Chapter 169: The First Party in the World
"Take a look for yourself and compare it with Dr. Zhou's and mine's medical records. What are you missing?"
Li Jiagan glanced at Chen Yuqiao calmly and said.
Zhou Zhengkai took Chen Yuqiao's medical record from Li Jiagan and looked at it. He felt that it was a little simpler than the medical record of a private hospital. However, this seemed to be just a case of dispensing medicine, and there was actually no big problem.
In this case, Dr. Chen met a middle-aged patient with a runny nose, sneezing, stuffy nose, and itchy nose. Dr. Chen determined that the patient had allergic rhinitis, which was allergic to fungi and dust mites, and gave him
I was given the antihistamine drug loratadine and the hormone preparation mometasone furoate. The doctor also instructed me to massage the Yintang acupoint, Bitong acupoint and Yingxi acupoint to speed up the relief of symptoms, and wash the nasal cavity with salt water.
Well, there is nothing wrong with this treatment in Zhou Zhengkai’s opinion. This is how Western medicine treats general allergic rhinitis, mainly the use of antihistamines and hormone preparations. What’s more, Dr. Chen also kindly ordered the other party to massage and rub it.
Yintang point, Bitong point and Ying** point can be treated by washing the nostrils with salt water. In Zhou Zhengkai's opinion, this seems to be quite acceptable.
"Isn't it because I didn't feel my pulse? I couldn't find anything anyway. It feels so hypocritical to pretend." Chen Yuqiao immediately realized that there was something wrong with her, but she said unconvinced.
"Do you have to pretend to be pretentious? If you pretend, you'll be serious. If you pretend, you'll learn." Li Jiagan said gently, "Whoever takes pulses doesn't start by pretending. Your sister and I are the same. Now, aren't we all capable of taking pulses?"
"My sister is now...well, she's not bad. She's much better than the two of us, but it will take more than two years to learn from you." Chen Yuqiao said with some frustration.
"Take your time, isn't your sister much better than you now? It's a qualitative difference, you know? Your sister can at least roughly tell where a person's disease is from the pulse test. If the disease is serious or minor, you guys
You have to practice hard to reach this level." Li Jiagan said seriously, "You are both beauties anyway, don't they mind if you give people a lot of pulses? Then be shameless and do more, at least slowly and slowly get a rough idea.
Come.
For example, if you can at least cut out the size of the pulse, then you can know whether a person has strong qi and weak qi, a big pulse and strong qi, or a small pulse and weak qi.
Then cut out the soft and hard pulse. If the pulse is soft and the fire is small, will the pulse be hard and the fire is big?
The speed of the pulse is also relatively easy to detect. A fast pulse indicates deficiency of essence and Qi, while a slow pulse generally indicates insufficient essence and Qi. Furthermore, if the pulse is diseased, a fast pulse usually indicates heat syndrome, and a slow pulse indicates cold syndrome.
Whether the pulse is even or chaotic, it is easy to tell whether a person has a serious illness or a minor illness. A healthy person has an even pulse, but a serious illness has a disordered pulse.
The fluctuation of the pulse is also easy to detect. A floating pulse generally indicates whether a person's illness is on the outside, while a sinking pulse generally indicates whether a person's illness is on the inside."
Li Jiagan said this slowly, and the three of them listened carefully, including Chen Yuqiao.
This seemingly rustic summary is generally not mentioned in books, but it is summed up by a doctor in practice, and it is very effective when used in actual medical treatment.
And this seemingly rough summary is actually a necessary transition for a doctor from not knowing how to cut the pulse to being able to cut the pulse carefully. After learning these general things, he can then learn what the Xian pulse is, what the thin pulse is, what the macro pulse is, and what
It would be faster to count the pulse and wait.
The three of them carefully considered Li Jiagan's words for a while, then Zhou Fangqin asked: "By the way, Doctor Li, I saw some books saying that allergic rhinitis can also be treated with traditional Chinese medicine, but many people use different prescriptions. How can this happen?
distinguish?"
Li Jiagan said without hesitation: "From a Western medical perspective, a person's allergic rhinitis may be caused by a person's poor physical constitution, poor immunity or allergic constitution, so nutrition and exercise should be strengthened.
In traditional Chinese medicine, rhinitis is called rhinitis, and the cause is also found from within the body. It is generally believed to be related to lesions of the spleen, lungs and kidneys.
If a person is prone to spontaneous sweating, accompanied by cough, shortness of breath, fatigue, pale complexion, and pale tongue with thin white coating, this may be a syndrome of lung qi deficiency and coldness, in which case Yupingsan decoction can be taken; if a person has poor appetite and abdominal distension,
Loose stools, weak limbs, pale tongue, fat tongue, and tooth marks on the edge of the tongue may indicate a weak spleen, and you can take Buzhong Yiqi Pills; if a person is usually afraid of cold, has long and clear urine, and has soreness and weakness in the waist and knees
, this may be due to kidney yang deficiency, for which you can take Jingui Shenqi Pills.
In addition to these prescriptions, of course there are other medicines and prescriptions. For example, some allergic rhinitis can also be treated with Goose Grass. The prescription can also be the world's best prescription Guizhi Decoction. etc., in short, the same is true for medication.
All roads lead to Rome, and many prescriptions can treat the same disease, and even multiple prescriptions can treat the same syndrome (cause)."
After the three of them listened, they digested it for a while, and then Chen Yuqiao asked: "Why is this Guizhi soup called the best in the world?"
Li Jiagan smiled and said, "Do you know the recipe of this cinnamon twig soup?"
"3 taels of cinnamon twigs, 3 taels of white peony root, 3 taels of ginger, 2 taels of licorice, and 12 jujubes." After speaking, Chen Yuqiao raised her neck proudly and asked, "Is that right, Doctor Li?"
"Yes, it seems that you have really learned a lot recently." Li Jiagen smiled and praised. Chen Yuqiao used to have very little knowledge of traditional Chinese medicine, but now she is very good at memorizing the recipe of Guizhi Decoction. "I'm not too sure about the details.
Why is Guizhi Decoction called the best prescription in the world? Because I don’t know if there is any better prescription in the world. But this prescription from Zhang Zhongjing’s Treatise on Febrile Diseases and Miscellaneous Diseases is indeed very informative.
, it at least provides a good example for other prescriptions and a good way of thinking about medication for future generations.
Because this prescription is indeed worthy of the reputation of 'harmonizing Yin and Yang for external syndromes, and regulating yin and yang for internal syndromes'. This prescription uses cinnamon twig as the monarch medicine, cinnamon twigs are pungent and warm, and licorice is sweet, and the pungent and warm ingredients are combined with sweetness.
It can transform yang; white peony root is sour and cool, licorice is sweet, sour and sweet, and it can transform yin.
In addition, ginger belongs to yang and can help the yang of cinnamon twig, and jujube belongs to yin and can help the yin of white peony root.
It can transform both yang and yin, so this prescription can adjust yin and yang. The most important thing for human health is to maintain the balance of yin and yang, so the ability to adjust yin and yang is naturally extremely valuable.
Speaking of Heyingwei, this prescription not only uses the combination of cinnamon twigs and licorice to warm the blood vessels and unblock the heart and yang, but also the heart pumps the blood in all directions, directly to the capillaries, which can naturally strengthen the operation of blood gas and the immunity of the whole body.
In addition, jujube nourishes the spleen and stomach, replenishes qi and promotes body fluids, and can also coordinate nutrition and health. According to modern medical research, ginger can promote the secretion of digestive juices, protect the gastric mucosa, and has anti-ulcer, hepatoprotective, choleretic, and anti-inflammatory properties.
It has anti-inflammatory, antipyretic, antibacterial, analgesic, antiemetic and other effects. The alcohol extract it contains can stimulate the vasomotor center and respiratory center, and naturally also has the effect of strengthening nutrition and health.
So this prescription is indeed very powerful, and I can only understand it at this level. No matter how deep it is, I still can’t understand it." Li Jiagan smiled self-deprecatingly, "My level of understanding and application of traditional Chinese medicine is also very average."
The three of them digested in silence for a while. When Chen Yuqiaoxun saw that Zhou Zhengkai was also bowing his head to be taught, he rolled his eyes at Li Jiagen and mocked: "Okay, Doctor Li, don't be too humble. You are too modest."
It’s just pride. Who doesn’t know that you have always been a top student when you were in school, and now you can treat many difficult and complicated diseases? It’s meaningless to be humble anymore!”
Li Jiagan glared at Chen Yuqiao angrily: "You don't understand, I'm really not humble. I'm really far, far behind. Especially now, the more I learn, the more I feel that I'm still far behind. In medicine.
There is no limit to knowledge. You little girl, please be more humble. I also hope that you will become a leading doctor in our clinic in the future. Don't learn that one bottle is less than half the bottle. Treating people is no joke.
"
Chen Yuqiao glared at Li Jiagen and pouted, then finally gave up without saying anything.
Zhou Zhengkai secretly glanced at Chen Yuqiao and thought that the relationship between this beautiful and arrogant girl and the boss Li Jiagan was very strange. It seemed that they were always bickering and had a very close relationship. He didn't know what the specific relationship was.
He thought about asking Zhou Fangqin, but he also felt that it would be annoying if he had a long mouth when he first came here. He would learn more about it later.
As for Li Jiagan, Zhou Zhengkai really admired him through today's morning meeting.
Zhou Fangqin told him that Li Jiagen was very skilled in traditional Chinese medicine. He inquired about it when he was staying at the hotel last night and found that Li Jiagen was really famous in this town. This was the reason why he finally decided to stay.
Through this morning meeting today, Zhou Zhengkai discovered that Li Jiagan's theoretical knowledge base is also very solid. He can speak so succinctly about traditional Chinese medicine at his fingertips. This level is really extraordinary. Zhou Zhengkai has always considered himself a traditional Chinese medicine practitioner.
He has a good foundation of theoretical knowledge, but after secretly comparing with Li Jiagan today, he found that there is still a big gap between him and Li Jiagan. Well, he must learn from others seriously in the future and strive to become a capable doctor of traditional Chinese medicine as soon as possible.
!
Although this clinic is smaller, the atmosphere seems to be quite good, especially during the morning meeting, I really learned a lot.
Zhou Zhengkai decided to jump out because he felt that he couldn't learn anything at the private hospital in the city and had no future in medicine or economics. By chance, he became a netizen with Zhou Fangqin. He heard that there was a very good person here.
He is a great doctor of traditional Chinese medicine and has many opportunities to treat people in the clinic, so he came here.
Because this is just a clinic, Zhou Zhengkai, as an undergraduate, is not sure how long he will stay in this clinic. But now it seems that this clinic still has some potential for growth. Maybe he can stay here.
Can he stay longer? At least he can stay until he becomes a real Chinese medicine doctor who can treat people.
Zhou Zhengkai was thinking secretly.
As for Zhou Fangqin, he did have some thoughts at first, but last night Zhou Fangqin had already revealed in a chat with him that she was already talking about someone, so his budding thoughts about Zhou Zhengkai were gone.
But it stopped.
He himself is just a poor boy from out of town, and it is really difficult to find a local girl like Zhou Fangqin who is both talented and good-looking, so he has no such extravagant hopes.
Chapter completed!