Ji Xiuwen wanted to speak and stopped.

Looking at the charging slip handed over by Su Kenan, he had to suppress all his doubts, and walked into the Chinese medicine pharmacy with the charging slip.

Ginger, cinnamon, fusuo, peach kernel, frankincense, myrrh, ligusticum chuanxiong, red peony, safflower, psoralen, epimedium weed, dodder seed, wolfberry, amber powder, licorice.

15 kinds of Chinese herbal medicines, Ji Xiuwen only officially went to work today, and he was obviously not familiar with Lu Xuan with the Chinese medicine pharmacy, and when he grabbed the medicine and came out again, a patient had already handed it to him from the window where he took the medicine.

Ji Xiuwen subconsciously looked at it, it was all medicine for colds.

"No wonder it ...... so fast"

Originally, when the patient put the charge slip at the medicine window, Ji Xiuwen was still wondering what the situation was, but after seeing the medicine prescribed by Lu Xuan, he suddenly realized.

It's just a cold, but it's simple.

Ji Xiuwen grasped the medicine again and quickly returned to his position.

At this moment, a woman in her forties pulled a teenage girl into the consultation room.

"Dr. Lu."

The woman walked in and saw Lu Xuan and quickly greeted her.

"Sit down." Lu Xuan nodded at her, and then his eyes looked at the teenage girl.

Very few parents will bring their children over when they see a doctor, especially for such an old child, even if there are no classes during the summer vacation, they will arrange certain tutoring classes or do homework at home.

If nothing else, the probability of the child's physical problems is at least 90%.

Of course, there are also some parents who have no one to bring their children at home, so there is no way but to bring them.

But such a big girl obviously doesn't need parents to watch.

"What's wrong with the kid?" Lu Xuan asked.

Qi Shuyi sighed, and under Lu Xuan's inquiry, she explained the child's situation one by one.

Lu Xuan observed the girl's face and tongue as he listened, and his fingers also rested on the girl's slender wrist.

The girl is 16 years old this year, has been ill for more than 10 days, chest pain, shortness of breath when lying down, loss of appetite, pulse heaviness, white teeth, and poor development.

I went to the hospital last week and was diagnosed with tuberculous pleurisy.

After listening to Qi Shuyi, Lu Xuan nodded slightly, but did not speak.

Qi Shuyi hurriedly said: "Doctor Lu, can Chinese medicine regulate tuberculous pleurisy?" ”

"When I was in the hospital before, I heard that the doctor said that thoracentesis had to be performed, I hesitated when I heard that I was going to have surgery, and there were very likely sequelae after the operation, and I didn't want the child to go under the knife......

Qi Shuyi said a lot, nothing more than not wanting the child to undergo thoracentesis and aspiration surgery, and wanted to find a Chinese medicine doctor to try.

"Yes."

Lu Xuan nodded, seeing that Qi Shuyi was about to speak, he pressed his hand and looked at Ji Xiuwen and Su Kenan: "Let's talk about your understanding of this disease." ”

"Let's talk first." Lu Xuan looked at Ji Xiuwen.

"Me?"

Ji Xiuwen pointed to himself.

Lu Xuan nodded: "Hmm." ”

Ji Xiuwen groaned, thought for a while, and told everything he knew: "Tuberculous pleurisy is a disease caused by Mycobacterium tuberculosis invading the body for the first time. There are five ways to cause tuberculous pleurisy, the first is the reflux of bacteria from hilar lymph node tuberculosis to the pleura through lymphatic vessels;

The second type of tuberculosis lesion adjacent to the pleura ruptures, allowing Mycobacterium tuberculosis or the product of tuberculosis infection to enter the pleural space directly; a third type of acute or subacute hematogenous disseminated tuberculosis leads to pleurisy; The fourth type of body is more allergic, and the pleura reacts highly to tuberculous toxins and causes exudation; The fifth thoracic and rib tuberculosis burst into the pleural cavity.

However, needle pleural biopsy or thoracoscopic biopsy has confirmed that 80% of tuberculous pleuritis parietal pleura has typical tuberculous pathological changes, so direct penetration of Mycobacterium tuberculosis throughout the pleura is the main pathogenesis of tuberculous pleurisy. ”

Basically, this knowledge will be taught in schools.

Zhijiang University of Traditional Chinese Medicine teaches not only pure Chinese medicine, but also related disciplines that combine Chinese and Western medicine.

Hearing this, Lu Xuan shook his head slightly: "This is the understanding of Western medicine, indeed, these will be taught in schools, and I have also learned, but I think that as a Chinese medicine practitioner, you can understand these, but the most important thing is to use the concept of Chinese medicine to understand and explain this disease, otherwise it will be difficult to learn Chinese medicine thoroughly." ”

Ji Xiuwen was slightly silent, and then nodded noncommittally.

"Let's try to take the pulse." Lu Xuan signaled.

"Okay."

Ji Xiuwen paused for a moment, and nodded quickly the next moment, without the slightest pretentiousness, although he didn't know what happened to Lu Xuan, he would definitely not let go of such a good opportunity to take the patient's pulse.

Isn't it just to leave the county hospital and come to the health center just to have the opportunity to contact patients and accumulate clinical experience?

Now, if he has the opportunity, he will not let it go.

After thinking about it, Ji Xiuwen didn't say a word, and put three fingers on the girl's inch ruler.

After a while, Lu Xuan asked, "How is it?" ”

Ji Xiuwen frowned slightly, this was the first time he had taken the pulse of a patient, he was excited, but he was more nervous, and the doctor was a friend of his classmates for many years, which made it difficult for his heart to calm down, and it was difficult to make a judgment for a while.

That's the embarrassment of not having clinical experience.

Lu Xuan understood.

So without waiting for Ji Xiuwen to speak, he smiled and popularized the basis of pulse cutting to his friends: "Pulse is one of the four diagnoses of traditional Chinese medicine, also known as cutting, through the pulse, to judge the patient's body, whether it is real or virtual, hot or cold...... Symptoms such as these can be seen in the pulse of the wrist.

I've learned that, and you've learned it.

The four cores that need to be mastered to take the pulse are also the key, you know? ”

Ji Xiuwen quickly calmed down: "The ups and downs are late." ”

"Yes, it is the number of ups and downs, in addition, there are other pulses, those, after mastering these four situations, you can expand your learning."

Lu Xuan solemnly continued: "I don't know if you remember, but it doesn't matter, I'll talk about the floating pulse first."

Fingers put on the ruler, touch it lightly, and feel the pulse, which is a floating pulse. Press it a little harder, and there is still a pulse, which is a floating pulse.

If you press it and feel that the pulse is strong, this is a real disease, but if you press it and feel that the pulse is not strong, this is a deficiency disease.

If the patient has a symptom, then based on the symptoms, combined with the pulse, can determine how far the disease has progressed, whether the general situation is serious, or is about to be cured, and so on. ”

Ji Xiuwen pressed the girl's pulse, thoughtful.

Speaking of this, Lu Xuan smiled and said: "If you put your hand on the vein, you can't touch it all the time, and you keep pressing harder, almost to the bone, so that you can feel the obvious pulse, this is the Shen pulse."

If you don't use force, you can't touch it, press it a little harder, and you can touch it without pressing it to the end, which is called unsinkable and non-floating.

You can also judge according to the amount of your own force, which can be summarized as, bias sinking (more force), partial floating (less force), this situation, collectively referred to as medium. ”

Speaking of this, Lu Xuan looked at Ji Xiuwen: "You try again." ”

Ji Xiuwen nodded slightly, continued to try according to what Lu Xuan said, and after a while, he raised his head and said, "I feel that there are ups and downs, I don't know if my judgment is right." ”

Lu Xuan nodded towards him: "That's right, it's the ups and downs of the pulse." ”

"The difference between ups and downs and sickness, when taking the pulse, if the pulse appears to rise and fall, it is related to the disease and whether the qi and blood are sufficient, etc."

"Here's an example."

"If a person has a cold, the body wants to solve these external invasions in the "surface" layer of the body at the beginning. At this time, the body will naturally draw fluid, qi and blood, and gather on the surface of the body to fight. Therefore, when there is enough qi and blood on the surface of the body, the pulse will appear to float.

But if the problem can't be solved here, the evil will advance into the body, the righteous qi will retreat inward, and the qi, blood, and fluid will be concentrated in the middle (half of the surface and half of the li), and the pulse will take on the middle image.

The evil spirit has won again, and it has entered it again, and the righteous spirit has been defeated again, and it has retreated inside, and it has all retreated into it, and here, the strength has been accumulated, and the disease and evil have fought to the death, and the pulse will show a sinking image.

In this way, where the body's righteous qi (jin blood, qi and blood) is gathered, there will be feedback in the corresponding parts of the pulse. ”

Ji Xiuwen nodded, indicating that he understood.

And Lu Xuan continued: "Then let's talk about the pulse deficiency and the real pulse, when taking the pulse, sometimes we will slowly press down, and then reduce the force a little, lift the finger back to the original place, and repeat it several times.

This is to use the fingers to feel the resistance of the pulse to the fingers.

When you press it, if you feel that the pulse is very hard, solid, and has a strong rebound force, it proves that the pulse has strength.

But if you press your fingers down and don't encounter much resistance, or even increase your strength a little bit, the pulse is gone, then the pulse is powerless.

It's like we can touch the soft rubber water pipe that is releasing water in our lives, if the water inflow is large and urgent, the water pipe will feel hard and hard when pressed, and we don't feel too pressed.

But if the water intake is small and slow, the water pipe may be pressed, that is, easily, and it can be pressed to the end.

According to the force of pressing down and the rebound resistance obtained, you can roughly judge whether the water intake is more or less, whether it is urgent or slow.

When we take the pulse, we can also judge whether the strength of the pulse is strong or weak according to the feeling on the fingers. The powerful and strong kind represents the body's righteous qi, and the weak one represents the body's righteous qi is weak.

When treating the disease, we should consider supplementing and supporting the righteous qi first, and when the righteous qi is sufficient, the body will naturally be able to compete with the evil qi.

If the patient's pulse is strong and the righteous qi is still sufficient, then the method of attack and discharge can be used to directly fight the disease and evil.

As a TCM practitioner, there are many things that need to be paid attention to, and it is necessary to make a correct judgment based on the patient's symptoms, pulse and other aspects, and decide whether to attack immediately or cultivate and replenish the righteous qi first. ”

Speaking of this, Lu Xuan smiled slightly: "Sometimes, the difference between quack doctors and divine doctors is often this. ”

Ji Xiuwen's eyes widened, and he became more and more confused.

If he was still wondering why Lu Xuan could remember the contents of those medical books so well, then now, it is not as simple as being surprised.

Rather, they were stunned and even shocked.

If you don't have some experience in pulse diagnosis, you can't say so much truth anyway.

These, in many cases, are not taught in school, and can really be applied to the ability in practice.

The two have only seen each other for half a year, but they are already very different.

He took a hard breath, and after a while, Ji Xiuwen came back to his senses from the shock, and then asked, "Then how should this little girl's condition be treated?" ”

"As I said just now, tuberculous pleurisy is similar to the "chest paralysis" of traditional Chinese medicine, the qi knot is located in the chest ,......, the middle of the chest is located in the upper coke, which is the house of the sect qi, and the same qi as the surface, so the treatment method is the same.

The little girl's illness should be mainly based on Xiao Chai Hu Tong and Gua Ling, supplemented by Poria cocos, mulberry bark, reed root, coria seed, and citrus aurantium, and Cordyceps and Mai Dong as supplements. ”

The corners of Lu Xuan's mouth raised slightly: "Xiao Chai Hu Tang is good at treating hypochondriac pain, and the chest and flanks are connected, so the well treats it." Poria cocos and other medicines, expectorant and diarrhea, ventilation and dampness, and those with effusion in the chest cavity are most needed.

Those who use Cordyceps and Silver Bupleurum are all designed for school completion.

Cordyceps is good for the body, nourishes the lungs and kidneys, dissolves phlegm and invigorates qi, treats all kinds of deficiency and damage, silver chai hu is a product that clears heat and cools the blood, where the heat is in the bone town, it is not removed, and it is better than divergence, and has the effect of pushing the old to the new.

Mai Dong into the heart and lungs two meridians, for the moist product, specifically go to the lung meridian qi, for the treatment of lung fever medicine, but also can stop diarrhea and produce Jin, phlegm and water, for the disease is quite in tune.

The licorice starts with the twelve meridians, and when used together with the cooling agent, it pollutes the internal and external evil heat, and has the most synergy with the medicine. ”

"Hiss~"

As soon as Lu Xuan's words fell, Ji Xiuwen couldn't help but take a breath.

At this time, his gaze when he looked at Lu Xuan was full of disbelief.

Lu Xuan's understanding of the properties and symptoms of medicine has completely exceeded his imagination, and this kind of knowledge reserve, research on pathology, and grasp of diseases are simply not what a student who has graduated from the University of Chinese Medicine for just over half a year can do.

Shock!

Shocked like never before!

If the young man in front of him was someone else, Ji Xiuwen wouldn't have much feeling, at most, he felt that there was a genius in this world, the kind of genius that you couldn't even touch your back no matter how hard you tried.

Isn't.

The young man sitting opposite him at this moment is his most familiar tablemate and roommate, Lu Xuan, who has been a classmate for several years.

All along, Ji Xiuwen felt that he knew Lu Xuan very well.

But this time, he felt strange.

Waiting for Qi Shuyi to pay the fee and take the little girl to the window outside to wait for the gap to get the medicine, Ji Xiuwen's slightly squinted eyes slowly opened, and after exhaling a breath, his eyes stared at the familiar and strange young man in front of him, with a hint of suspicion in his eyes:

"What happened to you in the past six months?"

"I always feel that something is wrong, sitting in front of me is the Lu Xuan I know, and it doesn't seem to be."

Su Kenan didn't speak, looked at the two quietly, and finally fell on Lu Xuan's delicate face, thoughtful.

"Maybe it's because I'm hanging!"

Lu Xuan responded with a smile.

He felt that he couldn't be more objective when he said this, after all, he really hung up.

It's just that......

"You're hanging?"

Ji Xiuwen was stunned for a moment, and then laughed heartily, but he didn't doubt him, and his original puzzled look was inexplicably relieved.

(End of chapter)