Chapter 274
Seeing Flavin checking the pulse of the old man, all the people in the ward held their breath, for fear that the sound of a little gasping would disturb Flavin.

This is the influence of the famous doctors of Huangsu Grassland.

When flavin treats the patient, the family members will have some confidence.

When they saw Huang Su's frown, the old man's relatives felt that their heartbeats were all in the family.

The old man's son seemed to be able to hear the nervous beating of his own heart.

The old man's wife clutched his chest, leaned on his daughter's arms, and looked worriedly at Huang Su, who was quietly checking the pulse.

The old man's daughter patted her mother's back lightly to soothe her emotions, and from time to time she glanced at the father in the hospital bed with worry.

Huang Su's three fingers rested on the patient's pulse, and his hands were not weak, but there was no pulse at all.

Huang Su got up and walked to the patient's bed, and put his hand on the patient's third meridian. The old man's feet were already cold.

The yellow vegetarian fingers are pressed on the Taichong point of the thumb and the second thumb.

Taichong, there is no pulse, it can be seen that the patient's liver qi has been exhausted.

After re-diagnosing the medial malleolus, the Taixi vein in the depression above the calcaneus.

Taixi pulse, weak pulse, it can be seen that the kidney qi has been injured.

The Taixi pulse can diagnose kidney qi. If the Taixi pulse is absent, the pupil will be dilated and the person will die.

Finally, flavin pressed firmly on the Chongyang pulse on the dorsum of the foot, and the pulse was as thin as a hairspring, intermittently.

The liver qi has been exhausted, the kidney qi has been injured, and the stomach qi is on the verge of being exhausted. The good news is that the patient can still be hanged by a mouthful of stomach qi.

"Medical Sect Must Read" once said: "Chongyang pulse is not weakened, stomach qi is still there, although the disease is critical, it can still be born. However, in the prosperous period, avoid stringing abruptly. If the stringing is urgent, the liver pulse, if you see this pulse, you will be It is called a thief evil, and it cannot be cured.”

Huang Su Liang Shi is also considered to be well-informed. This kind of vein has been extinct, and the two veins are also on the verge of extinction. This is the first time they have met.

The patient is really struggling on the tightrope of life, and may fall into the abyss at any time.

Two years ago, Lu Yan's uterine bleeding was not dangerous, and that was because all three foot meridians were present.

The family members of the old man watched Huang Su standing there motionless, and his brows had not stretched since the pulse diagnosis.

The old man's son walked to Huang Su's side and tentatively said in a trembling tone, "Director Huang, is there any possibility of my father's disease being cured?"

Huang Su turned his head and saw the longing in the eyes of the old man and the son. He didn't dare to look at himself, and avoided his eyes all the time, afraid of hearing what he didn't want to hear.

For the first time, Huang Su said with no confidence: "I will do my best!"

The family members of the patients have pinned their last hope on themselves. As a TCM practitioner, it is impossible to sit idly by when they see a patient.

After all, the patient still has stomach qi, and there is still a silver lining.

Huang Su couldn't even write the discharge doctor's orders on the discharge certificates in the patient's book-heavy medical records.

Continue rehabilitation outside the hospital, quit smoking and drinking, eat a low-salt and low-fat diet, pay attention to rest, avoid fatigue, and avoid stimulation.

It seems that every word is a blessing and concern, but it is actually hypocritical and pale.

Hearing that Huang Su was willing to save his father, the old man's son suddenly knelt down on Huang Su's knees and kowtowed to Huang Su three times.

When he raised his head, his forehead was already red, swollen and bruised.

The old man's son was in tears, choked up and raised his hand to swear: "Director Huang, you will let go of the treatment. As a result, no matter whether the treatment is good or bad, we will not trouble you. If you violate it, my Cheng family will be cut off from the future."

Hearing the old man's son making this poisonous oath, Huang Su hurriedly pulled up the old man's son: "What are you doing, as long as the patient still has a chance of life, there is no reason for traditional Chinese medicine to give up the patient."

Hearing Huang Su saying that his father was still alive, the old man's son seemed to have great energy, and bowed deeply to Huang Su again.

"Director Huang, please!"

It is easy to promise.

Returning to reality, Flavin has not thought of a good treatment, and now there is no other treatment except to keep the stomach qi first.

Director Bai stood outside, looking at Huang Su who was helpless, showing a schadenfreude smile.

I thought proudly in my heart: "I'll let you show your best abilities everywhere every day. This time I'll kick it on the iron plate."

Where does Huang Su take into account Director Bai's dirty thoughts, and is thinking about how to treat it.

Just when Huang Su was thinking about it, "Stubbornly suffering from chronic diseases, the law follows Zhongjing".

Huang Su began to find the answer in Taiyin Syndrome in Treatise on Febrile Diseases.

"Taiyin is a disease, the abdomen is full and vomits, and the food cannot be eaten.

Look at the patient again, vomiting, unable to eat, diarrhea, stomach pain, this is not according to the provisions, the symptoms are all present.

Some people will ask, there are six classics in "Treatise on Febrile Diseases", why is it determined to be Taiyin syndrome.

"Treatise on Febrile Diseases" can be known from the pulse identification method.

The question is: The pulse has yin and yang, what does it mean?
The answer is: When the pulse is large, floating, numerous, moving, and slippery, it is called Yang; while the pulse is deep, astringent, weak, stringy, and faint, it is called Yin.Where yin disease sees the yang meridian, the person is born, and the yang disease sees the yin meridian and dies.

The patient's old meridian has completely disappeared, and only the Chongyang and Taixi meridians are left.

Furthermore, the most obvious symptoms of Shaoyin are drowsiness, abnormal stools, sometimes diarrhea, and sometimes constipation.Jueyin is a combination of cold and heat in the limbs.

With an idea, Huang Su hurriedly walked to the bedside of the old man, approached the patient and said softly, "Old man, stick out your tongue and let me see the tongue coating."

Flavin is going to look at the patient's tongue coating to prove that his thinking is correct.

It took a long time for the patient to react, and he slowly stuck out his tongue, only to see that the old man's tongue was pale, the tongue coating was thick and greasy, and the tongue was covered with cracks.

With Taiyin disease, the tongue coating will be white and greasy.

Because Taiyin disease is mainly manifested as deficiency syndrome and cold syndrome.

Since it is determined that it is Taiyin disease, flavin has a treatment method.

There is also a clause in the Taiyin Disease chapter: "When it is warm, it should be against the four generations."

The Four Negative Generations, referring to the Four Negatives, Lizhong, Fuzi, etc., are mainly hot medicines. If the yang is too cold, the stomach and intestines are too cold, so use hot medicines to warm it up and make up.

黄素掏出处方写道:黄芪20g、附子15g、人参15g、白术15g、茯苓15g、山药12g、干姜10g、半夏10g、肉桂9g、炙甘草20g、

On the basis of the four inverse generations, flavin is added with Pinellia, and Pinellia with aconite can stop vomiting; adding astragalus and yam can supplement Qi and Yin caused by illness.

Huang Su handed the prescription to Li Yan: "Go and decoct the medicine."

Seeing Huang Su's prescription, the old man's son held Huang Su's hand excitedly: "Director Huang, is my dad saved?"

Huang Su said honestly: "It's not sure yet. The medicine I prescribed is taken every six hours. As long as the patient stops the diarrhea within 24 hours, it means that your father has been rescued again."

After reassuring the patient's family, Huang Su walked up to Dr. Bai and said, "Director Bai, how do you deal with the patient now? Is it according to our joint consultation, or transfer the patient to our department of traditional Chinese medicine."

"Director Huang, let's transfer the patient to your department of traditional Chinese medicine. Whether our neurology department provides substantive treatment to the patient is the treatment of your department of traditional Chinese medicine. Our department deserves this credit."

Director Bai was in a hurry to clear up the relationship with the patient, and it was too late.

Director Bai was still praying that Huang Su overturned this time. This was considered to be the fact that he handed over the nomination to Secretary Lang, and he was closer to progress.

It also kills the indomitable arrogance of the Chinese medicine department. This is a western hospital. How can Chinese medicine show its strength on its own head.

Huang Su had already expected this result, and told Fu Jing beside him: "Fu Jing, you accompany the family to go through the transfer procedures for the patient."

"Okay, Director Huang!"

Fu Jing took the patient's daughter out of the ward and went through the transfer procedures.

Huang Su said to Director Bai: "Director Bai, the patient's body can't stand the toss, can I temporarily borrow the neurology ward, and when the patient's health improves, we will transfer the patient to the Department of Traditional Chinese Medicine."

"This is a trivial matter. You can use this ward, Dr. Huang."

As long as he goes through the transfer procedures of the Department of Traditional Chinese Medicine with Huang Su, this patient has nothing to do with the Department of Neurology. Even if he died in the ward of the Department of Neurology, Director Bai would not care.

Soon Fu Jing and the patient's daughter returned after completing the transfer procedures.

Watching the time pass, the patient's son saw that Li Yanlai had not come back, and looked at his father on the hospital bed, his face became more and more anxious.

"Director Huang, does the decoction take so long?"

Huang Su said: "The medicine I prescribed has aconite in it, and it takes longer to decoct the medicine."

Having said that, Flavin explained the process of decoction of aconite to the patient's family and the harm of the wrong decoction method.

After listening to Huang Su's description, the patient's son nodded understandingly.

Soon, Li Yan walked in with the fried Chinese medicine.

After watching the nurse serving the patient and drinking the medicine, Huang Su raised his hand and glanced at the time. It was already [-] days at noon and it was time for a lunch break.

"Li Yan, Fu Jing! Let's go to lunch now." Huang Su continued to instruct Li Yan: "At six o'clock in the evening, you were giving the patient a medicine. Today and tomorrow, the medicine will be given to the patient every six hours. Medicine, a total of four doses."

"I see, Master!"

Li Yan nodded, expressing understanding.

Huang Su said to the patient's son: "Tonight, I will come to escort me and deal with the condition that may change at any time."

The patient's son held Huang Su's hand with gratitude and said, "Director Huang, thank you, thank you..."

Saying that, the patient's son choked with excitement.

At nine o'clock in the evening, outside the patient's ward, Li Yan and Huang Su were sitting together.

Thinking about how two years ago, Huang Su spent the night outside the ward with Na Risong and He Hui in order to break the situation in the Department of Traditional Chinese Medicine.

It seems like yesterday has reappeared, but the person has changed.

Looking at Li Yan sitting beside him, Huang Su said, "Li Yan, why don't you sleep for a while."

"Master, I'm not sleepy, I have to go to the pharmacy to make medicine in a while." Li Yan shook her head, looked at Huang Su and asked, "Master, I have a question for you."

Huang Su said: "If you have any questions, just ask!"

Li Yan asked suspiciously, "Master, you are prescribing the addition and subtraction of the four inverse generations to the patient. Are you treating the patient according to the Taiyin disease?"

After Li Yan took Huang Su as his teacher, Huang Su had already started to systematically explain "Treatise on Febrile Diseases" to Li Yan.

Li Yan asked suspiciously: "Although the patient vomits and has diarrhea, poor appetite, and stomach pain are symptoms of Taiyin disease, but the patient's limbs are weak and numb, his lower extremities lose consciousness, and he often goes into shock. These are not symptoms of Taiyin disease. What do you think? It is determined that the patient has Taiyin disease."

Although Li Yan is unusually intelligent, she has just learned the theory of typhoid fever, so she can only understand the surface, but cannot use it flexibly.

Huang Su explained patiently: "If you all get sick according to the regulations, the patient will be cured. When we treat TCM syndrome differentiation and treatment, we can't stick to books, we must use our brains and use them flexibly. Of course, you are a beginner to "Treatise on Febrile Diseases". It is rare to be able to understand it to this level now, and the more you study in the future, the more profound your understanding of Shanghan Lun will be, and you will also add your own thoughts.”

This is the main reason why Chinese medicine is difficult to learn. No matter how long you have been studying Chinese medicine, you will gain new insights every time you re-read these classics.

Unlike Western medicine, all the treatment methods are basically formulaic. As long as they have average intelligence and good memory, they can learn Western medicine well. This is why Western medicine can be mass-produced.

Therefore, Chinese medicine is a very talented profession. Some people have studied for a lifetime without even getting started, and some have indeed learned the skills of others for ten years in one year.

Huang Su began to explain to Li Yan: "Think about it, don't say he is an old man in his 70s, even a strong guy with a strong physique, he will not be able to get up after two months of diarrhea! So, you Only focus on the disease, but did not find the pathogenesis of the patient, the spleen and stomach are the acquired foundation, the source of qi and blood biochemistry, who can not bear to eat, vomiting and diarrhea?"

Flavin continued to explain, "The pathogenesis of the patient's disease is that the rhubarb leaf castor oil was taken by mistake, and the following methods were used to damage the spleen yang, causing a loss of warmth, abnormal transportation, and lack of qi and blood."

Huang Su then asked: "Injuring the spleen yang, causing spleen deficiency and insufficiency, the cold and dampness stop; or what is the syndrome of the spleen and collaterals being blocked by evil."

Li Yan said: "It is Taiyin disease, and the pathogenesis of Taiyin disease is the deficiency, cold and dampness of the spleen."

Huang Su nodded approvingly and continued to explain: "The patient's limbs are weak and numb, and the lower limbs are paralyzed and lose consciousness. It is due to spleen deficiency, which controls the muscles. If spleen yang is deficient, the limbs are sleepy and weak, and the spleen collaterals are damaged, the limbs are numb and paralyzed."

"Master, I understand!"

At this moment, the patient's son ran out of the ward excitedly.

"Doctor, my dad's diarrhea seems to have stopped, and he has been diarrhea-free for four hours now."

"Come on, let's go in and see!"

Huang Su and Li Yan stood up together and followed the patient's son into the ward.

Flavin comes directly to the feet of the patient.Immediately diagnose the three pulses of the foot.

Although the Chongyang pulse is still weak, the pulse has become clear, and it is not as fine as a hairspring when it was first diagnosed in the morning, and it is intermittent.

Although Taixi's pulse was weak, it was completely clear.

The pulse of Chongyang also came out.

Huang Su breathed a sigh of relief, smiled and said to the patient's son, "I have a pulse, your father really has hope this time."

Li Yan was the first to take Huang Su's arm and looked at the master with admiration: "Master, so the patient can survive."

Huang Su touched Li Yan's head: "If you have a pulse, you will know if you check it yourself."

Li Yan eagerly stepped forward and carefully examined the patient's three meridians.

The family members who recovered from the surprise knelt down to Huang Su again, kowtowed and thanked: "Director Huang, thank you, thank you, thank you..."

Huang Su hurriedly helped the patient's son up.

After confirming that the patient did have a pulse, Li Yan said excitedly, "Master, I'll go to decoction now."

At this time, Li Yan's fatigue of staying up late was swept away, and she instantly became full of energy.

(End of this chapter)

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