Chapter 067: Xiaoqinglong Tang plus minus to cure cough and asthma
Zhang Jing still diagnoses the pulse first, then the tongue, and finally smells and asks.
The information obtained from the four consultations is as follows:
The child, male, 8 years old, overweight, has a history of asthma since childhood, yesterday due to the consumption of two hairy crabs began to cough and wheezing, more frequent, clear nose, sneezing, nasal congestion, good stool, normal stool.
Examination: obvious wheezing and phlegm can be heard in both lungs, the pharynx is not red, the tonsils are not swollen, the tongue is pale red, the lichen is thin and greasy, and the pulse is floating and weak.
After thinking about it carefully for a while, this little boy had basically the same symptoms as Xiao Xuanxuan in front.
All diagnosed: sun disease (cold outside and drink inside)
There is evidence, and there is a prescription.
Naturally, it is based on small green dragon soup.
However, compared with the previous case, the degree of internal drinking in this case is significantly aggravated.
Therefore, appropriate additions and subtractions should be made on this side.
For similar diseases, Zhang Jing already had a lot of experience in effective cases when he was learning from Mr. Li Yu in the system.
Otherwise, it would not be possible to reach the level of a famous doctor at the municipal level in the treatment of TCM pediatrics.
Therefore, this case is not difficult for him at all.
So, Zhang Jing thought about it for a while and began to continue to write medical records.
Prescription: Xiaoqinglong decoction plus or minus
6 grams of raw ephedra, 6 grams of white peony, 3 grams of fine spice, 6 grams of dried ginger, 6 grams of cinnamon branches, 6 grams of boiled licorice, 4 grams of schisandra chinensis, 6 grams of ginger banxia, 3 grams of coria seeds (cloth bag).
Add 3 slices of ginger (the size and thickness of a dollar coin), five white onions (green onions), and 3 jujubes (broken).
Three doses.
After writing in the medical record book, he took a blank prescription note and carefully transcribed the medication.
Then, he took out a piece of Chinese medicine decoction method and dietary contraindication and handed it to the child's mother.
explained: "In this way, I will prescribe three pairs of Chinese medicine for you first, and you can add three slices of ginger, five green onions, and three jujubes according to the decoction method above." ”
"How big is three?" The mother asked.
"The size and thickness of a dollar coin."
"What is the white onion, the green onion?"
"No, it's the chives used in the soup, and the green part is pinched off."
"Do you want to remove the shallots?"
"It doesn't matter, it's okay to wash it and keep it, if you find it troublesome, you can just remove it."
"What does it mean to break the jujube?"
"Just break the stuffing by hand, or you can use scissors to split it in two."
"Oh-oh-oh, I see." The mother nodded.
Zhang Jing then went on to explain the dietary taboos.
"The child's current cough and wheezing symptoms are more obvious, and it is induced by eating a hairy crab. Therefore, during the period of taking the medicine, the taboos listed on the paper must be strictly observed, especially seafood shrimp and crabs, watermelon cold drinks, and various dairy products. ”
The child's mother took a closer look and frowned: "I can't eat so many things, so I guess I can only drink white porridge." ”
Zhang Jing smiled slightly: "It's not so exaggerated, eggs don't just need to be poached eggs, you can basically eat them." Of course, it is not recommended to eat spiced tea eggs bought outside. ”
"What about boiled eggs and tomato egg soup?"
"No problem at all. Lean pork as well as hen meat can also be eaten some, but don't eat too much at once. ”
"Oh, that's fine." The child's mother furrowed her brows, and then asked, "What about the vegetables, what can't you eat?" ”
"There are basically no taboos on this."
"As for the fruits, I don't think all the fruits can be eaten."
"No, for example, apples, bananas and cherry tomatoes are all normal to eat."
"Oooh, that's good. This stinky boy in my family has a good spleen and stomach, and he usually loves to eat, even daring to eat fatty meat. If you don't let you eat anything, you probably have to fight with me. The mother finally had a smile on her face.
Zhang Jing hurriedly corrected: "This mother, according to my diagnosis, your child only has a good appetite, but his spleen is weak. ”
"Huh? Isn't it good to have a good spleen and stomach if you can eat it? I see that some children in the community don't like to eat, and their faces are yellow and thin. Look at my stinky boy again, how white and chubby he looks. The child's mother asked curiously.
"It is true that children who cannot eat generally have a weak spleen and stomach, but obesity is also often caused by a weak spleen. Because being able to eat does not mean that all of them are digested and metabolized, children with spleen deficiency have reduced transportation ability, and if they eat too much fat and sweet taste, it will lead to excess nutrition in the body, which will cause obesity. ”
"Huh? I always thought that it was a good thing to be able to eat, and I would do as much as he wanted. Hearing you say that, I hurt him instead. The mother of the child was full of self-blame.
Zhang Jing comforted: "Mothers want their children to eat more, this is human nature, and there is no need to feel guilty at all." Don't worry, after taking these doses of medicine to cure cough and asthma, come to me to prescribe some Chinese medicine for conditioning, pay attention to your diet in the future, and you will definitely recover your health. ”
"Okay, okay, Dr. Zhang, thank you so much." The child's mother said excitedly.
"You're welcome, it's a doctor's job." Zhang Jing smiled faintly.
After speaking, he handed her the medical record book and prescription paper.
The mother of the child took the child, thanked her repeatedly, and walked out of the consultation room happily.
Teacher He, the father of the last group of children waiting in the hall, has been looking forward to it for a long time.
This is also a normal state of mind for patients and their families, always hoping that the person at the front of the queue can see a little faster, but when it is their turn, they hope that the doctor can see as slowly and carefully as possible.
After seeing her come out, he hurriedly leaned over again.
With a smiling face, he said, "I'm sorry, this eldest sister, can you show me the prescription?" ”
The child's mother had just seen the curiosity of Teacher He, so she handed it to him without much hesitation.
Because he was worried that his wife would scold her again, Mr. He only glanced at it a few times in a hurry, and then immediately returned it to her.
Of course, when I returned it, I didn't forget to say thank you solemnly.
The child's mother smiled and nodded, and after saying no, she took the child to pay for the medicine and get the medicine.
Teacher He looked at the back of the patient's mother, and secretly wondered: Why is it the same prescription, is this Dr. Zhang reliable?
With questions, Teacher He hurriedly returned to his wife and children.
He said to his wife, "Wife, do you want to ...... We...... Let's look at the old expert just now, right? ”
The wife's eyes widened: "What nonsense?" It's hard to get us, what to change? Besides, Huanhuan's mother recommended Dr. Zhang, not the white-haired old man. ”
"Oh...... Oh...... All right. ”
His wife ignored him and got up and led her six-year-old son to Zhang Jing's office.
Teacher He had no choice but to follow behind.
A family of three walked into the consultation room, and Zhang Jing directly beckoned the little boy to come closer.
"Come, kid, I'll shake your hand first."
The little boy seemed a little shy, turned his head to look at his mother, and hesitated to step forward.
"He Weiqiang, you are already a primary school student, why are you still so young? The doctor is calling you, hurry up!"
Teacher He encouraged softly: "Son, go, don't be nervous." ”
Zhang Jing shook his head secretly: This family, the yin and yang are too serious.