Chinese medicine doctor Xu Yang

Two diagnostic results appeared, and the patient was a little confused.

Xu Yang and Liu Mingda looked at each other.

Qian Laodao: "Tell me about your diagnosis basis, who will say it first?"

Liu Mingda adjusted his glasses and said to Xu Yang: "Xu Yang, how about you..."

Xu Yang nodded: "Okay, no problem."

Liu Mingda said in a long voice: "Let me speak first."

Xu Yang was speechless for a moment. This guy really loves to play bad jokes about gasping: "Okay, then you go first."

Liu Mingda nodded slightly, took a step forward, and said with a slight smile: "The patient's face is swollen, and his limbs are also swollen. It is obvious that he is suffering from water and dampness. When he checked his tongue again, he found that the tongue coating was white and greasy, which was also due to internal turbidity due to dampness. The syndrome. Check the pulse condition again and it is diagnosed as sinking, slipping and slightly delayed pulse."

"Shen pulse mainly refers to internal syndrome, late pulse mainly refers to cold syndrome, and slippery pulse refers to the patient's pregnancy pulse. Just now I touched the patient's hands and feet and found that his limbs were slightly cold, with symptoms of cold limbs."

"To sum up, I judge that the patient has spleen and kidney yang deficiency, insufficient yang energy, and yang energy is suppressed by water and dampness. Therefore, the middle Jiao is unable to transport water and grain, causing water and dampness to accumulate and become overflowing. , thus causing pregnancy edema in the patient! The treatment method should be to warm and replenish kidney yang, strengthen the spleen and promote dampness. Use Zhenwu Decoction."

Liu Mingda showed a satisfied smile.

Mr. Qian was noncommittal, and then turned to Xu Yang and asked: "Tell me your opinion."

Xu Yang said: "I agree with Dr. Liu Mingda on everything else. The patient has water-dampness and is unlucky. But the patient's pulse is not a slow pulse, but a slow pulse. The patient has a slippery pulse in his left hand and a slippery pulse in his right hand."

As soon as these words came out, Liu Mingda was startled. His pulse was slow? A slow pulse is a sign of cold syndrome, and a slow and weak pulse is a sign of deficiency and cold; while a slow pulse is a sign of dampness syndrome, mostly due to spleen deficiency.

Xu Yang continued: "The patient has spleen deficiency and weak spleen yang, so he cannot transport water and dampness, causing water vapor to stagnate and infiltrate between the skin and limbs. Therefore, the patient's swollen skin is thin and shiny, and it is sunken when pressed. The treatment method should be: To invigorate the spleen and remove dampness, promote water circulation and reduce swelling. The prescription is modified with Atractylodes Powder."

Mr. Qian said to Liu Mingda: "Liu Mingda, what is the patient's pulse condition?"

Liu Mingda said awkwardly: "Then Xu Yang... Xu Yang said slow pulse, so it must be slow pulse. He is better than me anyway!"

Mr. Qian snorted angrily: "Then do you know the difference between slow pulse and slow pulse?"

Liu Mingda scratched his head and said awkwardly: "Three pulses in one breath are slow pulses, and four pulses in one breath are slow pulses. The slow pulses come and go slowly, and the slow pulses are slow to lift and press."

Mr. Qian glared at Liu Mingda and said: "The slow pulse and the late pulse are very similar pulse conditions and are very easy to mistake, but there is a clear difference between the two, which is above the pulse."

"Xu Yang took ten minutes to check the pulses in both hands; luckily for you, it didn't even take five minutes! I have been practicing medicine for sixty years and I never dared to take less than five minutes. How dare you do this? I thought you had so much It’s amazing, I can’t even tell the difference between a slow pulse and a slow pulse!”

Liu Mingda's face turned red and embarrassed after being scolded by Mr. Qian.

Xu Yang glanced at Liu Mingda secretly. He did not expect Professor Liu Mingda to be so careless when he was young.

In fact, the cause of edema in pregnancy lies in the liver, spleen, and kidneys. To put it bluntly, it means qi stagnation, spleen deficiency, and kidney cold.

Qi stagnation results in loss of ascending and descending functions, clear yang does not rise, and turbid yin does not descend, so the feet begin to swell and gradually extend to the legs. Wood overcomes earth, and the normal dispersion of the liver can restrain spleen stagnation and water dampness. When liver qi is stagnant, water dampness will not dissolve, resulting in internal stagnation of dampness.

This is the water vapor in edema of pregnancy, and the focus is on regulating qi and reducing dampness. When the liver qi is smoothed and released, the sluggishness of the spleen is naturally restrained, the spleen is strengthened, and edema is naturally eliminated. Pregnancy edema caused by qi stagnation usually only causes edema in the legs and feet.

Edema caused by spleen deficiency is because the spleen governs transportation and transformation. If the spleen is deficient, transportation and transformation will be insufficient, resulting in the accumulation of water and dampness. The spleen governs the muscles and limbs, so it will cause water and dampness to flood the skin and limbs, so the patient will have edema on the face and even the whole body; and the water will overflow under the skin, so the skin will be thin and shiny, and the skin will be sunken when pressed.

Insufficiency of the spleen means that the middle yang is weak, so there is distension in the epigastrium and abdomen, shortness of breath and laziness in speech; insufficiency of the spleen means that water and dampness stop inside, so the mouth is light and greasy, and there is loss of appetite.

The spleen belongs to earth, the lungs belong to metal, and earth generates metal. If the spleen is deficient, the lung qi will be insufficient. The lungs are responsible for promoting, purifying, descending, and regulating the water channels. If the lung qi is insufficient, the water channels will be unfavorable, so there will be shortness of urine. The water and dampness flow away into the intestines, so the stool is loose and thin.

Edema in pregnancy caused by spleen deficiency is called edema. In addition to the visible skin condition, there are many other symptoms. If he could be included in the consultation, Liu Mingda would probably not be overturned.

The last one is due to insufficient kidney yang, deficiency of kidney yang, inability to transform qi, and improper opening and closing, resulting in edema.

Because the kidney is the foundation of innate nature, kidney yang is the fire of the gate of life, which can warm all the organs of the body. Once the kidney yang is weak and the Mingmen fire is weak, the spleen yang cannot be warmed, so it will also lead to spleen yang deficiency. Therefore, many patients have both spleen and kidney yang deficiency and need to strengthen the spleen to warm yang and promote water to diuresis.

In fact, both medicines have yang-warming medicines, but their emphasis is different. The former focuses more on strengthening the spleen, removing dampness, and warming and replenishing spleen yang.

The latter focuses more on replenishing kidney yang, while strengthening the spleen and removing dampness, because kidney yang is the fundamental pathogenesis. When Yang Qi is normal, Qi transformation will be normal, water will naturally transpire throughout the body, and edema will naturally disappear.

The logic of TCM treatment lies not in treating the disease, but in treating the person. An ordinary person is not sick. Healthy people will not get sick. If you are sick, there must be something wrong with your body.

I will use medicine to adjust and balance the deviations in your body, and your disease will naturally be cured. Use the deviation of the medicinal properties to correct the deviation of the body.

In fact, treating patients with Liu Mingda's plan will also be effective. However, it is not very consistent, so the effect will be slower and the effect will be relatively poor.

So in many cases, it’s not that traditional Chinese medicine is slow to produce results, but that doctors simply don’t have correct dialectics, don’t prescribe prescriptions, and don’t use the correct medicine. How can the results be fast?

As long as the prescription is correct, it will usually have a stimulating effect. In many cases, even one dose will cause serious illness!

While prescribing a prescription for the patient, Mr. Qian also told the two of them: "To treat edema in pregnancy, the general idea is to strengthen the spleen and remove dampness, but we must also distinguish the difference between water vapor and edema, and focus on medication, so that it can be as effective as drum."

"When using medicine, you should pay special attention to the benefits of diuresis, and do not use medicines that are lubricating, otherwise they may damage the kidneys and affect the fetus. Women should mainly use gentle medicines, especially for pregnancy diseases, and should be careful to use warm and dry medicines and cold and cool medicines. , steep and slippery products, so as not to damage the fetus, be very careful.”

Liu Mingda and Xu Yang both nodded seriously.

Qian Lao wrote the prescription and handed it to the patient. Then he turned to glance at Liu Mingda and said angrily: "Especially you, what's going on recently? You're so restless! You can't calm down."

Liu Mingda's face turned red with embarrassment.

The diagnosis was over, and the two walked to the dormitory.

Xu Yang asked Liu Mingda: "I also want to ask you, what's happened to you recently?"

Liu Mingda scratched his head in embarrassment: "Nothing!"

Xu Yang was a little funny: "You can't even tell me?"

Liu Mingda was a little shy.

Xu Yang saw him like this and asked, "What, are you dating someone?"

Liu Mingda waved his hand shyly: "Not yet."

Xu Yang understood immediately: "Yes, unrequited love."

Xu Yang shook his head. No wonder this guy is not in a good state recently. He is trapped by love.

Liu Mingda said angrily: "Oh! You just make sarcastic remarks and don't help me think of a solution."

Xu Yang asked: "Which lesbian do you like?"

Liu Mingda looked around carefully, and then whispered to Xu Yang: "Just... nurse Wang Jia from the internal medicine department."

Xu Yang thought for a while and couldn't remember who it was.

Liu Mingda whispered: "Hey, have you ever had sex with someone? Do you know what to do? Can you help me?"

Xu Yang immediately felt a shiver in his heart. Professor Liu Mingda, a Yangtze River scholar, asked him for help. He had to do this even through fire and water!

Besides, he has to help Professor Liu Mingda make progress, otherwise China will lose a great gynecologist in the future.

Xu Yang said: "It's simple. Just tell her that you like her and want to marry her and have children."

Liu Mingda was startled and his face turned red: "Ah? Isn't this... too direct?"

Xu Yang said: "What is there to hide?"

Liu Mingda coyly said: "Then what if people don't agree?"

Xu Yang said generously, "I'll teach you how to say it, and I'll make sure you succeed."

"Really?" Liu Mingda's eyes suddenly lit up and he immediately stared at Xu Yang: "If it can really happen, you will be my big brother from now on!"

"Ahem!" Xu Yang cleared his throat, stopped, turned to look at Liu Mingda and asked seriously: "Liu Mingda, are you tired?"

Liu Mingda also stopped, he was a little confused: "Aren't you tired?"

Xu Yang said: "You have been running on my heart all day, aren't you tired?"

"Ah!" Liu Mingda opened his mouth wide and his face turned red.

Xu Yang asked again: "Liu Mingda, will you marry me? I will make you the second happiest person in the world."

Liu Mingda blushed and stammered: "Why... why is it second?"

Xu Yang replied: "Because of you, I am the happiest person in the world."

Liu Mingda was stunned. At this moment, Liu Mingda, a Yangtze River scholar and a nationally renowned Chinese medicine doctor, felt that his heart was about to jump out of his chest.

"Ouch! Ouch! Ouch!" Liu Mingda jumped up all of a sudden, jumping around on the ground, dancing, and letting out a wolf cry from his mouth.

This brat was so excited, he didn't even know there were such seductive words in the world.

"I know, I know." Liu Mingda was so excited that he immediately rushed out dancing.

Xu Yang shook his head, smiled, and shouted at Liu Mingda's back: "Come on, Liu Mingda!"

Then Xu Yang returned to the dormitory alone. He sat down and opened the medical book. He hadn't read it for long when he heard someone hurriedly knocking on the door: "Xu Yang, open the door quickly. It's not good. It's not good. Liu Mingda was caught by the security department for being a hooligan." ”

"Pah..." The book in Xu Yang's hand fell to the ground!