Chapter 11: Serious Illness Requires Heavy Artillery
"Auntie, stick out your tongue and let me see." Li Maoyang said to Han's mother again.
Han's mother opened her mouth and stuck out her tongue very cooperatively.
Li Maoyang hurriedly seized the time to observe and distinguish carefully.
White tongue? Also a little thicker?
Dull tongue?
Li Maoyang groaned slightly, and then said, "Auntie, I'll take a look if you your tongue." ”
Han's mother cocked her tongue very cooperatively.
A dark purple bruise under the tongue?
Li Maoyang finished reading Han Ma's tongue, and reached out to scratch his eyebrows, this small action is to promote his brain to run quickly!
The tongue coating is white and somewhat thick...... Well......
According to the principle of "five-color main disease" in traditional Chinese medicine, the white main deficiency pattern (qi deficiency, blood deficiency, yang deficiency), cold pattern and blood loss pattern, among which the deficiency pattern and cold pattern can be matched with Han Ma's weak pulse.
As for the tongue coating is a little thick, you shouldn't think too much about this, right?
In this case, Han Ma basically has no ability to clean up oral hygiene, and it is normal for the tongue coating to be slightly thicker.
I don't think much about this, and I can't think of it as a heavy wet one.
It is important to consider the white tongue coating, dull tongue, and dark purple ecchymosis under the tongue.
White tongue coating - indicating that there is a deficiency of qi and blood, and there is a sign of cold.
Dull tongue - indicates that the qi is not running smoothly, and there is blood stasis stagnant in the veins.
Dark purple ecchymosis under the tongue indicates that there is internal obstruction of blood stasis and blood flow is not smooth.
On the whole, Han Ma is deficient in qi and blood, blood stasis and obstruction, and the veins are blocked.
This is also compatible with Han Ma's weak pulse.
Then let's have a consultation.
Smell is exempt.
Olfactory examination involves smelling odors and listening to sounds.
Han Ma's voice is obviously lacking in qi, so it also represents weakness of qi and blood.
As for smelling, he didn't have to, the smell in this room almost destroyed his sense of smell.
Then Li Maoyang began to consult Han's mother.
Han's mother was very cooperative, and she said a lot, for fear that Li Maoyang would not be able to hear her condition, Li Maoyang summed it up, in fact, there are two main points.
One is to like heat and fear cold, and the other is to not sleep well, accompanied by palpitations and palpitations.
Li Maoyang reported the tongue diagnosis and consultation to the Qihuang system, and the Qihuang system approved it.
Then the mechanical sound of the Qihuang system sounded again.
"The prescription prescribed by this system to patients is: Astragalus membranaceus,... g, angelica,... Grams, cinnamon branches, Chuanxiong, peach kernels, red peony, fried dragon... Grams, clematis, Qin Geng... grams, fried jujube kernels and nightshade vines... g, licorice ... Gram. ”
"The acupuncture program for patients in this system is ......"
"The massage program for patients in this system is ......"
"The fumigation program of this system for patients is ......"
Li Maoyang fell silent after hearing this.
He can accept the other plans that the system said, but there is one point, among the prescriptions proposed by the system to Han Ma, the dosage of astragalus has reached 120 grams!
120 grams!
Astragalus is a Chinese herbal medicine that has the functions of replenishing qi, strengthening the spleen, strengthening the heart, detoxifying, and invigorating qi and pulse, so it is very effective for patients with weak qi and blood.
However, it is generally not allowed to be used in large quantities in the initial stage, otherwise the patient's weak body may not be able to bear it at all, and if it causes rapid heartbeat, the blood flow is too fast, and there is a risk of blood vessel rupture.
Therefore, the daily dosage of astragalus should generally be controlled at about 30 to 60 grams, and gradually increase in the later stage, up to about 150 grams.
This is the current dosage rule commonly used by doctors.
But Li Maoyang is actually quite suspicious of these general rules.
Because he saw that there was no doctor who could use Chinese medicine to treat serious illnesses who did not dare to reuse fierce medicine in large doses!
For example, Li Ke's seniors, the reason why he was able to pull many patients back from the ghost door was that he dared to reuse the powerful medicine of aconite in large doses!
His exceptional heart-saving soup can shrink the heart of a heart failure patient back to its original shape!
This is a serious illness that Western medicine has been helpless!
Can TCM only treat some functional lesions? Look at Li Ke's predecessors, he can use traditional Chinese medicine to treat this kind of organic lesion of the heart that has become bigger!
Although light medicine also has its advantages, it can also skillfully treat some lesions, but after all, there are still few major and serious diseases that can be treated.
It's like if you want to lift something weighing 1,000 Newtons, but you only dare to use 100 Newtons of strength at a time, and give you a thousand years of what you can lift weigh 1,000 Newtons?
Isn't it all too clear that only if you dare to use a thousand newtons of strength at a time can you lift something that weighs a thousand newtons?
If you divide the force and use only a hundred newtons of force at a time, no matter how many times you lift it, how can you afford to lift a thousand newtons?
It's the same for treatment, for example, a blood vessel blocked by blood stasis needs a stream of thousands of calories of steam to flush away, but you only dare to use 100 calories of steam each time, so how long will it take for you to rush through the blocked blood vessel?
I am afraid that there is no hope in the patient's lifetime!
So, dare to use medicine.
If you are afraid of taking responsibility, don't be that doctor, don't take over other patients, isn't that delaying the patient's condition?
Of course, it would be nice if Chinese medicine could also sign a disclaimer clause before surgery like Western medicine.
Western medicine dares to open the head of patients by virtue of its policy advantages, and the families of patients who cannot be cured are acceptable, but Chinese medicine does not have this policy advantage, so it can only continue to be reduced to health medicine.
For example, a seemingly small tablet of Western medicine, how many drugs are its active ingredients extracted from?
What is the amount of drugs that are combined before purification?
But no one will tell you this, no one will tell you this!
Li Maoyang thought about it so many times in his heart, and decided to go back and consider the dosage of this astragalus first.
Use is to use, see how to use.
At the very least, he can't let others catch him.
As a doctor, you must also be good at protecting yourself, don't ruin your future.
"Auntie, Brother Han, I'll go back and think about how to treat Auntie's illness, well, I'm afraid it's tomorrow, I'll have a good dream at night, maybe my master will really come into my dream."
Li Maoyang finally said to Han Ma and Han Cangzi.
It's a good excuse to make the most of it.
Han Cangzi nodded, he didn't have any hope for Li Maoyang, Li Maoyang retreated by himself, and he didn't have to be wary of Li Maoyang treating his mother blindly.
Mother Han looked at Li Maoyang with bright eyes: "Yangyang, you go back and have a good rest, pay attention not to get tired, what your master wants to say to you in your dream, you have to remember clearly!" ”
Obviously, Han's mother is concerned about this matter.
Li Maoyang hurriedly nodded: "Auntie, don't worry, I will have a good rest when I go back, once my master tells me something in my dream, I must remember it clearly!" ”
Han Cangzi sent Li Maoyang out in disbelief, he is forty years old this year, and he has begun to believe in these strange things about dreams.
Li Maoyang carried the medicine box back to the clinic, thinking all the way, before he returned to the clinic, his head that was good at lying came up with an idea.
Well, tomorrow I'll go to Han's house again, and that's it, like this!
After thinking of these tricks, his heart was at ease.
When he returned to the clinic, he looked at the large photograph of Master hanging on the wall, and suddenly his mind was filled with the scenes of those moonlit nights and the green gauze tent.
Alas, it turns out that the master is also a lover.
This time, I will inherit your unfinished business and save your old friend, and you will bless me with great success!