Chapter 068: The Dialectical Syndrome refers to the syndrome
Next, naturally, it's still the same old thing.
Pulse first, tongue second, auscultation and questioning.
When Zhang Jing consulted He Weiqiang's children, it was his mother who was always replying.
As a father, Mr. He only occasionally added a few words.
Despite this, he still did not escape the number of his wife.
After the fourth consultation, Zhang Jing began to record the medical records in the medical record book.
The child, a 6-year-old male, had an asthma attack for five days, mainly at night at first, and now it is more obvious during the day, with itchy throat, less phlegm, no nasal symptoms, and stool once or twice a day.
Check: wheezing in both lungs, pharyngeal can be, red tongue, greasy in the middle of the lichen, weak pulse and slightly floating.
Diagnosis: Sun disease (cold outside and drink inside)
Prescription: Xiaoqinglong soup variety.
3 grams of ephedra, 6 grams of almonds, 6 grams of raw licorice, 3 grams of fine pungent root, 6 grams of dried ginger, 4 grams of schisandra chinensis, 6 grams of ginger banxia, 6 grams of poria cocos, 6 grams of magnolia bark.
Three doses.
After the prescription was issued, Zhang Jing continued to explain the decoction method and dietary contraindications.
Unlike the previous two mothers, He Weiqiang's child's mother is a cheerful person, and after listening, she nodded without too many questions.
After thanking him, he got up and pulled the child and walked towards the door of the clinic.
Surprisingly, Mr. He did not follow closely this time.
But after his wife and children went out, he immediately turned to Zhang Jing and said, "Doctor Zhang, I'm sorry, I see that there is no queue at the back for the time being, can I delay you for a few minutes, I want to ask a few questions?" ”
Zhang Jing had already seen that he was holding back his words, and he wanted to ask but didn't dare to say, so he nodded slightly: "Teacher He, don't be so polite, please speak." ”
As an engineer of the human soul, what I do on weekdays is to preach and teach and solve doubts.
And there are countless papers, and what I am best at is finding faults...... Ah no, to be exact, it should be fault-finding.
Zhang Jing has always been full of reverence for the teaching profession, so he is very much looking forward to the depth of the questions he is about to ask.
"Ahem......" Teacher He cleared his throat and decided to go straight to the topic in order not to delay too much time.
"Dr. Zhang, that's right, I just took a cursory look at the prescription list you just gave to the other two children, and found that the prescription is basically the same as that of my son."
"However, I have asked the parents of the children before, and their situation is not at all the same as ours. Why are different symptoms but the same prescription is used, and what is going on? ”
"Oh, Mr. He, what do you think is different?" Zhang Jingbi asked respectfully.
"I remember the first little girl you saw who had just started kindergarten, she had a cough and a cold, and she hasn't been doing well since the school started in September."
"The second little chubby dun has had asthma since he was a child, but it suddenly recurred after eating crabs yesterday, and he coughed a lot."
"But our son, except for a little itchy throat during the day, has nothing else to do, and he doesn't cough, but at night he sounds a wheezing sound in his trachea."
"Look, aren't the symptoms of these three children different?" Teacher He cast a questioning look.
Zhang Jing smiled faintly and explained: "Teacher He, first of all, let me tell you one thing, Chinese medicine pays attention to syndrome differentiation and treatment, not disease differentiation and treatment, let alone symptomatic treatment. ”
"Is there any difference between distinguishing 'symptoms' and symptomatic?" Teacher He looked puzzled.
Zhang Jing suddenly understood that he regarded syndrome differentiation as symptom differentiation.
So he said, "Although these two words are homophonic, they are not the same word. The syndrome of syndrome differentiation and treatment is the evidence of evidence, and the symptomatic treatment of the symptom is the correct positive in the prefix of the disease. ”
"Oooo Teacher He patted the door of his brain, and then he suddenly realized.
However, he then asked, "What is the difference between the symptoms and the symptoms?" ”
"Syndrome differentiation refers to syndrome, which is a term used in traditional Chinese medicine to summarize a pattern as a general term for a series of interrelated symptoms. Specifically, it is the state of the body's response and its movement and changes at the overall level in the process of the disease learned through the four clinics of looking, smelling, asking, and cutting. ”
"As for the symptoms, what you should know, which has just been described, is the various uncomfortable reactions of the body that manifest during the occurrence of the disease."
Teacher He stood up suddenly and said respectfully, "Doctor Zhang, I'm sorry, I am a sloppy person, and I almost misunderstood you just now. It's really better to listen to your words than to read a book for ten years. I, a junior high school Chinese teacher, couldn't even distinguish between symptoms and symptoms, and if the students knew, I was afraid that I would laugh off my big teeth. ”
Seeing this, Zhang Jing also immediately stood up: "Teacher He, you are serious. As the saying goes, interlacing is like separating mountains, and for laymen, there may not be many people who can distinguish the meaning of these two words. Moreover, you have observed so carefully, which shows that you are usually rigorous in your studies. ”
After a pause, he continued: "If you are interested in the knowledge of Chinese medicine, you can discuss it with me at any time. On the piece of paper that I just left to your lover on the method of decoction of Chinese medicine and the explanation of dietary contraindications, there is my mobile phone number. ”
When Mr. He heard this, he immediately became energetic.
With a face full of excitement, he said, "That's great, Dr. Zhang!" To be honest, I'm still very interested in traditional culture. Traditional Chinese medicine should be an excellent culture that belongs to the Chinese tradition, right? ”
"That's right, the traditional culture of China originally has cultural ideologies such as Confucianism, Buddhism, miscellaneous, Zonghengjia, Taoism, Moism, Legalism, soldiers, celebrities and yin and yang. Traditional Chinese medicine is related to many of these cultures, especially the Yin-Yang family, which is the originator of traditional Chinese medicine. The great physician Zhang Jingyue once said that although the medical Tao is complicated, those who can be described in one word are just yin and yang. ”
Moreover, when it comes to traditional culture, it is generally believed that it specifically includes: ancient texts, poems, lyrics, songs, fu, folk music, folk drama, quyi, Chinese painting, calligraphy, couplets, lantern riddles, shooting, wine orders, afterwords, as well as national costumes, living customs, and classical poetry. Among them, Confucianism, Buddhism, and Taoism, that is, the confluence of Confucianism, Buddhism, and Taoism, have the most direct and far-reaching influence on Chinese tradition. ”
Hearing this, Teacher He couldn't help but give him a thumbs up.
praised it: "The afterlife is terrible, the afterlife is terrible!" Unexpectedly, Dr. Zhang is young, not only with excellent medical skills, but also with such a deep understanding of traditional Chinese culture. ”
Zhang Jing waved his hand modestly: "Teacher He praised it falsely, I haven't done any in-depth research, I only know a little bit about it." You are a teacher of the national language, and you are the real senior. ”
Teacher He nodded approvingly: "Not arrogant, not impatient, not humble or arrogant, contemptible." ”
Without waiting for Zhang Jing to reply, he then said solemnly: "Doctor Zhang, if you don't dislike it, can you accept me as an apprentice?" I sincerely want to learn Chinese medicine from you. ”
Zhang Jing really didn't expect that Teacher He would say this, and looking at his serious appearance, it didn't seem like he was joking at all.
What's more, Zhang Jing saw that familiar look again.
This kind of look has been seen in Wang Sen and Huang Biao before.
Just as he was thinking about how to reply, a figure rushed in like an arrow.
"He Er, do you want to go home, what are you doing here!"