Chinese medicine doctor Xu Yang
Chapter 155 Follow-up consultation
They didn't think anything was strange when they were studying in college, but when they came out, they were completely confused. Especially people like them, who originally had mediocre qualifications, could only return to the county hospital of traditional Chinese medicine.
Nowadays, not many people seek medical treatment from traditional Chinese medicine doctors. Even if they do come, they will not seek treatment from young people like them, and they only come to take care of their health. They are also very confused. They don't know where the way forward is, let alone where the future is.
People like Cao Dehua who can mess around have already started messing around with relationships, job titles, and prospects. Like Liu Jingning, he became confused and autistic through the combination of traditional Chinese and Western medicine.
Even Director Zhong Hua, the top medical expert in the county hospital of traditional Chinese medicine, is just a director. But to be honest, he is not as popular as the directors of other departments. The Department of Traditional Chinese Medicine is the poorest department after all.
So everyone is confused.
But now Xu Yang has pointed out a way for them. It turns out that traditional Chinese medicine can still do this! It turns out that the path of traditional Chinese medicine can still be taken this way! It turns out that Chinese medicine can do so many things!
Xu Yang appeared when this little guy was most confused. How could they not be excited! How could there be no enthusiasm, because Xu Yang was their direction, and Xu Yang was so willing to teach them their skills!
Not to mention coming over after get off work, they are willing to let them sleep here.
"Teacher Xu."
"Hello, Teacher Xu."
The young Chinese medicine practitioners were all greeting Xu Yang.
Xu Yang also nodded to them: "Hello, let's go and see how the patient is doing."
The group went to the ward again.
At this time, the patient had completely stopped vomiting blood, and his expression was much calmer. He had slept a while, and finally realized that he was hungry and farted.
Xu Yang told the Chinese medicine doctor behind him: "This is when the gastrointestinal function has begun to recover. When the gastric qi goes down, it becomes normal. If it goes up, it will become belching. If it is serious, it will turn into vomiting. If the gastric qi goes down, it will turn into farting." This is the beginning of recovery, which is a good thing.”
Several young Chinese medicine practitioners nodded.
Xu Yang looked at the tongue condition again and said, "The tongue condition is the same as in the morning. It is also pale and without coating."
The young Chinese doctors recorded medical records one after another.
Xu Yang began to diagnose the pulse. After a while, he said: "The pulse is two inches weak, and the pulse is deep and weak. The weak pulse controls the loss of yang or the weak qi and blood. The "Mai Jing" says, "The pulse is the condition of the blood and qi, and the qi and blood are weak. , then the pulse will also be weak.'"
"The left Cun Wei is the main symptom of insufficient heart qi and lung deficiency. The right Cun Wei is the main symptom is cold chest pain and cold phlegm condensation. You must be careful when diagnosing the pulse, and the three parts of Cun Guan Chi must be examined one by one. Diagnosed."
"Don't try to save trouble. Just make a rough diagnosis of the complete pulse. This will easily lead to misdiagnosis. I still say that no matter how meticulous the pulse diagnosis is, you can see a lot of things from the pulse diagnosis. "
"For example, the micro pulse refers to the deficiency of qi and blood. Among the eight methods of internal treatment of traditional Chinese medicine, sweating, vomiting, and diarrhea need to be banned. This should not be careless. If misused, it will easily cause changes. There is also the rule of Shen Shen. Weak, weak pulses are also the main symptom of insufficient qi and blood. Generally speaking, the patient has a weak spleen and stomach."
"The patient's symptoms are consistent with the pulse syndrome. He vomited blood for two days, suffered excessive blood loss, and was naturally weak in qi and blood deficiency. His tongue and pulse conditions all prove this. The pulse syndrome is consistent, which is auspicious, and proves that the condition has not changed."
"If the opposite pulse syndrome suddenly appears, you should be careful. It is likely that the condition has changed. At this time, you must be careful and cautious to avoid getting into trouble."
Several junior Chinese medicine doctors carefully wrote it down. This is clinical experience. Teacher Xu would tell them without reservation every time, so naturally they did not dare to slack off.
Xu Yang continued: "Now that the pulse syndrome is very clear, our treatment method should be to warm the spleen yang, nourish the blood, and eliminate stasis, and use Li Zhong Decoction to control it. Then add Gui Gui and Shao Peony to nourish the blood. Continue to use Panax notoginseng to eliminate siltation. Let’s make a prescription.”
After Xu Yang gave them a prescription, he went home.
Other small Chinese medicine practitioners came over and lined up to diagnose the patient's pulse...
The patient and his wife are very used to this treatment.
The next day, Xu Yang went to work.
During lunch, Xu Yang went to the Traditional Chinese Medicine Hospital to take a look again. Zhang Ke also stayed at home all morning and did not come to Mingxintang.
When Xu Yang arrived at the traditional Chinese medicine hospital, the young traditional Chinese medicine doctors hurriedly grabbed a few mouthfuls of rice, and then they all hurriedly followed. It almost became a scene.
Xu Yuan said to Xu Yang: "Mr. Xu, after taking the medicine, the patient said he was a little dizzy today and had tinnitus."
Xu Yang asked: "Have you diagnosed the patient?"
Xu Yuan replied: "The diagnosis has been made, but we are a little unsure."
Xu Yang led the people to the inpatient department.
The patient's wife was still eating, and she didn't expect that Xu Yang would come again with her meal in hand. Well, you can't be unhappy when someone takes time out of your meal time to treat you.
Xu Yang gave the patient another diagnosis.
The patient's wife also asked: "Doctor Xu, has the condition changed again? My stomach is no longer uncomfortable, but why is my head feeling uncomfortable again?"
The patient also looked at Xu Yang curiously.
Xu Yang did not answer their questions. Instead, he asked these young Chinese medicine practitioners: "Have you checked the pulse before? Tell me, what is the pulse?"
Xu Yuan said: "We just discussed it, it should be the pulse of fine numbers."
Xu Yang nodded slightly and asked again: "Then tell me why the patient suffers from dizziness and tinnitus."
The brawny little Chinese medicine doctor who pinched Xu Yuan's neck before replied with a loud voice: "Teacher Xu, thin pulses are mostly caused by weak qi and blood, Yang deficiency and cold stomach. And small pulses are mainly caused by heat syndrome, but I think The patient's pulse should be rapid but weak, indicating deficiency of heat."
"I think the patient's qi and blood were too weak due to heavy bleeding, and his spleen and stomach were also extremely weak and lost their control. After taking the prodrug, it caused the deficiency heat to attack, which made the patient feel tinnitus and dizziness. "
Xu Yang nodded: "That's very good. It's very good. Because of this, when Chinese medicine treats diseases, especially when treating serious illnesses, especially when it is acute or severe, it is rare for a prescription to be followed to the end."
"Because the patient's condition will change, whether it gets better or worse. There will be new changes, including after using the medicine. Especially these hospitalized patients, you must pay attention to them all the time."
"And we must not forget to observe his pulse. As you have seen in the past two days, the patient's pulse has changed three times, so our medication must also change accordingly."
"Since it is determined that it is caused by deficient heat, we will stay the same as before, but add Digupi and lotus root joints. Digupi can cool the blood and prevent stagnation, and the lotus joints can unblock meridians and eliminate stasis, and add some Just use the salty cold medicine to reduce the fire..."
After saying that, Xu Yang was ready to take people away.
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