Rural Chinese Medicine Li Maoyang

Chapter 555 You Can't Die Reading
Fan Jiuwei's father-in-law's condition is a little special.

The old man has a rosy complexion and a good complexion. He feels that his body is very good. There is only one small problem. The back and spine feel cold after sweating.

On the contrary, Bai Xiaoyun, who was in charge of the first diagnosis, was a little embarrassed.

I even feel that this old man is a bit hypocritical. Who in the country would treat such a little condition as a disease?
After the consultation, she took the old man's pulse again, and felt that for an old man in his 60s, the pulse was quite strong and powerful, and there was nothing wrong with it.

So after thinking about it for a long time, she didn't know what medicine to prescribe for the old man.

But Master Li Maoyang asked her to prescribe medicine for the first consultation. After much deliberation, she took a guess and felt that the old man was at best a wind-cold man, and he was at odds with the camp and the guard?

So she prescribed a pair of cinnamon stick soup.

(Cinnamon Twig Decoction: Guizhi, Paeoniae Alba, Ginger, Licorice, Jujube.)
Then, Ge Gen began to give Fan Jiuwei's father-in-law a second consultation.

Ge Gen was also a little embarrassed after the diagnosis.

According to the old man's symptoms, it should be a sun disease.

(Beginners can simply understand Taiyang disease as a lesion on the body's appearance.)
But he had never seen such a simple case before.

"Treatise on Febrile and Miscellaneous Diseases" says that Taiyang is a disease with floating pulse, strong pain in the head and aversion to cold.

(Aversion to cold means fear of cold, so here "aversion to cold" is the subjective feeling of the patient. Therefore, high fever and aversion to cold symptoms of wind-cold cold are not contradictory. High fever is the objective manifestation of the patient's body temperature, and aversion to cold is the patient's fear of cold Subjective feelings. Often beginners do not understand this, please explain more.)
Physicians have always regarded the original words in "Treatise on Febrile Diseases" as Gui Gao.

But Fan Jiuwei's father-in-law, a weird old man, only had a little bit of sweating and back chills, and nothing else. What happened to this special grandma?
This strange old man is too sick, too unclassic and unscientific!

He wanted to push the patient directly to Li Maoyang, but the accompanying family member who came today was Fan Jiuwei, a former colleague. He really didn't want to show his timidity in front of this former colleague.

In desperation, he almost started scratching his head.

But being so anxious reminded him of another passage in "Treatise on Febrile and Miscellaneous Diseases", "Taiyang disease, strong neck and back, no sweat and bad wind, Pueraria decoction mainly treats it."

Although the strange old man said that he had a cold back after sweating, it seemed inconsistent with this one.

One is without sweating, and the other is after sweating, but there is ephedra in Pueraria decoction, and ephedra is used for evidence of manifestation.

Get rid of the ephedra now, okay?

(Note: This is a fact, but it can be simply understood as no sweat, and the pores of the skin are not open.)
(The composition of kudzu root soup: kudzu root, ephedra (knotted), cinnamon sticks (skinned), ginger, roasted licorice, peony, jujube.)
The second is that the strange old man said that his back was cold after sweating, which seemed to be different from the stiff feeling of "how strong".

But when people feel cold, they will naturally feel stiff. It should be just a difference in the old man's description.

This Pueraria decoction is used for sweating and relieving muscles, warming the meridians, promoting body fluid and relaxing tendons, so it should be able to match the old man's symptoms...

Thinking about it this way, Puerariae added a flavor of Pueraria to Bai Xiaoyun's Guizhi Soup.

(Pay attention to the comparison. As far as the composition of medicinal materials is concerned, Gegen Decoction is based on Guizhi Decoction with the addition of Pueraria and Ephedra.)
Then, Li Maoyang began to give Fan Jiuwei's father-in-law three consultations.

Ge Gen stood aside and watched anxiously what medicine Li Maoyang prescribed.

As a result, he was greatly relieved. Li Maoyang did not change the composition of his medicinal materials, but only changed the dosage of a few herbs, which eased a little.

"Master, I will prescribe four doses for you. When you go back, you will decoct and take the medicine according to the doctor's instructions. I will write the method on the prescription for you." Li Maoyang instructed Fan Jiuwei's father-in-law after prescribing the medicine.

"Maoyang, how much is it?" Fan Jiuwei took the medicine and asked Li Maoyang.

"Fuck you, I'm poor, you came here in person, what money do I want from you? Then why don't you let your kid scold me behind my back?" Li Maoyang sneered with a smile.

The whole medicinal material is not worth a few dollars, plus his diagnosis and treatment fee, it is only 400 yuan at most, it might as well be a personal favor.

Today, Fan Jiuwei and his wife took their father-in-law to see a doctor together, and they didn't charge money, which made Fan Jiuwei more face in front of his father-in-law and his wife, which doubled the favor.

A big smile suddenly appeared on Fan Jiuwei's face: "Hey, how can this be? You can give me face by working overtime after work. If you don't charge money, I will feel sorry for it!"

"Brother, I'm really busy. I really don't have time to treat you to a drink today, so you just disappear in front of me quickly. Can I invite you again next time I see you?" Li Maoyang said.

"Okay, okay, I won't let your kid treat you anymore, let's talk about it next time! Let's talk about it next time! Hahaha!" Fan Jiuwei laughed and left with his father-in-law and wife.

Ge Gen, Bai Xiaoyun, Li Xiaohua, and Jiang Xiaoxue, who was also in the consulting room at this time, all looked at Li Maoyang quietly.

In their impression, Li Maoyang seldom sells well to patients like this, so the scene of Li Maoyang to Fan Jiuwei just now really surprised them.

However, it is not easy for them to ask Li Maoyang about this kind of matter.

After being quiet for a while, Ge Gen asked Li Maoyang carefully.

"Doctor Li, I really don't know much about Jiuwei's father-in-law's illness just now, and the medicine was prescribed with some confusion and confusion.

"Treatise on Febrile and Miscellaneous Diseases" says that Taiyang is a disease with floating pulse, strong pain in the head and aversion to cold.

But this old man seems to be suffering from Taiyang disease. Why does he only feel chills on his back? "

Li Maoyang laughed when he heard this.

"Reading is not to make you study hard.

There are similarities and differences in the human body, and the severity of diseases. How can we blindly follow the descriptions in books to find out the truth?

The old man only felt chills in his back. Is it because his condition has only developed to this point? Has it not yet developed to the point of floating pulse and strong head (neck) pain? Is this so strange?
From the pathological analysis, the old man felt his back was very cold after sweating, indicating that he was at that part because of the disharmony between the camp and the guard, so that he was covered by the wind and cold.

This is a mild symptom of Taiyang disease, so I reduced the dosage in your prescription.

Do you understand? "

After hearing this, Ge Gen patted himself on the head, but couldn't say a word for a long time.

Damn, what a simple matter, how could he be so confused about such a matter?
Bai Xiaoyun's face was also flushed, feeling how could her head be so hard to turn around?
Only Li Xiaohua and Jiang Xiaoxue didn't understand, they stood there and blinked.

Li Maoyang said gently and slowly: "Medicine is indeed a very profound knowledge.

The deeper you go, the more profound it becomes.

But if we want to study medicine, the most important thing in the first step is not to regard medicine as such an esoteric subject.

Because apart from the extremely abstruse parts of medicine, most of them are actually extremely simple common sense issues.

We are obsessed with studying, often because we feel that medicine is too profound, so we have some absolute understanding of what the predecessors said, and we dare not think about problems flexibly at all.

Take the question just now as an example. In fact, as long as you don’t regard medicine as a profound knowledge, and don’t regard Zhang Zhongjing as a god-like existence, you can understand his words more flexibly.

Let’s make an analogy on this issue, say that a car broke down on the road in winter, it lost power and couldn’t start the fire, and then the water tank was frozen to rotten.

But can you say that if the car breaks down on the road, it must have no electricity, no ignition and freezing of the water tank?

What if the radiator isn't frozen when we inspect the vehicle?
From no electricity and no fire, the car broke down on the road, to the water tank being frozen, this is a gradual development process, isn't it?

This gradual development process is also the same for human diseases.

Now this old man's condition has only developed to the point where he feels cold after sweating on his back, hasn't he developed to the point where his pulse is floating and his head is stiff?

So, can you say that Taiyang disease (one of them) must be a floating pulse, aversion to cold, and strong pain in the head and neck?

What Zhang Zhongjing said here is just an overall trend of the development of this sun disease.

It does not mean that every stage of development of Taiyang disease must be like that.

Understand? "

After what Li Maoyang said, Li Xiaohua and Jiang Xiaoxue finally understood, smiled easily, and fell into deep thought again.

When it comes to medicine, they often find it difficult to understand. It should be like what Li Maoyang said, they really see medicine too profoundly, so they naturally have a sense of fear.

But when it comes to car repair, although they don't know how to repair a car, they never think that repairing a car is such a profound thing, so they can understand simple situations.

It seems that in the future, medicine should be regarded not only as a profound knowledge, but also as a common common sense.

This is more conducive to studying medicine.

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　　Two updates today (I was confused yesterday, wrote two consecutive chapters, and rewrote today.)
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(End of this chapter)