Chinese medicine doctor Xu Yang

As an animal, Zhang Hua has no awareness of being an animal at all, and is still waiting for praise with his head raised.

Xu Yang also nodded to him and praised: "Not bad."

Zhang Zhushou immediately showed a bright smile.

Xu Yang also wanted to test his teachings, so he asked: "How to identify the syndrome?"

Zhang Hua immediately stopped smiling, frowned and said in deep thought: "The patient...the patient's dampness and heat are trapped inside and outside, and the spleen and stomach Qi in the middle burner are stagnant, and there is no distinction between clear and turbid."

"So I have the above symptoms, including nausea and vomiting, anorexia, abdominal distention, and constipation. So my idea is to focus on promoting Qi and unblocking the organs, while also clearing away heat and dampness, raising clearness and lowering turbidity."

Xu Yang was noncommittal: "Then how should we treat it?"

Zhang Hua didn't think much and said: "Da Bupleurum Soup!"

Xu Yang asked, "Don't you even have to think about it?"

Zhang Hua said with some embarrassment: "Actually, I have been thinking about it since I was diagnosed some time ago."

Xu Yang smiled, this guy is quite discerning, and then he asked: "What is your basis for using Dabuihu decoction?"

Zhang Hua said matter-of-factly: "Based on your previous treatment experience!"

Xu Yang was speechless for a moment and said angrily: "Say something serious!"

Zhang Hua analyzed the condition seriously: "The patient is very old and has many underlying diseases. Internally, his natural energy is insufficient, and externally, he suffers from the disease's violent energy and becomes ill."

"The dizziness, cough, fever, aversion to cold, headache, and general fatigue seen in the early stages of the disease are all normal. In fact, it can be considered that these epidemic-related diseases are mainly caused by cold and dampness."

"But the external evils quickly entered the inside and transformed into heat, causing symptoms such as cold and dampness outside that bundled up on the surface, headaches, and severe drowsiness all over the body."

"There is moisture and heat cementing inside, and the spleen and stomach in the middle burner are trapped by dampness and heat. The spleen does not produce clear food and the stomach does not reduce turbidity. Therefore, symptoms such as abdominal distension and fullness, nausea and vomiting, dry mouth, bitter taste, and indigestion can be seen."

"The patient's tongue is dark red and stagnant, and the tongue coating is yellow and white, thick and greasy. In fact, it shows a combination of dampness and heat. So the treatment idea I chose is to clear away heat and dampness, promote qi and clear the bowels, and produce clearness and reduce turbidity."

After finishing speaking, Zhang Hua looked at Xu Yang with a smile.

Xu Yang said angrily: "I asked you to talk about medication ideas, but I didn't ask you to diagnose the disease."

"Oh." Zhang Zhushu was poured with a basin of cold water, and then he said honestly: "The spleen should be healthy and the stomach should be harmonious. This disease mainly needs to restore the function of the spleen and stomach to produce clear and reduce turbidity."

"Dachaihu Decoction comes from Zhongjing's Treatise on Febrile Diseases. It is mainly used to treat Shaoyang Yangming syndrome, mutual accumulation of water and heat, and stagnation of internal organs."

"Patients now mainly suffer from symptomatic symptoms such as dampness and heat intertwining. In terms of treatment, the symptoms should be treated according to the emergency. Use Dabuihu Decoction to clear away heat and dampness, so that dampness and heat can go away from the bowels."

"Once the dampness and heat are gone, the symptoms will naturally be alleviated, and the function of the spleen and stomach to produce clear and reduce turbidity can also be restored accordingly. This is currently a treatment plan that I think is more suitable for patients."

Xu Yang looked at Zhang Hua and said to him: "Then you come and make the prescription."

"Huh?" Zhang Hua was dumbfounded. This was like a boy who was working as a busboy in a restaurant and was suddenly dragged by the executive chef to cook for important guests.

That's probably it.

Zhang Hua rubbed his hands, a little timid, but also a little eager to try.

"It's over!" The old woman rolled her eyes.

Xu Yang added: "You write the recipe first, and I will review it. I will make changes later."

"Huh..." The old lady breathed out and came to life again.

"That's okay." Zhang Hua agreed, and then went to figure out the recipe.

Xu Yang looked at Zhang Hua, who was in a state of disarray, and then looked back at the old lady. From joining the war to now, the most difficult to treat are the elderly with multiple underlying diseases.

Most critically ill patients are such people, including those who died, and they are mostly elderly people who suffer from multiple underlying diseases and are very weak.

So this old lady must be a big problem, so this must also be the object of Xu Yang's close attention. Zhang Hua was asked to draw up the formula just to train him, but how could he really get started with it.

So the old lady's worries are completely unnecessary.

Xu Yang finished the diagnosis here and went to the next ward to continue treating patients.

…

Zhang Hua's prescription was then handed over, but Xu Yang did not give any comments. Later, when Zhang Hua looked up the old lady's prescription, he looked thoughtful.

This is Xu Yang's new prescription.

Bupleurum 30g, skullcap 15g, ginger pinellia 15g, ginger 15g, jujube 5g, citrus aurantium 20g, rhubarb 10g, white peony root 15g, peach kernel 10g. Granule, repeat with hot water, take one dose twice in the morning and evening, and observe the stool condition.

…

Second diagnosis.

After taking the medicine, the patient's nausea and vomiting disappeared, one line of stool was formed every day, and the urine was yellow. Other symptoms were the same as before, and the tongue and pulse conditions were the same as before.

This is a certain improvement in symptoms, but it is obvious that this is still far from what Xu Yang expected. If this continues, the patient's condition will still be very dangerous if the disease develops further.

After Xu Yang pondered for a while, he decided to change the patient's medication frequency to three times a day to enhance the ability to clear the bowels and purge turbidity, so he stayed ahead and continued taking the medicine.

Three diagnoses.

The patient was tired and tired. After taking the medicine, he coughed and produced sputum for a few hours. He still had shortness of breath after activity, but the oxygen inhalation flow rate was reduced to 3L/min. The abdominal distension and fullness were relieved. He still had dry mouth and bitter taste. He did not drink much water and his anorexia improved slightly. The stool is passed once a day and formed.

The tongue is dull and dark, the fur is yellow and white, thick and greasy, the pulse is deep and thin, and the ulnar pulse is deep and weak.

…

For many days in a row, the patient's condition has not improved significantly, which makes Zhang Hua, who has been paying attention throughout the whole process, a little anxious.

Before and after he came, he had been studying the real medical cases here. He knew that if he could not control his condition, the old lady would be in danger.

After the two of them went out, Zhang Hua hurriedly asked: "Teacher Xu, Teacher Xu, how is this patient's condition?"

Xu Yang frowned and said nothing.

Zhang Hua asked cautiously: "Is the patient in danger?"

Xu Yang nodded: "There is some trouble."

Zhang Hua's face also tensed up.

Xu Yang said: "The patient still has symptoms of dry mouth, bitter mouth, abdominal distension and fullness. However, there are also symptoms of deficiency such as mental fatigue, lack of appetite, shortness of breath when moving, and a thin and weak pulse. This is a typical deficiency syndrome. It’s both, real on the outside and empty on the inside.”

Zhang Hua immediately said: "Then our treatment should pay attention to both virtual and actual conditions. After all, what we paid attention to before was only treating the symptoms, but not treating the underlying condition."

Xu Yang glanced at him and said, "Young people's minds work very quickly!"

Zhang Hua was a little embarrassed.

Xu Yang added: "Then how to treat it?"

"This..." Zhang Hua was a little hesitant.

Xu Yang didn't even test him, so he said directly: "Use the Four Niss to transform the body, replenish the vitality, and support the kidney qi."

Zhang Hua was even more hesitant: "If the patient's dampness and heat have not been completely eliminated, will it be possible to use Sini with severe heat..."

Xu Yang said: "These four evils have been treated and controlled by adding cold honeysuckle. Moreover, they are used to burn the real fire of Mingmen, replenish the fire and generate earth, and cultivate the earth to generate metal. Moreover, in Da Bui Hu Decoction, it is If you don’t stop taking the medicine, take the two medicines intermittently to treat the symptoms.”

I have developed tenosynovitis. It hurts every time I move. I can't stand it.