Xu Yang said to Xu Yuan: "You go and check the patient's pulse." ”

"Yes. Xu Yuan responded and ran to Zhang Sanqian.

Zhang Sanqian glanced at Xu Yuan, and his crooked mouth let out a disdainful sound: "Cut." ”

Xu Yuan was stunned for a moment, this patient is so arrogant!

Xu Yuan frowned, forcibly suppressed the discomfort in his heart, and took Zhang Sanqian's hand to diagnose the pulse.

Zhang Sanqian didn't move, so he let him check his pulse.

Zhang Ke also came out.

Half an hour later, Xu Yuan finished diagnosing the pulses on both hands.

Xu Yang asked, "What pulse?"

Xu Yuan said with some hesitation: "The patient's left hand pulse is a floating number vein." ”

Xu Yang said: "Pulse diagnosis still needs to be practiced again, and it must be careful." The patient's left hand is slightly tighter. ”

Xu Yuan showed a puzzled look again: "The left inch floats, for the cold, the tight pulse is the main cold, and the floating tight pulse is for the cold and evil on the surface. ”

"There are also several pulses, and the number of pulses is the main heat, the evidence of the patient's mixture of cold and heat?" In the "Treatise on Typhoid Fever", it is said, 'Those whose pulses float are healed by sweating.'" 'Is it also Khanfa?' Khan had a stroke?"

Hearing this, Zhang Sanqian finally stopped showing disdain, but glanced at Xu Yang seriously.

And Zhang Ke looked at Xu Yang with the eyes of a little fan girl.

When Zhang Sanqian saw this scene, he was angry again.

Xu Yang asked, "Then what recipe should be used?"

Xu Yuan cautiously asked, "Life-sustaining soup?"

Xu Yang said with a smile: "Why are you so unsure?"

Xu Yuan didn't dare to answer.

Xu Yang asked: "Is it because few people dare to use life-sustaining soup to treat stroke?"

Xu Yuan smiled awkwardly, then nodded.

Zhang Ke asked on the side, "Why don't you dare to use it?"

Xu Yang said: "This is a long time, before the Tang and Song dynasties, the treatment of stroke was basically the use of life-sustaining soup, and the life-sustaining soup was mentioned in "Jin Kui Yaolu", the treatment of stroke prickly heat, the body could not be self-contained, the mouth could not speak, the risk did not know the pain, or the urgency could not turn to the side. ”

Later, Sun Simiao of the Tang Dynasty also included the life-sustaining soup in the "Preparation for Emergencies", and put the small life-sustaining soup at the top of the wind curative, and also listed several other life-sustaining soup recipes. ”

Sun Simiao recorded that Xiao Xuan Ming Tang can cure stroke and want to die, the body is in a hurry, the mouth is not right, the tongue is strong and can not speak, the dying and exhaling, the expression is sullen, all the wind clothes are tested, and it is not a false prescription. ”

"And Sun Simiao also said, 'According to the ancient method, use the size of the two soups to prolong life, and treat the five internal organs and the dry thief wind, and the effect is like a god. Therefore, before the Tang and Song dynasties, dialectical strokes, for those who had a true stroke, were all used to sustain life. ”

But after the Tang and Song dynasties, the internal wind theory and the non-wind theory began to rise, so the method of dispelling the wind was gradually abandoned by everyone. ”

"Especially after Jin Yuansi and everyone got up, they all put forward different views. Liu Hejian's main heart is full of fire, Zhang Congzheng's main liver is moving internally, Li Dongyuan's main form is full of qi and his own qi is sick, and Zhu Danxi is mainly phlegm, dampness and heat. ”

Later generations of physicians accepted their views, and the treatment methods were mostly to calm the liver and latent yang, clear away heat and dissolve phlegm. In particular, Zhang Jingyue believes that the stroke is caused by internal injuries and has no external feelings. So he thinks that using life-sustaining soup is a quick danger. ”

There is also Zhang Shanlei in modern times, who scolded even more ruthlessly, he directly said that it was incredible to continue his life and Tang Zhi stroke, and it was a fluke. ”

"Therefore, after the Song Dynasty, there was no longer a need for life-sustaining soups, especially modern pharmacological studies found that ephedra, cinnamon branches, and aconite all had the disadvantages of raising blood pressure, and the patient had cerebral thrombosis, so no one dared to use it. ”

"Although after the Song Dynasty, many doctors have been using life-sustaining soup. But on the whole, there are very few. ”

Zhang Ke nodded: "That's it." ”

Xu Yang then said to Xu Yuan: "Since Wang Qingren created the five decoctions to treat stroke, doctors of all dynasties have received rave reviews, but this recipe is for treating qi deficiency and blood stasis. ”

"If the pulse is weak, or large and weak, the effect will be very good. But if the pulse is large and numerous, it will not be effective. This method is still a cure for deficiency, and we must learn to be dialectical. ”

Xu Yuan nodded seriously, and then wrote down the knowledge points.

Xu Yang said again: "In fact, in our contemporary era, there are also many traditional Chinese medicine practitioners who have done controlled trials of Xiao Zhuming Tang, such as Yu Xiaoping used Xiao Zhuming Tang to treat 60 cases of acute ischemic stroke, with a total effective rate of 96.7%."

"Zhang Huiwu, a famous doctor in Henan, used Xiaozhuming decoction to treat 88 cases of stroke and partial blight, with a total effective rate of 98.86%. And also...... Li Kelao Traditional Chinese Medicine ...... At the beginning, because of overwork, I had three strokes in two years. I also use life-sustaining soup to treat myself, and the effect is very good. ”

When he mentioned Li Lao, Xu Yang's tone also sank slightly. After Li Lao suffered a stroke, he was determined to correct the name of the life-sustaining soup, and later when he had a second stroke, he also sent Xu Yang academic materials to reorder the life-sustaining soup, so that Xu Yang could understand more deeply.

Xu Yang sorted out his mood a little, and he said: "The patient's pulse pattern just now has prompted us, and you have just analyzed it, the wind and cold are on the surface, and it is a mixture of cold and heat. ”

"After looking at the evidence, it is necessary to analyze the rebellion of the offender. After the analysis is made, it is necessary to follow the evidence. Since the wind and cold are on the surface, and the cold and heat are mixed, it is natural to penetrate the surface and open the door to drive away evil spirits. ”

"Look at the prescription of the small life-sustaining soup, the ephedra cinnamon branch can enter the sun's meridian to dispel the wind and chase away the dampness, in order to open its surface; ”

"Where evil is gathered, its qi will be deficient, so ginseng is used to replenish qi; peony and Chuanxiong protect the camp and invigorate the blood; and aconite is the power to help tonic, which can generate yang and help ephedra to act on the table. ”

"Therefore, the small life-sustaining soup can be pungent and warm, and it can also replenish qi and blood. There is both cold and heat, and there is warmth and support, the formula is very peculiar, but it is very ingenious, especially for this patient, it is very right. ”

"Therefore, to cure the disease, we must respect Zhongjing's twelve-character rule, and we must not have half a preconceived concept in our hearts. Keeping these 12 words in mind and following the evidence, there will be no mistakes. ”

Xu Yuan nodded seriously and hurriedly took notes.

Zhang Ke has long been accustomed to Xu Yang's strength and magic.

Zhang Sanqian's eyes were also slightly stunned.

Xu Yuan took a good note, and he asked again: "So you can use Khan to have a stroke?"

Xu Yang said: "That's natural, among the eight methods of internal treatment in traditional Chinese medicine, the sweat method is the first, and you must not underestimate it." There is a cloud in the "Neijing": "Therefore, the evil wind is coming, and the disease is like wind and rain, so the good ruler treats the fur, then the skin, the second is the tendons, the second is the six intestines, and the second is the five organs." ’”

"Sun Simiao also said, 'Whoever suffers from wind and takes soup, you have to sweat profusely, and the wind does not go, so there is ephedra in all wind recipes.'" 'To cure the evil wind, it is proper to use sweat. Open the skin, guide the evil on the surface, sweat and solve it. ”

Xu Yuan nodded, with a sense of sudden realization, feeling that it was just like this for a while, which made him learn a lot.

Then he asked the last question: "Then why do you want to close all the doors and windows?"

Xu Yang couldn't help but roll his eyes: "I told you to use the small life-sustaining soup, and I told you Sun Simiao for a long time." Sun Simiao said in "A Thousand Golden Prescriptions" that "mortals suddenly encounter the wind, and their bodies and minds are evil, or they can't speak, or they are like this." ’”

"When taking the big and small life-sustaining soups, as well as the soups of Xizhou life-sustaining, exhausting, and Yuewen, in the windless secret room, take four or five times a day, do not count the number of doses, and do not worry about weakness, it is better to make the head, face, hands and feet, abdomen and back sweat endlessly. ”

When Xu Yuan heard this, he was immediately embarrassed.

Xu Yang shook his head: "Your theoretical foundation is too poor, go back and copy the "Thousand Golden Prescriptions" again." ”

"Huh?" Xu Yuan was dumbfounded.