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500 Using medicine is like using soldiers

 The breadth and depth of the Chinese language is reflected in this time.

But Du Heng didn't like it very much.

"Teacher, can we go see the patient?"

"Okay, let's go now."

The three of them went out together, and Li Jianwei also added at the same time, "Gao Jinting, a famous doctor in the Qing Dynasty, said in the book "Excerpts from Ulcer Surgery" that all surgical diseases with symptoms in the upper part are all caused by rheumatism, wind-heat, and ascending wind nature.

Also.

Moreover, our Chinese medicine practitioners also say that ‘Only wind can reach the top of the head and face’, so I diagnosed it as wind-heat and took medicine to dispel wind and clear away heat.

It has been two days since the patient took it. In addition to the relief of itching, the rash has not gone away.

Xiaoheng, did I make a mistake in my diagnosis?"

Li Jianwei asked Du Heng beside him without any thought. He didn't care at all about his identity as a teacher, just like Du Heng was a colleague of his own generation.

Xiao Su, who was following closely beside him, didn't dare to breathe, for fear of making some noise, causing Li Jianwei to notice his presence and knock him back directly.

Du Heng listened while walking, going through all the characteristics in his mind and said, "I can't say for the time being. Let's take a look at the patient's specific situation first."

Li Jianwei didn't force him, and just walked in front and led the two of them to the ward.

Du Heng looked at the back of Li Jianwei diagonally in front of him and admired him very much. He was willing to join Li Jianwei's door and study as a graduate student because he valued this aspect of Li Jianwei.

If today's situation were applied to other doctors of the same level, it would be impossible for them to ask a young doctor like Li Jianwei, let alone Du Heng's status as a student, which makes it even more impossible to ask Du Heng's opinion.

They would rather spend time to find doctors of the same level as them or more qualified seniors from other places for consultation and consultation.

When we arrived at the ward, the patient's condition was not much different from what Li Jianwei said. The sides of the nose were very thick and covered with red rashes. Upon closer inspection, these rashes were mainly concentrated on the front of the nose on both sides.

Ying** belongs to the meeting of the Yangming large intestine and stomach meridian of the hands and feet.

The tongue coating is yellow and dry, the tongue is reddish, and the pulse is heavy and solid.

Yellow tongue coating is a sign of fever.

Dryness is caused by excess heat and damages yin.

A red tongue with yellow coating indicates severe heat.

The truth inside is the truth inside.

With so many symptoms combined, the patient clearly has internal heat syndrome, so where does the theory of wind syndrome come from?

We cannot see a patient with itching or rash and just treat wind and dampness.

But Du Heng couldn't say this. As for what the patient's disease was, he certainly couldn't say it in front of the patient, otherwise Li Jianwei would be embarrassed even if he didn't feel ashamed to ask.

"Teacher, I've finished reading."

"Is there any result?"

"Not yet, let me go back and think about it."

Li Jianwei's eyes twitched. He saw that Du Heng didn't mean what he said. Of course, he also understood why Du Heng asked why he did this.

Therefore, he would not refute Du Heng's kindness, so he walked down the steps and said, "Okay, let's go back to the office and think about it carefully."

After that, the three of them returned to the office. The patients they saw were stunned for a while, wondering what these people were here for.

As soon as he returned to the office, Li Jianwei couldn't wait to ask Du Heng, "Xiao Heng, do you see what's wrong with you?"

Du Heng nodded, "The patient should have a fire-heat evil that is trapped in the large intestine, then goes up the Yangming meridian, and develops on the face, causing a rash. It is a syndrome of yin deficiency and fire-heat."

Yin deficiency and fiery heat?

Li Jianwei immediately frowned, "I made a wrong diagnosis, isn't it wind-heat?"

Du Heng didn't know what expression to make, so he could only say with a serious face, "The disease is indeed a rash on both sides of the nose, hot and itchy. If it is not aggravated by dry stool and relieved by loose stool, it can be regarded as

Wind-heat is used for diagnosis and treatment.

But now that such a situation has occurred, and the most common location of rash is Ying**, then the symptom of this disease can only be the large intestine."

At this time, Xiao Su suddenly asked, "Brother, why do constipation cause red rashes on both sides of the nose and face, and become hot and itchy?"

Li Jianwei was reminded by Du Heng that he had turned a corner and wanted to understand where he had gone wrong.

Regarding Xiao Su's question, without waiting for Du Heng to answer, he said directly, "This starts with the theory of meridians. Among the meridians, the Yangming Meridian of the Large Intestine Hand starts from the big finger, ends at the second finger, and runs on the arm.

Lian... was handed over to someone in the end and held up his nostrils.

Meridians are the qi and blood of the human body, and they are the pathways between the external muscles and bones and the internal organs. Now the disease is affecting the large intestine, and because the large intestine is hot, it consumes yin fluid, causing dry stools and blockage of the channels. The evil of fire has no downward path.

Then I followed the meridians and found the end point of the Yangming Meridian - the nostrils.

When the fiery evil comes out of the nostrils, there will be a hot and itchy rash on both sides of the nose."

As he spoke, Li Jianwei sighed, "If the dialectics are wrong, the treatment method is also wrong. We should not dispel the wind and clear away the heat to clear it up, but we must clear it down and make the heat go down. That is the right way."

Li Jianwei's medical treatment is a bit ingenious and not flexible enough. But with these basic skills, he really can't be picky.

Li Jianwei looked at Du Heng and said slowly, "Xiao Heng, since you can see it, you can prescribe the prescription together."

Du Heng agreed, picked up the pen and paper from Li Jianwei's desk, and wrote the prescription in a short while.

Li Jianwei took the prescription and opened it, nodded frequently, and then handed it to Xiao Su, asking him to study more and take a look.

Xiao Su now places her position very clearly, that is, she is a student. Whether she is next to Li Jianwei or Du Heng, she is still a student.

After reading the entire prescription prescribed by Du Heng, he gave full play to the characteristic of students asking questions when they don't understand, "Brother, since this prescription of yours is for laxatives, why do you add Zhi Shu Pills?

Zhi Shu Wan strengthens the spleen, eliminates food, circulates qi and resolves dampness, doesn’t it go with this prescription?"

Du Heng said with a smile, "The reason why the stool is dry and hard is related to intestinal dysfunction. Zhizhu Pills not only have the effect of strengthening the spleen, digesting food, promoting qi and reducing dampness, but it also has a good effect on adjusting and promoting intestinal function. Intestinal function is well adjusted.

, the stool will naturally become smooth."

Xiao Su was stunned for a moment, "Does Zhi Shu Pill have this effect?"

Li Jianwei glared at Xiao Su, "Look more at the latest pharmacological research. There are many common medicines on them, and they all have some additional effects that were not noticed before."

Seeing Li Jianwei's gaze, Xiao Su immediately lowered his head and said unconvinced, "There are so many books to read every day and homework to do. How can I have time to read these irrelevant things?"<

/p>

Li Jianwei heard clearly and his eyes immediately stood up, "You don't have time? Then how do you, Senior Brother Du, have time to go see it?

He has to manage the hospital and worry about the development of the hospital. At the same time, he has to go to outpatient clinics and write papers. How can he have time to read those irrelevant things?

Lazy is just lazy, don’t make excuses for yourself.”

Xiao Su was helpless. He knew he couldn't escape the scolding, but he didn't expect it to come so quickly.

"Brother, if you have any learning secrets, please teach them to me." Xiao Su looked at Du Heng pitifully.

Du Heng smiled softly, "Time, it's like... there is always some squeezing. And every night, I insist on reading and studying for two hours, which is a waste of time."

Xiao Su looked at Du Heng in surprise, "Brother, you are now the dean, and your level is so good, yet you still study for two hours every night? Are you going to let us live?"

Listening to Xiao Su's complaint, Li Jianwei also chuckled, "Look, people who are better than you are still working hard every day, why are you lazy? You, you can't just focus on your senior brother's appearance in front of others and not see him behind the scenes.

Why are you sweating?"

This praise made Du Heng break into a cold sweat.

Xiao Su looked at Du Heng with a trace of resentment and asked her last question, "Brother, I understand Zhi Shu Wan and can think about it, but isn't this pear paste a bit too abrupt?"

Du Heng did not answer directly, but asked Xiao Su with a smile, "Look carefully, what did I write next to Li Gao?"

Xiao Su looked confused. Have you written anything?

I lowered my head and looked at the prescription again, and saw two words written next to the pear paste - take more.

"Add server?"

"Yes, then do you know why you wrote about adding servers?"

Xiao Su lowered her head and thought for a while, then said uncertainly, "It means that pear paste is not in the main prescription and is a medicine to be taken separately. But why do you need to take it as an additional medicine? It is a medicine for lungs and has nothing to do with the large intestine."
p>

Du Heng smiled slightly and tried not to put pressure on Xiao Su, "In the theory of traditional Chinese medicine, there is a saying that 'the lungs combine with the large intestine'. To put it bluntly, for the intestinal function to work normally, the lung function must cooperate.

Moreover, in the theory of meridians that the teacher just mentioned, the meridians of the large intestine have collaterals with the lungs during the circulation process, and the lower diaphragm belongs to the large intestine.

Pear paste has the effect of nourishing yin and moisturizing the lungs. If the lung yin is sufficient, it can moisturize the large intestine. Therefore, taking pear paste also has the effect of moistening the intestines and laxative."

Xiao Su nodded blankly.

I have also studied meridian science and traditional Chinese medicine theory and read books. But in front of Du Heng and Li Jianwei, I always felt that the books I read were not the same type of books as those they read.

What they said has never appeared in the books they read.

And after all, I have been studying for eight years, but in front of them, I always have the illusion that I have studied in a fake school and attended a fake university.

Could it be that Li Jianwei didn't teach himself well?

Xiao Su looked at Li Jianwei secretly.

And Li Jianwei sighed, "TCM doctors say that dialectics is difficult to treat diseases, but what they don't know is that prescribing is even more difficult. We Chinese doctors have a saying, 'Using medicine is like using soldiers.' Treating diseases with this medicine is like fighting a war."

, if you want to defeat the enemy, you must think carefully.

Many of our doctors speak clearly and logically, but when it comes to the final step, they act more arrogant, which is a sign of not knowing how to use medicine."

After a slight pause, he handed over the prescription. After signing it, he said to Xiao Su, "You change this prescription, and I will change the medicine for the patient tonight."
Chapter completed!
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