Under, Chinese medicine flavin

Chapter 82 Nosebleeds See Nosebleeds Again
Seeing Wang Xinlu's abnormality, Huang Su and Zhang Yuan went forward to observe the patient's condition together. Seeing the pale face, they couldn't help but gasped, the epistaxis was indeed too serious.

Shi Jun's face was pale, his eyelids were heavy, his mind was exhausted and weak, and his consciousness was already in a trance.

Wang Xinlu walked to the bed and leaned closer to Shi Jun's ear and asked, "Can you hear me?"

After waiting for a while, Shi Jun nodded weakly.

Wang Xinlu said again: "Stick out your tongue, let me see the coating on your tongue."

Shi Jun stuck out his tongue slowly, and Huang Su also looked closely at Shi Jun's tongue coating. The tongue was pale, the tongue coating was yellow and dry, and there was a deep crack on the surface of the tongue.

Wang Xinlu and Zhang Yuan each picked up one of Shi Jun's arms and began to diagnose the pulse.

While checking the pulse, Wang Xinlu asked his family members: "Does the patient usually have nose bleeding?"

Shi Jun's family members replied: "This is an old problem. His nose often bleeds every spring. He used to suspect that he might have leukemia. He went to the hospital for routine blood tests, but nothing was found. The doctor said he was in good health. The bleeding may be due to the fragile capillaries in the nose, and we didn’t take it seriously afterwards, after all, the amount of nose bleeding was not large before, and it stopped bleeding after a while, but we didn’t expect it to be so serious this time.”

Wang Xinlu continued to ask: "Apart from frequent nosebleeds, does Shi Jun have any other symptoms?"

Shi Jun's family pondered for a while and said, "Recently he has been complaining of dizziness and headaches."

Wang Xinlu continued to ask: "Are you feeling restless or flustered?"

Shi Jun's family members said: "Recently he has been losing his temper. I thought he was in a bad mood because of a headache, so I just tolerated him and didn't think about the illness. Doctor, what is my husband's illness?"

"Family, don't worry, I will only know what disease the patient has after asking about the symptoms." Wang Xinlu comforted the family members, and continued to ask: "How is Shi Jun eating recently?"

Shi Jun's family members said: "I can't eat, and I usually have nausea and vomiting."

Wang Xinlu continued to ask: "Does Shi Jun have dry stool?"

Shi Jun's family members replied: "He has been constipated recently, and sometimes he goes to the toilet every four or five days."

At this time, Huang Su also checked Shi Jun's limbs, and said to Wang Xinlu, "The patient's limbs are cold, I'm afraid he lost too much blood and hurt Yang Yuan."

Zhang Yuan also put down Shi Jun's arm and said, "Teacher, the patient's pulse condition is thin and weak, and the tongue coating is pale and unglamorous. It is a syndrome of both Qi and blood deficiency and Yang deficiency."

Wang Xinlu nodded, looked at Zhang Yuan and asked, "You all know the tongue condition, pulse condition, and the patient's symptoms. Let me tell you about your treatment method. Zhang Yuan, please tell me first."

Zhang Yuan hesitated for a long time, and finally said tentatively: "Teacher! I...I think it should be flavored with Bazhen Decoction, to warm yang, nourish qi and nourish blood."

Zhang Yuan was a little nervous at this moment, and kept staring into Wang Xinlu's eyes, as if there was an answer in Wang Xinlu's eyes.

Wang Xinlu's complexion remained unchanged, and without comment, he turned to Huang Su and asked, "Huang Su, tell me your opinion."

Huang Su said: "Shi Jun's tongue coating is yellow and dry, headache, upset, palpitations, poor appetite, nausea and vomiting, dry stool, strong liver fire, accumulation of stomach heat, and heat disturbance. As for pale tongue coating, cold limbs, The pulse string is thin and weak, and the symptoms of Qi and blood deficiency are caused by the patient's excessive bleeding."

Huang Su glanced at Zhang Yuan quietly, and said very euphemistically: "Although it is true that Bazhen Decoction warms the yang and nourishes the blood, I don't recommend warming the yang and nourishing the blood first. You should first clear the heat and cool the blood, purify the fire and save the yin, and cure the epistaxis. , and then consider warming yang, nourishing qi and nourishing blood."

Wang Xinlu asked: "How do you plan to treat it?"

Huang Su said: "I plan to use Sanhuang Gypsum Decoction with Qingwenbaidu Drink to add flavor, clear away heat and cool blood, purify fire and save yin."

Wang Xinlu nodded and said, "Let's write the prescription!"

黄素在处方单上写道：生地45g、生石膏30g（先下）、黄连10g、黄芩10g、黄柏10g、赤芍15g、丹皮10g、栀子10g、知母10g、白茅草10g、茜草10g、甘草6g。3剂

Wang Xinlu took the prescription and read it carefully, handed the prescription to the nurse, and praised Huang Su: "Huang Su, you are very good. Director Li didn't fool me this time."

Turning his head and looking at Zhang Yuan again, he warned with an angry look: "In the future, you must be more careful when you combine the four diagnostic procedures. There is no harm in thinking more, and you must use the knowledge you have learned flexibly. on the surface."

Shi Jun's condition is relatively complicated. Due to Shi Jun's excessive blood loss, the pulse syndrome does not have the symptoms of yang-heat syndrome. Instead, he has cold limbs, complexion, lips, and tongue. Be confusing.

Wang Xinlu deliberately used Shi Jun's condition to test the dialectical ability of Huang Su and Zhang Yuan, but he did not expect that the graduate student he brought would disappoint him.

Bazhen Decoction is mainly used to treat pale complexion or chlorosis, dizziness, cold limbs, fatigue, shortness of breath, palpitations, decreased diet, pale tongue and thin white fur on the tongue, and thin and weak pulse. Or impotent.

Are Shi Jun's pulse, tongue and symptoms very similar? There should be nothing wrong with taking Bazhen Decoction, but Zhang Yuan neglected that the cause of Qi and blood deficiency is excessive nose bleeding.

In addition, many symptoms of liver fire and stomach heat accumulation are very similar to those of Qi and blood deficiency, such as heart palpitations, dizziness, poor appetite, and poor stool, which are even more confusing.

At this time, if he took the prescription of warming yang and nourishing blood, not only would it not be able to cure Shi Jun's condition, but it would add fuel to the fire and make the epistaxis worse.

This is to say that the difficulty of Chinese medicine is that you can become a Chinese medicine doctor after you learn the things in the books and learn the four diagnosis and ginseng.

These are just the basics. Whether you can flexibly and correctly differentiate the disease is the real decision whether you are a quack doctor or a good doctor.Traditional Chinese medicine is a very talented profession. It is not a profession that can be educated in batches, nor is it a profession that depends on whoever has a high degree of education.

Otherwise, there will be no situation where quack doctors are everywhere and famous doctors are hard to find.

After the patient is settled, return to the office.

Huang Su raised his arm and looked at his watch, it was 04:30, the time passed so fast, it was almost time to get off work.

Huang Su sat at the workstation, took out his notebook, and began to sort out the medical records he had read today.

A thick notebook, I can't remember a few pages.

After half a year of rebirth, I have seen so many patients before I knew it.

"Huang Su, what are you doing?"

Suddenly, Huang Su felt that someone was patting her on the shoulder, and when she turned her head, it turned out to be Zhang Yuan.

"A few patients were diagnosed and treated today, and I am preparing to record them." Huang Su replied.

Zhang Yuan looked at the notebook on the table and asked curiously, "How many cases have you recorded?"

Huang Su replied: "I don't know, I haven't counted them."

Zhang Yuan wanted to stop talking, and asked embarrassingly: "Huang Su, can you let me see your notes."

"Okay, I'll give it to you after I finish writing the last record." Huang Su agreed without thinking.

Zhang Yuan hurriedly said excitedly: "Thank you! Thank you!"

From the time he treated the last patient, Zhang Yuan knew that there was a big gap between himself and Huang Su.I wanted to ask Huang Su how he learned Chinese medicine so well, but I didn't expect a pleasant surprise.

But Zhang Yuan also knows how important medical practice records are to a Chinese medicine doctor, and usually he would not let an outsider watch them.

Zhang Yuan also knew that his request was a bit inappropriate, but he didn't expect Huang Su to agree so readily.

"Give you!"

After Huang Su finished writing the last case record, he handed the notebook to Zhang Yuan.

In her previous life, Huang Su might have cherished her medical records.

But Huang Su knows the situation of Chinese medicine in the future. If his practice notes can help a Chinese medicine practitioner to realize his epiphany, it will be considered his contribution to Chinese medicine.

Zhang Yuanchu flipped through Huang Su's notes briefly, and asked in surprise: "Huang Su, these are all the patients you have treated."

"Not all, there are also cases when I was studying with my tutor." Huang Su glanced at his watch and said, "You can take it home and watch it, and just give it to me tomorrow."

Hearing that he could take it home and have a look, Zhang Yuan said happily, "Dude, I'm out of luck, I'll treat you to dinner tomorrow."

Very happy to return to my seat.

After get off work, Huang Su went to the outpatient clinic of Professor Sun Guizhi from the oncology department.

In the evening, Professor Sun Guizhi invited Huang Su to have a hot pot from Niujie Jubaoyuan.

(End of this chapter)