Chapter 130: Veteran Traditional Chinese Medicine's Visual Understanding of Prescriptions
"Sister Hu, let me take your pulse."
Li Duanyang then said to Hu Lizhen.
Hu Lizhen very quietly and cooperatively stretched out her arm and asked Li Duanyang to feel her pulse.
Since Zhang Dake also praised the little doctor for being extraordinary, and the little doctor dared to make a bet with Zhang Dake, he must be really capable. At this time, she already had great hopes for Li Duanyang.
The patient has great hope and trust in the doctor, which is very helpful in treating the disease, because it means that the patient will have a strong psychological hint that "I can be favored".
"Sister Zhang, stick out your tongue and let me see."
Feeling his pulse, Li Duanyang said to Hu Lizhen again.
Hu Lizhen quietly stuck out her tongue for Li Duanyang to see.
"The pulse is stringy and thin, and the tongue coating is white, thin and slightly greasy."
After Li Duanyang completed the pulse diagnosis and tongue diagnosis, he said to Guo Hongxia, Qin Linlin and Li Nini.
Then Li Duanyang briefly asked Hu Lizhen. Guo Hongxia and Qin Linlin on the side both recorded a row on their mobile phones: the patient's chest and ribs were full of tightness, he was breathless, his muscles were trembling, he was dizzy and heavy, it was difficult to turn sideways, and his diet was poor.
Stool is slightly hard.
Li Nini on the side looked at what Guo Hongxia had recorded cautiously, and compared it with what she had recorded on her mobile phone. She felt that this person was really high-class, as she herself had recorded Hu Lizhen's original words.
"The pulse is stringy and thin, which indicates that the patient's liver qi is stagnated and uncomfortable; the tongue coating is thin, white and slightly greasy, which indicates that the patient has dampness in the body, but it is not too severe."
"Fullness in the chest and ribs and a tendency to sigh also indicate that the patient has stagnation of liver qi. Sighing is the body's way of trying to help itself, as it wants to dissipate the stagnation of qi in the liver."
"Severe dizziness and inability to move the body indicate that there is water infiltration in the patient's body. However, it may be more of the patient's self-perception, indicating that the patient is in a state of extreme physical and mental fatigue."
"Poor diet is due to stagnation of liver qi, which affects the spleen and stomach, and the stool is slightly hard, indicating that the patient also has fire in his body..."
Guo Hongxia explained to Li Nini softly, and Li Nini gratefully leaned down and listened carefully, half understanding.
Gao Xiaozhu on the side also pricked up her ears and listened carefully. Occasionally she would understand a sentence and she would straighten her body a little.
Qin Linlin listened to Guo Hongxia's words while thinking about how Li Duanyang would treat Hu Lizhen next.
"Sister Hu, let me give you acupuncture and massage first."
Li Duanyang then said to Hu Lizhen.
Then Li Duanyang, Wang Xin, and Hu Lizhen went to the bedroom. It was inconvenient for others to go in and disturb them, so they had to wait outside.
Zhang Dake continued to drink tea boredly, and while he was drinking, his temper of being a teacher broke out again. He raised his eyes and looked around Guo Hongxia and others and asked: "What acupuncture points should be acupuncture if you think liver qi is stagnated?"
Qin Linlin, Li Nini and Gao Xiaozhu all looked at Guo Hongxia. Guo Hongxia respectfully answered a series of acupuncture points: Qimen, Riyue, Tanzhong, Taichong, Yanglingquan, Hegu, Xingjian..., and she knew each acupoint.
Being able to answer the question of what role acupuncture can play, Li Nini secretly clenched her hands. She didn't know when she would reach the high level of Sister Guo.
Then Zhang Dake asked a few more questions, and Guo Hongxia was able to answer them fluently. As a master's student, she still has a very solid theoretical foundation.
Several people were asking and answering questions like this in the living room. Time passed unconsciously, and then they saw Li Duanyang and Wang Xin gently walking out of the bedroom.
"Asleep."
Wang Xin said something softly, causing Zhang Dake to open his mouth and froze!
"How did you do it?" Then he looked at Li Duanyang, who was sitting next to him again.
"Sister Hu was too tired. I massaged her for a while and she fell asleep." Li Duanyang said calmly, taking out a pen and paper and starting to write a prescription.
Zhang Dake stared at Li Duanyang with his mouth open, and patted his head regretfully. If he had known that Li Duanyang could make Hu Lizhen fall asleep in a few seconds, he might as well have gone in and looked at her shamelessly.
"It seems that people really have souls." Qin Linlin looked at Li Duanyang and thought to herself. She generally knew how Li Duanyang massaged. It must be a special kind of soul that can soothe people.
Massage.
Zhang Dake was stunned and saw that Li Duanyang had already written down the prescription. He hurried to see the prescription written by Li Duanyang.
At the same time, Guo Hongxia and Qin Linlin also hurriedly came over to take a look, and even Gao Xiaozhu's little head squeezed over. Only Li Nini did not dare to come over to take a look for fear of crowding other people.
I saw that Li Duanyang's prescriptions were written neatly, for fear that the patient's family members might not understand clearly and cause misunderstandings.
Bupleurum, dragon bones, oysters, rhubarb, cinnamon twigs, cinnabar mixed with Poria Goddess, bamboo drain mixed with pinellia, ocher, Codonopsis pilosula, Polygala, ginger, and red dates.
5 doses were prescribed.
Guo Hongxia looked at the prescription and pondered. Is this a modified recipe of Bupleurum plus Dragon Bone and Oyster Decoction?
Bupleurum plus dragon bone and oyster soup is a classic prescription from "Treatise on Febrile Diseases".
The main effects are to relieve heat, relieve convulsions and calm the nerves.
The two medicinal herbs of Bupleurum and Guizhi in the prescription can soothe the inside and outside; dragon bone, oyster, ocher and cinnabar can calm the mind; pinellia, ginger and stomach can reduce inverse conditions; rhubarb can relieve internal heat and relieve stomach qi; Poria can calm the mind and facilitate urination.
; Ginseng and jujube replenish qi to strengthen the body and expel evil spirits.
This is the student Guo Hongxia’s understanding of this prescription.
As for Zhang Dake, his understanding of prescriptions is much more visual.
He mainly understands prescriptions based on the directionality of their effects.
The prescription prescribed by Li Duanyang includes medicines that go upwards. Bupleurum and Guizhi both go upwards and are used to disperse and expel disease pathogens.
The medicinal power of ginger spreads around, and is used to spread medicinal power and warmth around the body.
Keel, oyster, ocher, and cinnabar are all relatively heavy and are pressed downwards, used to calm the restless spirit and stop it from jumping around.
The medicinal power of rhubarb and pinellia is also directed downwards, used to smoothen the Qi downwards, and at the same time, it also coerces the heat evil in the patient's body and excretes it through the stool.
Judging from this prescription, there are medicines that go upward, medicine that goes downward, and medicine that spreads around. In this way, the Qi machine in the patient's body will be pulled up, so that the Qi in the patient's body will be fully activated.
.
When Qi comes alive, Qi is the leader of blood, and blood will naturally be brought alive by Qi.
This is one of the fundamentals of treating patients.
At the same time, it is also fundamental to use heavy medicine to calm the soul, and to use Fu Shen and Polygala to soothe the soul.
In addition, bamboo juice mixed with pinellia and ginger can also reduce phlegm. Hu Lizhen's disease must resolve phlegm. Phlegm is the most direct reason that disturbs Hu Lizhen's soul and makes her unable to sleep peacefully.
Then, in order to prevent the patient's qi and blood from being damaged, add Codonopsis pilosula and jujube to replenish qi and blood.
"This medicine seems to be watertight." Zhang Dake sighed inwardly.
However, he still has some doubts. Can this prescription really have any effect? He has used similar medicine before, but he has not seen any effect.
But he didn't say anything. As an old Chinese medicine doctor, he knew very well that sometimes the slightest difference in the use of medicine could lead to a huge difference. Moreover, he felt that the acupuncture and massage of young young man Li Duanyang seemed to have some ghosts. Maybe in acupuncture
With the help of massage, can Li Duanyang really cure Hu Lizhen?