Under, Chinese medicine flavin

Chapter 227 Those things about dysmenorrhea
Consulting room.

Flavin took off his down jacket, picked up his white coat from the hanger and put it on, taking the position of a doctor.

Put the pulse pillow on the table to prepare for the day's consultation.

That day Song stared at Huang Su, hesitated for a long time, and finally made up his mind and said, "Director, we have already considered what you told us yesterday."

"Oh, what do you think?"

Huang Su did not expect the two to think so quickly, and became curious about their decision.

That day Song recounted to Huang Su what he said to Director Bayin yesterday.

"Director, so, I want to go to the oncology department."

"Have you made up your mind?"

"Director, I've made up my mind!"

"Since you have made your choice, let me say a few more words. Don't think that after entering the oncology department, you will feel that you don't learn much, so you can relax your requirements. A good TCM oncologist must Be patient and study hard. Professor Sun, as you have seen, she has achieved what she is today because of 30 years of hard work. Lives are entrusted to you patients."

Huang Su was very surprised about Risong's choice. In fact, he was more optimistic about He Hui.

Because He Hui is more serious and more able to endure loneliness.

After listening to Huang Su's words, Na Risong lowered his head and meditated silently.

Just as Huang Su and Na Risong were talking, the corridor of the Chinese medicine clinic was already full of patients waiting for medical treatment.

Headed by two young girls, at first glance, they are college students who have gone home for winter vacation.

"Linlin, how are you feeling now?"

A girl in a red down jacket had a worried look on her face, and asked about Linlin's situation with concern.

At this moment, Linlin covered her stomach with her hands, her face was very painful, her forehead was covered with fine beads of sweat, she just shook her head weakly.

The girl in the red down jacket continued to worry and asked, "Linlin, haven't you taken the medicine that the doctor prescribed for you?"

Linlin endured the pain and gave the girl in red a white look, as if thinking of something, her face couldn't help but turn red.

"Jiajia, you have to be embarrassed to say that when I took out the medicine when I had a stomachache, my mother saw it and thought I had learned badly."

"Didn't you explain to your mother that birth control pills are used to relieve dysmenorrhea?"

When talking, Jiajia had a wicked smile on her face, and she could imagine the embarrassment when her good friend was caught by her mother.

"I explained that my mother won't let me eat any more. She said that eating too much will affect future fertility, so she came to see a doctor. I really can't stand the pain. Will you come with me today?"

Linlin said, her eyes turned to the closed door of the Department of Traditional Chinese Medicine.

Ibuprofen only entered the Chinese market in [-], and it has not been fully rolled out in [-]. Western medicine still mainly uses contraceptives and prostate inhibitors to treat dysmenorrhea.

Of course, women who have dysmenorrhea should try not to take ibuprofen. It just acts as an analgesic, paralyzing nerves so that the brain cannot feel pain, but the physical symptoms that cause pain are still there.

"Who is Zhang Lin, come in!"

The time for consultation came, and Huang Su, as usual, let Nisong go out and call the patient in.

"I am Zhang Lin!"

Zhang Lin covered her stomach with one hand and raised her right hand against the pain.

That Risong glanced at Zhang Lin's distressed appearance, and said to Jiajia, "Come in with your friend with me."

Jiajia helped Zhang Lin sit opposite Huang Su.

The two young female college students felt shy when they saw Huang Su, who was young, clean and handsome.

It's really embarrassing and shy to talk to such a young male doctor about his private affairs.

Jiajia leaned closer to Zhang Lin's ear and said, "Linlin, didn't your mother say that Director Huang's medical skills in the Department of Traditional Chinese Medicine are not very good. He can even treat tumors. How can he be so young? Could it be that we registered the wrong number?"

When Zhang Lin couldn't speak, Jiajia asked tentatively, "Are you Dr. Huang?"

"I'm Doctor Huang."

When she knew that the young doctor in front of her was really Dr. Huang from her mother's mouth, Zhang Lin lowered her head shyly and sat there silently without speaking.

We all know the truth that we can't avoid diseases and avoid doctors, but when it comes to private diseases, there are really no estimates of how many people there are.

Seeing her friend's twisted look, Jiajia said for her friend: "Doctor Huang, Linlin starts to feel pain every two or three days. Once in our university dormitory, she fainted with pain, and she was sent to the hospital for emergency treatment. , the hospital prescribed birth control pills to Linlin to treat dysmenorrhea. After taking the birth control pill, although she still has dysmenorrhea, the pain is not as severe as before."

The principle of contraceptives to treat dysmenorrhea is to inhibit estrogen in the body. As for whether it will affect fertility in the future, Western medicine has professional words, which are called adverse reactions after taking the drug.

Knowing the patient's basic condition, Huang Su looked at He Hui and said, "This patient with dysmenorrhea is up to you to consult."

Seeing Huang Su move away, Jiajia questioned: "Doctor Huang, shouldn't I show you Linlin's?"

"Don't worry, dysmenorrhea is not a big problem, and it's the same for Doctor He's consultation." Huang Su looked at Zhang Lin and continued to explain: "Besides, your friend is too nervous and shy when facing a male doctor's consultation, so it's not a good idea. It is beneficial for Chinese medicine to diagnose the pulse.”

"Tell me, how did you feel when you had your period?"

After such a long period of training, He Hui is no longer nervous at the time of the first consultation, and can now ask the patient's condition very naturally.

Sure enough, when Zhang Lin saw that the doctor was replaced by He Hui, she was not so shy and nervous, but when answering the question, she still couldn't help but glance at Huang Su.

Seeing this, Huang Su also cooperated and turned his head to reduce Zhang Lin's nervousness.

Zhang Lin covered her stomach and said weakly, "Doctor, every time I have an incident, I feel my lower abdomen is very cold, and I feel like it is falling down after taking it. Take it easy."

The pain described by Zhang Lin has a professional term in traditional Chinese medicine, called cold pain.

Cold pain refers to local pain, accompanied by a feeling of chills and chills, which is caused by cold pathogens blocking the collaterals, which belongs to the evidence; deficiency of yang qi, caused by the loss of zang-fu organs and limbs, is a deficiency syndrome.

Women with dysmenorrhea can actually identify their symptoms of dysmenorrhea based on the feeling of pain.

Distending pain or tingling pain is mostly dysmenorrhea of ​​qi stagnation and blood stasis type; cold pain is mostly dysmenorrhea of ​​yang deficiency and internal cold type and cold-damp stagnation type; burning pain is mostly damp-heat internal resistance type dysmenorrhea, and dull pain is mostly qi and blood Double-deficiency dysmenorrhea.

He Hui continued to ask: "Usually, do you feel particularly cold when you touch your stomach?"

Zhang Lin thought for a while and said, "Doctor He, I really never paid attention to what you said."

"You young girls, how can you be so careless about your own body, you should pay more attention to things like this in the future." He Hui reminded her with a bit of complaint in her tone, then looked at Jiajia and said, "Hold your friend, Lie down on the hospital bed and I'll check it out."

After several opposing consultations, He Hui now speaks more and more like a doctor.

Zhang Lin lay down on the bed with Jiajia's help.

He Hui picked up Zhang Lin's clothes, exposed her abdomen and handed Zhang Lin's abdomen, feeling the tentacles were cold, without any body temperature.

"Okay, get up!"

He Hui put down Zhang Lin's clothes and sat back to her seat.

Touching and checking the temperature of the abdomen is the easiest way to judge whether the patient is suffering from dysmenorrhea with cold syndrome. If the abdomen is cold and has no temperature, it means that you have palace cold.

Of course, this examination method can also be used to check the constitution of Yang deficiency.

"Hand out, let me check the pulse?"

Zhang Lin gently placed her hand on the pulse diagnosis, and He Hui placed her three fingers on Zhang Lin's wrist, and she felt that Zhang Lin's pulse was empty.

For a while, the consultation room suddenly became silent, except for the ticking of the second hand of the clock on the wall.

More than ten minutes later, after examining the pulse of both hands, He Hui exhaled a long breath.

It is still a little difficult for this kind of complicated He Hui, so it takes more time and effort to diagnose the pulse.

Retracting her hand, He Hui continued to ask: "When the menstrual period comes, is the menstrual blood deep or light, and is there any blood clot?"

Zhang Lin pondered for a while and said, "The color of menstrual blood is a little lighter than normal blood, and occasionally there will be a small amount of blood clots."

He Hui continued to ask, "Did you feel pain in your lower back and abdomen when your period came?"

Zhang Lin didn't speak, just nodded silently.

He Hui thought for a while, and then continued to ask: "Do you feel dizzy, tired, or have loose stools?"

Hearing He Hui's question, Zhang Lin's eyes suddenly lit up and she nodded quickly.

Jiajia next to him also looked at He Hui with amazed eyes, and asked curiously, "Doctor He, you are so powerful, you can know Linlin's condition just by feeling the pulse. You know that Linlin only needs to drink some cold drinks or eat something. Fruits cause stomach upsets, and we take a lot of gut-improving drugs to no avail.”

"It's nothing, the patient's physical problems can be shown in the pulse." He Hui explained in a very plain tone, and continued: "Put out your tongue, and I'll take a look at the tongue coating."

Zhang Lin opened her mouth and stuck out her tongue.

He Hui carefully observed Zhang Lin's pale face, which was not only painful, but also looked at her tongue. The tongue was slightly pale, and the tongue coating was thick and moist.

After seeing the conclusion of He Hui's fourth consultation, Huang Su stepped forward and asked, "Tell me about the patient's condition!"

"The patient will feel cold and stagnant cold pain in the abdomen two or three days before the onset of the menstrual period, and the pain is even more unbearable when the menstrual period arrives. In addition, the patient likes warmth and massage, the menstrual blood is pale, the waist and abdomen are sore, and the stool is loose and watery. Dizziness and fatigue, combined with the patient's weak pulse, slow and weak left chi, thin and weak right chi, pale tongue, white and thick tongue coating, the patient is dysmenorrhea due to liver and kidney yang deficiency and internal cold, I am going to use Da Wenjing Decoction to warm Dispel the cold."

Qi stagnation and blood stasis, yang deficiency and internal cold, cold-damp stagnation, qi and blood deficiency, and damp-heat internal resistance are five common types of dysmenorrhea, as well as dysmenorrhea that is not typical of liver stagnation and qi stagnation.

Qi stagnation and blood stasis are mainly manifested as abdominal distention or tingling pain during menstruation, menstrual blood clots are numerous and large, ecchymosis will appear on the tongue, and sublingual collaterals are swollen. For dysmenorrhea due to qi stagnation and blood stasis, you can take Gexia Zhuyu Decoction to regulate qi. Line stagnation, blood stasis and pain relief.

The symptoms of yang deficiency and internal cold syndrome are: cold abdominal pain, liking warmth and pressing, and light color of menstrual blood. Modified and subtracted Wenjing Decoction can be used to warm the meridian, nourish the yang, and warm the palace to relieve pain.

The symptoms of cold-dampness stagnation include cold pain in the abdomen, refusal to press the temperature, pale menstrual blood with blood clots, and ecchymosis on the tongue coating. Modified Shaofu Zhuyu Decoction can be used to warm the meridians, dispel cold, remove blood stasis and relieve pain.

Yang deficiency and internal cold and cold-damp stagnation belong to the dysmenorrhea of ​​the palace cold type, and it is often difficult for patients to distinguish them by themselves.

Female friends remember, first of all, see if you will press your stomach when you have dysmenorrhea. Those who like to press on the stomach are those with yang deficiency and inner cold, and those who don’t like pressing on the stomach are those with cold-dampness stagnation.The second is to see if there are blood clots in the menstrual blood. Most of the blood clots are of the cold-damp stagnation type.Finally, look at the tongue coating. If there is ecchymosis on the edge of the tongue, it is the cold-damp stagnation type.

Symptoms of qi and blood deficiency include abdominal pain in the late period, less menstrual flow, and short menstrual period.Siwu Decoction and Shengyu Decoction can be applied to nourish qi and nourish blood, regulate menstruation and relieve pain.

The symptoms of damp-heat internal resistance are abdominal distension and pain, nausea and vomiting during menstruation, dark red color of menstrual blood, blood clots and a large amount of secretions, which are more common in obese people. Direzhuyu decoction can be used to clear heat and remove dampness. , Removing blood stasis and relieving pain.

Let’s talk about the recently popular Shidunzi treatment of dysmenorrhea.

Shidunzi is not suitable for all dysmenorrhea, it is only suitable for dysmenorrhea of ​​the palace cold type.

The principle of Shidunzi is actually very simple. It is the treatment of hot ironing in traditional Chinese medicine. The Changqiang acupoint and Huizhi under the body are treated with heat. Changqiang acupoint is responsible for the circulation of qi and blood. The important acupoints of Sanqi, hot ironing can help the sun to warm the palace.

Therefore, Shidunzi is only suitable for dysmenorrhea of ​​yang deficiency and internal cold type and cold-damp stagnation type. Of course, it also has a certain relieving effect on dysmenorrhea due to qi stagnation and blood stasis.

If it is the damp-heat internal resistance type, the pain may be relieved in a short time, but if it is done for a long time, the damp-heat in the body will be aggravated, and the dysmenorrhea will be more serious.

However, what really made me smile is that Shidunzi treats dysmenorrhea, and Chinese medicine has not come out to explain what it is to treat dysmenorrhea.

A group of Western medicine doctors and Western medicine bloggers can't wait to come out to refute the rumor, saying that Shidunzi's treatment of dysmenorrhea is just an accidental phenomenon.

What's more, they even said that stone piers can cause bacterial infection. If they said these words, all the rest seats of the female compatriots in outdoor public facilities could not sit.

When the female compatriots were making the chairs in the park, why didn't you come out and ask that the bacteria would be infected, but Shi Dunzi cured a female compatriot's dysmenorrhea. What to be afraid of.

After the Shidunzi incident came out, a certain medical science popularized their methods for treating dysmenorrhea. Are you not afraid that female compatriots will take the contraceptives and prostate inhibitors you prescribed and cause infertility?
These Western and Chinese medicine blacks and anti-Chinese medicine have lost their humanity.

By the way, it was these dehumanized people who suggested that Chinese women eat cold drinks and ice water when they have dysmenorrhea.

Huang Su walked to He Hui's side and lightly tapped on the pulse pillow with his hand: "Stretch out your hand, I will diagnose the pulse."

Zhang Lin put her hand on the pulse pillow again, put her three fingers on her wrist, and let go of her hand after about 2 minutes.

"Prescribe it according to your method!"

何慧点了点头，拿过处方单写道：当归10g、川芎6g、白芍10g、吴茱萸5g、桂枝6g、党参10g、干姜12g、酒桃仁6g、丹皮10g、制附片6g、炙甘草6g。

"Director, here it is!"

After Huang Su took He Hui's prescription to check that it was correct, he took out a pen and signed his name on the prescription.

Looking at Zhang Lin's unbearable pain, Huang Su handed the prescription to He Hui and instructed: "He Hui, take the patient to do a moxibustion."

"I see." He Hui took the prescription from Huang Su and said, "Follow me, and I will give you a moxibustion treatment, which can greatly relieve your dysmenorrhea."

Watching He Hui leave with Zhang Lin and Jiajia.

Huang Suxin: We must hurry up the recruitment of acupuncture doctors, we must really enrich the traditional Chinese medicine department, and we must establish acupuncture and moxibustion physiotherapy rooms.

He Hui took the two to grab the medicine, holding moxa sticks and aconite cake in her hands.

Aconite cake is one of the main media of moxibustion, and it is mostly used for moxibustion in Huiyang Nuan Palace.

He Hui took the two to the new building to find a vacant ward.

"Lie down on the hospital bed and leak your belly button."

Zhang Lin unzipped the down jacket, lifted up the sweater, exposed her navel, and lay quietly on the bed.

He Hui put the aconite cake on Zhang Lin's navel, ignited the conical moi pillar, and placed it on the aconite cake.

Looking at the rising Ai Yan, Jiajia sat beside the bed and asked, "Linlin, how do you feel?"

Zhang Lin said, "I feel my stomach is hot, and it's not that uncomfortable anymore."

Just like that, Jiajia sat beside the hospital bed with her hands resting on her chin, staring straight at the gently rising moxa smoke.

When Ai Zhu was on fire, Zhang Lin suddenly grabbed Ma Jiajia's hand and said, "Jiajia, my stomach doesn't hurt anymore."

Then, he looked up at He Huidao, who was standing on the side: "Doctor He, this is amazing too."

Looking at her two pairs of eyes looking for knowledge, He Hui hugged her shoulders and said, "Moxibustion has the effect of warming the palace, and it has a very good effect on your dysmenorrhea due to cold in the palace."

Zhang Lin asked, "Doctor He, can I do this moxibustion myself at home?"

He Hui said: "Of course, as long as you moxibustion for half an hour every day, it can greatly relieve your dysmenorrhea."

Zhang Lin remembered the unpleasantness of Chinese medicine, and then asked regularly: "Dr. He, since moxibustion has such a good effect on dysmenorrhea, do I not need to drink Chinese medicine."

"How can it be done? Moxibustion is a temporary relief. If you want to never suffer from dysmenorrhea in the future, you must insist on drinking traditional Chinese medicine to condition your body."

With the burning of the Ai Zhu, He Hui picked up the aconite cake, and saw that Zhang Lin's navel had already formed a large circle of sweat.

After He Hui cleaned up her things, she asked, "How is the effect after moxibustion?"

Zhang Lin sat up, tidied up her clothes, stroked her stomach and said, "It doesn't hurt at all now. Doctor He, can you prescribe some of this moxibustion for me? I can do it myself when I get home."

"can!"

He Hui picked up the prescription and wrote down the number of moxa sticks and aconite cakes, and handed it to Zhang Lin to remind her: "After returning home, don't forget to drink Chinese medicine for moxibustion. The two complement each other and the effect will be better."

"Thank you, Doctor He!"

Zhang Lin took the prescription and looked at the arm of her good friend Jia Jia, and the two walked out of the ward happily.

(End of this chapter)