Chinese medicine doctor Xu Yang

Xu Yang waved: "Come here and treat these two patients."

Xu Yuan suddenly panicked. This was because the teacher was dissatisfied with the poor student doing his homework secretly down below, so he had to call the poor student to the podium to do it on the blackboard.

"What are you doing standing still? Come here." Xu Yang urged again.

Only then did Xu Yuan bite the bullet and walked over.

Xu Yang said: "There are two patients here, please diagnose and treat them."

"Ah...ah...Okay, okay." Xu Yuan could only agree.

Xu Yang had already explained to the two patients, and they were willing to cooperate.

Xu Yuan quickly suppressed his inner nervousness and began to inquire: "Hello, what's wrong with you?"

The two were a middle-aged couple. They were quite cheerful. The husband laughed twice and said, "I'm not particularly uncomfortable, just in the past four or five years. I always cough when I catch a cold, nothing else." If you feel uncomfortable, just cough."

"There must be five or six times every year. Sometimes I can get better by taking medicine, and sometimes I can't get better by taking medicine. After a while, I get better, and then I get better again. Everyone says that the level of Chinese medicine here is good, so I My wife asked me to come and take a look."

Xu Yuan suddenly felt heavy in his heart. Cough, the enemy of doctors.

Song Qiang, who was sitting in the back, also looked up and looked thoughtful.

Xu Yuan asked again: "Have you had any inspection before? Have you brought the inspection report?"

Xu Yang, who was sitting, looked over sideways.

"Uh..." Xu Yuan immediately changed the topic: "Well, you don't need to take it out if you brought it with you. Let's continue..."

He started asking about his condition again, and the more he asked, the more unsure he became. Then he also looked at the medicine used by his former doctor, but he still didn't know the cause of the disease.

"Look at the tongue." Xu Yuan said to the patient.

The male patient sticks his tongue out.

Xu Yuan frowned and looked at it. His tongue was light red and the coating was thin and white, which was not obvious.

"Check your pulse." Xu Yuan checked the pulse very carefully this time.

There were no new patients coming in at the moment, so Xu Yang took advantage of this gap to start reading medical books.

After a while, Xu Yuan hesitantly wrote down the dialectical results in his notebook. Then he asked the patient's wife, the female patient: "Hello, what's wrong with you?"

The female patient said: "Oh, I have menstrual disease. My period is delayed every month, and the amount is very small. I heard that the gynecology treatment here is very good, so I came here to get treatment."

Xu Yuan nodded. The delay was due to the small amount. Is it due to weak Qi and blood? Or is it stagnant due to cold evil?

Her husband said again: "Don't you always say that your spine feels chilly?"

The female patient nodded: "Yes, I always feel cold on my back."

Xu Yuan frowned and felt a chill in his back. He thought of "Treatise on Febrile Diseases".

"For Shaoyin disease, if it lasts for one or two days, it will be relieved by mouth. If the back is aversion to cold, moxibustion should be used. Fuzi Decoction can treat it."

"For typhoid fever without severe fever, dry mouth, thirst, upset, and a slight aversion to cold in the back, Baihu plus ginseng decoction can be used."

Xu Yuan started asking again, then added pulse diagnosis and tongue diagnosis, and finally wrote his dialectical conclusion on paper.

"Teacher Xu, I'm fine." Xu Yuan told Xu Yang with some uncertainty.

Xu Yang didn't even read his note and asked, "How is the patient doing?"

Xu Yuan swallowed his saliva and said: "Well, the male patient coughed when he was cold. He had a dry cough. The other symptoms were not obvious. The tongue was not very obvious. When he checked his pulse again, it was one breath and four pulses, calm and slow, not sick or slow. , it should be a slow pulse."

"Well... the slow pulse is often associated with wind and dampness, such as exogenous stroke, rheumatism and arthralgia. It can also be associated with spleen deficiency, hiccups and nausea... but normal people can also have slow pulse... um..."

Xu Yuan couldn't speak anymore.

The patient and his wife looked at each other, is it so complicated?

Song Qiang was also confused.

Xu Yang showed a slight smile. He had learned the Four Seasons Ping Pulse from Mr. Liang in the medical training room for a long time. Only when he learned to diagnose the pulse of ordinary people could he learn to diagnose the pulse of disease.

Xu Yang said: "The Complete Book of Jingyue says, 'The slow pulse has yin and yang, and it has three meanings. Anyone who is calm and gentle, with ups and downs in the middle, is the normal pulse for ordinary people.' The pulse has three characteristics: floating, middle, and sinking. A slow pulse can be considered a normal person's pulse."

Xu Yuan fell into thinking.

Xu Yang reminded him again: "In addition to the overall pulse condition, you should also pay attention to the pulse conditions of the three parts of Cun Guan Chi. Diagnosing the pulse needs to be meticulous."

"Oh!" Xu Yuan suddenly shouted.

"Oh, you scared me!" The male patient was frightened.

Xu Yuan was immediately surprised and said: "I know. "The Synopsis of the Golden Chamber" once said, 'The pulse at Cunkou is slow and slow. If it is slow, it means cold, and if it is slow, it means deficiency.' The patient's pulse was slow, especially the ulnar part of the right hand was insufficient. The Chi part corresponds to the Mingmen, and this is a cough caused by the weakening of the Mingmen fire and kidney yang deficiency."

The corners of Xu Yang's mouth curved slightly, and he nodded slightly.

Song Qiang also looked surprised when he heard this, as if this young man had really found the cause of his illness!

The male patient was confused at the time: "What, my kidneys are weak?"

His wife nodded in agreement and glanced at him.

Xu Yang said: "Don't always equate kidney deficiency with that aspect. They are not exactly the same. Children can still have kidney deficiency."

Upon hearing this, her husband immediately straightened up his waist. Right, it’s different!

Xu Yuan got Xu Yang's affirmation and suddenly became a little excited: "Then... Guifu Dihuang Pill should be the main one, right?"

Xu Yang nodded: "Yes, what about this lesbian?"

Xu Yuan was lost in thought again, still chanting softly in his mouth: "Menstrual disease, small amount, late stage, back aversion to cold, Aconite soup? Or White Tiger plus ginseng soup? Yin syndrome or Yang syndrome..."

Xu Yang looked at Xu Yuan. This patient was also very clever. The aversion to cold in the back had appeared in typhoid fever, but the treatment plans were completely different. Aconite decoction was used to treat cold, while Baihu plus ginseng decoction was used to treat colds. hot.

These can be two completely opposite pathogenesis, cold belongs to yin, heat belongs to yang, the pathogenesis is completely opposite, but the symptoms it shows are the same, this is confusing the doctor.

Now it depends on whether Xu Yuan can break through the fog.

"Hiss..." Xu Yuan was still thinking.

The husband of the couple asked: "Doctor Xu, can you prescribe the medicine for me first?"

Xu Yuan subconsciously raised his head and looked at the male patient. An idea suddenly flashed in his mind: "Oh!"

"Hey! You scared me again." The male patient was anxious!

But Xu Yuan didn't care so much. He said excitedly: "I know, the patient's pulse is also slow, and his right foot is insufficient. He also has the same problem of Mingmen fire deficiency and kidney yang deficiency. He also takes Guifu Dihuang Pills." Lord."

Xu Yang finally smiled.

The female patient was confused: "Should I take this medicine too?"

The male patient also asked: "Our illnesses are completely different. Do we need the same medicine?"

Xu Yang smiled and said: "This is traditional Chinese medicine. Although your symptoms are completely different and the names of your diseases are different. But your pathogenesis is the same. This is the syndrome in traditional Chinese medicine. The syndrome depends on the different symptoms." Same, naturally abandoning the disease and following the syndrome.”

"So sometimes we use one medicine for two completely different diseases. We use two medicines for exactly the same symptoms. This is the dialectical treatment of traditional Chinese medicine."

"Symptoms can be deceiving, and you cannot treat the symptoms by seeing the symptoms. You must break through the fog and get to the root of the disease. If you find it, you can solve it. Once the external symptoms and other diagnoses are not clear and unclear, then pulse diagnosis is It can be used as proof.”

"So when diagnosing the pulse, no amount of detail can be exaggerated. What we doctors have to do is to minimize misdiagnosis and win the trust of patients with real curative effects."

Xu Yuan nodded deeply. He knew that this was what Xu Yang told him, and he said: "Teacher Xu, I have written it down."

Xu Yang then said to Xu Yuan: "There is also a summary of records related to back aversion to cold in "Zhang's General Medical Treatment". Remember to read it when you go back later."

"Yes." Xu Yuan agreed in a deep voice. He had a lot of homework. Copying two books didn't count. He also had to read. But he was still quite excited. At least these two patients were diagnosed by him using pure Chinese medicine methods.

Moreover, the pathogenesis of these two people was deeply hidden, but he still broke through the fog and grasped the cunning pathogenesis. This sense of accomplishment is so great!

Xu Yang also stood up. He pointed to his computer and said, "Compare the previous cases one by one to see if your dialectic is correct and where the mistakes are. Mark them one by one."

"Ah?" The excited Xu Yuan's face suddenly collapsed. Well, even a scumbag can't help but struggle with the answer.

…

Song Qiang's mouth felt dry as he watched from behind. Ever since Xu Yang suddenly became more powerful, he didn't even play Landlord anymore. I used to play with confidence, but now I feel guilty.

Especially since Xu Yang has now started to take apprentices from the Traditional Chinese Medicine Hospital, and the apprentices are so powerful, Song Qiang feels even more uncomfortable...

After thinking for a long time, he finally secretly found a few old customers and sent them WeChat messages: "Boss, are you doing health care today? There is a discount."