suddenly faint, breathing and snoring, incontinence, and severe paralysis, fever and so on. ”
Zuo Gui smiled and nodded: "Then I understand, Old Lady Qu's stroke should be the internal organs?" ”
"That's right! And it's the internal organs that have reached a very serious level! ”
Bai Zhihan's delicate body trembled slightly, glanced up at Zuo Shaoyang, and lowered his head again.
Zuo Shaoyang said: "The middle meridians can generally be divided into two categories: liver yang hyperactivity syndrome and phlegm and heat viscera empirical evidence, and the middle viscera can be divided into two categories: closed and out of evidence, and closed evidence is divided into three types: wind and fire closed body pattern, phlegm fire closed body pattern and phlegm turbidity obscurity pattern, and the certificate of detachment mainly refers to the loss of vitality and the loss of evidence. Stroke may cause sequelae, which can be broadly divided into qi deficiency and blood stasis syndrome, liver and kidney yin deficiency, yin damage and yang syndrome. Different symptoms, different prescriptions......"
Zuo Shaoyang explained in detail the key points of syndrome differentiation for each syndrome type, but did not say the treatment principles and the compatibility of their respective medications, because this is a core secret and cannot be said in front of patients and outsiders. Go back and tell Daddy in private, Zuo Gui is.
That Bai Zhihan listened to what Zuo Shaoyang said, like a few family treasures, and couldn't help but be stunned, thinking that this little man really had two hits, it seemed that he had really lost his eyes before. It's not shallow to judge people by their appearance, but now that I've offended him, I don't know if he is willing to do his best to save his grandfather, and he began to regret it in his heart.
Boil the decoction and give it to the old woman. Zuo Shaoyang asked them to prepare a door panel, carry the old man back flat, don't flip around, so as not to have an accident, and wait for the decoction to be eaten, and then carry it back for follow-up. The family found the door panel, paid for the consultation and medicine, and sure enough, it was only a dozen dollars, and they were very grateful, and they were very grateful for carrying the people away with the soup and medicine jars.
On this day, seven or eight more patients came, all of whom were common diseases such as headaches, brain fever, and diarrhea. Zuo Gui basically got it done, and Zuo Gui, who was not sure, called Zuo Shaoyang over to discuss and finally determine the treatment plan. It's just that Mrs. Qu's stroke still shows no signs of improvement.
Miao Peilan and her mother helped sort and clean up the medicinal herbs, and they were also busy for a day.
In the evening, Zuo Shaoyang was about to close the door, when he suddenly heard someone shouting in the distance: "Xiao Langzhong!" Wait a minute! ”
Zuo Shaoyang turned his head to look, but it was the old woman lying on the door panel who had come to see the doctor with Mrs. Qu the first day, lying crookedly on a bamboo chair covered with futon at the moment, covered with a big red quilt, and the bamboo chair was helped by bamboo poles on both sides, and two strong young men carried it. flashed over, and the first one was the young man who begged Zuo Shaoyang to save his mother that day.
Zuo Shaoyang said curiously: "Why are you here?" ”
The young man smiled and said, "My mother has taken your medicine, she has woken up, she no longer has convulsions, the corners of her mouth are also straightened, and she can still speak, but she can't say it clearly, saying that she is coming to thank you Guizhitang for saving your life." ”
"It's serious, please inside!"
(To be continued)