The pulse is subtle and weak, and the tongue is faint and lacking.

The pulse is weak and weak, indicating that the body is deficient in qi and blood.

Pulse sinking, refers to the low pulse position, take the finger lightly, and press it heavily.

Thin pulse, refers to a thin vein like a line, but should be distinct.

The pulse is weak, and the finger pulse is thin and weak.

Whether it is a heavy pulse, a thin pulse, or a weak pulse, all three indicate that the patient is deficient in qi and blood.

If the patient's qi and blood are deficient, especially after the spleen qi is weak, it will lead to a lack of qi and blood biochemistry, which will cause the blood to be unable to fill the veins, resulting in a weak pulse.

Patients with this pulse may experience general weakness in daily life, or may be physically weak.

Lao Zhou's situation undoubtedly confirms this.

However, it was the first time that Lu Xuan, a patient with allergic rhinitis, encountered it, and he did not treat the disease dialectically according to what he knew, but chose to listen to the opinions of the bigwigs.

As soon as Lu Xuan focused his attention on the voice of his heart, he had already heard the shouting of Gan Jiang:

[Oh no! This should be Dr. Lu's first contact with a patient with allergic rhinitis. 】

[It seems that I have not been in contact with this kind of patient before, I don't know if Dr. Xiao Lu has any in-depth research on this kind of disease, rhinitis does not sound like a major disease, but it is not easy to cure. 】

[Dr. Lu is so powerful, it shouldn't be a big problem! ] 】

[That's hard to say! 】

[The key is that the patient surnamed Zhou is not just rhinitis, his health is already very poor, and he is afraid that he will have to use manganese medicine for treatment. 】

[When it comes to manganese medicine, you have to be an aconite boss. 】

[Anyway, the aconite boss hasn't come out for a long time, and the first time was the patient named Zhang Song. 】

[The aconite boss is still too low-key, and if it is dried ginger, I am afraid that it would have jumped out at this time. 】

[Isn't the person who just spoke a little too much, is my dried ginger that kind of medicine? ] 】

[Humph! 】

[Aconite boss? 】

[I don't know where you get your energy. 】

[Let's talk about it.] 】

[Since everyone said so, then I'll talk about it.] 】

[Everyone applauds and welcomes.] 】

It seemed that after the cheers from the dried ginger, the voice of the aconite sounded in Lu Xuan's ears:

[Aconite]: [Let's talk about the treatment of Western medicine in this area, I have seen a lot of it over the years. 】

[Sit back and wait for the big guy to give a lecture.] 】

[Meng Xin is listening carefully to the class.] 】

[Aconite]: [Western medicine for the treatment of allergic rhinitis, generally with cell membrane stabilizers or inflammatory mediator blockers, such as cromolyn, ketotifen, topolast, or antihistamines, such as chlorpheniramine, oxysmine (astemizole), desloratadine, loratadine (Claritane); leukotriene receptor antagonists, such as zafiryukast and montelukast; There are also nasal hormones, nasal topical application and non-specific desensitization therapy;

Non-specific desensitization therapy has the effect of enhancing the patient's body's tolerance to allergens, and the effect is more consolidated and the course of treatment is longer. Specific desensitization therapy is a new method that has only been popularized and applied in recent years, but the indication is too narrow, the course of treatment is about one and a half years or longer, and it is difficult to work on all kinds of allergens, and the effect needs to be further evaluated clinically.

However, the methods of Western medicine are basically to treat the symptoms but not the root cause, desensitization, ignoring the patient's physical condition, and the possibility of recurrence is extremely high, which I think everyone knows without me. 】

[What about Chinese medicine?] 】

[Aconite smiles]: [The advantage of traditional Chinese medicine for this disease is mainly reflected in the balance of yin and yang in the body through syndrome differentiation and treatment, that is, to consolidate the root and prevent recurrence; Modern pharmacological studies of traditional Chinese medicine have shown that many drugs can intervene in multiple pathological links of allergic reactions and control their onset states to a certain extent, but in general, they are not as targeted and effective as Western medicines.

According to the pathological understanding of the combination of traditional Chinese and Western medicine for this disease, allergic rhinitis may be mainly due to the deficiency of yang qi in the lungs, spleen and kidney, which may be mainly due to the imbalance of the body's endocrine system, autonomic nervous system and immune system, as well as genetic factors, that is, insufficient self-regulation and self-stability function.

Clinically, although the drug therapy of Western medicine has a good effect on controlling the onset of allergic reactions, it cannot achieve the self-stabilizing regulation and conditioning effect of endocrine, autonomic nervous system and immune system, which may be an important reason why it is difficult for Western medicine to achieve a consolidated effect in the treatment of allergic rhinitis.

However, the syndrome differentiation and treatment of traditional Chinese medicine and acupuncture therapy have obvious effects in adjusting the functions of the endocrine system, autonomic nervous system and immune system in such patients.

The main idea and basic method for the treatment of allergic rhinitis is to use TCM methods such as TCM syndrome differentiation and treatment or acupuncture treatment to improve the patient's body function status in a lasting way, and then cooperate with Western medicine to control the symptoms as soon as possible.

However, there are also such drugs in traditional Chinese medicine that can control the onset of rhinitis, and everyone should have heard of "Jinjian Biyunsan".

The occurrence of this disease is mainly related to the deficiency of yang qi in the lungs, spleen and kidney, the specific constitution, and the insolidity of the outside of the body, so it is not allowed to be invaded by unclean qi such as wind, cold, or pollen, or triggered by some dietary products, resulting in paroxysmal nasal itching, sneezing, and long-term runny nose, and repeated attacks. Or it may be caused by the accumulation of heat and heat, the imbalance of yin and yang, and the mixture of cold and heat.

There are six types, including lung meridian coldness, lung qi deficiency, spleen qi deficiency, kidney yang deficiency, depressed heat accumulation, and cold and heat mixture.

Patients with cold lung meridians generally have asthma and chronic diseases, and the yang qi of the internal organs is insufficient, and the cold evil can be used in the lung meridians, stagnation of the nasal passages, and the imbalance of Xuanxia is caused, resulting in non-stop sneezing.

On this point, the volume of the "Central Tibetan Sutra" says: "The lung qi is through the nose, and harmony can know the smell of incense." If you are cold, you are good at coughing, but in fact, your nose is runny. ”

Patients with lung qi deficiency often have congenital deficiency, physical weakness, postpartum body weakness, and post-illness malnutrition, resulting in lung qi deficiency, unstable external health, loose tendons, camp and health disorders, and the invasion of wind and cold and different qi by deficiency, which is a sneeze.

Patients with spleen qi deficiency are basically acquired insufficiency, spleen qi deficiency, or even spleen yang deficiency, the soil does not produce gold, the clear yang does not rise, and the lungs are not nourished, so the spleen deficiency is insufficient lung qi, the health surface is not solid, and it is susceptible to the invasion of external evils, which is a sneeze.

There are also patients with kidney yang deficiency, the cause of which is often kidney yang deficiency, lung hypothermia, poor health and appearance, and susceptibility to external evils; In addition, the kidney yang is insufficient, the fire of the life gate is weakened, or the spleen and kidney are deficient, and the water cannot be warmed and solidified.

Regarding this, there are some records in the first volume of "Medical Law Yuantong Nasal Runny Nose": "The kidney network is connected to the lungs, and the kidney yang is weak and the yin and cold are endogenous, and the fluid cannot be contained, and the mucus also comes out." That's what I'm talking about.

As for patients with depressed heat, the lungs, stomach or bladder are depressed and hot, and gasification is not possible, the sun's qi is blocked from the bottom, and the cold water qi invades from the top. "Su Wen Bi Treatise" said: "People with paralysis have less pain in the abdomen and bladder, and if they use soup, they are astringent in urine, and they are clear in mucus." ”

Not only "Su Wen", but also the "Miraculous Prescription" volume 59 also has a related record: "The one who covers the nose is the master of the stomach meridian of the foot Yang Ming, and the veins of Yang Ming intersect left and right, and are injected into the nostrils." The nose is the orifice of the lungs, so the lung qi is passed through the nose. Its evil heat is dry in the second meridian, and it occurs in the nose, and it is the evidence of suffocating sneezing. ”

In the end, the mixture of cold and heat is that the sneezing does not heal for a long time, the evil enters the yin, and the yin is the main yin and yang, which is easy to cause cold and heat to be mixed, and the camp and health are out of balance and cause disease. 】

After the aconite finished speaking, Lu Xuan's ears suddenly quieted down a lot, but soon Gan Jiang jumped out and asked, "This patient's condition is so serious, it can't be cured by ordinary medicines, right?" ”

[Nature. 】

[The patient's condition has been delayed for more than 30 years, and the disease is initially in the lungs, and the long-term disease is in the kidneys. It is no longer beneficial to the qi and solid surface, and it can be effective in dispersing wind and cold. The key to this syndrome is that most of the vitality in the kidney is not solid.

The kidneys are the foundation of innate growth, development, strength and aging. The so-called "allergic" diseases are all blamed for their congenital deficiencies, that is, low autoimmunity. Treating from the kidneys can be described as the way to cure the root cause. It is good for qi and solid surface, desensitization and itching, and it is only itchy to scratch the boots, and it is difficult to treat the symptoms and the root cause, and the recurrence rate is extremely high. 】

[I see. 】

[What about medication?] 】

[Aconite thought for a while and said:] [(Preparation) aconite, ephedra, fine spice, red ginseng (another stew), boiled (lico) grass, kidney four flavors (wolfberry, wine soaked dodder seed, salt psoralen, fairy spleen), fresh ginger, jujube, green onion white, musk (wash), add 1500 ml of cold water, simmer to take 500 ml, 2 times of serving.

In addition, with "Jinjian Biyunsan": Goose does not eat grass, fine pungent, Chuanxiong, Xinyi, Qingdaiyan powder inhaled a little into the nose, 2 times a day. 】

Hearing this, Lu Xuan also withdrew his attention and took a breath.

He knew the situation, and the aconite boss even prescribed a prescription, but Lu Xuan was a little embarrassed.

The main thing is that aconite is mentioned in the prescription, so he has to be cautious.

Fuyang drugs commonly used in traditional Chinese medicine include cinnamon branches, ginger (including ginger, dried ginger, cannon ginger, etc.), evodia, cumin, etc., and there is also a very important medicine, which is to make aconite, that is, aconite after processing.

Among the Fuyang medicines commonly used in the Fuyang school of traditional Chinese medicine, aconite is known as "the first important medicine in Fuyang", which is easy to take body heat, nosebleeds, mouth swelling and pain, palpitations and insomnia.

As we all know, the production of aconite is like a general in medicine, the medicinal nature is hot, about this flavor medicine, the Ming Dynasty physician Yu Shu said that "aconite has the majestic quality, has the qi of cutting the pass and seizing the general, and can lead to the twelve meridians of qi medicine to recover the lost Yuanyang; Trigger the opening of loose medicine to expel the wind and cold on the surface; Induce the warmth of the medicine to reach the lower coke, in order to get rid of the cold and dampness inside".

Although aconite is so important, it has a certain toxicity after all, it contains aconitine and other chemical components, if ingested in excess, it can cause toxic reactions, and the toxicity is mainly for the damage to the nervous system and circulatory system.

Therefore, in the pharmacopoeia, there are also special dosage specifications for aconite.

However, aconitine can be degraded by continuous high temperature, and it is no longer toxic to the body after degradation. In clinical practice, it is necessary to control the "fierce horse" of aconite.

First of all, this medicine is aimed at yang deficiency syndrome, and patients will have symptoms such as chills, untruthful stool, phlegm in the throat, and easy to catch colds repeatedly.

It is worth mentioning that not all patients with yang deficiency are afraid of cold, and some patients are not afraid of cold but afraid of heat, and after syndrome differentiation, they are still yang deficiency syndrome.

That is to say, the doctor's syndrome differentiation should be accurate, and if the patient does not belong to the yang deficiency syndrome, of course, it cannot be used. On the contrary, as long as it is identified as a yang deficiency constitution, it is necessary to use this herb as soon as possible to bring the patient back to a normal state.

Secondly, when using this medicine, we should pay attention to the method of decoction, which generally requires the medicine to be boiled for an hour to one and a half hours, and it must be calculated from the boiling water, and the middle water is not enough to put boiling water, not cold water, and the second re-decoction is also fried with boiling water.

In addition, the use of this drug should pay attention to compatibility, generally usually with boiled licorice and ginger, so that the heat toxicity of this drug can be reduced.

In addition, the supply of aconite must be reliable, if the aconite is not properly prepared or too much bile is added, it will reduce the efficacy of the drug and greatly increase the risk of medication.

If there is really a poisoning reaction, there is no need to be nervous, you can take a large amount of honey internally, or 60g of raw licorice, 30g of parsnip and black beans, add 150ml of water, 150ml of honey decoction, and take 30g of mung bean powder in batches with medicinal solution, generally mild to moderate toxic reactions, can be relieved by the above methods.

However, if the toxicity is severe, it needs to be sent to the hospital immediately for treatment, which should not be taken lightly.

When the patient Zhang Song came to seek treatment before, Lu Xuan saw that the other party's condition was in danger, and he had just come to the health center not long ago, and he had just obtained the magical ability of voice in his heart, so his brain was a little hot.

Now that I think about it, I'm more or less glad.

Fortunately, the medicine prescribed by Xinsheng worked, otherwise Zhang Song would have had an accident, even if it was not because of the medicine he prescribed and died, once Zhang Song's family was unreasonable and ignored any exemption letters, if they had to make trouble, it could definitely be said to be a medical accident.

It really came to the point of going through the judicial process, the law would not say that Zhang Song was terminally ill and would die soon, but he would only see that Zhang Song was still fine when he went to see him at that time, but after taking his medicine, he was gone, and at that time, he would be speechless.

Moreover, not only Lu Xuan himself, but the entire health center had to be dragged into the water.

Once the matter is big, other people will not care so much, they will only see that people are killed by you Lu Xuan, and the others are not within the scope of their thinking.

And at that time, not to mention that Lu Xuan will be held legally responsible, even if he is not investigated, I am afraid that his reputation will be completely stinky.

Reputation is a thing that is difficult to maintain, but if it is to be destroyed, it is extremely simple, and a medical accident is enough.

At that time, I am afraid that there will be very few people who will see him for medical treatment.

Moreover, I am afraid that I may not even have the qualifications to see a doctor.

Therefore, if you want to prescribe aconite to patients now, Lu Xuan naturally has to be cautious.

It's right to want to save people, but the premise of saving people is to protect yourself.

Lu Xuan still thought about the dosage of aconite, even if it was not much, at least it was much less than Zhang Song's time, but it still exceeded the dosage of the pharmacopoeia.

As soon as he thought of this, Lu Xuan looked up at Lao Zhou and Guo Huaishu, and said with a solemn expression: "Uncle Zhou's condition is a bit serious, if he could have found a doctor who is good at this syndrome for treatment at the beginning, he might have been cured a long time ago, but now more than thirty years have passed......

"Doctor Lu, can this be cured?" Without waiting for Lu Xuan to finish speaking, Guo Huaishu hurriedly asked.

Lao Zhou looked at Guo Huaishu and shook his head: "Lao Guo, don't worry, it's been more than 30 years, and I'm used to it, in fact, I also feel that my body won't be able to drag on for long, at most three or five years, at least one or two years I'm afraid I'm going to go." ”

"Lao Guo, you are not allowed to say these depressing words, Doctor Lu hasn't finished speaking, then there is still a chance." Guo Huaishu hurriedly interrupted Lao Zhou's words, but his face was a little not good.

is a person, and he can hear that Lao Zhou's physical condition is not optimistic.

Guo Huaishu is not a fool, how can he not know?

Seeing that the faces of the two were not good, Lu Xuan hurriedly interrupted the two: "Can you wait for me to finish talking first, I don't seem to say that it can't be cured, right?" ”

Guo Huaishu and Lao Zhou were stunned at the same time, can it be cured?

was puzzled, and heard Lu Xuan say: "Lao Zhou's situation is in the lungs at the beginning, long-term illness and kidneys, and if the kidneys have been injured, you may have to use the flavor of aconite, aconite itself is poisonous, but if the dosage is not large, it doesn't matter, Lao Zhou's medicine has to be fried here, Uncle Guo will come over in the afternoon to get it." ”

As soon as he heard that Lao Zhou's illness was cured, Guo Huaishu suddenly breathed a sigh of relief: "If it can be cured, isn't it just to get some medicine in the afternoon?" It's not a hassle, I'll come back in the afternoon. ”

Guo Huaishu agreed, Lu Xuan didn't say more, wrote down the prescription, handed it to Su Kenan for registration, and then looked at Ji Xiuwen and said: "You can send the medicine directly to Uncle Wang to fry it in a while, watch the whole process, and come over after the medicine is decocted and packed." ”

Ji Xiuwen also knew that aconite was very toxic, so he nodded in response.

However, when he got the charge sheet, he also took a breath of cold air at Lu Xuan's audacity in his heart.

This dosage, I'm afraid that Lu Xuan dares to open it.

This is already beyond the dosage of the pharmacopoeia, and if something really happens to the patient, Lu Xuan is afraid that he will have to peel off the skin.

However, he also knew Lu Xuan's temperament, and if he didn't save him, he wouldn't be the Lu Xuan he knew.

In this case, if it were him, I am afraid that he would make the same choice.

Because!

He is a doctor who does not forget his original intention and saves lives!

(End of chapter)