Chapter 153: Dean Zhang's Idea

Lu Xuan boiled the medicine and turned a deaf ear to it.

However, he didn't speak, but Huang Beishan on the side mentioned him: "Dean Zhang, don't be sentimental, even if you want to learn from a teacher, our Xiaolu may not accept you as a student, do you really think that we can't do it in a hurry?" ”

After speaking, he added: "Xiao Lu, you said yes, right?" ”

Lu Xuan turned around and smiled.

Although there was some unpleasantness with Zhang Jiwei just now, Huang Beishan, a joke between the older generation, it is better for him, a junior, not to participate.

Huang Beishan also knew that Lu Xuan would not respond to this, so he looked at Zhang Jiwei angrily: "Love to learn but not to learn." ”

"However, Dean Zhang, I'm serious, it's really a bit of a waste if you don't learn Chinese medicine with this talent, if you want to learn Chinese medicine back then, at this time, you will also be the president of the Provincial Hospital of Traditional Chinese Medicine, and the national famous Chinese medicine is at your fingertips, and even the Insurance Committee is possible, unlike me, the Insurance Committee is still a little worse, but Xiao Lu should be able to do it in the future."

"Seriously?" Zhang Jiwei was a little more serious.

Huang Beishan rolled his eyes: "Nonsense, can I still lie to you about this kind of thing?" If you don't believe it, you can ask Xiao Lu, I will fool you, Xiao Lu will not fool you, right? ”

Zhang Jiwei subconsciously cast his eyes on Lu Xuan, but when he thought of some unpleasantness that happened before, his expression was a little embarrassed.

Although he and Huang Beishan made a lot of noise, they were also old acquaintances after all, and they were able to get rid of their anger after a while.

But Lu Xuan's side, when he saw him for the first time today, he blushed, and he was embarrassed to speak at the moment.

Even if he speaks, people won't necessarily pay attention to him.

At that point, it will be embarrassing.

Especially Huang Beishan and Zhang Jingcai are here, he still has an old face to some extent.

"You can see between the lines that you can reduce yin by eating less, even in traditional Chinese medicine, Lao Huang is right, Dean Zhang's talent is indeed very high, but this is only the tip of the iceberg, whether it can be done or not, you can see the whole picture." Lu Xuan explained with a serious face.

Although he had a red face with Zhang Jiwei just now, Lu Xuan also thought about it, if Zhang Jiwei really wanted to learn from a teacher, he really didn't want to refuse.

It is not something that can be done by oneself, it requires a group of like-minded comrades-in-arms, and more people must know Chinese medicine, get in touch with Chinese medicine, and even learn Chinese medicine.

Zhang Jiwei, the president of the first hospital of the city, did not accept it, and it was indeed a bit tyrannical.

Turning Western medicine into traditional Chinese medicine may have a good impact.

However, Zhang Jiwei obviously didn't expect that Lu Xuan, who looked quite simple and harmless, would hit him with the same idea as Huang Beishan.

At this moment, seeing that Lu Xuan also admitted his talent, Zhang Jiwei was obviously a little moved.

Although he said that he looked down on Chinese medicine, the Chinese medicine that has been passed down for thousands of years and can still stand, if there is no three-plate axe, it would not be able to live now.

Moreover, it is also an undeniable fact that countries such as Europe, the United States, Japan, South Korea and other countries are paying more and more attention to traditional Chinese medicine.

In the treatment of malignant tumors, the concept of traditional Chinese medicine is indeed much more advanced than Western medicine, and nowadays, Western medicine has actually moved closer to the concept of traditional Chinese medicine in the treatment of malignant tumors, knowing that simply by cutting, radiotherapy and chemotherapy will not be effective at all, and will only make the cancer cells spread more and more, resulting in no cure.

Even Zhang Jiwei didn't want to admit it, but he had to face such a fact.

Moreover, the security committee mentioned by Huang Beishan, nine times out of ten, are traditional Chinese medicine, and the number of Western doctors is very small, from this point of view, it is enough to show how important traditional Chinese medicine is in the eyes of the high-level.

Of course, Zhang Jiwei didn't think so far, after all, he is not young now, and it is basically impossible to reach the level of being able to enter the Insurance Commission in the field of traditional Chinese medicine, unless he can have a talent like Lu Xuan.

But even if it's not for this, for your own sake, it doesn't hurt to learn more.

Live and learn.

In the future, when you are old and retired, you may be able to go to the Liannan Traditional Chinese Medicine Hall to sit for a consultation or something, just like these people in Huang Beishan, and escort your family's health if you have nothing to do.

This is not something that Western medicine can do, Chinese medicine is the expert in this area.

But self-education at this age seems somewhat unrealistic.

There are many concepts of Chinese medicine, and if you want to study thoroughly, it is not just a matter of a while.

In addition, he is the dean of the first hospital of the city, so he doesn't have so much time to study.

At this time, if there is a teacher, it will naturally be twice the result with half the effort.

But let him be the dean of Western medicine, and he is also the dean of the first hospital in the city, and he went to learn Chinese medicine with a young man in his twenties, and his heart was a little bit uncomfortable.

Of course, that's not the point.

The most important thing is that he has to be mentally prepared to be criticized by others.

Thinking that he might be spurned by thousands of Western doctors, Zhang Jiwei couldn't help but shudder.

The plan to learn from the teacher was completely empty in an instant.

It's not time yet, unless he's willing to give up his current position as the president of the city's first court.

Don't think about it at this time.

Isn't the position of the president of the first hospital of the city fragrant?

What to study Chinese medicine?

After retiring the same study.

Thinking of this, Zhang Jiwei's face was extremely firm: "I'll still guard my one-third of an acre, otherwise I will be sold by your Lao Huang one day, and I may still be counting the money for you." ”

Zhang Jiwei's choice made Huang Beishan sigh for a while, he had actually guessed that it would be such a result.

The dean of Western medicine ran to lick Chinese medicine, which will definitely cause a heated discussion, and at that time, it is difficult to say whether Zhang Jiwei can still sit in the position of dean.

Unless Zhang Jiwei is willing to give up his current status, will Zhang Jiwei be willing to give up his identity as a dean and run to be a student?

Not to mention Zhang Jiwei, even if it is him Huang Beishan, he can't do the same.

Seeing that Zhang Jiwei couldn't be fooled, Huang Beishan suddenly lost interest.

However, Zhang Jiwei, although he didn't think about apprenticeship, was full of curiosity about the prescription prescribed by Lu Xuan: "Doctor Xiao Lu, I saw that you want to decoct the medicine yourself, does this large dose of aconite also need to pay attention to in the decoction?" ”

This question is not only Zhang Jiwei's curiosity, but even Huang Beishan and Zhang Jingcai can't help but cast curious glances.

Both of them are not from the Vulcan faction, and in the process of syndrome differentiation and treatment, the possibility of using aconite is very small, and even among the patients who have seen it over the years, there has never been a need to use aconite.

Even if there is, it is within the safe dosage range of the pharmacopoeia, and it is completely incomparable to the madness of the Vulcan faction.

Moreover, no matter how crazy they are, they can't accurately grasp its medicinal properties, and the two of them don't dare to use aconite indiscriminately.

Seeing that the three of them were looking at him, Lu Xuan thought for a while and said: "There is a big difference between the indications and curative effects of aconite products and concocted products.

Raw aconite is processed to reduce toxicity, enhance safety, facilitate internal consumption, and facilitate storage.

From the Han Dynasty to the Tang Dynasty, the processing of aconite was mainly based on the artillery method, and in the Song Dynasty, it developed to the use of liquid excipients and medicinal juices.

Because the heat and time of the "cannon" method are not easy to grasp, which affects the curative effect, it has almost been replaced by the immersion and bleaching method and the damp heat method in modern times.

The concocted products of modern aconite prescription drugs mainly include black shun tablets, white attached tablets, yellow attached tablets, etc.

For the concoction of aconite, the most proficient has to be the Vulcan faction, and the Vulcan faction physician attaches great importance to the concoction of aconite. ”

Hearing this, Huang Beishan and the others were not surprised at all.

After all, the medicine of aconite itself is the most used by the Vulcan faction, and every time it is used, it is a large dose of aconite, if you don't know how to concoct it, and don't pay attention to how to remove the toxicity as much as possible to preserve the effect, then a large dose of aconite, let alone a person, is an elephant that can be poisoned and can't stand up.

There is no doubt that the Vulcan Sect attaches great importance to the concoction of aconite, otherwise they would not dare to use aconite in such a large dose.

"Actually, many of the methods of concocting aconite are problematic now."

Lu Xuan threw out a sentence that made several people curious.

Huang Beishan even asked after hearing about it: "How do you say it?" ”

"The current concoction, driven by interests, is not done in accordance with the ancient method when concocting."

Lu Xuan explained: "Indeed, this is done to be safer, but when concocting aconite, the bile water is too heavy, and the soaking time does not meet the regulations of the ancient law, and it is not washed in the long running water."

Therefore, the problem of aconite concocted in many places is very serious, and the most serious thing is the bile watery cold, which is a pure yin thing. Aconite belongs to pure yang things, and bile water is pure yin things, and the bile water is too heavy, so it is difficult for a large dose of aconite to play a qualitative role in qualitative change, and it is even likely to produce qualitative changes in other aspects because the bile water is too heavy. ”

When everyone heard this, they seemed to have such a truth, and they nodded one after another.

Originally, I wanted to use aconite to support the yang, but in the end, the pure yin bile water hurt the patient's yang.

At this time, the toxicity of aconite is gone, but the effect of large doses of aconite is limited, and finally the patient may say that the doctor is not, and feel that the doctor is a quack doctor who misleads people, or even harms people.

Obviously, if the medicine doesn't work, how innocent is the doctor?

Huang Beishan continued the topic and said: "I don't know if you have read the book "Thinking about Chinese Medicine". ”

"I've seen a little bit, and at that time, the Liannan Traditional Chinese Medicine Association happened to be purchased here, and I took it back and watched it a few times." Zhang Jingcai nodded.

Lu Xuan shook his head, not to mention having seen it, this was the first time he had heard of it.

However, from the title of the book, he could tell that this should not be an ancient book, but the work of a modern Chinese medicine practitioner Xinglin Holy Hand.

There are many such books, from modern times to modern times, Chinese medicine masters emerge in an endless stream, and many bigwigs have books.

On the one hand, you can pass on your understanding of Chinese medicine, and on the other hand, the work will also make the doctor himself famous.

Lu Xuan hasn't read it, Huang Beishan is not surprised, there are so many works now, and only a few people have read them, but they are ancient medical books, as long as you study Chinese medicine, even if you don't remember the content, most of them have read it a few times.

"I remember that there was talk about aconite processing in "Thinking about Chinese Medicine", but the main thing in it is that it has nothing to do with aconite processing, but uses processing and replication to lead to the relationship between Chinese medicine and Chinese medicine."

Huang Beishan continued: "Traditional Chinese medicine and traditional Chinese medicine cannot be separated, because the discoverer of traditional Chinese medicine is actually a doctor, and the relationship between traditional Chinese medicine treatment and medicinal materials is very important.

The biggest difference between the two is that Western medicine is medicine and medicine can be separated, the research of drugs is specialized in research, the manufacture of drugs is only manufactured, clinicians only use drugs, and pharmaceuticals and drugs are subject to their respective technical standard systems.

The medicine and medicine of Chinese medicine are one, and the drug effect of Chinese medicine can not only be applied by doctors but also discovered by doctors, and the application of drugs is also different from person to person.

I think this is very reasonable, in the past, Chinese medicine and Chinese medicine were indeed inseparable, and the preparation of drugs was done by the doctors themselves, even if they were busy, they would be checked and processed by the students and disciples, and they would ensure the final quality.

But for now, if Chinese medicine and Chinese medicine want to be separated, unless they open their own medical centers, otherwise public hospitals or medical institutions, medicinal materials are basically bidding, and it is really difficult to determine the quality of drugs.

Like us, we have been in the clinic for decades, and I am afraid that we have not even been to the Chinese medicine pharmacy a few times, and we have never seen the medicine, so it is impossible to talk about the quality. ”

Speaking of this, Huang Beishan couldn't help but sigh.

"I'm afraid it's hard to guarantee that you can open your own medical center."

Zhang Jingcai, who had never spoken, opened his mouth rarely: "It's still the same sentence, good medicinal materials have been exported, and what remains is second-class medicinal materials, even if the higher quality is selected, the cost of treatment will go up relatively high, even if you give it to the patient according to the purchase price, it will not be low, but then the hospital will not make money, but will always be in a state of losing money, and it is nothing in a short time, but once the time is long, how many people will lose?"

Even so, I am afraid that there will be patients who say that the price of the medicine you prescribe is high, much more expensive than the hospital, after all, the patient will not care whether the medicine you purchase is of better quality, he only knows that you have a higher price for the same medicine.

In this way, do you still dare to source high-quality medicinal materials?

Unless you have a gold mine in your home, it's not realistic to open a doctor's house. ”

The words are not rough, cruelty is a little cruel, but this is the truth.

In the final analysis, the present is completely different from the status quo of ancient society.

"Okay, let's not talk about this, let's listen to Xiao Lu's detoxification of aconite first." Huang Beishan stretched out his hand and interrupted everyone's thoughts.

"These things, no matter how much we talk about it, it's useless, if we don't change the most fundamental problem, the effect of traditional Chinese medicine will not be mentioned for a while, rather than we worry about these here, it is better to think about it, how to use the worst medicine, to get the desired effect is the right thing."

Zhang Jingcai nodded and said no more.

Lu Xuan, on the other hand, continued to talk about the topic of concocting aconite: "The detoxification of aconite is not only a way to concoct, but also the compatibility of aconite with other drugs can also reduce toxicity and increase efficiency, and reasonable compatibility can not only reduce the toxicity of aconite, but also improve the efficacy or expand the scope of its treatment, making it more suitable for the needs of complex diseases."

For the record of aconite compatibility and toxicity reduction, it was mentioned in the "Shennong's Materia Medica" that "every time aconite is used in the common recipe, it must be matched with licorice, ginseng, and ginger, and it is also being poisoned." ”

In "Treatise on Typhoid Fever and Miscellaneous Diseases", aconite is also mostly mixed with ginger, licorice, ginseng or dried ginger, rhubarb and other drugs, such as Zhang Zhongjing's four reverse soup, dry ginger aconite soup, dried ginger and aconite are used together, which not only enhances the effect of returning to the yang and relieving adversity, dissipating cold in warmth, but also reduces the toxicity of aconite.

Like Mr. Li, whenever aconite is used, twice the amount of boiled licorice must be added.

What do you mean?

In fact, when the aconite used in the prescription exceeds 30g, regardless of whether the original prescription has it or not, 60g of boiled licorice is added, which is twice the amount of boiled licorice, which not only effectively supervises the production, but also does not make the medicinal properties of aconite not diminished when the toxicity is gone, and the best curative effect is obtained. ”

"In addition to concocting and combining other drugs, there should be other ways to remove aconite toxicity, right?" Zhang Jiwei asked curiously.

The main reason is that he just saw that Lu Xuan did not concoct the aconite, and he didn't know if the aconite used by Lu Xuan had already been concocted, so for the safety of that person, he had to ask more.

Otherwise, Lu Xuan chatted with them at that time, and what should I do if I forgot about the aconite?

Of course, not only that, Zhang Jiwei himself is also a little curious about the toxicity of aconite.

Although he knew that aconite was poisonous, he was not a Chinese medicine practitioner after all, so he didn't know much.

"Of course."

Lu Xuan glanced at Zhang Jiwei and said: "Even if the decoction is detoxified for a long time, the toxicity of aconite is closely related to the length of the decoction time, and the insufficient decoction time and improper decoction method have been recognized as one of the reasons for aconite poisoning, and the long-term decoction method is also the main means to reduce the toxicity of aconite in the clinical application of traditional Chinese medicine."

Zhang Zhongjing's Four Reverse Soup and Tongmai Four Reverse Soup Fang are all clouds: "Take three liters of water and boil one liter of two together." ”

Like several famous doctors of the Vulcan faction, when the dosage of aconite exceeds the prescribed dosage, the decoction time will often exceed two hours, and it will be used in combination with dried ginger, licorice and other drugs to reduce its toxicity. ”

"Doesn't that mean that this medicine has to be boiled for at least two hours?" Zhang Jiwei raised his hand and pointed to the decoction jar in front of Lu Xuan.

"The dosage of aconite exceeds the regulation by nearly ten times, two hours is the minimum, if the time is still in time, it is safest to boil for three hours, but generally speaking, two hours of boiling water is enough to remove the toxicity of aconite, and there will generally be no poisoning." Lu Xuan explained.

"Two hours, I don't know if that person can boil until the medicine is decoctioned." Zhang Jiwei's face was a little worried.

"Dean Zhang doesn't have to worry, let alone two hours, there shouldn't be any problems in three or four hours." Lu Xuan reassured.

Ji Huan was treated by him personally, how long can he survive, he has a number in his heart, let alone three or four hours, no accident, five or six hours, it's just not good to say this to Zhang Jiwei.

However, Zhang Jiwei, who heard this, breathed a sigh of relief slightly, and then took out his mobile phone and sent a message to Zheng Xianjue: "Pay close attention to the physical condition of that person, and it's not too early now, find someone to order a meal for the people who came to consult today, and send four more to the Chinese medicine pharmacy, the matter is urgent, and you can't let everyone go hungry to save people." ”

"Okay, I'll arrange it right away."

Zheng Xianjue sent a message, and then said: "Dean, I think this person's situation is quite good, really don't send it to the province?" ”

"You're going to say?" Zhang Jiwei replied directly, so that Zheng Xianjue didn't dare to say any more.

He went and said, "Do people know him?"

When the time comes, it will be embarrassing to say "who are you".

(End of chapter)