Chapter 41: Evodia decoction Syndrome of Cold Drink Uprush
The man in his fifties who was making noise at the nurses' station was named Wu Erniu, and his brother was named Wu Daniu, who was in his sixties.
When Li Duanyang saw him, he saw him curled up on a folding bed in the ward with his head in his arms, barely daring to raise his head.
Looking at him like this, he must have felt pain all over his head.
So this should be pain at the top of the head. Generally, only when the top of the head hurts, the patient will feel pain throughout the head.
If it is not an organic disease that occurs directly on the head, it means that there is something wrong with the five internal organs.
Pain in the forehead is mostly caused by the Yangming meridian, throbbing pain in the temples is mostly caused by the Shaoyang meridian, pain at the back of the head is mostly caused by the Taiyang meridian, and pain at the top of the head is mostly caused by the Jueyin meridian.
"Uncle, where do you feel the pain on your head?"
To be on the safe side, Li Duanyang still asked Wu Daniu.
"My whole head, my head hurts, it hurts everywhere." Wu Daniu answered angrily, holding his head.
"Put your tongue out and let me see." Li Duanyang said again.
Wu Daniu stuck out his tongue. His tongue was pale, with white and slippery coating. There were tooth marks and basically no taste. This meant there was cold and dampness in his body.
And Li Duanyang quickly judged the condition of his internal organs based on the division of the five internal organs areas on his tongue.
"How long has uncle had this headache?" Li Duanyang turned to ask Wu Erniu.
"It's been more than twenty days." Wu Erniu touched his head and said, "I still retched when I had a headache and vomited water. I suspected that it was caused by nervous headache or high blood pressure. I went to the county hospital for diuretics and lowering blood pressure.
I took medicine and my blood pressure dropped to normal, but I still had a headache. Later, I asked a traditional Chinese medicine doctor in the alley to see me, and he prescribed ephedra decoction. Not only did it not work, but I also had a headache. I came here and asked a doctor here to prescribe it.
Even the side medicines have no effect."
Wu Erniu took out the prescription note from his brother's pocket and handed it to Li Duanyang. It was Linggui Shugan Decoction.
Li Duanyang checked Wu Daniu's pulse and found that his pulse was deep and thin.
"What kind of disease does my brother have?" Wu Erniu asked Li Duanyang cautiously.
"Cold condenses yin, and the liver receives cold evil, which then attacks the spleen and stomach. Stop drinking when the stomach is cold, blocking the clear yang, and the turbid yin goes up and down the meridians and invades the top of the head." Li Duanyang said calmly.
Wu Erniu stared at him and couldn't understand a word he said.
Hum hum, just to make you unable to understand.
Li Duanyang snorted in his heart.
But seeing Qin Linlin looking at him with a faint smile, and seeing everyone in the ward looking at each other with big eyes and small eyes, he finally explained it.
"To put it simply, the main part of the internal organs is the liver that is affected by cold (Foot Jueyin Liver Meridian), and then the liver likes to bully the spleen and stomach, and will vent its anger on the spleen and stomach when it is unhappy (this is an allusion to Wu Erniu's wild behavior just now)
), the spleen and stomach are also injured. The spleen is the source of qi and blood biochemistry. If the spleen does not work properly, it will lead to excessive water, dampness and phlegm in the body, the clear yang qi will not rise, and the cold evil qi will force up to the top of the head.
It went up, that’s why I have a headache.”
This time everyone finally understood something, but they felt it was a bit mysterious. The cold air in the five internal organs rushed to the top of the head, making the whole head hurt?
Headache is caused by cold in the five internal organs?
Everyone shook their heads, they would rather believe that it was a neurological headache, or a headache caused by high blood pressure, which would make it easier to understand.
And this Wu Daniu does have high blood pressure.
And the conclusions of this set of traditional Chinese medicine diagnosis are so mysterious that they sound like the words of a child.
But no one dared to say anything. After all, in everyone's opinion, although the entire theory of traditional Chinese medicine is foggy, and doctors treat people as if they are treating confused people with confused diseases, in many cases they can indeed treat people.
Good news.
After Li Duanyang explained to everyone, he took out the needles and started acupuncture on Wu Daniu.
He selected Sishencong (4 points), Qimen (2 points), Hegu (2 points), and Taichong (2 points), a total of ten points for acupoint matching treatment.
The Sishencong point is located 1 cun each on the left, right, front and back of the Baihui point on the top of the head (the cun in Chinese medicine refers to the same body cun, and the length of the same body cun varies from person to person. The width of the patient's thumb knuckle is used as one cun.
), the main function of this Sishencong point is to awaken the mind and rejuvenate the mind, and mainly treats headaches, dizziness, insomnia, forgetfulness, epilepsy and other diseases.
The needles must be inserted into these four points using the flat pricking method. The straight pricking method is usually life-threatening.
Qimen belongs to the acupoint of the liver, located on both sides of the chest and flanks. Taichong is the original point of the liver meridian, two above and two below, which can jointly soothe the liver, regulate qi, and regulate the internal organs.
At this time, Li Duanyang used these four points mainly to release the cold evil energy on the liver meridian of Zujueyin.
Hegu point has the function of harmonizing the stomach and removing dampness.
At this time, the matching of Li Duanyang's ten acupoints can not only wake up the brain and rejuvenate the mind, but also dredge the meridians, soothe the liver and dispel cold, reduce inverse conditions and resolve turbidity, which can be said to form a small but unified closed loop of treatment.
In addition, his acupuncture skills are much better than ordinary doctors, and the curative effect is very impressive.
"Huh? It doesn't hurt anymore!"
Less than ten minutes after acupuncture, Wu Daniu's frown relaxed, he shook his head and said in surprise.
Everyone looked at Li Duanyang for a moment.
This young doctor’s acupuncture skills are really good!
Alas, the treatment methods of traditional Chinese medicine are often so confusing yet miraculous, but it is often difficult to find a real doctor.
"Ah, Dr. Li, your medical skills are outstanding!" Wu Erniu praised Li Duanyang.
Li Duanyang didn't say anything and started prescribing medicine for Wu Daniu.
He prescribed Evodia decoction plus Poria cocos.
"Uncle, take the medicine and drink it tomorrow morning according to the medicine I prescribed. You have to take medicine for this disease. Acupuncture alone can't get rid of the root cause."
After Li Duanyang wrote the prescription, he told Wu Daniu, and then gave him instructions on how to decoct the medicine. He wrote these instructions on the prescription, but he still gave him instructions again out of habit.
Back to the office.
"Tell me?" Qin Linlin asked.
"Have you figured out Uncle Wu's condition?"
Qin Linlin nodded.
"Uncle Wu's condition is characterized by yin, cold and deficiency. Mahuang Decoction is a prescription medicine. It treats superficial symptoms, so it is naturally not correct. Moreover, the patient is physically weak, and sweating more will only aggravate the condition.
As the name suggests, Linggui Zhugan Decoction is composed of four medicinal herbs: Poria, Guizhi, Atractylodes and Licorice. It has the effects of relieving the surface, lowering qi, strengthening the spleen, warming yang and transforming drinks and promoting urination. It can treat dizziness caused by cold drinks in the body.
dizzy……"
Li Duanyang paused for a moment when he said this.
Qin Linlin thought for a while and said, "Then the Linggui Shugan Decoction that the previous doctor prescribed to Uncle Wu seems to be more consistent, right?"
Li Duanyang shook his head and said: "The potency of the medicine is a bit weak. Guizhi and Atractylodes are both warm medicines, while Poria and Licorice are flat medicines. Their heat and dispersion are not enough to remove the severe cold and dampness in the patient's body."
"Maybe it's because the patient took the medicine for a short time, right?" Qin Linlin said.
"If Chinese medicine is used correctly, it will be as effective as the medicine. The main reason is that the medicine is too weak." Li Duanyang shook his head and said, "Can you try to analyze the Evodia Fructus Decoction plus Poria cocos I just prescribed to the patient?"
"The Evodia Fructus Decoction you prescribed should come from "Treatise on Febrile Diseases," right?" Qin Linlin asked.
Li Duanyang nodded. There are several kinds of Evodia Fructus Decoction in the past. Some are from "Inspection of Yao Han", some are from "Yi Zong Jin Jian", and some are from "Essential Prescriptions for Emergencies". The one Li Duanyang chose is from The Evodia Fructus Decoction in "Treatise on Febrile Diseases" only consists of four herbs: Evodia Fructus, ginger, ginseng, and jujube. It has specific and powerful effects.
"Among the four herbs in Evodia Decoction, Evodia is a pungent and hot medicine, ginger is a pungent and warming medicine, and the combination of the two medicines has a significant effect of dispelling cold and removing dampness. Ginseng is a sweet and warming medicine, seven points to replenish qi and three points to nourish blood, and jujube It is a sweet and flat medicine, which nourishes yin and nourishes yang. The main reason for using these two medicines is to prevent the spleen and stomach from becoming empty after dispelling cold and dampness, right? Adding a piece of poria cocos will enhance the effect of removing dampness? "
Qin Linlin thought.
Li Duanyang nodded with satisfaction: "Not bad, not bad! How does the medicinal power of this Evodia Fructus Decoction plus Poria cocos compare with Linggui Shugan Decoction?"
"Of course it's too much. Evodia Fructus alone can greatly increase the potency of the medicine, because it is a pungent and hot medicine." Qin Linlin said.
Li Duanyang looked at the pretty Qin Linlin and nodded. This girl is becoming his hot medicine day by day. Well, when he gets married in the future, she will slowly become a sweet and warm medicine again.
The most suitable wife is actually just a sweet and warming medicine for her husband.
Of course, in order to give life a little excitement, it would be better if it could be transformed into a spicy medicine once in a while.