TCM Gaoyuan

Chapter 12 Guizhi Decoction

Uncle Zhou didn't expect that even his daughter-in-law was unwilling to do for him. Uncle Zhou was shocked that this young man who didn't have any relatives and no reason would do it for him.

But Gao Yuan knew that Li Shengli could really do this.

Li Shengli's level of medical skills is really not high, and he is at the level of an apprentice if he dies.But he is the most motivated person in the entire joint clinic.Because his background is the best in the entire clinic, he is a poor peasant and a demobilized soldier, so his ideological consciousness is very high.

He is as warm as spring to the masses. He is not afraid of suffering, tiredness or dirty when treating patients. He really dares to go to the hospital when he is sick.

But he also has shortcomings.

One is that the cultural level is very low, and even the name is given by the company instructor.He learned the characters in the army's literacy class, which is barely enough for daily life, but it is too far behind when faced with obscure medical texts.

Second, he has a high spirit and has his own little pride. He looks down on these rich people in the clinic.So he learned from Liu Sanquan, but the key point is that Liu Sanquan himself is not a sensible person. What can he learn from the last one and the last one?
Uncle Zhou quickly waved his hands: "Farewell, farewell."

Li Shengli rolled up his sleeves high: "It's okay, I really don't dislike it."

Uncle Zhou clutched his butt nervously: "I despise it!"

Gao Yuan was also tired from hearing it, he said: "It's not a problem for you to pick, you can still pick every day?"

Li Shengli nodded: "I can."

Gao Yuan asked: "Then how much can you pick?"

Li Shengli said: "As much as there are, I will pick as much."

Gao Yuan was speechless.

Uncle Zhou tightly covered his buttocks. Hearing this astonishing conversation, he was terrified and screamed: "Dabaa..."

Li Shengli grabbed Uncle Zhou and said enthusiastically, "It's okay, I'm not afraid of getting dirty."

Uncle Zhou clutched the table tightly and looked at Gao Yuan with desperate eyes.

Gao Yuan hurried forward to stop him: "He is sick, no matter how hard you pick him, the illness is still there, and he is still uncomfortable."

"Really?" Li Shengli looked at Uncle Zhou.

Uncle Zhou nodded like a chicken pecking at rice.

Gao Yuan asked him: "Could it be that you really plan to keep him sick?"

"I..." Li Shengli choked suddenly.

Uncle Zhou hurriedly asked Gao Yuan, "Xiaosheng, do you know how to treat illnesses?"

Liu Sanquan assisted at the side: "Oh, you said that. The old lady of Zhang Yuancai next door, you know? How sick is she? I can only breathe a sigh of relief. The big experts in the city can't do anything. , The medicine given yesterday is fine today.”

Uncle Zhou said in surprise, "It's so powerful!"

Li Shengli also showed astonishment.

Liu Sanquan pointed to the door: "If you don't believe me, go and have a look, the old lady is probably still basking in the sun at the door."

Uncle Zhou hurriedly said to Gao Yuan: "Then comrade doctor, please show me quickly, I'm almost dying."

"Okay." Gao Yuan agreed, and turned to look at Li Shengli first.

Li Shengli turned around with a stinky face.

Gao Yuan observed Uncle Zhou's complexion, and there was an abnormal redness on his dark face.He asked Liu Sanquan: "Doctor Liu, tell me about the previous diagnosis and treatment."

"Okay." Liu Sanquan agreed, and said, "In the beginning, the patient reported feeling dizzy and uncomfortable, as well as constipation. So he asked Dr. Li Shengli to prescribe medicine for him. At first, he took Jibei Pills. After taking it, he pulled it out once, but the dizziness was even worse. Yes, I also feel tingling."

"Then I took Chengqi Decoction again. After three doses, I drank a large pot, but immediately felt cold pain, sweating profusely, and could not lie down. Then, constipation continued. I came to take over and prescribed Rehmannia Decoction, but the patient My head became more dizzy, the pain in my body was still there, and my face turned red, but I still couldn’t pull myself out.”

Uncle Zhou couldn't help sighing when he heard his tragic experience.

Li Shengli grabbed his two hands together and rubbed them tangledly.

Gao Yuan shook his head slightly, and he asked Li Shengli: "Sanwu Jibei Pills, croton, dried ginger, and rhubarb. Great fever purgative medicine, to treat accumulation of excess cold. Chengqi Decoction, cold and cool diarrhea. Is the patient cold or hot? Is it cold or hot?"

Liu Sanquan took a breath quietly, raised his levator anus in fright, and felt the air was stagnant for several minutes. No one in their joint clinic would dare to talk to Li Shengli like this!

Li Shengli's lips were tense, but he didn't say anything in the end.

Only then did Liu Sanquan quietly put down the buttocks he was holding, but fortunately there was no quarrel.

Gao Yuan said: "Constipation is mostly caused by improper diet, emotional disorders, old age and physical weakness, or exposure to external evils, or stagnation of liver and qi, or intestinal surgery. This patient is a typical young man. The old man was weak, malnourished, and unable to excrete. This was not discovered during the first diagnosis, but he blindly took several doses of prescribing drugs."

Li Shengli and Liu Sanquan were stunned at the same time. Are they teaching them?

Gao Yuan went on to say: "Li Dongyuan said in "The Secret Collection of the Orchid Chamber · Stool Dryness": "To cure a disease, the source must be investigated, and crotons and cows should not be used. If the body fluid is damaged, the dryness will become worse. If the bottom is re-knotted, the extreme will lead to the bottom being blocked, and it will become impossible to save.'”

"What do you mean?" Uncle Zhou didn't understand a word.

Liu Sanquan was also at a loss.

Gao Yuan explained: "It is to treat this kind of constipation disease. You can't blindly use medicines like croton and morning glory to force the stool. Otherwise, it will damage the body fluid, make constipation worse, and make it impossible to pull out. In the end, it will not work at all, and this person will not be saved. alive."

"Ah?" Uncle Zhou stood up in fright: "I'm going to die?"

Li Shengli said anxiously: "Don't talk nonsense!"

Gao Yuan said: "It is not possible now, but if we continue to use the method blindly, it will be bad."

Uncle Zhou panicked suddenly, and then looked at Li Shengli unkindly.

Li Shengli's face immediately flushed red.

Gao Yuan pressed Uncle Zhou's upper abdomen, and he said to the two of them: "You pressed here, did you find that your heart is hard?"

Liu Sanquan stepped forward and pressed the button.

Li Shengli did not move.

Gao Yuan said: "This is because the already weak spleen and stomach have been injured several times. 'Article 163 of the Treatise on Febrile Diseases, the benefits are endless, and the heart is hard.' What does this mean?"

Liu Sanquan thought for a while, and said bluntly: "If you keep pulling, this part of your heart will be hard."

Gao Yuan nodded: "The heart is the stomach, and the stomach is hard. The prescription in article 163 of "Treatise on Febrile Diseases" is Guizhi plus ginseng soup. Why add ginseng soup? It is to use ginseng to treat stomach deficiency. The lower ruffian is hard, which is the ginseng card."

"Oh, that's right!" Liu Sanquan understood.

Li Shengli was still at a loss.

Gao Yuan pointed to the patient: "The patient is old and weak, and the extra meridian is involved, which leads to the failure of the Chong Ren meridian to be controlled, and the qi is reversed and upwards, so he was dizzy at the beginning. Later, due to wrong treatment, he hurt his stomach many times, making Even more irreconcilable."

"The upward reversal of the Chongmai belonging to Yangming became more serious, so the dizziness became more serious after taking the medicine for the first time. If the Chongqi does not drop, the stomach Qi will not drop, and naturally there is no strength to push the feces downward, and constipation will also occur. Even more powerful."

"Now the spleen and stomach are deficient, and the qi is reversed. This is also the reason why you can't supplement it with Dihuang Decoction. The more nourishing it is, the more obstructed the qi mechanism is. The more severe the qi is reversed, the more dizzy you will be, and the more difficult it will be to pull out."

Liu Sanquan asked again: "Then what's the situation now?"

Gao Yuan said: "Haven't you understood yet? The patient is now at odds with the camp and the guard, and is angry and rebellious, which belongs to the syndrome of Guizhi Decoction."

Liu Sanquan asked again: "But the pulse condition of Guizhi Decoction is floating pulse, this patient is..."

Gao Yuan said, "It's Shen Chimai."

Liu Sanquan didn't understand again.

Gao Yuan explained to him: "After sweating, if the superficial syndrome is not cleared, the pulse condition should show a floating pulse, which belongs to the syndrome of Guizhi Decoction. If there is no floating pulse, but instead a sinking and late pulse, it is the syndrome of Guizhi Decoction added. "

Liu Sanquan still didn't understand.

Li Shengli is even more like listening to heavenly scriptures.

Gao Yuan said: "Look at article 62 of "Treatise on Febrile Diseases", 'If you suffer from body pain after sweating, and slow pulse, take one or two of cinnamon twigs, one or two of peony and one or two of ginseng and three liang of Xinga decoction.'"

Liu Sanquan nodded, and then asked again: "But... Shenmai dominates Li, and late pulse governs cold. Isn't this syndrome of Lihan?"

Gao Yuan said: "Article 50 of "Treatise on Febrile Diseases" says 'if the pulse is floating and tense, it means that the body is in pain, and it is better to relieve it with sweat. If the pulse is slow in the middle of the foot, you should not sweat. That's why.' When the blood is less, the blood vessels are not filled, and there will naturally be slow pulses."

"It is because of the injury to the blood of the battalion that the blood is not full, so there will be body pain, and because of this, there will be disharmony between the camp and the guard. It is because of the discord between the camp and the guard that it is necessary to treat it with Guizhi Decoction. This is the 62nd The connotation of the article lies."

Liu Sanquan suddenly said: "It turns out that the provisions of "Treatise on Febrile Diseases" are understood in this way!"

He understood, but Li Shengli was still confused, he said: "Guizhi soup, isn't it for colds?"

Gao Yuan said to him: "The Guizhi Decoction of the ancestor of Wanfang, how can it only cure colds? We need to use it now to cure medicine mistakes, use it to reconcile the camp and guard, and reduce adverse energy. Once the energy is lowered, the camp With Wei Xie, the constipation will naturally disappear."

Li Shengli couldn't even understand, but seeing Liu Sanquan was so convinced, he stopped talking.

……

Gao Yuan kept Fang Zi and left. Li Shengli looked at the back of the other party leaving, and said displeasedly: "A traitor, what is your air?"

Comrade He Yu, who was applying medicine to the patient, reminded him: "But don't forget, he is wiping your ass."

Li Shengli turned his head and looked, his face froze.

Liu Sanquan quickly shrank his head and avoided it.

(End of this chapter)