The emotional response of patients is generally more stressful, the most common is poor mood, followed by emotional fragility, emotional instability, easy irritability, easy to accept the cues and inducements of negative language.

Worrying about whether you have some incurable disease may be some of the thoughts that every patient has.

Personality traits often change after a long period of illness.

Gone is the elated and energetic image, replaced by sluggishness, emotional vulnerability, cautiousness, passive dependence, sensitivity and suspicion, and self-centeredness.

Paying too much attention to the body's feelings, too much attention to the changes in the condition, once the negative suggestion is received, the depressed mood will quickly appear, but seeing the patient who has recovered well can also instantly build confidence.

Therefore, it is more important to find one, at most two, trustworthy doctors, and strictly follow the doctor's guidance for rehabilitation.

It is important not to seek medical advice on a large scale, get a variety of different opinions, and stand at a crossroads, at a loss.

It's okay for people to encourage each other, but it's best not to ask about their experiences, because other people's experiences may not apply to you, and other people's illnesses are not the same as your own.

Pan Yuqian is now in such a state of mind, and while the months-long fever has tormented her, it is also rapidly destroying her emotions.

Especially after countless treatments without any improvement, this destruction will be infinitely magnified by herself.

"Doctor Lu, can't even you find the reason why I have a fever for no reason?"

Before being introduced by a friend, Pan Yuqian had learned about Lu Xuan, and had heard many cases of Lu Xuan curing some incurable diseases, and so far, she had not even encountered a disease that even Lu Xuan was helpless about.

Knowing these circumstances, Pan Yuqian's confidence increased greatly, and she grabbed the number at home for several days, and finally hung up on Lu Xuan's number this afternoon.

But at this moment, after learning about her situation, Dr. Lu's long-term silence made her heart that had been put down rise to her throat again.

Pan Yuqian looked at Lu Xuan with a worried face, for fear that she would know bad news from Lu Xuan's mouth in the next moment.

I couldn't find the cause of her fever, or if it was an incurable disease.

Seeing that Lu Xuan didn't react, Ji Xiuwen also touched Lu Xuan's arm with his hand anxiously, and reminded in a low voice: "Doctor Lu." ”

A haze quickly spread in his heart, his old classmate won't be broken today, right?

Ji Xiuwen was extremely worried, but after thinking about it, he felt that his expectations for his old classmates were too high.

Doctors are not omnipotent, they don't see any disease, and they can know everything.

Even some miracle doctors in ancient times were helpless.

What's more, Lu Xuan has only graduated not long ago, and he can do this, and he can have his current medical skills, which is already more than his peers, and he is not even inferior to any famous Chinese medicine doctor at all.

If you want to do it without breaking the golden body, it is too difficult.

Thinking of this, Ji Xiuwen couldn't help but sigh.

At this time, under Ji Xiuwen's reminder, Lu Xuan also quickly came back to his senses, and saw Pan Yuqian staring at him with a gloomy expression, and hurriedly reassured: "Don't worry, I probably thought about your situation, it should be related to Shaoyang disease." ”

"Less impotence?"

Pan Yuqian is not a traditional Chinese medicine practitioner and has never taught herself, so when Lu Xuan said this word, she couldn't help frowning, but Ji Xiuwen looked at Lu Xuan, with curiosity and confusion on his face.

Lu Xuan explained: "Coming and going cold and heat is a typical cold and heat symptom of Shaoyang disease, which is manifested as intermittent appearance of fever and chills, coming and going, alternating attacks, several times a day, without a certain time regularity, which is caused by poor qi depression, uncoordinated camp and guard, and the division of good and evil. ”

Ji Xiuwen nodded, he knew this, but he didn't think about it.

Now that Lu Xuan mentioned Shaoyang disease, when comparing Pan Yuqian's situation, it is really seven or eight points similar.

Thinking of this, Ji Xiuwen said: "Although Ms. Pan's situation is seven or eight points similar to Shaoyang disease, but if you think about it, it is different. ”

"You're right."

Ji Xiuwen was able to find this, but Lu Xuan was not surprised at all.

He then explained: "Ms. Pan's syndrome has chills, fever, cough and other external symptoms, and the fever does not go away after antibacterial treatment with Western medicine, and the cause is still difficult to determine after systematic examination in hospitalization.

Lack of righteous qi can not be used to go out, and the patient's fever persists for several months, and the mental diet is acceptable, so it can be concluded that Ms. Pan should be suffering from internal injury qi deficiency and fever, and the lack of righteous qi causes yin and fire to be endogenous and turned from qi deficiency and yang to yin, and the health and appearance are not in harmony with the fever treatment.

Therefore, Ms. Pan's situation is most similar to that of the Lack of Yang Qi Syndrome, but it is different.

According to Mr. Li Dongyuan's "Treatise on the Spleen and Stomach: The Injury Caused by Diet and Fatigue Begins to Be Heat": The lack of vitality causes yin fire, "but when the medicine of pungent and sweet temperature is used to supplement it and raise its yang, and the sweet and cold is used to relieve its fire", combined with the clinical characteristics of the patient, imitate the Zhongyi Qi decoction, the sweet and warm remove the heat, and the half decoction of Chai Gui and the solution of too little prescription medicine.

Codonopsis, astragalus, and atractylodes macrocephalus are used to replenish the central qi, strengthen the spleen and stomach, and if the spleen and stomach are sufficient, the blood will be self-generated, and the yin fire will be self-descending;

Cimicifuga and Bupleurum are used to raise the sun to dissipate heat, tangerine peel awakens the spleen and stomach, dissipates stagnation and dampness and removes fullness, Angelica sinensis nourishes blood and nourishes blood, and the power of ginseng, qi and art makes the yang qi rise and the vitality is vibrating, then the blood is self-regulated, so the heat can be removed;

Add half a soup of chai and cinnamon, on the one hand, use cinnamon branch soup and kudzu root vegetables to disperse the surface evil of the sun meridian, and use small chai hu soup to reconcile the evil of half of the surface and half of the evil of Shaoyang, the medicine and evidence are compatible, so it can work quickly.

It seems that this prescription treats both the inside and the outside, taking into account the evil of the sun and the setting sun, the deficiency of the yin, and the combination of correcting and expelling evil, which is actually a wonderful prescription for the three meridians and the elimination of great heat. ”

Hearing this, Ji Xiuwen nodded subconsciously: "I have read the medical book written by Mr. Li Dongheng, and I vaguely remember that there was a mention of the idea of Ganwen removing the heat, but I forgot the details. ”

Lu Xuan smiled and said: "During the Jin and Yuan dynasties, Mr. Li Dongyuan pointed out in "The Theory of the Spleen and Stomach: The Theory of Spleen and Stomach Deficiency and Reality": "The husband has a bad diet, the cold and temperature are uncomfortable, and the spleen and stomach are injured.

This is due to joy, anger, sorrow, and fear, which consumes vitality and supports the heart fire, fire and vitality are not mutually exclusive, and fire wins by its soil position, so it is sick.

"The Treatise on Regulating the Scriptures" clouds: "Those who are sick and give birth to yin, get food and drink, and yin and yang are happy and angry." 'Another cloud: 'Yin deficiency is internal heat...... There is tiredness, the shape and qi are weak, the valley qi is not abundant, the upper coke is not good, the lower belly is not passed, the stomach is hot, and the heat is smoked in the chest, so the internal heat is hot. 'When the spleen and stomach are injured, the five chaos interact. ”

He also said in "The Theory of Distinguishing Internal and External Injuries and Eating and Drinking": "However, if you use the medicine of pungent and sweet temperature to replenish it, raise its yang, and use sweet and cold to relieve its fire, it will be healed."

"Neijing" says: 'The laborer is warm', 'the loser is warm'. Gai Wen can remove the heat, and the medicine of bitter cold can be taboo to laxify the stomach and ear! ”

Mr. Li Dongyuan clearly put forward the idea of "warm energy to remove heat". The sweet and warm heat removal method is to use drugs such as pungent and sweet warmth to nourish qi and raise yang, supplemented by slightly cold products, to keep away from yin and fire. ”

Ji Xiuwen couldn't help but give a thumbs up.

Lu Xuan glanced at him angrily: "So let you usually read more medical books, not only to read, but also to understand and write down, there is a golden house in the book, and there is Yan Ruyu in the book, I have seen a lot, and many things can actually be understood, all of which are understandable." ”

Ji Xiuwen looked at Lu Xuan helplessly, very depressed.

I don't have the ability to memorize, there are so many medical books, how can I finish reading them?

In a lifetime, it is already very good to be able to eat one or two medical books thoroughly, and to eat all the books, let alone him, even those old Chinese medicine practitioners who have been immersed in the field of Chinese medicine for fifty or sixty years may not be able to do it.

When you're in a similar situation, it's nice to be able to vaguely remember something like this.

As for writing it down completely, Ji Xiuwen didn't dare to think about it.

……

Time flowed like water, and the time of an afternoon passed in a flash.

In the afternoon, Lu Xuan didn't explain to the two of them in detail, he was able to understand one or two diseases a day, and he could try to take the pulse and distinguish the syndrome for two or three patients, which was completely enough for Ji Xiuwen and Su Kenan.

Without the ability to remember and the ability to understand inhumanely, it is a miracle to be able to understand a disease in one day.

Moreover, it depends on whether the two of them go back and review it a few more times, otherwise they may not be able to understand it, and it is even more likely to forget.

Forget, that's all back to zero.

When he was about to get off work, Ji Xiuwen grabbed the medicine for the last patient and handed it over to the decoction pharmacy to decoction the medicine, and the patient came to get it tomorrow morning.

Speaking of which, the job of a decoction pharmacy is not easy either.

There are hundreds of people a day, and at least more than 70% of patients will choose the decoction service.

Therefore, it is common for the pharmacy to work overtime.

However, because the machine is sufficient, several pairs of medicines can come together, and the speed is not slow.

When Lu Xuan and the others packed up their things and were about to leave, the decoction pharmacy was almost busy.

Su Kenan's ankle was much better, but Lu Xuan still helped her to the elevator, and then went back to the clinic to get her own things, and left the health center with Ji Xiuwen.

I came to a small restaurant opposite the health center and ordered three dishes and one soup.

After sitting down, Ji Xiuwen changed his eyes and couldn't wait.

Lu Xuan was still thinking about going to the Ninth Courtyard at night, and when he looked up, he saw Ji Xiuwen staring at him, and his eyes revealed a very strange emotion.

"What are you looking at me for?" Lu Xuan couldn't help but ask.

"Brother, no, my father-in-law, you said okay, you will tell me about the treatment of stomach diseases after work, you won't forget, right?" Ji Xiuwen's face was full of helplessness.

"I haven't forgotten!"

Lu Xuan explained: "Isn't this afraid that you won't be able to remember too much?" ”

Ji Xiuwen thought about it, Lu Xuan did tell him a little too much today, his brain was almost confused, and he didn't have a day or two to go back and be afraid that it would be difficult to digest what he understood today.

But Ji Xiuwen, who had already been prepared, would not give up easily, the big deal was to record.

As he spoke, he took out his mobile phone and turned on the recording as Lu Xuan rolled his eyes: "Say, if you can't remember, if you don't understand, I'll go back and listen to the recording myself." ”

Lu Xuan suddenly felt that it was enough to let Ji Xiuwen call him his father.

My father didn't have such patience when he came.

However, Ji Xiuwen wanted to know this, and Lu Xuan didn't refuse, and decided to fulfill his wish: "Why don't you ask, otherwise there are so many digestive diseases, and I don't know where to start telling you better." ”

Ji Xiuwen thought for a while and said: "Let's start with the duodenal ulcer and bleeding that I have seen, I have heard it, and I am still very impressed, and I will understand it quickly." ”

"Okay, let's start with Mr. Liu's situation."

Before the food was served, Lu Xuan began to say in a voice that only two people could hear: "Stomach pain and vomiting for a long time, its pulse must be counted...... It is said that the liquid is deficient, and the yang veins will float and be astringent, and the yang deficiency of the stomach will be astringent, and the astringency will be the yin deficiency of the stomach, and the injury will be in the spleen, and the spleen will be injured, then the valley in the stomach can not be transported and digested as dross and discharged, but it will spit out the indissolved things of the valley.

If the pulse is eased, it is rustic and not yet defeated.

The stomach is small and cannot tolerate things, and the stool is dry like sheep feces, and one line for three or four days is a failure of the spleen and stomach, and most of them belong to chronic atrophic gastritis. Chronic atrophic gastritis has many symptoms, and most of them are refractory to ulcers.

Therefore, it is especially in Jingyun: "The evidence is yin deficiency, and the liquid is exhausted and astringent."

What do you mean?

This sentence refers to the deficiency of fluid in the stomach and the inability to wet its grains, and the food it receives does not melt and vomits.

This has to mention a sentence that Mr. Li Dongheng said in his medical book: "The number of pulses is diaphragm qi deficiency, the pulse strings are liver qi vigorous, and the number of strings beats together, it is liver qi that violates the diaphragm and the stomach is still weak and cold."

Therefore, the diaphragm is hot, so it is not true heat, and it cannot be treated by cold, and the cold in the stomach is not really cold, and it cannot be treated by heat.

It sounds contradictory here, and it is difficult to distinguish between the symptoms and treatments, one is that it is not really hot, and it cannot be treated by cold.

First, it is not really cold, and it cannot be treated by heat.

In the treatment of syndrome differentiation, it is necessary to search in the exploration, and should focus on warming and nourishing the true qi, if there is the qi of the liver in the stomach, the valley of the acceptance will naturally dissipate and drain the smoothness, and the qi of the liver and the qi of the liver.

If the heat and cold are used together, the true qi will be more and more weak, the fluid will be exhausted, the sea of grains will gradually decline, and its digestive tract and systemic symptoms will be serious. “

Ji Xiuwen frowned and thought about it, and only after a while did he ask, "Then how should this situation be treated?" ”

What should I do?

Lu Xuan said with a smile: "It is based on the method of Astragalus Jianzhong Soup, adding and subtracting in the recipe to apply, and the Astragalus Jianzhong Soup adds one or two halves of Shengqi to Xiaojianzhong Soup." Zhang Zhongjing used this prescription to treat tuberculosis and urgency, and there were no evidence.

This prescription is the evidence of treating the deficiency of yin and yang, but it is biased towards those with yang deficiency. Yang Qi is deficient, and it loses its warmth, so the abdomen is anxious; The deficiencies refer to the deficiency of yin and yang, qi and blood, and the treatment of astragalus in Jianzhong soup to replenish qi to establish Zhongzhou, and astragalus in the formula is to replenish deficiency and invigorate qi.

Therefore, the medicinal properties are endowed with the saying: "Astragalus is sweet, Torrey is solid, and there is no less deficiency", such as "Zhizhi Fang", blood stabbing body pain, adding Chuanxiong in this prescription, "Jiyin Compendium" said: "The pulse is weak, the hair is withered, and the hair falls out". "Zhang's Medical Tong" cloud: "Fatigue injury, cold and dampness discomfort, body heat and headache, self-sweating and cold, weak pulse".

Speaking of this, Lu Xuan paused, and then said, "And as far as modern times are concerned." Astragalus Jianzhong decoction is mostly used for digestive diseases, such as gastritis, gastroparesis, aplastic anemia, long-term low-grade fever, hand and foot peeling, chronic pharyngitis and gynecological diseases.

In terms of the viscera, the five organs should be real and not empty, and the six organs should be false and not real, but those who are virtual and real should not be too much, and if they are too much, physiological and pathological changes will inevitably occur. ”

Speaking of this, Lu Xuan didn't say much.

There are too many digestive system diseases, and the knowledge involved is not a little bit, let alone eating for a while, that is, I am afraid that I can't finish one-tenth of it for several days.

"By the way, don't go back until you're done eating." Lu Xuan took a sip of boiled water, looked at him and asked.

"What?"

Ji Xiuwen turned off the recording of his mobile phone and looked up and asked.

"If there is something to do, forget it, I thought that if you are okay at night, you can accompany me to the Ninth Hospital, there are several stroke patients who need to be given acupuncture today."

Ji Xiuwen's eyes suddenly lit up: "Brother, I'm free, I'm free." ”

(End of chapter)