Chapter 10 The liver and spleen are stagnant, and the qi and blood are deficient

Look at the big aunt?

If his guess is correct, this aunt is not his aunt.

Although Lu Xuan has only just graduated, he is also a master's student of Zhijiang University of Traditional Chinese Medicine, and he has mastered some of the basics of traditional Chinese medicine, but his clinical experience is insufficient and it is difficult to integrate it.

The fine sweat on Cheng Gaowen's forehead and her slightly pale complexion, even if her eyes are fine, you can see it to some extent.

Moreover, judging from Cheng Gaowen's ugly face, at this moment, the other party should be in great pain.

"Menstrual cramps?" Lu Xuan subconsciously asked.

Cheng Gaowen gave a thumbs up, "Amazing, it is worthy of curing tens of thousands of dollars of Western medicine with a few dollars, and it is worthy of its reputation." ”

Lu Xuan smiled bitterly: "Sister Cheng, don't, you look like this, as long as you are not blind, you can see it." ”

"Just kidding, but you can cure that kid with bone charcoal powder and castor oil, if you don't have any skills, don't believe it."

Lu Xuan didn't explain, just smiled faintly, and then looked at Cheng Gaowen with a serious face: "Sister Cheng, you can tell me about your situation before you look at it."

But don't get your hopes up too much! After all, I'm a recent graduate, and if you put all your hopes on me, then I'm going to be too stressed. ”

Lu Xuan said haha, there is no idea of taking care of everything, although a newly graduated Chinese medicine practitioner like him, although he has the qualifications to sit for consultation, but few people will really sit for consultation, and most of them will follow behind an old Chinese medicine doctor, and while accumulating experience, they can also get the other party's ear to mention their lives.

When the hospital is really able to receive patients on its own, the hospital will assign an independent consultation room, and this process, Western medicine may not take too long, but Chinese medicine will take three or five years, to say the least, seven or eight years.

Can a recent graduate cure a child who swallows a screw by mistake with bone charcoal powder and castor oil?

Lu Xuan's words, Cheng Gaowen was somewhat unconvinced, and only felt that Lu Xuan was really modest.

But then again, I know my illness, Cheng Gaowen has also seen a lot of traditional Chinese medicine over the years, and it has not improved so far, and when she heard Lu Xuan's words again, the glimmer of hope that had just ignited in her heart also dissipated without a trace.

"It's okay, just let you try, it's okay if you don't see it well." Cheng Gaowen was very free and easy, and then began to talk about her physical condition.

Lu Xuan also put away his other thoughts, listened quietly, and finally had some understanding of Cheng Gaowen's situation.

At the age of 14, he began to have menstrual cramps after marriage, and it has been seven or eight years since then, and the pain has increased dramatically this year. Later, I went to the gynecological examination and learned that there were three soybean-sized nodules on the left side of the posterior fornix, which were obvious to the touch, and the diagnosis was endometriosis.

In the past two months, he had a lot of abdominal pain, soreness in his back and numbness, fatigue and drowsiness, and loose stools.

After knowing this, Lu Xuan gritted his teeth even if he didn't want to ask, "Sister Cheng hasn't ...... yet No kids? ”

Cheng Gaowen can still bear the pain in her body.

But she has been married for many years but has not been able to get pregnant, which has always been the biggest pain in her heart.

"Nope." She shook her head, her eyes reddening.

Really......

Lu Xuan shook his head in his heart, he didn't expect that Cheng Gaowen, who looked extremely cheerful, would not be able to get pregnant because of endometriosis.

Seeing that Lu Xuan didn't speak, a hint of nervousness flashed in Cheng Gaowen's bright eyes, and her lips trembled slightly: "Can it be cured?" ”

Lu Xuan didn't say, but looked at her seriously: "Don't talk yet, be normal, wait for me to take a look first." ”

Cheng Gaowen was stunned, but still cooperated with Lu Xuan's diagnosis and treatment.

"Hands."

Cheng Gaowen put her hand on the pulse pillow.

Lu Xuan put his hand on it.

Cheng Gaowen's pulse is obviously different from ordinary people, normal human pulses, also known as flat pulses, and constant pulses. The constant pulse is neither floating nor sinking, not big or small, the rhythm is even, calm and slow, fluent and powerful, and the ulnar pulse sinks endlessly.

And Cheng Gaowen's veins are very small, weak and weak, like silk threads under her fingers.

However, despite its small size, you can always feel the subtle beatings clearly, and it is not as vague as the micro veins, which are extremely difficult to perceive.

Those with thin pulses often have the symptoms of qi and blood deficiency.

However, Lu Xuan didn't dare to confirm it.

Cheng Gaowen's pulse is not necessarily a thin pulse, there is another possibility.

The pulse is astringent!

These two pulses are similar, and it is difficult for inexperienced people to distinguish them, and at this moment, Lu Xuan is in a dilemma.

Whether the pulse is correct or not has a lot to do with it, and the prescriptions are different.

The most important thing is that the pulse is misjudged and the medicine prescribed is not right, which will only make the patient more painful.

Quacks and famous doctors are often judging the subtleties.

Lu Xuan, who has no clinical experience in diagnosing pulse, is difficult to judge.

"Tongue."

Lu Xuan planned to find another way, perhaps the performance of his tongue could help him make an accurate judgment of the pulse.

Diagnosing the pulse and looking at the tongue is a necessary process in traditional Chinese medicine, Cheng Gaowen is familiar with it in her heart and skillfully sticks out her tongue.

"The tongue is pale red, with tooth marks on the edges, and the moss is thin and yellow." Lu Xuan thought silently in his heart.

Basically, as long as you have studied Chinese medicine, you can see the representation of the tongue, but few people can judge the symptoms and see through the essence through the characterization.

Lu Xuan smiled bitterly in his heart, his six years of traditional Chinese medicine were in vain.

However, he also knows very well that this is the breadth and profundity of Chinese medicine, which is easy to learn and difficult to master.

Ordinary people learn a little by themselves, and they can basically show the people around them minor diseases, but it is difficult to be proficient if they learn well, and no one has to guide them like faces.

After checking the pulse and reading the tongue, he also knew what kind of illness Cheng Gaowen was about, but there was no way to judge the reality of the situation, but Lu Xuan didn't know how to use medicine.

Endometriosis, dysmenorrhea, there are many drugs that can be used.

However, the prescription of medicine can only be done under the premise of correctly judging the pulse and tongue signs.

This touched Lu Xuan's blind spot.

Headache, Lu Xuan subconsciously glanced at the Chinese medicine specimen, and was somewhat speechless in his heart.

I usually can't talk a lot, but when I really need them, I become dumb one by one.

Lu Xuan wanted to scold his mother a little.

Fortunately, this group of bigwigs, who usually despise Lu Xuan extremely much, seemed to hear Lu Xuan's call and finally moved.

[I'm going to cry, it's not easy! Finally waited for the second patient. 】

[Brother Baizhu, tell me what the situation is! ] 】

[Then I'll talk about it.] 】

[I won't talk about the symptoms, just now this lady also said, everyone has heard it, I will talk about the pulse and tongue signs. 】

Listening to the noise in his ears, Lu Xuan was not annoyed, but breathed a sigh of relief, what he was missing now was the accurate judgment of these two aspects.

"How?"

"Isn't it...... Don't look good? ”

Cheng Gaowen asked through gritted silver teeth.

Lu Xuan pressed his hands and comforted: "Sister Cheng, don't worry, I'll talk about it after I finish judging." ”

Although Cheng Gaowen felt that there was little hope, she still worked hard to cooperate with Lu Xuan.

And at this time, a voice sounded in Lu Xuan's ears again:

[It is not difficult to judge this pulse, as long as you can distinguish between thin and astringent pulses, you can basically prescribe medicine, not to mention that there is a tongue sign as an aid.

These two pulses are actually very similar in terms of both the amplitude of the beating and the symptoms, and both are characterized by narrow pulses and small fluctuations. But the astringent veins are not only small in shape, but also have poor communication, and this lady's situation is obviously the astringent vein, not the thin veins.

The main qi stagnation and blood stasis in the human body is astringent, and there is little blood to hurt sperm, which is often caused by blood stasis in the body.

Moreover, it can also be seen from the tongue sign that the liver and spleen qi are stagnant, and the qi and blood are deficient, and the treatment should be mainly to regulate qi and dispel stasis, strengthen the spleen and invigorate qi, and nourish blood and regulate menstruation. ‘

If it is general, it will not be painful, but if it is painful, there will be no stasis in the body, the qi will go to the limbs, the liver will be sparse and the spleen will be healthy, the kidney qi will be strong, and the disease will disappear by itself, so it will naturally not affect pregnancy.

As for the prescription, it should be used to invigorate blood and eliminate stasis with raw Puhuang, Wuling Fat, Liu Jinu, etc., and stop the pain of the heart and abdomen; Atractylodes, astragalus, codonopsis, and hawthorn ......]

After a sprinkled discussion, other Chinese medicines were amazed.

Among them, Lu Xuan, who was eavesdropping, was also included.

It is hard to imagine that Baizhu analyzed Cheng Gaowen's illness in such detail.

At the same time, Lu Xuan was more ecstatic.

The key is that the words of Baizhu are no less precious than a national hand teaching himself how to judge the pulse and tongue signs and how to use medicine in the way of ear and face.

Fortunately, Lu Xuan has the ability to never forget, otherwise it would be impossible to receive so much information at once, and it would be impossible to remember it completely.

Seeing that Lu Xuan had fallen into silence for a long time, Cheng Gaowen couldn't help but withdraw her hand and asked calmly, "How is it?" ”

"Is there a way?"

Cheng Gaowen's inquiry pulled Lu Xuan back from the chatter to pull the reality, and after experiencing Nini's matter, Lu Xuan's judgment of Baizhu was unprecedentedly confident:

"Yes."

"I'll prescribe a pair of medicines, and I'll take them for a week, and you can contact me directly if there's any situation."

After he finished speaking, he turned Cheng Gaowen's medical record book to the latest page, and wrote and drew on it: "Shengpuhuang 15g, Wuling Fat 12g, Atractylodes macrocephalus 9g, Jiao Hawthorn 9g, Liu Jinu 12g, Blood Exhaustion 6g, Wheat Bran Citrus Husk 6g, Motherwort 12g, Crane Grass 18g, Codonopsis 9g, Astragalus 9g." ”

After writing and putting down the pen, Lu Xuan put the medical record book aside, got up and walked into the Chinese medicine pharmacy to grab the medicine.

When he had nothing to do, Lu Xuan wandered around the Chinese medicine pharmacy, memorized the location of various Chinese medicines, and walked out with seven patches of medicine in less than ten minutes.

"This is a week's supply, Sister Cheng, you go back and drink it and try it, as long as there are no problems in the follow-up, there is a great possibility that your disease will be cured."

Even if it was just a prescription prescribed by the big guy Baizhu, Lu Xuan didn't dare to say that it would definitely be okay.

"Can it really be cured?"

Cheng Gaowen covered her mouth, over the years, no doctor had ever said such a positive thing to her.

Lu Xuan nodded, "After two or three months of conditioning, there is a great hope of healing, but I am afraid that Sister Cheng will lose confidence." ”

"If I don't tell a lie, I really don't have much hope."

Cheng Gaowen didn't lie, but the next moment, the conversation changed: "However, since Xiao Lu said so, my sister really believed you once and took medicine for a few months." ”

"It's going to be fine."

Lu Xuan nodded thoughtlessly.

Cheng Gaowen smiled all over her face, "That sister will borrow your auspicious words." ”

Taking the medicine, Cheng Gaowen went straight to the first floor to pay the fee.

Cheng Gaowen is a doctor herself, and the health center pays more medical insurance, and the reimbursement ratio of medical insurance is very high.

"Doctor Cheng, ...... are you?"

Seeing that it was Cheng Gaowen, the person in charge of the child care department, who handed over the medical insurance card, Yuan Na was surprised.

Cheng Gaowen had no intention of hiding it, and confessed: "Old problem, find Dr. Xiao Lu to take a look." ”

Yuan Na took the medical insurance card, inserted it into the machine to settle, and chatted with Cheng Gaowen while operating: "I heard that Dr. Xiao Lu has memorized the name of medicine, knows medicinal materials, and memorized typhoid fever since he was a child, and he is a top student of Zhijiang University of Traditional Chinese Medicine, maybe he can really do it." ”

Yuan Na is also an old man in the health center, since she joined the company, she has been working at the registration window of the health center, and she also understands Cheng Gaowen's situation, she is about the same age as Cheng Gaowen, but the children are already in elementary school, and then think about the other party, there are no children until now, she feels a little sorry for the other party.

Years of disappointment have made Cheng Gaowen give up the idea of treatment, and now because of Lu Xuan's appearance, Cheng Gaowen has regained her confidence, and Yuan Na is also happy for the other party from the bottom of her heart.

"I think so too, but Xiao Lu Ke has never admitted it, and this is not a bad thing."

Yuan Na smiled, wouldn't it be if she didn't admit it?

If you are really just a graduate of the University of Chinese Medicine, can you have that kind of ability?

Not to mention Nini's child, it is Cheng Gaowen, and the average Chinese medicine practitioner listens to it, let alone prescribes medicine, for fear that just hearing about the condition will be able to retreat.

But Lu Xuan dared to prescribe medicine, and judging from Cheng Gaowen's emotions, it was obvious that Lu Xuan gave her a lot of confidence.

Is this something that a recent graduate can do?

Even if Lu Xuan is not talented, there must be an old Chinese medicine doctor at home, who has given him face-to-face guidance since he was a child.

Yuan Na is convinced of this.

Not only her, but most of the others in the health center have this idea.

……

Second floor.

Department of Traditional Chinese Medicine.

Lu Xuan grinned with grinning.

What is most important to a TCM practitioner?

It is not to memorize those medical books backwards, let alone memorize all kinds of prescriptions, nor to keep in mind the medicinal properties of each Chinese medicine.

These are the most basic, as long as you have studied Chinese medicine, you can do it if you are not lazy.

But there is one thing, not everyone can do it.

Accumulation of clinical experience in traditional Chinese medicine.

Why did Lu Xuan always want to go to the Chinese Medicine Hospital?

The reason is that no matter how bad a TCM hospital is, there will be more or less one or two experienced TCM practitioners, or a field with rich experience that ordinary people can hardly believe.

And these are all what Lu Xuan needs.

Only by following these people can you get in touch with more patients, accumulate more experience, and integrate the knowledge you have learned in the University of Chinese Medicine.

When Lu Xuan came to the health center, the biggest problem was that there was no one to guide him.

But now there is.

Such a group of bigwigs can undoubtedly enrich his clinical experience in traditional Chinese medicine.

And, most crucially, it was not one person who was guiding him in the ear, but a group.

This means that even if he stays in the health center, his medical skills can grow rapidly.

Of course, there are premises.

There are enough patients to call his number.