460 A mess of dialectics(2/2)
Can you explain why, after you were diagnosed with exogenous wind evil, you did not dispel wind and cold, but only replenished qi and relieved the symptoms?
Do you mean that you only need to open and close the watch, and the wind evil will come out on its own?"
The cautious student also became numb and stared blankly at Du Heng in front of him.
Du Heng sighed and asked again, "Do you know what Qinglong Soup is for?"
Just as the student was about to speak, Du Heng asked again, "Qinglong soup is divided into big Qinglong soup and small Qinglong soup. Is your Qinglong soup big or small?
Or do you think the two prescriptions have the same effect?"
Beware of scheming students and just shut up.
"Da Qing Long Decoction can induce sweating and relieve inflammation. If you use the prescription of Da Qing Long Decoction, you are really blind and blind. If you accidentally use it correctly, although it is not completely symptomatic, it can still work."
.
But what if you are Xiao Qinglong Tang?"
Du Heng sighed, "Two classmates, one just has a cold, everything is wrong."
If you learn well but don’t know how to use it, what’s the use?
"Teacher, what is the correct answer?" The student was unconvinced. He wanted to know how different his answer was from the correct answer.
Du Heng turned around and glanced at Xiao Su beside him, "Are you coming?"
Xiao Su also sighed, then nodded and said, "I'll do it."
Then the two physiognomists said, "Diagnosis: cold; syndrome differentiation: wind evil combined with dampness invading the superficial syndrome; treatment method: dispersing wind, dispelling dampness and resolving the superficial syndrome; prescription: modified Qianghuo Shengshi Decoction."
Wind evil combined with dampness violates the external syndrome?
Is this a cold?
The two students looked at each other.
Du Heng sighed, "I originally prepared a slightly more difficult question, but it seems we don't need it anymore. Let's just go to the last question."
What does this mean?
One question rejected them all?
For graduate student interviews, it may be more troublesome to recruit more than one person, but if you can’t do it, it’s not too troublesome.
Thinking of the possible consequences, the honest child lost his composure and hurriedly said, "Teacher, please tell me, give me another chance."
Li Jianwei also said at this time, "Xiao Du, just tell me. It doesn't matter if you can't answer the answer. It's also good to let young people gain more knowledge."
After hearing what Li Jianwei said, of course Du Heng had to give him face, "Then just listen to the teacher."
After coughing, Du Heng said slowly, "Listen up, there is a thirty-year-old female patient who developed fever, chills, and a slight dry cough without obvious triggers. She went to the emergency department of a local hospital and was given antibiotics and hormones to reduce the fever repeatedly.
Treatment was given, but the fever returned, especially in the afternoon.
After examination, the patient had no nausea, vomiting, abdominal pain, diarrhea, frequent urination, urgent urination, or painful urination. He had a dry mouth and a desire to drink, a dark tongue, a thin, greasy and yellowish coating, a wet and frequent pulse, and a body temperature that fluctuated between 37.5°C and 40°C.
It should be emphasized that the patient does not have any inflammation or infection."
After finishing speaking, Du Heng glanced at the two of them and said, "There is no need to write down this question. Whoever has thought about it can just raise their hand to answer."
Two minutes later, the careful student raised his hand first and said, "Teacher, you just said that the patient has no obvious cause of fever and there is no internal infection or inflammation in the patient. This means that the patient may have accidentally contracted wind evil from outside.
It’s just that the symptoms were not obvious at the beginning, and it took a long time to become like this. So I diagnosed it as exogenous fever.”
Du Heng did not make any expression, but just asked, "What is the dialectical idea?"
"The camp and guards are at odds."
"Very well, sit down."
The careful student was a little confused. He didn't understand what Du Heng meant. He didn't give a reply whether what he said was right or wrong.
But after what he had just experienced, he never dared to ask again.
This is the honest student who also raised his hand, "Teacher, can I speak?"
"Okay, you can say it."
"The patient has no external symptoms, but has recurring fever, dry mouth and desire to drink. I think this is internal injury and fever."
Du Heng's eyes lit up, "There are many types of internal injury and fever, which one is it specifically?"
"Fire Depression."
"Sit down."
Du Heng's eyes that had just lit up returned to calm again.
I didn't say anything at first, but now I insist on saying it. It's fine now. Why bother if I'm disappointed again.
"Please adjust your mood, let's move on to the last question."
"Teacher, you haven't said what we just answered?"
"Teacher, please comment."
The two students were really panicked, and Du Heng's attitude was obviously disappointing.
But even if you die, you have to let yourself know that you are dead.
The two students looked at Du Heng eagerly, and even Li Jianwei said beside him, "Xiao Du, please explain to these two children, otherwise they will be unconvinced and think we did it on purpose."
Du Heng stretched out his hand to knock on the table out of habit, but suddenly he thought that Li Jianwei was beside him, his teacher, and he quickly took his hand down again.
After clearing his throat, he said, "I believe you two should be familiar with Pulse Syndrome and Ginseng. Your teacher should have said and emphasized this in class.
But in this case just now, you did not combine pulse and syndrome, but just like Western medicine, deducing the patient's cause from the symptoms."
Du Heng's voice was very soft. He didn't scold loudly, nor did he make frivolous teasing. He just spoke calmly.
"The patient's current symptoms are not obvious. Apart from fever, he does not have any symptoms for reference. However, the patient's physical examination is very clear as I just said.
A dark tongue with thin, greasy and yellowish coating indicates that the patient has dampness and heat in the body, and the heat is excessive.
"Pinghu Pulsology", "Mai Jing", "Su Wen", etc. all have records that the number is yin but not yang, and the number of pulses governs the fu organs. It has strong real fire and weak weak fire. And there are several pulses that are yang, and the heat can be known; only Jun Jun
According to the zodiac sign, fire comes to heal. Or it can be said that fire in the mouth, stomach and liver are combined together.
Any pulse that is deficient, thin, and weak falls into the wet category. Wet pulse is most often caused by insufficient stomach Qi or exogenous Yin-dampness."
Du Heng paused for a moment, took a breath and then continued, "In addition, the patient has a dry mouth and wants to drink. The two factors reflect the two symptoms, and the patient has internal injury and fever caused by spleen and stomach qi deficiency.
Chapter completed!