"Yes." Shi Langzhong agreed, sat down on the round stool, checked the pulse and looked at the tongue, and found that the tongue was slightly red, white and smooth, and the pulse was weak, and he couldn't help but be stunned: "This old man seems to be a solar rheumatic syndrome." ”

"That's right!" Xue Langzhong stroked his beard and said, ""Treatise on Typhoid Fever" cloud: 'Typhoid fever** said, rheumatism fights, body pain, can't rotate sideways, no vomiting or thirst, pulse is weak and astringent, and Guizhi aconite soup is the master. Isn't that the case with the patient's certificate? There was wind, cold and dampness, joint pain, and a lumbar sprain, but you only treated her for a lumbar sprain, not solar rheumatism, so naturally you couldn't relieve the pain. This certificate is not difficult to treat, why can't you cure it, you are so tired that people come to seek medical treatment in the middle of the night behind your mother's back, what is the reason? ”

Shi Langzhong looked ashamed: "The apprentice failed to make a careful diagnosis, and based on only subjective assumptions, he made vain conclusions......"

"And that's not all!" Xue Langzhong suddenly raised his voice and said sharply: "What you lack is a benevolent heart that treats patients as relatives!" Without this kind of benevolence, you will not use your heart to diagnose the disease, and you will misdiagnose! It is a small matter to delay your reputation, and it is a big thing to delay your illness and harm people's lives! ”

Shi Langzhong's forehead was drenched in cold sweat, he lowered his head and bowed his head, and Nuo Nuo continued to speak.

"Okay, you prescribe the medicine according to the Guizhi Aconite Soup, and personally give it to the old man!"

"Yes!"

Shi Langzhong turned around to leave. was stopped by Xue Langzhong again: "Wait! Increase the amount of cinnamon branches a little, add one or two more to the original recipe, diverge wind and cold, and turn yang into qi. ”

"Understood."

"Well, the amount of aconite has also been increased, um......" Xue Lang turned around twice, gritted his teeth, and said, "Just use the three pieces of the original recipe!" ”

"Three?" Shi Langzhong was a little surprised, hesitated for a moment, and said, "Master, the original recipe is three, but most people use two, these three, will the amount be too large?" ”

Xue Langzhong stroked his beard and groaned: "This certificate is cold and damp, paralyzed on the surface of the muscles, and aconite and cinnamon branches must be reused!" Aconite warms the cold and relieves pain, helps kidney yang, and establishes the foundation of Weiyang. Sick of this disease, I am worried that it will be difficult to defeat the enemy. ”

"But ......"

Xue Langzhong waved his hand: "Don't do it, the patient is in severe pain, so hurry up and take medicine." When you wait to get the medicine, pay attention to the aconite that has been omitted, and at the same time, pay attention to observe whether there are any signs of poisoning. ”

Aconite is highly toxic and must be processed and detoxified before it can be used, and whether it can be detoxified while ensuring the efficacy, the processing method is the key. With the support of modern scientific research technology, the processing method of aconite has been very scientific, so the amount of aconite is far greater than that in ancient times, such as the Chinese medicine Vulcan doctor, the general use of aconite is about 100 grams, that is, about six. For people like Wu Peiheng, they often use two or three hundred grams of square aconite, that is, more than ten pieces.

In ancient times, the dosage was much smaller than that. According to the research results of Hao Wanshan, a famous professor who specializes in the study of "Treatise on Typhoid Fever", the average aconite weighs about 15 grams each (the large aconite weighs 20 to 30 grams), and the three ordinary aconites weigh about 45 grams.

However, throughout the entire "Treatise on Typhoid Fever", it can be seen that the dosage in it is much larger than the dose used in modern times, because the writing and taking methods of prescriptions in the Han Dynasty are different from those in modern times. If you use this dose, you will definitely have medical malpractice. Therefore, when looking at the ancient formula, we should not look at its absolute dosage, but should look at its proportion in the prescription compatibility, which is of practical guiding significance.

According to the compatibility ratio of the first party "Guizhi Soup" in the "Treatise on Typhoid Fever", it can be seen that the dosage of Guizhi in the "Treatise on Typhoid Fever" is three taels, according to the research results of Professor Hao Wanshan, one tael in the Eastern Han Dynasty is about equal to 15 grams in modern times, and three taels is 45 grams, while the dosage of cinnamon branches in the modern prescription book "Guizhi Tang" is only nine grams, which is one-fifth of the "Treatise on Typhoid Fever". That's a normal dose.

This is estimated by the general weight of aconite, the specific dosage in Zhang Zhongjing's "Treatise on Typhoid Fever" in the unit of two, the use of aconite to "black plum pill" is the heaviest, the use of cannon aconite six taels, about ninety grams in modern times, but according to the reasons mentioned above, should be reduced by one-fifth, that is, eighteen grams. It's also considered a normal dosage.

This is a conversion understanding of the amount of aconite used by Zhang Zhongjing from the perspective of prescription and modern habits, which shows that the amount of aconite used by Zhang Zhongjing is normal and not large. But in fact, in the ancient dosage, the absolute dosage of aconite is still very large, but, looking at the ancient medical cases, it is known that this dosage is rarely achieved by ancient doctors, and the actual dosage is far less than this requirement. There are two main reasons, one is that I don't know the time of decoction, and I don't know that aconite must be fried for about an hour and a half to achieve the purpose of detoxification, and the other is because the processing method is relatively backward.

Before the early Tang Dynasty, the artillery method was used, that is, simmering by the fire or roasting on the fire. This method is not easy to grasp the degree of processing, and it is easy to under-bake or over-bake the medicinal materials, and over-processing, which will damage the medicinal surname of the drug and damage the medicinal value. If the processing is insufficient, it is easy to detoxify and cause poisoning reactions. Zhang Zhongjing's "Treatise on Typhoid Fever" said that the three cannon aconite is the standard dosage that meets the requirements of detoxification, but in fact, due to the relatively backward processing method of ancient aconite, aconite detoxification can not meet the requirements, and the dose is large and often has accidents, so ancient doctors are very cautious about the use of aconite, although the theory of typhoid fever requires three, usually only two, and the big one is only one. Some timid langzhong dosage is smaller,

It is still relatively rare for someone like Xue Langzhong to dare to directly use the original three pieces, and it can be regarded as a master of the arts.

Shi Langzhong hurriedly agreed, and hurriedly went to grab the medicine decoction. The people of the early Tang Dynasty didn't know that aconite had to be decocted to remove the poison first, so they quickly boiled the medicine and sent it. Personally give it to the old woman.

After a while, Dong salivated at the corners of his mouth, and began to vomit, stretched out his hand to scratch and dance in the air, his hands and feet were cold, and then he was incontinent with more air and less incontinence!

Seeing that the old woman was really poisoned, Xue Langzhong and Shi Langzhong immediately panicked, and hurriedly fried licorice mung bean soup for the old woman to serve. But the effect was not good, the patient was already in a coma, and hurriedly adjusted the medication, the original recipe added raw rhubarb, parsnip, black beans and honey, and hurriedly saved until dawn, the old woman turned the crisis into safety, and woke up slowly.

I heard Xue Langzhong say it before, and Dong's son and daughter-in-law were still full of confidence, but they didn't expect that after the medicinal use, there was poisoning, and her son was so angry that his son glared angrily, he was a big family and did things, and he also learned to speak and take a fight. He shouted at Xue Langzhong and Shi Langzhong: "What are you doing, can you do it?" No, I'll change the local government! ”

For the pharmacy of the medical hall, it is very shameless to cure the patient, forcing the patient to seek medical treatment elsewhere, Shi Langzhong and them said again and again: "I'm sorry, I'm sorry, it's not that my master's medical skills are not good, but this medicine ......, this aconite is uncertain, some of the medicine is very strong, and some are ineffective, so people are not right, just now we have chosen the medicine that burns the most." I didn't think about it and was poisoned. ”

"You won't use less?"

"It's not good to use less."

"Now that the effect is good, my mother almost died! How do you calculate this account? ”

Shi Langzhong was very embarrassed, and turned his head to look at Master Xue Langzhong.

There was a poisoning medical accident, and it was caused by an overdose, and this responsibility couldn't be escaped, Xue Langzhong was also a little ashamed, and said: "I'm really sorry, Ling Ci has waived all the expenses for the diagnosis of the patient in the contempt this time, in order to express his gratitude." ”

"That's pretty much it!" The man pouted and said, "Then you should treat it quickly, my mother is dying of pain." ”

"Okay, okay." Xue Langzhong paced back and forth in the room with his hands behind his back, thinking about how to heal. Thinking about it, this disease still has to use cinnamon branch aconite soup, there is no other better choice. But when I opened the medicine and looked at the aconite inside, I didn't know which one had a good concoction effect, could be used, and was not poisoned.

Even Master Xue Langzhong couldn't help it, and Shi Langzhong had no idea, so he could only stand aside and stare dryly.

Xue Langzhong was at a time, and the little medicine boy next to him said: "Master, yesterday a Hengchang medicine store came to sell their newly concocted medicines, saying that their newly concocted medicines are not easy to poison, and they will not vomit or anything, and there seems to be aconite among them." They also left some medicinal herbs here, would you like to try it? ”

Xue Lang Center moved, yesterday it was said that Hengchang Pharmacy did come to promote the newly concocted medicinal materials, saying that everything would be given away for free, and if it was good, it would be bought again. At that time, the pharmacy was very busy, and they didn't care about it, so they left the medicine. I didn't pay attention to what medicines were available. Listening to the little medicine boy mention it, I remembered that I didn't have an idea at the moment, and it was good to use this medicine, anyway, Hengchang Medicine Store is a time-honored brand, and the medicine they concocted has always been very good.

Most of the medicinal materials used in Xue Langzhong's Renshou Pharmacy were medicines that traveled from their medicines. Although he said that he would not be poisoned or anything, Xue Langzhong naturally knew that this was just a propaganda method, he had practiced medicine for so many years, and there were many cases of aconite poisoning, and there were very few cases where it was effective and not poisoned. But now there is nothing to be done, and I hope in my heart what they say is true.

Seeing Xue Langzhong nodded, the little medicine boy hurriedly took out the medicine left by Hengchang Pharmacy, and sure enough, there was a packet of aconite inside. There was another small piece of paper in the bag, which read: "Note: This aconite must be fried for half an hour to an hour before it can be used, and the entrance can be slightly numb." Otherwise, there is a risk of poisoning. ”

Fry for half an hour to an hour? Xue Langzhong looked at the note and pondered, he had never heard of this, picked up a piece of aconite, and saw that the color of this piece was yellow-brown, slightly bulging, and when he smelled it, there was a faint fragrance, which was completely different from what he usually saw.

What is this new method concocted by the appendice? Xue Langzhong flipped over and over.

(To be continued)