"Well, now that the cow has blown out, this must be done in the next few years! Even if only a small hospital the size of a township clinic was built at the beginning, it would be counted. ”

Coming out of Qiao's pharmacy and getting into his car, Li Maoyang muttered to himself.

At the same time, his back tightened for a while, and he only felt a lot of pressure on his body.

Make money, find people, find ...... relationships, special meow, Yali Mountain is big!

"No matter what, there must be a road before the car reaches the mountain, and the boat will naturally go straight to the bridge. Now just move on! ”

He comforted himself, started the car, and drove towards the ferry village.

He was going to come and sleep in the town hotel where Liang Wenhe stayed at night, but it was not time to sleep yet, he needed to go back to Dukou Village to correct Zhang Qing's luck cultivation path first, and then return to the town.

Well, when he returned to the town, he had to revisit the two special fee patients that Jiang Zhongrong introduced to him......

Li Maoyang thought so and drove back to Dukou Village.

When he finished correcting Zhang Qing's luck cultivation path and was about to return to the town in the car, he stopped the car when he saw Bai Xiaoyun, Li Xiaohua and Jiang Xiaoxue walking back to the clinic on the dim road.

Two apprentices, one prospective apprentice, where did you go back and forth?

"Master! Master! ”

Li Xiaohua and Bai Xiaoyun shouted and walked towards him with Jiang Xiaoxue.

"Where are you going?" Li Maoyang got out of the car and asked.

"A patient was not numbered and spent money to live in the Wang's house in the village, so we went to see it." Li Xiaohua said.

"What's wrong?" Li Maoyang asked.

"The eyes are dry and dizzy, and I can't see clearly; tinnitus, and some deafness; Then there is insomnia and dreams. Bai Xiaoyun said.

"Jiang Xiaoxue, what do you think is wrong with this patient?"

Among the three, Jiang Xiaoxue has the weakest foundation in traditional Chinese medicine, so Li Maoyang started with her.

"I've just started to learn ......," Jiang Xiaoxue said crampedly, "And we haven't bothered to discuss it yet, how do I know?" ”

In the dimness, her dark eyes squinted at Li Maoyang slightly, and her two hands twisted each other behind her back.

She is tall and slender, and her bear breast is slightly undulating at this time.

She seems to still maintain the mentality of a high school student, and it feels humiliating if she can't answer a question.

"That's why I asked you to answer first, as much as you can, even if you only know a little, that's the result of your thinking.

If you study medicine, you can't be afraid of being embarrassed if you can't answer the questions, so you won't be able to learn well at any time. ”

Li Maoyang said gently.

Li Xiaohua also persuaded: "Xiaoxue, you should boldly say what you are afraid of in front of the master." ”

Jiang Xiaoxue lowered her head and kicked a pebble under her feet, she was wearing sneakers, and she was not afraid of being knocked by the pebble.

Since coming to this country, she has also been contaminated with some countrymen's breath, and she doesn't care too much about the image of a lady.

"I knew that the liver was open to the eyes, so the patient felt that his eyes were dry and blurry, and he couldn't see clearly, so it should be a liver problem, right?

The kidneys are open to the ears, so the patient's tinnitus, and some deafness, should be a kidney problem?

I don't know. ”

Jiang Xiaoxue said after a while.

"Okay." Li Maoyang nodded in affirmation, "In any case, seeing that the patient's condition can start to analyze the cause according to the theory of traditional Chinese medicine is a kind of progress."

Xiaohua, what do you think? ”

Li Xiaohua straightened up slightly and said, "Master, I feel that this patient may mainly have problems with his kidneys and heart.

The liver is open to the eyes, but not all eye problems are liver problems.

Because the essence of the five internal organs is focused on the eyes, the eyes can reflect the problems of each internal organ.

Therefore, in addition to the liver, kidney problems can naturally affect the eyes.

The kidneys open to the ears, tinnitus and deafness, most likely because of the kidney problem.

As for insomnia and dreams, it should be a heart problem, because the heart is restless and restless, which will naturally disturb people's sleep. ”

Li Maoyang nodded and said, "It's okay, Xiao Yun, what do you think?" ”

Bai Xiaoyun took a nervous breath and said, "Master, I think this patient may have something wrong with the kidneys.

This patient's eye and ear problems, I think the same as Brother Li.

It's just the heart, well, I think, it should be a problem with the kidneys, because the kidney yin is insufficient, and it can't absorb the floating yang, so that the floating yang of the kidney disturbs the ventricles, resulting in insomnia and dreams.

Therefore, on the whole, I think that this patient should mainly have a deficiency of kidney essence and kidney yin, and cannot absorb floating yang, which caused various problems in this patient.

I have examined the patient's tongue and it is felt that his tongue is red, has little tongue coating and is dry, and it is not moist at all.

I also gave the patient a pulse, and I felt that his ulnar pulse, well, like a late pulse, was still a little weak.

Therefore, I feel that the patient seems to have a problem with the deficiency of kidney yin and kidney essence. ”

After Bai Xiaoyun answered, the three of them looked at Li Maoyang together to see what he said.

Li Maoyang smiled: "Theoretically, the three of you all have a point.

But I haven't diagnosed this patient, so I don't know which of you is right.

It is not possible to determine who is right and who is wrong based on the content of the consultation alone. ”

Jiang Xiaoxue rolled her eyes when she heard this, and thought to herself, then what are you asking us to say?

After talking for a long time, there is no standard answer!

Li Maoyang didn't care about Jiang Xiaoxue's white eyes, and said: "Therefore, in order to distinguish the syndrome accurately, it is necessary to have four diagnoses and references, and no one point alone is enough to distinguish the syndrome accurately."

But if Xiao Yun's tongue diagnosis and pulse diagnosis are accurate, I still prefer Xiao Yun's judgment.

In particular, Xiao Yun has now taken the concept of four diagnoses and joint references into her heart, which I am very satisfied with.

Xiao Yun, if this patient is really like you said, kidney yin and kidney essence insufficiency, what medicine do you think can be given? ”

"Master, I haven't thought about it yet, it's basically to replenish kidney yin and kidney essence?" Bai Xiaoyun said with a red face.

"Haha, you just said that the patient was unable to control yang because of the lack of kidney yin and kidney essence, so the kidney yang floated and caused various symptoms of the patient.

For these symptoms, it is not enough to replenish the kidney yin and kidney essence alone, but also to take in the floating yang.

And for the time being, it should be mainly based on the floating sun.

Therefore, if the patient is really like your syndrome, you can consider adding and subtracting the prescription based on Cizhu pills.

Of course, there are other prescriptions that can cure this syndrome, and the addition and subtraction of this magnetic zhu pill is just one of the options. ”

(Magnetic Zhu Pill: Magnet, cinnabar, Divine Comedy, with the effect of benefiting the kidney yin, absorbing floating yang, calming the heart and brightening the eyes.) ）

Bai Xiaoyun and the three of them pondered for a while, Jiang Xiaoxue raised her head and asked, "Well, that, I actually haven't been able to figure out the difference between kidney yin deficiency and kidney yang deficiency, and I can't remember the bunch of symptoms mentioned in the book......

"Yin can be used as a simple analogy with water. What happens when the earth runs out of water? Li Maoyang asked.

"Will it get dry?" Jiang Xiaoxue Road.

"Do you still have a fever in the summer?"

"Uh-huh." Jiang Xiaoxue nodded.

"So the human body is the same, if the kidney yin is deficient, the body will be dry and hot.

The specific manifestations are dry eyes, lips, and tongue, heart, two palms, and two feet, these five hearts are irritable, and even feel that the bones are hot, poor sleep, irritability, and irritability.

A factional characteristic.

Can you understand the characteristics of kidney yin deficiency this time? ”

"Uh-huh!" Jiang Xiaoxue nodded earnestly and vigorously, this time she understood it as soon as she heard it, and she remembered it all at once!

】

"Yang can be compared to sunlight. What happens if there is not enough sunlight in the sky? Li Maoyang asked again.

"It's going to feel cold."

"At the same time, yang can be simply understood as a kind of motivation or energy in our body, what happens if our body lacks motivation and energy?"

"You don't feel strong, do you?" Jiang Xiaoxue Road.

"So if we have kidney yang deficiency, we will feel chills and we will not have the strength.

Patients with kidney yang deficiency are afraid of cold, and they are very tired, do not like to talk, do not like to move, can sit but not stand, can lie down but not sit.

It is characterized by a static character.

As for the symptoms of backache and weak legs, it may actually be kidney yin deficiency or kidney yang deficiency, because the waist is the home of the kidneys.

Can you understand this time? ”

"Uh-huh, uh-huh! Thank you...... Master ...... "Jiang Xiaoxue Road."

"I'm not your master yet, you have to pass my inspection before you can become my official apprentice." Li Maoyang is serious and authentic.

Jiang Xiaoxue blushed and didn't make a sound.

"I've got to go to town, you guys study hard at night." Li Maoyang said, turned around and got into the car, and drove away.

Li Xiaohua and the three of them watched him leave, glanced at each other, and continued to walk towards the clinic, thinking about what Li Maoyang had just said all the way.

Li Maoyang's side also walked all the way, thinking all the way about Bai Xiaoyun and the three of them going to see the patient today.

This patient spends money to live in Wang's house to wait for treatment?

The three of them go to see the patient and want to learn from the patient?

Thinking about it, a thought popped into his mind......