After a long time, Li Maoyang opened his eyes.

Patient Zhang Hongliang’s disease is obviously no longer treatable by Shenling Baizhu Powder, which is used to treat spleen deficiency and dampness!

This is because he is not only deficient in the spleen and has excess dampness, but also has deficiency of yang in both the spleen and kidneys, which leads to overflowing water and dampness.

The wetness has spread to the limbs, causing them to become edematous!

It’s definitely considered a case of Yang deficiency!

Therefore, you must use Zhenwu Decoction, which warms Yang and promotes water!

(Friendly reminder: The following paragraphs are a bit too in-depth, but after thinking about it, I’d better write it in a very shallow way, in case there are readers who understand it and find fault?

As for book friends who don’t understand, you can also use this to get a glimpse of the difficulty of TCM syndrome differentiation.)

As for the patient's spleen and kidney yang deficiency, his limbs should have been reversed and his body should be cold, but instead he developed a low fever.

(Remember: patients with Yang deficiency: 1. Cold body; 2. Weakness.)

This complicates the symptoms.

But this did not confuse him, Li Maoyang.

It is common for patients to have various symptoms of mixed cold and heat.

What is hot at the top and cold at the bottom, hot inside and cold outside, cold inside and hot outside, true winter and false heat, false cold and true heat...

There are so many situations!

The key here is to determine 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!

Based on patient Zhang Hongliang’s current condition, it is natural that he is suffering from winter vacation fever.

The yang of the spleen and kidneys is so deficient that even the water cannot be excreted, and it has gone to the limbs. Isn’t that really cold?!

(Drainage also requires Yang Qi to power it!)

Therefore, the true cold caused by yang deficiency is the main contradiction in the symptoms!

So how does false heat appear?

1. The battle between good and evil is within the body. It is a battlefield where good and evil are fighting. How can one not become hot when the fight is in full swing?

2. When Yang Qi is weak, body fluid cannot be evaporated and distributed throughout the body. The body lacks moisture from body fluid, so how can it not be hot?

(Again, body fluid is not waste water! Body fluid is high-quality "purified water"!)

And Master Zhongjing’s words (at the end of the previous chapter) also sternly stated that (as long as it is really cold), you can also use Da Xin Da Re Aconite when the body is hot at this time!

You can also use Zhenwu Tang when your body is hot at this time!

Here’s why!

…

Li Maoyang thought about it for a while and resolutely reported Zhenwu Tang to the system!

System drug efficacy deduction passed!

"Guoguo, please go back and get some aconite! We have to show Brother Zhang how to boil this medicine ourselves!"

Li Maoyang said to Qiao Guoguo while writing the prescription.

Because Zhenwu Decoction contains aconite, it needs to be cooked separately for a while in advance, so it must be demonstrated to the patient.

This is so careless.

During this time, Qiao Guoguo brought some commonly used medicines from the drugstore when she came here, but among them there was no aconite, which is pungent and hot, and can travel through the twelve meridians.

"Ah? Do you want to use aconite?" Qiao Guoguo leaned over to look at his prescription worriedly.

Li Canyang also came over to take a look.

Li Maoyang glanced at the two of them, but Qiao Guoguo said nothing and went out to drive back to her pharmacy to pick up aconite.

Li Maoyang's eyes were calm but also firm, and Qiao Guoguo felt that she should trust him.

Of course, she still had to discuss it with her father after returning home.

"Next!"

Li Maoyang signaled Zhang Hongliang to wait, then raised his head and shouted.

But as soon as the next patient came to him, the door curtain of the consulting room was lifted, and three people walked in from outside.

Master Zheng's daughter Zheng Xiaomei and her husband came with her mother-in-law.

"We can't wait for you to come, so we have to come by ourselves!"

Zheng Xiaomei, who is in her fifties, smiled.

"I'm sorry! Sister Zheng, I'm planning to go to your house in the middle of the night!"

Li Maoyang stood up and scratched his head and joked.

While apologizing to the patient who just came to his consultation table, he asked him to wait a little longer.

He had to show it to Zheng Xiaomei's mother-in-law first.

First of all, Zheng Xiaomei called him yesterday, and he also promised to go to her house today to have a look; secondly, the most important thing is that Zheng Xiaomei is the precious daughter of his master, Mr. Zheng, so he jumped in line, and he, Li Maoyang,

I can’t say anything!

Where does salt come from, and where does vinegar come from? He will always remember his kindness to Mr. Zheng!

…

Grandma Zheng Xiaomei's condition is dizziness all the time.

Li Maoyang finished her four examinations. Just as he thought yesterday, the old lady was old, her qi and blood were weak, and there was silt in her body that could not block her head. The lack of qi and blood supply to her head caused dizziness all the time.

Of course there is still some wind evidence.

The treatment is to nourish qi, nourish blood, unblock yang, promote yang, remove blood stasis and unblock collaterals, calm the liver and extinguish wind.

Li Maoyang prescribed a modified prescription of Bazhen Decoction, which included a few Yang-boosting herbs and liver-calming and wind-relieving herbs.

After some joking, not calculating the consultation fee, and under-calculating a lot of medication costs, we finally sent these three away.

…

On this day, Li Maoyang was busy until nearly nine o'clock in the evening before he finished treating all the patients.

Well, this of course does not include those patients who were queued up and not admitted in the afternoon.

Qiao Guoguo took Qiao Langlang back.

Li Canyang lay on the kang and began to play fast music, which he called changing his mind.

Naturally, I mainly watched beauties. I stayed in Sijin’s live broadcast room for more than half an hour and bought more than 100 meters worth of gifts.

This is one-ninth of his daily salary today.

Li Maoyang is still very generous, and the salary given to Li Canyang and Qiao Guoguo is the same.

Yang Qing and Qiao Langlang also gave one hundred each.

Li Maoyang himself continued to sit in the consulting room and study medicine.

This is what Qiao Guoguo recorded today.

Li Maoyang went through it to consolidate it, and occasionally added some thoughts to some medical treatments.

While I was doing my homework, a strange phone call came over, speaking in a very low voice.

This is Ren Xiaojing.

"Hello, are you Dr. Li? I am Ren Xiaojing..."

"Hello, Sister Ren, I'm Li Maoyang. How are you? Have they sutured your trachea?"

"The stitches... are stitched. I feel much better today. Thank you... thank you Dr. Li for your life-saving grace!"

"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!"

"First Evolution"

"Okay, okay!" Ren Xiaojing said hurriedly.

The two quickly added WeChat friends, and then Li Maoyang conducted a follow-up consultation with Ren Xiaojing via video and gave some medical advice.

Ren Xiaojing sent several red envelopes to Li Maoyang in succession!

Li Maoyang quickly accepted it and sent the red envelope back.

"Sister Ren, don't think too much, I won't accept your money! It's hard for me to do a good thing once, can you give me a sense of honor? That's it, goodbye, I will delete it if you send me any more red envelopes

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.
To be continued...