Chapter 229: Did the doctor change his mind, or did the patient's heart change?
The woman hesitated.
"This ......"
"Doctor Lu, you know how to do it, naturally you think it's simple, like I haven't done these things at all, even if you say it's this, but when I do it, it's not that simple."
When the woman said this, she looked behind her, except for her, there was no one else in line, and the original few people behind her turned around and left as soon as they heard that it would be more cost-effective to go to Hui'an Pharmacy tomorrow and save one or two hundred yuan.
Seeing this, the woman thought for a while and said, "Doctor Lu, you see that there are no people queuing up today, if you are free, can you tell me in detail, I can't get the effect of the medicine by mistake." ”
As she spoke, she took out her phone, apparently ready to record.
Speaking of making honey pills, let alone women, even Ji Xiuwen on the side couldn't help but touch Lu Xuan with his hand and gave Lu Xuan a few looks.
Seeing this, Lu Xuan did not refuse.
Although this will waste a lot of time, there are no patients to see later, so it is okay to delay some time.
Thinking of this, Lu Xuan nodded, and then said, "Okay, then I'll talk about it." ”
The woman's face was overjoyed, and she hurriedly turned on her mobile phone to record.
Ji Xiuwen on the side was not idle, and while taking out his mobile phone, he was also using paper and pencil to record some key points.
"Honey pill is the most commonly used dosage form in traditional Chinese medicine, and now Chinese patent medicine, in addition to powder, the most important thing is to make it into honey pills, maybe the effect is not necessarily as good as the effect of freshly fried Chinese medicine, but it is convenient and easy to carry, not to mention, the shelf life is not comparable to the freshly fried Chinese medicine."
Hearing this, the woman nodded, she also heard that Chinese medicine can be made into honey pills, so she proposed this stubble.
"It's okay if the effect is poor, it's a big deal to eat for a while, the most important thing is convenience."
"Convenience is convenient, but after you go back to eat, if there is no effect or the effect is not very good, don't take it, the medicine that has no effect is not only bad, but it will cause a burden on the body, you have to pay attention to this matter." Lu Xuan instructed.
The woman said: "I remember, if it doesn't work, I will stop the medicine immediately, but I don't know how to contact you when the time comes." ”
"This is nothing, I'll ask him to pull you into the patient group in a while, and if you have any questions, you can tell me directly in the group." Lu Xuan said, pointing to Ji Xiuwen who was sitting beside him.
The woman's face was overjoyed and she nodded again and again.
Lu Xuan continued: "In fact, about Chinese medicine honey pills, there are actually relevant records in ancient medical books, and there are records of honey and jujube paste as pills in the "Health Formula": "Fei Lian, Fang Kui, Shi Wei...... And honey like jujube fat pills, as big as a sheep's arrow. This is the first record of honey pills in the history of Chinese medicine.
Not only the "Health Prescription", but even the "Treatise on Typhoid Fever", which is very famous in traditional Chinese medicine, also recorded 5 cases of pills, 3 cases of honey pills, Lizhong pills, Wumei pills and Maziren pills.
As for the more pills in "Jin Kui Yaolu", of course, although the honey mentioned in it is said to be honey, the honey that can be used to refine honey pills also needs to be refined, such as the kidney qi pill formula, "the right eight flavors are at the end, refining honey and pills are big". ”
"Why do you have to use honey to make pills? Wouldn't the others work? ”
The woman thought for a moment and asked, "For example, maltose and the like, these should also be used to make pills after boiling." ”
Lu Xuan smiled slightly and explained: "The reason why honey is used to make pills is because refining honey has the effect of relieving medicinal properties, and it is mostly used for chronic diseases.
At the same time, the honey pill can prevent the denaturation of the ingredients that are easy to oxidize in traditional Chinese medicine, and the adhesion of honey refining is strong, and the pill is not easy to harden after mixing with the powder, and has greater plasticity, and the pills made are smooth, moisturizing, slow to disintegrate, and the medicinal power is long-lasting. ”
"Oh!" The woman suddenly realized.
Indeed, if maltose is used as a binder, she doesn't know if it can ease the medicinal properties, the pills that can be refined are easy to harden, and there is no plasticity, maybe just mixed the melted maltose with the medicinal powder, and in a blink of an eye, the maltose hardened, and there was no way to make pills.
"As for making honey pills......"
Lu Xuan continued: "In fact, it is not as complicated as you think, the preparation method of honey pills is mainly divided into several steps, such as formula powdering, honey refining, medicine, pill making, and packaging.
Of course, there are no requirements for the packaging for the individual, as long as it is clean enough. ”
The woman nodded and wrote it down.
Lu Xuan said again: "Let's talk about the formula and powder now, this step is very easy, after baking or drying the medicine according to the formula, use the powder machine to beat it into a fine powder, and put it in a sterilization basin for later use before making pills."
After beating into fine powder, the next step is to mix honey, honey is to mix honey with the weight of the powder in a ratio of 1:1.2 to 1.5, such as 1000g of powder, equipped with 1200~1500g of honey, if the medicine contains more sugar, gum or starch, then with a ratio of 1:1-1.2.
The purpose of honey refining is to remove impurities, destroy enzymes, kill bacteria, evaporate water, and enhance viscosity.
This step is very important, you can't use honey directly, you must use refining honey, so as to ensure the quality of the honey pill, it is not easy to produce bacteria, destroy the efficacy of the honey pill, and the storage time will be relatively long.
When refining honey, boil with a fire, and then change to a simmer slowly, while putting a bowl of cold water next to it, and pay attention to the color of the honey, when you find that the honey is yellowing, use a bamboo chopsticks to dip a drop in the honey, and then move the bamboo chopsticks to the top of the cold water bowl, let the honey drip into the water, if the honey does not spread out in the water and sinks to the bottom, that is, we often say "dripping into beads", the honey is refined. ”
It can be said that Lu Xuan explained the steps of refining honey in detail, for fear that he would not be able to explain it thoroughly, and the woman who turned around did not know how to make honey pills.
Moreover, the step of refining honey is indeed more important, and if the refining of honey is not done well, it will directly affect the efficacy of the medicinal materials.
This step, whether it is Ji Xiuwen or the woman, they all listened very carefully.
Not only these two people, but even Li Feng and Lu Xuan's cousins almost pricked up their ears and listened attentively, for fear of missing even the slightest bit of content.
Lu Xuan said: "If the honey can't be refined, it can't be made into pills, of course, it's not good to go too far, so you must master the heat."
There are three types of honey refining, namely young honey, medium honey and old honey.
How to explain it?
Tender honey is heated and boiled until the temperature reaches 105 °C ~ 115 °C, filtered and foamed, its color change is not significant, water loss is less, slightly viscous, suitable for containing more starch, mucus, sugar, fat and other viscous medicinal materials to make pills;
Medium honey is to heat and boil raw honey for a long time or continue to heat tender honey to 116 °C ~ 118 °C, the foam is light red luster, and the hand twist is sticky, but can not be stretched into long white silk, suitable for medicinal materials containing part of the viscosity or part of the fiber to make pills;
As for the old honey, it is to heat the raw honey for a longer time or continue to heat the tender honey and medium honey to 119 °C ~ 122 °C, so that the water can be fully evaporated, the bubbles are reddish-brown, shiny, very sticky by hand, and can pull out white silk, which is suitable for making pills with poor viscosity such as a large amount of fiber or minerals.
You don't need to think about the temperature so finely, just have a rough idea.
When we make honey pills daily, most of the time we use medium honey, 1000g of honey can produce about 800g of refined honey, 1000g of traditional Chinese medicine powder, about 1200g of refined honey. ”
"After the honey is refined, the next step is to mix and harmonize the medicine, this step is relatively simple compared to refining honey, and there is not so much to pay attention to."
Lu Xuan smiled and said: "Pour the boiled honey into the powder contained in the sterilization basin with a spoon, and stir it in the powder with thick bamboo chopsticks at the same time, just like adding water and noodles before making dumplings, pour the honey while adjusting the powder, stop adding honey when you basically can't see the dry powder, pay attention not to add too much, the pill is not easy to form if there is too much honey."
At the beginning, add a little less, you can continue to add refining honey if you have less, and you can't take out more honey, so you can only add medicinal powder to remedy it at that time.
After the adjustment, at this time, we can put the medicine and honey in the sterilization basin and form a clump like usual. ”
Speaking of this, Lu Xuan also laughed: "The noodles are reconciled, the next step is to rub the strips and pills, this step is actually simpler, the only thing to pay attention to is that in order to avoid sticky hands or sticky utensils, you can use a small amount of sesame oil or peanut oil in the palm of your hand when rubbing the strips and pills, which is not only not easy to stick, but also makes the pills smooth and bright." ”
"Doctor Lu, I see that there are small and large pills now, that is, the kind that is particularly large, if I go back to make honey pills, how should I choose?" The woman asked.
Lu Xuan turned around: "You can choose this by yourself, if you make it into a small pill, you need to take more at a time, if you want to take a large pill, you can do it one at a time, in comparison, a large pill is more convenient, not so troublesome, if there is no tool for a small pill, it is not so convenient to make, as long as the big pill is disinfected, you can rub it directly by hand." ”
When the woman heard this, she immediately smiled: "It seems to be such a truth." ”
"However, the honey pills made by yourself generally don't put any preservatives or the like, how can I know if the honey pills are broken?"
Lu Xuan explained with a smile: "The preservation of pills should be sealed and moisture-proof, and under normal circumstances, they can be placed in a cool and dry place indoors. However, it is often due to improper storage methods or too long storage time, etc., which leads to spoilage of pills. Pills that have deteriorated should no longer be taken because they have completely lost their effectiveness, not only can they not cure the disease, but may also cause new diseases.
To identify whether the pill is deteriorated, you can look at the appearance of the color, the normal surface of the pill should be smooth and round, brownish-yellow or black-brown, and those with cinnabar or gold foil are vermilion or golden yellow respectively;
Moreover, normal fresh pills have a special fragrance of Chinese medicine, and if it is a honey pill, it should also have the fragrance of honey. If the pill has a strange or rancid smell and does not have a normal Chinese medicine smell, it means that it has deteriorated.
Also, when you can't make a judgment by either of the above methods, you can taste it directly with your mouth and judge it by your sense of taste. Normal pills have a strong medicinal taste, but spoiled pills have a sour smell and no sticky feeling, and when you take the medicine on an empty stomach in the morning, you should stop taking it immediately. ”
The woman nodded in response, "It doesn't seem to be that difficult." ”
"It's not difficult, but for people who have never made honey pills, as soon as they hear that they want to make honey pills, they feel that it is something that only professionals can do, not only if you think so, but most people will think so."
Lu Xuan said: "But after really making it yourself, it's not as difficult as you imagined, on the contrary, making honey pills is very simple, you just think it's a family and noodles to make steamed buns, making honey pills, compared to making steamed buns, at most it is an extra process of refining honey."
Except for refining honey, the others are actually not much different, and you will know when you try it later. ”
"I made a note of it, thank you, Dr. Lu." The woman said hurriedly.
Lu Xuan said: "There is nothing to thank, this is also the duty of a doctor." ”
The woman shook her head in disapproval: "Doctor Lu is wrong to say this, if it were another doctor, if I asked him how to make pills, I am afraid that he would have already given me a look on his face, and even drove people away, where can I not only be willing to say it like you, but also say it so carefully."
I also have some understanding of Chinese medicine, and so far, I am afraid that only you, Dr. Lu, like those ancient Chinese medicine practitioners who saved lives and helped the wounded, put patients in mind.
Every word and deed is for the good of the patient, not like other doctors, who only have money in their eyes, and the key is to value money, and they have no ability, which is the most hated. ”
There seemed to be a lot of stories about the woman, and when she said this, her eyes were also a little cold.
Lu Xuan saw it, but he didn't ask.
These stories don't have much to do with the patient's condition, and he doesn't want to ask too much.
However, speaking of this, Lu Xuan thought about it and said: "I'm not as good as you say, but there are still good doctors, and there are many, maybe it's just that you encounter fewer of them." ”
"Maybe." The woman had no intention of rebutting.
Like the middle-aged man at the beginning, even if Lu Xuan said that he didn't have to pay for medical expenses, the woman still paid it, not to mention the medical expenses, just what Lu Xuan told her about how to make honey pills, she was willing to pay this medical fee.
Seeing the woman leave, Lu Xuan fell into deep thought, and after a while, he turned his head to look at Ji Xiuwen: "Xiuwen, you said that the doctor-patient relationship is so bad now, has the doctor changed, or has the patient changed?" Why is the doctor-patient relationship completely incomparable to before, not only Western medicine, but also Chinese medicine. ”
Ji Xiuwen shook his head: "You don't know this, and I don't know it." ”
"Maybe people's hearts have changed." Just when the two of them didn't speak, Li Feng, who was sitting on the other side of the medicine cabinet, said something rarely, which immediately attracted the attention of the three of them.
Several people cast their eyes over and landed on Li Feng.
Seeing that the three of them were looking at him, Li Feng suddenly felt that he had talked a little too much, but in the face of the eyes of the three who refused to take his eyes off, he had no choice but to sigh and say: "In the past, everyone thought about what to eat for the next meal, after all, at that time, even eating enough was a problem, and even survival was a problem, where would you think so much."
This kind of thing is not only for ordinary people, but also for doctors.
Now that the living conditions are better, few people still need to think about what to eat at the next meal, whether the food is good or not, but at least there is no need to worry about survival, without these troubles, people will have more thoughts.
Doctors want to make more money to change their lives, and the same is true for patients, there are many temptations in real life, and it is difficult for people to keep their minds the same! ”
(End of chapter)