The next day, Li Duanyang taught Hao Wenbing's class in the morning. Qin Linlin did not follow him again, and there were not as many people in the classroom as yesterday. However, compared to Hao Wenbing's class, there were still many people, and the classroom was full.
There are even people from outside departments coming to attend classes.
Han Jinjue came and sat in a corner with his head bowed. Zhang Qilong did not come.
Bai Chang, who suffered an acute lumbar sprain, didn't come, probably feeling embarrassed.
In addition, all the students from Li Duanyang's class came.
Li Duanyang roughly called the names, recorded those who should have come or not in the attendance book, and then started class.
Yesterday, he talked about costal pain in hepatobiliary diseases and posted the two sections on jaundice and accumulation to the WeChat group of the current clinical department. There were also a few people asking related questions, but not many.
This made him feel a little unsure, so he decided to ask questions related to these two sections in this class.
"I will give you ten minutes to read the contents of the two sections on jaundice and accumulation. I will ask questions later."
He stood on the podium and said. After scanning the entire classroom, his eyes fell on Gao Zhengming, Song Biao and Li Xiaopeng. Don't think that I won't ask you questions. Don't be embarrassed! His eyes hinted like this.
.
These three guys also quickly looked around.
After ten minutes were up, Li Duanyang only asked some conceptual questions.
1. Jaundice.
1. The pathogenesis of jaundice. Damp evil traps the spleen and stomach, blocks the liver and gallbladder, causes abnormal drainage of the liver and gallbladder, and overflows bile, leading to jaundice.
2. The causes of jaundice include exogenous dampness and heat, epidemic poison, internal injury, diet, fatigue, and subsequent disease.
3. External symptoms of jaundice. The main symptoms are yellow eyes, yellow body, and yellow urine. Yellow eyes are particularly important.
4. Classification of jaundice. There are two types of jaundice: yang jaundice and yin jaundice.
5. Key points of treatment: dispel dampness and facilitate urination.
Two, accumulation.
1. The concept of accumulation. Accumulation is a buildup in the abdomen.
Accumulation refers to a fixed and tangible body, the pain has a fixed location, the disease is in the blood, and it is an internal disease. For example, benign tumors and malignant tumors belong to the accumulation syndrome.
The essence of accumulation is a lump of air, with invisible gathering and dispersion. The pain has no fixed location. The disease lies in the Qi division and is a Fu-organ disease.
2. Causes: Internal invasion of cold evil, emotional disorders, injuries caused by diet, illness and other causes.
3. Pathogenesis: damage to the liver and spleen, disharmony of the internal organs, qi blockage, and internal blood stasis.
(I have said so much, but the main thing is that poor circulation of Qi and blood leads to qi stagnation and blood stasis, which of course also includes phlegm and blood stasis caused by excessive water and dampness.)
4. Key points of treatment.
Gathering certificates:
(1), Liver Qi stagnation syndrome.
Symptoms: Liver failure to relieve diarrhea and Qi in the abdomen forming lumps.
Treatment method: soothe the liver and relieve stagnation, promote qi and disperse stagnation.
Representative prescriptions: Xiaoyao Powder, Muxiang Shunqi Powder plus or minus.
(2), syndrome of food stagnation and phlegm obstruction.
Symptoms: insect accumulation, food stagnation, phlegm and turbid obstruction, Qi accumulation that persists and forms lumps.
Treatment method: regulate qi and resolve phlegm, guide stagnation and disperse stagnation.
Representative recipe: Liu Mo Tang.
Certificate accumulation:
(1), Qi stagnation and blood blockage syndrome.
Symptoms: Qi stagnation and blood stasis, disharmony in the veins, and accumulation of blood into lumps.
Representative prescription: Bupleurum Soothing Gan Powder combined with Wu Yang Powder.
(2), blood stasis and internal knot syndrome.
Symptoms: persistent blood stasis, gradual loss of righteousness, and unhealthy spleen.
Treatment method: remove blood stasis, soften hardness, and strengthen the spleen.
Representative prescription: Gexia Zhuyu Decoction combined with Liujunzi Decoction
(3), correct deficiency and blood stasis syndrome.
Symptoms: chronic symptoms, lack of luck, deficiency of qi and blood.
Treatment method: Replenish qi and blood, activate blood circulation and remove blood stasis.
Representative prescription: Bazhen Decoction combined with Huaji Pills.
No one asked any questions about these two sections, so Li Duanyang was ready to let them go.
College is mainly about self-study. Teachers really can’t teach much in class and time is really limited.
Li Duanyang was about to start talking about the content of this class. Li Xiaopeng, who had never asked a teacher in his eight lives, raised his hand, and he raised his hand so high. If his arm were longer, he could reach the roof, and it was so shaky.
With.
"What's your problem?" Li Duanyang could only answer.
Even though I knew this guy might be causing trouble, I couldn't ignore his raising of hands.
"Teacher," Li Xiaopeng stood up and said in a high voice, "How can tumors develop in people's bodies?"
You are really causing trouble on purpose. Isn’t this made clear before?
"Moist environments tend to produce weird things. Mushrooms grow in the shade of trees, and tumors grow in the human vagina. Sit down!"
After Li Duanyang answered in a few words, he forced this guy to sit down with a threatening look, otherwise he didn't know what strange questions this guy would ask next.
He could tell from the look in this guy's eyes that there must be consequences later, so decisive measures must be taken.
Then we will talk about bulging disease and headaches (headaches mainly caused by liver and gallbladder problems) that will be discussed in this class.
Bloating disease refers to a type of disease in which the abdomen is distended like a bulge. The causes include excessive drinking and eating, emotional stimulation, insect infection, and subsequent disease. The pathogenesis is mainly damage to the liver, spleen, and kidneys, qi stagnation, blood clots, and water
Stop in the abdomen.
Well, pay attention to this "water stops in the abdomen". This is the main feature that distinguishes it from accumulation syndrome. In other words, accumulation syndrome is caused by the blood component, while accumulation syndrome is caused by the qi component. However, this bulging disease is caused by qi stagnation in the blood.
There is a lot of ascites caused by knots.
For example, liver ascites is this disease.
How to treat it?
In fact, if you think about it, you will understand that you need to quickly activate your qi and blood to get rid of the dampness!
(Western medicine sometimes directly uses a needle to extract ascites, which is the simplest and most effective method. However, if it does not soothe the liver, strengthen the spleen and nourish the kidneys, and if it does not activate qi and blood, the patient will soon be filled with water.)
So whether you soothe the liver and regulate qi, or warm the middle and strengthen the spleen, you need to promote qi and blood!
Regardless of whether you are diluting dampness, diluting water, or removing dampness and chasing water, you just need to expel that water quickly!
Li Duanyang only talked about the content of this section in general. The principle of this disease is easy to explain clearly, but it is a bit difficult to actually cure this disease, because most of the patients' internal organs diseases are already very serious at this time.
For example, if you have hepatic ascites, you are mainly treating liver disease, and you may already have cirrhosis!
Next, let’s talk about headaches.
Causes: Feeling of external evils, emotional disorders, congenital deficiencies or sexual intemperance, fatigue from eating and drinking, physical weakness and long-term illness, head trauma or long-term illness entering the collaterals.
If the headache is caused by organs, the treatment must first identify whether it is an external infection or an internal injury, which organ is affected by the disease, and then which meridian the disease invades the head.
For example, forehead pain is usually caused by the disease originating from the Stomach Meridian of Foot Yangming, temple pain is generally caused by the disease originating from the Gallbladder Meridian of Foot Shaoyang, pain on the top of the head is generally caused by the pathogenic origin transmitted by the Liver Meridian of Foot Jueyin, and pain in the back of the head is generally caused by the Origin Meridian of Foot Taiyang.
Diseases transmitted from the bladder meridian, etc.
There are many causes of headaches. Because this section belongs to the chapter of Hepatobiliary Diseases, Li Duanyang mainly talks about headaches caused by hyperactivity of liver yang.
Headache caused by liver yang, syndrome: liver failure, qi stagnation turning into fire, yang hyperactivity and wind movement. Treatment method: calm the liver, subdue yang and calm the wind, representative prescription: Gastrodia Unteng Decoction.
After finishing the class, Li Duanyang didn't think anything, but all the students lowered their heads. There were so many things and it was so hard to remember! Their heads were going to explode!
Li Duanyang couldn't help it. He had to rush to class now and couldn't teach more based on the cases. As a result, the class was so boring.
Waving his hand, he picked up Lao Hao's satchel and left quickly. This lecture was quite a confidence-breaker for him.
There is an overwhelming amount of knowledge. If I don’t talk about it, it won’t work. If I talk about it, it will be like this.
It is not easy to think about how Hao has persevered for many years.
How can this teaching system be changed?
How much can the students accept if fed like this?
Just reciting it is enough, what about participating in the practice of treating diseases?
How much results can be achieved after five years of studying?
However, this is not something that he, Li Duanyang, can decide on.
If he establishes a private Chinese medicine university in the future, he may be able to reform this teaching system in his own school.