Under, Chinese medicine flavin

Chapter 234 The Liver Not Only Has Liver Fire but Also Liver Cold
Cao Shuang gently placed his right hand on the pulse pillow.

He Hui's three fingers gently rested on Cao Shuang's pulse, but could not feel any pulse. The three fingers pressed hard and touched the pulse on the wrist bone. The pulse was as thin as a silk thread and weak.

He Hui thought to himself: Sure enough, it is not the anger that invades the stomach and the liver qi that invades the stomach.

Although anger invading the stomach and liver-qi invading the stomach all have symptoms of epigastric fullness and pain, loss of appetite, hiccups, belching, and acid reflux, heartburn, but the pulses of anger-invading the stomach are mostly based on the string and number of pulses, while the liver-qi invading the stomach is more Mainly pulse string.

Confirming her final judgment, He Hui let out a breath of turbid air and said, "Put out your tongue, and I'll take a look at the tongue coating."

Cao Shuang stuck out his tongue, only to see that the tongue was lavender, and the tongue coating was white, thick and moist, especially in the tongue.

After tongue diagnosis and pulse diagnosis, He Hui continued to ask, "Are you often afraid of cold?"

"Afraid of the cold, I am the most afraid of the cold in our family!"

After hearing the definite answer in Cao Shuang's mouth, He Hui's face relaxed.

The tongue is lilac, and the tongue coating is thick and moist, which is the manifestation of damp-cold resistance, especially the thick white coating on the tongue, indicating that the cold evil is in the stomach.

The Shen thin pulse here is not the evidence of blood deficiency and yin deficiency.

The pulse is not yin deficiency or blood deficiency, but it is a sign of insufficient qi and blood, and yang qi is weakening. Such people are cold in nature, often manifested as aversion to cold, cold limbs, spontaneous sweating, pale complexion, etc., and are prone to stomach problems. Cold, irregular menstruation, infertility due to cold uterus, and chilblains are easy to occur in winter.

The fine and deep pulse is a kind of compound pulse, also known as the phase and the pulse.The so-called thin pulse refers to the patient's pulse as thin as a line, lack of qi and blood, deficiency of yin and blood, insufficient pulse and channel, deficiency of qi, and weak blood flow.Shen pulse means that when the doctor diagnoses the patient's pulse, it is difficult to sense the pulse when gently pressing, and the patient's pulse can only be touched by pressing down hard.A deep pulse indicates the main syndrome of the inner, and the inner syndrome can be divided into the deficiency and the solid. If the patient has a thin and heavy pulse, it usually indicates that the patient has a deficiency of the qi and blood. Due to the lack of qi and blood, the yang qi is weakened, and the nourishing qi cannot be operated outside the pulse. Therefore, the position of the pulse is relatively low, forming the Shen pulse.

In TCM clinical practice, many patients have symptoms of insufficient qi and blood, and they can all have a fine and deep pulse in the pulse diagnosis.Therefore, fine pulse not only corresponds to a certain disease, but also corresponds to the deficiency of Qi and blood in many diseases.

After clarifying Cao Shuang's symptoms, He Hui continued to ask: "When you have a stomachache, you may experience chills and pains in your ribs, heart and back."

Seeing that the female doctor in front of him was right about his symptoms, Cao Shuang was squeezed by his fat as if his eyes were widened, and he nodded quickly.

Seeing Cao Shuang nodding, He Hui felt more confident. Because the patient had similar symptoms, she and Huang Su had been diagnosed and treated.

He Hui asked confidently, "Can you be easily frightened?"

Cao Shuang looked at He Hui in disbelief and said, "Doctor, how do you know, I've always been timid, and it's easy to be scared when someone gently pats me on the back."

He Hui looked at Huang Su and described Cao Shuang's condition: "The patient has a thin pulse, a purple tongue, and a thick white tongue coating, which are caused by disharmony between the liver and spleen, internal resistance of cold and dampness, and obstruction of yang qi. , Dissolving dampness and activating yang.”

The patient is due to deficiency of liver-yang, which is caused by disharmony between the liver and spleen, and cold in the stomach, which is basically in the liver-cold syndrome.

In traditional Chinese medicine, the most commonly heard is liver fire. Many people have never heard of liver cold. However, according to the eight principles of syndrome differentiation, if there is yang, there must be yin, if there is fire, there must be cold, and if there is liver fire, there must be liver cold.

Due to the different causes of liver cold, the symptoms of patients will also vary to some extent.If the liver cold is caused by the invasion of cold pathogens and stagnation of the liver meridian, the patient may have symptoms such as cold limbs, epigastric spasm pain, rib pain on both sides, and headache. Some patients may have reproductive and urinary system abnormalities.A small number of patients will have symptoms of liver cold due to insufficient liver yang, mainly manifested as abnormal mood, neurasthenia, and weak pulse.

Liver cold can be mainly divided into two types, one is the entry of cold pathogens into the liver, and the other is the deficiency of liver yang.

Cold pathogens invade and stagnate the liver meridian, and liver cold may pass from the feet through the lower legs and inner thighs, then reach the reproductive system and lower abdomen, and then branch to the top of the head. Side rib pain and headache.Such patients can warm the liver and expel liver cold through traditional Chinese medicines such as Evodia and ginger after the doctor differentiates and treats them.In addition, the liver's dredging function is hindered when cold, and the blood is not smooth. Male patients may experience testicular bulging or vaginal contraction and dull pain, and may even experience symptoms such as hernia, while female patients may experience irregular menstruation and dysmenorrhea. and other symptoms.This can be treated by doctors using acupuncture and moxibustion. Acupuncture at Zusanli, Guanyuan and other acupoints can dredge the qi of the liver meridian and regulate the qi and blood of the liver;

Deficiency of Liver-Yang, Condensation of Liver-Qi, Insufficiency of Liver-Yang can lead to Congestion of Liver-Qi, and patients may experience abnormal mood, such as depression, depression, timidity, etc., and sometimes neurasthenia, insomnia and dreaminess, which may be accompanied by weak pulse, weakness and other symptoms .Such patients can take Danggui Sini Decoction under the guidance of a doctor to treat blood deficiency. After the liver meridian is unblocked, qi and blood will gradually flourish, which can relieve such symptoms.

For a doctor with rich clinical experience like flavin, in general diseases, as long as the symptoms of the tongue are observed and the symptoms are heard, the patient's symptoms can basically be determined.

Knowing that what He Hui said was correct, Huang Su said, "How are you going to treat it?"

He Hui replied respectfully: "Director, I am going to use Angelica Sini soup, Erchen soup, and Liangfu soup to treat it."

Hearing He Hui's treatment plan, Huang Su nodded approvingly.

见到黄素的同意，何慧拿过处方安心地写道：柴胡10g、白芍15g、枳实10g、半夏10g、香附10g、高良姜10g、青皮10g、陈皮10g、茯苓10g、当归10g、附子6g、炙甘草6g。

Now He Hui Kaifang does not have the urge to prescribe it for the first time. Writing the recipe is smooth and smooth, and signing her own name is done in one go.

After Huang Su's confirmation, He Hui handed the prescription to Cao Shuang and carefully instructed: "This party will drink seven servings first, and then come to review, and then come to review, if I don't go to the clinic, you can ask Director Huang, Huang I was there when the director was in the clinic."

As a first-time doctor, He Hui, like all rookie doctors, is very patient with patients. She is afraid that the patient will not understand, so she repeats it again until she sees the patient leave.

In this way, under the escort of Huang Su, He Hui spent the morning without any danger.

After all, common diseases still account for the majority, where can there be so many intractable diseases.

After sending off the last patient in the morning, before the two of them could speak, Nisong rushed in and asked, "How is it, how is it, is the consultation going well for the past half-day?"

He Hui glared at the frizzy Risong and said, "With the director on the side, what's wrong with you."

Na Risong continued to ask, "How does it feel to sit in the clinic?"

He Hui said jokingly: "I won't tell you, you will find out when you go to the clinic yourself."

Seeing the young couple looking like you and me, Huang Su said: "Okay, don't make trouble, hurry up and go to lunch, and we will continue to take the clinic in the afternoon."

Huang Su got up and walked to the hanger, picked up his down jacket, and after changing his clothes, he went to the obstetrics and gynecology clinic to find Yan Bing.

　I've been at the exhibition venue this weekend. It's already seven o'clock today. I'll start with [-] words. I owe you [-] words. I will try to replace it next week.

　　
　
(End of this chapter)