Chinese medicine doctor Xu Yang

It is most taboo for patients to chat with the doctor during pulse diagnosis, because it will easily disturb the doctor.

Xu Yang said to Li Qing: "Don't speak for now. Stay calm and let me check your pulse first."

Li Qing was slightly startled, is the handsome guy so serious?

Xu Yang was still a little confused when he returned to the real world, but now that he has started treating patients, he immediately became fully involved.

Xu Yang used five techniques to diagnose the pulse on Li Qingcun's pulse: lifting, pressing, searching, pushing, and pushing. The three methods of lifting and pressing to search are for diagnosing the floating, sinking and slow pulses. The pushing method is for diagnosing the long and short pulses. Yes, there are more than twenty kinds of pulse conditions besides these, but the techniques are basically these five.

Li Qing looked at Xu Yang's serious and melancholy look, as well as the other person who kept pressing on her wrist with various techniques. Li Qing couldn't help but feel swaying in her mind, and she laughed from time to time.

Xu Yang frowned, let go of Li Qing's hand, and said to her: "Let's go and lie down on the bed."

Li Qing was suddenly startled: "Ah? It's too fast!"

"No." Li Qing quickly went back and asked, "Why are you lying down?"

Xu Yang explained: "When you lie down, your qi and blood flow more smoothly, and your pulse becomes clearer."

"Okay." Li Qing had to agree.

The two entered the diagnosis and treatment room. Li Qing lay on her back on the diagnosis bed, with her arms naturally flat and placed on the soft pulse pillow. Xu Yang sat aside and carefully diagnosed the pulse.

Song Qiang raised his eyes and glanced at Xu Yang curiously, then continued his fight with the landlord without following him.

Traditional Chinese medicine is very serious about pulse diagnosis. "Suwen. Pulse Essentials Essence Theory" says: "The diagnosis method is usually to flatten the pulse, when the Yin Qi has not moved, the Yang Qi has not dispersed, the diet has not been taken, the meridians are not strong, the collaterals are evenly balanced, and the Qi and blood It is not chaotic, so it is possible to diagnose faulty pulses.”

The ancients required the patient to not even eat when getting up in the morning to diagnose the pulse, just like today's blood test for liver function. This was naturally the most accurate, but this requirement was a bit unrealistic, and no one followed it later.

Moreover, there are also requirements for pulse waiting time. "Lingshu. Genjie Chapter" says: "Fifty camps a day and a night, and the camps are the essence of the five treasures. Those who are not counted are called Kuangsheng."

Therefore, when diagnosing the pulse, each part of the pulse must beat at least fifty times. There are three parts of the Cun Guan Chi on the Cunkou pulse. There are six parts in total with both hands. Plus the initial time of pressing three fingers together, even a skilled veteran It takes at least five minutes for Chinese medicine to diagnose the pulse.

Those traditional Chinese medicine doctors who are not very skilled in the technology will need more than ten minutes and repeated diagnosis to get an accurate conclusion.

As for those Chinese medicine doctors whose left and right hands can't even take five minutes combined, don't even think about it. They definitely don't know how to diagnose the pulse, and they are just doing it for a show. Or he was overconfident and only roughly checked the pulses of both hands, instead of carefully diagnosing the pulse conditions of each part of Cun Guan Chi.

And the thread-pulse diagnosis in those martial arts dramas and even some historical dramas, it’s just fucking Chinese medicine. How bullshit is that?

If Xu Yang hadn't studied with Mr. Qian for a year, he wouldn't know how to diagnose pulse.

Ten minutes later, Xu Yang checked the pulses of both hands. He exhaled a long breath. The result of the pulse diagnosis came out. It was a heavy and thin pulse. A heavy pulse is an internal syndrome, and a thin pulse is mainly responsible for dampness, but also for deficiency!

Veins are characterized by being thin and small, like continuous threads, and should be thin, straight and soft. The characteristic of the micro pulse is that it is extremely thin and weak, seems to be there but not there, and the desire is not gone. The difference between the two is that one should refer to constant, and the other seems to be there but not.

These two pulse conditions are easy to get wrong.

There is also the Xian pulse, which is also very similar to the thin pulse. However, the stringy pulse is pressed like a bow string, and the thin pulse is pressed like silk thread. This subtle difference is a test of the level of Chinese medicine.

There are twenty-eight types of pulse conditions, and each type of pulse condition has three or four very similar pulse conditions. Do you think it can be diagnosed in a short time?

Xu Yang checked it many times before confirming that it was a heavy and thin pulse.

Thin pulses mainly control dampness, but also deficiency. But the patient Li Qing suffered from cold coagulation and blood stasis. The cold coagulation syndrome was clearly positive, so how could it be a deficiency? And thin pulses can also be caused by dampness syndrome, dampness syndrome?

Was my previous judgment wrong?

Xu Yang fell into deep thought.

Li Qing got up from the bed and asked Xu Yang: "Doctor Xu, how are you doing?"

Dysmenorrhea can be divided into actual and deficient syndromes. Pain before and during menstruation is mostly syndrome, which is caused by blockage and pain. The treatment method is to purge the syndrome. If you still have pain after menstruation, it is usually a sign of deficiency. If there is no pain, it will be painful, so if it is deficient, make up for it.

Xu Yang thought for a while and asked, "Does it still hurt after your period?"

Li Qing replied: "Sometimes it hurts in advance, and sometimes it still hurts after it comes."

Xu Yang nodded slightly.

Xu Yang said to Li Qing again: "Put your tongue out and let me take a look."

Li Qing stuck out her tongue.

Qian always attaches great importance to tongue diagnosis, so Xu Yang's tongue diagnosis skills have improved rapidly during this year's apprenticeship.

Yesterday, he only saw a light red tongue with thin white coating. This could be said to be a normal tongue appearance. But today, when he saw it, something was wrong. There was also a fat tongue, which he had not noticed before.

A fat tongue with thin white coating is a sign of spleen deficiency and water-dampness and phlegm retention.

Xu Yang said to Li Qing again: "Put your tongue up."

Li Qing was obedient and tongue-tied again.

"Sublingual varicose veins! Most of them are signs of blood stasis."

"I understand." Xu Yang suddenly realized.

The thin pulse controls deficiency syndrome and dampness syndrome, and the spleen governs transportation and transformation. If the spleen is deficient, transportation and transformation will be unfavorable, so it is natural to have dampness syndrome. Her tongue pattern also confirms this. The patient is not suffering from cold coagulation and blood stasis, but from spleen deficiency and palace cold. Qi deficiency and stagnation result in blood stasis.

Yes, she has cold syndrome. She has distension and pain in her lower abdomen and cold pain. The pain is relieved by warming. This is because the cold evil invades the lower burner. But the most important thing is not the cold syndrome, but that she has spleen deficiency.

The spleen is the source of qi and blood biochemistry. If the spleen is deficient, qi and blood will be weak. If the source of your qi and blood is no longer produced, how can you have sufficient qi and blood?

In addition, water and dampness trap the spleen, so I feel tired and lazy to speak. She was already weak in qi and blood, and she lost a lot of qi and blood during menstruation. Her uterus lost nourishment, which made her even more uncomfortable and painful, so she also had pain after menstruation.

Moreover, if the spleen is deficient, the qi will be deficient, and qi is the leader of the blood. It is the qi that controls the blood and circulates healthily in the human body. Yes, she had cold syndrome, and her blood coagulated due to cold, but it was stagnation due to Qi deficiency.

This is the reason why many girls don’t suffer from menstrual cramps even if they take cold showers and eat raw or cold food. People have abundant Qi and blood, and even if they are cold and coagulated, the Qi will control the blood and there will be no blood stasis in the meridians.

Righteousness exists within, and evil cannot be done!

It is also due to spleen deficiency that the spleen and stomach are out of harmony, and the stomach is out of balance, so the stomach qi goes up and down, and the symptoms of retching occur.

Moreover, the spleen is responsible for promoting clearness, and the stomach is responsible for lowering turbidity. One rise and one fall, and the movement is moderate. Now spleen deficiency causes stomach qi to rise and reverse, so the patient has symptoms of vomiting. Moreover, the turbid Qi does not descend and remains stagnant, leading to abdominal distension and constipation.

Therefore, her stool is dry and only occurs once every two or three days.

This is all caused by spleen deficiency.

So her dialectics are internal, deficient, and cold, which are the proper yin syndromes.

Traditional Chinese medicine pays attention to the dialectics of eight principles, with yin and yang as the general principle, interior, deficiency and cold as yin syndrome, and exterior, excess and heat as yang syndrome. Those who are good at diagnosis should observe the color and pulse, and first differentiate between yin and yang.

If you use yang medicine for yin diseases and use yin medicine for yang diseases, there will be nothing wrong.

Therefore, Chinese medicine must know dialectical argumentation. If Xu Yang does not understand pulse diagnosis or tongue diagnosis, it will be difficult to accurately detect the syndrome of spleen deficiency by asking alone, and it will be difficult to cure it.

So this is also the reason why many people find that after seeing traditional Chinese medicine, it is ineffective. It is not that traditional Chinese medicine is not good, but that the doctor you see does not know dialectics and he does not know how to treat diseases!

Xu Yang patted his head with some annoyance. Yesterday he really made a mistake in dialectics. The dialectics became the evidence of cold condensation and he thought it was the evidence of real coldness. However, Shaofu Zhuyu Decoction is also suitable for the syndrome. It can warm menstruation and remove blood stasis. It will be effective for her to take it.

However, this prescription cannot treat spleen deficiency symptoms such as vomiting, nausea, constipation, fatigue, and abdominal distension. Cold coagulation and blood stasis are just symptoms, while spleen deficiency is the root cause.

He treated cold coagulation and blood stasis, but only treated the symptoms. If spleen deficiency is not treated, blood stasis will still occur in the lower burner next time you encounter cold.

Symptoms will still appear, so if he only prescribed Shaofu Zhuyu Decoction yesterday, it would only relieve dysmenorrhea after eating it, but it is likely to return to the original state next month, and then it will not be cured for a long time, and the effect will be very poor.

If the root cause of spleen deficiency is not cured, it is difficult to provide a good doctor.

This is the difference between having a master and not having a master. If Xu Yang relied on himself, he would really be blind in the clinic.

Xu Yang breathed out and said to Li Qing: "The medicine prescribed yesterday is not correct. I will prescribe some more for you. Oh, don't drink the Siwu Decoction I prescribed for you yesterday. Wait until you finish drinking the newly prescribed medicine. Drink."

Xu Yang also secretly blamed himself for making a wrong dialectic yesterday. The Siwu Decoction contains the medicine Chuanqiong, which is good for promoting qi. People with qi deficiency cannot regain qi. If qi is deficient, trying to qi on their own will only injure qi more. They need to replenish qi first and then move it, or replenish the middle part to achieve qi!

"Okay." Li Qing agreed, but she was thinking about what to eat at night.

Seeing Xu Yang prescribing another prescription, Song Qiang was also a little surprised. Could this guy be prescribing Siwu Tang again?

Xu Yang put his hands on the keyboard, his expression became a little nervous again, and those indifferent and mocking eyes reappeared and attacked him.

"Ha..." Xu Yang shook his head and smiled, and these scenes disappeared instantly.

Xu Yang shook his head, typed on the keyboard and said: "I will prescribe another prescription for you, which is to use Shaofu Zhuyu Decoction combined with Liujunzi Decoction. For qi stagnation and water-dampness, it is better to remove the Atractylodes and Licorice in Liujunzi. "For constipation, add rhubarb, betel nut, and Xiaopi powder. There are hot herbs in the prescription to neutralize these bitter and cold herbs, so there is no need to worry about them damaging Yang Qi."

In the past, Xu Yang could only recite classics and would not mix medicines according to the patient's actual condition, but it was different now.

Li Qing looked a little down: "How long will it take for this treatment to be effective?"

Xu Yang smiled slightly and said confidently: "Since the medicine is right for the patient, it will cure the disease and be as effective as a drum."