Chinese medicine doctor Xu Yang

Xu Yang began to diagnose and treat the children.

Liu Jingning asked: "Doctor Xu, do you need me to get the relevant examination reports?"

"No need." Xu Yang shook his head slightly.

Xu Yang called out twice: "Yiyi, Yiyi."

The little girl opened her eyes and looked at Xu Yang, but soon closed her eyes tiredly.

Xu Yang also sighed slightly. He was only over a year old and could not even speak. Why is it said that pediatric diseases are difficult to treat? Traditional Chinese medicine describes pediatrics as a mute disease.

Such a young child can't even speak. For those who are slightly older, it is also difficult to accurately express their feelings in words.

Traditional Chinese medicine uses inspection, smell, inquiry, and diagnosis, and combines the four diagnosis methods with ginseng, which directly eliminates one inquiry. Moreover, it is difficult to diagnose the pulse of children, and children are very active, so it is difficult to diagnose the pulse accurately.

Therefore, throughout the ages, Chinese medicine has been very cautious in the diagnosis and treatment of pediatrics, but it has also derived several unique diagnostic methods.

Xu Yang carefully started the facial examination and found that the child's complexion was green and yellow, he was coughing and wheezing, and the area around his mouth was green and his lips were pale.

A child with a blue complexion, often accompanied by high fever on the pillars of the nose, between the eyebrows and around the lips, is a convulsion!

Lips are light, not dry or cracking, and body fluids are not damaged? Such a high fever, fever for four days, but no damage to body fluids?

Xu Yang continued to diagnose and took Yiyi's hand over. He wiped the palm of Yiyi's right hand with the thenar part of his left hand and found that the other's palm was not sweaty. Then he used the thenar of his right hand to test the heart of Yiyi's left hand, and there was no sweat either.

Such high fever, but no sweat. The presence of sweat is a symptom of deficiency, and the absence of sweat is a symptom of excess.

Evidence of reality?

Xu Yang picked up Yiyi's hand and observed the index finger fingerprints. This is a special diagnostic method for infants and young children, and is only suitable for infants and young children under two years old.

Because children of this age have not yet filled up their Qi and blood, and their meridians are not yet established. The fingerprint collaterals on the index finger of children are branches of the lung meridian of the hand Taiyin, so diagnosing the collaterals on the index finger of children has the same reference value as diagnosing the cunkou pulse.

This is called the Children's Index Finger Pulse Diagnosis Method, also called the Children's Fingerprint Diagnosis Method.

The index finger has three sections, which are divided into three levels: wind, qi and life. The first section is the Wind Pass, the second section is the Qi Pass, and the third section is the Ming Pass.

Xu Yang asked her to stretch out her index finger, then grab the other fingers and fix them. Then Xu Yang used his right thumb to push Yiyi's index finger, pushing straight from the fingertip to the root of the finger.

The onlookers were surprised.

"What are you doing?" Yiyi's father couldn't help but ask.

Cao Dehua replied: "This is the children's index finger pulse diagnosis method, a special diagnosis method of traditional Chinese medicine for infants and young children."

"Oh." Yiyi's father nodded. Hearing this name, he felt very powerful. He really deserves to be the apprentice of a national-level expert.

Liu Jingning also pursed his lips. He used to think this kind of thing was unscientific, but now he didn't know what to say, he just felt very confused.

After a few pushes, the collaterals became clear.

It is cyan, which refers to convulsions, and is directly above the breath level.

Xu Yang's face looked a little more solemn, and the three joints of his index finger were the three levels of wind, qi, and life.

If the collaterals appear from Fengguan, it means that evil Qi has entered the collaterals. If the evil is superficial and the disease is mild, it is not serious at this time; but if the collaterals appear from Fengguan to Qiguan, it means that evil Qi has entered the meridians, and the main disease is deep and serious. That’s when it started to get serious.

The last section is the Ming Guan. If the collaterals are all the way from Feng Guan to the lowest Ming Guan, it means that evil energy has entered the internal organs, which may endanger life.

Looking at Yiyi's posture, if her condition cannot be controlled today, it will definitely become severe, and it will be really dangerous. The condition was serious, and Xu Yang also felt a lot of pressure.

Xu Yang slowly exhaled, calmed his mind, and then reached out to explore Yiyi's fingers.

"Huh?" Xu Yang frowned: "Are your fingers a little cold?"

He put down Yiyi's hands, and Xu Yang quickly went down and touched Yiyi's feet. Her feet were also cold. Such a high fever, but the limbs are not warm.

"Hiss..." Xu Yang nodded slightly.

He continued to explore and pressed his hands on Yiyi's body, and found that her chest and abdomen were full and her diaphragm was moving.

He turned to the outside and shouted: "Bring me a tongue depressor."

"I'll go." Liu Jingning responded and went to the nurse's station to get it.

Take the tongue depressor and hand it to Xu Yang.

Xu Yang asked Yiyi to face the natural light and said: "Come on, Yiyi, open your mouth, ah..."

Yiyi's mother also said to Yiyi: "Yiyi, let's open our mouths, ah."

Yiyi opened her mouth slightly obediently.

Xu Yang put the tongue depressor in, pressed it lightly, poked inside, and then quickly took it out.

"Ugh..." Yiyi's tongue was stimulated and she vomited.

Xu Yang took advantage of this moment to completely observe Yiyi's tongue. It was pale in texture and gray in color.

Although I can't bear it, I have to do this. With such a young child and such a serious illness, it is impossible for her to stick out her tongue honestly. Only by vomiting can the entire tongue be fully observed.

The tongue is pale and has gray-white coating.

If the tongue is light, it indicates cold syndrome or deficiency syndrome. The coating on the tongue is gray and white, and the tongue coating changes from white to gray, no matter where it is on the tongue, it is all caused by evil heat transmitted through the meridian due to exogenous infection.

"I understand." Xu Yang suddenly felt enlightened.

But Xu Yang did not dare to be careless, because the child at this moment could no longer withstand any misdiagnosis. If it was not under control, it would really become serious!

Seeing that Yiyi was very well-behaved, Xu Yang kept lying quietly in his mother's arms. Even after his diagnosis, the child did not move.

It is not impossible to diagnose a child's pulse. Diagnosing the pulse takes time, at least five minutes. Children often don't have such patience. If they move, your diagnosis will be inaccurate.

So the difficulty in pediatrics lies in diagnosis.

"Let's check the pulse again." Xu Yang made a decision. He grabbed Yiyi's hand with his hand. Instead of placing it on the pulse pillow, he pressed his thumb on the pulse point on Yiyi's wrist, and then used His index finger was placed on the back of her wrist to stabilize it.

From the outside, it looked like Xu Yang was holding Yiyi's wrist between his two fingers.

There are three parts of Cunkou pulse, Cunguanchi. In the past, three fingers were needed to diagnose the pulse, corresponding to each part. But children under two years old are too young, and their wrists have not yet developed.

Therefore, one finger can cover three parts. This diagnosis method is called "one finger cuts three passes."

One finger has to complete the work of the previous three fingers. This pulse condition is not easy to diagnose.

Xu Yang took a few breaths and calmed down. The most important thing in diagnosing the pulse is to calm the heart. If the doctor doesn't calm down, the diagnosis will definitely be inaccurate.

Xu Yang diagnosed her carefully. Yiyi was very obedient. She didn't move around and leaned against her quietly. This also made Xu Yang feel relieved.

After a long while, Xu Yang finished diagnosing the pulses in both hands.

It is a slippery pulse. Floating pulse is mainly superficial syndrome. Slipness is seen in floating pulse. It is mainly responsible for wind and phlegm in the lungs.

Xu Yang breathed a sigh of relief, the situation was obvious, and he said: "Prescribe!"

Several people outside were shocked when the diagnosis results came out.