Chapter 238: The rivers and lakes are nothing but sophisticated human feelings
After a long time, Li Maoyang opened his eyes.
Patient Zhang Hongliang's disease, it is obvious that he can't hold it by treating the spleen deficiency and dampness!
Because he is not only spleen deficiency and dampness, but also spleen and kidney deficiency, which leads to the flooding of water and dampness.
The water is all running to the limbs, causing the limbs to be swollen!
It's definitely already a yang deficiency flood!
Therefore, it is necessary to use the Zhenwu soup of warm yang water!
(Friendly reminder: The following paragraphs are a bit too in-depth, but after thinking about it, it's better to write a little shallow and shallow, in case there are readers who understand it?
As for those who can't understand it, they can also take this opportunity to get a glimpse of the difficulty of syndrome differentiation in traditional Chinese medicine. )
As for the patient's spleen and kidney yang deficiency, he should have had a convulsion in his limbs and a cold body, but the patient had a low-grade fever instead.
(Remember: patients with yang deficiency: 1, body cold; 2. Powerlessness. )
This complicates the condition.
But this can't confuse him Li Maoyang.
It is not uncommon for patients to have a mixture of cold and heat.
What is hot on the top and cold on the bottom, hot inside and cold outside, cold inside and hot outside, true cold and false heat, false cold and really hot......
It's too much to do!
The key here is to judge who is true and who is false!
And, who is the main aspect of the contradiction, and who is the secondary aspect of the contradiction!
As far as the current situation of patient Zhang Hongliang is concerned, it should naturally be really cold and hot.
The spleen and kidneys are so deficient that they can't even drain water, and they all run to their limbs, isn't that really cold?!
(Drainage also needs yang energy to give power!) )
Therefore, the true cold caused by yang deficiency is the main aspect of the contradiction of its symptoms!
So how did false fever come about?
1. The battle between good and evil, the battlefield of the battle between good and evil in its body, how can it not be hot?
2. Yang Qi is weak, and the fluid cannot be transpired and distributed throughout the body, and the body lacks the moisture of the fluid, how can it not be hot?
(Again, the liquid is not wastewater!) Tsu liquid is high-quality "pure water"! )
And the words of the first master of Zhongjing (at the end of the previous chapter) were also pointed out with an iron mouth, (as long as it is really cold), at this time, the body heat can also be used to use the aconite of Daxin and great heat!
At this time, you can also use real martial arts soup when the body is hot!
Here's why!
……
Li Maoyang thought about it so much and resolutely reported the real martial arts soup to the system!
The system efficacy deduction has passed!
"Guoguo, please go back and get some aconite! This medicine, we have to personally show this Brother Zhang how to decoction! ”
Li Maoyang wrote the prescription while saying to Qiao Guoguo.
Because Zhenwu soup has aconite, it needs to be decocted separately for a period of time in advance, so it must be demonstrated to the patient.
This is careless.
During this time, Qiao Guoguo came here to bring some commonly used medicines from the pharmacy, but there was no aconite in the Great Xin and the Twelve Classics.
"Huh? Do you want to use aconite? Qiao Guoguo leaned over worriedly to look at his prescription.
Li Canyang also came over to take a look.
Li Maoyang glanced at the two of them, Qiao Guoguo didn't say anything more, and went out to drive back to her pharmacy to pick up aconite.
Li Maoyang's gaze was very calm, but also very firm, and Qiao Guoguo felt that he should trust him.
Of course, after she went back, she still had to discuss it with her father.
"Next!"
Li Maoyang motioned for Zhang Hongliang to wait for a while, then raised his head and shouted.
But as soon as the next patient came to him, the curtain of the consultation room door was lifted, and three people walked in from the outside.
Master Zheng's old man's daughter Zheng Xiaomei and her husband came with her mother-in-law.
"I can't wait for you to come, so we can only come by ourselves!"
Zheng Xiaomei, who is in her fifties, said with a smile.
"Excuse me! Sister Zheng, I'm going to go to your house again in the middle of the night! ”
Li Maoyang stood up and scratched his head and joked.
While apologizing to the patient who had just come to his table, he asked him to wait.
He had to show Zheng Xiaomei's mother-in-law first.
As soon as he came, Zheng Xiaomei called him yesterday, and he promised to come to her house today to take a look; The most important thing is that Zheng Xiaomei is the baby daughter of his master, Old Man Zheng, even if he cuts the line, he Li Maoyang can't say anything!
Where does the salt come from, where does the vinegar come from, he has to remember the kindness of Old Man Zheng forever!
……
Zheng Xiaomei's mother-in-law's condition is dizziness for many years.
Li Maoyang gave her four diagnoses, just as he thought yesterday, the old lady is old, weak qi and blood, coupled with the blockage in the body and the lack of qi and blood supply in the head, which has caused long-term dizziness.
Of course, there is also a bit of a wind test.
Treat when replenishing qi and blood + promoting yang and rising yang, dissolving blood stasis and channeling, and calming the liver and quenching wind.
Li Maoyang prescribed a pair of Bazhen Tang plus or minus prescriptions, which added a few less flavors of yang-boosting medicine and anti-liver and wind-quenching medicine.
After some jokes, I didn't count the consultation fee, and I undercounted a lot of medicine costs, so I finally sent these three away.
……
On this day, Li Maoyang was busy until nearly nine o'clock in the evening, and he was able to finish treating all the patients.
Well, of course, this doesn't include the patients who were not seen in the queue for those afternoons.
Qiao Guoguo took Qiao Langlang back.
Li Canyang lay on the kang and began to brush up on the fast sound, which is known as a change of brain.
Naturally, I mainly watched beautiful women, stayed in the four-pound live broadcast room for more than half an hour, and swiped a total of more than 100 meters of gifts.
That's one-ninth of his day's wages today.
Li Maoyang is still very generous, and he gives Li Canyang and Qiao Guoguo the same salary.
Yang Qing and Qiao Langlang also gave a hundred each.
Li Maoyang himself continued to sit in the consultation room and brush up on the doctor's eucalyptus.
It is the medical eucalyptus recorded by Qiao Guoguo today.
Li Maoyang brushed it again to consolidate it, and occasionally added a little feeling to some medical eucalyptus.
While I was brushing the doctor's phone, a strange phone call came, and the voice was very small and soft.
It's Ren Xiaojing.
"Hello, is this Dr. Li? I'm Ren Xiaojing......"
"Hello, Sister Ren, I'm Li Maoyang. What do you think? Did they stitch your trachea for you? ”
"Sewing ...... Sewn up, I feel much better today, thank you...... Thank you, Dr. Lee, for saving your life! ”
"No thanks, don't talk too much, listen to me, let's add a WeChat friend, and I'll give you a follow-up on the video!"
"The First Evolution"
"Okay, okay!" Ren Xiaojing said hurriedly.
The two quickly added WeChat friends, and then Li Maoyang gave Ren Xiaojing a follow-up visit through the video and gave some medical advice.
Ren Xiaojing sent Li Maoyang a few red envelopes in a row!
Li Maoyang hurriedly accepted it and sent the red envelope back.
"Sister Ren, don't think about it, I won't accept your money! I've finally done a good deed, you give me a little sense of honor, okay? That's it, goodbye, if you send a red envelope again, I'll delete your friend! Okay, let's talk, someone called me! ”
After returning the red envelope, Li Maoyang sent a voice message to Ren Xiaojing.
Someone did call him, it was Zhen Xiaodan.
"Hello, Dr. Li!"
"Hello, Sister Zhen!"
"You probably guessed what I meant by calling you, I don't know if I can trouble Liang Yanan - just my best friend, can you let her join the queue and give early hypnosis treatment?"
"I'm sorry, Sister Zhen, I've lined up for others, and the time for hypnosis has also been arranged, you make me very embarrassed! You know my clinic is just starting out and I have to take care of the credibility. ”
Li Maoyang refused without even thinking about it.
This way of speaking is quite tactful for him.
"Well, you may not know, my best friend, she is actually the daughter of Liang Wenhe, the president of Zhaoli Group......"
Grass, Li Maoyang was a little angry when he heard it, why did you say it earlier, how can I save my head now!
The boss of Zhaoli Group, he really wants to stammer, there is a lot of money, and there is a lot of wool at will!
Now what?
Li Maoyang was a little angry for a while......
However, he still said in a calm tone: "I'm sorry, Sister Zhen, I can't even give you face, how can I give that Mr. Liang face?" ”
As soon as he said this, he heard Zhen Xiaodan giggling on the other side of the phone: "Doctor Li, you are really a wonderful person, giggles, okay, I won't embarrass you, in this way, do you think it will work if I have a way?" ”
Li Maoyang said: "You say." ”
"So, you can talk to the patient who is at the top of the line, and give him a little less to see if it's okay? I'll pay you the part of the cost you have less, is this okay? ”
"So- well, I'll talk to the patient before I get back to you."
Li Maoyang climbed down the pole.
On the condition of paying a part of the diagnosis and treatment fee, Li Maoyang quickly persuaded the patient who was in the first place to receive hypnotherapy, and then he replied to Zhen Xiaodan and ranked Liang Yanan first.
After doing this, Li Maoyang recorded it in a memo and left it behind.
After all, it is impossible for him to let Liang Yanan and Zhen Xiaodan accept him in this matter, at most, he can not be offended.
He Li Maoyang is not a pure dumbfounder, there are some things that should be flexible, and some relationships that should be maintained and maintained.
People are in the rivers and lakes, and they can't help themselves.