Li Duanyang continued to chat with Gao Jie, his wife, and Zhou Siqing in the courtyard, while he also paid attention to the movements of Zhang Dake diagnosing patients in the clinic.
For some common diseases, Li Duanyang still trusted Zhang Dake, but sometimes he had to try to prevent him from misdiagnosing mistakes.
After listening for a while, Li Duanyang listened to Zhang Dake's diagnosis of the patient's Daqinglong Decoction syndrome of wind-cold externally, evil heat internally, and solid externally and internally, but he still stood up uneasy and walked slowly into the consulting room.
It's not that he doesn't trust Zhang Dake, but it's because this Da Qinglong Decoction is not an ordinary prescription. This prescription is known as the most powerful agent for sweating in "Treatise on Febrile Diseases". If the syndrome is not correctly identified, big problems will occur!
This Daqinglong Decoction can be regarded as a combination of Ephedra Decoction and Guizhi Decoction. Both Ephedra Decoction and Guizhi Decoction cause small sweats, but this Daqinglong Decoction makes you sweat profusely!
Most of the time, patients will sweat profusely after taking Daqinglong Decoction, as if they have been washed with water!
Sweat is the fluid of the heart. Excessive sweating can damage both yin and yang. If the syndrome is not correct and you use Da Qinglong Decoction, it will be life-threatening!
Especially patients with Shaoyin disease cannot take this Da Qinglong Decoction. Patients with Shaoyin disease have heart, kidney and yang deficiency, and if Da Qinglong Decoction causes excessive sweating and damages the yin and yang, their lives will be in danger in an instant!
However, Li Duanyang was a little worried in his heart, but he couldn't show it on the surface, especially because he couldn't let the patient see that he was worried about Zhang Dake taking medicine like this. So after he walked into the consulting room, he just sat quietly and felt the patient's body.
According to the status of yin and yang qi and blood, Zhang Dake was diagnosed correctly, and then he slowly walked out of the consulting room.
"Who is this young man? Why is he so rude?" Patient Hou Qingliang asked Zhang Dake, "Your apprentice?"
Seeing that this young man was very young, he felt that he should be Zhang Dake's apprentice, but he didn't seem to regard Zhang Dake as his master, so he was a little surprised and couldn't stand it at the same time.
"No, the owner of this clinic." Zhang Dake glanced at Hou Qingliang and said, "You are really irritable. You glared at your wife when you came into this clinic. Now you don't like anyone. Why don't you like her?
Are you polite?"
"Haha, just saying, it's okay if he's your boss." Hou Qingliang said with a smile.
"Girl, please watch out," Zhang Dake turned to Li Nini and said, "If you have a Taiyang stroke, a floating and tight pulse, fever, aversion to cold, body pain, no sweating and irritability, Daqinglong Decoction can be used."
"So the key point of Daqinglong Tang syndrome differentiation is that the body is hot, but is afraid of cold, does not sweat, and is extremely irritable."
"Your Uncle Hou is not usually a very bad-tempered person, but look at how irritable he is today. Sometimes he glares at your aunt, and sometimes he looks displeased at others!"
"Furthermore, you see that your Uncle Hou's face is a little swollen, which means that there is water in his skin and muscles. This is called overflow. This can also be done by using Da Qinglong Decoction to drain out the water!"
Li Nini quickly nodded seriously while recording on her phone.
"Lao Zhang, are you really planning to train this girl to become a doctor of traditional Chinese medicine?" Hou Qingliang said.
"What's wrong?" Zhang Dake rolled his eyes and said.
"Nothing, nothing, I just feel a little weird."
"You weird ass! How can such a smart girl learn Chinese medicine? Do you think everyone is as stupid as you?" Zhang Dake scolded, "You are worried about how you will cultivate those acres of land, and how you will marry your son.
As a wife, you don’t have to worry about others!"
"Okay, okay, damn, you said I was irritable. You, Lao Zhang, have such a bad temper!" Hou Qingliang said with a smile.
"My Lao Zhang's temper has always been like this. Your Xiao Hou's temper became stronger because of this disease. This is different!"
As Zhang Dake spoke, he began to prepare medicine for Hou Qingliang, and at the same time began to give him some medical instructions.
"Remember, this medicine can only be taken once, and I will only give you one dose. If the condition recurs in the future, you can come back and I will take a look at it. Remember it!"
Before Hou Qingliang left, Zhang Dake gave him another warning.
"Okay, okay, remember! You are so verbose, Lao Zhang!" Hou Qingliang took the medicine, waved his hand and left.
When he walked into the yard, he glanced at Li Duanyang again, thinking that it was not easy for this young man to become a boss at such a young age and still Zhang Dake's boss.
"By the way, Doctor Li, Da Qinglong Decoction is also a release agent. There are so many release agents in your Chinese medicine, how do you distinguish them?" Gao Jie also heard what Zhang Dake said in the clinic and asked Li Duanyang.
Li Duanyang said in a slow voice: "In our traditional Chinese medicine, any prescription that can loosen the surface of the muscles, promote sweating, disperse external evils, and relieve external syndromes is collectively called an external antidote. These prescriptions generally also have diuretic and analgesic properties."
It can relieve swelling, relieve cough and asthma, relieve rash and relieve pain.”
"Exotactic agents are generally divided into pungent-warming agents for relieving the surface and pungent-liang agents for relieving the surface. Pungent-warm agents for relieving the surface dissipate wind-cold from the body surface, and pungent-liang agents for relieving the surface dissipate wind-heat from the body surface."
At this point, he didn't want to talk any more. Gao Jie's question was too big, and it really couldn't be explained clearly in a short while.
Gao Jie also realized that his question was too big, and he was too embarrassed to ask.
Qian Xiaoxia caught up and asked: "Doctor Li, how do you distinguish between Da Qinglong Tang, Xiao Qinglong Tang, Maxing Shigan Tang, Ephedra Tang, and Guizhi Tang?"
When Gao Jie heard his wife ask this question, he looked at her in surprise. He didn't expect that she could remember the names of so many prescriptions. It seems that those Chinese medicine books she bought were not in vain. It seems that this guy wants to learn Chinese medicine.
More energetic than him!
When Qian Xiaoxia saw her husband looking at her in surprise, she snorted slightly, which meant that you would look down on me again!
At the same time, she had already taken out her mobile phone to record what Li Duanyang said.
Li Duanyang noticed the couple's expressions and smiled, and then saw Qian Xiaoxia preparing to take notes, so he spoke more slowly.
"Da Qinglong Decoction is mainly used to treat cold on the outside and heat on the inside, so it focuses on relieving the cold on the outside and clearing away the stagnant heat in the body; Xiao Qinglong Decoction is mainly on treating cold on the outside and drinking on the inside. So it focuses on
Relieves the surface and dispels cold, warms the lungs and transforms drink."
"Maxing Shigan Decoction and Daqinglong Decoction both treat cold on the outside and heat on the inside. The difference is that Daqinglong Decoction treats cold on the outside and heat on the inside, so it emphasizes the use of ephedra to relieve the symptoms;
The cold on the outside is light and the heat on the inside is heavy, so it is important to use gypsum to clear away the heat."
"Ephedra decoction is mainly used to relieve sweating and dispel cold. Internal heat and internal dampness are not major problems, so it does not use plaster."
"The above three prescriptions all use ephedra to relieve symptoms. Guizhi Decoction does not use ephedra, so the sweating effect of Guizhi Decoction is the weakest. To drink Guizhi Decoction, you have to drink porridge and cover yourself with a quilt to sweat.
Come on. Because Guizhi Decoction has the smallest superficial symptoms of wind-cold, its function is not only to evacuate wind-cold, but also to reconcile the body's defenses and normalize the body's surface defenses."
After Li Duanyang finished speaking, Qian Xiaoxia typed for a while, and asked Li Duanyang several times before recording everything. After reading it silently, she suddenly felt enlightened, and then she said to Li Duanyang one after another.
Thank you several times.
She was really grateful to Li Duanyang. If she hadn't listened to Li Duanyang explain these things to her, it would have taken her a long time to figure them out.
At this time, Zhang Dake also listened silently to Li Duanyang's explanation. Seeing that Li Duanyang could explain the differences between these prescriptions so clearly, he really sighed in his heart, this little boss is really a great talent in traditional Chinese medicine!