"Doctor Li, are you at the clinic? My cousin drank an extra dose of Xiaoqinglong Decoction and got a nosebleed! Should I take him to the clinic?"
Li Duanyang and others were sitting under the big elm tree in the courtyard when Qian Xiaoxia called.
"I'm at the clinic, you bring him here." Li Duanyang said and hung up the phone.
I thought to myself that these patients are really screwed up. There are often people who do not listen to the doctor's instructions and take medicines on their own initiative.
Xiaoqinglong Decoction contains four dry and pungent warm medicines including ephedra, cinnamon twig, asarum and dried ginger. Although white peony root and schisandra chinensis can astringe their dryness, the whole prescription is still pungent, warm and strong, which will hurt Yin consumption.
Bloody.
Doctors usually only prescribe 5 doses of Xiaoqinglong Decoction to patients. He only gave 2 doses to Qian Xiaoxia's cousin Qian Zhongxiang that day, and told him to come back for a follow-up consultation after he finished the medicine. Unexpectedly, this guy
But he took it upon himself to buy medicine and drink an extra dose. Wouldn’t this make his nose bleed?
Li Duanyang immediately told Zhou Siqing and Peng Xiangdong about the case.
"This Xiaoqinglong Decoction is used to treat cold on the outside and drinking on the inside. The entire prescription is pungent, warm and strong, so it should not be prescribed to more patients. It only needs to be able to stop strong coughs and asthma, and then continue to use Linggui-based prescriptions to eliminate them from the patient's body.
Cold drinks, such as Linggui Zhugan Decoction, Linggui Jianggan Decoction, or Linggui Zaogan Decoction, etc.”
After explaining the case to the two of them, Li Duanyang concluded.
Both Zhou Siqing and Peng Xiangdong recorded it on their mobile phones.
In fact, Peng Xiangdong had never learned the habit of taking notes before. He learned it from Zhou Siqing after coming here.
Zhou Siqing is a master's student. Peng Xiangdong really yearns for her, but he never dares to say anything offensive.
Qian Xiaoxia quickly drove her cousin Qian Zhongxiang to him.
"Don't take medicine randomly in the future, and follow the doctor's advice."
Li Duanyang said this to Qian Zhongxiang with a calm face, and then prescribed Linggui Zhugan Decoction for a week after a follow-up visit.
"You have a chronic disease. Come to the clinic for a follow-up checkup after taking the medicine." Li Duanyang warned Qian Zhongxiang.
Qian Zhongxiang agreed with a frown on his face.
Then he drove back alone. Qian Xiaoxia found someone to take over the job because of this matter, so she wanted to stay and make full use of the precious half-day study time.
"Teacher Li..."
Qian Xiaoxia also moved out a chair and sat under the big elm tree. After sitting there and thinking for a while, she raised her eyes and shouted to Li Duanyang.
"No, you can call me Duanyang or Doctor Li." Li Duanyang waved his hand.
He was called Qian Xiaoxia Sister Qian two days ago, and now Qian Xiaoxia calls her teacher in turn. Considering his actual age in two lifetimes, there is nothing shameful about him. He is just a human being, and he must be humble no matter what.
Because his current apparent age is too young after all.
And he is not as easy to teach as Zhang Dake, who wants to teach anyone he catches.
"I think it is most appropriate to call you Teacher Li. You are good enough to be a professor!" Qian Xiaoxia said with a smile, "I will continue to ask you questions in the future, so it is most appropriate to call you Teacher Li!"
"You praised me so much that I almost floated," Li Duanyang said with a smile, "Okay, if you have any questions, just ask."
"You just changed Xiao Qinglong Decoction to Linggui Zhugan Decoction for my cousin. I still don't understand."
"Two doses of Xiaoqinglong Decoction alone cannot solve the cold drink in your cousin's body, so you need to switch to Linggui Zhugan Decoction to continue to solve the cold drink in your cousin's body. Linggui Zhugan Decoction has the effect of warming yang, strengthening the spleen and benefiting the body.
The effect of wetness can treat your cousin's phlegm syndrome caused by insufficient Zhongyang."
"Then why not use Linggui Shugan Decoction at the beginning?" Qian Xiaoxia asked.
"Because when your cousin came here for the first time, he had a lot of cold drinks in his body? And he had wind and cold on the outside. This is cold on the outside and drinks on the inside. Xiao Qinglong Decoction is needed to solve it. Xiao Qinglong Decoction can be used.
It can relieve the exterior and expel cold, and it can also warm the lungs and dissolve cold drinks. However, Linggui Zhugan Decoction has no effect on relieving the exterior. It can only replenish the yang energy in the body, thereby resolving the cold drinks in the body?"
"Oh oh oh," Qian Xiaoxia patted her head, "I forgot about this again!"
Then she rolled her eyes and thought for a while, then asked: "But Teacher Li, you stopped my cousin's Xiaoqinglong Decoction because you were afraid that the prescription was pungent, warm and strong, which would hurt the yin and consume blood. But Linggui Zhugan Decoction
Guizhi and Atractylodes are also warm medicines, and Poria and Licorice are neutral medicines that are neither cold nor hot. If they cannot control the warming and drying properties of Guizhi and Atractylodes, are you not afraid that this prescription will damage the yin and consume blood?"
"Xiaoqinglong soup contains white peony root and schisandra chinensis, which can produce the warming and drying properties of ephedra, cinnamon twig, dried ginger and asarum."
Li Duanyang laughed when he heard this, but before he could answer the question, Zhang Dake on the other side impatiently snatched the conversation away: "You girl, there is licorice in Linggui Shugan Decoction. Licorice can relieve pain and relieve pain. Why can't you make it?"
What are the warming and drying properties of Guizhi and Atractylodes?"
"Besides, Xiaoqinglong Decoction contains ephedra and cinnamon twig, and Asarum works together to relieve muscles. How powerful is it? If you sweat more, can it not damage the yin and consume blood? The whole prescription of Linggui Zhugan Decoction is relatively mild.
, and it won’t relieve muscles and cause sweating, so naturally it won’t hurt the yin and consume blood like Xiaoqinglong Tang!”
"Understood?"
After Zhang Dake finished speaking, he opened his mouth and asked Qian Xiaoxia.
Qian Xiaoxia patted her head again: "I understand, I understand! Uncle Zhang! Yes, yes, Xiao Qinglong Decoction can relieve muscles and make people sweat. Naturally, it consumes yin and hurts blood. Linggui Shugan Decoction
If it doesn't relieve muscles, it naturally won't consume yin and damage blood! Its warming and dryness are resisted by the cold drinks in the patient's body! It is supposed to warm yang and turn it into drinks!"
Li Duanyang said with a smile: "Beginners are like this. Because they are not familiar with medicine and pharmacology, they will seem to understand it for a while, and then be confused by some details. However, there are so many doubts, questions, and thinking.
If you go back, you can figure it out."
Zhou Siqing and Peng Xiangdong on the side looked at Li Duanyang, Zhang Dake, and Qian Xiaoxia, also looking like they had some realization.
Qian Xiaoxia seems to be a little stupid today, but her basic skills are better than the two of them, so she can ask the previous question. Their basic skills are not good enough to ask questions like hers. If it weren't for Qian Xiaoxia
When these questions were asked, neither of them realized that there was so much knowledge hidden between Xiaoqinglong Decoction and Linggui Zhugan Decoction.
"By the way, Sister Qian..."
Li Duanyang suddenly remembered something and said to Qian Xiaoxia.
"I've called you Teacher Li, so don't call me Sister Qian. Just call me Xiao Qian!" Qian Xiaoxia quickly waved her hand.
"One code equals another." Li Duanyang waved his hand and said, "Sister Qian, aren't you looking for a nominal master to take the path of traditional Chinese medicine inheritance? I've been so busy these days that I almost forgot. I have a teacher named Hao Wenbing.
, let me ask him."
"Professor Hao? Oh my, are you willing to be my nominal master?" Qian Xiaoxia said in surprise.
"Let me ask." Li Duanyang stood up and walked into the clinic to make a call to Hao Wenbing, then walked out and said, "Okay, Mr. Hao happens to have time these two days, so I told him about your situation.
, you should contact him as soon as possible and go to the notary office to establish a master-apprentice relationship."
"Oh, thank you so much, Teacher Li. Oh, what gifts should I bring to Professor Hao?" Qian Xiaoxia said, "And Teacher Li, I can't study here in vain. I..."
"Just bring two bottles of Fenjiu to Teacher Hao. I won't need it here. Just come here and help every now and then." Li Duanyang said with a smile.
Qian Xiaoxia and Gao Jie's family are not rich and poor, so what gift should he receive from her?
Qian Xiaoxia was so busy as a nurse that she still found time to learn Chinese medicine. Because of her spirit, he helped her.
Then everyone continued to talk about Chinese medicine. While they were chatting, there was a sound of wheels driving outside the hospital. Peng Xiangdong stood up and looked outside the hospital, and said doubtfully: "It seems that a reporter is coming!"
－－－－－－Digression－－－－－
I am very grateful to book friends Zhu Zhongyu and Engineering Jun for giving away monthly passes again!