At this time, Professor He looked at the patient's prescription sheet again and nodded slightly. It was indeed Yangming's cough caused by constipation caused by the food. When he looked at Chen Yang again, there was no disdain in his eyes.
Because he knew that Chen Yang had already understood the truth. Others did not understand it, but he understood it. Hey, that’s not right! After checking the pulse, Chen Yang went directly to Yang Ming’s Fu organs to ask about it. He didn’t even look at it.
After reading the prescription, he didn't even know what medicine the patient had used before, but how could he determine that the child's cough was caused by food intake, rather than phlegm-heat blocking the lungs?
Thinking of this, Professor He looked at Chen Yang in surprise. Just one disease could classify the Chinese medicine practitioners on site.
And these little Chinese doctors around him told them the answer, but they didn't understand the reason, which shows the difference between their levels.
What makes He Dongjun puzzled is why Chen Yang could make a judgment without looking at the doctor's prescription. Was he just guessing?
At the same time, the other young Chinese medicine practitioners looked at me and I looked at you, and they were all talking in low voices. Can local food also cause coughs?
Chen Yang heard their discussion and confusion, and explained with a faint smile that the patient had accumulated food due to overeating, so that it became food in the large intestine and could not be excreted. The excess heat accumulated in the large intestine and became a fu-organ syndrome. Yangming Fu-organs
The empirical evidence does not say that you will cough, but you can't stop studying! Chinese medicine treats diseases based on the dialectical approach of the whole body. Have you forgotten that the lungs and large intestine are each other's exterior and interior?
The other Chinese medicine practitioners were all startled after hearing this.
Chen Yang smiled and said: "The lungs are responsible for the purification and descending. If the excess heat in the intestines moves to the lungs, it will cause the lungs' purging and descending function to be abnormal, and cough will naturally occur. Not only that, we will find this in clinical practice
The cough is more severe than a normal cough."
The Chinese medicine practitioners looked at each other and began to think about it carefully.
Chen Yang continued to give advice to these young Chinese doctors, saying: "This is also why some children have been constipated for several days after eating too much, but they develop fever, cough, respiratory tract inflammation and other symptoms. At this time, simply clearing the heat from the upper burner
, it won’t work.”
"Even if you use anti-inflammatory and other Western medicines, they often don't have good results. The reason is simple, because the heat in the large intestine has not been removed, which is like the fire at the bottom of the cauldron. The fire is burning underneath you."
"It will naturally be very hot up there. If you just try to cool down the top, it won't come down. You have to extinguish the fire below. This is the root cause of the disease. This is the method of removing fuel from the cauldron in traditional Chinese medicine."
After hearing Chen Yang's explanation, everyone seemed to understand.
At this time, one of the young Chinese medicine doctors asked in confusion: "But Dr. Chen, why can you immediately judge that it is Yangming's syndrome of fu-organ deficiency? It is very possible that phlegm-heat blocks the lungs, and the patient's symptoms
The symptoms are all consistent."
Others felt that what the young Chinese medicine doctor said made sense, and they all nodded. This was also what confused them.
At the same time, Professor He also looked at Chen Yang, and he didn't understand how Chen Yang made a direct judgment.
"Suwen Cough Theory" says: All the internal organs can cause cough, not just the lungs.
Cough is a disease that is inherently difficult to cure. The internal organs, internal and external evils can all cause coughing. Sometimes, if the cause of the disease is not identified, it will take a long time to be cured.
At this time, it is necessary to check the doctor's skill. The previous pulse diagnosis showed slippery pulse. Then there are several syndromes that slippery pulse can control, including phlegm and heat, and food accumulation.
In addition, the patient coughs with phlegm, and the flushed face is often caused by phlegm-heat obstruction, and the tongue sign is also a major heat syndrome. All the evidence points to the phlegm-heat blocking the lungs, leading to cough.
Therefore, many doctors will directly use prescriptions to relieve cough, reduce phlegm and clear away heat. After the treatment, it has no effect. When the patient comes for the second time, he may think about food accumulation and change the prescription.
But many times, if you don’t get results the first time, people won’t come to you at all the second time. If you think you have been cured, then your level cannot be improved.
For those experienced traditional Chinese medicine doctors, they cannot make such simple judgments and must be cautious. Since the diagnosis is slippery pulse, they will definitely ask whether there is phlegm in food.
If you ask, you have it. Here we have to screen out a group of people. Is it cough caused by food accumulation or phlegm and heat blocking the lungs? How to focus on medication. If you still can't judge well, then you have to try again. If it is level
A more advanced Chinese medicine practitioner will find more evidence.
After a while, Chen Yang said again: "Didn't you hear the family members say that the child started coughing after going to bed? Why doesn't he cough during the day, but only coughs at night?"
Everyone was startled again.
Chen Yang smiled and continued to explain patiently: "If phlegm-heat blocks the lungs, how can we not cough during the day? Moreover, the phlegm coughed up by phlegm-heat blocking the lungs is mostly yellow phlegm. Didn't you listen carefully? The patient coughed
What comes out is white saliva, and no phlegm has come out.”
After hearing Chen Yang's explanation in such detail, Professor He and other Chinese medicine doctors were filled with astonishment. Su Yong, who was behind her, listened to Chen Yang's explanation in a clear and logical manner, and her eyes added a bit of admiration. She couldn't help but look at Chen Yang.
Give a thumbs up to show encouragement.
Chen Yang continued: "And according to the rules of the twelve meridians, coughing caused by Yangming Fu-organs is usually more severe at night, especially in the early morning."
"Yes, yes, yes." Auntie agreed quickly: "It was just that the cough was so bad in the second half of the night that we couldn't sleep because of him."
Now everyone completely understood.
It’s just that Professor He is still frowning. It’s not that he doesn’t understand the disease. After reading the prescription, he has already judged that the medicine for Xuanfei and cough that he used before is ineffective, and Western medicine is also ineffective. So it’s probably not the case.
The problem is coke.
Such judgment is based on experience and level.
For example, when He Dongjun read the prescription, he did not dare to make a direct conclusion. Instead, he thought that the medicine might be wrong and did not pay enough attention to clearing heat, so the effect was not good. He was not sure and was hesitating.
But what made him very confused was that Chen Yang did not read the prescription, but after checking the pulse, he had already determined that the patient was caused by food accumulation.
He was not simply asking about food accumulation, but had already judged Yangming's fu-organs and kept asking about the condition of Yangming's fu-organs, as if he already knew the answer.
Is it just a coincidence? He has seen such medical records? The more he thought about it, the more confused he became.
At this time, a young Chinese medicine doctor in the crowd asked weakly: "Dr. Chen, didn't the patient have clear water? Is this considered to be a deficiency of the fu organs?"
Chen Yang looked at this scumbag with some speechlessness, and said: ""Treatise on Warm Epidemic: Stool": Those with heat knot and side discharge are due to gastric congestion, internal heat blockage, and the stool will be blocked first, and then the diarrhea will be better, and it will be pure smelly water.
, there is no stool at all. Didn’t I tell you that hot knots are flowing sideways? There is no stool, and smelly water comes out, which is also evidence of the internal organs.”
The little Chinese doctor who asked the question looked stunned after hearing this, and his face turned red with embarrassment.