Rural Chinese Medicine Li Maoyang
Chapter 239
Chapter 239
After a long time, Li Maoyang opened his eyes.
For the patient Zhang Hongliang, it is obvious that Shenlingbaizhusan, which is used to treat spleen deficiency and dampness, can no longer hold it!
Because he is not only spleen-deficiency and damp-abundance, but both spleen and kidney are yang-deficiency, which leads to excessive water and dampness.
The water has gone to the limbs, causing the limbs to be swollen!
It's definitely a yang deficiency!
Therefore, it is necessary to use Zhenwu soup that warms the sun and promotes water!
(Friendly reminder: The following paragraphs are a bit too in-depth, but after much deliberation, let’s write a little bit superficially, in case there are book friends who understand it and criticize it?
As for book lovers who don't understand, you can also use this to get a glimpse of the difficulty of syndrome differentiation in traditional Chinese medicine. )
As for the patient with deficiency of spleen and kidney yang, the limbs should be rebellious and the body cold, but the patient developed a low-grade fever instead.
(Remember: patients with yang deficiency: 1, body cold; 2, weakness.)
This complicates its symptoms.
But this can't confuse Li Maoyang.
It is common for patients to have various symptoms mixed with cold and heat.
What is hot at the top and cold at the bottom, hot on the inside and cold on the outside, cold on the inside and hot on the outside, real cold and fake hot, fake cold and really hot...
The situation has gone too far!
The key here is to judge who is true and who is false!
And, who is the main aspect of the contradiction and who is the secondary aspect of the contradiction!
As far as the current situation of the patient Zhang Hongliang is concerned, it should naturally be true winter and false fever.
The spleen and kidney yang are so deficient that the water can't even drain out, and it runs to the extremities. Isn't that really cold? !
(Drainage also needs Yang Qi to give power!)
Therefore, the real cold caused by yang deficiency is the main aspect of the contradiction of the disease!
How did the false heat come about?
1. In the struggle between good and evil, the body is the battlefield of the struggle between good and evil. How can it not be hot when the fight is in full swing?
2. When yang qi is deficient and weak, body fluid cannot be transpired and distributed to the whole body. The body lacks the moisture of body fluid, so how can it not be hot?
(Again, body fluid is not waste water! Body fluid is high-quality "pure water"!)
And the words of Mr. Zhong Jing (at the end of the last chapter) are also pointed out with iron mouth, (as long as it is really cold), at this time the body heat can also use the aconite of Daxin Dare!
At this time, you can also use Zhenwu soup when your body is hot!
The reason is here!
……
After thinking about it for a while, Li Maoyang resolutely reported Zhenwu Tang to the system!
System drug effect deduction passed!
"Guoguo, please go back and get some aconite! We have to demonstrate how to fry this medicine for Brother Zhang!"
Li Maoyang said to Qiao Guoguo while writing the prescription.
Because Zhenwu Decoction contains aconite, it needs to be decocted separately for a period of time in advance, so it must be demonstrated to patients.
This is careless.
During this time, Qiao Guoguo brought some commonly used medicines from the pharmacy when she came here, but there was no aconite from the Twelve Meridians.
"Ah? Do you want to use aconite?" Qiao Guoguo worriedly leaned over to look at his prescription.
Li Canyang also came to take a look.
Li Maoyang glanced at them, Qiao Guoguo said nothing, went out and drove back to her pharmacy to pick up aconite.
Li Maoyang's gaze was calm but firm, and Qiao Guoguo felt that he should trust him.
Of course, after she went back, she still had to discuss it with her father.
"Next!"
After Li Maoyang signaled Zhang Hongliang to wait, he raised his head and shouted.
But as soon as the next patient came to him, the curtain of the consulting room was lifted, and three people came in one after another from the outside.
Master Zheng's daughter Zheng Xiaomei and her husband came with her mother-in-law.
"Can't wait for you to come, we can only come here by ourselves!"
Zheng Xiaomei, who is in her 50s, smiled.
"Sorry! Sister Zheng, I'm planning to go to your house again in the middle of the night!"
Li Maoyang stood up and scratched his head jokingly.
While apologizing to the patient who came to his desk just now, he asked him to wait.
He had to show Zheng Xiaomei's mother-in-law first.
Firstly, Zheng Xiaomei called him yesterday, and he also promised that he would come to her house today to show her; the most important thing is that Zheng Xiaomei is the precious daughter of his master Mr. Zheng, just jumping in line, he Li Maoyang I can't say anything!
Where does the salt come from, where does the vinegar come from sour, he must always remember Mr. Zheng's kindness in teaching him!
……
The illness of Zheng Xiaomei's mother-in-law is dizziness all the year round.
Li Maoyang finished her four consultations. Just as he thought yesterday, the old lady is old, and her Qi and blood are weak, plus there is stasis in her body that can't lift her head, and her head lacks blood supply, which has caused dizziness for many years.
Of course there is a bit of evidence.
Control when invigorating qi and blood + dredging yang and promoting yang, dispelling blood stasis and dredging collaterals, calming liver and quenching wind.
Li Maoyang prescribed a modified Bazhen Decoction, in which a few Yang-enhancing herbs and liver-suppressing and wind-suppressing herbs were omitted.
After talking and joking, they didn't count the consultation fee, and undercounted a lot of medical expenses, and finally sent these three away.
……
On this day, Li Maoyang has been busy until nearly nine o'clock in the evening, before he has finished seeing all the patients.
Well, of course, this does not include those patients who were queued up in the afternoons and were not seen.
Qiao Guoguo took Qiao Langlang back.
Li Canyang lay on the kang and began to brush fast notes, which he dubbed as "changing his mind".
Naturally, he mainly watched beauties. He stayed in Sijin's live broadcast room for more than half an hour and collected more than 100 meters of gifts.
That's one-ninth of his day's wages today.
Li Maoyang is still very generous, giving Li Canyang and Qiao Guoguo the same salary.
Yang Qing and Qiao Langlang also gave one hundred each.
Li Maoyang himself continued to sit in the consulting room and review medical records.
It was the medical case recorded by Qiao Guoguo today.
Li Maoyang brushed it over to consolidate it, and occasionally added a little impression to some medical cases.
While reviewing the medical records, a strange phone call came, speaking in a very low voice.
It's Ren Xiaojing.
"Hello, is this Dr. Li? I am Ren Xiaojing..."
"Hi, Sister Ren, I'm Li Maoyang. How's it going? Did they sew up your trachea?"
"Sewing...it's done, I feel much better today, thank you...thank you Dr. Li for saving my life!"
"You're welcome, don't talk too much, listen to me, let's add a WeChat friend, and I'll follow up with you on video!"
"Okay, okay!" Ren Xiaojing said hastily.
The two quickly added WeChat friends, and then Li Maoyang made a follow-up visit to Ren Xiaojing through video, and made some doctor's orders.
Ren Xiaojing sent several red envelopes to Li Maoyang!
Li Maoyang quickly accepted the red envelope and sent it back.
"Sister Ren, don't think too much, I won't take your money! I finally did a good person and good deed, can you give me a sense of honor? That's it, goodbye, I will delete the red envelope if you send it again You're a good friend! Okay, let's talk back, someone called me!"
After returning the red envelope, Li Maoyang sent a voice message to Ren Xiaojing.
Someone did call him, it was Zhen Xiaodan.
"Doctor Li, hello!"
"Hello, Miss Zhen!"
"You probably guessed what I meant by calling you. I don't know if I can trouble Liang Yanan—just my best friend, can I let her join the team and give her hypnotherapy earlier?"
"I'm sorry, Sister Zhen, I have already lined up for others, and the time for hypnosis is also arranged. You make it difficult for me! You know that my clinic has just started, and I have to take care of reputation. of."
Li Maoyang declined without thinking.
This way of speaking is quite euphemistic for him.
"Well, you may not know, my best friend, she is actually the daughter of Liang Wenhe, the president of Zhaoli Group..."
Damn, Li Maoyang got a little angry when he heard it, why did you say it earlier, how can I turn back now!
The boss of the Zhaoli Group, he really wants to curry favor, he has a lot of money, and he can get a lot of cash if he just grabs it!
What should we do now?
Li Maoyang was a little out of breath for a moment...
But he still said in a calm tone: "I'm sorry, sister Zhen, I can't even give you face, how can I give that Mr. Liang face?"
As soon as he said this, he heard Zhen Xiaodan giggling on the phone: "Doctor Li, you are really a wonderful person, giggling, okay, I won't make it difficult for you, so let me say something Do you think it will work?"
Li Maoyang said: "You say."
"In this way, you can tell the patient who is in the first row to see if it is okay to give him a lower fee? I will pay you for the part of the fee that you lowered. Is that okay?"
"Then—well, I'll discuss it with that patient and get back to you."
Li Maoyang climbed down the pole.
On the condition of paying less medical fees, Li Maoyang quickly persuaded the first patient who was going to receive hypnotherapy, and then he called Zhen Xiaodan back and put Liang Yanan in the first place.
After finishing this matter, Li Maoyang recorded it in the memorandum and forgot about it.
After all, it is impossible for him to let Liang Yanan and Zhen Xiaodan give him much favor in this matter, at most he can not offend him.
He, Li Maoyang, is not a fool either. Some things need to be worked around and some relationships need to be maintained.
People in the arena involuntarily.
I am very grateful to the second brother of the book friend Demon King for rewarding again and giving a monthly pass!
I am very grateful to the book friend with the tail number 4443 for giving me a monthly pass!
Thank you very much for your subscription and voting support!
The accumulated rewards reached 57.88 meters, and the remaining 7.88 meters after adding one more.
There are 16 monthly tickets accumulated.
(End of this chapter)
After a long time, Li Maoyang opened his eyes.
For the patient Zhang Hongliang, it is obvious that Shenlingbaizhusan, which is used to treat spleen deficiency and dampness, can no longer hold it!
Because he is not only spleen-deficiency and damp-abundance, but both spleen and kidney are yang-deficiency, which leads to excessive water and dampness.
The water has gone to the limbs, causing the limbs to be swollen!
It's definitely a yang deficiency!
Therefore, it is necessary to use Zhenwu soup that warms the sun and promotes water!
(Friendly reminder: The following paragraphs are a bit too in-depth, but after much deliberation, let’s write a little bit superficially, in case there are book friends who understand it and criticize it?
As for book lovers who don't understand, you can also use this to get a glimpse of the difficulty of syndrome differentiation in traditional Chinese medicine. )
As for the patient with deficiency of spleen and kidney yang, the limbs should be rebellious and the body cold, but the patient developed a low-grade fever instead.
(Remember: patients with yang deficiency: 1, body cold; 2, weakness.)
This complicates its symptoms.
But this can't confuse Li Maoyang.
It is common for patients to have various symptoms mixed with cold and heat.
What is hot at the top and cold at the bottom, hot on the inside and cold on the outside, cold on the inside and hot on the outside, real cold and fake hot, fake cold and really hot...
The situation has gone too far!
The key here is to judge who is true and who is false!
And, who is the main aspect of the contradiction and who is the secondary aspect of the contradiction!
As far as the current situation of the patient Zhang Hongliang is concerned, it should naturally be true winter and false fever.
The spleen and kidney yang are so deficient that the water can't even drain out, and it runs to the extremities. Isn't that really cold? !
(Drainage also needs Yang Qi to give power!)
Therefore, the real cold caused by yang deficiency is the main aspect of the contradiction of the disease!
How did the false heat come about?
1. In the struggle between good and evil, the body is the battlefield of the struggle between good and evil. How can it not be hot when the fight is in full swing?
2. When yang qi is deficient and weak, body fluid cannot be transpired and distributed to the whole body. The body lacks the moisture of body fluid, so how can it not be hot?
(Again, body fluid is not waste water! Body fluid is high-quality "pure water"!)
And the words of Mr. Zhong Jing (at the end of the last chapter) are also pointed out with iron mouth, (as long as it is really cold), at this time the body heat can also use the aconite of Daxin Dare!
At this time, you can also use Zhenwu soup when your body is hot!
The reason is here!
……
After thinking about it for a while, Li Maoyang resolutely reported Zhenwu Tang to the system!
System drug effect deduction passed!
"Guoguo, please go back and get some aconite! We have to demonstrate how to fry this medicine for Brother Zhang!"
Li Maoyang said to Qiao Guoguo while writing the prescription.
Because Zhenwu Decoction contains aconite, it needs to be decocted separately for a period of time in advance, so it must be demonstrated to patients.
This is careless.
During this time, Qiao Guoguo brought some commonly used medicines from the pharmacy when she came here, but there was no aconite from the Twelve Meridians.
"Ah? Do you want to use aconite?" Qiao Guoguo worriedly leaned over to look at his prescription.
Li Canyang also came to take a look.
Li Maoyang glanced at them, Qiao Guoguo said nothing, went out and drove back to her pharmacy to pick up aconite.
Li Maoyang's gaze was calm but firm, and Qiao Guoguo felt that he should trust him.
Of course, after she went back, she still had to discuss it with her father.
"Next!"
After Li Maoyang signaled Zhang Hongliang to wait, he raised his head and shouted.
But as soon as the next patient came to him, the curtain of the consulting room was lifted, and three people came in one after another from the outside.
Master Zheng's daughter Zheng Xiaomei and her husband came with her mother-in-law.
"Can't wait for you to come, we can only come here by ourselves!"
Zheng Xiaomei, who is in her 50s, smiled.
"Sorry! Sister Zheng, I'm planning to go to your house again in the middle of the night!"
Li Maoyang stood up and scratched his head jokingly.
While apologizing to the patient who came to his desk just now, he asked him to wait.
He had to show Zheng Xiaomei's mother-in-law first.
Firstly, Zheng Xiaomei called him yesterday, and he also promised that he would come to her house today to show her; the most important thing is that Zheng Xiaomei is the precious daughter of his master Mr. Zheng, just jumping in line, he Li Maoyang I can't say anything!
Where does the salt come from, where does the vinegar come from sour, he must always remember Mr. Zheng's kindness in teaching him!
……
The illness of Zheng Xiaomei's mother-in-law is dizziness all the year round.
Li Maoyang finished her four consultations. Just as he thought yesterday, the old lady is old, and her Qi and blood are weak, plus there is stasis in her body that can't lift her head, and her head lacks blood supply, which has caused dizziness for many years.
Of course there is a bit of evidence.
Control when invigorating qi and blood + dredging yang and promoting yang, dispelling blood stasis and dredging collaterals, calming liver and quenching wind.
Li Maoyang prescribed a modified Bazhen Decoction, in which a few Yang-enhancing herbs and liver-suppressing and wind-suppressing herbs were omitted.
After talking and joking, they didn't count the consultation fee, and undercounted a lot of medical expenses, and finally sent these three away.
……
On this day, Li Maoyang has been busy until nearly nine o'clock in the evening, before he has finished seeing all the patients.
Well, of course, this does not include those patients who were queued up in the afternoons and were not seen.
Qiao Guoguo took Qiao Langlang back.
Li Canyang lay on the kang and began to brush fast notes, which he dubbed as "changing his mind".
Naturally, he mainly watched beauties. He stayed in Sijin's live broadcast room for more than half an hour and collected more than 100 meters of gifts.
That's one-ninth of his day's wages today.
Li Maoyang is still very generous, giving Li Canyang and Qiao Guoguo the same salary.
Yang Qing and Qiao Langlang also gave one hundred each.
Li Maoyang himself continued to sit in the consulting room and review medical records.
It was the medical case recorded by Qiao Guoguo today.
Li Maoyang brushed it over to consolidate it, and occasionally added a little impression to some medical cases.
While reviewing the medical records, a strange phone call came, speaking in a very low voice.
It's Ren Xiaojing.
"Hello, is this Dr. Li? I am Ren Xiaojing..."
"Hi, Sister Ren, I'm Li Maoyang. How's it going? Did they sew up your trachea?"
"Sewing...it's done, I feel much better today, thank you...thank you Dr. Li for saving my life!"
"You're welcome, don't talk too much, listen to me, let's add a WeChat friend, and I'll follow up with you on video!"
"Okay, okay!" Ren Xiaojing said hastily.
The two quickly added WeChat friends, and then Li Maoyang made a follow-up visit to Ren Xiaojing through video, and made some doctor's orders.
Ren Xiaojing sent several red envelopes to Li Maoyang!
Li Maoyang quickly accepted the red envelope and sent it back.
"Sister Ren, don't think too much, I won't take your money! I finally did a good person and good deed, can you give me a sense of honor? That's it, goodbye, I will delete the red envelope if you send it again You're a good friend! Okay, let's talk back, someone called me!"
After returning the red envelope, Li Maoyang sent a voice message to Ren Xiaojing.
Someone did call him, it was Zhen Xiaodan.
"Doctor Li, hello!"
"Hello, Miss Zhen!"
"You probably guessed what I meant by calling you. I don't know if I can trouble Liang Yanan—just my best friend, can I let her join the team and give her hypnotherapy earlier?"
"I'm sorry, Sister Zhen, I have already lined up for others, and the time for hypnosis is also arranged. You make it difficult for me! You know that my clinic has just started, and I have to take care of reputation. of."
Li Maoyang declined without thinking.
This way of speaking is quite euphemistic for him.
"Well, you may not know, my best friend, she is actually the daughter of Liang Wenhe, the president of Zhaoli Group..."
Damn, Li Maoyang got a little angry when he heard it, why did you say it earlier, how can I turn back now!
The boss of the Zhaoli Group, he really wants to curry favor, he has a lot of money, and he can get a lot of cash if he just grabs it!
What should we do now?
Li Maoyang was a little out of breath for a moment...
But he still said in a calm tone: "I'm sorry, sister Zhen, I can't even give you face, how can I give that Mr. Liang face?"
As soon as he said this, he heard Zhen Xiaodan giggling on the phone: "Doctor Li, you are really a wonderful person, giggling, okay, I won't make it difficult for you, so let me say something Do you think it will work?"
Li Maoyang said: "You say."
"In this way, you can tell the patient who is in the first row to see if it is okay to give him a lower fee? I will pay you for the part of the fee that you lowered. Is that okay?"
"Then—well, I'll discuss it with that patient and get back to you."
Li Maoyang climbed down the pole.
On the condition of paying less medical fees, Li Maoyang quickly persuaded the first patient who was going to receive hypnotherapy, and then he called Zhen Xiaodan back and put Liang Yanan in the first place.
After finishing this matter, Li Maoyang recorded it in the memorandum and forgot about it.
After all, it is impossible for him to let Liang Yanan and Zhen Xiaodan give him much favor in this matter, at most he can not offend him.
He, Li Maoyang, is not a fool either. Some things need to be worked around and some relationships need to be maintained.
People in the arena involuntarily.
I am very grateful to the second brother of the book friend Demon King for rewarding again and giving a monthly pass!
I am very grateful to the book friend with the tail number 4443 for giving me a monthly pass!
Thank you very much for your subscription and voting support!
The accumulated rewards reached 57.88 meters, and the remaining 7.88 meters after adding one more.
There are 16 monthly tickets accumulated.
(End of this chapter)
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