Chapter 106 There are no secrets in traditional Chinese medicine
This female patient just had severe dysmenorrhea and sometimes vomited, but she was too embarrassed to complain because she had not been able to have bowel movements for several days and her bowel movements were irregular.
But the young doctor asked the question all at once.
When the young doctor asked this question, everyone around looked over, even the senior doctor who had just treated the patient looked over.
She was still a little embarrassed, but the young doctor asked the truth, so she had to nod.
Therefore, my senior brother’s diagnosis was wrong, and the medicine was naturally wrong too.
Cold and blood stasis are only symptoms, while spleen deficiency is the root cause.
If the spleen deficiency is not treated, the next time you encounter cold, blood stasis will still occur. If it is not cured for a long time, the effect will be worse.
So he looked at his senior brother and said:
"Brother, I feel this lady has a big tongue, can you take another look?"
The senior brother had already heard it, but seeing that the junior brother was still polite and did not expose it, he called the patient over again, re-examined him, and made some additions and subtractions to the original prescription. The new prescription contained hot medicines to neutralize the original bitter and cold medicines, and no longer worried about them damaging the yang energy.
The patient looked at the revised prescription and said worriedly:
"Doctor, how long will it take for this medicine to take effect?"
Senior brother said:
"If the medicine is suitable for the condition, it will cure the serious illness immediately and the effect will be as fast as a drum. You will get better soon after drinking it!"
The senior brother prescribed five doses of medicine. Wang Yuanchao was very considerate and followed to get the medicine. He boiled the first dose for the patient, and the patient took the rest home and boiled them himself.
After this incident, some people didn't want to queue anymore and went to Wang Yuanchao's table to see the doctor.
Wang Yuanchao could no longer run around and had to take people's pulses honestly.
He took a long time to take the pulse, pressing with his left hand, then with his right hand, using three fingers, sometimes with two fingers, sometimes lightly, sometimes heavily. On average, for each patient, he would press for about 10-15 minutes, then look at the tongue, ask a few questions, and then quickly write a prescription.
Anyway, he has few patients, so it won't be a big deal if he examines them carefully.
At least it's open.
The next day, the female patient came over and brought a friend with her.
When she saw that there were many people around yesterday's doctor, she took the woman directly to Wang Yuanchao.
Her friend whispered:
"This young doctor looks younger than my student!"
Although the voice was low, Wang Yuanchao heard it clearly.
The female patient also whispered:
"I had the blood clots discharged yesterday and had a bowel movement, and I felt much better immediately! It was this little doctor who reminded the big doctor yesterday that he had made an inaccurate diagnosis and had re-prescribed me medicine.
By the way, it doesn’t hurt today.
You try it.
"
As the female patient spoke, she smiled friendly at Wang Yuanchao, and her complexion looked much better than yesterday.
Her friend thought it was right, so she sat down in front of Wang Yuanchao and said politely:
"Doctor, I also have dysmenorrhea. Can you help me?"
Wang Yuanchao said:
"Put your hands here!"
When I touched her hand, it was not only cold, but almost as cold as ice! But she was definitely wearing more clothes than Zheng Juan.
Wang Yuanchao asked:
"Will the pain get better if I press it?"
The woman said:
"Yes, and your hands are warm, which makes me feel more comfortable."
As she spoke, the woman's voice became so low that she could not hold it anymore.
This little doctor is not only good-looking, but also has warm hands.
Wang Yuanchao nodded. Dysmenorrhea can be divided into deficiency and excess. The preference for pressing and rubbing is mostly deficiency syndrome, while the pain and refusal to press are mostly excess syndrome. However, further diagnosis is needed.
"How much is your menstrual flow? What's the color? Are there any blood clots? Is the pattern normal?"
The woman tried hard to recall and said:
"It's not a lot, and the color is light. If there are blood clots, they will usually come later."
Wang Yuanchao continued to nod and asked:
"Does your waist hurt?" The woman's face changed and she immediately looked pitiful:
"It hurts! It hurts so much that my waist feels like it's breaking!"
The female patient who came yesterday was so surprised that her mouth opened wide. This young doctor is really amazing! Pei Lele often complained to her about her severe back pain!
Wang Yuanchao asked some more questions, then looked at the tongue, and finally began to take the pulse.
Everyone just looked at him, sometimes he pointed at three fingers, sometimes he pointed at this finger, sometimes it was light, sometimes it was heavy. People who didn't know would think he was being a hooligan.
Thin pulse. Thin pulse indicates weakness and dampness. So, is it due to deficiency of qi and blood, or is it due to dampness blocking the spleen?
Therefore, we must make a comprehensive judgment and find the common denominator of various judgments. In this way, it will be basically accurate.
Just now Wang Yuanchao discovered that this woman had a slow pulse on the left radial side of her hand. A slow pulse on the left radial side indicated kidney deficiency and coldness, turbid stools, and no sound during menstruation.
Kidney deficiency and cold means kidney yang deficiency, which cannot warm the spleen, causing spleen yang deficiency, insufficient spleen qi and blood production, weak qi and blood, so the menstrual volume is small, and the pulse has the characteristics of thin pulse.
Of course, menstrual flow comes from the kidneys. Kidney deficiency and failure of semen to transform into blood can also lead to scanty menstrual flow.
The other party was seriously weak and cold, and his spleen was weak. At his age, he should be married, so he said:
"Do you have any children?"
The woman opposite was still fine, but the female patient from yesterday was already shocked:
"How do you know that Teacher Pei doesn't have a child yet?"
Pei Lele patted Song Qiangwei a little embarrassedly and said softly:
"Doctor, I have been married for five years and still have no children."
Generally speaking, it is not easy for normal people to have kidney yang deficiency to this extent, because kidney is the foundation of one's constitution, so it is either due to congenital deficiency or acquired reasons. For women, apart from the living environment, the biggest possibility is miscarriage or abortion, which will seriously damage the kidney qi. If it is not adjusted afterwards, kidney yang deficiency will occur.
So Wang Yuanchao said again:
"Have you ever had a miscarriage or abortion?"
Pei Lele's face changed, a trace of pain appeared on her face, and after struggling for a while, she said:
"That was in 61, when I just got married..."
Pei Lele explained it briefly and Wang Yuanchao understood.
During the most difficult period, the parents didn't know what was going on. There were so many things going on at home that I didn't pay attention and I had a miscarriage. After that, the years got better, but I couldn't get pregnant again.
Now my mother-in-law burns incense and worships Buddha every day, feeling guilty towards her unborn grandson because she was a bit too bossy with her pregnant daughter-in-law.
The husband couldn't believe this and often quarreled with his mother-in-law. Then the mother-in-law would hold the tablet of his father-in-law and cry loudly, saying: You lost your life for the country, but your son wants you to have no descendants.
Anyway, my family was in turmoil, and I went to many hospitals, but nothing could help. If my bestie hadn't dragged me to this small clinic to treat my dysmenorrhea today, I probably wouldn't have been able to get rid of this scar.
Now that it has been revealed, Pei Lele asked anxiously:
"Doctor, then, can it be cured?"
Wang Yuanchao said:
"The situation is not bad. It is not incurable. I will prescribe a prescription for you. You can take it for a while. I will see you when the time comes."
According to Fu Qingzhu's Gynecology·Seeds·Infertility Caused by Cold Lower Part 31, the prescription for this condition is Wen Bao Yin.
Wang Yuanchao sang while carrying the soup:
"Wen Bao Yin warms the uterus and treats coldness. It contains ginseng, astragalus, cinnamon, aconite, Morinda officinalis, yam, durian, and psoralea corylifolia. It cures the deficiency of heart and kidney fire by taking it.
Ginseng replenishes Qi, Atractylodes macrocephala strengthens the spleen and consolidates Qi, Morinda officinalis and Psoralea corylifolia warm the kidneys and uterus, Eucommia ulmoides, yam, Euryale ferox and Cuscuta australis nourish the kidneys and benefit the essence, and also treat back pain. Aconite and cinnamon are very hot medicines, which can replenish your Yuanyang Mingmen true fire.
This prescription nourishes the heart and kidneys, warms the kidneys and the heart.
After taking the medicine, your stomach will feel warm, you will not have dysmenorrhea, and your chances of getting pregnant will be greater.
Take it for a month first, that should be enough.
"
He was reciting and writing prescriptions while people were surrounding him.
Because the senior brothers and sisters don't talk much when they treat patients, there are basically no ones like him who recite poems that are difficult to understand and explain the effects of the medicines in them.
But the area was surrounded, and no one came to consult the doctor after Pei Lele.
So Wang Yuanchao personally helped people get and boil medicine, focusing on full-cycle and full-process services, which were all practical experiences he lacked.
After watching the excitement, the crowd returned to see the doctors. Except for the patient himself, no one trusted the children's doctor.
However, Wang Yuanchao did not feel uncomfortable. When there were no patients looking for him, he would go to his fellow apprentices for follow-up consultations. Sometimes he would accompany them to get medicine, sometimes he would watch them boil the medicine, using either quick or slow fires, sometimes he would teach Zheng Guangming how to recite acupuncture points, and sometimes he would watch his fellow apprentices prepare medicinal materials.
Although I feel a little regretful that I didn’t see as many cases as when I followed my master, and it didn’t meet my expectations, but it doesn’t matter, I still gained a lot.
(End of this chapter)