Under, Chinese medicine flavin

Chapter 256 Common diseases of grassland

After staying at Menggen's house for three days, Huang Su and his party set foot on the road north to the grassland again.

Time flies fast, and it has been almost ten days since Huang Su went deep into the grassland.

Because the city hospital is in the stage of rating and inspection, it is not easy to dispatch doctors to visit, which is inconvenient for the work of the expert inspection team.

In the end, the first round of outpatient visits originally planned for ten days was also extended to 20 days, basically equivalent to Huang Su's medical team completing this year's spring prairie outpatient visits independently.

The yurt where Huang Su lives now is also the last stop of this visit.

Due to the extension of time, Huang Su's current location has almost reached the northernmost part of Prairie City, and a hundred miles ahead is the territory of Russia.

After Huang Su had breakfast, he lifted the curtain and walked out of the yurt. There were already more than a dozen herdsmen sitting in their carriages waiting to see a doctor.

All the way north, under the word of mouth of herdsmen, Huang Su's medical skills also followed him all the way north.spread all over the grasslands of the north.

Recently, wherever Huang Su went, herdsmen came to the place where Huang Su lived early to wait.

The owner of the yurt, where Huang Su borrowed, used the main tent as a place for Huang Su to see a doctor to herdsmen to show his attention and respect to Huang Su.

Seeing Huang Su coming out, all the waiting herdsmen showed friendly smiles at Huang Su.

"Li Yan, go and call the first patient in."

After Huang Su told Li Yan, he turned around and walked into the tent for a day's consultation.

Not long after, Li Yan walked into the tent with a middle-aged herdsman and a young herdsman.

The two sat down, and Huang Su asked, "Which one of you is a patient, and where is your body uncomfortable?"

The young herdsman said first: "Dr. Huang, my father has been suffering from rheumatoid arthritis for more than three years. We have gone to many large hospitals. I wonder if we can treat this disease with traditional Chinese medicine?"

Traditional Chinese medicine for the treatment of rheumatoid arthritis is the most commonly used medicinal material for flavin inspections.

If a weak spleen and stomach is an urban disease, then rheumatoid arthritis is a grassland disease.

The herdsmen tend to herd sheep and walk back and forth for more than ten kilometers every day, which is the purpose of exercising, and maintains enough exercise every day.

Herdsmen need to go to bed early and get up early to keep a good work and rest time.

Living in the environment of grassland, blue sky, white clouds and vast grassland makes you feel open-minded and cheerful.

Therefore, the herdsmen hardly suffer from physical weakness, mental illness, etc., which are common diseases in cities.

However, the grasslands are windy and cold all the year round, and the herdsmen have been eroded by wind and cold evils for many years. Almost all herdsmen suffer from rheumatoid arthritis.

Huang Su said directly: "Come on! Extend your hand and let me see it."

The middle-aged man stretched out his hands, his rough and cracked palms, and his ten-digit joints were swollen to varying degrees. The good news is that the patient's ten fingers have not been deformed due to rheumatoid arthritis.

Huang Su reached out and gently pinched the patient's joint: "Does it hurt!"

The middle-aged man reluctantly took a breath of cold air and nodded.

Flavin put down the patient's hand and continued to ask, "Is there any joint swelling in the toe joints and knees?"

Swelling of the joints is the most common symptom of rheumatoid arthritis. The severe rheumatism can even lead to deformed fingers, which will not only endanger people's health, but also greatly affect the patient's work and life.

The middle-aged man said: "Doctor, my toes and knees are obviously swollen. Every day these joints are painful to the bone, especially in rainy days and winters, the pain is even worse, and basically I can't do any work. It's almost paralyzed in bed, especially in winter."

When the middle-aged man speaks, his nasal voice is very heavy, and he feels that his nose is blocked.

Huang Su squatted beside the old man: "Take off your shoes, roll up your pants, let me see!"

The young man squatted down to take off his father's shoes and socks. It was May, and it was already the season of warmer temperatures in Prairie City.

However, the middle-aged man was still wearing thick cotton shoes in winter. His two feet, the joint of the big toe had obvious bulges, and the other toes appeared red and swollen like frostbite.

Because the patient was still wearing cotton trousers, the young man struggled to push the patient's trousers over his knees, and the knees were swollen and swollen like steamed buns.

Huang Su reached out and stroked the patient's knee, only to see that the knee was cold and had no body temperature.

"Put the patient's shoes on." Huang Su got up and sat back to his seat.

The young man straightened his father's trouser legs, put on shoes and socks, and returned to the patient's side.

"Doctor, is my father's rheumatism still treatable?"

"The patient's rheumatism is not serious."

Hearing Huang Su's words, the father and son looked at each other with happy smiles on their faces.

For rheumatoid arthritis, patients with slightly swollen joints can be completely cured under the treatment of TCM syndrome differentiation.

"Put out your hand, I'll take a pulse first!"

The middle-aged man slowly placed his hand on the pulse pillow, and the three fingers of Flavin were placed on the patient's wrist.

Li Yan, who was sitting on the side, also consciously picked up the patient's other arm to check the pulse.

After this tour, Huang Su and Li Yan received the most patients with rheumatoid arthritis.

There are so many cases for Li Yan to practice her pulse, and she also has a preliminary grasp of the pulse of rheumatoid arthritis and cold-damp syndrome.

Three or four minutes later, Li Yan looked at Huang Su with a frown, and said with some uncertainty, "Doctor Huang, why is the patient slipping?"

Li Yan's talent for learning Chinese medicine makes Huang Sudu feel ashamed, and the phenomenon that is handed to her, as long as the actual diagnosis is made a few times, the next time, basically, the pulse pattern that has been learned can be diagnosed almost exactly. Li Yan is in Chinese medicine. The talent has completely shocked Huang Su.

After this tour, Li Yan has basically mastered the floating, sinking, slow, several, stringed, and slippery pulses.

Huang Su explained: "The body has been ill for three years, the extreme cold produces heat, and the cold produces virtual fire inside. The pulse that was originally cold and damp has turned into a phlegm and slippery pulse."

Because of their rheumatoid arthritis, grassland herdsmen are caused by the invasion of wind and cold pathogens, and they are basically wind-arthritis and cold-arthritis.

In Chinese medicine theory, rheumatoid arthritis is called Bi syndrome.

Rheumatic Arthritis is a general term for a disease caused by evil qi blocking the meridians of the body or internal organs. "Bi" means blocking obstruction, and usually refers to the three evil qi of wind, cold and dampness, which invade the meridians and joints of the muscle surface, and cause joint or muscle pain, swelling and stress.Therefore, traditional Chinese medicine divides rheumatoid arthritis into four types: Wind Arthritis, Cold Arthritis, Damp Arthritis and Heat Arthritis.

"The Yellow Emperor's Classic of Internal Medicine, Su Wen" says: Wind, cold, and dampness are mixed together, and they become paralysis.If the wind is superior, it is called Xingbi, if the cold is superior, it is called Tongbi, and if the damp is superior, it is called Zhibi.

That is to say, the Yellow Emperor's Internal Classic believes that the occurrence of Bi syndrome is related to the human body's perception of wind, cold and dampness.

The Synopsis of the Golden Chamber has detailed classification and treatment prescriptions for Bi syndrome.

"Jinkui Yaolue: Convulsion and Wetness": "The patient is suffering from pain all over the body, fever, and the drama of the sun is called rheumatism. This disease is caused by sweating as wind, or prolonged injury and cold. Can ephedra, almond, coix and licorice soup.”

It refers to damp arthralgia, which clinically manifests as limb joints, muscle soreness, weight, pain, unfavorable joint movement, numbness, or swelling of the skin, and heavy hand and foot sleepiness; pale tongue, white greasy coating, and slow pulse.

The pathogenesis is dampness and wind-cold, retention of meridians, obstruction of qi and blood.The treatment method is to remove dampness and clear the collaterals, dispel wind and dispel cold.

People who work in a humid environment are most likely to get wet numbness, such as the rubbing masters of the baths in the northern regions.

"For those with rheumatism, heavy pulse, sweating and aversion to wind, Fangji Huangqi Decoction is used."

This is wind arthralgia. The clinical manifestations are pain in the limbs, joints and muscles, unfavorable flexion and extension, and can involve multiple joints. The pain is migratory, and symptoms such as aversion to wind and fever can be seen at the beginning; the tongue is pale, and the coating is thin and white or greasy. , the pulse is floating or floating.

The pathogenesis is wind and cold-dampness, retention of meridians, obstruction of qi and blood.The treatment method is to dispel wind and clear the collaterals, dispel cold and remove dampness.

"When rheumatism fights with each other, the joints are sore and irritated, and the joints cannot be bent or stretched, the pain is severe when approached, the sweat is short of breath, the urination is difficult, the aversion to wind does not want to remove the clothes, or the body is slightly swollen, the Gancao Fuzi Decoction is used."

This is cold arthralgia. Clinically, the pain in the limbs and joints is manifested as severe pain, fixed pain, unfavorable flexion and extension of joints, local skin or a feeling of coldness, severe pain when cold, and pain relief due to heat; pale mouth and no thirst, Aversion to wind and cold; pale tongue, thin white fur, tight pulse.

The pathogenesis is cold and rheumatism, retention of meridians, obstruction of qi and blood.The treatment method is to warm the meridians and dispel cold, expel wind and remove dampness.

Like the cold areas of the three northeastern provinces, rheumatoid arthritis is mostly dominated by cold paralysis.

However, due to the special nature of grasslands, rheumatoid arthritis of grassland herdsmen often has symptoms of both wind and cold.

As for heat arthralgia, clinically, pain in the limbs and joints is manifested as unfavorable activities, local burning, redness and swelling, and relief when cold, subcutaneous nodules or erythema, and more often combined with fever, aversion to wind, sweating, thirst, irritability, Yellow urine, dry stool; red tongue, yellow greasy or yellow dry coating, slippery or floating pulse.

The pathogenesis is rheumatism and heat stagnation of the meridians, and the qi and blood are blocked.The treatment method is to clear away heat and dredge collaterals, dispel wind and remove dampness.Treatment can use Baihu Decoction and Guizhi Decoction.

As for how a certain doctor treats rheumatoid arthritis, they use their omnipotent antibiotics and hormone drugs regardless of the type of syndrome. The commonly used drugs are penicillin, erythromycin, prednisone, and dexamethasone.

It is no wonder that a simple and rude treatment method can treat a rheumatism into the fifth most incurable disease.

Flavin let go of his hand: "Put out your tongue, I'll take a look at the tongue coating."

The middle-aged man sticks out his tongue.

Huang Su pointed to the patient's tongue and explained to Li Yan: "The tongue quality of normal wind arthralgia syndrome and cold arthralgia syndrome are pale, you can see that the patient's tongue is slightly red, and the tongue coating is still white and thin, but has not changed. Yellow moss, this is the manifestation of virtual fire, which just corresponds to the patient's Huamai."

Li Yan stared at the patient's tongue and kept nodding.

Looking at Li Yan's serious look, Huang Su said: "These things, with your rich clinical experience in the future, you can also easily identify them."

After the middle-aged man put away his tongue, Huang Suyou continued to ask: "Apart from the pain in the knuckles, foot joints, and knees, do you have any pain all over your body?"

The middle-aged man said: "When the pain intensifies in winter and rainy days, pain will appear all over the body."

After the description of the patient, flavin can confirm that the patient has both wind arthralgia and cold arthralgia.

The most effective way to judge rheumatoid arthritis is to identify the patient's physical pain.

Even if you don't understand the pulse and tongue, the patient's own pain will not deceive yourself.

At this time, Young also interjected and asked, "Doctor, how should my dad's rheumatoid arthritis be treated?"

"I prescribe a prescription for the patient to invigorate Qi and consolidate the root, harmonize Yingwei, and dispel dampness and heat."

黄素一边说，一边在处方写道：生黄芪10g、白术10g、防风8g、桂枝8g、白芍10g、知母8g、防己10g、桑枝15g、炙甘草10g、木瓜8g、薏米仁15g、生姜3g、大枣五枚。

The cause of the patient is that he has been grazing outside for a long time, and has been attacked by wind-cold-damp for a long time, which causes rheumatism to flow into the muscles and joints, and the blood flow is not smooth, so the joints are swollen and painful.

Huangsu Zhang Zhongjing's Guizhi Shaoyao Zhimu Decoction treats it, because the patient's cold is extremely hot and there is a deficiency of fire, so the acrid and dryness of ephedra and aconite are removed, and astragalus is added to tonify qi and generate blood. Qi Chong is powerful to drive out evil spirits.

Cinnamon twig, peony, licorice, and Atractylodes harmonize ying and wei, replenish the essence of the five internal organs, prevent wind, and ginger to relieve wind and go out.

Mulberry branches, papaya, Fangji can relieve pain, Atractylodes and Yiren can replenish soil and remove dampness, Anemarrhena diuresis and swelling, nourishing yin and clearing heat, ginger, licorice, jujube and stomach are adjusted, only in this way can rheumatism be eliminated, deficiency and heat can be eliminated , yin and blood, the disease will heal itself.

The most ingenious aspect of flavin medicine is to add or subtract several medicines, one side becomes three sides, and the three syndromes of wind, cold and dampness can be taken into account.

Huang Su said to the young man: "I don't have enough Chinese medicine here. You can take this medicine yourself and drink it for half a month. After half a month, go to the Department of Traditional Chinese Medicine of No. 1 People's Hospital in Grassland City and call my number for a follow-up consultation. "

Due to the round trip, there are too many patients with rheumatoid arthritis. Coupled with the extension of the rounds, the drugs that were originally prepared for the treatment of rheumatism have become the normal dosage.

Halfway through Huang Su's visit to the north, the herbs he brought with him had basically been used up, so he could only prepare a prescription and let the herder brothers buy them by themselves.

"Pay attention to the diet during taking the medicine. The patient's food should be mainly beef, not mutton and wine, not eating spicy things such as peppercorns, peppers, garlic, etc., and not eating cold and greasy things. The staple food should be mainly whole grains. "

Due to the eating habits of the Mongolian brothers, Huang Su specially instructed the patients on their diet.

While instructing Flavin, he wrote the precautions for taking the medicine and the precautions for diet below the prescription.

For normal wind arthralgia and cold arthralgia, patients are encouraged to eat mutton, a hot and spicy food.

However, patients have virtual fire in their bodies, so they should avoid hot and spicy foods in their diets.

Saying that, Flavin handed the written prescription to the young man.

The young man carefully put the prescription in his arms and helped his father up.

The father and son bowed together to express their gratitude.

Watching the young man help his father out of the yurt, Huang Su said to Li Yan, "Go and call the next patient in."

Li Yan got up and walked out of the yurt.

After a while, Li Yan walked in with a pair of mother and son.

(End of this chapter)