novel for you Chapter 724 Causality
Chapter 724 Causality
Mo Xinzhi glanced at his son, and Mo Taihong remained silent.
Obviously, Mo Taihong's thinking is biased again, just as Xun Jiahong mentioned the breadth problem. This is a problem that exists in many Chinese medicine practitioners today. This problem will naturally subconsciously affect the doctor's judgment and thinking.
In some aspects, Liu Xi's level may not be as good as Mo Taihong's, but in terms of thinking, Liu Xi is much better than Mo Taihong.
"good."
Chen Yang nodded and said, "The patient's symptoms occurred in a certain order. According to modern medical diagnosis, he had chronic cholecystitis first, then neurosis, and finally Meniere's disease. Therefore, the cause and effect between the symptoms are very clear."
"However, in actual clinical practice, the impacts of the three diseases are different. Especially in modern medicine, chronic cholecystitis is a long-term disease that is difficult to cure and can only be controlled clinically. Neurosis is also a long-term disease. Now, it is Meniere's disease that has the greatest impact on patients' lives..."
Chen Yang continued, "So in clinical treatment, many doctors will focus on Meniere's disease and use Meniere's disease as the starting point..."
Mo Taihong: “….”
Isn’t this himself that Chen Yang is talking about?
Xun Jiahong, Liu Xi and others nodded.
In modern medicine, chronic diseases are a general term for a class of diseases with hidden onset, long course and persistent condition, lack of evidence of definite infectious biological causes, and complex causes.
Therefore, the clinical attitude towards many chronic diseases is that as long as the disease does not progress, there will be no excessive intervention, and the focus will be on control and stabilization.
Therefore, Chen Yang’s analysis of the three symptoms is very objective.
Therefore, in actual clinical treatment, many doctors will ignore patients' chronic cholecystitis, or do not pay attention to the treatment of patients' chronic cholecystitis, but focus on Meniere's disease, so the treatment effect is often poor.
"From the pulse and the patient's condition, the cause of the patient's chronic cholecystitis is emotional disorder. Depression or rage damages the liver, causing the liver to lose its ability to release qi and qi, which leads to obstruction of bile excretion..."
Chen Yang continued, "The patient was already in a bad mood, and the chronic cholecystitis had not been cured for a long time, which made the patient even more depressed, thus leading to neurosis and Meniere's disease..."
Xun Jiahong and others nodded again. Although the patient had several symptoms, they were causally related, and the development of the disease was just as Chen Yang said.
Chronic cholecystitis is a long-standing inflammation of the gallbladder, and its main symptoms include tenderness in the right upper abdomen, abdominal distension, poor appetite and nausea. In traditional Chinese medicine theory, this is mostly due to abnormal liver and gallbladder secretion, which in turn affects the spleen, resulting in dysfunction of the spleen and stomach.
The liver regulates the secretion and excretion of bile. When the liver and gallbladder function is out of balance and bile is not excreted smoothly, it will cause inflammation, which will affect the normal functioning of the spleen and stomach. Long-term chronic cholecystitis not only causes physical pain to the patient, but also affects the digestive function, leading to poor nutrient absorption. For example, the old lady's body is getting thinner and thinner, which is the result of the long-term effects of the disease.
Neurosis is not caused by organic disease, but it actually affects the patient's mental state. The old lady showed symptoms such as depression, irritability, and insomnia, which are closely related to the liver.
The liver stores the soul, and if the liver is depressed, the soul will not stay in the body, and the phlegm and fire will disturb the heart, making the mind restless. Long-term mental stress and accumulation of negative emotions may induce neurosis, and this chronic disease will interact with other physical diseases, further increasing the physical and mental burden of the patient.
The three chronic diseases are intertwined, forming a complex pathological network.
The liver depression and fire transformation and phlegm-dampness in Meniere's disease will aggravate the liver and gallbladder damp-heat symptoms of chronic cholecystitis; the spleen and stomach disharmony in chronic cholecystitis will affect the production of qi and blood, aggravating the mental malnutrition problem in neurosis; and the mood swings caused by neurosis will in turn affect liver function and aggravate the symptoms of Meniere's disease and chronic cholecystitis. This vicious cycle makes treatment extremely difficult.
Of course, there are no such names for these diseases in traditional Chinese medicine. They are just mentioned here to make them more intuitive and clear.
"So in terms of treatment, the main focus should be on promoting bile secretion."
Chen Yang said: "The gallbladder qi is released, the gallbladder meridians are unblocked, which is beneficial to the clearing of liver fire, the dissipation of liver wind, the sinking of liver yang, and the clearing of damp heat in the spleen and stomach, which is beneficial to the spleen and liver to maintain stability..."
Mo Xinzhi listened to Chen Yang's analysis and admired him in his heart. No wonder Chen Yang, at such a young age, could command the admiration of everyone and become the leader of this free medical consultation team.
Chen Yang's analysis is indeed very accurate. He grasped the key to the disease by focusing on promoting bile secretion. From the theory of the five elements of traditional Chinese medicine, the liver and gallbladder are the exterior and interior of each other. Promoting bile secretion can help the liver qi to vent, thereby regulating the qi of the whole body.
Mo Xinzhi turned to look at his son Mo Taihong, and seeing that he looked thoughtful, he couldn't help but sigh in his heart that although the younger generation of Chinese medicine practitioners have solid professional knowledge, the breadth and depth of their thinking still need to be honed when faced with complex diseases.
Mo Taihong noticed his father's gaze and lowered his head slightly. He had embarrassed himself twice today, and in front of his father.
Mo Taihong has always been quite conceited and felt that he had done his father proud. But today, in this small place of Jiping Town, he lost face again and again.
Xun Jiahong was also looking at Chen Yang with admiration at this time, and he had a better understanding of Chen Yang's medical skills.
The breadth and depth of Chinese medicine diagnosis and treatment are both indispensable. Chen Yang not only has an accurate grasp of the symptoms, but can also formulate a reasonable treatment plan from a holistic perspective. This also shows Chen Yang's accumulation and mastery in various aspects.
As he spoke, Chen Yang had already started prescribing medicine: "In terms of treatment, we use Bupleurum, Scutellaria, Citrus aurantium, Lysimachia chinensis, and Rhubarb to soothe the liver and promote bile secretion, clear away heat and purge fire to treat the root cause, supplemented by Uncaria rhynchophylla and Arisaema consanguineum to dispel wind-heat, clear away heat and remove phlegm; Raw white peony root to nourish yin and nourish the liver..."
Chen Yang also prescribed six doses, and then handed it to the patient's daughter: "Take it according to the prescription after you go back, and adjust your mood. After taking two doses of medicine, the dizziness should get better. After taking six doses of medicine, if there are any problems, you can go to Jialin County Hospital to see Director Xun Jiahong or Doctor Li Haofei for a follow-up visit..."
As he spoke, Chen Yang wrote a note under the prescription.
It is relatively far to the provincial capital, but fortunately Xun Jiahong and Li Haofei are both in Jialin County, so if there are any problems, Xun Jiahong and Li Haofei can probably handle them.
"Thank you, thank you." The patient's daughter took the prescription, expressed her gratitude, and then helped the old lady to get the medicine.