"Hmm." Li Yu bowed slightly, and continued: "The data of the four diagnoses have been collected, Simeng, you will first distinguish the syndrome, what disease and what syndrome does the patient belong to in the three yin and three yang, and what prescription should be used?" ”

Three yin and three yang?

Hearing these words, Zhang Jing suddenly understood.

The three-yin and three-yang system is the dialectic of the six classics discussed in the "Treatise on Typhoid Fever".

In fact, he should have thought of it a long time ago.

Li Yu is the academic inheritor of Liu Lao, the master of the scriptures, and must also follow the law of syndrome differentiation and treatment of the medical saint Zhang Zhongjing.

It is no wonder that when he first consulted the doctor, Li Yu emphasized the need to distinguish syndromes, rather than dwelling on the so-called Western medicine or Chinese medicine disease names.

Without waiting for him to think about it, Li Simeng had already begun to shake his head and analyze.

"The skin is the surface, the pulse is floating, so the disease is in the sun, there is no nasal congestion, obvious cold and other symptoms, indicating that the appearance of evil is not serious, so the diagnosis is a light syndrome of surface depression. Half a soup of Fang Yi Guizhi ephedra. ”

"What is the basis for the provisions?"

"Sun disease, eight or nine days, like malaria, fever and cold, more heat and less cold, the person does not vomit, and the stool is free...... The complexion is hot and hot...... The body will be itchy, and it is advisable to have half a soup of cinnamon branches and ephedra. ”

Finally, he added: "This prescription is also the most commonly used prescription for the treatment of urticaria." ”

After finishing speaking, Li Simeng's face was slightly smug, obviously very confident in his answer.

Li Yu was noncommittal, and continued to turn around and ask Zhang Jing.

"Dr. Zhang, tell me about your diagnosis."

"My sister and I may have a different opinion." Zhang Jing thought for a while and said solemnly.

"Huh?" Li Simeng's eyebrows frowned slightly, and her heart tightened.

"Go on." Li Yu's eyes were full of expectation.

"I think that although the patient has a floating pulse, it suggests that the symptoms are unsolved, but at the same time, there should be evidence of Yangming, dampness and heat. Cause...... In addition, the tongue coating is yellow and greasy, the stool is sticky, and the urine is also yellow, which is more ...... There's damp heat in it. ”

Zhang Jing said a little stumbling, after all, it was the first time to seriously distinguish clinical syndromes, and his confidence was inevitably a little insufficient.

Unexpectedly, Li Yu nodded again and again after listening: "The dialectic is very correct, so how to use it?" ”

"Article 262 of "Treatise on Typhoid Fever", typhoid fever, stasis and heat in it, the body must be yellow, and ephedra is the main one with red adzuki bean soup."

"What about the prescription dosage, remember?"

"Two taels of ephedra (to the knot), two taels of Lianyi, forty almonds (peeled tips), one liter of red adzuki beans, twelve jujubes (broken), one liter of raw catalpa white skin (cut), two taels of ginger (cut), two taels of licorice (broiled)."

"On the eight flavors, take one liter of water, boil ephedra first and then boil, remove the foam, the internal medicines, boil three liters, remove the trickle, divide the temperature into three servings, and take it all in half a day."

Reciting the original text of "Treatise on Typhoid Fever" is Zhang Jing's forte. So, extremely fluent.

As soon as the words fell, Li Yu was secretly stunned in his heart: Good guy, I originally thought that it would be good if he could remember the composition of the medicine. Unexpectedly, there was a word for word about the dosage of each herb, the preparation method, and even the decoction and taking method.

I'm afraid that even he can't do this himself.

So he nodded again and again: "Very good!" Very good! Sure enough, it is a good seedling to learn the scriptures, with a solid foundation and high understanding. ”

Hearing this praise, Zhang Jing didn't say anything, but Li Simeng quit.

Muttered and said, "I think he is a blind cat who has met a dead mouse, I am not convinced, and I will try again next time." ”

This time, unexpectedly, Li Yu didn't blame her, but said with a smile: "Okay, I want to wait and see." ”

Seeing this situation, Zhang Jing felt more and more that this Li Simeng had a strange temper, and he always spoke babblingly, which was really unpleasant.

Also, how does the relationship between the master and apprentice seem a little weird?

Before he could figure it out, Li Yu spoke again: "Doctor Zhang, you can prescribe to the patient, pay attention to the conversion of the dose." You can't directly apply 1 tael to 15 grams, this patient, you can calculate it according to one-fifth of the original prescription. Only write about the medication and dosage, and I will supplement the rest. ”

As he spoke, he handed Zhang Jing a blank prescription note.

"Teacher Li, doesn't the Jing Fang pay attention to the original amount of the original formula, and can't be increased or decreased at will?" Zhang Jing couldn't help but ask curiously.

"We learn from Zhongjing's method, mainly to learn his principle of dialectical argumentation. The use of the scriptures is mainly to learn its rigorous compatibility principles. However, it is important not to lose sight of the past. Take this recipe as an example, if you are facing a strong man who is five big and three thick and a baby who is waiting to be fed, can you use the same dose? ”

Hearing this, Zhang Jing only felt that his cheeks were slightly hot, and he hurriedly picked up the pen and began to write: 6 grams of raw ephedra, 6 grams of forsythia...... After writing, he handed it to Li Yu with both hands for review.

Li Yu looked at it carefully: "Well, the words are good, but next time you can write more neatly, so that the pharmacist will not be able to make mistakes when grasping the medicine according to the prescription." ”

Zhang Jing nodded a little embarrassedly, after all, he is usually used to "Dragon Flying Phoenix Dance", and he has not written italics seriously for a long time.

It's just that he can't figure it out, why is there no computer in the clinic of such a large Chinese medicine hall?

You know, even small clinics like Mingdetang use electronic prescriptions. After all, it saves a lot of time in writing, and the font is definitely the most legible.

Before he could ask, Li Yu had already begun to explain the decoction method to the male patient.

"So, you follow this recipe to the Chinese medicine pharmacy below to grab 3 pairs. After taking the medicine back, fry three bowls of water into one bowl, you don't need to drink it during the day, just drink a little more hot water every night before going to bed, drink it while it's hot, cover it with a quilt and sweat, and sweat for three days in a row. ”

"Does it work to only prescribe medicine for three days? I've seen a lot of Chinese medicine before, and I've taken a lot of Chinese medicine that didn't work very well. At that time, it was a little useful to take Western medicine, but as long as you don't take it for a day, it will come out again. The male patient looked skeptical.

This is actually Zhang Jing's idea.

After two months of urticaria, three pairs of drugs can be cured?

Is Li Yu overconfident?

Looking at Li Yu again, he still looks confident.

He replied: "Although this disease has been going on for a long time, the yang energy of the body has not weakened, and three doses of medicine are enough!" Rest assured! After taking the medicine, I will be able to sleep well tonight. ”

For the first half of the sentence, the male patient listened to the clouds and mountains and fog, and seemed to understand it.

However, the latter words are clear.

Xindao: Since the doctor is so sure, then eighty percent is no problem.

So after quickly saying thank you, he went downstairs with the prescription in hand.

There were only three masters and apprentices left in the consultation room.

"Mr. Li, why don't you use electronic prescriptions in your clinic?" As soon as the male patient closed the door, Zhang Jing couldn't wait to ask.

"Although computer typing is easy and fast, it is easy to develop an impetuous personality. Traditional Chinese medicine (TCM) is very quiet, careful and serious, especially when diagnosing the pulse. Li Yu said unhurriedly.

Zhang Jing thought to himself, and the more he thought about it, the more reasonable it became.

With the advancement of technology, especially the popularization of smartphones, the atmosphere of the whole society has become more and more impetuous.

"Also, Mr. Li, why do you tell patients to take it only once at night, instead of taking it three times in half a day according to the original method?"

Li Yu smiled: "This is very understandable, think about it, when does his illness usually become obvious?" ”

"Oh......" Zhang Jing patted his head and reacted immediately.

I'm really confused.

Since the dosage can be tailored to the person's conditions, the decoction method is of course more flexible.

As soon as he thought of this, Zhang Jing couldn't help but sigh in his heart, Li Yu This is the real way to learn and use the scriptures!