"More than just seeing it, the mountain fire was lit and the sky was cool, giving Qi Lao, who was about to die, another month or two of longevity."
Sun Qingping said with a smile.
Sun Qingping is also over 80 years old. At this age, he has already looked away. When should he leave?
Fang Le extended Qi Youmin's life for another two months, which really surprised Sun Qingping.
Of course, Cheng Zaiming and Zheng Gaofeng were also surprised and dumbfounded.
Is Fang Le running to Shanghai to save Qi Youmin's life?
It’s really the method of the King of Hell.
Who is Qi Youmin? How can there be so few famous doctors around him?
But it was Fang Le who took the lead.
At this moment, Zheng Gaofeng was completely convinced.
"This is not important, let's continue talking about the condition."
Fang Le brought the topic back.
Zheng Gaofeng and Cheng Zaiming looked at each other, God is not important.
This matter is important to everyone, right?
"We have analyzed it very clearly just now. The patient has a large amount of deficiency and excess, a mixture of deficiency and excess, and is also blocked. In this case, the only way is to use the sweating method, otherwise there is no way to solve this knot."
Fang Le said slowly: "So, you can try the Ephedra Asarum and Fuzi Decoction first. What do Director Zheng and Director Cheng think?"
"No, you can prescribe it."
Zheng Gaofeng shook his head. Fang Le just described his condition. They were just like students, so how dare they have any opinions.
It’s really hard to imagine that this kid is only twenty-two years old?
"Master!" Fang Le looked at Sun Qingping.
"You draw up the prescription." Sun Qingping said.
Fang Le no longer hesitated and began to draw up the formula.
30 grams of ephedra, 20 grams of asarum, 200 grams of aconite....
Looking at Fang Lexiu's prescription, Zheng Gaofeng and Cheng Zaiming almost stopped being autistic.
Why is it 200 grams again?
Is this an argument with Aconite?
Although you are nicknamed Fang Fuzi, you can't always use Fuzi like that, right?
I really thought this was ginseng, so I could eat it however I wanted?
No, even if it’s ginseng, you can’t eat it however you want.
Zheng Gaofeng felt that he was frightened and confused.
"Fang Le, is it still such a large dose?"
Zheng Gaofeng asked: "In the past, the patient needed to quickly restore the yang to consolidate the ejaculation. Now, although the yang root is not consolidated, there is no need to continue taking risks, right?"
"Director Zheng, the Han Dynasty measuring instrument 'Quan' was discovered in archeology more than ten years ago. Does Director Zheng know about this?"
Fang Le suddenly asked.
"heard about it."
Zheng Gaofeng nodded.
"Just hearing about it is not enough."
Fang Ledao: "The discovery of 'Quan' is of great significance. The measurement units used before were all ancient measurement units, so there has always been controversy in the Xinglin community about the prescription dosage in "Treatise on Febrile Diseases"..."
"Without an accurate quantification, later generations of doctors often have difficulty controlling the dosage when using medicine. From the Ming Dynasty to the present, doctors use medicine based on the assumption that one liang in ancient times is equivalent to one qian today. In addition, the actual dose of the prescription is often
They are all used in the same dosage as the original recipe, but with the discovery of 'quan', we follow the ancient and modern weights and measures conversion method. One tael in the Han Dynasty is almost 15.625 grams today, and one pound is almost 250 grams. In this way, the actual use
The dose of the classic prescription is one-tenth of the original prescription..."
Sun Qingping and Cheng Zaiming listened carefully.
The actual dose of the classic prescription mentioned by Fang Le is half of the original prescription. This is the usual thinking from the Ming Dynasty to the present.
Fang Le had mentioned this before when he was talking to Sun Qingping alone.
The prescriptions created by predecessors were not as bold as those of later generations. The dosage was reduced and the dosage was not as sufficient as the original prescription. In addition, the calculation of the measurement unit was wrong, and the gap with the original prescription was even greater.
"In terms of authoritativeness, "Treatise on Febrile Diseases" is definitely a very authoritative classic. Zhang Zhongjing's cubic dosage is large, the medicine is simple, specific, and effective..."
Fang Le said slowly: "It can be said that "Treatise on Febrile Diseases" is the first treatise on acute febrile diseases in traditional Chinese medicine. In the late Eastern Han Dynasty, cold epidemics were prevalent. Typhoid fever is characterized by rapid onset and rapid onset. This is also the "Treatise on Febrile Diseases". The basis of birth..."
"By the Ming Dynasty, the dosage in the Han Dynasty was no longer reliable. In addition, the "Compendium of Materia Medica" compiled by Li Shizhen was mainly based on collections, which were mostly conjectures and guesses, leading doctors who did not know the truth to use this as the standard."
What Fang Le said was summarized by many people in later generations.
Among the people who have made the greatest contributions to traditional Chinese medicine in history, the medical sage Zhang Zhongjing is definitely the first, followed by Ge Hong, Sun Simiao, Li Shizhen and others. Although Hua Tuo is famous, because there are few classics handed down, his contribution is less than that of Zhang Zhongjing and others. People are a little worse.
Among them, Li Shizhen is relatively controversial, because in constant practice, many Chinese medicine practitioners have discovered some errors in the "Compendium of Materia Medica", especially in terms of dosage and efficacy.
This has also led some Chinese medicine practitioners to criticize Li Shizhen, saying that Li Shizhen is a misleading person in Chinese medicine...
However, in Fang Le's view, the responsibility cannot be placed entirely on Li Shizhen. The biggest difference between Li Shizhen and Zhang Zhongjing is that Zhang Zhongjing is a clinician, and the books he writes are based on his own practice, his own life experience and insights.
And Li Shizhen is just a medical scientist, belongs to the teaching school, and does not have rich clinical experience. The biggest contribution of "Compendium of Materia Medica" is actually classification and summary, classifying some folk remedies or hearsay, just like a kind of herbal medicine The catalog is convenient for reference, but it cannot be used as a complete reference.
Zheng Gaofeng and Cheng Zaiming didn't pay much attention to what Fang Le said. They studied medicine earlier and their thinking had already been set. Their main focus was on clinical practice. As for the discovery of "quan" mentioned by Fang Le, these people also didn't pay much attention to what Fang Le said. They just heard about it but didn't go into it deeply. Only when Fang Le said it now did they know that there was such a thing.
"Let's talk about Sini Soup."
Fang Le continued: "Sini Decoction is Zhang Zhongjing's powerful medicine for rescuing yang-related syndrome. It has the effect of cutting off barriers and seizing doors, breaking yin and returning yang, and resurrecting the dead. The original recipe is 2 taels of roasted licorice and two halves of dried ginger. One piece of aconite is usually 20-30 grams for a larger piece of raw aconite...According to the normal amount of the original recipe, the dose of Zhigancao in the Four Seasons Decoction should be 30 grams. The medicinal effect of the prepared aconite Often there is only half of the raw aconite, and at least 60 grams are needed to prepare the aconite..."
"But in fact, the dosage of the prescription Sini Decoction in the pharmacopoeia is only 5-10 grams of Fuzi and only 6 grams of Zhigancao. How can such a dosage be able to restore Yang and save Ni, and save people from death in an instant... "
"Based on the dosage standard of 5-10 grams, 200 grams of aconite is already 20-40 grams of excess. It scares people to death. But if it is based on 60 grams, it is only three times more."
As he spoke, Fang Le took a sip of water, and after Zheng Gaofeng and Cheng Zaiming had digested it, he said: "As for this disease, we must not only open and close the external organs to guide the evil of ice and cold, but also support the yang and prevent sweating.
When the yang energy is prolapsed, the dose of aconite in the Ephedra Asarum Aconite Decoction cannot be small..."
"The dosage of aconite in the original prescription of Ephedra Asarum and Aconite Decoction in "Treatise on Febrile Diseases" is the same as that of Sini Decoction. It is fried, peeled, and broken into eight pieces. It takes at least 60 grams to prepare aconite, and 60 grams is calculated according to half the dosage of the original prescription.
If you don’t take half of it and use 120 grams, it is within the range. Now that the condition is special, using 200 grams is not outrageous.”
After Fang Le finished speaking, the duty room was quiet for a long time, and then Sun Qingping said: "What Fang Le said is right. We didn't know enough before, so we always felt that we were using large doses of medicine in clinical practice. In fact, we were early
I have already castrated the original dose in my mind...and the Vulcan sect often uses larger doses than the regular dose. According to Xiao Le's explanation, it is really not terrible."
Zheng Gaofeng and Cheng Zaiming both glanced at Fang Le.
Today they were taught a lesson by Fang Le.
They had never considered what Fang Le said before, but now that they think about it carefully, it is true that the current small doses are often difficult to be effective clinically.
Because of this, many Chinese medicine practitioners are a little skeptical of Chinese medicine, especially beginners, who are prone to doubting life.
But who would have thought that sometimes it’s not that the TCM prescription is wrong, but that the dosage is severely limited, making it difficult for the prescription to be effective.