Chinese medicine doctor Xu Yang

Since the discovery of an ancient tomb of the Eastern Han Dynasty in 1981, which confirmed the true dose in Zhongjing Jing's prescription, the debate on the dose in the traditional Chinese medicine community has never stopped.

Mr. Li spent a lot of time working on this issue in his later years, and many senior Chinese doctors also campaigned for it.

Of course, many Chinese medicine practitioners have begun to try new dosages and gradually applied them clinically, with excellent clinical effects. But few people dare to touch those poisonous drugs.

The reason is simple, the pharmacopoeia is the legal code.

If something happens within the dosage, it is called an individual incident, and the pharmacopoeia will protect the doctor. But if the dose is exceeded and something goes wrong, the doctor needs to take responsibility.

In the 1960s, Dong Wei, a famous cardiovascular doctor who returned from studying abroad at the Imperial Medical College of Japan, was sent to Mr. Li and his colleagues as a school doctor in a middle school in his county. He once witnessed Mr. Li using the special Jiuxin Decoction to rescue patients with heart failure.

He was amazed at Mr. Li's curative effect and praised his ability to treat critical heart failure patients, which surpassed modern medicine. But I was worried that Mr. Li would be imprisoned if something happened if he used it in such an amount.

Mr. Li still didn't care and went to the rescue wholeheartedly, never considering personal gains and losses. Fortunately, Mr. Li met a good leader. Every time, the dean signed for him and took responsibility for him. If the dean is not present, the local police chief will sign for him.

In fact, people in the field of traditional Chinese medicine have been promoting the reform of the pharmacopoeia for many years. There is no Chinese medicine doctor who does not criticize the pharmacopoeia. Unfortunately, the effect is very little. In fact, the pharmacopoeia of Chinese medicine has not been decided by Chinese medicine doctors for a long time.

…

Xu Yang sat down to write the prescription. He said: "The patient's symptoms are very obvious. He is Yang deficiency and cold, cold and cold, and blockage, so that the body is trapped by cold and cold, causing heart pain and gangrene. "

"Because of stasis and blockage, cold coagulation and blood stasis, it is necessary to activate blood circulation and remove blood stasis. And because qi is the commander of blood, and the movement of qi leads to the movement of blood, so astragalus must be used as the king medicine, and it must be used reliably. It must greatly replenish qi and make qi prosperous. It can promote blood flow."

"Shengqi is best at relieving toxins and draining pus, astringing sores and promoting muscle growth. It is an important medicine for carbuncle and is also the first choice medicine for treating carbuncle. However, because of its mild medicinal properties, it is difficult to be effective unless it is used in an exceptional manner. Therefore, it is important to use raw qi 240g.”

The young Chinese medicine doctors looked at each other, and without much hesitation, they all started to take notes again. What Xu Yang told them was the principles of disease treatment and medication strategies. These are the most valuable clinical experiences.

Xu Yang added: "The patient's body is trapped by yin and cold. The cold evil lies deep in the meridians and penetrates into the blood, causing real pain in the heart and cold limbs. Therefore, Danggui Sini Decoction is used to restore yang and save the ni."

"The four inverses of Angelica sinensis nourishes blood and unblocks the meridians. It mainly treats coldness in the hands and feet and a thready pulse. It is consistent with the patient's symptoms. The patient's dorsalis pedis artery has disappeared and the Cunkou pulse is also deep, thin and slow. Both Aconite and Angelica should be used up to 60g.

"The patient has numbness in his hands and feet, cold in his meridians, and severe electric shock-like pain in his legs. He needs to use Evodia Fructus and Ginger Decoction. Evodia Fructus is best at relieving spasms. It can be used with Danggui Four Nis to restore Yang and save Ni, so as to relieve the patient's pain and relieve numbness and spasm in the hands and feet." .”

"Finally, the patient has been ill for too long. Not only is his blood deficient and stagnant, but his body is as cold as ice. At this time, the aconite soup that does not pass through the twelve meridians inside and outside, and which is pungent and hot, cannot defeat the enemy and drive away the cold. "

"Therefore, Aconite decoction should be combined, and the usage should respect Zhong Jing's intention. The amount of Zhigancao should be twice that of Aconite. For 30g of Aconite, 60g of Zhigancao should be used. This dose of Zhigancao is enough to control the poison of aconite.

"In addition, 30g each of black adzuki beans and saposhnikovia should be added. These two are the key medicines for restraining aconite and poison. Although Zhongjing Aconitum Decoction does not contain these two medicines."

"But when I taste Aconite and Aconite, I often use this soup to detoxify. There are also related herbal treatises on these two, which record that these two can detoxify Aconite. I have also used this soup to save patients with Aconite poisoning. people."

"Adding these two is safer and ensures that aconite and Sichuan Wu are not harmful. It is difficult to get raw Sichuan Aconite in pharmacies now. We cannot follow Zhong Jing's method of preparing Sichuan Aconite, but we can add 150g of honey to the soup. , the same thing."

"These are all the experiences of senior Chinese medicine practitioners in the application of black bones. Only by learning how to control these powerful warriors can Chinese medicine have weapons to defeat the enemy when treating critical and severe cases."

"Everyone must keep in mind that the use of these poisonous drugs that you think is unusual is not a random act, but a matter of caution. Only when you have tasted it yourself will you know what to do. I also suggest that you try Sichuan Wu after get off work. and aconite, to try the feeling of detoxification after poisoning.”

A group of young Chinese medicine practitioners present gasped.

Xu Yang said: "Many disciples of old Chinese medicine practitioners are asked to taste Wufu and other medicines themselves, but they don't dare to use them themselves? How dare they give them to patients?"

Everyone looked at each other a little bit.

Several Western doctors looked at each other and expressed disapproval. Xu Yang's so-called caution was still too rough for them.

How a Western medicine can be used clinically requires a very complicated drug testing process, repeated verifications, pharmacological studies, animal experiments, and multiple batches of human consumption experiments. Time and time again, it has to go through very complicated procedures. Only then can it be used clinically.

You only need a few sips on your own and you dare to use it on patients?

Isn't this too messy?

There is no safety or security at all.

Several directors of Western medicine shook their heads one after another. They all had opinions in their hearts, but they just didn't say it with their mouths.

Even Zhong Hua and Cao Dehua frowned.

…

Xu Yang sighed slightly and said: "I know that you think it is very unscientific to determine the dosage based on your own experience in taking medicine, because after all, you are not sick, but the patient is dying, so naturally it cannot be the same."

A group of young Chinese medicine practitioners nodded.

Xu Yang said helplessly: "It is correct to maintain necessary doubts about the experience of previous people in using medicine. Let you try Aconite and Aconite, let yourself be poisoned, and then use medicine to detoxify, just to prove that these medicines can restrain the poison of Aconite and so on. As for using it on patients, it will not cause any harm.”

"When using this kind of medicine, we must be more cautious than anyone else. I also hope that there are medical research institutions that can give reliable conclusions, but few people in those institutions that study traditional Chinese medicine understand traditional Chinese medicine."

"Medicine is a science that pays attention to practice. We must not advocate empty talk and despise clinical practice. Pharmacological research by medical research institutes cannot fully represent traditional Chinese medicine. We can only test poisons and drugs ourselves."

"After you really try it, you will find that Zhongjing is right. Zhongjing's prescriptions are based on more than 1,800 years of clinical experience. Isn't it more reliable than the medical research institute? Doesn't it prove its safety and efficacy? ?”

The young Chinese medicine practitioners looked at each other and wanted to take notes, but they didn't know how to write.

Professor He also sighed slightly.

Xu Yang looked at them and said: "I am very opposed to you daring to use large doses of aconite medicine when you get started, because it is irresponsible to the patient."

"I suggest you learn from experienced traditional Chinese medicine practitioners. Only if you have seen enough, learned enough, and tasted enough can you use it in clinical practice. Because we are here to save people, not harm them."

"But the actual dosage and compatibility of Zhongjing's prescriptions can be used boldly after you have relevant clinical experience and on the basis of correct dialectics, because Zhongjing is not wrong."

Zhong Hua and Cao Dehua looked at each other and smiled bitterly. Zhong Jing is right, but the pharmacy must also be willing to give medicine. Zhong Jing is right. After the patient causes trouble, the doctor who prescribes the prescription must be held responsible.

Xu Yang continued to write the prescription, and he said: "The patient's cold evil entered from the outside, and entered from the outside, and stayed there for many years. The weaker the patient's righteousness is, the deeper the cold evil invades. Now it has entered the blood and has become a serious disease. .”

"Since disease and pathogenic factors enter from the outside, they should be solved from the outside. The way the evil comes from is the way out. The treatment of diseases by traditional Chinese medicine is never about killing the disease and pathogenic factors, but to strengthen the body and expel the evil."

"Stabilize the righteousness and expel the evil qi. Therefore, you should first relieve the symptoms and help the evil qi go out. If there is no way to strengthen the righteousness and expel the evil, you can even use hot medicine such as Wufu to drive away the cold evil."

"There is no way out for cold evil. It is necessary to open the door and drive away the thieves, otherwise it will be difficult to cure. Therefore, pungent and warm external medicines such as ephedra and cinnamon twig should be added.

"Asarum is a great general in strengthening the body and bringing it out. It can bring out the deep cold and malaria hidden in the three yin meridians from the inside out, and bring it out. When using the basic dosage described in the Treatise on Foot Febrile Diseases, you must not follow the example of the Song Dynasty's Chen This may be true of Li Shizhen’s saying that hard work is not worth money.”

"Add some insect medicine to unblock meridians and relieve pain, and this is the complete recipe." After Xu Yang wrote the prescription, he looked at everyone with a calm expression and said, "I will bear all the consequences."

All the Chinese doctors present were trembling in their hearts.

Xu Yang picked up the paper, but the paper in his hand was suddenly snatched away by Professor He.

Xu Yang was suddenly startled.

Others were also stunned.

Professor He put the prescription on the table, then took out a pen and wrote his name on the prescription.

"Teacher...you..." Xu Yang was suddenly shocked.

Professor He shook his head, smiled bitterly, and said, "I can't persuade you, so I have to take responsibility for you."