"In my opinion, this patient is not a rare disease, but his pores open after sweating, and he is closed by the wind and cold, and then the whole person becomes a stuffy jar that does not make sense inside and out.

The righteous qi in the body wants to drive away the evil spirit, but the surface has been tightly closed by the cold evil, and it has become like this under the struggle between good and evil.

It's like a flock of sheep in a sheepfold, and there are dogs driving the sheep out, but the door of the sheepfold is closed, and the sheep keep hitting the door, which makes a lot of trouble. ”

Na Sutu looked at Ge Gen and said slowly, and made a vivid analogy.

It's not that I'm afraid that Gegen won't understand, it's just a habitual way of thinking for him.

And because he has herded sheep, he likes to use sheep herding as an analogy.

"Huh?" Kudzu opened his mouth wide, "You said the patient is a sign of sun cold?" ”

(The sun is cold and cold, also known as the cold evidence, the evil offender of the wind and cold, and the body is occluded, resulting in the internal and external blockage, and the internal qi cannot be stretched and reached.)

The sun surface cold syndrome is the statement that the six meridian dialectics are mixed with the eight outline dialectics, and the surface cold empirical evidence is the statement of the eight outline dialectics.

The Six Meridians and the Eight Outlines are two different methods of pattern differentiation in Chinese medicine. ）

"It's this disease, otherwise the patient wouldn't have a headache like this." "When I look at him, I feel like he's a stuffy jar that can't get through inside or out." ”

Ge Gen lowered his head suspiciously, looking at the symptoms of his patient Wang Qiang again.

High fever, severe headache, no chills, no sweating, nausea and vomiting, cough.

Dry mouth and desire to drink, poor appetite, short urine.

The tip of the tongue is red and mossy white.

Pulse float.

……

In traditional Chinese medicine, the most important thing is to distinguish between cold and heat, and the most difficult, especially meow, is often to distinguish between cold and heat!

Because the patients you encounter in reality are not as typical as written in books, they are often intricate with cold and heat, just like lard and mutton fat are mixed together, so that you can't tell which is lard, which is mutton fat, more lard, or more mutton fat!

The surface is cold and the inside is hot, the inside is cold and the surface is hot, the upper cold is hot and the lower is hot, and the upper is hot and the lower is cold......

Grandma's, it's difficult!

Therefore, Ge Gen has been practicing medicine for more than ten years, and he doesn't dare to say that he can distinguish between cold and heat!

And even the famous doctors in ancient times often sigh that yin and yang are difficult to distinguish!

……

Ge Gen froze, and his eyes were fixed on the phrase "no evil cold".

No Chill!

And the book says that the main manifestation of solar typhoid patients is chills!

In addition, there are a lot of symptoms such as fever, strong head pain, limb pain, wheezing without sweating, and so on.

And without the cold, isn't this special grandmother's temperature disease?

How can it become a sign of the sun's coldness?

"However, Dr. Huang, the patient has no cold."

Kudzu reached out and clenched his fist and knocked on the door of his head.

"Chills are just a subjective feeling of the patient, not necessarily accurate."

Na Sutu looked at Ge Gendao from the reading glasses.

"And the patient took so many cold medicines at the hospital in Ou County, which caused the cold in the body to be heavier.

】

In this way, the patient's body is cold on the inside, and the outside is closed by the cold evil, but it is not easy to feel the cold. This is highly likely.

It's like when people are about to freeze to death, they don't feel cold, but they feel very hot, and they will take off their clothes, a truth. ”

Kudzu listened, pondering Nasutu's words carefully.

"Dr. Ge, in my experience, the subjective feelings of patients are unreliable.

The subjective feeling is already a lake, and when it comes out of the mouth of a patient who is unresponsive and has a dull brain, it is even more unreliable.

Therefore, when doctors see people, they should not take the subjective feelings of the patients themselves as the main basis for judgment.

In this regard, those who cannot fully listen to the words of the books must think flexibly and dialectically. ”

Nasutu said slowly.

This Mrs. Ge is very good, and he is still very willing to share his experience and opinions with this young man.

Listening to Na Sutu's words, Ge Gen felt as if someone had knocked heavily on his head, and he felt like he was empowered!

"Then Doctor Huang, how do you think you should treat this patient Wang Qiang?" He asked.

"Sweat and dispel the surface, exorcise evil spirits? Add or subtract with ephedra soup and you're good to go. "Na Sutu is determined.

Ephedra soup?!

Ge Gen frowned, on a hot day in August, the patient had a high fever and severe pain in his head, and he instinctively didn't dare to use ephedra soup.

Not only him, but most doctors are generally taboo about using ephedra soup now.

When encountering patients with high fever and headache without sweating, it is better to clear heat and detoxify, and it is taboo to use ephedra soup that sweats well!

Once it is used improperly, it will cause the patient's heart to beat faster, blood pressure to rise, and it will rush to the ...... of the brain.

With the use of mulberry chrysanthemum drink, silver Qiaosan these heat clearing and detoxification of the Taiping, even if it is reactive, it can also be faultless.

It is not obvious and generally does not cause an immediate violent reaction in the patient......

Thinking of this, Ge Gen pounded his head with his fist, he stayed in the county hospital for more than ten years, and the Taiping was used to it, and now even if he has been with Li Maoyang who dares to use drugs for so long, his thinking still can't turn around!

Many times, he can't help but want to use the Taifang.

Many doctors have been unable to improve their medical skills for decades, and it has a lot to do with this.

Therefore, it will never be possible to experience that feeling of taking corn from the fire!

But the masters are all trained by walking a tightrope!

"Doctor Ge, if you feel a little worried about using ephedra decoction to add or subtract prescriptions, we can also use acupuncture to solve the table for patients first to lower their body temperature, and then use ephedra decoction to add or subtract prescriptions."

Na Sutu saw that Ge Gen was a little embarrassed, so he proposed a more compromise plan.

After all, he has not yet obtained a medical qualification certificate, and in this clinic, the last person responsible is Ge Gen, and it is understandable that people are a little forward-looking.

"Okay, let's use a needle prick to solve the table first." Kudzu let out a sigh of relief.

Li Maoyang is not here, his psychological pressure is really great!

"Dani, you ask the patient named Wang Qiang to come over for a moment." He said to Yan Danni, who was in charge of the first diagnosis.

Yan Danni was listening to the wonderful discussion between the two, and she was a little distracted, and when she heard Ge Gen say this, she was stunned for a moment, and quickly got up to call the patient Wang Qiang.

"Why haven't you little doctor come back? Is this still a matter of taking the patient seriously? Didn't you say that your little miracle doctor would be back soon? ”

The patient Wang Qiang held his head and nagged all the way, and Yan Danni could only coax with kind words all the way.

She said earlier that Li Maoyang would come back soon so that she could recruit patients for their group, and it was not easy for her to make a diagnosis.

"Now I'll give you acupuncture treatment first, this is the treatment plan proposed by our boss!"

Wang Qiang entered the consultation room and kept nagging, Ge Gen could only detoxify the needle while lying to him.

Follow a good person to learn a good person, follow the priest to dance the gods, and after following Li Maoyang for so long, he has learned to lie to some extent.

Sure enough, after Wang Qiang heard him say this, he stopped nagging.

Hey~, this also plays a psychological comfort role! Gegen smiled bitterly in his heart, the name of the person, the shadow of the tree, when will he Gegen gain his own reputation......

Most of the acupoints are distributed on the back of the head and neck, mainly involving the Du Mai, the Zu Sun Bladder Meridian, the Zu Shao Yang and Bile Meridian, and some extrameridian acupoints.

Such as the temple, the big vertebral acupoint, the Taodao acupoint, the Fengfu acupoint, the Dazhu acupoint, etc., novices dare not acupuncture these acupuncture points.

However, with the current acupuncture technique of Kudzu, basically any acupuncture point can be pierced, and it will be pierced.

The level has already reached the level of deqi.

Although Sutu's acupuncture technique has also reached the level of dea, but in the end, when he is older, his hands and eyes are not as good as Kudzu, and this kind of work is not as good as Kudzu.

After some acupuncture and acupuncture, Wang Qiang's headache was significantly reduced, and he touched his head and kept muttering: "Oh, the little doctor is still a little doctor, after such acupuncture, the head really doesn't hurt too much!" ”

Kudzu couldn't help but smile bitterly when he heard this.

"Take your time." Nasutu walked over and patted him on the shoulder and smiled.

Yan Danni also looked at Ge Gen and smiled.

"Nothing." Kudzu waved his hand and smiled, as he continued to think about Nasutu's treatment opinion.

As long as you can sweat, Xuanfu (sweat pores) is clear, and the qi is harmonious, then the cold is dispersed, and the evil comes out......

Why don't you be brave enough to use it once?

Leave the patient here after taking the medication, and if there is any problem, the clinic is currently strong......

Thinking so, he gradually made up his mind.

Then he discussed it with Nasutu and prescribed a prescription: raw ephedra, cinnamon branches, nepeta, parsnip, and raw licorice.

He asked Yan Danni to decoction the medicine, and not long after giving the medicine to the patient Wang Qiang, Wang Qiang sweated, and his body temperature immediately dropped from nearly 40 degrees to more than 37 degrees!

And Wang Qiang's head didn't hurt anymore, and his pulse calmed down!

It's just that there are some mild symptoms such as dry mouth and fatigue, and you can use Maimendong soup to add and subtract prescriptions to recuperate.

, it's like a drum!

Well, if you don't have the spirit of walking a tightrope, you will never be able to practice superb medical skills.