Zhang Jing pondered for a while, and then said: "The evidence of annoyance and asthma seems to be irrelevant at first glance. However, if we analyze it from the perspective of gas engine, there are actually commonalities. ”

“…… Oh, you explain it that way and I'll get it! Director Yang nodded again and again, as if he had realized.

Su Minjuan was still confused, and asked weakly: "Qi machine?" What do you mean? ”

"Xiao Su, think about it, what is the pathogenesis of asthma?" Director Yang asked promptly.

"I think it's supposed to be an obstructed airway, and my lungs are not breathing, right?" Su Minjuan replied uncertainly.

Director Yang smiled and shook his head, then added, "Not exactly. The disease of asthma is mainly in the chest, and the pathogenesis is caused by the abnormal rise and fall of the qi machine, which makes the lung qi undeclared, dropped, and admitted. ”

"Therefore, the first party for the treatment of asthma, the compatibility of Xiaoqinglong soup, is the combination of Xin San and acid harvest, scatter and harvest, warm and lung together, open and close. So as to achieve smooth ventilation and relieve asthma. ”

"According to what Dr. Zhang just said, gardenia bean soup can cure the qi reversal caused by the accumulation of deficiency fire in the chest, and the use of gardenia bean soup in the treatment of asthma in this case is obviously also true."

Zhang Jing took over the conversation and said: "Since ancient times, there is an old saying in Chinese medicine, which is called 'internal does not cure asthma, external does not cure ringworm'. Director Yang, the medical case you mentioned, in fact, I have also heard of it, is indeed a very classic medical case of Song Lao. ”

"Song Lao does not stick to the name of the disease, but only grasps the prescription for the disease. It truly achieved Zhongjing's twelve-character mantra of 'looking at its pulse evidence, knowing what is wrong, and treating it with evidence'. ”

Director Yang bowed slightly: "Doctor Zhang, the gardenia soup you just prescribed to the patient is also very similar." ”

When Zhang Jing heard this, he hurriedly waved his hand: "Compared with the old-timers, I am still far behind." ”

"Okay, your level, everyone can see it, so don't be too modest. By the way, this is a rare opportunity, Dr. Zhang, since the words have arrived here, why don't you give you a lesson on asthma treatment by the way? ”

The reason why Director Yang has this proposal, in addition to wanting Zhang Jing to continue to be in the limelight in front of everyone, is actually a little selfish.

Because this asthma has been bothering him a lot before he takes a back seat.

Often, after several treatments and still the effect is still not good, the more you treat, the more uncertain you are.

Moreover, Director Yang knows that the treatment of diseases in traditional Chinese medicine is often the same, and in many cases, if you understand a difficult problem, you can touch the bypass.

Perhaps, after listening to Zhang Jing's analysis, his dialectical thinking can also be broadened a lot.

Su Minjuan listened to it and looked forward to it.

Because among pediatric inpatients, the proportion of asthma is still quite high.

Although clinical use of glucocorticoids, anti-IgE antibodies, long-acting B2 receptor agonists, sustained-release theophylline, leukotriene modulators and other nebulized therapy, most of them can control seizures.

However, it is not long before they relapse and have to be admitted to the hospital again.

She also wants to learn how to treat asthma with Chinese medicine.

So he asked excitedly: "Dr. Zhang, can Chinese medicine treat asthma in the same way as you treated 616 patients today, can it take effect quickly after a few doses?" ”

Zhang Jing said firmly: "Of course, as long as the syndrome differentiation is accurate, it can often be effective in one dose." If it is childhood asthma, in most cases, it can be cured with diet and conditioning in the later stage. ”

"Healing?" When Su Minjuan heard this, she was immediately dumbfounded.

He muttered, "Isn't it medically recognized that asthma cannot be cured?" After standardized diagnosis and treatment, can only alleviate or control clinical symptoms? ”

Zhang Jing shook his head helplessly: "Doctor Su, the medicine you are talking about should be modern medicine, that is, the view of Western medicine, right?" In fact, from the textbooks related to Western medicine in universities, it can be found that the understanding of Western medicine for most diseases is unknown. ”

"For diseases of unknown etiology, it is natural that you can only treat headaches and foot pains. Because there is no effective treatment for the cause, there is certainly no cure. ”

Su Minjuan nodded thoughtfully: "So, Dr. Zhang, what do you think is the cause of asthma?" ”

"First of all, let's be clear. Asthma is often used as a disease name. In fact, there is a difference between asthma and asthma. To put it simply, wheezing is measured by sound, while wheezing is measured by breath. Therefore, wheezing is more often associated with wheezing, while asthma does not have to be combined with wheezing. ”

Seeing that Su Minjuan was still at a loss, Zhang Jing had no choice but to continue to explain: "In other words, wheezing refers to wheezing accompanied by shortness of breath on auscultation, while wheezing is only holding breath in the chest and shortness of breath. ”

"Well, I see." Su Minjuan finally came to her senses, and then asked, "Doctor Zhang, are the causes of wheezing syndrome and asthma syndrome also different?" ”

Zhang Jing nodded: "That's nature." According to the records of ancient medical books, the wheezing syndrome is mostly caused by the initial sense of external evil, lost in the surface, the evil lies in the inside, stays in the back Yu, and the internal should be in the lung system. This description is equivalent to what we call allergic asthma in modern medicine. ”

In addition, there are phlegm wheezing, salt wheezing, milk wheezing, vinegar wheezing, etc., and there are those who have eaten raw and cold, greasy and thick smells. These are the internal causes of wheezing. ”

Su Minjuan suddenly asked again: "We often encounter asthma patients in pediatrics, are children more likely to suffer from asthma than adults?" ”

Zhang Jing nodded again and said, "That's right, allergic asthma mostly starts in early childhood. Patients often induce asthma due to their atopic constitution that is allergic to certain substances, such as inhalation of cold air, oil smoke, pollen, dust mites, etc. ”

"and eating fish, shrimp, seafood, milk, eggs, coriander, etc., or exposure to certain drugs, such as penicillin. In addition, some patients can even trigger asthma by eating breast milk, sugar and salt. In short, they all reflect an allergic constitution. ”

After a pause, he continued: "Let's talk about the respite again. Wheezing is more extensive than wheezing. For example, asthma in Western medicine, acute and chronic bronchitis of wheezing type, emphysema, cor pulmonale, shortness of wheezing caused by lung cancer, cardiogenic asthma, as well as shortness of wheezing caused by various edema, asthma caused by various asthenic diseases, etc., can actually belong to the category of asthma syndrome mentioned in traditional Chinese medicine. ”

Regarding the cause of asthma syndrome, Ye Tianshi, a famous doctor in the Qing Dynasty, once said that the cause of asthma syndrome is real in the lungs and deficiency in the kidneys. Later generations of doctors recognized that the causes of asthma attacks were divided into two categories, one of which was external and the other was internal. ”

"External causes mainly refer to the invasion of wind, cold, heat, dampness, dryness, and fire. The lungs are the highest, delicate and sensitive, and they are felt by evil, and Qingxuan is lost, so it causes asthma. In addition, there are sores, poison, ringworm, poisonous internal attack, turbidity and lungs for asthma, this must also be known. ”

"As for the internal causes, due to the cold and thick taste of overeating, the spleen and stomach are damaged, and phlegm is born from this, the spleen and stomach are the source of phlegm, the lungs are the organs for storing phlegm, and the son is the mother of the child, so there is phlegm and asthma."

"In addition, the spleen and stomach are weak, the soil does not produce gold, and the qi is weak and causes asthma; There is also kidney deficiency, its breath is light and shallow, and it is short and wheezing, and there is kidney water overflowing, and phlegm and drinking are convulsed and wheezing. ”

"There is also anger and anger, the liver rises too much, and the lungs descend and gasp for recklessness; There are also diseases that affect the heart, the heart is unclear, and the haze is panting. ”

"In short, the heart, liver, spleen, lungs, kidneys, and five organs can cause asthma."

"Moreover, when tested clinically, we will find that in fact, the cause of asthma is not simply external or internal, but often both internal and external causes. Therefore, both should be taken into account when treating. ”