Astragalus Jianzhong soup?

Oyster soup with chai hu and keel?

Wood defense soup?

Poria cocos almond licorice soup?

Addition or subtraction?

Hearing this, the middle-aged man's face looked a little weird, the addition and subtraction of this prescription were really too much.

He has suffered from rheumatic heart disease for so many years, and he has seen a lot of Chinese and Western medicines, and he knows some of the general Chinese medicine prescriptions and Western medicines.

He had heard of Astragalus Jianzhong Soup, but he had heard of the others relatively little, especially the latter two recipes, which he had heard of for the first time.

However, like Lu Xuan, he used four ways to add and subtract at once, this is the first time I have seen it, and I was a little surprised for a while.

"Doctor Lu, is my problem serious?" The middle-aged man said with a frown.

"I didn't doubt what you meant, it's just that I've taken a lot of medicine before, but it's the first time I've seen so many prescriptions added and subtracted."

As if worried that Lu Xuan would think too much, the middle-aged man opened his mouth to explain again.

Lu Xuan smiled slightly, but he didn't care about the man's words, but explained: "After all, it's been more than ten years of trouble, and if I want to say that it's not serious, you will definitely not believe it." ”

The middle-aged man smirked.

Lu Xuan said: "Astragalus Jianzhong soup is a method of sweetness and warmth to support the spleen, a proof of treating all weakness of five labors and seven injuries, add ginger for those who are full of chest and shortness of breath, and add Banxia for those with insufficient lung qi."

Chai Hu plus keel oyster soup, cure the chest full of anxiety, urination is not good, the whole body is full of pain, can not turn the side of the evidence, plus keel oysters to converge the spirit, calm the palpitations, add cinnamon branches to the yang qi and relieve the evil of the body.

The combination of Astragalus Jianzhong and Chai Hu Long Mu two decoctions can not only be combined to make up for the deficiency of viscera, but also compatible to chase away the external evil of the meridians, for rheumatoid arthritis and rheumatic heart disease, it can play a role in both the inside and the outside, and the qi and blood. ”

The middle-aged man understood this, after all, when Lu Xuan talked about his illness just now, he mentioned the symptoms and the symptoms, according to what he said, it is indeed necessary for these two recipes to be combined with addition and subtraction.

Among them, even if Lu Xuan said it, he might not be able to understand it.

But after all, he has also read some books, and there are some things, Lu Xuan explains, he can still understand, but compared to Lu Xuan and Ji Xiuwen on the side, what he understands is just a surface.

However, even so, the middle-aged man sat upright, his face extremely serious.

He has not seen one or two Chinese medicine practitioners, but a Chinese medicine practitioner like Lu Xuan, who can explain clearly to him, has really never seen it before.

I may not understand it, but my confidence is much greater.

Lu Xuan was also surprised when he saw this.

Man itself is a very strange creature, obviously I don't understand it, but you say it, but it can have an excellent effect.

Many TCM practitioners do not understand these truths, so when they see a patient, in addition to some necessary instructions, they will prescribe some medicine for the patient to take back, but will not explain to the patient the process of their syndrome differentiation and prescription, which makes the patient less trusted.

The trust of patients is self-evident to TCM.

Trust often does more with less.

If you don't trust, it's not impossible to get twice the result with half the effort.

Therefore, as long as there is a condition and time, the patient wants to know, and Lu Xuan will almost always explain the situation clearly.

Of course, some TCM practitioners don't want to say it, but they are all half a bucket of water, and their memory is not very good, and they can prescribe medicine, but the truth is to explain to patients clearly in the words of TCM, and not everyone can do it easily.

Even in the Liannan Traditional Chinese Medicine Association, except for Huang Beishan and Zhang Jingcai, others are afraid that they can't do it.

Even, compared with Huang Beishan in this regard, Huang Beishan is a lot worse than Lu Xuan.

It is precisely because Lu Xuan knows this knowledge very well that he can be handy when he treats people.

In addition, with the assistance of the voice, it is natural to distinguish between syndromes and prescribe prescriptions for treatment.

It's just that Lu Xuan didn't say these words, so he smiled at the middle-aged man, and continued: "Mu Fangji soup cures the diaphragm and drinks, panting, the heart is strong, and the face is dark.

This square wood prevents itself from entering the lung meridian, the main qi of the lungs, and the vaporization of water itself

。 The cinnamon branch enters the bladder meridian, the main water of the bladder, and the water flows into qi.

The two medicines must be combined, the water line is scattered, and the ruffian in the heart is self-eliminating.

Ginseng nourishes stomach yin, gypsum relieves deficiency and reversal, yin is reversed and flattened, and asthma heals itself.

Under normal circumstances, if you encounter compensated heart disease, you can use this prescription for treatment, and if you add or subtract, you can decide according to some symptoms of the patient.

As for why Poria cocos almond licorice soup is added later, this recipe is effective for heart valve disease, so it is used in conjunction with Mu Fangji soup. ”

The latter words are not only said to the patient, but the most important thing is to say to Ji Xiuwen.

Patients don't need to know as much as they want to know.

The usage of this prescription is useless if the patient knows it.

It's Ji Xiuwen, although the main direction of attack is digestion, but it is also beneficial to know some of this knowledge.

Traditional Chinese medicine itself is a discipline that needs to consider the whole body, and digestive diseases are not only related to the digestive system, but also to the liver or heart, or other places.

Some diseases are even related to the whole body.

At this time, you can't just consider the digestive system, and the medicine prescribed must be related to the whole body, otherwise if you just treat the digestive system, it will be no different from Western medicine for headache and foot pain.

The magic of Chinese medicine is precisely because of this.

"After watching Chinese medicine for so many years, you are the first doctor who can explain syndrome differentiation and prescription in such detail."

The middle-aged man couldn't help but give a thumbs up and praised: "When I heard someone mention you yesterday, I was still thinking about a young man in his twenties, what can he understand?" Does he understand Chinese medicine? I apologize to you for my ignorance yesterday, no wonder you have only been in the clinic for a day or two, so many people say that you are a miracle doctor, not to mention anything else, just the understanding and cognition of Chinese medicine is not comparable to ordinary Chinese medicine. ”

Lu Xuan smiled slightly: "To make it clearer, the patient's trust in the doctor will be a little more, and it will also add a little effect to the patient's condition."

Although it may take some time to explain this, it is also an opportunity for everyone to learn about Chinese medicine.

If the patient wants to listen, I will naturally say everything I can say, and besides, I will say it, not only you will listen, but my assistant will also record it, and for him, it is also a learning process.

If you are interested in Chinese medicine, you can usually learn a little on your own, not to mention that you will see some major problems, at least you can still see some small problems.

However, don't use drugs indiscriminately, it is a three-point poison, and some drugs cannot be used indiscriminately. ”

"Taught." The middle-aged man arched his hand, then got the prescription from Ji Xiuwen, and got up to pay the medical bills.

"I said that there is no charge for today's free clinic." Lu Xuan said.

The middle-aged man said: "The medical expenses are not much, just a dozen yuan, what should be given is still to be given, you are not expensive, we will not be able to afford this medical expenses, although the free clinic is really good for patients, you can save a lot of money, but the doctor is also a person, and he also has to eat, it is impossible to say that he will not charge a penny."

You don't have a lot of money, so don't put it down. ”

After the middle-aged man finished speaking, he paid the money, and left in a hurry without waiting for Lu Xuan to get up, and Lu Xuan was helpless for a while.

But at the same time, I also thought that if every patient was like each other, the doctor-patient relationship might be better.

The doctor understands the patient's difficulties, and the patient understands the doctor's difficulties.

Understand each other.

After the middle-aged man left, the young woman behind him stepped forward and smiled at Lu Xuan: "Doctor Lu, hello! ”

"Hello!" Lu Xuan nodded at her.

"What's wrong with you?" Lu Xuan asked.

The woman spoke: "Tightness in the chest, and rapid heartbeat." ”

Hearing this, Lu Xuan's head that had just been lowered couldn't help but raise again, and at the same time he couldn't help frowning in surprise.

Another patient with a heart problem.

Tachycardia.

Rheumatic heart disease.

Are there so many people with heart problems now?

The previous middle-aged man, although he was a little older than Lu Xuan, was less than forty, and he had heart problems, and it was more than ten years old, indicating that the other party also had heart problems in his twenties.

And the woman in front of her is only in her twenties, and she is also uncomfortable.

Cardiovascular and cerebrovascular diseases used to occur most often in middle-aged and elderly people.

But now, it's getting younger and younger.

This in itself is very abnormal.

However, after thinking about it carefully, I feel that this situation is understandable.

Why?

Smoke and drink for a long time.

Cardiovascular disease has a wide range of effects, and it will also make the nutrients needed by the heart unable to provide in time, and many people have chest tightness and poor breathing after vascular disease around the heart.

To maintain good health, the most important thing is to quit smoking and drinking, if you get a large amount of tobacco and alcohol for a long time, there is no way to excrete harmful substances after they are provided, and they continue to accumulate and affect the function of organs, in addition to the lungs, the liver is damaged, and the lesion of blood vessels will be accelerated, and the blood supply of the heart will be blocked after the blood vessels are damaged, and serious diseases will invade.

Although some people do not smoke, they eat a lot of secondhand smoke.

And secondhand smoke is more harmful than smoking.

Of course, cardiovascular and cerebrovascular diseases are getting younger and younger, not only because of tobacco and alcohol, but also because of improper diet.

Long-term high-calorie diet, not knowing how to avoid food, and a large intake of food that is not conducive to the improvement of vascular function will accelerate vascular disease.

The more familiar high-salt foods, high-sugar foods, and high-fat foods all have hidden dangers in this regard.

If the disease enters from the mouth, it will allow cardiovascular disease to invade more quickly.

As the saying goes, there are more and more diseases now, and they are inseparable from eating.

Of course, in addition to eating, there is another very important point, and that is the lack of exercise.

Nowadays, many young people are overly addicted to electronic products, and they have less and less time to go out, unlike before, they do not have these advanced devices to bring fun in their lives, and they will go outdoors and make friends.

Moreover, since computers, mobile phones or other electronic products are becoming more and more advanced, many people are addicted to them, basically always staying at home to play these electronic products, less time to go out for activities, and lack of exercise, the common result is a decrease in resistance, slow circulatory metabolism, easy obesity, and these factors work together to make cardiovascular diseases easy to invade.

The exercise mentioned here is not a high-intensity exercise, walking is also a kind of exercise, and as far as traditional Chinese medicine is concerned, most of the exercises advocated are low-intensity exercises.

While thinking of this, Lu Xuan listened to the woman's self-report while taking the pulse.

Tightness in the heart, impatience, upset, palpitation, especially after napping; Headaches on both sides, memory loss, for a long time, sometimes light and sometimes heavy, and the pulse size is uneven.

While Lu Xuan motioned to Ji Xiuwen to record the woman's situation, he also said the prescription:

Hangbai peony, boiled licorice, bupleurum, skullcap, ginger banxia, keel, oyster, wheat winter, shengdi, hemp seed, jujube, cinnamon branch, ejiao (westernized), codonopsis, ginger

After Ji Xiuwen wrote down the prescription, Lu Xuan arrived: "The patient has chest tightness and palpitations, headaches on both sides, long-term non-healing, uneven pulse size, and Western medicine diagnosed it as tachycardia.

According to the place in the chest where the sectal qi gathers, the sectarian qi is insufficient or the sectarian qi is congested, and the chest tightness syndrome will appear.

The heart is the main blood vessel, and the heart blood and sect qi are out of balance, and there are often symptoms such as irregular pulse, palpitation, impatience, and upset.

The two sides of the head belong to the Shaoyang meridian, and the headache on both sides is caused by the obstruction of the Shaoyang meridians.

The prescription is a combination of peony licorice soup, chai hu plus keel oyster soup, and boiled licorice soup.

Peony and sweet soup, the main treatment camp blood injury, limb spasm and convulsion;

Chai Hulong oyster soup, the main chest is full of trouble, and the god is not guarded;

Burning licorice soup, the main treatment of pulse knots and palpitations.

The tripartite combination is used to treat chest tightness, palpitations, lateral brain pain, and tachycardia. ”

Ji Xiuwen nodded again and again after hearing this, but it was a woman, although her face showed surprise, but she didn't say anything, but asked after getting the prescription: "Doctor Lu, can this be made into pills or the like?" Although I live in Anjiang, I often have to travel on business, and I run outside almost every three or five days, so I don't have time to cook medicine.

Even if you cook the medicine at home in advance and go out for three or four days or something, the medicine will spoil. ”

"That's a problem."

Lu Xuan groaned and said: "Can it be made into pills, this guy may have to ask the Hui'an Pharmacy, if they provide this kind of service, then it is okay, if they don't provide it, you may have to find a place to solve it yourself, or if it really can't be done, you can get it at home, and making pills is not a troublesome thing."

If small pills are inconvenient, they can be made into large honey pills, one or two pills a day are more convenient than small pills. ”

"You can do this yourself at home?" The woman looked surprised, obviously a little unexpected, she always thought that this kind of thing had to be done by professional people, but she didn't expect Lu Xuan to say that she could do it at home.

"Absolutely."

Lu Xuan explained: "It's not difficult to refine pills in the first place, do you have an oven and a powder machine at home?" ”

"There's an oven and a blender."

"That's fine, the most important thing is these two."

(End of chapter)