Chapter 115: The etiology of the patient's aversion to cold after eating and drinking
"So when I look at Uncle Han's body, in addition to deficiency of Qi and blood, sagging Qi and excess dampness, the cold evil is very serious! You can see that his face is sallow, which is a sign of Qi and blood deficiency, and his cheeks are darkened. This is
It is a symptom of cold evil binding the lungs."
"Cold evil is trapped in the lungs. The lungs are in charge of abnormal joint function and cannot fully distribute body fluid, qi, and blood throughout the body, so the face is sallow and the cheeks are darkened."
"This is also reflected in his pulse. The right pulse is moist and thin, and the left pulse is stringy and thin. This is not only a pulse condition of deficiency of Qi and blood and excess of dampness, but also a pulse condition of cold evil."
At this time, the tone, volume and pitch of Li Duanyang's words did not change, but his tone changed, becoming less humble and polite, becoming a little thicker and even a little godlike.
"The current symptoms on Uncle Han can also prove this."
"What's the reason why I feel cold after eating? What's the reason why I feel even colder after drinking hot water?"
"It's very simple. This is the reason why the cold evil is possessed."
"Eating and drinking hot water arouses the cold evil in the body. Specifically, it is because after eating and drinking hot water, the heat begins to vaporize the cold body fluids in the body and begins to melt the cold phlegm and blood stasis in the body. This will
It begins to absorb a large amount of heat from the human body, and people will naturally feel cold."
"It's just like it's not cold when it's snowing, it's cold when it's snowing. When the snow starts to melt, it absorbs a lot of heat from the atmosphere, so the weather becomes cold."
"As for why Uncle Han feels a chill on his back extending from top to bottom to the soles of his feet, and then spreading throughout his body, it's because the place where cold evil is most likely to invade and accumulate is the Foot-Taiyang Bladder Meridian on the back of the human body."
"Of course, cold evil will also invade and accumulate in the gallbladder meridian, lung meridian and stomach meridian of the human body until it spreads all over the body, so Uncle Han will feel cold all over his body later."
"To sum up, I feel that the cold evil in Uncle Han's body is very serious."
After Li Duanyang finished speaking such a long line of words, he stopped. Because the impatience on the faces of the two professors became more and more obvious, he gave them a chance to argue.
"Xiao Li, what you said sounds reasonable at first glance. However, Xiao Li, we are here to see a doctor, not to create a theory."
The younger of the two professors, Zhou Hengyang, who is in his forties, said.
He put the word "creation" very seriously, which is equivalent to saying that Li Duanyang is talking nonsense.
Because in his understanding, "cold can produce turbidity" is not what Li Duanyang understood. It should mean "cold can produce turbidity in the human body."
But he didn't want to argue with Li Duanyang about this, because the two understandings ultimately led to similar conclusions, both of which were that cold evil could lurk in the human body in various forms.
Li Duanyang understands it so well and is more direct.
According to his understanding, after going around and around, he couldn't explain clearly in the end.
Moreover, arguing literally with a student kid here is too derogatory.
This is not an examination room, so there is no need to be so specific.
He only needed to refute the student Li Duanyang on the patient's condition.
Li Duanyang looked at him calmly and listened to him continue.
"You said that the patient's body is mainly possessed by cold evil. Then, the patient's tongue is red, the tongue coating is white and yellow, thick and greasy, and the urine is dark yellow and thick. How do you explain these thermal symptoms?" Zhou Hengyang stared at Li Duanyang and asked.
"I have not denied that Uncle Han has heat in his body."
Li Duanyang spoke again gently and calmly.
"At the same time, what I said above is not a theory created by myself. I don't have such great ability. "Huangdi Neijing" says [Cold Qi produces turbidity], and what I said above is all based on this point."
"The Huangdi Neijing also says that extreme cold generates heat, and extreme heat generates cold. Cold evil can also be transformed into heat."
"One of the simplest manifestations is that after cold evil invades the kidneys and affects the kidney water to nourish the whole body, the human body will naturally start to generate heat."
"For this reason, we can make an analogy. If the navel of the human body is regarded as the horizon, then the kidney water is like the groundwater in the earth. If the groundwater does not rise to nourish the earth, the earth will naturally heat up."
(In traditional Chinese medicine, the so-called heart and kidneys intersect, and this is the principle of water and fire. Heart fire and kidney water use each other to maintain the balance of heat and water in the human body. This is also an important way and manifestation of the balance of yin and yang in the human body.)
"So the current condition in the body of the patient, Uncle Han, is a mixture of cold and heat, but it is a real winter holiday fever."
"Therefore, on the basis of raising Yang and raising Yang, removing dampness and diluting water, the focus should be on warming Yang and dispelling cold."
"Patients are not experimental subjects, and we cannot take medicines for granted." Zhou Hengyang couldn't find a good way to refute Li Duanyang, so he could only say this to save face.
Another professor named Kai Kaitang did not speak, with a thoughtful look on his face.
Tang Jiacheng didn't say anything. Li Duanyang's final conclusion was consistent with his. However, he was based on a diagnostic intuition, but the reasoning was not as clear as Li Duanyang's was so organized.
After Li Duanyang finished speaking, he said no more.
All of you here are from the Province of Traditional Chinese Medicine (at least in name). The main issues have been analyzed clearly, and other minor issues are not discussed.
The patient, Han Jinhou, had drowsiness, dizziness, weakness in his lower limbs, a floating sensation when walking, and was prone to colds. This was due to a deficiency of both qi and blood, and the lack of solid defense qi on the body surface.
Poor appetite, more belching and less gas, and soft and unpleasant stools are the reasons for spleen deficiency and inability to transport and transform, excess dampness in the middle burner, failure of clear yang to rise, and stomach qi to rise and reverse.
Patients often experience itchy skin, which is mainly caused by blood deficiency and damp-heat in the body.
The urine is like strong tea, the fur is white and yellow and thick and greasy, and the pulse is thin and stringy, which means that there is dampness and heat stagnation in Shaoyang.
Then the treatment method has come out, which is to raise the yang and lift the yang, nourish the spleen and stomach, unblock the yang and diuresis.
Tang Jiacheng didn't speak and had already started writing the prescription.
The two professors also started writing prescriptions.
Li Duanyang also started writing.
The prescriptions he wrote were astragalus, bupleurum, cohosh, kudzu root, dangshen, atractylodes, Dabupi (dried peel of betel nut), poria, artemisia, Tongcao, poria, tangerine peel, and licorice.
Astragalus, Bupleurum, Cimicifuga, and Pueraria Mirifica all have the effect of raising Qi and can raise Yang and relieve depression.
Bupleurum and Artemisia annua can activate the Shaoyang Qi mechanism, and combined with Tongcao, Poria cocos can facilitate urination and mainly Tongyang.
At the same time, Codonopsis pilosula, astragalus, licorice, kudzu root, cohosh, and tangerine peel can invigorate spleen and lower stomach qi.
Atractylodes macrocephala and Atractylodes macrophylla enhance the effect of strengthening the spleen and removing dampness.
Because today's discussion was not very harmonious and the atmosphere was a bit subtle and awkward, everyone finished writing their prescriptions and stopped discussing it. It was up to the host to decide which prescription to use.
Li Duanyang said goodbye and didn't think much about today's incident. Originally, he wanted to keep a low profile, but since he couldn't keep a low profile, he had to make a show of it. He didn't have to regret or worry about it.
It's just that there may be a reputation for being too arrogant, but that doesn't matter. The Chinese people's tongues have never had a backbone. You can either say "You should be crazy when you are old, but steady when you are young", or you can also say "it is a waste of youth if you are not arrogant".
If you don’t have a lot of energy, are you still a young man?
The progress of this society depends entirely on the energy of young people who rush forward vigorously.
Therefore, there is no need to look forward and backward, just move forward in an upright manner.
On the way back in the car, Liu Hongwei called him: "Duanyang, my friend still admires you very much. The prescription is Tang Jiacheng's. It is basically the same as your prescription, except that it contains less Atractylodes and Atractylodes."
Big belly skin two kinds of medicine."
This is something that can be expected. Tang Jiacheng is more prestigious than him after all.
Therefore, Li Duanyang was not disappointed after hearing this, and said with a smile: "The medicine is not powerful enough, it can have an effect, but the effect is slow."
"Then I will try to persuade my friend in two days." Liu Hongwei said.
"That's up to you, Uncle Liu. Anyway, I have completed the task you assigned me." Li Duanyang said with a smile.
In his mind, this was really a favor returned to Liu Hongwei.