"Doctor, there is something wrong with my throat. It makes me very upset. Please help me cure my throat!"
"Sister, don't worry about this first. Please tell me your symptoms in detail first."
"My throat is so uncomfortable! It feels like I have a ball stuffed in my throat all day long. I can't spit it out, and I can't swallow it down! It's so annoying!"
…
In the first few minutes of diagnosis, Li Duanyang had been communicating so strenuously with the middle-aged female patient named Chang. The patient was restless and kept telling how uncomfortable her throat was, and kept asking Li Duanyang to give her
Relieve throat discomfort.
Generally speaking, Li Duanyang doesn't need to ask too much about patients when he sees a doctor now. However, now that he wants to further improve his medical skills, he once again realized the importance of consultation. Some of the details asked during the consultation are likely to help him.
Have a deeper and more detailed understanding of a type of disease.
But now the patient's mental and emotional state are obviously abnormal. It seems that this plum core qi (the so-called pharyngeal hysteria in Western medicine is the plum core qi in traditional Chinese medicine) has really tortured the patient. If it continues like this, the patient will not be able to recover.
You will really suffer from mental illness such as depression.
"Okay, I'll give you acupuncture treatment first."
Li Duanyang saw that the patient was so irritable that even the consultation could not proceed smoothly, so he decided to use acupuncture to relieve her symptoms first.
He selected Hegu, Neiguan, Taichong, Tiantu and Lieque, and used the patient's Du meridian upper body column to Zhiyang line to press the Ashi point at the painful area for acupuncture and purgative treatment. The patient was less than 20 years old.
Minutes later, the patient breathed comfortably and exclaimed: "Oh, I feel good, I feel good! You are such an amazing little doctor!"
Li Duanyang smiled and said nothing.
He had treated many diseases such as plum core qi in his previous life. This disease was called plum core qi because the patient always felt as if there was a plum core blocked in his throat and could not get out or swallow.
The cause of this disease can be summarized in one word - "Yu".
Depression, including qi stagnation, phlegm coagulation, blood stasis, and food accumulation, can all be called "depression".
The cause of this "depression" is naturally caused by imbalance of the internal organs and poor circulation of qi, blood and body fluids.
For example, if the Chongmai is out of harmony, the negative Qi is urgent, the stagnant Qi rises upward, and phlegm condenses in the throat, it is easy to form plum core Qi.
Another example is stagnation of liver qi, bullying the spleen and invading the lungs. The spleen is the source of phlegm, and the lungs are the organ for storing phlegm. The spleen and lungs do not function properly, resulting in excessive phlegm. The spleen and lung qi are caught between the phlegm and the phlegm, which is also easy to accumulate in the throat.
The phlegm condenses to form plum core qi.
Why are the internal organs imbalanced? Why do qi, blood, and body fluids not flow smoothly? Why do the Chongmai lose harmony? Why do liver qi become stagnant?
Improper diet, irregular work and rest, and the six evils of wind, cold, heat, dampness, dryness, and fire will naturally cause these conditions, but the most critical ones are caused by poor emotions.
Therefore, this Plum Core Qi occurs more often in women.
Because women are born with a small mind, they keep it in their hearts and cannot resolve any issues, so it is easy for them to suffer from plump heart disease.
Of course, men can also experience imbalances in their internal organs, poor circulation of qi, blood and body fluids, and stagnation of liver qi. So why is it not easy for men to get plum core qi?
This is because plum core qi requires phlegm and qi to work together until it reaches the throat. Excessive condensation in the throat will cause plum core qi.
Men are generally more broad-minded than women, so they generally don't let phlegm and Qi condense in the throat to such a serious extent.
Plum core qi is a rather troublesome disease. It is difficult to remove the root cause of the disease with ordinary treatment, and it always relapses, especially when the patient is angry.
The general treatment idea is of course to treat "depression".
To treat "depression", it can relieve depression, smoothen Qi, resolve phlegm, dissipate blood stasis, and eliminate food.
Just by looking at this long list, you will know how troublesome this disease is.
None of these are easy to treat, especially the treatment courses for resolving phlegm and dispersing blood stasis are longer, and it is more difficult to resolve hard phlegm and old blood stasis.
Of course, there are ways to achieve faster results, and that means using psychotherapy in conjunction with drugs, acupuncture and other treatments.
Because most of the pain caused by plum core qi to patients actually comes from the "amplification effect" of the patient's own psychology.
Using psychotherapy in conjunction with drugs, acupuncture and other treatments to smooth the patient's emotions can not only quickly relieve the patient's liver stagnation and qi stagnation, but also eliminate as soon as possible the "expanding effect" of the patient's own psychology on the plum core qi.
”, the results will naturally be much faster.
Therefore, Li Duanyang's consultation with Sister Chang at this time was not only to understand her plum core qi in more detail, but also to find the crux of her psychological and emotional problems to see if her psychological and emotional problems could be resolved.
After careful questioning, Li Duanyang learned that Sister Chang had no other major symptoms except for plump bloating, occasional belching, and heartburn.
Diagnosis of his tongue and pulse revealed a red tongue with thin white coating and a deep and stringy pulse.
But Li Duanyang continued to ask questions slowly, and the topic gradually shifted to her family problems.
When it comes to family problems, the average patient will naturally not talk to the doctor in detail.
But it didn't matter. After Li Duanyang enveloped Sister Chang with a magnetic field, he could vaguely detect the thoughts that came to her mind when she answered the questions.
This ability began to appear when he and Gao Xiaozhu were sitting quietly some time ago. During this period, through his deliberate strengthening of practice, it has gradually been strengthened, and now he can barely use it.
According to his investigation, he gradually understood the origin of Sister Chang's many years of resentment. It turned out that she and her husband finally became rich through many years of hard work, but after becoming rich, her husband had an affair once, and she was told about this incident.
It left an indelible shadow in my heart, and the anger accumulated in my heart for many years, and I finally got this Mei He Qi a year ago.
It seems that if she doesn't get rid of this knot in her heart, her plum core will still be difficult to eradicate.
But it was not easy to get rid of this knot in her heart, not to mention that he was still an outsider.
The only way to alleviate her condition is with medication.
At that moment, Li Duanyang diagnosed Sister Chang as suffering from emotional stagnation and poor Qi movement, which caused phlegm to block Qi and form plum core Qi in the throat.
The treatment is suitable for soothing the liver and relieving stagnation, eliminating phlegm and dispersing stagnation.
The recipe uses Pinellia Magnolia Decoction combined with Sini Powder: Ginger Pinellia, Sichuan Magnolia officinalis, Perilla leaves, White Poria, Bupleurum, Zhigancao, Fried Citrus aurantium, Hangzhou white peony root, Sea mangosteen, and ginger slices.
Prescribe 7 doses first, decoct in water and take 1 dose per day.
This prescription uses Banxia Houpu Decoction to reduce qi and resolve phlegm, and Sini Powder to soothe the liver and relieve stagnation. The two prescriptions are used together. From the perspective of drug treatment, it can be regarded as treating both the symptoms and the root cause.
But the fundamental problem is that Sister Chang still needs to resolve her psychological depression herself. Otherwise, this medicine can relieve her for a while, but it will inevitably relapse in the future.
"Sister, your son is so old. Instead of looking at the monk's face and the Buddha's face, you should think more about your son's future. What's more, it has been many years and it is useless to dwell on it. Why not be an open-minded person?"
After writing the prescription and handing it to the woman, Li Duanyang couldn't help but persuade her.
These words made the woman stunned on the spot: "Do you know my man?"
"I don't know." Li Duanyang said with a smile, "But I know a little bit about physiognomy. Why should a blessed person be entangled in such a thing? Life is unsatisfactory eight/nine times out of ten. This thing between you is really a blessing.
It’s a trivial matter.”
The woman was silent for a long time, then thanked Li Duanyang and said, "Thank you. Since your magical doctor said so, I will really be asking for unhappiness if I don't let go. Thank you."
After the woman and her son left, Li Duanyang breathed a long sigh of relief, but found Qin Linlin staring at him: "Can you still read faces?"
"How can I do that? I'm just fooling this eldest sister."
"That's not right. How can you guess the approximate time many years ago?" Qin Linlin twisted Li Duanyang's ribs and said, "Quickly tell me, what's going on?"
"You're really blind, Qin Linlin, can you believe such a thing as fortune telling?" Li Duanyang said with a smile, "No matter what, you should fool her first. It doesn't matter if you're not right."
However, Qin Linlin still looked at him with suspicion. This guy seemed to have a lot of hidden abilities.