Chinese medicine doctor Xu Yang

Xu Yang said to Xu Yuan: "Go and check the patient's pulse."

"Yes." Xu Yuan responded and ran to Zhang Sanqian.

Zhang Sanqian glanced at Xu Yuan and uttered a disdain with his crooked mouth: "Tch."

Xu Yuan was suddenly startled. This patient is so arrogant!

Xu Yuan frowned, suppressed the discomfort in his heart, and took Zhang Sanqian's hand to feel his pulse.

Zhang Sanqian didn't move, so he asked him to check his pulse.

Zhang Ke also came out.

After a long while, Xu Yuan finished checking the pulses of both hands.

Xu Yang asked: "What's your pulse?"

Xu Yuan said hesitantly: "The patient's left pulse must be a floating pulse."

Xu Yang said: "Pulse diagnosis needs more practice and carefulness. The patient's left hand cun is slightly tight."

Xu Yuan showed doubts again: "The floating pulse in the left inch indicates a cold. A tight pulse indicates cold. A floating and tight pulse indicates cold evil is on the surface. It should be treated with pungent and warm methods to relieve the superficial disease. To disperse the superficial evil, it is better to treat it with sweat."

"There are also several pulses, and pulses mainly focus on heat. Does the patient have a syndrome of mixed cold and heat? "Treatise on Febrile Diseases" says, 'Those with floating and rapid pulses can be cured by sweating.' Is it also the sweating method? The sweating method can cure stroke?"

After hearing this, Zhang Sanqian finally stopped showing disdain, and instead looked at Xu Yang seriously.

Zhang Ke, on the other hand, looked at Xu Yang with the eyes of a little fangirl.

Zhang Sanqian was furious when he saw this scene.

Xu Yang asked: "What prescription should be used?"

Xu Yuan asked cautiously: "How about life-extending soup?"

Xu Yang said amusedly: "Why are you so unsure?"

Xu Yuan did not dare to answer.

Xu Yang asked: "Is it because few people dare to use life-sustaining soup to treat stroke?"

Xu Yuan smiled awkwardly, then nodded.

Zhang Ke asked from the side: "Why don't you dare to use it?"

Xu Yang said: "This is a long story. Before the Tang and Song Dynasties, people basically used Xuming Decoction to treat stroke. Xuming Decoction was mentioned in "The Synopsis of the Golden Chamber" to treat stroke and prickly heat when the body can't help itself. Hold back, unable to speak, presumptuously unaware of the pain, or too anxious to turn aside."

"Later, Sun Simiao of the Tang Dynasty also included Xuming Decoction in "Essential Prescriptions for Emergency Prescriptions", and placed Xiao Xuming Decoction at the top of the list of anti-wind medicines, and also listed several other prescriptions for Xuming Decoction."

"Sun Simiao recorded that Xiaoxu Ming Decoction can treat stroke, stroke, and death, physical discomfort, abnormal mouth and eyes, strong tongue and inability to speak, dying and crying, and a dull and confused look. All the symptoms have been tested, and the prescription will not be used."

"Furthermore, Sun Simiao also said, 'According to the ancient method, the two decoctions of big and small are used to restore life, which can cure the dryness of the five internal organs and the wind, and the effect is like a miracle.' Therefore, before the Tang and Song Dynasties, people who had dialectical stroke or true stroke used Xuanming Decoction."

"But after the Tang and Song Dynasties, the inner wind theory and the non-wind theory began to rise, so the method of dispelling wind was gradually abandoned by everyone."

"Especially after the four great masters of the Jin and Yuan Dynasties came together, they all put forward different views. Liu Hejian ruled the heart fire; Zhang Congzheng ruled the internal movement of the liver wind; Li Dongyuan ruled the body's strong Qi and the decline of the original Qi, and Zhu Danxi's Mainly phlegm and dampness causing heat."

"Later generations of doctors accepted their views, and most of the treatments were to calm the liver and subdue yang, clear away heat and resolve phlegm. In particular, Zhang Jingyue believed that stroke was 'all caused by internal injury, and there was no external infection at all.' Therefore, he believed that using Xuming Decoction would speed up the risk of the disease. .”

"There is also Zhang Shanlei in modern times, who scolded him even more harshly. He directly said that the life-extending soup for treating stroke was unbelievable and was just a fluke."

"So after the Song Dynasty, life-sustaining decoctions were gradually no longer needed, especially when modern pharmacological research found that ephedra, cinnamon twigs, and aconite all have the disadvantage of raising blood pressure. No one dared to use them in patients with cerebral thrombosis."

"Although many doctors have been using life-sustaining soup in the past dynasties after the Song Dynasty. But overall, there are very few."

Zhang Ke nodded: "That's it."

Xu Yang then told Xu Yuan: "Since Wang Qingren created Buyang Huanwu Decoction to treat stroke, doctors of all ages have given it rave reviews, but this prescription is for treating qi deficiency and blood stasis."

"If the pulse is weak, large or weak, the effect will be very good. But if the pulse is large and stringy, it will not be effective. This prescription is still for treating deficiency, and you must learn dialectics."

Xu Yuan nodded seriously, and then wrote down the knowledge points.

Xu Yang added: "Actually, in our contemporary era, many traditional Chinese medicine practitioners have conducted controlled trials of Xiaoxu Ming Decoction. For example, Yu Xiaoping used Xiao Xu Ming Decoction to treat 60 cases of acute ischemic stroke, with a total effective rate of 96.7%."

"Zhang Huiwu, a famous doctor in Henan, used Xiao Xu Ming Decoction to treat 88 cases of stroke and partial dryness, with a total effective rate of 98.86%. Also... old Chinese medicine doctor Li Ke... suffered three strokes in two years because of overwork. He also used Xu Ming Decoction. Soups are great for treating yourself.”

When he mentioned Mr. Li, Xu Yang's tone became slightly darker. After Mr. Li suffered a stroke, he was determined to rectify the name of Xuanming Tang. Later, when he had his second stroke, he sent Xu Yang the academic information on the reordered Xuanming Tang so that Xu Yang could understand it better.

Xu Yang calmed down for a moment and said: "The patient's pulse syndrome has already reminded us, and you have just analyzed it. There is wind and cold on the surface, and there is a mixture of cold and heat."

"After observing the pulse syndrome, we need to analyze the cause of the problem. After analyzing it, we need to treat it according to the syndrome. Since wind and cold are on the surface and cold and heat are mixed, it is natural to open the door to expel the evil."

"Looking at the meaning of Xiaoxu Ming Tang again, Ephedra, Guizhi, Fangfengji and Fangji can be inserted into the meridian of the sun to dispel wind and dampness, thereby opening up the surface. If the disease pathogens are blocked outside, the internal Qi will not be released, so it will be depressed and cause heat, so Use almonds to sharpen it and scutellaria baicalensis to clear it.”

"When evil comes, the qi will be deficient, so ginseng is used to replenish qi; peony and chuanxiong protect the camp and promote blood circulation; using aconite can enhance the power of the tonic, generate yang, and can supplement ephedra to relieve symptoms."

"So Xiaoxu Ming Decoction can dissipate pungency and warmth, and can also replenish qi and blood. It is both cold and cooling, clearing away heat, and warming and nourishing yang. The formula is very strange, but also very clever. Especially for this patient, it is very suitable for the syndrome." .”

"So when treating diseases, you must respect Zhongjing's twelve-character rule and don't have any preconceived notions in your mind. Keep these twelve characters in mind and treat according to the symptoms. There will be nothing wrong."

Xu Yuan nodded seriously and quickly took notes.

Zhang Ke has long been accustomed to Xu Yang's power and magic.

Zhang Sanqian's eyes were also slightly astonished.

After Xu Yuan took notes, he asked again: "So the sweat method can be used to treat stroke?"

Xu Yang said: "That's natural. Among the eight methods of internal treatment in traditional Chinese medicine, the sweating method ranks first. You must not underestimate it. "The Nei Jing" says: 'Therefore, when evil winds come, they are as fast as wind and rain. Therefore, a good healer will treat the fur, then the skin, then the tendons, next the six internal organs, and next the five internal organs.'"

"Sun Simiao also said, 'Anyone who suffers from wind and takes decoction will suffer from profuse sweating, and the wind will not go away, so all the wind prescriptions contain ephedra.' To treat wind evil, it is appropriate to use the sweat method. It can open up the skin and guide the disease. Watch out and sweat it out.”

Xu Yuan nodded, feeling suddenly enlightened. He felt that he had learned a lot in just a short while.

Then he asked the last question: "Then why are the doors and windows closed?"

Xu Yang couldn't help but rolled his eyes: "I told you to use Xiao Ming Xuan Decoction. Sun Simiao has been telling you about it for a long time. Sun Simiao said in "A Thousand Gold Prescriptions" that 'when a mortal suddenly encounters the wind, his body and mind will stop evil. Either you can't speak, or you can't say it.'"

"You should take the Da and Xiao Xu Ming Decoction, as well as Xizhou Xu Ming, Paifeng, Yue Mai and other decoctions, in a windless secret room, four to five times day and night. Do not count the number of doses, and do not worry about deficiency. Always use it on your head and face. , hands, feet, abdomen and back should be sweating continuously.”

When Xu Yuan heard this, he suddenly became embarrassed.

Xu Yang shook his head: "Your theoretical foundation is too poor. Go back and copy the "Thousands of Gold Prescriptions" again."

"Ah?" Xu Yuan was dumbfounded.