Chinese medicine doctor Xu Yang
Chapter 57 Three Mistakes in a Row
Xu Yang has left.
If it weren't for his responsible attitude toward patients, he would have no longer wanted to stay. He told Liu Yanfa the dialectical points and saw Liu Yanfa ask the following questions.
Xu Yang knew that he had understood.
The difficulty of traditional Chinese medicine lies in dialectics. As long as the dialectics is correct, there will not be much deviation in the use of medicine. And with Liu Yanfa's ability as a municipal expert, I believe there will be no deviation.
"Doctor Xu." A voice came from behind.
Xu Yang looked back and saw Gao Xiaoyu following him.
Gao Xiaoyu jogged for a few steps, her face full of embarrassment. She said, "I'm so sorry, Doctor Xu. I didn't expect that they hired another doctor, which made you a little embarrassed."
Xu Yang waved his hand: "It doesn't matter, it's just treating illnesses and saving people."
Gao Xiaoyu nodded, followed Xu Yang, and said, "I can see that you helped Expert Liu out, right?"
Xu Yang smiled: "There is nothing that cannot be solved. The patient has concealed the diagnosis and treatment records, so it will be more difficult for the doctor to diagnose and treat the patient. Besides, we are all our own people, so we should help."
"One of our own?" Gao Xiaoyu thought for a while and said, "Oh, you and that person named Yang Chen are classmates, right?"
Xu Yang nodded slightly. He had more than just a relationship with them. He already had friendship with their master, Wang Rende.
Gao Xiaoyu asked: "Doctor Xu, why did Mr. Xie's wife become ill?"
Xu Yang replied: "Summer dampness accumulates heat, which damages the gastrointestinal function and causes diarrhea. For a long time, the soil will be dull and the wood will be depressed. If you take more warming supplements, plus you have a hot temper, anger will damage the liver and help liver heat. The heat burns the yin component, so diarrhea will not heal for a long time."
"Ah?" Gao Xiaoyu didn't understand a word.
Xu Yang explained: "Didn't she say that she traveled abroad during the Spring Festival? She went to a hot place and it was summer. Therefore, the external evils of dampness and heat invade the human body and cause diarrhea."
"After returning to China, the disease has not been cured, and the external evils of dampness and heat remain in the body. And she is irritable. Women have a strong liver, and being irritable makes them more likely to suffer from liver stagnation."
"When wood is strong, it rides on the earth. If the liver fire is too strong, it will damage the spleen and earth. The spleen is responsible for the production of Qing. A deficiency of the spleen affects the normal rise and fall, and the hair cannot rise normally. It cannot transport nutrients to the heart and lungs and spread them throughout the body, so it will be all over the body." Weakness. The liver wood is multiplied too much by the earth, the Qi mechanism rises and falls abnormally, and diarrhea persists for a long time."
"Oh." Gao Xiaoyu finally understood: "Then what do they mean by late morning diarrhea?"
Xu Yang explained: "Wight watch diarrhea, also called rooster crowing diarrhea. Every morning when the rooster crows, you will have rumbling bowels and pain in your belly button. The pain will subside after diarrhea. This disease generally occurs in middle-aged and elderly people, especially in middle-aged and elderly people. man."
"In most cases, the kidney qi is not solid and the kidney yang is deficient, so it is also called kidney diarrhea. In more serious cases, it will also affect the spleen yang deficiency, causing both spleen and kidney yang deficiency."
"Because Yinmao is the time when Yin and Yang meet. If the kidney yang is insufficient, the yin and cold will be abundant. At this time, the yang qi has not arrived, the yin qi is extremely strong, the fire does not warm the earth, and the spleen yang cannot warm, so the transportation and transformation are abnormal and diarrhea occurs. ."
“The symptoms of this type of patient are long and clear urine, frequent nocturia, thin and shapeless stools, soreness and coldness in the waist and spine, a preference for warmth in the abdomen and aversion to coldness, a pale tongue, and white coating.
"For Wu Geng diarrhea caused by kidney yang deficiency, Sishen Pills are very effective. If the spleen is also yang deficient, spleen-warming medicine can also be added."
Gao Xiaoyu asked in confusion: "Then why did Mr. Xie's wife fail to cure it after using Sishen Pills?"
Xu Yang replied: "Because she is not suffering from kidney yang deficiency at all. She does not have signs of yang deficiency, but has heat syndrome. The Yinmao hour belongs to wood, and it is the time of Shaoyang.
"At this time, the liver wood is easy to flourish. Coupled with the internal dampness and heat, she has a bad temper and the liver fire is more intense. At this time, the spleen attack is more serious, so she has diarrhea at Yinmao time in the morning."
"In addition, during the Yin Mao period, Shaoyang is too combed with earth, so there are also symptoms of abdominal pain. There are many people with bad tempers who often suffer from diarrhea. Therefore, maintaining emotional stability is the most important."
Gao Xiaoyu also smiled slightly and stepped forward with her long legs. She turned her head and glanced at Xu Yang: "Doctor Xu is still very good. They say that true Chinese medicine is among the people. I have seen it today."
Xu Yang said: "You're welcome, those who are serious about treating diseases and saving people are real Chinese medicine doctors."
After Gao Xiaoyu was startled, she smiled again. She was an aloof woman and she didn't usually like to smile.
Xu Yang looked back at the villa and sighed slightly. In fact, Liu Yanfa's level is still acceptable, but he made an empiricist error.
When I saw that the other person had diarrhea and lost 30 pounds in half a year, I concluded that the other person had diarrhea for a long time and was hurting his health; when he heard that the other person had diarrhea at midnight, he concluded that the other person had kidney yang deficiency.
Xu Yang glanced at Gao Xiaoyu next to him again. In fact, this matter also had something to do with Gao Xiaoyu. When they first entered the house, Gao Xiaoyu's husband complained about Gao Xiaoyu's hotness entering the blood room.
At that time, Liu Yanfa was already contemptuous, thinking that people in such a small place were ignorant, and that diseases that could be cured by a mere hot blood room and a Chinese medicine practitioner were regarded as difficult and complicated diseases.
Therefore, when he was diagnosing and treating Mrs. Xie, he seemed to be cautious, but in fact he had already been careless.
This is a taboo for doctors!
During the consultation, I asked random questions, but after being interrupted by Mrs. Xie, I did not continue.
During the tongue examination, Xu Yang knew that he was on the wrong track when he said that the tongue coating was white and greasy, but it was not differentiated from wet to dry.
So Xu Yang immediately reminded him to pay attention to the quality of his tongue. At that time, he also noticed that there was something wrong with the quality of his tongue, but still, out of preconceptions and an overconfident attitude, he did not say it was light red.
When taking pulse diagnosis, it was wrong again. Forcibly diagnosing a stringy pulse as a thin pulse. The two pulse conditions are very similar and it is easy to make a mistake. His pulse diagnosis time was too short and he had preconceived impressions.
So I made another mistake again and again, three times in a row.
It's not that Liu Yanfa's skills are poor, but that he committed a taboo among doctors.
If the Xie family had informed them of the previous diagnosis and treatment by traditional Chinese medicine, Liu Yanfa would have discovered his mistake. But they concealed it.
Therefore, Expert Liu's overturning was just around the corner.
Mrs. Xie already has internal heat, so adding more medicine like this to warm and strengthen the astringency will only keep the dampness and help the wood stagnation, and the situation will only get worse. This is also the mistake the doctor made before. It should be noted that prolonged diarrhea does not necessarily damage the body. Xu Yang carefully diagnosed the patient and found that the patient had no symptoms.
Xu Yang couldn't help but shake his head and sigh. Chinese medicine is different from Western medicine. Diagnosis by medical instruments is very objective and true.
The four diagnosis methods of Chinese medicine are all subjective, so this requires Chinese medicine practitioners to have sufficient clinical experience and ability. More importantly, they must keep their minds absolutely calm and must not have preconceived impressions.
Just the word "quiet" has stumped countless Chinese doctors.
…
Xie's villa.
Liu Yanfa and others came out and got the medical fee, but this time it was extremely unpleasant.
"Alas!" Liu Yanfa sighed.
Yang Chen and Cao Dehua followed behind, not daring to say much.
Liu Yanfa raised his head and looked at the sky. He slowly exhaled and said with lingering fear: "I almost lost face if I didn't pay attention for a moment."
Liu Yanfa turned around and asked Yang Chen: "Is that young man your classmate?"
"Well, yes." Yang Chen nodded hurriedly.
Liu Yanfa sighed in admiration: "The descendants are to be feared."
Cao Dehua also looked disgusted.
Yang Chen was speechless. Xu Dashen was indeed worthy of being Xu Dashen. He thought that after he was expelled, his life was over. I thought that Xu Yang's medical skills were not as good as mine, but he turned out to be even better than his master. This is really impressive!
Liu Yanfa thought for a while and asked: "Is he from a family of traditional Chinese medicine? Does he have a family tradition?"
Cao Dehua glanced at Liu Yanfa. Isn't this a question he also asked in the morning?
Yang Chen replied: "No, his father is a barefoot doctor in the village, not a traditional Chinese medicine doctor."
"Oh." Liu Yanfa responded: "Then who is his master?"
Cao Dehua took another look, wasn't this what he had asked himself?
Yang Chen said: "He doesn't have a master. He is now in a small clinic."
"Is he really a genius?" Liu Yanfa also had some doubts about life: "You are young and have excellent medical skills. It is rare for you not to be arrogant or impetuous. If he hadn't asked you to send a message today to save my face, I would have made a big fool of myself."
Cao Dehua was also stunned when he heard this.
Liu Yanfa said: "How can such a talent condescend to work in a small clinic? I think you can talk to him about attracting talents to our hospital. As long as he is willing to come, I will talk to the hospital leaders about this."
Yang Chen said a little embarrassedly: "I'm afraid this is not too convenient."
Liu Yanfa asked in confusion: "Why?"
Yang Chen said with some hesitation: "He... once had a... serious medical accident."
"What?" Both of them were shocked.
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