Chapter 049: Case Analysis and Discussion

"Personally, I think that the first thing should be to be dialectical and accurate. Because only by grasping the syndrome and pathogenesis can there be a syndrome, and the use of the prescription can the efficacy be guaranteed. Zhang Jingzheng said.

"But I choose the prescription according to the "Soup Song", which is also based on the disease syndrome, why is it wrong?" Huang Biao still looked puzzled.

"Okay, then I'll talk about my understanding of this "Soup Song". If there is anything inappropriate, please don't mind Director Huang. ”

"Xiao Zhang, you say, even though I tell the truth, I definitely won't be angry." Huang Biao hurriedly responded seriously.

Wang Ang's "Soup Recipes" selected more than 300 famous recipes, compiled into songs in seven-character poems, and wrote the name, medication, indications, and addition and subtraction of each decoction into the song, with concise and concise content. Moreover, the pronunciation is neat and catchy, which helps to memorize and memorize, and can indeed be used as one of the reference books for the introduction of Chinese medicine. ”

"However, in the end, it is only for beginners to get started, and even if they fully grasp it, they can only have a general understanding of the prescriptions that may be used in clinical practice. In other words, the Soup Song can only be counted as a reference book for prescription medicine at best. Looking at the whole text, it is not at all possible to talk about how much of the idea of dialectical argumentation and governance is in it. ”

"Director Huang, you should also know that if you trace back to the source, the 'ancestor of Fangshu' who established the idea of dialectical argumentation and governance should be Zhang Zhongjing's "Treatise on Typhoid Fever".

Huang Biao nodded vigorously, and said with admiration on his face: "It's really better to listen to your words than to read for ten years." The afterlife is terrible, the afterlife is terrible! ”

"Director Huang, you are too awarded. I'm just new to clinical practice, and you have nearly 40 years of clinical experience, so I still have to learn from you in the future. Zhang Jingcheng said.

"Xiao Zhang...... Ah no, Dr. Zhang, where am I qualified to teach you. I'm not afraid of your jokes when I say it, I sincerely asked you for advice this time. I hope you don't care about your past suspicions, and don't be like me as an old fool. Huang Biao suddenly stood up and said respectfully.

Zhang Jing also hurriedly stood up from the chair and said, "Director Huang, you are an old-timer, how dare you be so polite to me as a young doctor." ”

"In our business, age is not a problem, whoever has the ability can be a teacher. Ye Tianshi, a famous doctor in the Qing Dynasty, didn't he humbly apprentice to seventeen people to study medicine, and finally became a generation of warm patients. Regardless of whether the master is young or old, there is only one criterion for choosing a master, and that is to have real skills. ”

Seeing Huang Biao's longing eyes, Zhang Jing felt a sense of déjà vu.

After a little recollection, he immediately remembered that just a few days ago, Wang Sen had this kind of look when he was apprenticed.

Could it be that Huang Biao also intends to worship himself as a teacher?

Otherwise, how could he be like Wang Sen, and even his name for himself suddenly changed.

But how is this possible?

Huang Biao is an old Chinese medicine doctor with nearly 40 years of clinical experience, and he usually puts on a posture that no one looks down on.

Could it be that just because he cured his nephew's prostate disease, he decided to change his past mistakes and return to the right path of Chinese medicine?

This is a bit too sudden!

Huang Biao saw that Zhang Jing didn't squeak, and thought that he was unwilling, so he sighed and said gloomily: "Alas! Alright, Dr. Zhang, just let me say nothing. I'm also self-aware, and you probably think that even if I say it, I'm a bad old man who won't understand it. ”

After saying that, he wanted to turn around and leave.

Zhang Jing hurriedly called out to him: "Please wait, Director Huang, you sit first." ”

Huang Biao looked at him blankly and slowly returned to his seat.

"Director Huang, you completely misunderstood what I meant. I'm trying to remember, where we just discussed. Zhang Jing told a white lie in order to ease the embarrassment of the scene.

"Not really." Huang Biao believed it and patted his head lightly: "I forgot too, it's all my fault, I talked too far away from the topic." ”

"Well, why don't you talk about my dialectical analysis first." Zhang Jing suggested.

"Yes, yes." Huang Biao hurriedly responded.

"The patient's tongue is light, white and greasy and slippery, the sublingual stasis is not obvious, the left pulse is slippery, and the right pulse is heavy and weak. Combined with the diagnosis situation, my diagnosis was too yin, less yin and less yang, which is a syndrome of yang deficiency and dampness. ”

"The tongue is light, white and greasy?" Huang Biao took a sharp breath and asked puzzledly: "How can it be this kind of tongue image, I remember that it was obviously yellow greasy moss yesterday, right?" ”

Zhang Jing didn't see the situation yesterday and didn't dare to assert it. However, the tongue texture is light and generally does not change in a short period of time, and it is unlikely that the yellow greasy moss is too much, because Xiao Guizi is a proof of yang deficiency.

Therefore, after comprehensive speculation, the most likely reason is that Huang Biao did not look carefully during the tongue diagnosis yesterday.

Otherwise, after all, he is an old Chinese medicine doctor for decades, and it is impossible for him to even distinguish between red tongue and pale tongue.

"It is possible that before yesterday's consultation, the patient ate or drank colored food, which caused stained moss." Zhang Jing specially gave Huang Biao a step down.

Immediately afterwards, he continued to argue: "Moreover, the patient's right side is obviously weak, indicating that he has evidence of yang deficiency, which is consistent with pale white tongue." ”

"Pulse diagnosis is not my strong point, and I really didn't have a good pulse diagnosis yesterday. However, Xiao Guizi is so sturdy and works on the construction site every day, how can there be yang deficiency? Huang Biao questioned again.

"You can't just look at the appearance, yes, the patient is in good shape, but this can only show that he has a good congenital condition, and it is likely that he inherited the body shape of his parents. Moreover, Director Huang, your figure also looks like a treasure knife is not old. Zhang Jing had a little humor.

Huang Biao nodded thoughtfully and smiled: "This is indeed the fact that several generations of men in our family have grown strong. However, the hair is graying very early. It can also be said that they are a bit strong outside. ”

"I read the marriage column in your nephew's medical record, it says single, I don't think I have a family yet, right?" Zhang Jing asked.

"It's true, it's hard to find a daughter-in-law now, and Xiao Guizi is working on the construction site, and her culture is low-income, which is even more difficult."

Zhang Jing bowed slightly: "Therefore, I have a guess that his yang deficiency is likely to come from excessive consumption of the day after tomorrow. ”

"The day after tomorrow? You mean overworked, right? But he didn't even find a girlfriend, and he shouldn't have the spare money to go to that kind of place. How so? Huang Biao still didn't understand.

"It's because I don't have a girlfriend that it's easier to be intemperate, after all, it's a young man, and my blood is strong." Zhang Jing had no choice but to explain more bluntly.

"Oh...... Oh...... Oh......" Huang Biao suddenly realized, and his teeth itched with hatred: "This kid, I have to educate him well when I go back!" It turned out that this prostate problem was all caused by him. ”

"Director Huang, in fact, I'm just guessing, there's no need to blame him, after all, who hasn't been young yet, it's normal to have this kind of behavior."

Then the conversation changed: "I think you can persuade him to find a partner as soon as possible, don't be too picky, and be able to live a down-to-earth life together is the most important thing." ”

"Yes, yes, Dr. Zhang, you're so right! I'll talk to his parents about it when I get back. ”

After Huang Biao finished speaking, his mind suddenly emptied again: "Huh! Where did we just go? ”

Zhang Jing smiled faintly and was about to continue.

"Knock Knock Knock ......"

There was a sudden knock on the door to the examination room.

Huang Biao hurriedly stood up and said, "Doctor Zhang, a patient has come to see you, so I won't bother for now, and I'll come back when I have time to continue to ask you for advice." ”

With that, he turned around and opened the door.