"What's so confusing about that!"

Li Canyang raised his hand and straightened the watch on his wrist.

"The liver is a rigid organ, and the body is yin and yang, and it is particularly important to balance yin and yang, and if there is a problem with either yin or yang, it will inevitably affect the other party.

Now that Kyoto aunt has a deficiency of liver yin, the liver yang will inevitably not be stretched, and the excretion function of the liver qi will inevitably decrease, which will cause liver qi stagnation, and it is natural for the liver qi to stagnate and stagnate the liver qi.

And the liver wind is yang evil, and yang evil is very active, so that air mass will naturally rotate back and forth in the chest and abdomen! ”

Li Maoyang and Qiao Guoguo didn't squeak after hearing this, but both frowned.

However, Li Maoyang was thinking about Li Canyang's words, but Qiao Guoguo didn't understand much.

"Well, Canyang has a point. Guoguo, think about it, cyclones generally appear more often in hot and dry weather? Or does it appear much in wet weather? ”

As soon as Li Maoyang said this, Qiao Guoguo immediately figured it out: "Whirlwinds naturally appear more in hot and dry weather!" That's right, the aunt in Kyoto has blood deficiency and wind, and liver blood deficiency can easily lead to intraliver heat and cause liver qi stagnation, so a small air mass forms in the body, and then runs around like a whirlwind! ”

Yavin

After she finished saying it so "embarrassed", she couldn't help but cover her mouth and laugh, her eyebrows and eyes were crooked.

"If you answer like this, don't think about getting a single point in the exam paper!"

Li Canyang patted Li Maoyang's shoulder and said.

He was a little unhappy, obviously he answered first, but let Li Maoyang steal the limelight.

"Traditional Chinese medicine originally pays attention to the unity of heaven and man, and most of the questions have to be thought about by analogy with everything between heaven and earth." Li Maoyang sneered, "That's another thing to say in the exam, it's easy to understand it like this, it's easy to think about it, and it's easy to remember."

And modern science is gradually acknowledging that the human body is a small universe. ”

Li Canyang shook his head and said to Qiao Guoguo: "Guoguo, you understand Chinese medicine so well, sooner or later you will be taken into the ditch by Maoyang." ”

Qiao Guoguo frowned and didn't speak, Li Canyang called her Guoguo as soon as he met her, which made her have goosebumps all over her body.

As for Li Maoyang calling her Guoguo, it was tacitly approved in her heart, after all, Li Maoyang was her father's junior brother, and they got along very well now.

"That's how lectures should be taught, who can understand what you say!" Alia on the side said straight to Li Canyang.

She was afraid that Li Maoyang would also give her a lecture like Li Canyang in the future, so she hurriedly helped fight back against Li Canyang.

Li Maoyang used the whirlwind as an analogy just now, which made her finally understand something.

Li Canyang glanced at Alia and didn't squeak, what does a Mongolian girl know? He was too lazy to talk to her.

Then the discussion continues.

The next medical questions are much easier to understand.

When the liver qi is stagnant, the liver wood will naturally restrain the spleen and soil, and the spleen is bullied by the liver, so Aunt Kyoto has lost her appetite!

Loss of appetite, inability to eat, lack of energy in the body, insufficient energy supply to the brain, who are you without dizziness?

(Of course, there are also causes of hyperactive liver yang.) ）

This is also the reason why the waist paint is sore, and the body is emaciated!

As for Aunt Kyoto's poor sleep, on the one hand, it was because the "air date" was making a fuss in her body, which hurt for a while and that for a while; On the one hand, it is also because the heat disturbs the mind, can this sleep well?

……

Qiao Guoguo spent a noon to pull out the logical line, Li Maoyang and Li Canyang basically agreed, but only added some details.

This medical link is cleared, the pathological etiology and pathogenesis are understood, and the general direction of treatment is also out.

If the liver (kidney) is deficient in yin, then nourish yin (that is, replenish yin), and if the liver qi is not sparse, then dredge the liver qi!

But—

However, the fact that this treatment is not the same as the end of the work, in fact, this is only half of the work, and the following prescription is also crucial!

Because of the nourishing yin and hydration and regulating qi and relieving depression, there is a certain contradiction between the two in terms of treatment and drug selection.

This prescription is not simple!

So Li Maoyang, Qiao Guoguo, and Li Canyang discussed the prescription again!

Alia on the side was dazzled and had a headache when she heard it, and walked away silently with her head covered with her hands.

After watching and listening for a long time, she only roughly understood what Aunt Kyoto's condition was and what the yin deficiency was about.

If she wants to figure it out a little more, she has to ask Li Maoyang to make up lessons for her during the "evening self-study".

……

As a result of the discussion between Li Maoyang, Qiao Guoguo and Li Canyang, they came up with several prescriptions to choose from: Bupleurum Shugansan plus or minus, Bupleurum Guizhi Tang plus or minus, Xiaoyaosan plus or minus, and consistent decoction plus or minus.

The consistent decoction plus and minus was proposed by Qiao Guoguo.

Of course, she herself said that this was the prescription that her father proposed.

Li Canyang proposed Bupleurum Shugansan or Bupleurum Guizhi Soup, and he called his grandfather Li Zhongtong for advice, and Li Zhongtong felt that it was better to add or subtract Bupleurum Guizhi Soup.

(Li Canyang didn't dare to tell his grandfather that they were treating patients remotely, but only said that he saw a patient on the Internet to discuss it.) ）

Li Maoyang himself proposed the addition and subtraction of Xiaoyaosan.

As an antidote, Xiaoyaosan has the effect of harmonizing the liver and spleen, soothing the liver and relieving depression, nourishing blood and strengthening the spleen. It is mainly used for the treatment of liver stagnation, blood deficiency and spleen weakness.

Li Maoyang felt as if it was more correct.

But he felt that it seemed that it was okay to add or subtract from the usual decoction and the addition and subtraction of Bupleurum Guizhi soup.

Both can also relieve liver depression and nourish yin and blood.

For a while, Li Maoyang couldn't get it right.

He only has one chance to deduce the efficacy of the medicine, and he must choose the most accurate prescription to have the greatest possibility to pass the systematic deduction.

He spent more than an hour pondering and deliberating, and finally chose to add or subtract from the usual frying.

(Consistent decoction prescription: raw land, sand cucumber, wheat winter, angelica, wolfberry, neem seed.) ）

Consistent decoction is a prescription specifically for liver and kidney yin deficiency, and at the same time has the effect of soothing the liver and relieving depression, and it is a prescription that is still widely used today.

Of course, as far as Aunt Kyoto's condition is concerned, it is not effective enough to use the usual decoction formula, and after some discussion, Li Maoyang, Qiao Guoguo, and Li Canyang prescribed a prescription.

Northern sand cucumber, wolfberry, wheat winter, shengdi, angelica, neem seed, vinegar green skin, vinegar fragrant attached, ground bone skin, fried malt, fried jujube kernel, raw keel, raw oyster.

Among them, northern sand ginseng, wolfberry, wheat winter, shengdi, angelica, are used to nourish liver yin.

Neem seeds, green skin, incense, used to comb liver qi.

The skin of the bones is cleared of deficiency and heat.

Stir-fried malt, eliminate food accumulation, and stomach, and can also soothe the liver.

Stir-fried jujube kernels, keels and oysters to calm the nerves and help you sleep.

This is also a relatively large prescription.

In the eyes of beginners who know a little about Chinese medicine, it is a manifestation of incompetence to shoot birds indiscriminately, in fact, this is also the helpless choice of today's Chinese medicine, because the pharmacopoeia stipulates that the dosage of each medicine in the prescription should not be too large, so only more drugs with the same effect can be put in.

Of course, some fake Chinese medicine doctors shoot birds indiscriminately, and even want to take the opportunity to sell more medicines, which is another story.

The prescription they jointly prescribed successfully passed the systematic drug efficacy deduction.

Li Maoyang immediately told the Kyoto aunt about this prescription, and told her son Yongge to use a video call to let him check the medicinal materials when buying medicine, and also told a lot of precautions in decoction.

This can be regarded as being wholeheartedly responsible for the other party.

The 800 yuan is not easy to earn, but if you count what you have learned and open up another medical path, it is worth it.

In the end, the 800 yuan was divided equally among the four of them under Li Maoyang's rigid insistence, and Li Maoyang himself only received 200.

Then, when it was almost dusk, he received a video call from Sijin again.