Chinese medicine doctor Xu Yang

Xu Yang was also embarrassed by Mr. Qian's complaints. The diagnosis and treatment of traditional Chinese medicine pays attention to the four diagnosis and combination of ginseng, syndrome differentiation and treatment, especially pulse diagnosis and tongue diagnosis, and pulse diagnosis is the most important.

Xu Yang is no longer good at tongue diagnosis, and even less so at pulse diagnosis. It's not that he doesn't know it at all, but he is very bad at it. Nowadays, not many young Chinese medicine practitioners know how to diagnose pulse, let alone fresh graduates like him.

After everyone graduates, they go to a traditional Chinese medicine hospital to take a pulse, and they also ask you to go for a Western medicine examination. There were a few veteran Chinese doctors in the hospital who knew pulse diagnosis, but Xu Yang was fired before he could learn from the teacher.

Xu Yang said with some embarrassment: "I'm not very good at pulse diagnosis."

Mr. Qian asked: "Didn't the school teacher teach you?"

Xu Yang said: "Didn't you learn well?"

Qian Lao shook his head slightly, looked at Xu Yang's posture, and said: "The three parts of the Cun Guan Chi are quite accurate, and the same size is not wrong, but you lack a lot of experience."

Xu Yang responded awkwardly.

Mr. Qian said: "You have to work hard, listen to me first. You need to calm down first. "Suwen. Pulse Essentials Essence Theory" says: Therefore, there is a way to maintain the pulse, and emptiness and tranquility are the guarantees. What is required is not only Patients should stay calm and ask doctors to do the same."

Xu Yang slowly exhaled a few breaths to calm down quickly, and accurately fixed the female patient's three fingers.

Mr. Qian said slowly: "Check the outline first. What's the yin and yang like on the outside and inside?"

When Xu Yang heard this, he first used three fingers to check his pulse.

Qian Laodao: "The pulse has three symptoms: floating, medium and sinking, so the corresponding pulse diagnosis techniques are lifting, pressing and searching to identify the depth of the pulse. Finding with a light hand is called lifting, taking with a heavy hand is called pressing, and taking it with a heavy hand is called pressing. Don't pay attention to the hardships and hardships, it is called seeking."

"When you feel it with a light hand, the pulse is found between the skin. It is Yang, the fu organs, and the heart and lungs. Get it with a heavy hand. The pulse is attached to the flesh. It is yin, and it is hidden. It is the response of the liver and kidneys. It is neither light nor heavy. But when you take it from the middle, the pulse is in the flesh and blood, which is the time for the spleen and stomach..."

Xu Yang used an unskilled pulse diagnosis method to check the pulse carefully, searching with three fingers, and then pressed the three parts of the cun and the ruler with one finger.

There are three parts of Cun Guan Chi on the Cun Kou pulse. The index finger presses the Cun part, the middle finger presses the Guan part, and the ring finger presses the Chi part. Each part has three phases: floating, middle and sinking, so there are nine phases in total. This is the three-part and nine-phase diagnosis method in pulse diagnosis of traditional Chinese medicine.

Any part of the Cun Guan Chi reflects the physical condition at any time, so each part needs to be diagnosed. Therefore, single-finger pulse diagnosis is used. When diagnosing the pulse, the pulse beat of each part must not be less than 50 beats.

Even unskilled people need to diagnose three or four 50 movements on one hand. In this way, it takes five or six minutes to diagnose one hand. The pulse diagnosis of the left and right hands must take more than 10 minutes.

Xu Yang carefully diagnosed the pulse, and he calmed down. He carefully screened and diagnosed the pulse condition of each part. Mr. Qian was also giving careful guidance. Xu Yang was also recalling the feeling of practicing after class before.

When Mr. Qian saw Xu Yang like this, he nodded slightly. Although this young doctor is a bit weak in clinical practice, his theoretical knowledge is still very solid, and he is also very talented and can calm down.

In terms of theoretical knowledge, Xu Yang is more solid, but clinically Liu Mingda is better. Both of them are worthy of training.

Mr. Qian was on the sidelines and guided Xu Yang seriously and carefully.

After a long time, Xu Yang finally opened his eyes, let go of the female patient's hand, and said to Mr. Qian with some excitement: "It should be Shen Xian's pulse. "Pulse Meridian" says, 'If you can't lift it enough, you can press it more than enough.' It's Shen Xian's pulse." The pulse, and it can only be obtained by sinking the muscles and bones with heavy hands, so it should be the sinking pulse without a doubt."

"The Pulse Meridian says, 'String pulse, lift it without feeling, press it like a bowstring'. I diagnosed the pulse as being straight and long, like a bow string, and pressing it does not move, so it should be a string pulse."

"The Shen pulse governs internal syndrome, and the patient's left hand joints are sinking, and the left Guan is sinking, which is caused by liver stagnation and associated fullness and pain, fullness in the epigastrium and abdominal distension, lack of food, upset mood, and anger, which is consistent with the patient's symptoms. In addition, the stringy pulse can control liver disease, and the pulse is as follows A stringy and stringy pulse refers to the Liver Pulse. A stringy and heavy pulse means Qi stagnation and discomfort."

"So I can confirm that the patient has stagnation of liver qi. Qi is the main source of blood. If qi is stagnant, it will be unable to push the blood forward, so qi stagnation will lead to blood stasis. It is a disease of internal excess, and if the excess is diarrhea, it should be soothed and relieved. Yu."

Mr. Qian smiled.

Xu Yang suddenly felt uncertain: "Am I... wrong in dialectics?"

Qian Laodao: "The dialectics are correct, so what formula should be used?"

Xu Yang suddenly became nervous.

Seeing that Xu Yang's expression became extremely unnatural, Mr. Qian asked curiously, "What's wrong? You've got the dialectics right, don't you know how to prescribe prescriptions?"

"No." Xu Yang pursed his lips and shook his head slightly.

Mr. Qian asked: "What happened?"

Xu Yang lowered his head and looked nervous.

Xu Yang held it tightly with both hands: "I...I'm afraid that if I prescribe the wrong prescription, it will fail to cure the disease and end up harming others."

Qian Laodao: "The difficulty of traditional Chinese medicine lies in dialectical treatment. When treating diseases, traditional Chinese medicine must know the dialectics of the four diagnosis and eight cardinal principles, the correspondence of the six meridians and six qi, the laws of the rise and fall of yin and yang. We must also know how to dialectically understand the circulation of Wei Ying qi and blood, and the meridians. Violence of the internal organs."

"Treatment by Chinese medicine is nothing more than twelve words. Observe the pulse and symptoms, know what the problem is, and treat it according to the syndrome. You have got the dialectics correct, and you can treat it according to the syndrome. What's the difficulty?"

Xu Yang thought of the previous incident again. He was indeed not good at clinical practice, but it wasn't that he couldn't treat diseases at all, but that he didn't dare to treat them at all. The previous incident had such a psychological shadow on him that it almost ruined his life.

He grabbed the corner of his clothes and said nervously: "I'm afraid... I'm afraid that I'll make dialectical mistakes, I'm afraid that I'll prescribe the wrong prescription, and I'm even more afraid that I'll use the wrong dose..."

Boss Qian scolded with a face: "As a doctor, you should walk on thin ice, be cautious, and look forward as well as backward. But a doctor must not only have the ability to subdue dragons and tigers, but also have the confidence to pull chestnuts out of the fire."

"As a doctor, it is your duty to relieve the sufferings of the common people. You see the patient sitting in front of you, suffering unbearable pain, but you are so afraid of moving forward, why do you want to be a doctor? Why do you need to be a doctor?"

Xu Yang held his hands together tightly.

The female patient said a little impatiently: "I tell you two doctors, please help me prescribe some medicine. I am really in pain."

Mr. Qian said seriously and solemnly: "Doctors have been fighting all their lives, but the first thing we have to defeat is not the disease, but ourselves."

Xu Yang looked up at Mr. Qian with a dazed look on his face.

Mr. Qian looked at Xu Yang and said calmly: "If you can't defeat yourself, then you are not worthy of being a doctor at all!"

Xu Yang clenched his hands tightly, his eyebrows twisted into a knot. He thought again of those cold and mocking looks he saw on the day he was expelled. It’s not that he doesn’t know how to treat illnesses, it’s that he doesn’t dare to treat them!

After a while, Xu Yang still didn't speak, but his expression became more intense.

There was disappointment in Mr. Qian's eyes, and he shook his head slightly. He said to the female patient: "Comrade, come with me, and I will diagnose and treat you."

"Okay." The female patient stood up holding her lower abdomen.

The two of them were about to go out, and when they reopened the door, they heard a rough voice behind them!

"Abdominal pain occurs before menstruation. Women who have premenstrual abdominal pain for several days, and then menstrual water, often have purple and black patches during menstruation. People think it is due to extreme cold, but who knows that it is extremely hot and fire does not melt?" !”

Both of them looked back and saw Xu Yang clenching his fists with a tense look on his face as he shouted these words.

"The liver belongs to wood, and there is fire in it. If it is relaxed, it will be unobstructed, and if it is depressed, it will not rise. If the menstruation wants to move but the liver does not respond, then the qi will be suppressed and cause pain. However, if the menstruation is full, it cannot be stored in the body, and the stagnant fire in the liver will burn , when the menstrual passage is forced out internally, the fire will also vent due to it."

"The purple and black ones are like the battle between water and fire; the lumps are like the shape of the fire. If the meridians are lost, the stagnation of the fire will take away its power. The treatment method seems to be to expel the liver. Fire, if the fire of the liver is released, but the stagnation of the liver is not relieved, then the sign of the heat can be removed, but the root of the heat is not removed, how can it be beneficial? Therefore, use... Xuanyu Tongmen Decoction."

After saying this, Xu Yang gasped for air, as if he had exhausted all his strength, and those cold and mocking eyes actually retreated at this moment.

Qian Lao smiled, this little comrade...