Chapter 93: Dialectical medication must be in moderation
After Li Duanyang finished class, he returned to the dormitory of the Traditional Chinese Medicine Hospital with Lao Hao's satchel in a bad mood. He found two elderly people in their fifties who looked like a couple waiting in front of his dormitory. When he came back, he quickly stepped forward and asked
: "Is this Dr. Li?"
"I am. What do you want from me?" Li Duanyang nodded.
"We heard from someone that you are very good at medical treatment, so we came to see you." said the woman in her fifties.
Li Duanyang suddenly felt suffocated. Who pointed the patient to the door of his dormitory? Doesn't this allow people to live?
Doctors are human beings too. They are tired every day. It's already noon and you haven't eaten yet. There are patients coming to block your door. If you can't do it tomorrow, you might as well go back to the villa.
With this thought in his mind, he opened the dormitory door and said with a faint smile: "Come in."
The two old men may have felt something was wrong with Li Duanyang's mood, so they followed him into the dormitory. Li Duanyang was about to cheer up and diagnose his condition when he saw Gao Xiaozhu spreading his short legs and running over:
"Brother, I'm sorry! I saw that two old grandparents couldn't find a good doctor, so I asked them to come to you!"
So it’s you, little girl?
Okay, that's okay.
"What's wrong with you? Brother, didn't you learn to help others since you were young?" Li Duanyang said with a smile, "But don't talk to strangers casually when you see them in the future."
This statement was somewhat inconsistent, and Li Duanyang said it without thinking.
"It's okay, brother, I know good and bad people." Gao Xiaozhu said as he walked closer to the house and saw two old people and said, "Yes, these are the two old people. I heard they were watching in front of the building.
I sighed and let them come here!"
The two old men suddenly looked a little embarrassed. Li Duanyang asked with some humor in his heart: "Two old men came here after listening to a little girl?"
"Brother, I also found two patients who know you to prove that you are very powerful?" Gao Xiaozhu said.
Li Duanyang smiled bitterly in his heart, thinking that you really went to trouble to find some work for me.
Okay, let’s diagnose the condition quickly. We haven’t had lunch yet.
Unexpectedly, when he was thinking this, Gao Xiaozhu, who kept looking up at his face, asked: "Brother, have you not eaten yet?"
This little girl is so pretty.
"Have you eaten? Big brother will take you out to eat together later."
"I... ate, big brother must be very hungry now..." Gao Xiaozhu felt that he might have gotten into trouble.
"It's okay. Big brother is an adult. It's okay to eat later." Li Duanyang said, touching Gao Xiaozhu's hair.
I thought to myself that I have to be more careful in front of this little girl in the future. This little girl pays too much attention to herself and is too sophisticated.
"Why don't Dr. Li go and have dinner first? We'll be fine later," said the woman in her fifties.
"No, this old man needs medical treatment, right?" Li Duanyang looked at the man in his fifties and said.
"Oh, Dr. Li, you are really smart. You can tell who is sick at a glance!" the woman in her fifties immediately praised.
Li Duanyang was a bit dumbfounded. This man in his fifties looked obese at first glance, with dull and weak eyes. The contrast was a bit big compared to that of a woman. How could he make a judgment call?
This woman in her fifties is too flattering.
Li Duanyang said nothing and began to diagnose the man in his fifties.
The man's name is Zhang Laihu, he is fifty-six years old, and he and the woman Gao Xiuhua are a couple.
Two months ago, Zhang Laihu developed pain and discomfort in the liver area, fatigue, and loose stools. He went to the hospital and was found to have elevated transaminases.
Transaminase is distributed in liver cells. If there is inflammatory damage to liver cells and the permeability of the cell membrane increases, this enzyme will be released into the blood. You will see high transaminase in liver function tests, which means that the liver is damaged.
Zhang Laihu came to a traditional Chinese medicine hospital for treatment, but the traditional Chinese medicine prescribed did not work and his condition worsened.
Now I have swelling and pain in my right side, abdominal fullness, loss of appetite, fatigue and weakness, small amount of urine and yellow color, irritability, restless sleep at night, and nightmares.
The tongue is dark red, the fur is thin, greasy and yellowish, and the pulse is moist and rapid.
This is obviously due to stagnation of liver qi and overcoming spleen earth, resulting in liver stagnation and spleen deficiency. Once the spleen is deficient, transportation and transformation are ineffective, resulting in accumulation of dampness and heat in the body.
Swelling and pain in the right hypochondrium, irritability and irritability, restless sleep at night, and disturbing nightmares are mainly caused by liver qi stagnation, and are also related to the inherent dampness and heat.
Of course, if the spleen is deficient, the clear yang will not rise and the stomach qi will not fall. If the stomach qi does not fall, the stomach will be restless. An upset stomach will lead to restless sleep. Restless sleep will also cause symptoms such as irritability and irritability.
In short, the interaction of various internal organs in the human body is inherently a circle, and problems with many internal organs will cause the same symptoms.
As for abdominal fullness, loss of appetite, fatigue, and small amount of urine with yellow color, it is mainly caused by spleen deficiency and fire in the stomach.
How can there be fire in the stomach? If the stomach qi does not subside, there will naturally be fire in the stomach. Can qi transform the fire?
It would be good if the stomach fire doesn't come back and cause toothache.
Judging from the pulse and tongue, the tongue is dark red, the coating is thin, greasy and yellowish, and the pulse is wet and rapid, which all indicate that there is moisture, heat, and fire in the body.
The fire here is of course mainly virtual fire.
A dark red tongue with slightly yellowish coating and a swollen pulse indicate that there is heat and fire in the body. A thin and greasy tongue coating and a wet pulse indicate that there is dampness in the body.
Generally speaking, patient Zhang Laihu suffered from liver stagnation and spleen deficiency, with internal dampness and heat.
The treatment method should soothe the liver and strengthen the spleen, resolve dampness and harmonize the stomach.
Li Duanyang made such a diagnosis and then began to write a prescription.
A total of 5 doses, decoction in water, 1 dose per day, divided into morning and evening.
(I’m sorry that I don’t dare to write down the dose. Book friends can just look at the principles, methods, prescriptions, and medicines for this. You can’t just copy and use it after reading the dose. Chinese medicine emphasizes one person’s prescription, and you have to learn Chinese medicine and figure it out yourself.
, so as not to be misunderstood by quackery. I am afraid that in the future, all people will need to learn Chinese medicine. Now some provinces have advocated allowing Chinese medicine to participate in fighting the epidemic.)
In the prescription, Patchouli, Atractylodes, and White Cardamom are used to aromatize turbidity, clear away dampness and awaken the spleen; Artemisia, plantain, Poria, Coix kernel, Chinese yam are used to dilute dampness and protect spleen yang; Turmeric, gardenia, and tangerine leaves are used.
It relieves liver stagnation and clears gallbladder meridian stagnation and heat.
In this way, the liver qi can be soothed, dampness and heat removed, the spleen and stomach can be strengthened, the spleen and stomach qi can be raised, and the stomach qi can be lowered, and all symptoms can be eliminated naturally.
After Li Duanyang wrote the prescription, he handed it to Gao Xiuhua and gave instructions on how to prepare and take the medicine. Just as he was about to get up, Gao Xiuhua took out a prescription and asked: "Doctor Li, we don't understand this either."
Medical science, please take a look at the prescription above, why can't it cure my old Zhang's disease?"
Ha, I didn’t take it out before, but I took it out now. This is to prevent him from being affected by the prescription prescribed by the doctor before, and also to prevent him from prescribing the wrong medicine like the doctor before.
This Gao Xiuhua has enough thoughts.
Li Duanyang took the prescription and looked at it, and found that there were more than ten large doses of bitter cold and fragrant medicine in the prescription. No wonder the patient's condition worsened after taking this medicine.
Fragrant and dry medicines can remove dampness, while bitter and cold medicines can clear away heat. Therefore, to remove dampness and heat, in many cases, medicines that are fragrant and bitter and cold are used.
So it seems right that the previous doctor prescribed a large amount of fragrant and bitter cold medicine to Zhang Laihu?
otherwise.
Many medicines have two sides.
Fragrant and dry medicine can remove dampness, but it is also easy to damage the body and consume qi (easy to damage the liver, yin and stomach fluid), and the pungent powder of the fragrant and dry medicine is not conducive to reducing stomach qi? Wouldn't the fire in the stomach be even greater?
Already?
Bitter cold medicine can clear away heat, but it can easily damage spleen yang.
If the spleen yang is damaged, wouldn’t the spleen be yang deficient? If the spleen yang is deficient, it cannot transport water and dampness well?
This will make the patient's body more dehydrated, won't it?
Therefore, medicine has two sides, and we must use it in a certain amount. The previous doctor used a lot of fragrant and bitter cold medicine on Zhang Laihu, which exceeded the dosage, so it had a counterproductive effect.
Li Duanyang was very clear about this matter, but he couldn't tell Gao Xiuhua clearly. He could only vaguely say: "You try the medicine I prescribed, and come back in a few days for me to take a look."
As for whether people use his prescriptions or not, he really has no control over them. He has already exhausted his benevolence and righteousness.
In the end, he also confiscated the couple's money, sent them away, and took Gao Xiaozhu to dinner.