Doctors in the late Ming Dynasty

After Liu Ji took his pulse, he looked at the tongue coating and saw that the tongue was also trembling, so he said: "The pulse is stringy and thin with a few bands, and the tongue is red and has little coating."

He also comes from a family of Confucian doctors. He has sixteen kinds of Xue Lizhai's medical records in his family, but he has specialized in tongue diagnosis. Most of the previous young doctors did not look at the tongue coating. But what really made tongue diagnosis popular was the febrile disease school, tongue diagnosis.

It is far more important for febrile diseases than typhoid fever.

After speaking, Liu Ji asked the patient to straighten his hands. His fingers were trembling, but his arms were not trembling much.

Liu Ji then said: "Try holding a pen and writing."

The patient was very embarrassed: "Doctor, my handwriting is not good."

"It doesn't matter, this is just to prove the condition of the disease, not to judge the quality of your handwriting." Liu Ji said with a smile.

The patient's writing was shaky and he could not even draw a line, let alone write.

Liu Ji nodded and asked him to put down the pen, and then said to the lecturer Gong Tingxian: "The fingers are shaking, but the arm is not shaking, and the pen is swinging and cannot form characters; during tongue diagnosis, the tongue body also trembles. This is caused by liver and kidney yin.

Deficiency means body fluids become dry, tendons lose their nourishment, and deficiency yang floats and causes tremors."

Gong Tingxian nodded. He had been nodding since Liu Ji treated the first person, and then said: "How to treat it?"

"You should imitate the three armors to subdue yang, nourish the liver and yin, soothe the mind and calm the mind." After Liu Ji finished speaking, he wrote: "Fry tortoise shells in salt water for 4 qian and 3 yuan, mother of pearl for 4 qian and 3 yuan, and raw dragon teeth for 3 and a half yuan (

The above three flavors are fried for a long time), Polygonum multiflorum is three and a half qian, Uncaria two qian and a half, Zhu Fu Shen is 2 qian and 7, Ziziphus jujube kernel is 2 qian and 7, Zuoqinji is 2 qian and 7, Tribulus terrestris is 2 qian and 7, Angelica sinensis is two qian and seven,

Hangbaishao costs two cents and seven cents, and roasted licorice costs eight cents."

After writing the prescription, he handed it to Gong Tingxian. Gong Tingxian nodded and said, "How long does it take to take effect?"

Liu Ji then took it back and wrote something, then gave it to the patient and said: "It is expected to take more than a month, but you will have to come back for a follow-up consultation in three days. This is very important to me, as it is related to my exam results. Go.

Take the medicine. If you feel any discomfort while taking the medicine, you can come here to see me."

After the patient left, Liu Ji shouted: "Next one!"

The visitor was the right minister of the Ministry of Civil Affairs, named Shen Li, who was a member of the Wanli Lecture Group and was considered one of the emperor's teachers. As for Zhang Juzheng, he was more like a principal, managing and supervising the lecturers as the first assistant, but he did not have to give lectures to the emperor.
Liu Ji asked: "I wonder where you feel uncomfortable?"

Shen Li's son said: "My father can't speak or even make a sound. His hands and feet are numb and he has a lot of phlegm."

Liu Ji said: "The male body is plump and plump, and he is good at drinking. The phlegm flows through the meridians, so it is better to be restrained."

Shen Li just smiled bitterly, and his son said for his father: "I have been given a gift, and I dare not refuse it."

It turns out that Wanli was very considerate of his lecturers, pavilion elders, and ministers, and gave him delicious food every now and then. He made everyone fat and healthy, and also developed the diseases of wealth.

Shen Li's son continued to talk about his condition: "Yesterday, my father suddenly fainted. He also suffered from enuresis, choking, hand fisting and other symptoms. His phlegm sounded like saws. He was in critical condition. He invited a doctor nearby. The doctor prescribed ginseng, Fu, Rehmannia glutinosa and other medicines. "My father understands medicine, but he refused to take the medicine even though he had prepared it. He asked for leave this morning and came here to see a doctor."

Although the Taiyuan Hospital is responsible for the health of all the officials in the court, it needs to hire an imperial doctor and also needs to submit a letter to request a doctor. As long as you submit a letter, there is no objection, but most officials are still accustomed to hiring private doctors themselves.

Even Zhang Juzheng was no exception. Except for the imperial doctor who was gifted by the emperor to treat Zhang Juzheng, he basically found doctors himself, and eventually fell into the hands of private doctors. As a result, Zhang Juzheng's reform was not halfway through and the middle road collapsed. The Ming Dynasty lost its last chance to revive.

Liu Ji nodded and began to take his pulse. He came over for a while and then said: "Master Shen's pulse seems to be strong and strong, but his face is red and his Qi is thick. This is a condition where phlegm and fire are abundant and all the orifices are closed."

After saying this, Liu Ji smiled and congratulated: "Fortunately, Mr. Shen knows some medical knowledge and did not take any ginseng medicine, otherwise it would be dangerous."

At that time, Shen Li just felt that the medicine was not right, but did not think there was any real danger. His son asked: "Oh? What's the danger?"

Gong Tingxian said at this time: "As soon as you take ginseng, you will be killed immediately!"

When Shen Li heard this, he was quite surprised, and his son's expression changed drastically, and he was frightened. He said thankfully: "Fortunately, my father knows some medical science, otherwise I wouldn't dare to think about the consequences."

Everyone was also in an uproar. This was a majestic imperial master. If he died because of a medicine, wouldn't the emperor be furious?

Liu Ji was a little embarrassed and said softly to Gong Tingxian: "Master Gong, I plan to use Xiaoxu Ming Decoction to remove Gui and add Shengjun 1 penny as the final treatment. I wonder if you agree with my prescription?"

Gong Tingxian was slightly surprised. He didn't expect Liu Ji to be so bold, but he also knew that this was the right medicine, so he said softly: "You are very courageous. This is a high official of the imperial court."

"In my eyes, there are only patients, and there is no distinction between officials and civilians." Liu Ji said.

Gong Tingxian smiled and said: "Don't worry and take the medicine boldly. You will be fine as long as I am here."

Sure enough, when Liu Ji finished writing and handed it to Shen Li, Shen Li hesitated again.

Liu Ji smiled bitterly. This person doesn't know medicine, which is a problem; but knowing medicine can sometimes be troublesome.

Shen Li's expression aroused his son's curiosity. He took it over and looked at it again and again, but he still couldn't understand what the problem was. Other young doctors also came over to watch, and everyone was in an uproar after seeing it.

Shen Li's son still didn't know what the problem was, so he begged: "Master Gong, please give my father a prescription!"

Seeing this, Gong Tingxian spoke: "My dear nephew, I, Gong Tingxian, vouch for my thirty years of medical experience. This prescription is correct. Sir Shen, you can take it with confidence and boldness."

Although Shen Li didn't trust Liu Ji, he trusted Gong Tingxian immensely and nodded hesitantly.

At this time, Wan Bangning, Yin Lin'an and others made a diagnosis one after another, and they all expressed their agreement. Shen Li no longer had any worries.

The medicine was quickly cooked and served. Shen Li's son fed his father, and the diagnosis and treatment of Liu Ji's three patients was completed.

The Dafang Pulse test is still going on, but more people are still focusing on Shen Li, wanting to see if there will really be no problems.

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Half an hour passed. Although it was not as effective as the previous few people, and the disease was standing up, there was no sign of deterioration. I couldn't help but be surprised.

Shen Li wanted to go back, but his son was still a little worried and refused to let his father go.

This continued until two hours later. Shen Li couldn't sit still anymore, threw his hand away, and left. His son followed reluctantly.

Liu Ji shouted: "Remember to come back for follow-up consultation in three days!"

Shen Li's son replied: "I will bring my father for a follow-up consultation tomorrow."

Liu Ji was helpless, how worried he was about him!

Just like this, only Zhang Jiebin has not yet played.

He suddenly became excited: "Everyone, please watch out, I am Zhang Jiebin."

Xu Chunfu also laughed and clapped his hands. Immediately, about ten people walked out of the crowd. Excluding family members, there must have been ten people!

Zhang Jiebin was secretly surprised and doubted: "Is this too much? Isn't it true that each person treats three people?"

Xu Chunfu said: "That's right, you are the last person to test, and there are more patients. Now they are all yours to treat."

Although Zhang Jiebin has been studying medicine for several years, he has not graduated from the profession. He just saw that everyone can do it alone and feels that he can do it too. Now he is not afraid and directly agrees: "Okay, I will take care of it all, just keep an eye on it!"

The first person to come up was Mr. Feng, who was sixteen years old and suffered from typhoid fever. His eyes were red and he was thirsty, which was like a fever. His pulse was seven to eight times a breath.

"It should be taken with Chengqi Decoction." Zhang Jiebin said bluntly, wrote down a square with a pen, handed it to the patient, and shouted: "The next one."

The person who came here was a woman in her thirties who was constantly worried, was not eating properly, had injuries to her spleen and stomach, her complexion was dark and dull, especially her ringed lips, her heart felt like she was hungry, her kidneys were weak, she had no desire to eat, and she was short of breath.

Zhang Jiebin was waiting for his pulse when Xu Chunfu cursed angrily: "You bastard, what prescription are you prescribing? How could I kill you!"

As soon as he said this, Zhang Jiebin was stunned and his men stopped moving.

At this time, Wan Bangning also called Wanmai and explained: "The Nei Jing says: Any number in the pulse is hot, and any number in the pulse is cold. Today's pulse is eight to nine, which is extremely hot. Little does anyone know that "Zhi Zhen Yao Da Lun" " said: What is the reason for the disease to have a pulse and then the disease to be reversed? Qi Bo said: "The pulse is coming and coming, but it does not bulge when pressed, which is the case for all Yangs. Wang's Note says: "The disease is hot but the pulse is rapid, but it does not move when pressed, which is the cold-sheng pattern." It is caused by Yang, not heat. It is caused by Yin syndrome."

"It is not appropriate to use Dachengqi Decoction here. It should be replaced with ginger, and it can be treated with the method of treating heat due to cold."

Wan Bangning's words made Zhang Jiebin feel ashamed. He didn't know what to do for a moment and wanted to find a crack in the ground to crawl in. However, Wan Bangning ignored it and re-prescribed the prescription. He asked the apprentice to get the medicine and boil it in person before continuing.

Said: "Go on, this case is not qualified."

Zhang Jiebin took a deep breath and was immediately relieved that he had ten patients instead of three. But he didn't wait for him to adjust.

But the woman suddenly said: "Can you change me to a doctor? This little doctor is... too... young."

This was the first time that Zhang Jiebin was so embarrassed. He only felt embarrassed and embarrassed. When he saw everyone looking at him, he said sheepishly: "It's okay. This is an exam. There will be an imperial doctor to review it. If there is a problem just now, why don't you go ahead and do it?"

Did you find it?"

Hearing this, the woman reluctantly asked Zhang Jiebin to check her pulse. This time she looked at it for an extra long time and asked in extra detail. After a long time, she said: "Use Chonghe Shunqi Decoction: take kudzu root for one cent and five cents, and cohosh."

, one penny each of Fangfeng, one penny of Angelica dahurica, eight points of Astragalus, seven points of ginseng, four points of licorice, three parts of peony root and atractylodes, and fry with ginger and jujube. Teachers, please correct me!"

Zhang Jiebin did not write down the prescriptions after he finished speaking, but said them one by one, and then asked for advice sincerely.

Xu Chunfu stepped forward to diagnose and treat, and then nodded: "The heart and lungs go up to protect the body; the kidneys and liver go down to nourish the muscles and bones; the spleen and stomach are in the middle, mainly transmitting and transforming the essence to irrigate the four sides, harmonizing and not stopping. Once the Qi is injured, the four internal organs will be lost.

."

"This can lead to endless worries, qi stagnation and lack of energy, improper eating and drinking, and insufficient qi, causing the yin energy to overflow into the yang, so black color is seen on the face. Black color is not blood stasis."

"Another scripture says: The spleen is connected to the mouth, and its beauty is on the lips. Now the water is attacking the earth, so black is seen on the lips. This yin and yang are opposite, and the disease is reversed."

"The ancient theory of innocence says: Yangming pulse weakens above, and the face becomes scorched. Therefore, it is known that Yang Qi is insufficient, and the color cannot be restored unless it is used to help Yangming hair growth."

After a long explanation, Xu Chunfu finally praised: "So use Chonghe Shunqi Decoction to treat dampness, heat and stagnation of fire, and use the agent to promote Yang, wonderful, wonderful!"

Zhang Jiebin breathed a sigh of relief when he saw that the game had been won. But at this time, the situation of the young man from before changed drastically. His claws and nails were already green, but the medicine had not yet been boiled.

Everyone panicked, and Xu Chunfu shouted: "Jizhou, prepare to acupuncture to save people!"

The fastest way to save yourself is acupuncture.