Chinese medicine doctor Xu Yang

"Doctor Xu." Li Qing greeted Xu Yang.

Xu Yang just went out and bought two buns next door for lunch. Before he could eat them, he saw Li Qing coming back. He was also startled: "What's wrong? Are you feeling uncomfortable somewhere?"

Li Qing shook her head hurriedly: "No, no, my stomach is much better. It doesn't hurt much anymore, and the blood clots have come out."

"Oh, okay." Xu Yang felt relieved.

Li Qing introduced to Xu Yang: "This is my friend A Cheng. She also has period pain. Please help her take a look."

"Okay." Xu Yang agreed, walked to his seat, sat down, and put the bun aside.

Li Qing said to Xu Yang: "Doctor Xu, why don't you have lunch first?"

Xu Yang shook his head: "It's okay, it's important to see a doctor. Come on, sit down."

A Cheng looked at Xu Yang's appearance, but he didn't look like him either.

She sat down next to Xu Yang. Xu Yang recorded the patient's information. Then he saw her covering her stomach. He said to A Cheng: "Give me your hand."

A Cheng gave him his hand. Xu Yang touched the other person's hand and found that the other person's hand was relatively cold. It was summer now, and her limbs were still so lukewarm.

Zhang Ke and Song Qiang were also watching curiously. It was not unusual for Mingxintang to have repeat customers.

Song Qiang even wondered if this was a shill hired by Xu Yang. Was it true? He didn't even want to play Landlords anymore, but wanted to see Xu Yang treat his illness. This was too embarrassing.

Xu Yang asked again: "If I press it, will the pain subside a little?"

A Cheng replied: "Yes, and it's best if you put warm hands on me. It will feel much more comfortable."

Xu Yang nodded, preferring warmth and preferring massage. Dysmenorrhea can be divided into deficiency and excess. Preferring pressure and preferring massage are mostly deficiency syndromes, and pain and refusal to massage are mostly syndromes. However, the specific deficiency and syndrome must be comprehensively considered through other diagnoses.

Moreover, there is cold pain in the lower abdomen, and the pain subsides when it is warmed, which is mostly a cold syndrome. There is deficiency and cold. Is it a sign of deficiency and cold?

Xu Yang asked again: "How is your menstruation? Is it heavy? What's the color? Are there any blood clots? Is your period normal?"

A Cheng replied: "The amount is small, the color is quite light, and there are blood clots. Usually the arrival is delayed..."

Xu Yang asked: "Does your back hurt?"

A Cheng said miserably: "It hurts, my waist is about to break."

Xu Yang asked some other questions, and then recorded them in the medical record. He also conducted a face-to-face consultation and found that the patient's complexion was pale and pale, which should be a sign of weak qi and blood and yang deficiency.

"Look at the tongue." Xu Yang said to A Cheng.

The tongue is light and has little coating. A relatively typical symptom of yang deficiency. A pale tongue is the most important indicator for diagnosing yang deficiency. Deficiency means less yang, and yang deficiency means less yang. If yang is less, there will be cold syndrome. Therefore, excessive yang deficiency means deficiency and cold. If it is deficient, it can be replenished, and if it is cold, it can be warmed.

Xu Yang nodded secretly. His tongue diagnosis is still very accurate now.

Song Qiang also came over to take a look, and then went back with a puzzled look on his face.

Traditional Chinese medicine believes that the state of a healthy person is the secret of yin and yang. The so-called yin and yang are secret, and the spirit is cured. When yin and yang are balanced, people will naturally be less likely to get sick.

What is the secret of yin balancing yang? For example, if yin is 50 points and yang is 50 points, the balance of yin and yang is exactly 100 points. But if there is less yin, less means deficiency. If yin is deficient, there will only be 30 points.

If there is an imbalance of yin and yang in the body, and there is too much yang, a series of symptoms will occur, such as dry mouth, bitter taste, five upset stomachs, short red urine, etc.

If it is deficient, make up for it. If the yin is missing, make up for the yin. If the yin returns to fifty percent, then it is the secret of yin balancing yang.

But if the yin is normal, but the yang suddenly performs abnormally, and becomes 70 points, then it is empirical, and the actual is too much. The symptoms of yang deficiency are very similar to those of yin deficiency, but if there is too much yang, it will be necessary. To purge it, use cold and cooling medicine.

Therefore, traditional Chinese medicine must treat based on dialectics and cannot treat based on symptoms. The symptoms of yin deficiency and yang deficiency are very similar. My dear, if you feel that you are angry and just take a dose of cold medicine, something will happen.

Therefore, the most difficult thing about Chinese medicine is dialectics. Symptoms are manifestations, and syndromes are causes.

This kind of deficiency of yin and excess of yang cannot be detected by modern medical equipment. Nowadays, many traditional Chinese medicine doctors ask you to do B-ultrasound, blood tests, and various laboratory tests. How do you treat the disease?

It is okay for Western medicine to do this, because this is their diagnosis and treatment logic. But that’s not the case with traditional Chinese medicine. Traditional Chinese medicine pays attention to dialectical treatment. Chinese medicine treats syndromes, not symptoms. Use the deviation of the medicinal properties to correct the deviation of the body, and when the syndrome disappears, the disease will disappear.

…………

After diagnosis and treatment at this point, it has been basically determined that it is a syndrome of deficiency and cold, and the uterus is deficient and cold. But we still can’t forget about pulse diagnosis, and the combination of the four diagnosis methods with ginseng is the most important.

Xu Yang said to A Cheng: "Let's do another pulse diagnosis."

Li Qing asked first: "Do you want to lie down?"

Xu Yang nodded: "That's fine. If you lie down, your pulse will be clearer."

In the end, they chose to take a pulse while lying down.

Xu Yang took people to the clinic. On the way, Li Qing said to Xu Yang: "Doctor Xu, you must help A Cheng. When she is in pain, it is so severe that sometimes she faints from the pain."

Xu Yang nodded slightly: "Okay."

"Yeah!" Li Qing nodded heavily.

A Cheng lay on her back on the examination bed, her hands naturally spread flat on the pulse pillow. Xu Yang sat aside and carefully diagnosed her pulse.

Zhang Ke and Song Qiang also came over to take a look. When they saw Xu Yang doing pulse diagnosis so carefully, they looked at each other a little.

Song Qiang even touched his chin and muttered to himself: "It's fake, is this?"

Li Qing saw that Xu Yang had three fingers on A Cheng's wrist, one finger at a time, one finger at a time, lightly at another time, heavy at another time, pressing up and down...

Her eyes gradually widened, and finally she gritted her teeth angrily and secretly spat: "Bah, you scumbag!"

After a long while, Xu Yang checked A Cheng's pulses in both hands. It was a slow and weak pulse with some thin pulses.

In addition to distinguishing between deficiency and excess, TCM dialectics must also distinguish between exterior and interior. exterior and interior can be understood literally. External syndromes are mostly diseases on the surface of the body, while internal syndromes are mostly problems in the internal organs. There are also different treatment plans.

The slow pulse is mainly due to cold syndrome. What is a slow pulse? The "Pulse Meridian" says that "breathing comes three times and comes and goes extremely late." The pulse only beats three times during one breath.

The ancients did not have clocks and could not keep accurate time, so they used their own breathing to judge the number of pulse beats. Nowadays, clocks can be used. The characteristic of late pulse is that the pulse beats about 50 to 60 times a minute.

The slow pulse is very similar to the slow pulse. The difference between the two is that the slow pulse has four pulses in one breath, while the slow pulse has three pulses in one breath. The late pulse mainly controls cold, and the slow pulse mainly controls dampness. If the dialectics are wrong, the treatment plans will be very different. Therefore, it is necessary to require the four diagnostic methods to reduce mistakes.

For example, if a professional athlete's pulse is only over 50 beats per minute, would you directly conclude that he has cold syndrome? If it doesn’t work, the four diagnostic methods must be combined.

There are also thin pulses, which can control dampness as well as deficiency. So is it due to weak qi and blood, or is it mainly due to water and dampness trapping the spleen? It still needs to be judged comprehensively.

Just now, when Xu Yang was diagnosing A Cheng's pulse, he found that her pulse was especially late in the left ulnar part. The left ulnar part was late due to kidney deficiency and cold, turbid stools, and the woman's monthly letter was silent.

Kidney deficiency and cold means kidney yang deficiency. Kidney yang deficiency cannot warm the spleen, which can also cause spleen yang deficiency. Therefore, the spleen's qi and blood biochemistry is insufficient, qi and blood are weak, so the amount of menstruation is small, so her pulse also has thin pulses. Features.

Of course, menstrual water originates from the kidneys. If the kidneys are deficient, the essence cannot be transformed into blood, and the Chong Ren Qi and blood will be weak, which will also lead to light menstruation.

She had severe cold deficiency and insufficient temper, which easily caused cold coagulation, so she had blood clots during menstruation. Moreover, the spleen controls the blood, and if the spleen is weak, it is unable to control the blood, so blood clots will not disperse.

The other party's uterine cold is quite serious. Considering that the other party is married, Xu Yang said, "Your uterine cold is quite serious. Is it difficult to conceive like this?"

A Cheng hasn't said anything yet.

Li Qing was shocked and said: "How do you know? A Cheng has been married for three years and is not pregnant yet."

"Oops." A Cheng slapped Li Qing in embarrassment.

Zhang Ke and Song Qiang were even more shocked. Is it so powerful? Is it true or false? Isn’t it true?

Zhang Ke bit his lip and looked at Xu Yang's face blankly.

Xu Yang thought for a while and asked, "Have you ever had a miscarriage or miscarriage before?"

A Cheng's expression suddenly became a little unnatural.