Chapter 32 The kidneys store essence, and the brain is the sea of marrow

"Everyone line up and wait for Dr. Lu to call the number, squeezing in like this will not only affect themselves, but also affect the speed of Dr. Lu's diagnosis and treatment."

"Let's cooperate, can you line up?"

"I know everyone is in a hurry, but the health center has a system of health centers, and they line up by number."

Xiao Li from the laboratory department stopped directly at the door of the Chinese medicine department, preventing everyone from squeezing inside.

The Department of Traditional Chinese Medicine, which is usually unattended, is overcrowded today.

In addition, there are only five or six seats at the entrance of the clinic, and other people can only stand, and Chinese medicine diagnosis and treatment is not like Western medicine, go up to ask about some symptoms, and then prescribe some medicine, or prescribe a few checklists, and you can come out in a minute or two.

On the side of traditional Chinese medicine, even if it is just a small cold, it takes five to ten minutes to take the pulse and look at the tongue to distinguish the syndrome and prescribe medicine.

In addition, now the Chinese medicine department is supported by Lu Xuan alone, and he is alone in seeing doctors and prescribing medicines, so the speed is even slower.

When a patient goes in, it takes at least ten minutes to come out.

Xiao Li's shouting played some role, but it also caused many patients to complain and be dissatisfied.

"Doctor, we also know that queuing is efficient, but it's too slow!"

"The thirteenth I hanged, it's almost eleven o'clock, and my number hasn't been called yet, so if it goes on like this, I won't have to wait until the afternoon?"

"That's right! Couldn't the health center arrange a few assistants for Dr. Lu? ”

"Dr. Lu does everything himself, and it is a waste of time, not to mention, which really affects the efficiency too much."

Xiao Li was surrounded by a group of people, and he was depressed.

Fortunately, he is a young man, where is the opponent of this group of uncles and aunts, and there are many patients in Chinese medicine today, so he was beaten down in no round.

Two fists are hard to beat four hands, and one mouth is not enough to see in front of dozens of mouths.

Seeing this, Wang Youqing from the laboratory department in the distance hurriedly came up to persuade everyone: "Everyone, don't worry, can you listen to me first?" ”

Everyone is a resident near the health center, and everyone knows him, even Wang Youqing, the person in charge of the laboratory department, and the crowd gradually quieted down.

Wang Youqing breathed a sigh of relief, pressed his hand and said: "What everyone just said, I heard it, everyone is a nearby resident, not to mention coming often, but I also know the situation of the health center, in the past, our Chinese medicine department was basically in a state of no one's care, most of the time there may be only one or two people a month to register, naturally there is no need to arrange any assistants."

Since Dr. Lu came, there have been more people hanging in the TCM department, and the health center has also taken this situation into account and is urgently recruiting people, this situation will not last long, everyone can rest assured. ”

"Isn't there someone in the health center?" Questions were raised.

Wang Youqing looked at the young man who was less than thirty years old and explained: "There are people in the health center, but no one understands Chinese medicine!" Even if you take medicine, you have to understand this aspect, we can't just arrange an assistant for Dr. Lu, otherwise wouldn't it be irresponsible to everyone? ”

"I know everyone is in a hurry, but I also hope that everyone can give the health center a little time to prepare."

Hearing this, everyone who was still a little anxious nodded one after another.

Seeing this, Wang Youqing also struck while the iron was hot: "The number in the back, you can go to the laboratory department to sit for a while, and if Dr. Lu calls the number, the laboratory department can also hear it." ”

Wang Youqing's words played a big role, and most of the originally crowded corridor was gone at once, leaving only two or three patients waiting at the door.

Call!

Watching everyone walk to the laboratory and sit down, Wang Youqing breathed a sigh of relief.

Raising his hand, he wiped his forehead and found that he was already drenched in sweat.

It's not hot, it's just a little nervous.

Dozens of people, if this is a fuss, it doesn't matter who comes.

Fortunately, everyone is quite reasonable, otherwise the dean would not have been able to come.

Before leaving, Wang Youqing stretched out his head and glanced at the TCM clinic and shook his head.

This time, Xiao Lu is afraid that he will faint from busyness.

The most important thing is that I haven't even seen half of the morning number, and if I really want to read it all, I won't have to eat lunch.

However, he can't help with the matter of Chinese medicine.

I want to help, but I don't know where to start.

He wanted to be an assistant, but he might still be a helper.

In the end, he could only shake his head helplessly and return to the laboratory department.

TCM Clinic.

Lu Xuan was very happy and also very painful.

Having patients and having the opportunity to accumulate clinical experience is definitely a happy thing for any young TCM physician who has just graduated.

How many TCM physicians who have graduated for one or two years have basically spent their time in the position of assistants, and even some people have been staying in the TCM pharmacy, not to mention visiting the clinic, and they can't even reach the patients, which is called miserable.

In the past two days, Lu Xuan can often see all kinds of complaints in the university group.

Originally, everyone thought that after graduation, they would have the opportunity to visit a big hospital, contact patients, and rely on the skills they learned to treat diseases and save people.

But when they arrived at the hospital, they realized that it was not at all the same as they imagined.

Of the more than 30 people in the class who graduated with Lu Xuan, up to now, more than half of them are taking medicine in the Chinese medicine pharmacy, and the rest are basically working as assistants.

There are also those who go home to inherit the Chinese medicine clinic at home, but in the end, they find that they can't use what they have learned at all, they can't take the pulse, they can't diagnose the tongue, they can't distinguish the syndrome, and they can't prescribe medicine, let alone prescribe medicine.

Unlike Western medicine, after graduation, I took the occupational physician exam, and I can see a doctor by opening a clinic at my doorstep.

When you get to a big hospital, you can also learn from other doctors, or follow the big guy to do ward rounds, even if you can't personally guide you, you can always learn something.

Traditional Chinese medicine is not good, no one takes it, and relying on the knowledge learned in school, it is simply not enough to treat diseases and prescribe them on their own.

Dreams and reality are not the same thing at all.

Compared with his group of classmates, Lu Xuan found that he came to the health center, which became a good thing.

Of course, Lu Xuan also knows that this is a good thing, but also because he can hear the voice of traditional Chinese medicine and dare to prescribe treatments, anyway, he can know where he doesn't know, and he doesn't have to worry about making mistakes in syndrome differentiation and prescribing the wrong medicine.

Lu Xuan raised his head slightly, glanced at the dense registration information on the computer, and his scalp was a little numb.

When I was in the district hospital before, I wanted to sit for a clinic day and night, and I wanted to show my skills and feet in my dreams.

But now, he realized that there were more people looking for him to see a doctor, and it was also a headache.

Especially now, the Chinese medicine department is the number one person, and he has to do everything by himself, which is too inefficient, and if it goes on like this, I don't know if I can finish reading it in a day just this morning.

"Looks like I'm going to have to work overtime today."

Lu Xuan thought in his heart, and then looked at the middle-aged man who had just walked in.

The middle-aged man walked in with the registration slip, looked behind him, and then subconsciously closed the door of the consultation room, and then walked up to Lu Xuan and put the registration list and medical record book on the table.

Lu Xuan casually opened the medical record book and looked at it, and asked, "Where are you uncomfortable?" ”

Li Qianghui wanted to speak and stopped, obviously a little unspeakable.

"Avoid medical treatment."

After Lu Xuan finished speaking, Li Qianghui was silent for a long time, and then gritted his teeth and said, "Doctor Lu, I am forty years old this year, and I have always wanted to have a child with my wife.

can be married for more than ten years, every time they have sex with each other...... Neither ejaculation.

I went to a lot of hospitals and did a lot of tests, but it didn't work, you see, this is the test I did in my hometown before. ”

As he spoke, Li Qianghui took out some checklists from his bag.

Lu Xuan took it and looked at it.

The non-ejaculation mentioned by Li Qianghui is not azoospermia, but non-ejaculation.

Not only that, in fact, judging from the results on the checklist, Li Qianghui's sperm morphology values are normal, nothing special.

"Doctor Lu, can this be cured?" Li Qianghui asked nervously.

In fact, Li Qianghui did not have much hope for this.

I went to so many hospitals, Western medicine and Chinese medicine have seen it, but it still doesn't work, I hung up Lu Xuan's number, and I also heard that Lu Xuan has treated several cases of incurable diseases during this time, and I thought that the dead horse should be regarded as a live horse doctor, so I came.

When he was at the door, he was still struggling for a long time about whether to come in or not.

Even several times, he wanted to turn around and leave.

On the one hand, he is not very good at words, and he does not like to talk to strangers.

On the other hand, it's this kind of problem that looks at it, and as a big man, it's a little embarrassing.

If Lu Xuan was an old Chinese medicine doctor, he would still be able to accept it, but Lu Xuan was too young, which made him feel even more embarrassed.

Can it be cured?

Lu Xuan didn't know either.

He can hear his heart, but his heart is not omnipotent.

Traditional Chinese medicine is indeed broad and profound, saving countless people, but it cannot solve all problems.

"I'll take a look first."

"Hands."

Li Qianghui put his hand on the pulse pillow.

Lu Xuan's sleeve-length fingers rested on Li Qianghui's pulse and felt it carefully.

At the same time, he looked up at Li Qianghui again: "Look at the tongue." ”

Li Qianghui stuck his tongue out.

Lu Xuan glanced at it and nodded slightly.

Li Qianghui's pulse, Lu Xuan has been in contact.

The pulse is heavy, but it is different from Zhang Song's weak pulse.

Lu Xuan didn't know if he had sensed it wrong, Li Qianghui's pulse still had a trace of stagnation, and there was no sense of smoothness.

However, Lu Xuan was not sure.

If you are not an experienced Chinese medicine practitioner, it is difficult to make a judgment.

Fortunately, at this time, Gan Jiang, who has always been hot-tempered, couldn't help but complain about the speed of Lu Xuan's pulse diagnosis:

[The pulse is heavy, what is there to do, this speed is too slow compared to some famous old Chinese medicine doctors. 】

Full of disgust.

However, it made Lu Xuan's heart happy.

When drowsiness comes, someone will send pillows, this kind of good thing, he hopes to be a little more.

As for the full disgust of the dried ginger, who cares!

"If you have a dull pulse......"

Lu Xuan restrained the sorrow on his face, and quickly flipped out the contents of his memory from the depths of his mind one by one.

The pulse is heavy, either positive and false, or evil.

In the main part of the Shen Vein, in terms of location, it is opposite to the Floating Vein.

The pulse that can be obtained by pressing lightly is the floating pulse, and the heavy press to the muscles and bones can get the sinking pulse.

Why is the pulse sinking?

Qi and blood cannot reach to fill the blood veins, so the pulse is heavy.

There are only two reasons why qi and blood cannot reach out.

First, the positive qi is deficient, and the qi and blood are weak and outward, which is reflected as sinking and weakness; First, the evil qi is solid, which hinders the operation of qi and blood, which is reflected as heavy and powerful.

The astringent veins are mainly qi stagnation, blood stasis, lack of Jin, and lack of blood.

Due to the lack of blood, the meridians cannot be nourished, the blood flow is not smooth, and the pulse and qi are difficult to come and go, so the pulse is astringent and weak.

Such as chronic bleeding, sperm loss, impotence, limb numbness, heart pain, limb cold, etc., common pulse weakness, which is a deficiency syndrome.

If the qi is stagnant and the blood is stasis, the qi is not smooth, and the blood flow is blocked, the pulse is astringent and strong.

Considering Li Qianghui's purple tongue and thin moss, coupled with the symptoms of oral description, it is not difficult to make a judgment.

In traditional Chinese medicine, the most difficult step is this step, syndrome differentiation.

In Lu Xuan's heart, he already had a plan, but he didn't prescribe medicine immediately, but was ready to listen to other people's opinions and see if his judgment was correct.

Sure enough, as soon as Lu Xuan stopped, he was disgusted by Gan Jiang.

[The pulse is checked, the tongue is also read, and the patient's self-report, it shouldn't be difficult to prescribe medicine, right? ] 】

[But if you look at this Dr. Lu again, it's too grinding. 】

[You are in a hurry, you first talk about how to prescribe medicine. 】

Listen to the voice, it seems to be licorice.

However, licorice doesn't talk much, and Lu Xuan is not easy to judge.

[In front of you, the big guy who reconciles all the medicines, where do I have the right to speak, but the big guy speaks, I have to carry it around, just talk about it, this is also what I heard from Brother Angelica, everyone corrects me if I make a mistake. 】

[I won't talk about pulse diagnosis and tongue signs, everyone knows it, so let's talk about my understanding of this disease.] 】

[Traditional Chinese medicine generally believes that the kidneys store essence, produce marrow, and the brain is the sea of marrow, and the brain is responsible for the high-level central nervous system activities of the human being. The brain is closely related to the kidneys, and all young and middle-aged people with kidney deficiency are mainly treated with the brain. 】

Speaking of which, some Chinese medicine has raised doubts:

[Kidney deficiency does not replenish the kidney, why should we treat the brain? 】

Dried ginger was quick to explain:

[In fact, there are few ways to treat kidney deficiency by warming the kidneys and replenishing yang. 】

[How to say it, cure the brain to cure the heart, the heart is the main blood, the pulse is the house of blood, Li Qianghui's illness, the blood house is the most suitable for the blood house to chase the stasis soup, and then add purple quartz, cnidium monnieri, and leek seeds to Zhenyang Dao. 】

[Moreover, the patient sees more Western medicine, takes countless ginseng, and there are a lot of gonadotropin drugs, and the medicine stones are messy, which makes the qi machine not smooth, and the condition becomes more and more serious. 】

[Whether it is correct or not, please advise the big guys. ] 】

Is there a big guy to teach the hot-tempered dried ginger, Lu Xuan didn't care, or didn't have time to care, he was a little embarrassed now.

The reason is very simple, after the syndrome differentiation, the medicine he prescribed is convenient for warming the kidneys and replenishing yang, and he almost didn't think about what the lack of ejaculation has to do with the brain.

But after listening to the analysis of dry ginger, I suddenly felt like an enlightenment.

"It turns out that the blood mansion Zhuyu soup can still be used like this, and this disease can be treated like this."

Lu Xuan suddenly realized.

People with liver depression are more irritable or silent, their qi is not smooth, and their qi is stagnant and bloody, and Xuefu Zhuyu Tang can loosen their qi and blood, so that they can be adjusted, and to peace, and then to revitalize yang.

Lu Xuan kept these words firmly in his heart and planned to go back and record them.

"Doctor Lu, can it be cured?"

On the side, seeing that Lu Xuan was deep in thought and had not spoken for a long time, Li Qianghui's heart sank, and he couldn't help but speak: "If it really doesn't work, I plan to discuss it with my daughter-in-law and do IVF, and now ......"

Halfway through Li Qianghui's words, Lu Xuan had already come back to his senses, and said with a smile: "You don't need to do any test tubes, you are not a serious illness, you can be cured." ”

Li Qianghui was stunned for a moment, and then said in surprise: "It's really ...... It's true? ”

"Hmm."

Lu Xuan nodded, "In this way, I will prescribe a side medicine for you, and you should be able to take it for a week when you go back." ”

Li Qianghui didn't listen carefully to the other words, but these three words that may be effective have been lingering in his ears.

The man who was almost forty looked at Lu Xuan at the moment, crying like a child: "Thank you...... Thank you Dr. Lu, great, really good! ”

"I have to tell my daughter-in-law the good news."

As he spoke, he dialed his daughter-in-law's phone in front of Lu Xuan.

Looking at Li Qianghui with tears pouring out, Lu Xuan was a little emotional for a while.

It was hard for him to imagine that a big man could cry with excitement.