Doctors in the late Ming Dynasty
Chapter 66: If stomach qi still exists, there is a glimmer of hope
Just when Xu Chunfu was shouting, Yang Jishi had already ran over. He pricked a few acupuncture points, and the patient was out of danger.
Seeing everyone's surprise, Yang Jishi recited: "
For miscellaneous diseases, choose miscellaneous points according to the symptoms, and still combine the original combination and eight methods.
The original association of meridians is discussed in detail, and the collection of zangfu and shu organs should be started with caution.
The nature of the root knot is mysterious, and the four gates and three departments know its place.
For typhoid fever, pierce Fengfu on one day, and take the order of yin and yang meridians."
"Teacher just now..." Sun Chusheng and Zheng Hui asked almost at the same time. Then they were stunned and stopped at the same time. They both applied for the acupuncture department. Behind them, Yao Hong took a step slowly and saw
Someone had already asked, so he remained silent.
Yang Jishi did not explain, but continued what he had just said: "Typhoid fever occurs on the first day of Taiyang Fengfu, on the second day of Yangming's Yingzhi, on the third day of Shaoyang's loss, on the fourth day of Taiyin's well, on the fifth day of Shaoyin's loss, and on the sixth day
Jueyin meridian. Prick the three yang meridian points on the surface and the three yin meridian points on the inside. After six days of menstruation without sweating, prick Qimen and Sanli. This is an ancient method. Only for yin syndrome, moxibustion at the Guanyuan point is better..."
After everyone heard the words, they suddenly realized something. They had all put a lot of effort into acupuncture, and now they met a famous teacher and everything became clear.
Seeing that the crisis was resolved, Zhang Jiebin continued to see the next patient.
On the other side, Yang Jishi continued to explain to acupuncture medical students and acupuncture enthusiasts. He talked for a full quarter of an hour, and finally came another verse: "Typhoid fever flows into the broken feet, Taichong, the inner court can rise and fall, and the hands of the Quan Hoof are familiar with it."
If you want to live, you can only cure the golden needle after you have gained it. There is another true secret: tonic and purgative are worth a thousand pieces of gold."
Everyone bowed and saluted: "Thank you, Master Yang, for teaching me the acupuncture method!"
At this time, Yang Jishi had not yet written a book, and his "Acupuncture Dacheng" would not be published for more than 20 years. This behavior is tantamount to treating everyone as disciples and teaching them carefully.
Yang Jishi nodded and said: "You guys will understand and practice diligently, and remember that the fastest way to save yourself is acupuncture!"
Everyone said: "Follow the teachings!"
By this time the medicine had been cooked, and the apprentice brought it to the patient, who gradually recovered from the sweating. The boy who was misdiagnosed by Zhang Jiebin was corrected by Wan Bangning and Yang Jishi rescued him, and he recovered.
After this incident, Zhang Jiebin was extremely careful when practicing medicine. He personally tested medicines and polished his medical skills, and finally became a master. As a result, he avoided many mistakes in the future and even saved several of his own children. It was also a blessing in disguise.
.
There are many doctors like Zhang Jiebin who have thought carefully about themselves. Pu Fuzhou, a great contemporary medical expert, made a mistake in his medical practice when he was young. He learned from the pain, closed his medical school and went back to study. When he came back, he was already a great doctor.
At this time, Zhang Jiebin was diagnosing and treating a woman again. The woman said that she had been suffering from leucorrhea for a long time, and all the medicines were ineffective. The diagnosis showed that the ulnar pulse in the heart cells was very weak, the leucorrhea sought to flow without stopping, and the pulses in Shuhe and Bali were weak.
After making the diagnosis, he offered his seat to Xu Chunfu. Zhang Jiebin thought for a moment and said: "The Pulse Classic says: with the passage of time, leucorrhea will appear, and the bones will dry up if it leaks for a long time. It is said that people with uterine bleeding will be sick at the beginning and have bleeding, but if it lasts for a long time, they will have less blood and will relapse.
Its yang is destroyed, so the white and slippery substances will continue to flow downward. This is when the sea of blood in this menstrual period will dry up, and the body fluid will die again, and it will dry up and be unable to nourish the muscles and bones."
"Use this menstrual medicine as a guide and use it as a guide. Use a large glycerin and greasy medicine to moisten dryness and nourish the body fluids. Use a pungent and hot smell to nourish the yang and promote blood. Use a bitter and cold medicine to relieve the lungs.
Above all, if heat damages qi, ginseng can be used to replenish it, and slightly bitter and warm medicine can be used as an adjunct to replenish vitality. Li Dongyuan's Jingbu Guzhen Decoction should be used to treat it."
When Xu Chunfu heard this, he nodded and said, "Let's prescribe it!"
Zhang Jiebin wrote with a pen: "One qian of Bupleurum root, one qian of roasted licorice, three qian of dried ginger, two qian of dried tangerine peel, two qian of ginseng, seven chopped white sunflowers, one qian of Yu Liren peeled and ground into mud (
Fried together), raw scutellaria baicalensis 1 penny (added separately)."
If it were written before, I would have stopped at this point, but at this moment, it is still written: "In addition to the skullcap, fry it with two cups of water until one cup is seven minutes, then add the skullcap and fry it until it is one cup, and make it hollow.
Take it hot and drink it with food for a while."
Sure enough, after a while, the medicine was decoctioned and taken, and then he was taken with a meal, and he recovered immediately after taking it.
After these few cases, everyone's doubts about Zhang Jiebin were wiped away, and even the patients no longer rejected him.
Zhang Jiebin, however, was walking on thin ice, thinking twice before taking any diagnosis or medication.
Xu Chunfu almost looked at him differently, but he still warned: "You have learned a lot and have read many medical books. It is a good thing that you can learn from the methods of the sages, but what should you do if there is an unprecedented case?"
Zhang Jiebin was silent when he heard this. He had reflected on this matter when Liu Ji came to rescue him. But there was nothing he could do about it. He had at least eight years less medical experience than most people. Others had already started practicing medicine, but he had only been a disciple for a few years.
Months ago, his father only introduced him to medicine, that's all.
Wan Bangning said: "Brother Ru Yuan, it is really rare for him to have such attainments at his age. You are simply difficult to deal with."
After hearing this, Xu Chunfu realized that he was not facing a young doctor who had already graduated, but a young man who had just started, a boy who was only fourteen years old.
"Very good, you passed the assessment." Xu Chunfu forced a smile and said.
However, Zhang Jiebin saluted solemnly: "Jiebin, thank you Master Xu for giving me a heads-up and letting me know my own shortcomings. There are a few others, please let Jiebin finish treating them together so that more problems can be discovered."
In the past, Zhang Jiebin mostly called Xu Chunfu "Uncle Xu", but only in formal occasions, he would call him "Master Xu" in public. This is the first time he has called him "Master Xu" in private and solemnly.
Xu Chunfu also noticed Zhang Jiebin's changes, but he did not expect that it was Zhang Jiebin's strong self-esteem that had transformed in this short period of time due to a misdiagnosis.
And he didn't even know what impact Zhang Jiebin's next transformation would have on Chinese medicine. At its peak, it actually reached the point where "half of the doctors studied under Jingyue". It surpassed Wang Yangming's status in the ideological circles of the Ming Dynasty.
How many points.
After the Ming Dynasty, Yangming's theory of mind was abandoned, but "The Complete Book of Jingyue" was still regarded as a guide, and there was a saying that "Jingyue is the master of miscellaneous diseases" and "when encountering deficiency and cold, use Jingyue".
"Then you go ahead. No doctor can be too cautious. Well, also, this person's disease is quite difficult, so you can jump over." Seeing Zhang Jiebin's performance, Xu Chunfu hesitated for a moment, but nodded and agreed with him to continue the diagnosis and treatment.
The patient, Mr. Xiong, was suffering from dysentery and vomiting blood. He was suffering from fever and cough, and his navel was painful until death. His pulse was in critical condition. His former doctor asked him to prepare for his funeral. How could Mr. Xiong give up? He came to him just before closing time.
The Yiyi Hall is here.
Xu Chunfu had also made some diagnosis and treatment before and found it quite difficult. He was about to summon all the doctors to discuss countermeasures. When it happened to be Zhang Jiebin's turn, he wanted to embarrass him.
When Zhang Jiebin was undergoing diagnosis and treatment, several imperial doctors had already seen him, and they all had solemn expressions on their faces.
Zhang Jiebin saw that his pulse was indeed critical, and his heart trembled. He suddenly thought of the abdominal diagnosis mentioned earlier. Although he did not know how to do it, he still acted as a doctor. He slowly felt it and found that the chest of the bear member was still warm.
A lump in the navel rises as big as a fist.
After thinking hard, he thought of Zhang Zhongjing's Cunkou, Fuyang, and Taixi diagnosis methods, so he said: "Exceptor Xiong, can I check the Fuyang and Taixi pulses?"
"Doctor, please excuse me." Mr. Xiong was in a very difficult situation, and his son said for him. In order to save a life, he had touched his chest and abdomen. Do he still care about the Fuyang and Taixi veins?
So Zhang Jiebin squatted down, and while everyone was astonished, he took off Mr. Xiong's boots and diagnosed Fuyang and Taixi pulses. After a long time, he said: "Stomach qi is still there, and there is still a chance."
As soon as this statement came out, the expressions of all the imperial doctors changed.
Xu Chunfu even scolded: "Please don't talk nonsense."
Of course they know that if the Cunkou pulse is difficult to detect, the Fuyang and Taixi pulses should be diagnosed to wait for stomach qi and kidney qi. They also know that as long as the stomach qi still exists, there is still a chance for treatment.
But this is just a theory. How can theory save people in an instant? They are all famous doctors. They may be able to figure out a set of treatment methods under the guidance of theory, but this must be based on at least ten years. Now patients can
Even if it lasts for ten days, it will be good. How can there be time for them to explore and make mistakes?
Giving patients a glimmer of hope now is equivalent to bringing them greater disappointment.
Zhang Jiebin immediately understood after hearing this. He only knew based on theory that the patient still had a glimmer of hope, but who in the world could hold on to the glimmer of hope?
Wan Bangning shook his head and sighed: "If my father were here, he would definitely be able to save me, but it's a pity..."
When everyone heard this, they all nodded heavily, convinced of this.
When Mr. Xiong's son heard that there was a glimmer of hope, Zhang Jiebin was scolded immediately and felt very uncomfortable before he could be happy. Now he heard that there was another person who could be saved, and everyone agreed. This made him suddenly hopeful and he hurriedly asked questions.
He said: "I don't know where my respected father is, but my Xiong family will pay for all the medical expenses."
Wan Bangning smiled bitterly and said: "My hometown in Luotian, Huangzhou Prefecture."
A child's voice came: "Could it be the Wan Shen Shen doctor known as 'Wan Mi Zhai's Fang'?"
Zhang Jiebin was stunned, he didn't expect to have such a name. Seeing that the child was only seven or eight years old, he knelt down and asked: "My little brother is so smart, how do you know the recipe of Wanmi Zhai?"
The man was very proud, and then he thought that his grandfather was in a critical moment, and he felt uncomfortable again. He pursed his lips and said with a cry: "We all say this, 'Wan Mi Zhai's prescription, Li Shizhen's medicine', it's all my fault. If
It’s not that I want to come to the capital, my grandfather won’t get sick.”
It turns out that Mr. Xiong’s family was originally from Jiangxia, Wuchang Prefecture, and moved to Beijing with his family three years ago. Li Shizhen was from Qizhou Prefecture, and Wanmi Zhai was from Luotian. Luotian belonged to Qizhou from the Sui and Tang Dynasties to the early Ming Dynasty, and then it was changed to
Huangzhou Prefecture, but in modern times both belong to Huanggang City. Wan and Li can be said to be fellow villagers.
If they were in their hometown in Jiangxia and Xiong got sick, they would only have to go a hundred miles away to find Wanmi Zhai. However, they were in the capital, but Wanmi Zhai was thousands of miles away from their hometown.
This is fate.
"Bier, this matter has nothing to do with you. It's all about being a tribute to your father. I regret it!" Yuan Xiong's son said, looking quite remorseful.
"Father, let's go home and I'll kowtow. I'll definitely be able to call on all the gods to cure my grandfather's disease." Xiong Bi'er said innocently.
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