Chapter 192: Simple logical reasoning of the etiology, pathogenesis and symptoms of Xiaoqinglong Decoction
After waking up from their lunch break at two o'clock in the afternoon, Li Duanyang and Gao Xiaozhu sat under the big elm tree in the clinic yard again, reading, studying, and watching ants.
Gao Xiaozhu's enthusiasm for Shirley declined, so Shirley was finally able to escape from her "little clutches" and climbed to the top of a big elm tree to rest and snore.
Zhang Dake is treating people, and Aunt Zhang is watering the flowers. This is a new interest she developed after coming here.
Zhou Siqing and Old Man Gao were decoctioning medicine for each other in the decoction room. While discussing some medicinal properties, Zhou Siqing suddenly discovered that an old farmer could also be very knowledgeable. Uncle Gao seemed to have a very deep understanding of some medicinal herbs, at least.
He knew her much better than she did.
Liu Hongtao and his wife were very quiet in the room because their precious son was sleeping. Currently, the little boy's face is rosy, the swelling in his body has completely disappeared, his bowel movements are normal, he can eat and sleep, and he is already a healthy and normal baby. He only needs
After a little consolidation of the curative effect and another day of observation, they can be "discharged".
Liu Hongtao's parents sent a banner back to the clinic in the morning. Li Duanyang did everything he could and hung it over Zhang Dake's clinic.
The medicine Li Duanyang explained to Gao Xiaozhu today is Chuanxiang, whose main function is to promote qi and relieve pain.
Why can moving Qi relieve pain?
Since blocked meridians cause pain, dredging the meridians by moving Qi can relieve pain.
This principle is so simple that even Gao Xiaozhu understood it immediately. In order to strengthen her memory, Li Duanyang even drew a picture to explain it to her.
After explaining, the two of them were quietly looking at the ants on the ground when Qian Xiaoxia came with a man in his forties.
"Doctor Li, this is my cousin Qian Zhongxiang..."
Qian Xiaoxia explained to Li Duanyang that she was off work today and was about to come here. It happened that his cousin Qian Zhongxiang was sick, so she brought him here.
"What are you feeling uncomfortable about?"
After Li Duanyang put on a mask and entered the consulting room, he put his hand on Qian Zhongxiang's pulse and asked.
Then as usual, he quickly entered the state of sensing the yin and yang energy and blood in the other party's body.
"I...vomit-", Qian Zhongxiang just said one word, turned sideways and retched. Qian Xiaoxia quickly took the spittoon and put it at his feet, "vomit~~vomit~~", he retched
After making a few noises, he stroked his chest with one hand and continued, "Headache, dizziness, nausea, fever all over the body...vomit~~cough, cough! I..."
Seeing that Qian Zhongxiang was coughing and retching, and unable to speak a complete sentence, Li Duanyang quickly waved his hands and said, "Okay, you don't need to say anything, I'll diagnose it myself."
When Qian Zhongxiang heard what he said, he put his elbow on the consultation table and supported his chin with his hand, looking very uncomfortable.
While Li Duanyang continued to check his pulse, he continued to sense the state of yin and yang qi and blood throughout his body.
Well, in his perception, the Qian Zhongxiang in front of him has wind and cold on the outside, dampness on the body and qi, and water on the inside with the chaotic Qi movement, infuriating the stomach and lungs (drinking water to flush the lungs, standard Chinese medicine
The term is called "water cold shooting the lungs"), causing stomach qi to rise and reverse, causing retching; lung qi is difficult to release and fall, causing coughing and wheezing.
As for feeling hot all over the body, having a headache and dizziness, that is caused by wind and cold.
Therefore, the causes, pathogenesis and symptoms of TCM can be deduced from each other.
An expert like Li Duanyang, who can clearly sense the yin and yang qi and blood in a patient's body, and has decades of medical experience, it is really not difficult to deduce the patient's symptoms.
As mentioned above, Qian Zhongxiang had fever all over his body, headache, dizziness, retching and coughing. Even if Qian Zhongxiang didn't tell him, Li Duanyang could deduce it according to the above logical relationship by sensing the yin and yang qi and blood status all over his body.
of!
And not only that, Li Duanyang can easily deduce more things.
For example, if Qian Zhongxiang's skin is attacked by wind and cold at this time, his body will inevitably mobilize the yang energy in the body to surge to the surface of the body to resist, which will cause his pulse to float.
If Qian Zhongxiang has water in his body and it is cold (the standard term is cold drink), his tongue coating must be white and slippery.
Qian Zhongxiang was exposed to wind-cold and water-cold shot into the lungs, so it would be difficult for the lung qi to dissipate and descend, which would naturally affect the function of the lung qi in regulating water passages, and it would be difficult to urinate.
If you have trouble urinating and have water in your body, you will definitely feel full, depressed and uncomfortable.
In addition, if there is water in the body, it is difficult to urinate, and there is no sweating, then the water will naturally overflow into the skin, causing overflow and causing edema on the skin.
Of course, any ordinary person can see this, after all, Qian Zhongxiang's face is a little swollen at this time.
Just wait.
If Qian Zhongxiang's heart is filled with yang deficiency and cannot block the rising water vapor, causing water vapor to hit his heart, he will also feel palpitations.
Of course, by sensing Qian Zhongxiang's yin and yang qi and blood status, Li Duanyang sensed that his heart yang was not bad and did not cause water vapor to affect the heart, so he would not have symptoms of heart palpitations.
…
After Li Duanyang checked Qian Zhongxiang's pulse and briefly looked at his tongue, he began to prescribe him medicine.
There is wind and cold outside, which binds the surface, and there is water and drink inside (which can be simply recorded as cold outside and water inside). This is a typical Xiao Qing Long Decoction syndrome, so it is natural to prescribe Xiao Qing Long Decoction.
"Hey! Hey! You didn't ask me anything... Ugh~, are you going to give me a prescription now? Cough! Cough cough..."
When Qian Zhongxiang saw that Li Duanyang simply checked his pulse and looked at his tongue before prescribing him medicine, he quickly stopped!
The man was so anxious that he retched again, and then coughed and wheezed violently.
Although his cousin Qian Xiaoxia praised the young doctor like a flower, when Qian Zhongxiang came and saw that Li Duanyang was so young, he felt a little doubtful and regretful. Now he saw that Li Duanyang was so hasty.
I gave him a prescription, but finally couldn't help but stopped.
"You have had chronic bronchitis for many years, right? Now, in addition to having a fever all over your body, headache and dizziness, coughing and retching, you can't urinate well, and you feel full in your heart, stuffy and uncomfortable, right? In addition, you also feel that your skin and flesh are tender.
It’s heavy and painful, and sometimes I can feel water vapor rushing up to my belly button, which is throbbing, right?”
Li Duanyang continued to write the prescription without raising his head, and said to Qian Zhongxiang.
"Huh? Huh? How did you know?" Qian Zhongxiang asked in surprise.
Feeling so strange in his heart, he immediately suppressed his coughing and retching.
"Didn't I check your pulse and look at your tongue just now? How can I know what's wrong with you and where you feel uncomfortable? If I can't even diagnose these, am I a doctor for nothing?" Li Duanyang said with a smile.
, "Okay, don't be so suspicious. It's not a big problem, let alone a complicated disease. Just listen to me, the doctor, honestly."
"Xiao Qinglong Decoction is a special prescription for inflammation of the trachea and bronchial tubes. It is an antitussive and phlegm-reducing agent for severe coughs and a large amount of thin phlegm. The short-term effect is still very obvious. You can drink two doses to stop the disease first, and then I will give it to you.
Adjust slowly."
As Li Duanyang said this, he had already finished writing the prescription, and then handed it to Qian Xiaoxia: "Take it and let Dr. Zhang copy it over and sign it."
Qian Xiaoxia quickly took the prescription and went to Zhang Dake's clinic.
"Come on, seeing how uncomfortable you are, I'll give you a couple of massages to make you feel better." Li Duanyang said to Qian Zhongxiang.
Qian Zhongxiang already trusted and admired Li Duanyang. He quickly lay down on the sofa and asked Li Duanyang to massage him.