Rural Chinese Medicine Li Maoyang

Chapter 410 Difficult cases, blood circulation must be activated first to stop bleeding
Li Maoyang is now quite familiar with Liuyuan County Hospital, and more and more doctors and nurses in Liuyuan County Hospital are also familiar with him.

Even if they don't recognize him, they have heard of him in great numbers, and his name has made everyone's ears callused lately.

So, when he entered the hospital compound again and walked towards the hospital building, several doctors and nurses saw him and recognized him.

Doctors can still keep reserved, take a deep look and look away, and continue to do what they should do as if nothing happened, while some nurses can't hold back.

"Li Maoyang, that Li Maoyang is here again!"

"Where? Which?"

"That's it, my body is a little wobbly when I walk on the road!"

"Wow~, it seems a bit handsome! Such a big man! He is also strong enough!"

"Don't be an idiot, she already has a girlfriend! She also studies medicine, and she's very pretty!"

"No, no, can we still compete?"

……

Li Maoyang seemed to have noticed that someone upstairs in the hospital was watching him, but he didn't care. His thick skin also increased with age, and he would never be moved by other people's observation.

Entering the hospital building and finding the elevator, he went straight to the floor where Xiao Dongming was, and then walked towards Xiao Dongming's office with a tall figure dangling.

Knocking on Xiao Dongming's office, besides Xiao Dongming, there is another person, Wang Dayou, the director of the Department of Traditional Chinese Medicine.

After shaking hands with Xiao Dongming and Wang Dayou who stood up from the sofa one after another, the three of them followed each other to the urinary system to see Xiao Dongming's younger brother Xiao Dongliang.

Xiao Dongliang is a second-hand businessman in his 40s. The three of Li Maoyang went to the urology department and found out that he was in the treatment room. When they entered the treatment room, there was a female doctor and Xiao Dongliang inside.

Li Maoyang was a little surprised when he saw this female doctor, because this female doctor was Zhang Yan.

Didn't this woman work the night shift last night and go back to sleep this morning?
I had a breakfast with them just now, why are you here again?

Ingratiate yourself with Vice President Xiao?
But of course it was none of his business, so he just thought about it casually.

Looking at Xiao Dongliang made him even more surprised. This guy had a red face, a middle-aged thick-skinned and shy face who should have seen all kinds of scenes.

On the contrary, Zhang Yan acted as if nothing had happened.

"Didn't you call me specifically to come over and check your body? Why don't you have the guts to do it again? Coward!"

Zhang Yan is very aggressive and authentic.

Regardless of the presence of the three of Li Maoyang, Xiao Dongming is still the vice president and brother of Xiao Dongliang.

"Hey, that... we are classmates in elementary school and junior high school, so we called to tease her, and this is really here..." Xiao Dongliang said awkwardly, "If you want to check, you have to find a male doctor to come over, so I will open it with her." joke……"

Zhang Yan stood aside and didn't speak anymore. She is an attending doctor of the urology department. She has worked for more than 20 years, how many men's bodies have she checked, and she can still be bluffed by a male classmate?There is no distinction between men and women when she works!
If you dare to set up a flag, I will knock it down with one foot!
"Cough, cough, cough..."

Xiao Dongming clenched his fist against his mouth and coughed twice. The atmosphere in the ward was a little weird, which made him a little embarrassed, but he hurriedly started to introduce his brother's condition to Li Maoyang.

"Dr. Li, my brother's situation is that he has had hematuria repeatedly for more than ten years, 5 to 10 times a year. The attack time can last up to two or three weeks intermittently.

The city hospital and the provincial hospital have all checked, and no organic abnormalities have been found.

I have also used a variety of western medicines for hemostasis, as well as traditional Chinese medicines such as clearing heat and purging fire, cooling blood and stopping bleeding, but there is not much effect.

This time, hematuria worsened during the onset of the disease, accompanied by fatigue, soreness of the waist and knees.

The general situation is like this. Dr. Zhang showed the detailed medical records to Dr. Li. "

Zhang Yan found the medical records for Li Maoyang, and Li Maoyang looked through them patiently. There was a pile of urine routine, protein, red blood cells, white blood cells, etc. data. No abnormality was found", and handed over the medical records to Zhang Yan.

Then he began to give the patient Xiao Dongliang four consultations.

The patient reported dark red urine, which is occult blood in urine.

In other words, still peeing blood!

The patient is emaciated, with a dull complexion, weak waist and knees, and is easily fatigued.

This is a sign of kidney yin loss.

The patient's tongue was dark red, the sublingual vein was dark purple, the fur was thin and yellow, and the pulse was thready and slightly astringent.

This is a long-term appearance of damp heat and smoldering.

Therefore, the disease is actually not difficult to distinguish.

Although Li Maoyang himself has not diagnosed and treated this kind of recurrent hematuria for more than ten years, he has seen it in Kuang Wenqi's medical records, so he quickly identified the syndrome at this time.

Patient Xiao Dongliang has accumulated damp and heat in his body for a long time, and has internal resistance of blood stasis.

The blood stasis does not go away, the new blood does not keep, and the blood does not follow the meridian, so hematuria will recur.

Just like a channel, if it is blocked by silt deposits, the water will naturally overflow the channel.

However, it is strange if the damp and heat are stagnant, repeated hematuria, and the kidney yin does not lose.

Therefore, in terms of treatment plan, one should remove stasis to stop bleeding, nourish yin and reduce fire; second, tonify kidney yin.

But there must be a sequence here, you can’t remove stasis and stop bleeding, nourish yin and reduce fire, and nourish kidney yin at the same time.

Because if nourishing the kidney yin, the medicine will inevitably be a little greasy.

The patient's body is inherently damp and hot, and it needs to nourish yin and reduce fire while removing stasis and hemostasis. The medicine for nourishing yin and reducing fire should have some greasy medicine, and when nourishing kidney yin, add more greasy medicine. It's no wonder it works if it's greasy on top!
Therefore, it is necessary to remove stasis, stop bleeding, nourish yin and reduce fire, and then nourish kidney yin after the hematuria is cured!
For dispelling stasis, stopping bleeding and nourishing yin and lowering fire, Kuang Wenqi used Shixiaosan in his medical records. Li Maoyang passed the deduction of the efficacy of this prescription with a slight change.

Prescription: Wulingzhi, fried Puhuang, Rehmannia glutinosa, paeonol, red peony root, safflower, achyranthes bidentata, turmeric, hawthorn.

Li Maoyang calculated the potency of the medicine, and prescribed eleven doses in total, one dose per day, decocted in water.

In this prescription, Shixiaosan (Wulingzhi, Puhuang) itself has the effect of promoting blood circulation and removing blood stasis, dispelling stagnation and relieving pain, adding safflower, red peony root, and hawthorn to further strengthen the power of promoting blood circulation and removing blood stasis.

As for Shengdi and Danpi, they are used to nourish yin and reduce fire.

Curcuma is used to promote qi and relieve depression, and when qi moves, blood flows.

The medicine of Achyranthes bidentata is used to guide the blood stasis down.

The whole prescription does not blindly stop bleeding, but removing stasis and reducing fire can stop bleeding.

This kind of thinking is more contradictory and clever than the cooling blood and hemostasis used by some traditional Chinese medicine.

Just like the inside of a canal is blocked, it is not advisable to just reinforce and heighten the back of the canal to block the water, but to dredge the canal to stop the overflow of water. This is a truth.

The reason is as simple as that.

But people still make mistakes.

There are also skilled Chinese medicine doctors in large hospitals, but most of them... Well, Li Maoyang is not flattering.

Of course, he prescribes medicine this time also standing on Kuang Wenqi's shoulder.

"Yuan Xiao, let your brother take these eleven doses of medicine first, then I guess your brother should be able to stop the blood in the urine, and then we will replenish the kidney yin."

Li Maoyang said to Xiao Dongming after prescribing the medicine.

Xiao Dongming nodded and looked at Wang Dayou, who was looking at Li Maoyang's prescription and groaned silently.

"Maoyang, I'm not questioning you, I just think, don't we want to stop the bleeding now? But your prescription...well, why does it promote blood circulation and remove stasis instead? Isn't the blood in the urine even worse?"

Finally, Wang Dayou couldn't hold back and asked out.

"The patient's problem now is that the canal is blocked, and the water has overflowed to the outside of the canal, so the silt in the canal must be cleaned up.

Of course, because this medicine has a stronger effect of promoting blood circulation and removing blood stasis, when you first start taking the medicine, there should be a slight increase in the hematuria.

Don't worry about it, just keep taking the medicine. "

Li Maoyang said plainly.

Wang Dayou blushed and said, "This is the dialectical unity of contradictions, ha, I'm a little confused."

"It's okay, let's take it step by step." Li Maoyang smiled casually without thinking much.

As soon as he finished speaking, there was a sudden silence in the treatment room...

　非常感激书友苇航、易太极、侯鸟、怡宇、KingBlack、宿昔不梳苦十年寒窗、菜鸟到底、尾号2210、7267、9233、书圣654321、花七六剑个、晓强527、龙王123777、dt001、书妙蘅赠送月票！
　　Thank you very much for your subscription and voting support!
　　Two updates today (No way, Calvin is amazing.)
　　9 chapters are owed plus more.The remaining 11.88 meters are rewarded, 15 monthly tickets.

　　
　
(End of this chapter)