"The purpose of learning is different. Some students study just to pass the exam. They memorize a lot of things without taking it into heart at all. After a short time, they forget it."
"To recite something, you must first understand it. The deeper you understand, the faster you can recite it!"
"How can you not practice medicine when studying medicine? How can you not observe and figure out your own body? How can you not observe and figure out other people's bodies? How can you not learn based on reality?"
…
On the podium, Li Duanyang spoke with sonorous words and spoke from the bottom of his heart. The students below listened very carefully.
Many students have already entered the classroom one after another, filling the entire classroom. There are students who are crowded with other students to sit on a chair. Even the aisle at the back is full of students, who all bring their own chairs.
Here comes the stool.
This kind of class scene is rare in traditional Chinese medicine universities.
Naturally, everyone was ready to eat melon, but in the end, they were gradually attracted by what Li Duanyang said and were shocked.
Of course, there are also those who listen indifferently and have no appreciation of Li Duanyang's painstaking efforts. For example, Li Xiaopeng is like this.
He wrote this passage in his notebook: "The important point is that when studying medicine, you need to observe and figure out the body. While observing and figuring out your own body, you must also observe and figure out other people's bodies, so I must find a woman as soon as possible."
Friend! This is related to my career in studying medicine..."
Li Duanyang talked about the attitudes and methods of studying medicine, and then returned to the main topic and began to teach today's main lesson.
Internal medicine in traditional Chinese medicine is divided into several parts: lung disease, heart disease, spleen and stomach disease, liver and gallbladder disease, kidney disease, qi, blood and body fluid disease, and limb and meridian diseases.
Now Professor Hao has just finished talking about spleen and stomach diseases, and today he will start talking about liver and gallbladder diseases. Seeing that the teaching plan is difficult to complete, the following parts will be taught faster.
According to the teaching plan, today's class has to finish the three sections of hypochondriac pain, jaundice and accumulation. The task is too heavy.
It can be said that reading the entire content from the textbook is enough.
Li Duanyang decided to give up talking about jaundice and accumulation and only focus on hypochondriac pain, so that everyone can gain something.
The task is so heavy that we can only do something and not do anything.
"Let's talk about hypochondriac pain." Li Duanyang made up his mind and said, "As for jaundice and accumulation, which will be discussed in this class, I will send the handout to the WeChat group for everyone to read in detail. If there is anything you don't understand,
You can also ask me in the WeChat group if you have any questions. As long as I have time, I will give you a serious answer."
After Li Duanyang finished speaking, he glanced at the entire classroom calmly.
He didn't know most of the people in this classroom, and he had never even spoken to less than half of the students in this class.
This is normal. We usually don’t go to our own classrooms during class. We are either in class or in the library or other places. Apart from the military training during our freshman year, we really don’t have many opportunities to interact with students.
But Li Duanyang spoke in a sincere tone. If these students really asked him medical questions in the WeChat group, he would really answer them seriously.
Seeing that no one had any objections, Li Duanyang continued.
Hypochondriac pain refers to a disease characterized by pain in one or both sides of the hypochondrium and ribs.
There are many causes of the disease, the main ones include exogenous dampness and heat, poor mood, injuries due to diet, fatigue/desire/long-term illness, injuries from falls, etc.
The pathogenesis lies in the disharmony of liver collaterals.
The disease locations vary between the liver and gallbladder, spleen, stomach and kidneys.
When diagnosing, it is necessary to distinguish whether the pathogenic factor is Qi or blood, and to differentiate between deficiency and excess.
Specifically, the syndrome types of hypochondriac pain are divided into:
1. Liver stagnation and qi stagnation. Treatment method: soothe the liver and regulate qi. Representative prescription: Bupleurum Shugan Powder.
2. Liver and gallbladder damp-heat type. Treatment method: clearing away heat and promoting dampness, representative prescription: Longdan Xiegan Decoction.
3. Blood stasis blocking collaterals type. Treatment method: removing blood stasis and dredging collaterals, representative prescriptions: Xuefu Zhuyu Decoction or Fuyuan Huoxue Decoction.
4. Liver collateral malnutrition type. Treatment method: Nourish yin and soften the liver. Representative prescription: Yiguanjian.
It may seem like there isn't much content, but it's difficult to actually learn the practical aspects.
It is not easy to just identify these syndrome types, not to mention that it is impossible for patients to get sick according to the book. In specific medical treatment, these syndrome types are often mixed together, so this thing alone needs to be provided.
It is not easy to explain it to everyone.
Li Duanyang first told everyone these contents in a formal manner, and was thinking of telling two or three more related medical cases to vividly imprint these contents into everyone's minds, when suddenly there was a sound from below.
Two boys were sitting on the same chair and fighting over their butts. One of them twisted his buttocks and knocked the other one to the ground. He twisted his waist and couldn't get up.
The classroom suddenly burst into laughter!
"Don't move!"
Li Duanyang laughed for a moment, then quickly stopped laughing and shouted, while striding over.
These are two strange boys. He doesn't know their human nature, so it's better not to laugh. Besides, his status today is not the same as that of other classmates.
Others can laugh freely, but he cannot.
"How do you feel?" Li Duanyang squatted down and asked the chubby boy who was lying on the ground and couldn't get up.
"It hurts, I can't move..." The boy named Bai Chang gasped in short breaths. He was sweating. On the one hand, he was embarrassed, but on the other hand, it was really painful.
If a person is fat and heavy, the fall will be serious.
"She must have twisted her waist." Qin Linlin walked over and whispered.
Judging from the boy's weight, as well as the posture and suddenness of his fall just now, he probably suffered an acute lumbar sprain.
Acute lumbar sprain is more troublesome to solve with Western medicine, and there is no particularly good method. It is nothing more than cold compress, hot compress, sealing injection, muscle relaxant, or surgical treatment.
Yes, you heard it right, Western medicine sometimes uses surgery to treat acute lumbar sprains!
The surgery will choose different surgical methods according to the patient's location and structure of the injury, such as repairing the ruptured parts of the waist soft tissue after injury, or removing the adhesions.
But Qin Linlin knows that acute lumbar sprain is relatively easy to treat in traditional Chinese medicine. Acupuncture, massage, plaster, medicine and other methods all have a certain effect. I heard that acupuncture is the fastest among them. If it causes damage to the internal organs, it can still be treated.
Taking medicine to heal the aftermath.
"Come on, everyone, help carry the person out of the aisle first!" Li Duanyang greeted.
Li Xiaopeng, Gao Zhengming, Song Biao and other boys came over, and together with the guy who was fighting with the injured person, they put hands on those who couldn't, and gently lifted the injured Bai Chang out of the aisle and let him go.
Come down.
"The lower back is asking for help! We need to acupuncture the Weizhong point!" A fat student said with his hands crossed.
"Yes, but this is the last resort in acupuncture." Li Duanyang nodded.
The so-called Weizhong Qiu of the waist and back generally involves pricking the Weizhong point with a triangular needle to let out blood, so as to reduce the pressure caused by the waist injury, allow the permeate in the damaged area to flow back and eliminate swelling, thereby achieving the purpose of healing.
Moreover, if the bloodletting volume of acupuncture Weizhong point is too small, the purpose cannot be achieved at all. The bloodletting volume should generally be between 50ml and 150ml.
Of course, you can also rub the Weizhong point yourself, but the effect is generally less effective.
After everyone heard what Li Duanyang said, they all watched how he treated the injured Bai Chang.
Chapter completed!