Chapter 216: Teacher, you speak, I listen, I am still your student
"This is my student, let him check your pulse."
Shen Yue took Li Duanyang to the bedside of the patient Zhang Yanxia and said to Zhang Yanxia.
Zhang Yanxia lay silently on the bed, her face looked red, she must be dizzy, exhausted, and lacked the energy to respond to Shen Yue's words.
Her mother-in-law on the side took a look at Li Duanyang and felt that she was too young. With some reluctance, she gently took Zhang Yanxia's hand and placed it on the edge of the bed, then moved away from her position. Li Duanyang sat down and began to diagnose Zhang Yanxia's pulse.
After checking the pulse, Li Duanyang took another symbolic look at Zhang Yanxia's tongue, and then he and Shen Yue exited the ward, and Yang Yuru on the side quickly followed.
"Teacher Zhang, this young doctor was invited by Qin Chen. His name is Li Duanyang. He is Qin Chen's sister's boyfriend. I heard that his medical skills are very good. He should be able to take good care of your disease. Don't worry! "
Qin Chen, the female classmate, saw the ward door closed and whispered to Zhang Yanxia.
Zhang Yanxia weakly opened her eyes and nodded slightly in response. Her head was too dizzy and she didn't have the energy to think about it.
"She looks like a young baby." Granny Zhang Yanxia on the side muttered in disbelief.
Female classmate Qin Chen didn't say much more, exited the ward and ran to the office, where Qin Chen was already listening to Li Duanyang and the others analyzing Teacher Zhang's condition.
However, Li Duanyang didn't talk much, and mostly just listened to Shen Yue's analysis of the condition and introduction of previous treatments and medications.
"There are generally two causes of postpartum lochia."
"The first reason is that due to postpartum weakness, cold evil takes advantage of the weakness to invade the body, or internal injuries cause coldness, cold stagnation, blood stasis blocking the cell veins, and lochia."
"The second reason is that the mother is usually weak, and her qi and blood are even more deficient after delivery, so there is no blood to pass."
"In the case of cold blocking of the veins, lochia is persistent or in small amounts, the lower abdomen is distended, and constant tingling is felt. To treat this condition, we should dispel cold, activate blood circulation and remove blood stasis, and use Shenghua Decoction."
"For mothers with weak qi and blood, lochia is present but in small amounts, and the pain in the lower abdomen suddenly stops, or persists. Treatment should be to replenish qi and blood. Generally, Bazhen Decoction plus candied ginger and cinnamon are used for treatment."
"I told you this in class, Li Duanyang, do you remember it?"
Shen Yue said to Li Duanyang as if giving a lecture.
Li Duanyang nodded quickly and seriously: "Remember, Teacher Shen, one is because of cold and the other is because of deficiency. Because the body is cold and the lochia is not flowing down, use Shenghua Decoction to dispel the cold, activate blood circulation and remove blood stasis; because of the deficiency of blood and qi, the lochia is not going down, usually. Use Bazhen Decoction with candied ginger and cinnamon to replenish qi and blood, and then increase qi and blood, causing qi to circulate and activate blood, and promote the descent of lochia. I have carefully taken notes on this."
(The composition of Shenghua Decoction: whole angelica root, Chuanxiong rhizome, peach kernel, dried ginger, and licorice. In ancient times, half and half were decoctioned with rice wine or children's feces. In modern times, it is generally decoctioned with water, or decoction with rice wine.)
(Bazhen Decoction = Sijunzi Decoction and Siwu Decoction. Sijunzi Decoction: ginseng, Atractylodes macrocephala, poria, licorice. Siwu Decoction: Rehmannia glutinosa, Angelica sinensis, white peony root and Chuanqiong.)
Listening to the exchange between Li Duanyang and Shen Yue, Qin Chen and his female classmates looked at each other doubtfully, "Are you still in class?"
Did they invite Li Duanyang to listen to Teacher Shen Yue’s lectures?
Not only them, but also Yang Yuru on the side was a little confused. She heard what Shen Yue said about Li Duanyang before, and she thought how powerful Li Duanyang really was. Why did she hear Shen Yue's lecture?
Shen Yue and Li Duanyang ignored the doubts of Yang Yuru and Qin Chen on the side and continued to speak and listen.
"So for postpartum conditions, when qi and blood are severely damaged, it is generally suitable to use warming and tonic methods, but not cold and purgative methods."
"Even if a mother catches a cold after giving birth, she usually uses pungent and warm methods to relieve the symptoms, and it is not suitable to use pungent and cool methods to relieve the symptoms."
"Zhu Danxi advocates that postpartum women should replenish their qi and blood. Zhang Jingyue thinks his statement is a bit biased, but does Zhang Jingyue himself prefer to use warming and tonic methods when treating pregnant women?"
"So who can get rid of this stereotype since ancient times? Who dares to use cold and cool methods to treat postpartum symptoms of women?"
"Therefore, if a mother has lingering lochia after delivery and her chest and abdomen are full, she should naturally use the method of warming and clearing it to allow the lochia to move down."
"Is there anything wrong with this?"
"But it doesn't work on this Zhang Yanxia!"
"They used Paojiang and other warm and soothing medicines earlier, which caused Zhang Yanxia's chest and abdomen to become even more swollen, and lochia couldn't drip! I came and used 2 ounces of Angelica sinensis to decoct it, and then made it into hot feces and gave it to Zhang Yanxia, which made Zhang Yanxia feel a little more stable, but she I only got a little bit of lochia, which is really strange!”
(Zhu Danxi, a famous medical scientist in the Yuan Dynasty. Zhang Jingyue, an outstanding medical scientist in the Ming Dynasty, a representative of the warming and tonic school, and the actual founder.)
Shen Yue stopped here and asked Li Duanyang, "What do you think of this condition?"
Li Duanyang took out his mobile phone and typed quickly while saying: "Teacher Shen, you are obsessed, and I am even more obsessed. I still remember a passage you asked me to recite, [Yin deficiency and internal heat, the weather is hot, even though brown sugar cannot be taken, also.】."
The second half of his words were completely out of tune with the first half. It was like he was talking to Shen Yue. Yang Yuru and Qin Chen were even more confused when they heard that Shen Yue stopped talking. She took out her mobile phone and looked at Baidu. What are you getting up for?
In fact, she found a paragraph on Baidu based on Li Duanyang's prompts, which included the second half of what Li Duanyang said. The second half of this article made her eyelids jump!
[...It can be seen that the body constitution is not uniform, and it is difficult to use medicines in general. Moreover, the causes of the disease are different, and the pathogenesis is endless!
As the saying goes: "Taiwan is tailored to suit the patient's needs", and when treating a disease, can it be treated without differentiation of syndromes?
Meng Yingchang said: After childbirth, most people in the world prefer Shenghua Decoction, which uses a certain prescription to cure the living diseases of thousands of people!
This is a wonderful method for people with cold body. If you have hot blood, or those who feel both warm and hot qi, if you treat them all, the symptoms will suddenly appear, and slowly, the vaginal damage will gradually occur. People only know that it is common after childbirth, but they don’t know it. Half of the stages of Shenghua Tang.
This style was most popular in Yue. Fang originally passed it down to the Qian family of Yue, and adopted the "Eight Formations" from Jingyue, so it spread all over the world, and people's yin has been harmed by it for hundreds of years...]
Shen Yue was watching with twitching eyelids when her cell phone buzzed, and it was Li Duanyang who sent her a WeChat message.
"Teacher Shen, for postpartum colds, most of the time, it is indeed suitable to use pungent and warm methods to relieve the symptoms. However, there are also those that are suitable for pungent-liang to relieve the symptoms. If you use the pungent-liang method to relieve the symptoms, if you misuse the pungent-warm method to relieve the symptoms, you will have to use Dahan later. The medicine is gone."
"Similarly, if a mother has persistent lochia after childbirth, it is generally suitable to use a warming method, but there are also cases where a cooling method is suitable."
"Zhang Yanxia's pulse is very rapid now, and I heard you have nosebleeds again. This is a symptom of deficient heat. I suggest that it is better to use cooling method to relieve it."
"I recommend using raw rehmannia root, salvia miltiorrhiza, pachyderm bark, tofu roll, mulberry seed, poria cocos, peach kernel, hawthorn, gardenia, adenophora, and amber to get the effect."