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Chapter 30: Junior brother, can you give me some guidance?

When Uncle Qin and Aunt Qin came back, they happened to see two cars setting off together on the road along the Weihe River, driving forward one after the other.
"Xiao Li's car, I heard from Linlin that a big boss gave it to him. He said that he cured his illness, so he took the initiative to give him a car."
Aunt Qin pointed to Li Duanyang's new driveway.
"I have ears, so I heard it too." Uncle Qin said impetuously, "Do you think this Xiao Li... is his medical skills really that good?"
"If it's not good, people can give him a car? Do you think those bosses give away their money for free? He must really have a disease that is difficult to treat, and Xiao Li was cured, so people are so kind to him.
"Aunt Qin said.
"Then tell me, Xiao Li's future future..."
"It's not bad. Besides, don't be so entangled. Once Linlin really falls in love with this Xiao Li, can you and I stop it? Even Chang'an can't stop it! Let's just leave it alone, Linlin has
Linlin’s vision and opinions.”
"Then we can't let them go too fast. If Xiao Li is unreliable, I'll tell them to take their time and let Linlin take a good look at it." Uncle Qin said.

When Li Duanyang drove slowly into the hospital, he pressed down the window and said hello to the concierge, because the concierge usually did not allow cars to drive into the hospital casually.
"Xiao Li, is this your car? Oh, it's a new car!" a concierge security guard said enviously.
"Well, my car will be in trouble in the future." Li Duanyang said with a smile.
Lu Ming happened to arrive at this time and saw Li Duanyang driving a new car, and it was a Hongqi brand. He happened to know this car, and his face turned green at that time. Damn it, he turned out to be a rich young man, no wonder he is so crazy!
But naturally, such a guy was very favored by Professor Hao. Even if he couldn't stand it, he couldn't give him any more.
Li Duanyang also saw Lu Ming at this time, but did not greet him.
People are so strange. Sometimes people who don't like him just don't like him. Sometimes he can't even explain why. Anyway, he just doesn't like him. Li Duanyang won't force himself to have a friendly relationship with this Lu Ming.
, that’s not necessary.
"Brother, I saw the car you drove. It's so beautiful!"
As soon as Li Duanyang entered the ward where Old Man Gao was, Gao Xiaozhu climbed down from a chair on the window sill and raised his hands and said to Li Duanyang.
Li Duanyang picked her up and said, "Big brother will take you for a ride one day!"
"Ah, big brother is so kind!" Gao Xiaozhu said with bright eyes.
Li Duanyang put her down, asked the nurse, and checked Old Man Gao again. She found that her condition was stable, and then he gave her another massage.
After entering the office, Li Duanyang was about to pick up a psychology book and read it when he saw Guo Hongxia looking over at him with a blushing face, as if he was hesitant to speak.
"What's wrong, senior sister?" Li Duanyang asked strangely.
"Ah, I encountered a difficult problem. It's actually the most common disease, but it stumped me." Guo Hongxia whispered.
Professor Hao privately told her that if she had any questions in the future, she could ask her younger brother Li Duanyang, but she always felt unable to speak.
"Let's talk about it?" Li Duanyang laughed in a low voice.
Guo Hongxia blushed and handed him a medical record.
Wu Moumou, female, 46 years old, had recurring episodes of abnormal bowel movements. She was diagnosed with chronic urinary tract infection, chronic enteritis, and cystitis by Western medicine. Because the condition had been recurring for many years, she came to our hospital for treatment.
Diagnosis: light red tongue, thin coating and little fluid, thready and rapid pulse, frequent urination, urgent urination, painful urination, long-term constipation, and there is often a sinking feeling in the anus, which is stronger when walking.
Li Duanyang pretended to think deeply for a while after reading the medical record.
"This is an assignment assigned to me by Professor Hao, but I always feel that the derivation is not going smoothly. Junior brother, could you please deduce it and let senior sister compare it?" Guo Hongxia said in a low voice.
It is rare for hospital professors to assign homework to interns. Just because Guo Hongxia is a fellow villager of Hao Wenbing and has a very good personality, Hao Wenbing paid special attention to her and assigned a common typical case that Guo Hongxia did not have an internship with yesterday.
Give her something to think about.
Li Duanyang nodded and then started typing on his mobile phone.
"The tongue is light red, which means the patient has fire.
Thin coating and little fluid indicates that the patient has yin deficiency.
Thin pulses govern moisture, and several pulses govern fire. Fire can be real fire or deficient fire.
The patient's frequent urination indicates that the Yang Qi is not strong enough to be absorbed, indicating that the patient also has Yang deficiency.
If there is fire due to yang deficiency, the patient may only have fire deficiency.
Urinary urgency and painful urination indicate that the patient has inflammation in the bladder and urethra, which is caused by deficiency fire.
The patient is constipated, which means that Yang Qi is insufficient and it is difficult to push feces in the intestines (and the feces becomes stagnant in the patient's intestines and turns into heat, which increases the dampness and heat in the patient's body), which further indicates that the patient is Yang deficient.
The patient often feels a sinking feeling, which should be caused by the dampness and heat in the body.
Generally speaking, patients have both yin and yang deficiency, and yin deficiency outweighs yang deficiency (for example, the normal yin and yang ratio for ordinary people is 5:5, while the yin and yang ratio in patients is 2:3), resulting in the occurrence of deficiency fire.
Treatment should be to replenish both yin and yang, and since the kidneys are responsible for two bowel movements, kidney yin and kidney yang should be mainly replenished.
Since the patient’s yin deficiency outweighs his yang deficiency, the kidney yin should be replenished first.”
Li Duanyang typed it out on his mobile phone and sent it to Guo Hongxia: "This is my idea. Senior sister, please check it."
After reading it, Guo Hongxia gave Li Duanyang a thumbs up, and then said in a low voice with a blushing face: "I just couldn't figure out whether the patient has virtual fire or real fire in the body, and since there is moisture in the body, the intestines should be lubricated.
, and I feel like I’m falling from time to time, how can I not come down?
Now I understand it, it turns out that the patient is really deficient in both yin and yang, and fire is also deficient, so the yang energy is deficient and unable to push the feces, and the feces is stagnant and turns into heat, so it is dry and sticky, so the stool cannot come out."
Li Duanyang felt sad as he listened to her. This is a master's student, and he can't even understand such a simple question. What does this mean?
Guo Hongxia's medical qualifications may be mediocre, but it also shows that some of the school's traditional Chinese medicine teaching is somewhat flawed.
Haha, at the University of Traditional Chinese Medicine, English is the main subject, and Western medicine teaching is also very intensive, but such an important content as the "Huangdi Neijing" has become an elective course.
When graduate students study traditional Chinese medicine, they mainly study its active ingredients...
The leaves of ginseng contain more active ingredients than the roots, so why do we always use ginseng roots instead of its leaves when making medicine?
As for the flavored wheat, why don’t you research how its active ingredients are better than those of ordinary wheat granules?
Why does Chinese medicine use floating wheat instead of ordinary wheat granules for medicine?
Given its "floating" quality, can you understand this thing if you study it using Western medicine methods for a thousand years?
The West has not had such an ideological culture since ancient times.
"Junior brother, can you show me how to use the medicine this way?" Guo Hongxia handed over her medicine plan again.
Prescription: Rehmannia glutinosa, white peony root, turtle shell, yam, poria, qumai, aconite, cinnamon, and dried ginger.
The dosage in grams is marked on the back of each medicine.
Li Duanyang looked at it and said in a low voice: "Senior sister, this patient has both yin and yang deficiency, and yin deficiency is worse than yang deficiency. In this case, should we mainly replenish yin deficiency first?
Cinnamon, aconite and dried ginger are all yang medicines, and aconite is a very hot medicine, and dried ginger is not only hot but also pungent. Is this yang medicine used a little too much?
I feel that just using aconite as a medicine alone will be enough. It has great effects but is very specific. Can you think about it again?"
Guo Hongxia blushed and nodded: "You said it before, but I kind of forgot about it."
After speaking, she quickly looked up at the other people in the office. No one was looking at them, but she felt that everyone was listening to their exchange.
Chapter completed!
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