Holding the charge sheet, Ji Xiuwen was in a trance.

After a while, I reacted and got up and walked into the Chinese medicine pharmacy.

After handing over the medicine to Ji Yongfeng from the medicine window, he walked out of the Chinese medicine pharmacy.

At this time, the second patient in the morning had also walked in and was sitting opposite Lu Xuan.

Ji Xiuwen paused for a moment, didn't dare to think about it, and quickly came to sit down opposite Lu Xuan, looking at Lu Xuan's serious face slightly distracted.

He didn't understand.

Lu Xuan became the person in charge of the Chinese medicine department of the Qiushi Street Health Center, he can understand, after all, the Chinese medicine department of the street health center is not taken seriously, and when Lu Xuan came, the Chinese medicine department was alone, who should be the person in charge of him?

You can't let someone who has never been in contact with Chinese medicine be the person in charge, right?

But being in charge doesn't mean that you suddenly have extraordinary medical skills!

Although he had just arrived, he didn't know much about Lu Xuan's situation.

But it is impossible to fake the situation that my mother said before, and besides, Dean Hu Meiqiao really values Lu Xuan very much.

Not only Hu Meiqiao, but other people in the health center trusted Lu Xuan's medical skills.

He still remembered that at the regular meeting just now, Cheng Gaowen and Zhou Liting said what they said, whether they had trust in Lu Xuan's medical skills or not, and the medicine prescribed to them should have a good effect, otherwise they would never have said those words.

Also, Ji Yongfeng, a patient who just left with medicine.

From the smile on the other party's face, he knew that the situation of his good brother had been completely out of his "control".

But that's not right!

Ji Xiuwen really didn't mean to despise or underestimate Lu Xuan, but this was really unscientific.

The two were admitted to Zhijiang University of Traditional Chinese Medicine at the same time with similar scores, and they lived in the same dormitory, and they had an excellent relationship, not to mention that they had a very comprehensive understanding of Lu Xuan, but they were not too bad, and they were not far from ten.

To say that Lu Xuan's grades are better and better than him, he also admits it.

After all, these are all facts, from the time he stepped into Zhijiang University of Traditional Chinese Medicine, Lu Xuan's admission score was a little higher than him, from undergraduate to graduate school, he has been pressed, and various exams, every time he presses his head back, it is normal to be better than him.

But even so, the difference between the two can't be so big just because of half a year, right?

Originally, in Ji Xiuwen's opinion, even if Lu Xuan was better than him, it would be impossible for him to sit alone within two or three years, and he even became a miracle doctor with extraordinary medical skills and was praised by many patients.

But if Lu Xuan can only see a little illness, he can still accept it.

After all, as a graduate student who graduated from Zhijiang University of Traditional Chinese Medicine, I still have this ability, but some people are timid and dare not look at it, and some people are bold and confident and dare to see it.

In his eyes, Lu Xuan should belong to the latter species.

But it is definitely not up to the level where you can see all kinds of incurable diseases.

This is no longer an unscientific question, but too metaphysical.

I thought that after graduation, everyone was the same, either as an assistant or as a medicine, anyway, don't want to contact patients, but now it seems that Lu Xuan has gone far away, and he can't even see his back.

Who can believe this?

When Ji Xiuwen was still in a daze, Lu Xuan's hand had already fallen on the other party's pulse.

The patient is also reporting some of his own conditions.

Ji Xiuwen didn't dare to think about it, quickly came back to his senses, and listened quietly.

Patient Gao Suyun, female, 52 years old.

The patient went to the hospital for "frequent urination, urgency, and recurrent painful urination", and the hospital always treated it according to the urinary tract infection, which did not heal for a long time, and then underwent cystoscopy, and was diagnosed with "interstitial cystitis", and was given bladder water dilation and other treatments, but did not improve, so he came to the hospital.

Cut: frequent urination, urgency, painful urination, cold pain in the lower abdomen, slightly decreased temperature, obvious pain in the lower abdomen before and after urination, purple tongue, astringent pulse, urinalysis: occult blood (+)......

After listening to Gao Suyun's self-description, Lu Xuan suddenly raised his head and looked at Ji Xiuwen: "What do you think?" ”

Ji Xiuwen was a little caught off guard by Lu Xuan's sudden inquiry, and was a little sluggish for a while, and it took a while before he reacted under Lu Xuan's reminder, he glanced at Lu Xuan in surprise, thought about it, and then said:

"Interstitial cystitis is a chronic non-bacterial full-thickness inflammatory disease of the bladder, characterized by perineal pain and discomfort, urinary frequency and urgency, and is a clinical syndrome of unknown etiology.

It usually occurs in middle-aged women and is characterized by fibrosis of the bladder wall.

At present, there is a large amount of evidence that interstitial cystitis is an autoimmune collagen disease, and Western medicine uses non-surgical treatment and surgical treatment, but its efficacy is unreliable, and the condition is easy to recur, and the treatment is quite difficult. ”

Hearing this, Lu Xuan shook his head slightly: "This is the understanding of Western medicine. ”

Obviously, Lu Xuan was not satisfied with Ji Xiuwen's answer.

Ji Xiuwen was helpless, feeling that his friend's expression at the moment made him feel a little unfamiliar, but after thinking about it, he said: "If there is interstitial cystitis, it should belong to the category of traditional Chinese medicine drenching syndrome, and the name of drenching was first seen in the "Neijing". ”

"Be confident in yourself."

Lu Xuan smiled, then retracted the smile on his face, and said seriously: "Interstitial cystitis is called "drenching" in "Suwen Liuyuan Zhengji Treatise", "Jin Kui Yao Luo: Five Organs Wind and Cold Accumulation Disease Pulse Pattern and Treatment" is also known as "Drenching Constipation", and "Jin Kui Yao Luo: Quenching Thirst and Urine is Not Good for Gonorrhea Pulse Pattern and Treatment" describes the symptoms of gonorrhea in detail: "Drenching is a disease, urine is like millet, the lower abdomen is urgent, and the pain leads to the umbilicus. ”

The "Chinese Tibetan Sutra" divides the showering evidence into eight types: cold, heat, air, labor, ointment, sand, void, and reality; In the "Treatise on the Origin and Syndrome of Diseases", it is divided into seven types: stone, labor, qi, blood, ointment, cold, and heat.

In the Tang Dynasty, the name of "five showers" was first proposed, and the "Secret of Outer Taiwan" specifically pointed out the classification of five showers: stone shower, air shower, paste shower, labor shower, and hot shower, which has been used to this day. ”

Ji Xiuwen was dumbfounded, revealing that he seemed to have only met Lu Xuan for the first time.

This is not scientific!

He has memorized these things, but it is absolutely impossible to say that he can remember them so clearly, most of the time he has to go through medical books, and it can even be said that he only has a little impression of the vast majority of the content.

To achieve this level of arm-like strength, unless you have the ability to remember.

When the two were in school, they often studied together by asking questions, reciting various medical books, although Lu Xuan's performance was so much better than him, but it was also limited, and many times, he could only remember one or two sentences, and it was impossible to write down all the contents of several medical books at once.

Not to mention students like them who have just graduated, even some old Chinese medicine doctors, they may not be able to remember.

It can even be said that no one can remember it so clearly.

Even if you are a genius, you have to talk about science!

But at this moment, Lu Xuan's performance is really not something that can be described by science.

This guy doesn't seem to have memorized those contents at all, but he is one of those medical books himself, otherwise how could he know so much?

And just open your mouth?

Even if you put the medical book in front of him and open it, you have to open it for a while.

Ji Xiuwen shouted in his heart that it was unscientific, but Lu Xuan didn't care about Ji Xiuwen's strange eyes, and asked: "Interstitial cystitis, purple tongue, astringent pulse, what about the pathogenesis?" ”

Ji Xiuwen opened his mouth, like an angry little daughter-in-law, with a resentful expression.

Lu Xuan turned his head and looked at Su Kenan again.

Su Kenan thought about it very seriously, but it didn't take long for her to shake her head lightly, obviously she didn't know either.

Lu Xuan didn't care, and glanced at Gao Suyun: "Ms. Gao, I may need to delay you a little time." ”

Gao Suyun smiled: "It's okay, I'm not in a hurry." ”

The things that Lu Xuan would explain to his assistant have also spread among the patients, and everyone is not surprised.

Besides, in the eyes of many patients, Dr. Lu's powerful medical skills should naturally be passed on to as many people as possible, so that more patients can benefit.

Although it was a little slower, no one said anything.

Everyone still understands the truth of fishing and burning forests and hunting.

No matter how powerful Dr. Lu is, he is just a person, not a god, he can only see dozens of people a day, and only a very small number of patients can benefit.

But if a group of Chinese medicine practitioners can come out under the guidance of Lu Xuan, the beneficiaries will be multiplied or even exponentially exponential.

Lu Xuan thanked him, and then looked at Ji Xiuwen and the two:

"What Ms. Gao said just now, you have also heard, urinary tract infections have been repeated for several years, and long-term antibiotic treatment, long-term illness and weakness, and the use of bitter cold products, more killing righteousness, as the saying goes, long-term illness does not heal, poverty will reach the kidneys", resulting in kidney qi loss, yang qi deficiency, and shoulder degassing and loss of division, so see the family frequency, green urgency.

Kidney qi loss, weak transpiration of high-quality fluid, thirsty, due to non-real heat accumulation, so "but want to gargle water but do not want to swallow", bladder gasification weakness is difficult to defecate, need the dosage assistance to urinate. This disease is a deficiency of kidney yang, and the evil of the sun spreads to the intestines of the sun, resulting in unfavorable bladder vaporization.

Kidney qi is insufficient, the push is weak, and the blood flow is not smooth, so the tongue is slightly bruised, which is a sign of blood stasis and cold condensation in traditional Chinese medicine. ”

Looking at Lu Xuan, Ji Xiuwen was shocked.

it!

I didn't understand?

This time, Ji Xiuwen's gaze at Lu Xuan completely changed.

Have been classmates for many years, are you still the one I know?

Although he didn't understand what Lu Xuan said very well, he ......

These contents are not something that can be made up casually, and without a certain foundation and skills, I am afraid that you will not be able to make it up blindly.

This point, Ji Xiuwen is very clear.

For the first time, Ji Xiuwen felt the fear of being dominated by geniuses.

originally thought that the two of them were at the same level, even if there was a slight gap, it would be harmless, but at this moment, Ji Xiuwen knew how big the gap between himself and Lu Xuan was.

If you don't have some real skills, you can't say so much.

"You're ...... Where ...... from"

At this moment, Ji Xiuwen had too many doubts to ask in his mind, but when the words reached his mouth, he stopped in time, and then asked, "How should I treat it?" ”

Lu Xuan thought for a while and said slowly: "For patients with interstitial cystitis who have kidney yang deficiency and blood stasis obstruction, they should be treated with blood circulation and blood stasis, warming the kidneys and dissipating cold.

The soup of less abdomen and stasis is from Wang Qingren's "Medical Forest Correction Error", in which Chuanxiong and red peony invigorate blood and disperse blood stasis, nourish blood and pass the veins;

Ginger and cinnamon disperse cold and yang, and relieve pain in warmth; Yanhusuo invigorates blood and dispels blood stasis, disperses knots and relieves pain, and adds peach kernels and safflower to help invigorate blood and dispel blood stasis;

Frankincense, myrrh invigorate blood and relieve pain, reduce swelling and build muscles: Epimedium shy, dodder seed, psoralen, and wolfberry help kidney qi, increase the power of kidney and dispel cold; Amber powder invigorates blood circulation and dispels blood stasis, diuretic and drenching.

The whole formula plays the effect of warming the bones and clearing the yang, dissolving qi and drenching, and invigorating blood and removing blood stasis. Dispel stasis and clear the pulse, the kidney yang can be warmed, the bladder will open and close as usual, and the qi and blood will be smooth, and the symptoms will be eliminated. ”

"But ......"

Speaking of this, Lu Xuan's words changed: "Strictly speaking, the soup of less abdomen and stasis is not completely symptomatic, and it needs to be used by addition and subtraction, if you have specific recipes, ginger, cinnamon, Yanhusuo, peach kernel, frankincense, myrrh, Chuanxiong, red peony, safflower, psoralen, epimedium, dodder seed, wolfberry, amber powder, licorice." ”

Ji Xiuwen frowned.

He had heard of the decoction of the less abdomen, and the evidence was that the blood stasis was knotted in the lower abdomen.

The lower coke includes the liver and kidney, due to the dysfunction of the liver and kidney, cold condensation and qi stagnation, poor drainage, blood stasis and discomfort, and the knot is in the abdomen, so the symptoms are less abdominal lumps and pain, or menstrual irregularities and other miscellaneous diseases.

It is advisable to chase blood stasis and invigorate blood, and warm yang and regulate qi. Therefore, the soup is warm with cumin, cinnamon, and dry ginger, which enters the liver and kidney and returns to the spleen, regulates qi and activates blood, and warms the blood veins; Angelica sinensis and red peony enter the liver, and stasis and blood circulation are carried out; Puhuang, Wuling Lipid, Chuanxiong, Yuanhu, and Myrrh enter the liver, invigorate blood and regulate qi, so that qi is alive and bloody, and qi and blood are active so that they can relieve pain, and become a medicine that warms and reduces abdominal blood stasis.

It's just that why Lu Xuan would add or subtract so much, but it made him puzzled.

In other words, if he knew the patient's symptoms and had a clear differentiation of symptoms, he might have directly prescribed a soup with less abdomen and stasis, instead of doing these additions and subtractions.

Lu Xuan seemed to see the doubts in Ji Xiuwen's heart, and explained: "Yang deficiency and blood stasis are seen together, and there are dampness and stagnation of the bladder, qi stagnation and obstruction, too much nourishment is afraid of causing evil, and overuse of Qingli is afraid of hurting righteousness even more, so when the medicine is used in Wenyang City, it is the right way to live blood without breaking blood and hurting righteousness." ”

"Got it now?" Lu Xuan looked at him and smiled slightly.

For this long-time classmate, he naturally will not hide anything.

Ji Xiuwen was thoughtful.

"What about you?"

Lu Xuan turned his head and looked at Su Kenan, who had not spoken.

Su Kenan has studied more gynecological diseases in the past few days, blood stasis is very common in gynecological diseases, and he also has a thorough understanding of the decoction of less abdomen and stasis, but there are still many doubts about Lu Xuan's use of this recipe to treat Gao Suyun's interstitial cystitis.

Or rather, not quite understood.

Even if Lu Xuan explained it thoroughly, it would not be able to understand it in a while.

Seeing that both of them were like this, Lu Xuan said calmly: "It's okay if you don't understand, write it down first, and then ask me if there is anything you don't understand." ”

After he finished speaking, he had already written down the prescription and handed it to Su Kenan to register in the system.

When Gao Suyun paid the fee, Ji Xiuwen came back to his senses and looked at Lu Xuan with a somewhat complicated expression.

There was only one thought in his mind at the moment.

What happened in the past six months?

In other words, after Lu Xuan came to the health center, what happened in just over half a month?

to make a person change so much.

PS: In fact, interstitial cystitis is divided into many situations, and the medication for different symptoms is also different.

I'm afraid that someone won't see it, so let's update it again, nine o'clock in the morning, twelve o'clock at noon, eight o'clock in the evening, and then 4000+ per chapter, 12000+ per day, and 20000+ for the alliance leader

(End of chapter)