Great doctor starts with adding points

In modern medicine, every disease has a corresponding treatment principle, which is the general outline of the treatment of this disease. In the daily consultation activities, it is always the same, but there are certain differences in the details.

For example, for joint dislocation, the treatment principles are manipulative or surgical reduction, auxiliary fixation, and rehabilitation.

The treatment principle does not talk about the detailed treatment content, such as how to do the operation and the details of the operation. However, in the process of treatment, every item in the treatment principle must not be missing.

In terms of traditional Chinese medicine, the traditional Chinese medicine that Wu Xie has studied only includes conceptual things such as syndrome differentiation and treatment.

But Xiong Yao is a professional. He said that warming the meridians, dispelling cold and blood stasis, and activating the body's self-healing ability are the treatment principles of traditional Chinese medicine. That must be true. Even if there are mistakes, Wu Xie can't find them.

However, after several rounds of emotional changes, Wu Xie made an attitude: "Doctor Xiong, can you wait for a while, I will take notes."

You still have to have an attitude towards learning, whether you learn well or not, it’s good to record it a little bit and experience it.

Xiong Yao nodded, took a sip of water intermittently, and watched Wu Xie write the treatment principle in large characters on the A4 paper before filling in the treatment principle.

"You don't need to record what I'm going to say next." Xiong Yao said.

"Okay. Dr. Xiong." Wu Xie looked up and continued to listen.

After Xiong Yao put down the water glass, he tapped the table with the index finger, middle finger and ring finger of his right hand a few times before he finished organizing his words: "Xiao Wu, do you generally pay attention to the following types of treatment in modern medicine? "

"One, oral medicine, two, intravenous medicine, three, topical medicine, four, surgery or operation? Can it be roughly classified like this?"

When Wu Xie heard the words, he circled in his mind, and then said: "There are still some machines that can assist in treatment, but most of them belong to the category of prevention and rehabilitation training."

It has to be said that Xiong Yao's summary of this treatment form is also in place. In clinical medicine, the treatment forms that will be used are just like this.

"Yes." Xiong Yao nodded, and then said in words that Wu Xie could understand: "The treatment methods of traditional Chinese medicine are similar, mainly including internal prescriptions, plasters or herbs, acupuncture, moxibustion, massage, and massage. and other comprehensive methods.”

"Among them, prescriptions are often used internally, plasters and herbs are mostly used externally, acupuncture and moxibustion are different forms of moxibustion, massage and massage, you can also understand it as operational treatment."

"It's a pity that the traditional Chinese medicine surgery in the rumors has long been lost, so there is no way to talk about it."

"In these aspects, you can understand that prescriptions are mostly used to regulate the balance of yin and yang in the body, invigorate qi and blood circulation, enhance the circulation of qi and blood, and promote the recovery of nerve function to a certain extent."

"Acupuncture can stimulate the meridians and acupoints, regulate the functions of viscera, promote blood circulation, and improve neuromuscular functions;"

"Physical therapy such as massage and massage can promote local blood circulation and neuromuscular recovery. Promote muscle relaxation, promote blood circulation, and improve neuromuscular function."

Wu Xie listened to this, and subconsciously took a pen to write down again, but Xiong Yao interrupted.

"You don't need to remember these, you just need to have an understanding. Clinical medicine and Chinese medicine are different systems. I just categorize them in this way for your understanding. It is convenient for us to discuss the next questions, which are about treatment. question."

"In modern medicine, stroke is divided into different clinical stages, but in the field of traditional Chinese medicine, there are only two categories: the onset period and the recovery period, and the onset period is divided into the meridian and the viscera!"

"Apoplexy Meridian: It can be divided into syndrome of wind-phlegm entering collaterals, syndrome of wind-yang disturbance, syndrome of yin deficiency and wind movement, etc."

"Apoplexy viscera are divided into: phlegm fire and blood stasis closed syndrome, phlegm turbid blood stasis closed syndrome, etc."

"The recovery period of stroke is divided into: wind-phlegm and blood stasis syndrome, qi deficiency and blood stasis syndrome, liver and kidney deficiency syndrome, etc. Each symptom has its own diagnosis and treatment, and the prescriptions for diagnosis and treatment are different. Is this the same as in your modern medicine? The definitions are somewhat similar?" Xiong Yao said while smiling, as if talking freely.

Wu Xie nodded.

In the five-year academic system of clinical medicine, there is an elective course of traditional Chinese medicine.

When I was taking a Chinese medicine class before, Wu Xie couldn't understand the yin and yang and five elements, dialectical theory and treatment at all. The teacher in the class just talked about it directly, and you just memorized some things, and then copied them. If you get 60 points, you can definitely pass.

Then what Wu Xie knows is that the meridians and viscera are different places. As for where the stroke is, how does he know where to go?

But Xiong Yao's explanation made Wu Xie understandable, at least he had a framework concept.

"There are differences in the selection of prescriptions for different diseases." Xiong Yao continued, as if to educate Wu Xie.

"Guizhi Decoction plus Aconite: It is suitable for patients with limb spasms and pain after stroke, because Guizhi Decoction plus Aconite can promote blood circulation and remove blood stasis, dredge meridians and collaterals, dispel wind and cold, and relieve limb pain and spasms.

"Tongtiao Zhongshu Decoction: It is suitable for patients with symptoms such as hemiplegia and crooked mouth and eyes after stroke, because it can reconcile the body's qi, blood, yin and yang through the functions of warming and clearing dampness, replenishing qi and strengthening the surface, promoting blood circulation and removing blood stasis, etc. The purpose of the communication center."

"Yuebi Jiashu Decoction: It is suitable for patients with symptoms such as limb weakness and slurred speech after stroke, because it can replenish qi and strengthen the spleen, resolve phlegm and resuscitation, promote qi and blood circulation, and promote the recovery of the patient's body."

"There is a record of "Tongtiao Zhongshu Decoction" in "Synopsis of the Golden Chamber". The original text is as follows..."

"9 grams of Ephedra, 9 grams of Guizhi, 9 grams of Atractylodes macrocephala, 9 grams of Poria cocos, 9 grams of ginger, 9 grams of ginseng, 6 grams of licorice, and 5 pieces of jujube..."

"I did not choose the modified Buyang Wufang Decoction or the modified Yuyin Tongluo Formula recommended in the clinical guidelines of TCM for yin deficiency and wind tunnel syndrome in the recovery period of stroke..."

...

After chatting with Xiong Yao, Wu Xie only felt that his head was a little big.

This reminded Wu Xie that when Xiong Yao talked about shoulder dislocation with him before, and when he explained it to Xiong Yao, maybe Xiong Yao was in the same state and appearance as him now.

Xiong Yao decided on a prescription for treatment, and he had used it for Lin Hua a long time ago. The main purpose of this visit is to explain this to Wu Xie.

But after Xiong Yao left, Wu Xie was still not sure what exactly this Xiong Yao wanted to do?

There are two speculations, one is to explain to him that learning and diagnosis and treatment of Chinese medicine is not easy, but Chinese medicine is profound and profound, and the other is to give him feedback on his feelings and experiences when he heard Wu Xie speak those professional words.

Moreover, Xiong Yao also mentioned in it that he would use acupuncture and prescriptions, and choose these two treatment methods to face Xiong Yao's current illness.

Wu Xie finally asked Xiong Yao: "Do you still want to use the anti-platelet drug aspirin and the lipid-lowering drug atorvastatin calcium?"

Xiong Yao said that of course it must be used. Patients after stroke have the risk of recurrent stroke. Antiplatelet drugs and lipid-lowering drugs are beneficial to reduce these risks. He only uses prescriptions, acupuncture and functional training to improve the patient's Prognosis, not for recurrence prevention.

However, after Xiong Yao left, Wu Xie immediately focused on the panel that had changed——

Although the 600 orders were short by dozens, there were still 13 hours before the end of tomorrow, and it would definitely be exceeded.