"The third type, liver qi offends the stomach."

Lu Xuan smiled slightly and began to talk about the third case of bile reflux gastritis after gastrectomy.

"This kind of patient is in a bad mood for a long time, depressed, the liver qi is rebellious and the stomach is offended, the spleen and soil are restrained, and the stomach is derelict in accepting it, so there is epigastric and stomach account pain, hiccups, vomiting acid water, and poor diet after anger, so it is very easy to cause upper gastrointestinal bleeding."

Hearing this, Li Yuquan knew that his situation should belong to the fourth type.

Although he has cancer, he is usually in a good mood and rarely gets angry.

And when it came to liver qi offending the stomach, Lu Xuan also deliberately glanced at Li Yuquan.

Li Yuquan's situation is actually quite serious, but fortunately, he can let go, and he is not depressed because he has cancer, otherwise in his situation, I am afraid that people would have died a long time ago.

Thinking of this, Lu Xuan continued: "In traditional Chinese medicine, it is believed that the liver is drained, and the liver is depressed, and the liver, due to the depression, reverses the spleen and makes it abnormal.

And because the liver and gallbladder are the surface and the inside, the gallbladder is attached to the liver, which is less fire, such as the liver is not smooth, it is easy to turn into fire and generate heat, and the liver and gallbladder qi are the most likely to offend, so the upper abdomen is full, the mouth is bitter and dry, the night is not numb, and the dreams are restless.

When the wood fire and the spleen dampness meet, the dampness and heat are combined, and the sour and bitter liquid in the stomach is spit out from the top.

In addition, due to the subtotal gastric resection, the gastrointestinal anastomosis often has poor healing, and the gastric capacity is small and the liver and stomach qi do not decrease, so the bile and acid saliva are vomited, which is caused by the stagnation of bile stagnation, negligence of discharge, gastric disharmony and decline, and bile reversal. ”

"So how do you treat it?" Su Kenan rarely took the initiative to ask.

Hearing this inquiry, Lu Xuan also glanced back at her in surprise, and then said with a smile: "You should use the liver to relieve qi and reduce the stomach downward."

Bupleurum chinensis, citrus aurantium, incense, angelica, and white peony are used to soothe the liver and gallbladder and reduce stomach inversion, ochre, spiral flower, poria cocos, boiled licorice to reduce inversion and stomach, and white root to protect the gastric mucosa. ”

After speaking, he glanced at Su Kenan, who was deep in thought, "If there is anything you don't understand, you can write it down first, and we will discuss it later." ”

Su Kenan came back to his senses and nodded obediently: "Hmm." ”

Lu Xuan turned his head and looked at Li Yuquan and said, "And Old Man Li's situation belongs to the fourth type, qi stagnation and blood stasis type bile reflux gastritis. ”

"Qi stagnation and blood stasis?" Li Yuquan frowned.

"Yes."

Lu Xuan explained: "Qi stagnation and blood stasis refers to the pathogenesis of blood stasis caused by the stagnation of qi for a long time. In the concept of traditional Chinese medicine, the normal operation of blood depends on the promotion of qi, if the qi is not smooth and cannot flow blood, the blood will stop and stasis.

There is a saying in "Shou Shi Bao Yuan": Those who cover the qi are also handsome in blood, the qi is bloody, the qi stops the blood, the temperature is the blood is slippery, the cold is the blood coagulation, the qi has a breath of bad luck, and the blood has a breath of bad luck.

"The Theory of Blood Evidence" also has related remarks: Qi knot leads to blood coagulation.

Qi stagnation and blood stasis are cause and effect of each other, qi stagnation leads to blood stasis, and blood stasis aggravates qi stagnation.

However, the liver is mainly drained and the blood is hidden, and the excretion of liver qi plays a key role in the regulation of qi and machinery, so qi stagnation and blood stasis are closely related to liver loss and discharge. ”

Speaking of this, Lu Xuan paused and continued: "Therefore, for bile reflux gastritis with qi stagnation and blood stasis, it is often the first thing to promote qi and blood, and to dissolve blood stasis and strengthen the body.

Fangzhong Bupleurum soothes the liver and gallbladder qi, Angelica nourishes blood and invigorates blood, mountain beetle breaks blood stasis and circulation, peach kernel and safflower dispel stasis and regenerate new blood, root moistens dryness and disperses blood, licorice relieves pain, and rhubarb is used to cleanse and condense stasis and septic blood.

The combination of various medicines can lead to the smooth flow of qi and blood, the dredging of the liver and the stomach, and the lightening of the stomach.

Zhang Bingchengyun: Those who go go, those who live live, the pain is self-relieved and the yuan is self-healing. Therefore, in the name of restoration. ”

Li Yuquan seemed to understand whether he understood or not, and after thinking for a while, he showed an embarrassed smile: "Forget it, I don't want to, it's not that material, Dr. Lu still prescribes medicine for me." ”

Lu Xuan smiled slightly, wrote down the prescription, and then instructed: "After taking the medicine, if the reflux symptoms are still there, you have to continue to take this medicine for a while."

At that time, you can take the list and prescribe medicine, and if you are really not at ease, you can come for a follow-up. ”

……

Waiting for Li Yuquan's father and daughter to leave, Lu Xuan subconsciously glanced at the time, only to realize that almost half an hour had passed.

If he hadn't started sitting half an hour earlier, the patients waiting outside would probably have already scolded his mother.

However, even so, the mother and daughter who had just walked into the consultation room were still somewhat depressed, especially the mother, who muttered and didn't know what to say.

It's just that after seeing Lu Xuan, his brows instantly relaxed, and he said with a smile: "Hello Doctor Lu." ”

"Hello." Lu Xuan nodded politely.

"Who's uncomfortable?" He asked.

Wang Yuanfeng pulled the girl behind her to him and began to say: "Doctor Lu, this is my daughter, she doesn't know why during this time, she will come a day earlier every time she has a period, not to mention the small amount, the color is also very light, it takes more than a week to be clean, and every time she has a period, there is less abdominal pain, and there are symptoms such as dizziness, fatigue and weakness.

During this time, she also did not sleep well at night, saying that she often dreamed. ”

Hearing her say this, Lu Xuan then set his eyes on the girl's face.

His face was pale and unpretentious, and he felt exhausted, as if he hadn't slept in days.

"Doctor Lu, what's going on with my daughter?"

"Is it because of your period?"

Wang Yuanfeng asked.

"I'll take a look at the pulse first."

"Quick, give it to Dr. Lu." Wang Yuanfeng turned his head and said to his daughter who was a little shy.

"Doctor Lu, I'm sorry for you."

Under Wang Yuanfeng's urging, the girl strangely stretched out her slender arm.

Lu Xuan put his fingers on it and sensed it carefully.

[It seems to be a gynecological disease that Dr. Lu is good at!] 】

[It's boring, it's not an incurable disease, I can't even raise any interest, when will a patient come who even Dr. Lu can't figure out!] 】

[How can you talk like this, isn't it better to have no disease in the world? ] 】

Do you think it's possible? 】

[Dreams are good, but reality is even more cruel than imagined. 】

[Don't say it, there is so much spare time, it is better to talk about this girl's condition. 】

[What is there to say, the pulse is thin and weak, the tongue is light, thin and white, plus some of her previous symptoms, it is not difficult to distinguish the syndrome, the patient is young and weak, and he is still a student, he must be nervous about studying at this age, too much thinking damages the temper, and the spleen injury is insufficient qi, and the chong is not adjusted, the blood sea is unified, and it affects the kidneys over time.

The kidneys mainly store the essence, and the kidney qi deficiency is sealed and lost power, so the spleen deficiency can not unify the blood, and the kidney deficiency is not solid, so the amount of travel is large and inexhaustible. 】

[Ganjiang, you still have this temper, can't you calm down a little? ] 】

[I have a medicine for the fire, do you want me to be calm? 】

[When I didn't say it.] 】

When Lu Xuan checked his pulse, there was already a noise in his ears.

Especially the dried ginger, the fire is still hot.

However, the sentence of the dry ginger is not wrong at all, the herbs that help the fire, let it calm down, is it possible?

The more he listened, the deeper Lu Xuan's understanding became.

Before, he was somewhat speechless in the face of these complaints about Chinese medicine, but now that he thinks about it, this group of guys is not so annoying, but very likable, this is like a group of knowledgeable teachers with thousands of years of experience, teaching the same students together in their way.

And this student is Lu Xuan.

It can be said that without this group of teachers, Lu Xuan may not be able to contact a few patients in his life, let alone like now, his number has to be grabbed on the Internet.

Not to mention, there is also the clinical experience accumulated during this time, which is invaluable.

Now, he has nothing but gratitude in his heart for this group of teachers.

Without their "tireless teaching", how could they be today.

Although it is still a lot away from glory, it may be that in just half a month, Lu Xuan is already very satisfied.

As long as you work hard to learn, it is only a matter of time before you become a generation of great doctors.

[Ganging, since you have said so much, why don't you talk about the symptoms of this menstrual affair in detail? ] 】

[Let's just say it, although I don't know as much about this disease as the familiar boss, but I always know some, since you said so, if I don't say it, don't you think I'm bragging here.] 】

["Su Wen: The Ancient Theory of Innocence" has clouds: women, Erqi and Granium to, Ren Maitong, Taichong Pulse Sheng, the moon is in the present, so there is a son. 】

[Let you talk about healing, don't talk about this. 】

[What's wrong with endorsement? 】

Gan Jiang was speechless for a while and continued;

[There are many disorders before and after women's menstrual leave, but there are roughly three ...... reasons for this]

Hearing this, Lu Xuan also became more and more serious, there are some things that are impossible to learn in school, so he also cherishes what he said to this group of teachers.

"Doctor Lu, why does my daughter's menstrual period always be abnormal, if it is like ours, forget it, she is still a child, it stands to reason that there should be no early menstruation!"

Lu Xuan was immersed in listening to his heart, and it wasn't until Wang Yuanfeng's question that he came back to his senses and pressed his hand: "Ms. Wang, don't be impatient, I probably know your daughter's situation." ”

"Really, Dr. Lu?"

"Can you tell me about it?"

Wang Yuanfeng looked at Lu Xuan with a look of surprise.

"Hmm."

Lu Xuan nodded, but at this moment, he turned his head to Su Kenan and said, "You take a look at the pulse." ”

Su Kenan is still well-behaved, and she will do whatever Lu Xuan tells her to do.

After Su Kenan took the pulse, Lu Xuan said with a smile: "You can tell me your understanding first, I will bring up the wrong place, and I will add what I don't say." ”

"Hmm."

Su Kenan nodded lightly.

Wang Yuanfeng was surprised, his eyes flashed on the faces of the two, and he suddenly understood why the last person had been in the consultation room for so long.

It turns out that Dr. Lu has taken an apprentice!

Although this will delay time, Wang Yuanfeng also knows that whether it is traditional Chinese medicine or Western medicine, it is basically cultivated in this way, and all patients have to do is to cooperate.

Thinking of this, she didn't say anything.

It's just that when it comes to the woman's menstrual illness, Su Kenan can't help but blush: "The patient's pulse is thin, and the thin pulse is more common in qi and blood deficiency and heavy dampness.

The tongue is light and pale and mossy may be related to qi and blood deficiency, heart and blood deficiency, and yang deficiency.

All things considered, the patient's menstrual disorder may be due to qi and blood deficiency? ”

After speaking, he subconsciously glanced at Lu Xuan: "I...... I don't know if I'm right. ”

"Yes, but not entirely."

Lu Xuan said calmly.

When he heard the first half of the sentence, Su Kenan's face was still filled with joy, but the next sentence had just entered his ears, and he couldn't help but be a little depressed, drooping his head, and being hit a little.

Lu Xuan shook his head, and did not comfort anything, but thought for a while: "But for those who are confused in the moon, there are roughly three reasons. ”

"One is qi stagnation, kidney qi disharmony, liver qi stagnation, chong pulse and less yin and the great network originating from the kidney, chong ren will be in the cell, liver qi depression kidney qi deficiency, emotional irritability, menstruation is naturally not accurate.

The second is caused by cold and wind chill. The cold guest lives in the cell palace, occluding its true yang, and the lack of yang qi will produce cold, the qi and blood are cold, the qi and blood are cold, the cell uterus is shrinking, and the qi is cold and blood is coagulated, so there will be a delayed menstrual period and black bruises, and less abdominal pain, such patients are generally cold and cold, and their faces are pale. ”

Hearing this, Wang Yuanfeng couldn't help but look at his daughter.

Not only her, Su Kenan also subconsciously glanced at the girl.

Both of them obviously noticed the word pale face mentioned by Lu Xuan, and subconsciously thought that the girl's situation belonged to the second type.

Noticing the eye movements of the two, Lu Xuan was not the slightest surprised.

In fact, not only Su Kenan and Wang Yuanfeng, but also any other person, after listening to this explanation, would think so.

This is why many responsible doctors now tell patients not to go to the Internet to check randomly.

Most of the conditions mentioned on the Internet are special cases and not absolute.

When many doctors respond to a certain symptom, they will subconsciously say that a patient they have treated, but people who look up this information on the Internet will not judge these, and will only subconsciously correspond their symptoms to what the online doctor said.

For example, reflux esophagitis is not a serious disease in itself, and if there is no other situation, you can get better by taking a few pairs of medicines, but if you go to the Internet to check, nine times out of ten it will be found to be esophageal cancer, and then depressed all day long, which is originally just a minor illness, and may eventually develop into a major illness.

There are too many of them.

Lu Xuan shook his head and said, "Those who study medicine should not judge the condition by a certain symptom. ”

Su Kenan blinked his eyes and whispered, "Well, I wrote it down." ”

Seeing this, Lu Xuan nodded slightly and looked at Wang Yuanfeng: "Ordinary people are the same, don't go to the Internet to check if you are unwell, let alone correspond some of your symptoms to the Internet, sometimes there is no illness, but in the end, you are scared out of a serious illness, and even you are scared to death by yourself." ”

Wang Yuanfeng smiled awkwardly, but soon nodded seriously: "Thank you, Doctor Lu." ”

Glancing at the two of them, Lu Xuan smiled slightly, "Her situation is not caused by the cold and wind cold, but belongs to the third type of deficiency, so I said that what you just said is right, but not all right." ”

Su Kenan looked up at him, with a puzzled expression, this touched her blind spot.

Lu Xuan explained: "If it is caused by emptiness, where does emptiness come from? ”

Lu Xuan asked and answered: "Here, I won't mention a little, thinking hurts the spleen, atrial strain hurts the kidneys, the spleen is the main one thinking and the blood, and the main menstruation; If the spleen and kidneys are injured, menstruation is bound to be disordered. ”

"Why?"

"Those who cover menstruation are water yin and blood."

"It belongs to the two veins of Chong Ren, and the two veins of Chong Ren belong to yin and yang, betting on the sea of blood, the upper is milk, the lower is menstruation, and the spleen and stomach are deficient and cannot be filled with the second pulse of Chongren, the sea of blood is empty, and the uterus can not be filled without blood."

"The kidney is the main essence of the body, the essence of the essence, the foundation of the human body, so there is a saying in the "Su Wen Six Sections of Tibetan Elephant Theory": The kidney is the main sting, the foundation of the sealing, and the essence is also. The meaning of this sentence is that the kidney has the function of generating, storing and excreting essence, if the kidney essence is insufficient, the geranium is exhausted, and the tide cannot be on time, the kidney qi is full, and the sunflower must arrive every month, and the two show a rhythm of growth and loss. ”

Speaking of this, Lu Xuan paused for a while before continuing: "Therefore, her menstrual disorder is really a deficiency of the spleen and kidney, and the spleen and kidney are both replenished, and the key is to nourish qi and take blood, not simply qi and blood deficiency. ”

Su Kenan nodded, thoughtful.

And Wang Yuanfeng couldn't help but ask: "Doctor Lu, I don't understand what you said, I just want to know, why is my daughter like this?" ”

Lu Xuan subconsciously glanced at the girl, and saw that the other party's eyes were dodgy, so he had to remind: "The child is still young, learning is not everything, parents should not put too much pressure on the child."

When you are stressed, you will have a lot of thoughts, and excessive thinking can easily hurt your temper, and your daughter's body is very weak, so it is strange that menstruation can be normal. ”

Wang Yuanfeng: "......"

Wang Yuanfeng suddenly regretted breaking the casserole and asked to the end, but in response to Lu Xuan's admonition, he still nodded again and again: "Doctor Lu, I know, I must communicate with the child well when I go back, and don't put too much pressure on her." ”

Lu Xuan didn't say much, but lowered his head and wrote the formula:

Burnt astragalus, fried atractylodes, angelica, fried white peony, round meat, dodder seeds, cooked charcoal, dried ginger charcoal, schisandra chinensis, codonopsis, mountain firewood meat, morinda meat, bupleurum, cimicifuga, tangerine peel, poria cocos.

After writing, he looked up and said to Wang Yuanfeng: "It should be fine to go back and eat for two weeks, or that sentence, don't put too much pressure on the child, otherwise it will be useless to take more medicine." ”

Seeing Lu Xuan mention this matter again, Wang Yuanfeng also smiled bitterly: "Doctor Lu, don't worry, this is my own child, can I not feel distressed?" ”

"I'm not a stepmother."

Wang Yuanfeng muttered in a low voice, and Lu Xuan, who provoked him, was also a little crying and laughing.

Isn't that a reminder?