Chinese medicine doctor Xu Yang

If the pulse is gentle, doesn’t that mean there is no disease pulse?

Zhang Hua and all the intern doctors looked at Xu Yang in confusion. As for the buddy who was diagnosing the patient's pulse, they were even more confused. Are you okay? But why is he uncomfortable? what's the situation?

Xu Yang said again: "But it seems a little weak and can't be smooth!"

Harmful!

This big gasp.

This group of young intern doctors couldn't hold back their speechless expressions, wondering why this brother's disease is an infectious disease, and why Teacher Xu was also infected.

Xu Yang asked without even turning his head: "Zhang Hua, please analyze what this pulse condition is."

"Uh..." Zhang Hua was stunned: "This... this..."

Zhang Kezheng, who was sitting at the counter, looked at the group of people with a smile. She liked to watch this kind of scene the most, and she also liked to watch Xu Yang being a teacher educating students.

Zhang Hua suddenly hesitated.

Xu Yang asked: "Don't you know?"

This pulse condition is not particularly typical of the disease. Zhang Hua can only speculate based on Xu Yang's answer: "Well...it should be that the blood and qi are not flowing smoothly, maybe because of qi deficiency..."

Xu Yang was noncommittal and asked the others: "What about you?"

No one else could explain why.

Liu Xuanbo, who was sitting aside, still looked at Xu Yang with a calm expression.

Xu Yang said: "This patient's condition is not particularly typical, but rather rare. You should remember it carefully. When you consult, you must listen carefully to the patient's description."

"Did you hear just now that the patient has emphasized that there is a foreign object obstructing his right flank, and he often has difficulty breathing. He often fails to finish half of a sentence and has no breath to continue."

Xu Yang poked his right side: "Here!"

Several people looked at each other, but they still didn't understand.

Zhang Hua asked: "Teacher Xu, we have heard this point, but isn't this the liver area? What does it have to do with breathing?"

Xu Yang asked him back: "If you were the attending doctor and the patient called you and told you that he was uncomfortable here, what would you do?"

"Uh..." Zhang Hua hesitated.

Xu Yang encouraged: "It's okay, just say it boldly."

Zhang Hua scratched his head: "Let him check his liver function first, and then do...a CT scan..."

Zhang Hua himself couldn't speak anymore when talking about it, because in other traditional Chinese medicine hospitals, his approach was routine, but in Mingxin Branch, it was inappropriate.

Zhang Hua was a little embarrassed.

Xu Yang said: "You can do a CT scan to see if there are tumors or anything like that. As for liver function, you can do it or not, because for us, we can't prescribe medicine based on this report sheet."

Zhang Hua nodded and quietly breathed a sigh of relief. Fortunately, he didn't get scolded.

Xu Yang explained to them again: "You all heard it just now. The patient just said that he was working on a construction site and lifted heavy objects. He didn't know how he hurt this place, so he felt pain at that time. It lasted for several days. Non-stop.”

"The pain stopped after a few days, but breathing was not smooth. When did the disease start? It started from here. So what happened under his right flank to cause this series of problems."

Several people started thinking.

"Are you hurt?" A trainee Chinese medicine doctor said uncertainly.

Xu Yang looked at him and encouraged: "Li Ning, keep talking."

This guy wasn't very nervous when facing Xu Yang. After all, he had been in contact with Xu Yang for so long, but the key now is that Liu Xuanbo is here.

This is equivalent to everyone being happy in class, but suddenly the principal sneaks in to observe, and the teacher even asks him to answer questions himself. This can make you not nervous.

Li Ning quickly calmed down and said: "The patient said that he was doing heavy work on the construction site, which caused pain in his right flank. He should have suffered a trauma. There may even be congestion, so there may be a foreign body sensation, but he is short of breath. I think ...I feel weak, probably still."

Xu Yang nodded and said, "But you can't find any other evidence to support the fact that he has Qi deficiency, right? The pulse diagnosis can't reveal any more information, right?"

Everyone else nodded.

Xu Yang said: "So you have analyzed that there is probably congestion in the liver meridian of his right hypochondriac, which is blocked between the meridians, but you cannot understand the relationship between the liver and breathing, so you can only explain it as Qi deficiency, right?" "

The others nodded again.

Xu Yang explained to them: "What we often call breathing is based on the lungs, especially from a modern anatomical point of view, it is the heart and lung function."

"However, according to the meridian theory of traditional Chinese medicine, a person's breathing can reach the Chong and Ren meridians. The "Difficult Classic" says that the heart and lungs are exhaled, and the kidneys and liver are inhaled."

"So if we compare the lungs to an engine, the upper and lower meridians go in and out, so when you inhale, it will go down along the meridians. When you exhale out, it will go up through the blood vessels."

"So no matter whether the inhalation is going up or down, it will definitely pass through the liver meridian. If his liver meridian is blocked, it will naturally be blocked and the Qi will not be able to connect."

"Oh!" Everyone understood, this time even the patient understood.

Xu Yang started typing prescriptions on the keyboard: "As for the qi deficiency you are talking about, if the qi deficiency is really this bad, it is impossible for the pulse to be so unclear. By the way, Teacher Liu, what do you want to do with me?"

Liu Xuanbo saw Xu Yang starting to write prescriptions, and he simply said: "The main thing is to talk to you about your prescription and medication."

Xu Yang continued to type on the keyboard and write medical records: "Oh?"

Liu Xuanbo said: "I have read some of your medical cases, and they are indeed very exciting. But your prescriptions are often very bold, and you are good at using quick and powerful medicines to conquer cities and seize territory. Especially when prescribing a single medicine, the dosage Very big."

"Of course I am not denying your style of medication. For doctors, only the curative effect can prove everything. But since you have become a master and your teacher has passed away, it is necessary for me, as the great disciple, to pass on the skills on your behalf."

Everyone else looked at Liu Xuanbo in surprise.

Xu Yang has prepared the prescription and is printing it out.

Liu Xuanbo raised his head slightly and said with a little pride: "In our lineage, we pay attention to the simplification of prescriptions. Only a few herbs and a few grams are enough to move the giant wheel and bring order to the chaos! I think you are very necessary. …”

Xu Yang took out the typed paper from the printer and handed it to the patient's family, and said: "Go and get the medicine. Take 5g of panax notoginseng powder each time, and 9g of raw malt. Decoction and take, that's all."

"By the way." Xu Yang turned around and asked Liu Xuanbo: "Teacher Liu, what did you just say I need?"

Others looked at Liu Xuanbo again.

Liu Xuanbo pursed his lips, his expression remained unchanged, but his eyes narrowed back a little, and he said lightly: "It's okay."