"The third is cold and blood depression, evil obstruction of the throat evidence, although this certificate is not seen much, even if you look for it on the Internet, it is difficult to find relevant reports, but it is extremely valuable for reference, if you want to understand, we will talk about it in detail."

Lu Xuan smiled slightly, and continued: "This fourth type is the external dampness and temperature, evil fighting throat syndrome, the symptoms are chills, fever, limb sleepiness, nausea, such patients generally have reddish tongue, yellow greasy, slippery, tonsil redness and swelling obvious or suppuration as the main characteristics.

It is advisable to clear away heat and dampness, dissolve phlegm and disperse knots, detoxify and improve pharynx.

You can use manna to disinfect the pill, that is, talc, yinchen, skullcap, calamus, mutong, chuan fritillary, shoot dry, forsythia, white cardamom, Huoxiang, mint or Sanren soup, that is, magnolia, white grass, talc, banxia, light bamboo leaves, white cardamom, almonds, coix seeds and the like.

Those who are also evil into Shaoyang, add Bupleurum, Skullcap, Artemisia annua and the like. ”

"The fifth is that the evil enters the Shaoyang, and the heat poison is the evidence of the throat, this kind of situation is actually the combination of the young yang and the yang, and the heat and poison are strong, and the throat is strained.

In the past, the main characteristics were cold and hot, chest and flank bitterness, lack of food and drink, dry stool, red tongue, pulse or number of strings, redness, congestion or suppuration of the tonsils.

It is advisable to reconcile Shaoyang, clear Yangming, detoxify and improve pharynx.

You can use Dachai Hu soup, that is, Bupleurum chinensis, skullcap, citrus aurantium, rhubarb, red peony, Banxia plus or minus.

It can be added to clear heat and detoxify, and relieve pain in the throat.

However, this depends on the patient's symptoms, if necessary, you can add it, if you don't have to, you can not add it, and the right medicine is the fundamental. ”

Ji Xiuwen nodded slightly, keeping it in mind.

Although Lu Xuan said a lot, but after following Lu Xuan for so long, Ji Xiuwen also mastered some good skills, and the content of his memory was completely different from before.

In the past, every time Lu Xuan said something, he wanted to write it down word for word, but naturally he couldn't do it.

But now, he only needs to memorize the core content.

Of course, mobile phone recordings are still available.

He can't really rely on his own brain, a good memory is better than a bad pen.

He doesn't have Lu Xuan's ability to memorize, and the recording must be done, so that he can only listen to the recording when he encounters a blurred memory.

His current idea is that if he can not trouble Lu Xuan, he will not trouble Lu Qing, and if he can solve the difficulties by himself, he will solve them by himself.

Without him, Lu Xuan had told him more than once that after Lu Xuan Traditional Chinese Medicine Hospital was established, Ji Xiuwen would have to go to the clinic by himself.

Although there is still some time, to be honest, he is still panicking.

I can only stand on my own a little more now.

Otherwise, when it really came time for him to sit in the clinic, he wouldn't know anything, and he would have to ask Lu Xuan about everything, which would be embarrassing.

It is also based on this consideration that Lu Xuan will try Ji Xiuwen himself in many cases, and he will sit aside and occasionally remind him of a sentence or two.

Unless he encounters some illnesses that Ji Xiuwen has not been exposed to, Lu Xuan will say a little more.

Just like now, Lu Xuan has rarely seen cases of tonsil inflammation before, so he naturally has to talk to Ji Xiuwen more about this disease.

Although Ji Xiuwen focuses on digestion, as a traditional Chinese medicine, it is impossible to only focus on this.

Some common diseases are more or less necessary to understand.

Lu Xuan will naturally say it in detail.

Lu Xuan also knew that Ji Xiuwen was under a lot of pressure now, and after smiling slightly, he said: "Sixth, the lungs and stomach are hot, and the throat is fumigated, in this case, the patients generally have fever, thirst, red face, constipation, and yellow or short urine.

The main characteristics of the tongue are red, yellow and thick, the pulse slippage is strong, and the tonsils are red, swollen and suppurated.

It is advisable to clear the lungs and stomach, detoxify and improve the pharynx.

You can use cool diaphragm powder, that is, miscanthus salt, rhubarb, gardenia, forsythia, skullcap, mint, libririce, honey or clear throat diaphragm soup forsythia, gardenia, skullcap, mint, burdock, parsnip, nepeta, xuanming powder, honeysuckle, scutellaria, rhubarb, licorice, bellflower, coptis plus or minus.

For those who are injured by heat and evil, add wheat winter, rehmannia root, smallpox pollen and other things to clear heat and generate Jin.

The seventh is the deficiency of positive deficiency and evil poison and pharyngeal syndrome, which is more common in the elderly and frail or patients with insufficient righteous qi, and often manifests as subacute purulent tonsillitis.

It is characterized by dysphagia, no fever, slight thirst, constipation, yellow urine, red and swollen tonsils, or adhesion of secretions, and weak pulse.

It is advisable to help correct and dispel evil, detoxify and improve pharynx, and can be disinfected and subtracted by Torrey. Clinically, it is mostly used in the detoxification soup of Astragalus membranaceus, that is, raw Astragalus, Angelica, Radix radix, honeysuckle, dandelion, skullcap, red peony, parsnip, Angelica dahurica, and Saponaria thorn.

The eighth type, liver meridian fire depression, fumigation throat syndrome, such patients have chest discomfort, hot hands and feet, dry throat and mouth, menstrual disorders, red tongue, fine pulse, fever, sore throat and so on as the main characteristics.

It is advisable to soothe the liver and nourish yin, detoxify and improve pharynx, and can be added or subtracted with Dan Gardenia to eliminate remote dispersion, and can be added as appropriate to detoxify and improve pharyngeal products.

The eighth condition is pulmonary and gastric depression and fever, fumigation and throat syndrome, which is more common in chronic tonsillitis.

It is characterized by dry and sore throat, dry mouth, red and yellow tongue, slow and strong pulse, and red and swollen tonsils.

It is advisable to clear the lungs and stomach, dissolve phlegm and disperse knots, detoxify and improve pharynx.

Commonly used Qingjin Li pharyngeal soup, that is, bellflower, skullcap, Zhejiang fritillary, wheat winter, burdock, gardenia, mint, licorice, wood, Xuanshen minus. Add oysters, prunella vulgaris, salvia and the like to remove phlegm and disperse knots, promote blood circulation and dispel blood stasis.

The ninth, kidney yin deficiency, evil stagnation in the throat, is yin deficiency and fire, phlegm turbidity and condensation, evil stagnation in the throat. It is advisable to nourish yin and reduce fire, dissolve phlegm and disperse knots, and clear the throat. It can be flavored with Zhibai Dihuang soup.

The tenth type, yin deficiency and dampness and heat, fumigation and throat syndrome, is mainly characterized by yin deficiency as a whole, red tongue, yellow and greasy tongue, thin or slippery pulses, and red and swollen tonsils with signs of purulence.

It is advisable to nourish yin and moisten dryness, clear away heat and dampness. You can use manna to drink, that is, rehmannia root, rehmannia root, Yinchen, citrus aurantium, skullcap, loquat leaves, licorice, dendrobium, asparagus, wheat winter, plus scutellaria, bellflower, honeysuckle and the like.

The tenth type, qi deficiency and phlegm coagulation, evil stagnation in the throat, is characterized by spleen qi deficiency and chronic tonsil signs. It is advisable to invigorate qi and strengthen the spleen, dissolve phlegm and disperse knots. You can use the six gentlemen's soup with Zhejiang fritillary, oysters, astragalus and the like.

The eleventh type is the syndrome of yang deficiency and stagnation in the throat, which is a sign of chronic tonsils with kidney yang deficiency or spleen and kidney yang deficiency. It is advisable to warm the kidneys and strengthen yang, dissolve phlegm and disperse knots. It can be added or subtracted by Jinkui Kidney Qi Pill and Xiao Xiao Pill (Xuanshen, Zhejiang fritillary, oyster).

Twelfth ......"

And also?

When he heard this, Ji Xiuwen couldn't help but swallow his saliva.

Originally, he thought that there were eleven kinds of horror, but he didn't expect that there would be more.

Western medicine has at most three types of tonsil inflammation, and its medication is actually similar.

Whether it is chronic tonsil inflammation, acute, or acute attack of chronic tonsils, in fact, there is no difference in Western medicine, and it is mainly anti-inflammatory.

In more serious cases, surgery is recommended.

And then there was no then.

But Chinese medicine is obviously different.

Traditional Chinese medicine has an extremely strict classification of tonsil inflammation, and there are so many classifications that no one dares to believe it, and there are as many as a dozen.

And in these dozen cases, there is a difference in each medication, and they are all very different.

In a way, that's the real right medicine.

Although he already had resistance to Lu Xuan's demonic behavior, Ji Xiuwen still secretly smacked his tongue, and I am afraid that these contents can only be remembered if they are not forgotten.

In other words, any normal person, let alone remember so many kinds, even one of them can't be remembered in such detail.

When Ji Xiuwen was swallowing saliva, Lu Xuan didn't mean to stop, he continued: "The twelfth and last case, this belongs to the mutual formation of phlegm and stasis, evil stagnation in the throat, and chronic tonsillitis is common in Western medicine.

Generally, the main characteristics are tingling or obstruction in the throat, dry throat and desire to gargle, dark tongue or petechiae, lichen or greasy, and slightly slippery pulse, or evidence of qi deficiency.

It is advisable to dispel phlegm and drive away stasis, and to dissipate soft and firm knots.

In response to this situation, moth decoction is often used, that is, astragalus, angelica, atractylodes, parsnip, leeches, turtles, peach kernels, sea pumice, white mustard seeds, prunella vulgaris, faxia, gall grass, and wine rhubarb.

Or use the five decoctions to add or subtract to invigorate qi and blood, remove phlegm and disperse knots. ”

After speaking, Lu Xuan turned his head and glanced at Ji Xiuwen: "That's all, you have time to study and study yourself." ”

After he finished speaking, he turned his head and followed up with a patient who had been chatting for a minute or two.

The patient who came in was named Luo Lanlan, a 34-year-old woman from a county under Yongcheng, and a housewife.

Lu Xuan learned from the other party's situation through a detailed chat, the patient was a little uncomfortable a few years ago, and the main complaint was that he had stopped menstruation for a year and a half, his face was yellow and thin, cough and fatigue, and he couldn't work, and he thought it was tuberculosis.

Later, I went to the hospital for fluoroscopy and X-ray examination, and after X-ray examination in the hospital, I was diagnosed with infiltrative pulmonary tuberculosis.

Tuberculosis, the name of tuberculosis in traditional Chinese medicine. It has a history of more than 2,000 years, and it has been mentioned as early as in the "Yellow Emperor's Neijing" that "the big bone and flesh are high, and the big meat is inward." coughing, wheezing; The body is hot, and the pulse is small".

Traditional Chinese medicine believes that tuberculosis is caused by the invasion and erosion of the lungs by tuberculosis insects, and is a contagious chronic wasting disease with cough, hemoptysis, hot flashes, night sweats and gradual weight loss as the main clinical manifestations.

Tuberculosis treatment is based on the principle of anti-tuberculosis and insecticide and replenishing deficiency and peiyuan, and traditional Chinese medicine treatment of pulmonary tuberculosis focuses on syndrome differentiation and treatment as a whole, focusing on cultivating and replenishing positive qi, according to the different stages of patients' different constitutions and diseases, by supplementing deficiency and strengthening the stomach, regulating the stomach and strengthening the spleen, so that the body's spleen and stomach tend to be normal, and the righteous qi is restored, so as to reduce and eliminate the toxic and side effects of anti-tuberculosis drugs.

Infiltrative pulmonary tuberculosis is more common in exogenous secondary pulmonary tuberculosis, that is, caused by repeated tuberculosis bacterial infections.

After listening to the patient's self-report and the X-ray examination brought by the other party, Lu Xuan thought about it and prescribed medicine to the other party:

Lotus leaf charcoal, Sichuan magnolia, sand kernel, Sichuan army charcoal, American ginseng, Ejiao beads, lily, notoginseng, angelica charcoal, old Chuanxiong, shengdi charcoal, Hangzhou peony, skullcap, coptis, scutellaria, radix radix, gardenia.

After writing down the prescription, Lu Xuan instructed again: "There is no service for refining honey pills in the health center, and after you go back, you can study this medicine with sixteen flavors and refine it into a very fine powder, and refine the honey into pills, each pill weighs about 9 grams."

Take one pill every morning and evening, and send it down with boiled water, this recipe is suspended for one month. ”

"Huh?"

Luo Lanlan obviously didn't expect that this medicine would have to go back to refine the honey pill by herself, could this thing be refined by herself?

"I'm afraid I won't be able to do this myself." She really didn't have much confidence.

Lu Xuan said with a smile: "It's not a big problem, some Chinese medicine pharmacies in Yongcheng definitely provide the service of refining honey pills, you can go and find it, if you really can't do it, you can refine it yourself, if there is anything you don't understand, just consult it in the group when the time comes, this thing is not as troublesome as you think, and there is not much difference between making steamed buns at home, you can go back and try it." ”

Luo Lanlan took the payment bill opened by Ji Xiuwen, and after paying the money, she said, "Then I'd better find out if there is a pharmacy that provides the service of refining honey pills." ”

"Okay."

Lu Xuan instructed again: "After you have taken a pill, come back for a consultation." ”

"Can this be cured by taking this medicine?"

"I don't dare to say that this is definitely possible, but there is a high probability that it is still possible." Lu Xuan said with a smile.

When Luo Lanlan got up to grab the medicine, Lu Xuan turned his head to look at Ji Xiuwen and said, "The effectiveness of this prescription is first manifested in the rule of "cultivating soil and producing gold".

The lotus leaf in the square is the most wonderful.

The lotus leaf is born under the water and soil, in the midst of filth, and has the air of less yang;

It can best raise yang energy, disperse blood stasis, and retain blood.

Jiegu Citrus Pill, cooking rice with lotus leaves to raise stomach qi, the meaning is here.

This recipe also stir-fried the lotus leaves to make it have the effect of astringent and bitter, so that the original good product of spleen and stomach and clear yang has become both anxious and bitter and astringent and overflowing.

The other flavors of charcoal are also of this significance.

In this way, not only can the symptoms of pulmonary tuberculosis patients gradually disappear with red cheeks every afternoon, but at the same time, lotus leaf charcoal, Sichuan magnolia, sand kernel, Sichuan military charcoal and other medicines that reconcile stomach qi can help each other and achieve the effect of cultivating native gold.

The symptoms of tuberculosis, such as bone steaming fever, cough, and night sweats, must be combined with the two treatment methods of nourishing blood qi and nourishing fluid to be effective.

Fang Zhongqin, Lian, Gardenia, and Xuan are set up for the former; The soup of four things, ginseng, gum and lily is designed for the latter.

Panax notoginseng enters the liver and stomach blood, and the lotus leaf that enters the spleen and stomach qi can complement each other in terms of hemostasis and epilepsy. ”

"I don't think I've heard of this recipe, you created it yourself?" Ji Xiuwen thought for a while and asked.

"Yes, but not at all."

Lu Xuan explained: "This recipe is a folk prescription, and its source is not yet understood, and there are not a few people who use it. I personally have been treated, this is the first case, and we have to see how effective it is, but one thing is certain, the effect of this formula on women is especially faster than that of men. ”

(End of chapter)