Chapter 50 Treating Different Diseases Together

The next day, early morning.

Huang Su pressed the alarm clock on the bedside, got out of bed and turned on the chandelier in the bedroom.

As one of the northernmost cities in China, Grassland City, at seven o'clock in the morning in December, the sky is still dark.

Seeing how busy yesterday was, Huang Su predicted that the Traditional Chinese Medicine Department would be even busier today, so she deliberately got up early. After getting dressed, she walked into the bathroom and started washing up.

After walking out of the dormitory, Huang Su zipped up his down jacket and walked towards the hospital cafeteria facing the crescent moon of the dark night. Every time he breathed, there was a burst of white mist. The winter in this prairie city was colder than in his hometown of Heilongjiang Province.

When we walked into the canteen, there were already many medical staff having breakfast.

Huang Su was not in a hurry to make breakfast, but sat down and waited for Yan Bing's arrival.

The two have been in love for more than two months. Since Huang Su stopped Lu Yan's acupuncture treatment, they haven't really spent much time together. Breakfast and lunch have become the time alone that the two cherish.

A moment later, Yan Bing appeared at the entrance of the cafeteria wearing a long white down jacket. Her outfit perfectly complemented her cold temperament.

Huang Su stood up to greet Yan Bing and prepare dinner together.

It has been two months since the relationship was confirmed, and the sweetness has not dissipated. The two of them sat down to eat the meal for more than half an hour.

Walking into the Department of Traditional Chinese Medicine, Risong and He Hui had already cleaned the clinic inside and out.

Looking at the two people who are full of energy, they are probably still immersed in the excitement of yesterday's busy work.

While Huang Su took off his down jacket and put on a white coat, he knocked on the door and said, "Narisong, there were more patients yesterday. Have the medical records been sorted out?"

"It's all sorted. Director, take a look."

Risong happily took out the medical record folder from his backpack and handed it to Huang Su.

Huang Su carefully read the medical record from beginning to end, closed it and said, "Not bad!"

Most of the more than 20 veteran cadres who came yesterday suffered from some common geriatric diseases, but there were actually two patients with signs of stroke. If these were not detected, drinking alcohol during the Spring Festival would easily cause liver wind and heat.

Cause stroke.

From this point of view, Prairie City’s annual physical examination for veteran cadres at the end of the year is not a performance project, but it does eliminate hidden health risks for many veteran cadres.

Not long after, a young man in his twenties walked into the clinic supporting an elderly man in his sixties.

The old man was wearing a thick down jacket and a thick otter hat on his head. The old man still had his neck and shoulders hunched, his body was shaking, and he looked cold.

When the old man sat down, Huang Su asked: "Old comrade, what's wrong with you?"

The young man replied: "My grandpa has had abdominal pain for more than two years. It attacks before meals. He feels bloated as soon as he eats. He also often burps and has pantothenic acid in his stomach. He did a barium meal fluoroscopy at the gastroenterology department and was diagnosed with ten-year-old abdominal pain.

For duodenal bulb ulcer, my grandfather was prescribed magnesium trisilicate tablets and proglutamide tablets, but they had no effect."

The old man interjected: "I went back for a follow-up visit and did a barium fluoroscopy. The doctor said I can only do surgery, but I am really afraid that I will not be able to leave the operating room due to my physical condition. I am taking advantage of the year-end physical examination. I saw the news last night.

, everyone says that Dr. Huang, you are very skilled in medicine, let me see if Chinese medicine can cure my disease."

Huang Su listened to his grandfather and grandson describing the condition, and carefully observed the patient. He saw that the patient was pale, thin, spoke in a low tone, and had insufficient Qi.

Huang Su said: "Old comrade, reach out your hand and let me take your pulse first."

The old man stretched out his arm, and Huang Su could only feel that the pulse under his fingertips was as weak as a string, especially the two feet, which were almost pulseless. This was because the length of the feet was insufficient, and the pulse was thin and weak.

"Old comrade, stick out your tongue, let me take a look at it."

The old man stuck out his tongue.

Huang Su observed carefully and found that the patient's tongue coating was white, greasy and dry, the sides of the tongue were obviously convex and dark, and the middle of the tongue was slightly collapsed.

After looking at the tongue coating, Huang Su asked: "Do you have a bitter mouth, dry mouth, and irritability?"

Hearing that Huang Su was right about his situation, the old man's eyes lit up and he replied: "Every morning when I wake up, my mouth feels dry and bitter, and my mouth tastes bitter every day. I am also in a bad mood, especially at night. I am often upset and cannot sleep.

.Doctor, what on earth is wrong with me?"

Huang Sudao: "You suffer from disharmony between the liver and stomach, and symptoms of both cold and heat. Take Wumei Pills to add or subtract them to warm, clear, and supplement. Your condition will improve. Wumei is most suitable for symptoms of both cold and heat."

When the pulse is stringy and thin and the length of the pulse is insufficient, the first thing many people think of is liver and kidney yin deficiency and pain.

It can be combined with the tongue symptoms. The tongue coating is white and greasy. The white coating is mainly superficial syndrome and is also consistent with the syndrome of yin deficiency. However, the tongue coating is dry, which is a manifestation of heat syndrome, indicating that there is heat in the internal organs.

Look at the condition of the tongue. The two sides of the tongue govern the liver and gallbladder. The bulges on both sides are obvious and dark. This is a sign of strong liver fire. If the liver fire is strong, you will be upset and angry. The middle of the tongue governs the spleen and stomach. If the middle is collapsed, this is a sign of spleen and stomach yang deficiency. This is

Tongue symptoms are symptoms of a strong liver and a weak stomach, with cold in the upper part and heat in the lower part.

The patient has symptoms of strong liver and weak stomach, disharmony between the liver and stomach, mixed cold and heat, and liver stagnation and spleen deficiency.

"He Huiji Prescription: 12g black plum, 6g coptis, 12g skullcap, 3g asarum, 9g angelica, 9g galangal, 15g dangshen, 6g cinnamon, 6g dried ginger, 12g Zhifu tablets, 6g adenophora, 6g curcuma, and 6g trigonatum.

"

When wood evil is rampant, the earth in the middle will be trapped, so use pungent heat, sweetness and warmth to support the yang of the spleen and stomach, and use acid to calm the liver, and use bitter cold to purge fire. Because liver wood has fire, so use the acid of black plum pills to calm the liver.

The sun in the middle.

Black plum enters the liver to nourish liver yin, Coptis chinensis and Scutellaria baicalensis clear away the heat in the liver and gallbladder, Asarum, Galangal, Cinnamon, Dried ginger, Futian tablets are used to warm the spleen yang, Angelicae sinensis, Codonopsis pilosula nourish qi and blood, Zelania adenophora, Sanleng,

Curcuma zedoary activates blood circulation and removes blood stasis.

Huang Su took the prescription written by He Hui, wrote the precautions below and handed it to the old man's grandson, who said: "The preparation of Futong tablets is slightly toxic. It needs to be fried for an hour before adding other medicines. Take it once a day."

Take ten doses first, and then come back for a follow-up examination after the physical examination."

After seeing off the grandparents and grandson, Risong walked into the clinic with the next patient for physical examination. The person who came in was also an old man in his sixties.

The old man had just sat down when Huang Su asked: "Old comrade, what's wrong with you?"

The old man said: "I have had diarrhea for more than three years. I have as few as four or five bowel movements a day, and sometimes as many as ten times."

"Old comrade, hold out your hand and I'll take your pulse first."

The old man stretched out his arm and pressed hard with Huang Su's three fingers. Only when the bone was touched could the pulse beat. However, the pulse was weak and could only last three or four times in one breath (equivalent to about sixty beats per minute). The pulse was difficult and intermittent, like scraping bamboo with a light knife.

Uniform, this is a deep and astringent pulse, which is a complicated pulse condition on the outside and inside.

While feeling his pulse, Huang Su continued to ask: "Old comrade, what does it feel like to defecate, and what is the shape of stool?"

The old man replied: "When I defecate, my anus feels like it's falling, and I have to exert a lot of force to come out. However, the stool that comes out is always syrupy, often mixed with white jelly-like things, and sometimes it can even bleed."

It was a mixture of red and white. I went to the anorectal department and the doctor told me that this was chronic bacillary dysentery and prescribed me furazolidine and prednisone. When I took the medicine, I felt better for two days, but when I stopped taking the medicine, it relapsed immediately."

The old man continued: "Later I went to the Sino-Mongolian Hospital and was prescribed Shenling Baizhu Powder, but the more I ate, the worse my stomach became."

Huang Su nodded, knowing that the old man had pus and blood in his stool, so he continued: "Old comrade, stick your tongue out and let me take a look at the tongue coating."

When the old man stuck out his tongue, he saw that the whole tongue was light red, and the tip of the tongue was reddish. This is consistent with the pathology of weak internal organs and insufficient qi in the Shen pulse. However, the red tip of the tongue indicates fire in the heart, lungs or stomach.

The tongue coating is white and thin, while the base of the tongue is white and thick, which is consistent with the pathology of Chi Lei Pulse, which is dominated by cold and dampness.

The base of the tongue is white and thick, and it governs the lower burner. It is caused by the accumulation of dampness and cold in the lower burner. The lower burner includes the kidneys, large and small intestines, bladder, male prostate, and female uterus.

Huang Su continued to ask: "Old comrade, how is your diet? I don't have frequent hiccups."

The old man said: "I don't eat well. Sometimes I have one meal a day, sometimes two meals a day. I get hiccups after eating and it still smells bad. Doctor, what on earth is wrong with me?"

Burping after a meal with the smell of rotten food indicates that there is fire in the stomach.

Combining the patient's symptoms, Huang Su said: "Comrade, your disease is caused by cold and dampness staying in the intestines, leading to prolonged diarrhea that cannot be cured, and prolonged illness that does not heal and damages the spleen and kidneys."

The Wumei Pills used in long-term dysentery and pus and blood in the stool can resolve the evil of mixed yin and yang. Therefore, it can be seen that the Wumei Pills are extremely suitable for syndromes of mixed yin and yang, cold and heat, and both deficiency and excess.

Combined with the old man's pulse and symptoms, it can be seen that when the patient has upper-heat and lower-lower cold, spleen and kidney yang deficiency, and insufficient qi and blood, Wumei Pills are the most appropriate treatment.

The doctors at the Sino-Mongolian Hospital saw that the tongue was a sign of coldness, so they thought the spleen and stomach were deficient and cold, but they did not know that the upper heat was hot and the lower body was cold, and the triple burner was blocked, so tonic would be like adding fuel to the fire.

It would be a big mistake to use Yi Gong Powder, Lizhong Decoction, Shenling Baizhu Powder, etc. according to the disease of the spleen and stomach.

"He Huiji's recipe, 12g black plum, 6g coptis, 6g phellodendron, 15g dangshen, 9g angelica, 9g ginger, 6g fried Sichuan pepper, 3g asarum, 6g cinnamon, 12g Zhifu slices, 9g Patchouli."

Huang Su also explained in detail to the old man the precautions on how to cook and prepare the slices.
Chapter completed!