Chapter 218: The difference between these two prescriptions is not small
None of the four patients who came to see Li Duanyang today had mild symptoms.
Also, it is unlikely that those who come to him specifically to see Li Duanyang for medical treatment have mild symptoms, and they are unlikely to come to see him if they have mild symptoms.
Because he is too young, even if he has heard of some of his miracles, he is unlikely to come to him for a disease that can be treated elsewhere.
Only those who are in a hurry to seek treatment for diseases that cannot be treated elsewhere would come to him to try their luck.
This may seem contradictory, but it is true.
After all, Chinese medicine relies heavily on experience.
The first two patients had advanced liver cancer, the middle patient had hemiplegia, and the last patient, Xiao Xichun's cousin Zhang Run, had impotence syndrome.
None of them are mild cases.
By the time I saw Zhang Run, it was already seven o'clock in the afternoon.
During this period, Li Duanyang only took a short break during dinner, and then continued to show Zhang Run.
Zhang Run, 48 years old, is a farmer. He went out to work for several years and lived in a humid place for a long time. Then he suddenly felt dizzy, chest tightness, and weakness in his lower limbs.
I went to the hospital for a check-up and the doctor prescribed vitamin B1, oryzanol, Liuwei Dihuang Pills, etc., but there was no effect. Instead, the condition worsened day by day, gradually developing to muscle atrophy in both lower limbs, walking difficult, and most of the day I was drowsy and just thinking about it.
sleep.
Later, Zhang Run returned to his hometown to seek treatment from his cousin Xiao Xichun. Xiao Xichun's treatment did not show much effect for half a month, so he quickly brought him to Chang'an. The first stop was to see Li Duanyang.
Xiao Xichun actually wanted to take his cousin out to see a doctor this time because he wanted to meet the experts in the field of traditional Chinese medicine in Chang'an.
Among them, the one who surprised and puzzled him the most was Li Duanyang, so he brought his cousin to see Li Duanyang this time, saying that he wanted to observe and learn, but actually he wanted to see if Li Duanyang was as magical as the rumors said.
As the saying goes, an expert can tell if there is anything by stretching out his hand. By observing Li Duanyang's treatment, preliminary massage, acupuncture and prescription of the first three patients, Xiao Xichun had already taken a new look at Li Duanyang.
His light-weight diagnosis, simple but by no means simple massage and acupuncture, and some prescriptions that were beyond his expectation, but which Xiao Xichun thought about and admired, made Xiao Xichun feel that his trip was worthwhile!
Therefore, when Li Duanyang began to treat his cousin Zhang Run, Xiao Xichun had no intention of testing the authenticity of Li Duanyang's medical skills.
After Li Duanyang checked Zhang Run's pulse and tongue, he began to prescribe medicine without any consultation.
Prescribe Ephedra, Aconite and Asarum Decoction.
Zhang Run saw that Li Duanyang prescribed medicine without consulting him in detail. He felt that Li Duanyang was a little too hasty. How is this different from the doctors in the hospital? Even worse than the doctors in the hospital. The doctors in the hospital are the worst.
At least let the patient take a film and do a test or something, and then write a prescription after reading the film and test report. Li Duanyang is so good here. He is so young and so sloppy. Can this cure the disease?
Looking at the medicine he prescribed, there was only one medicine different from the one prescribed by his cousin Xiao Xichun. His cousin Xiao Xichun prescribed Ephedra and Aconite Licorice Decoction for him, but the young doctor prescribed Ephedra and Aconite for him.
Asafoetida, how big of a difference can this make?
"Doctor, are you... are you prescribing this medicine too hastily?"
Zhang Run was unhappy and couldn't help but speak out.
"Second brother, if you don't understand, don't talk nonsense..." Xiao Xichun on the other side was about to dissuade Zhang Run, but Li Duanyang stopped him with a wave of his hand.
"Brother Zhang, I am not hasty. Let me ask you, did you live in a humid place for many years?" Li Duanyang asked Zhang Run with a smile.
"Really? Oh, it turns out that my cousin told you about my situation, and I asked you why you prescribed me medicine so casually." Zhang Run said as if he suddenly understood.
Li Duanyang and Xiao Xichun both laughed.
Li Duanyang smiled indifferently, while Xiao Xichun smiled to ease the awkward atmosphere. While smiling, he admired Li Duanyang even more in his heart.
Naturally, he didn't tell Li Duanyang about Zhang Run's condition before, but Li Duanyang could tell that Zhang Run had lived in a humid place for a long time just by looking at his pulse and tongue. This skill was really powerful!
Combined with his age, this is simply unbelievable!
"However, Doctor Li, I see that the medicine you prescribed is only one medicine different from the medicine my cousin prescribed for me. My cousin's medicine didn't have much effect on me? Then your medicine..." Zhang
Run was suspicious.
"Don't worry, you can basically walk independently within eight doses, and your feet will be basically healed within sixteen doses." Li Duanyang said firmly.
"Ah? Is it so amazing? There is only one difference between your prescription and the one prescribed by my cousin. I have been taking the medicine prescribed by my cousin for half a month and I haven't seen much effect!" Zhang Run said again with deep doubts.
"Second sister-in-law, please help my second brother out first, and I'll talk to Dr. Li." Xiao Xichun said to Zhang Run's wife awkwardly.
Zhang Run's wife helped Zhang Run out.
"It seems that Dr. Li also thinks that my cousin's disease is caused by spleen and kidney yang deficiency, combined with superficial dampness, and then the spleen is too damaged, causing flesh // flaccidity?"
When Zhang Run went out, Xiao Xichun looked at Li Duanyang and said.
Li Duanyang nodded and said: "Yes, if it is left untreated for a long time, it will lead to muscle weakness, bone weakness, and other diseases."
There is a saying in "Su Wen·An Lun" in "Huangdi Neijing": "There is a gradual increase in dampness, and water is the thing. If there is water left, the place where you live will be damp, the muscles will be soaked, numbness will not be benevolent, and the hair will turn into flesh//
Impotence. Therefore, the following scripture says: Flesh//Individuals with impotence are caused by wetland.”
The basic pathological process of this disease is generally as follows: water and moisture invade the skin, cover the pores of the skin, and damage the skin's nutritional and health functions - there is poor communication between the inside and outside of the body, and first there will be problems with the lungs that control the fur - metal produces water, and the lungs
Metal is the mother of kidney and water. If there is a problem with the lungs, there will be a problem with the kidneys - then there will be a problem with the liver - liver wood will defeat the spleen earth - the spleen controls the muscles - meat // flaccidity.
Of course, this is just one of the general pathological lines, the simplest pathological line. In fact, the entire disease develops far beyond such a thick pathological line, and is much more complicated than this.
For example, when moisture enters the subcutaneous tissue, it will affect the metabolism of skin cells and reduce the efficiency of fat burning, which will lead to muscle problems. In mild cases, obesity will occur, and in severe cases, muscle weakness will occur.
For example, moisture slowly invades the body, increasing the burden on the spleen to transport water and dampness. If the spleen is not able to transport moisture, nutrition cannot adequately support the muscles...
If things continue like this, major problems will occur in the five internal organs. The kidneys govern the bones and the liver governs the tendons. If the kidney problems are serious, it will lead to bone flaccidity. If the liver problems are big, it will lead to muscle flaccidity. Of course, other diseases will also occur.
.
"Does Dr. Li think that my medication is still lacking in strength?" Xiao Xichun asked again.
"Your cousin has a dark red tongue, thick and greasy tongue coating, a slippery pulse, and a body temperature of about 38°C. Overall, the body is suffering from phlegm and dampness, and the surface of the body is also very wet. In this case, use ephedra.
The aconite and licorice soup is indeed too weak.”
Both Ephedra, Aconite and Licorice Decoction and Ephedra, Fuzi and Asarum Decoction can help relieve yang, warm the meridians and dispel cold, and force the cold evil out. However, in terms of the strength of this effect, Ephedra, Fuzi and Asarum Decoction is more powerful than Ephedra, Fuzi and Asarin.
The soup was a lot weaker.
Because the spicy aroma of asarum travels, it can not only reach the body surface to help ephedra relieve the surface and expel dampness, but also help aconite to warm the meridians and expel cold in the body.
However, licorice has a relatively slow temper. It is used in the Ephedra and Aconite Licorice Decoction to moderate the medicinal properties of ephedra and aconite.
Therefore, in terms of relieving external dampness and warming the meridians and dispersing cold, licorice not only cannot help ephedra and aconite, but also hinders ephedra and aconite.
As you advance and retreat, the effects of Ephedra, Aconite and Asarum Decoction and Ephedra, Aconite and Asarum Decoction are greatly different!
Moreover, Li Duanyang’s dosage of medication was also larger than that of Xiao Xichun.