TCM Gaoyuan

Chapter 32 It's Better To Talk About Today

Zhao Huanzhang glanced at Gao Yuan quietly. In fact, after seeing Li Runyu's prescription, the situation became clear.Zhao Huanzhang's medical skills are also very good, and he has figured out all the joints here.

Gao Yuan nodded and said: "The disease of hiccups is called '哕' in the "Huangdi Neijing". Zhang Jingyue once discussed in "Jingyue Quanshu Hiccups", "The main points of hiccups are only three. , the first is cold, the second is heat, the third is exhaustion.'”

"The treatment doctor Li Runyu gave you is based on the treatment of cold and hiccups, and also added medicines to invigorate the deficiency. The main reason is that you are old and your body is weak. But you are not stomach-cold hiccups, but stomach Hot uh."

"Oh?" Director Qi showed doubts.

Gao Yuan explained: "You have been ill for eight days, which is not considered a long illness. Naturally, it is not extreme weakness and hiccups. But your fever is getting worse day by day, and you still have difficulty in defecating. In addition, your tongue coating is yellow and thick. , these are actually symptoms of excess heat in Yangmingli.”

"You have suffered from exogenous pathogenic factors before, and external evils gradually invaded the interior and fell into Yangming, which caused dryness and heat in the interior, and Qi did not flow smoothly, so the upward reversal turned into uh. But the delusion of your disease lies in the soft, slow and sluggish pulse. "

Director Qi looked at Gao Yuan, and he asked: "I also know a little bit about Chinese medicine, this late pulse is mainly cold?"

Gao Yuan nodded: "That's right, the slow pulse is the main cold, but sometimes, the pulse can also deceive people."

Director Qi was a little strange.

Gao Yuan said: "Why does Chinese medicine emphasize the combination of observation, hearing, inquiring, and four diagnostic methods? It is because every diagnosis may give misleading information. Just like your pulse, although it is sluggish, it is not a cold syndrome, but a cold syndrome. Yang evil enters."

"The reason for your sluggish pulse is that evil blocks the meridian, which makes the flow of qi and blood difficult. "Treatise on Febrile Diseases" once said, 'Yangming disease, slow pulse...Da Chengqi Decoction is the main cause.' You see, Yangming fever , there will also be delayed pulse, and you can even use Chengqi Decoction to treat it."

Director Qi thought about it for a while, then suddenly asked: "You mean that Dr. Li Runyu gave the wrong treatment?"

Zhao Huanzhang suddenly became nervous.

"Yes." Gao Yuan nodded directly: "If the syndrome differentiation and medication are correct, then the curative effect will definitely be seen."

Zhao Huanzhang is about to come down, good guy, I'm really not afraid of offending people.

Director Qi looked at Gao Yuan meaningfully: "Then next time I meet Dr. Li Runyu, I have to have a good talk with him."

Gao Yuan said: "Traditional Chinese medicine treats diseases at every step. We were almost confused by this pulse just now. In fact, we should thank Dr. Li Runyu. Without his previous diagnosis and treatment conclusions, we would have almost made the same mistake. "

Hearing what Gao Yuan said, Zhao Huanzhang breathed a sigh of relief.

Director Qi smiled: "You little comrade is a bit interesting. When you first came here before the treatment, you spoke so loudly that even Li Runyu didn't like it. Now that the treatment is effective, you are humble and know how to treat the disease." Help people talk and cover up."

Zhao Huanzhang also looked at Gao Yuan.

Gao Yuan didn't answer, but just looked out of the window, in the direction of Xinsheng United Clinic.

Seeing that Gao Yuan did not speak, Director Qi Dongsheng said, "In this case, please trouble the two doctors to prescribe a prescription for me."

Gao Yuan turned his head back, and said, "Okay, let's use Xiaochengqi soup."

"Hey." Zhao Huanzhang quickly pulled Gao Yuan, and whispered in his ear: "Should I be more careful? After all, Director Qi is very old, and Chengqi rhubarb and the like should be used with care."

Gao Yuan was speechless when he heard it, and Zhao Huanzhang's old habit of being too cautious came back again, he said: "Not all diseases of old age are false syndromes, not all old people are false syndromes. Some are If there is a disease, use the medicine, if you are sick, you will receive it, and if you are not sick, you will receive it."

"If the syndrome differentiation is correct, you should take the medicine boldly. If you hesitate, it will only delay the disease. If the pathogenic factors get worse, it will be the doctor's fault. When you are seriously ill, you will also look forward and backward like you are now, and be afraid of the future. go?"

Zhao Huanzhang was speechless, and he didn't even know how to refute.

Gao Yuan was also helpless, everyone in their joint clinic had problems.Zhao Huanzhang is no exception, his problem is that he is too cautious.He has three fears: he is afraid of treating serious illnesses, he is afraid of treating his leaders, and he is afraid of being held accountable if he fails to cure them.

So most of Zhao Huanzhang's abilities were locked away, which is why Zhao Huanzhang would privately say in his previous life that if he came back earlier, Zhang Yuancai's mother would still have some hope.In fact, with his ability, he is sure to face such a disease, but who made him too cautious.

There are insufficient medical resources in rural areas, so doctors like them often encounter critical illnesses.When Zhao Huanzhang faced such diseases, he was always timid and often delayed the onset of illness.Afterwards, he will fall into deep self-blame again, but when he is faced with a serious illness again, his timidity and caution will emerge again.

He is such a complex of contradictions in a vicious circle.

Seeing that he stopped talking, Gao Yuan went to get a pen and paper, wrote the prescription of Xiaochengqi Decoction, and handed it to Zhang Yuancai: "Can you get the medicine here?"

Zhang Yuancai nodded: "Yes."

Director Qi joked: "It is said that ginseng has nothing to do with killing people, and rhubarb has nothing to do with saving people. You, a little doctor, dare to prescribe medicine."

Zhao Huanzhang hurriedly said: "Then director, do you want to change the prescription?"

Director Qi said, "Hey, what's this called? There is no one who asks patients to choose a prescription. I am not a doctor. What prescription to use is up to you. Since this little doctor dares to prescribe it, I will naturally dare to prescribe it." drink."

Gao Yuan smiled slightly at Director Qi.

The two are quite compatible.

Then, the medicine was cooked and brought up.

Gao Yuan asked Director Qi to take half of it first.

Director Qi was holding the medicine bowl, and joked with them: "If I go down with this bowl, if I die, who will rescue me?"

Zhao Huanzhang laughed a few times.

Director Qi said again: "Don't say that after drinking this, Dr. Li Runyu will come over to wipe his ass tomorrow. Some people were blowing loudly just now."

Gao Yuan said: "You have to drink it to know."

Director Qi laughed a few times, stopped talking nonsense, and drank it with a bowl in his hand.Not long after taking it, he started to fart after the bowel sounds.

But immediately, Director Qi writhed back and forth on the chair, fidgeting and a little irritable: "Why are you still a little upset?"

Gao Yuan said, "I've already farted, and I drank the remaining half of the medicine."

Zhang Yuancai asked: "Are you still drinking?"

Gao Yuan nodded: "Drink."

Zhao Huanzhang hesitated to speak.

Director Qi Dongsheng took the medicine bowl, just glanced at Gao Yuan, and then finished drinking it with a raised head.

Then Director Qi frowned and fidgeted with his collar. He asked, "I've taken the medicine too. It's time to talk about something. What's the reason you came to see me this time?"

Gao Yuan said: "That's right, we have two things to discuss with you this time..."

Before Gao Yuan could finish speaking, there was a knock on the door, and a young man ran in and whispered something in Qi Dongsheng's ear.

"What?" Director Qi immediately became nervous, and he hurriedly stood up: "You two doctors, are you in a hurry?"

"Ah?" Gao Yuan and Zhao Huanzhang were both taken aback.

Director Qi said: "If we're not in a hurry, we'll talk tomorrow. You see, it's getting dark now, so let Xiao Zhang arrange for you to stay here first, okay?"

Gao Yuan also saw that the other party must be in a hurry, so he nodded: "Alright, Director Qi, you have to go to work first, it's the same when we talk tomorrow."

"Okay." Director Qi took his coat and hurriedly said to Zhang Yuancai: "Xiao Zhang, arrange for them to stay first."

After speaking, Director Qi hurried out.

A few people left looking at each other.

Zhao Huanzhang sighed, and said, "Actually...it's best to talk about things today."

Gao Yuan asked, "Why?"

Zhao Huanzhang looked at the medicine bowl and said worriedly: "If it is not cured, or if the wound is attacked instead, it will be difficult to talk about it tomorrow."

Gao Yuan: "..."

(End of this chapter)