Rural Chinese Medicine Li Maoyang

Chapter 589 Congratulations to the host, you have subdued Zhang Hengchu
Li Maoyang coaxed the old woman, and finally the consultation room became quiet, and Zhang Yazheng sent information about the old woman to his mobile phone.

Li Maoyang looked at it, and the old woman's son said that his mother was usually in good health, with good hearing and eyesight.

More than three months ago, the old woman ate half a catty of fried peanuts, and that night she kept thirsty and drank water, and naturally, she kept urinating.

Moreover, the old man gradually became irritable, restless, unable to walk or sit, poor sleep quality, insomnia and dreaminess.

The son could only take his mother to the local town health center for treatment, but the treatment was ineffective for more than ten days, and his condition continued to worsen, so he had to go to Deng County Hospital in Bashi for treatment.

After various X-rays and laboratory tests at the Deng County Hospital, everything was normal.

But the old man is obviously sick at a glance.

Doctors at Deng County Hospital could only treat it according to "diabetes insipidus" (because the doctor saw the elderly urinating frequently), but the treatment was ineffective for more than 20 days.

The doctor at Deng County Hospital then considered that the old woman was suffering from neurosis (because the doctor saw that the old woman was restless), and gave doxepin, sulpiride and other drugs, but the condition continued to worsen!
No way, the old woman's son came here for treatment after he found out Li Maoyang's name after many inquiries.

After coming here, they were assigned to Zhang Hengchu's group.

Acute diagnosis: thirsty, frequent urination, red face, red eyes, restlessness.

It is always said that her daughter-in-law deliberately fed her poisonous peanuts, intending to kill her mother-in-law.

(He kept talking, talking repeatedly, so that Zhang Hengchu covered his ears, and he didn't cover his ears. He couldn't think at all, and almost started to fidget like this old woman.)
Tongue diagnosis: red tongue with little coating.Pulse diagnosis: pulse imaginary number.

……

Zhang Yazheng's dialectic: Dirty mania or lily syndrome?
He was a little uncertain.

It's no wonder that he was not sure, Li Maoyang was also a little uncertain at this time.

Because dirty mania syndrome is very similar to lily syndrome (so named because lily is the main treatment).

Both of them are essentially caused by yin deficiency, lack of fluid, and disturbance of evil fire (sometimes disturbance of phlegm fire), and both will show certain abnormalities in spirit.

(As far as some of its symptoms are concerned, they are also similar to some symptoms of menopausal syndrome and women's abnormal menstruation.)
There is a little difference in symptoms between the dirty manic syndrome and the lily syndrome. The dirty manic syndrome is often characterized by crying and laughing, sad and crying; while the lily syndrome is often taciturn, depressed and less happy.

(But Li Maoyang observed that the patient's old woman was different, and the old woman was restless.

It can be seen that the syndrome classification theory is always just a theory, and whoever wants to see a doctor with the rigid syndrome classification theory is destined to be a two hundred and five.

In the reality of seeing a doctor, which master of Chinese medicine will cling to these syndrome classifications to see a doctor! )

Zang-irritability syndrome and Lily syndrome are also similar in treatment, one is to nourish yin and moisten irritability, and the other is to clear the heart and calm the nerves.Vent the fire if necessary.

It's just that they have a little emphasis on medication.

For the treatment of the syndrome of viscera and restlessness, Ganmai Dazao Decoction, Xiaoyao Pills and other drugs can be used for conditioning.

For Lily Syndrome, the corresponding prescriptions include Baihe Zhimu Decoction, Talcum Daizhe Decoction, Baihe Chicken Soup, Baihe Dihuang Decoction, Baihe Talcum Powder, etc.

(Of course, there are cross-symptoms to talk about, so it’s still the same sentence, the classification of syndromes is always a theoretical thing, and in reality, those who follow the picture are always fools.

In reality, when seeing a doctor, it is very flexible to treat according to the symptoms. )
……

Li Maoyang also couldn't tell whether the patient's old woman had a lily syndrome or a dirty syndrome, but he thought about it for a while and then forgot about it.

Now he sees a doctor basically no longer sticks to the card type.

Instead, it has transitioned to treating it according to the evidence.

If patients have yin deficiency, they should nourish yin, if they have less fluid, they should replenish body fluid, if they have phlegm, they should eliminate phlegm, if they have disturbance of evil fire, they should treat evil fire, if they are disturbed, they should treat restlessness...

Of course, it does not mean that one medicine can be used as simple as one medicine for one syndrome, but it is necessary to comprehensively analyze these pathogenesis and grasp the root cause (root cause) of the disease to fundamentally solve the problem!

This is the so-called bottoming out!

Regarding the condition of the patient's old woman, Li Maoyang is confident that he can treat it.

The old lady obviously had overeating hot fried peanuts, which caused her stomach to become sluggish.

If the stomach has stagnant heat and turns into fire, and the upper inflammation hurts the body fluid, the thirst will not stop.

Stomach heat disturbs the ventricle, and the mind is disturbed, causing the old woman to appear mentally abnormal. She suspects that her daughter-in-law has harmed her and becomes restless.

Treatment is to nourish yin and promote body fluid, which can quench thirst, and at the same time induce heat to descend.

In this way, once the stagnant heat in the stomach is removed, the old lady will feel at ease.

Therefore, he still has a clear idea of ​​how to treat the old woman's disease.

But he didn't make a move, he didn't even give the old lady a pulse and tongue diagnosis, because Zhang Hengchu was already prescribing the medicine at this time.

At this time, Li Maoyang had to give Zhang Hengchu full trust and respect, but if he stretched out his hand, it would be a kind of damage to Zhang Hengchu's medical name and self-confidence, and it would also be a kind of damage to the relationship between the two of them.

Of course, the most important thing is that Li Maoyang believed that Zhang Hengchu would be able to treat the old lady's disease.

Previously, Zhang Hengchu should have been dizzy and tinnitus from the old woman's noise, and he couldn't think at all, so he couldn't come up with the prescription for a long time.

Now that the old lady stopped making noise and the consulting room is quiet, he should be fine.

But out of curiosity, Li Maoyang glanced at Zhang Hengchu's prescription.

What Zhang Hengchu ordered was Gualou Oyster San Jiawei Fang.

Trichosanthes, oysters, lilies (plus).

Decoction instead of tea.

(Gualou means Trichosanthes, sweet in taste, slightly bitter, and cold in nature. The medicinal parts are divided into melon wilt skin, melon seeds and melon root (ie Trichosanthum pollen))

This Gualou Oyster Powder is also the prescription for lily disease in "Synopsis of the Golden Chamber".

Trichosanthes chinensis (trichosanthum pollen) is bitter and cold, and can clear away heat in the lungs and stomach, promote body fluids and quench thirst; oysters are salty and cold, can induce heat to descend, so that the heat does not cause inflammation and damage the body fluid.

Zhang Hengchu added lily to this prescription to strengthen the effect of nourishing yin, clearing heart and calming the mind.

In this way, body fluid can be produced, deficiency and heat can be cleared, and thirst can be relieved by itself.

The body fluid is filled, the deficiency and heat are eliminated, and the old lady of the patient can feel at ease.

……

Li Maoyang saw that Zhang Hengchu prescribed Gualou Muli Powder with flavored prescription. Although this prescription was based on Gualou Muli Powder in "Synopsis of the Golden Chamber", he believed that Zhang Hengchu was by no means sticking to Lily Syndrome. The prescription prescribed by the Syndrome Theory is based on one's actual experience in treating diseases.

In other words, Zhang Hengchu should treat it according to the evidence.

He deduced it with the system, and the prescription passed the deduction of the system's efficacy.

"In this way, if you drink this prescription for a while, your mother should have diarrhea, and then you can add some fried millet to this prescription to warm up the middle burner...

Forget it, I'm afraid you won't do this.

Well, how about it, you have a long way to go, you can call me again, and I will talk about it after a follow-up consultation via video. "

Zhang Hengchu said to the old woman's son.

The old woman's son nodded again and again.

The old woman looked at Li Maoyang suspiciously.

They came here for Li Maoyang, a little genius doctor, but now it was the old Chinese medicine doctor who prescribed her a prescription. She was still a little worried, after all, Li Maoyang didn't even give her a pulse.

Li Maoyang smiled inwardly, now Li Maoyang's medical name has overshadowed the old Chinese doctor, he is really the shadow of a famous tree.

"Old man, don't worry. I specially invited this old Chinese doctor from Baoshi. He is a well-known old Chinese doctor in Baoshi. He is better than me in medical skills. You can use his prescriptions with confidence. Bar!"

Li Maoyang comforted the old lady with such a smile, and then he walked out of the consulting room and walked towards his own consulting room.

Before entering his consulting room, a mechanical voice came from his mind: "Congratulations to the host, you have subdued Zhang Hengchu, now reward the host with 6000 points!"

Ok? !

Li Maoyang froze there all of a sudden!

He didn't show Zhang Hengchu his medical skills today, did he?How did Zhang Hengchu convince him?
Is this because of his "virtue" of Li Maoyang?
That's the only way to explain it?
In the end, Li Maoyang "convinced" Zhang Hengchu not with Chinese medical skills, but with virtue?
Is it better to convince people with virtue than with skills? !

But he had always been very "virtuous" to Zhang Hengchu before?

Well, it seems that he was somewhat arrogant in front of Zhang Hengchu before.

What's more, it may take a process to convince others with virtue. Only when the quantitative change reaches the qualitative change, can another person truly obey you!

Well, no matter what, the 6000 points are finally in hand!

How hard-won!

What a joy!
If it weren't for the fact that he still needs to continue to see patients, Li Maoyang was so excited that he wanted to run out and scratch like crazy!
(Scraping Benzi: running wildly.)
　The third update today.35 chapters are owed plus changes, the remaining 9.88 meters are rewarded, and 1 monthly tickets.

　　
　
(End of this chapter)