"Our prescriptions are basically the same." Zhang Dake heard Li Duanyang say that he wanted to discuss the prescription, and then he came back to his senses and said, "It's just that you have aconite, I don't think it's necessary to use it, right?"
Li Duanyang said helplessly: "My aunt has been suffering from this problem for more than 20 years. Now the symptoms of yang deficiency are obvious. I feel that in order to remedy the situation, the medicine must be more powerful. How about this, Doctor Zhang, we can add this medicine first.
Depending on the effect, you can make adjustments at any time."
Zhang Dake nodded after hearing this: "Then use it and see the effect first."
The older the doctor gets, the more cautious he becomes in using medicine, but at the same time he lacks decisiveness. When prescribing, he also hesitated whether to use aconite or not, but in the end he chose to be conservative. When Li Duanyang said this, he felt
It might work better if you use it.
In this way, the discussion between the two was relatively smooth. Zhang Dake was rare in this aspect and did not hesitate to protect his face. As long as Li Duanyang's words were reasonable, he would accept it.
After the two discussed the prescription, they basically adopted Li Duanyang's prescription.
The patient, Liu Meizhen, had insufficient yang in her body, coupled with an irregular diet and eating raw and cold foods, which resulted in a weak spleen and stomach, a deficiency and cold in the middle Jiao, and a loss of warmth and nourishment in the stomach.
The spleen is responsible for rising Qing. If the spleen is deficient, Qing Yang will not rise and the Qi will sink, so gastroptosis is seen.
Therefore, the symptoms are epigastric distension and pain, which worsens after eating, and poor appetite.
The spleen governs the transportation and transformation of qi and blood. If the spleen and stomach are deficient and cold, and the transportation and transformation are ineffective, the body will lack nutrients, so the body will be thin, the body will be tired, the limbs will be weak, and there will be little energy and laziness.
If the stomach is not harmonious, sleep will be restless, and sleep will naturally be poor.
In summary, the syndrome differentiation is weakness of the spleen and stomach, and depression of middle qi. Disease location: spleen and stomach. Disease nature: deficiency in origin and excess in excess.
(The so-called deficiency in origin and excess in excess here means that the original cause of the disease is Qi deficiency in the body, but the epigastrium feels distended and painful, as if it is filled with something.)
Therefore, it is necessary to replenish the deficiency and replenish the qi, raise the Yang and lift the depression!
(This is actually a treatment method used to relieve congestion in traditional Chinese medicine. Originally, the patient felt that her stomach was full and distended and uncomfortable, but now she has to replenish her Qi and improve her Qi. This treatment method is also called "replenishing and removing congestion".
It is to treat the disease based on its essence of deficiency and deficiency.)
Use the modified Buzhong Yiqi Decoction.
In the prescription, Astragalus membranaceus is sweet and slightly warm, enters the spleen and lung meridians, nourishes the middle and replenishes qi, raises yang and strengthens the surface. It must be used frequently (80 grams), so it is a king medicine.
Codonopsis pilosula, Zhigancao licorice, and Atractylodes rhizome are used as ministerial drugs to invigorate qi and strengthen the spleen.
Angelica sinensis nourishes blood and nourishes nutrients, cooperates with ginseng, and astragalus nourishes qi and nourishes blood; tangerine peel regulates qi and harmonizes the stomach, so that all the medicines can be supplemented without being stagnant, and together they are adjuvant medicines;
A small amount of Cimicifuga, Bupleurum and Bupleurum to raise the yang and lift the depression, assist the monarch medicine to lift the qi in the depression, and together they serve as assistants;
Zhigancao is used as the herbal medicine to blend various medicines.
Also added Shouwu Teng to calm the nerves and aid sleep;
Add a pinch of aconite to support Yang to help Qi rise;
Ginger and jujube can be used together to harmonize Qi and blood.
This prescription is quite powerful. It should be able to help Guo Hongxia's mother replenish her qi, raise her yang and lift her depression, and relieve her of years of pain and suffering.
After writing the prescription, Li Duanyang gave Guo Hongxia's mother another massage. It was almost noon, and Aunt Guo Hongxia's family stayed for dinner. They ate pork ribs stewed with dried beans. The meal was quite flavorful and delicious.
.
During the dinner, Zhang Dake examined Li Duanyang's knowledge of traditional Chinese medicine, such as Ziwu Liuzhu, "the mother can make the son weak, and the son can make the mother strong", and the fire in the south and the water in the north. These are all things that ordinary people cannot understand at all.
The terminology of traditional Chinese medicine made the two of them get into a fight at the dinner table. In the end, Li Duanyang took the initiative to admit defeat, fulfilling the old man's wish to regain some face, and finally escaped smoothly after the meal.
On the way back, Guo Hongxia was silent, and Qin Linlin was also a little depressed. Li Duanyang drove the car and said with a smile: "What's wrong? Let the old Chinese medicine doctor say a few words. After all, he is worried about the current situation of our Chinese medicine doctors.
It’s a bit biased, so don’t worry about it.”
Guo Hongxia said: "How dare I care about Uncle Zhang? I just feel that I am so useless that I can't even do a consultation, so I still have to face my mother."
"This is a common mistake made by students of traditional Chinese medicine when they first come out. It will no longer be the case when they have rich experience in medical treatment."
"Junior brother, what are you doing...yes, you have studied medicine with your grandfather since you were a child. Alas, it is a good family tradition!" Guo Hongxia sighed, then looked at Gao Xiaozhu, "Xiaozhu, you should study medicine with your elder brother.
, you can be as good as your big brother in the future."
Gao Xiaozhu pouted and nodded seriously: "I will definitely study medicine with my big brother!"
…
Li Duanyang drove very fast, returned to the vicinity of Jiaotong University, and dropped Qin Linlin in front of her apartment building. When he returned to the hospital, he asked Guo Hongxia to take Gao Xiaozhu upstairs to sleep. He returned to the dormitory, lay on the bed and started a video call with Qin Linlin.
.
"What's wrong? Didn't you change your mind after a few words from the old Chinese medicine doctor?" Li Duanyang asked Qin Linlin with a smile.
"No, I just feel that what Dr. Zhang said was a little too much and made Western medicine worthless." Qin Linlin said to the video while lying on the bed with her long eyelashes flashing.
"Come on, I don't know what you are thinking yet, Linlin. Let me tell you, your conditions are too good and you have the cost of trial and error, so you keep changing your mind.
But let me tell you, you really don’t have much time to change now. No matter what, you should first focus on going to Kyoto to go to graduate school, and wait until you finish graduate school. Then even if you want to switch to traditional Chinese medicine, I will
It's not too late to have this big man back you up.
Let's take the honors we deserve in life first, so that we can have no regrets in this life, and then talk about other things.
Anyway, Qin Linlin, you don’t have to worry about not being able to live a good life in the future, right? Let’s first earn a title as a master’s or doctoral student at both XH Medical College and THU University.”
"Are you tired of talking? Let's go to sleep? Do you want me to sing you a children's song to put you to sleep?" Qin Linlin suddenly flashed her long eyelashes and smiled narrowly.
"..." Li Duanyang licked his suddenly dry lips, "Sing."
As he said that, he turned his eyes and no longer looked at Qin Linlin in the video. This girl's eyes, dimples, nose and mouth were all flashing with a particularly youthful, charming and close quality, which made him feel a little...
Overwhelming.
Well, maybe this should be called the bright brilliance of youth. It is really hard to describe, and it also makes people feel very itchy. It makes people want to hug her and kiss her hard to relieve it.
The fire in my heart.
It’s a feeling I haven’t seen for a long time.
However, in his previous life, this feeling of his was always accompanied by a bitter inferiority complex. Today, he no longer has that bitter inferiority complex, but now he still dares not to completely let go of himself...
Well, this special electrostatic field in the body must be controlled quickly...
"Screw you, I'm going to sleep, you go to sleep too." Qin Linlin said with a sweet smile and hung up the video call.
This girl...
Li Duanyang felt a little inexplicably annoyed for a moment...
He lay quietly on the bed for a while, then got up and picked up a large glass of rock sugar and snow pear water on the table and drank it. Then he quickly massaged the Tanzhong, Zhongtang and other points on his chest to slow down his heartbeat.
, and rubbed the Guanyuan point with a finger for a while, and then he calmed down again.
Some things really attack the body much faster and more violently than the six evils of wind, cold, heat, dampness, dryness and fire. They can hit your heart in an instant and silently through the screen...