novel for you Chapter 702 Three Young Talents
Chapter 702 Three Young Talents
When they saw Zhang Jianguo, Liu Xi, Xun Jiahong and others were a little touched.
Zhang Jianguo was only forty-five years old, but his face was rough, his hands were covered with thick calluses, his arms were rough and black, and there was black dirt under his nails.
Before coming to the hospital this morning, Zhang Jianguo had been working at the construction site and did not dare to slack off. It was only until he heard that there were experts from the provincial hospital seeing patients at the county hospital that he, at the urging of his wife, took a day off and came to the hospital for a check-up.
As soon as Li Haofei's fingers touched Zhang Jianguo's calf, Zhang Jianguo suddenly jumped up as if he had been electrocuted: "It hurts!"
"The tenderness at the Diji acupoint is level three." Li Haofei said and continued the examination.
"The tongue coating is yellow and greasy, and the pulse is slippery and rapid."
Li Haofei let go of Zhang Jianguo's wrist and asked, "Master Zhang, do you drink white wine every day?"
"To relieve fatigue..." Zhang Jianguo smiled awkwardly, revealing his teeth yellowed by smoke.
He not only drinks, but also smokes. But so what? Who dares to say that Zhang Jianguo is not a responsible and good man?
It's just that he can only endure hardship and has no other abilities, so he is poor.
But facing such pressure in life, how can you hold on without drinking a little wine or smoking a few cigarettes?
"Everyone, let's talk."
Chen Yang said: "Everyone already knows the patient's condition, how should we treat him?"
This visit to Jialin County is to treat illnesses on the one hand, and to take the opportunity to improve the medical level in Jialin County on the other. Therefore, it is also very important to publicly analyze and explain this disease so that the doctors at Jialin County Hospital can broaden their horizons.
"From the perspective of traditional Chinese medicine theory, the patient's tongue coating is yellow and greasy, and the pulse is slippery and sparse, which is a typical sign of damp-heat accumulation. The obvious tenderness at the Diji point indicates that the spleen and stomach meridians are not smooth and damp-heat is blocked. The disease occurs in the skin because the damp-heat evil cannot be vented and overflows the skin. In addition, with a five-year course of illness, the long-term disease has entered the meridians, and there must be stagnation of qi and blood."
Li Haofei said: "My treatment idea is to clear away heat and dampness, promote blood circulation and remove blood stasis, and dispel wind and relieve itching."
"The main prescription can be Simiao Pills combined with Taohong Siwu Decoction with modifications. Atractylodes, Phellodendron, Achyranthes, and Coix Seed in Simiao Pills can clear away heat and dampness, and eliminate dampness and heat in the body; peach kernel, safflower, angelica, Chuanxiong, white peony root, and Rehmannia root in Taohong Siwu Decoction can activate blood circulation and remove blood stasis, improve local blood stasis, and allow the skin to be nourished by blood and qi again. In addition, add Dictamni, Kochia, Sophora flavescens and other wind-dispelling and itching-relieving herbs to relieve the patient's unbearable itching symptoms."
As Li Haofei was speaking, a doctor was writing on a piece of paper beside him. Wu Mengmeng and the others were also thinking about something.
Liu Xi pondered for a moment and said, "Doctor Li's judgment on dampness and blood stasis is very accurate, but I think that the patient has been drinking alcohol for a long time, and the evil of alcohol and dampness has accumulated in the body, damaging the spleen and stomach, causing the spleen to lose its healthy function and internal dampness. This is the root cause of the symptoms. Therefore, when treating, we should focus on regulating the spleen and stomach functions and solve the problem of dampness from the source."
"I recommend using Shenling Baizhu Powder combined with Yinchenhao Decoction as the main prescription. The herbs such as ginseng, white atractylodes, poria, yam, lotus seeds, etc. in Shenling Baizhu Powder can strengthen the spleen and replenish qi, restore the spleen and stomach's transportation and transformation functions, and prevent the endogenous generation of dampness; the Yinchenhao Decoction's Yinchen, gardenia, and rhubarb can clear away heat, dampness, and jaundice, removing the damp heat that has already formed in the body."
Liu Xi paused and continued, "At the same time, in order to relieve the patient's current symptoms, you can also add some astringent drugs, such as gallnut and red ochre, to reduce skin exudation and promote the healing of skin lesions."
Xun Jiahong had been listening quietly. After Liu Xi finished speaking, Xun Jiahong slowly spoke: "The analysis of Doctor Liu and Doctor Li is very reasonable, but I want to discuss it from another angle. The patient has been under great pressure in life for a long time, and his emotions are not comfortable. The liver is depressed and the qi is stagnant. The liver is responsible for regulating qi and blood. Once the liver is depressed and the regulation is abnormal, it will affect the circulation of qi, blood and body fluids, and then aggravate the condition."
"So it is feasible to soothe the liver and regulate qi, clear away heat and dampness, nourish blood and moisturize the skin. Longdan Xiegan Decoction combined with Chaihu Shugan Powder can be added or subtracted. Longdan Xiegan Decoction can clear away dampness and heat in the liver and gallbladder, while Chaihu Shugan Powder can soothe the liver and regulate qi, allowing the liver qi to flow smoothly and qi and blood to flow unobstructed. Combined with angelica, white peony root, cooked rehmannia root and other blood-nourishing and moisturizing products, it can nourish the skin and fundamentally relieve the symptoms of itching."
"In addition, some heavy-duty and tranquilizing drugs, such as dragon bones and oysters, can be added. The patient has been suffering from illness for a long time, and his sleep must be affected. These drugs can help him improve his sleep quality and facilitate recovery from the disease."
Wu Mengmeng opened her mouth slightly. Are the three of them, her senior brother and Doctor Li Xun, getting into a fight?
Judging from the analysis of the three people, what they said actually makes sense, and it is obvious that the three of them are trying to compete with each other.
The doctors of the Traditional Chinese Medicine Department of Jialin County Hospital were instantly excited. Today's consultation was truly a fierce battle. The three young talents expressed their opinions, and Chen Yang was there to check on the situation. It was a rare scene.
After listening to Xun Jiahong's proposal, Li Haofei thought for a moment and responded: "Director Xun, the emotional factors you mentioned cannot be ignored. But as far as the patient's current condition is concerned, the itching symptoms are extremely severe and have seriously affected his life and work. I think when using medication, we should give priority to quickly relieving symptoms so that patients can have a relatively comfortable treatment process."
"In addition to the wind-dispelling and itching-relieving drugs I mentioned earlier, I also recommend adding insect drugs such as scorpions and centipedes. They are very effective in removing wind and unblocking meridians, and may have an unexpected effect on this stubborn itching."
Liu Xi also added: "I agree with Dr. Li's idea of relieving symptoms quickly. In the prescription I drafted, in addition to astringent drugs, some foods that strengthen the spleen and eliminate dampness, such as coix seed and Euryale ferox, can also be added to help patients regulate their spleen and stomach in their daily diet. At the same time, it is recommended that patients strictly avoid eating spicy, greasy, and irritating foods during the medication period, as these foods are likely to promote dampness and heat, which is not conducive to the recovery of the disease."
Xun Jiahong said: "I am just sharing an idea. In addition to oral medication, we can also use some traditional Chinese medicine therapies. For example, use Chinese medicine fumigation and washing, boil decoctions of drugs such as Sophora flavescens, Phellodendron chinense, Cnidium monnieri, Kochia scoparia, etc., first fumigate and then wash, penetrate through the skin, directly act on the affected area, and enhance the effects of clearing heat and dampness, dispelling wind and relieving itching. In addition, moxibustion can also be tried, selecting acupoints such as Zusanli, Sanyinjiao, and Pishu, which can play a role in strengthening the spleen and removing dampness, and harmonizing qi and blood."
"It is said that only when excellent people are together can they become more and more excellent. It is indeed true."
Gao Mingxuan sat next to Chen Yang and said with a smile: "I rarely see a scene like today. The only time I saw this was when I was young and attended a meeting and encountered a debate among several old experts."
"Yeah." Chen Yang nodded with a smile. Liu Xi, Xun Jiahong and the other two were together. Chen Yang had never expected this scene.