novel for you Chapter 877 How many restrictions are there (2 in 1)
Chapter 877 How many restrictions are there (2 in 1)
The staff distributed a thick stack of Western medical examination reports to the five experts. Chen Yang quickly flipped through them and found that, as the host said, all indicators were within the normal range, and the Western medical diagnosis had reached a dead end.
"Another difficult case!"
On the stage, Zhao Hailin and others looked at the patient's medical records and couldn't help but sigh in their hearts.
Although they had guessed this situation a long time ago, they did not expect that one patient after another would be like this.
In fact, it is normal to think about it. If it is a simple disease, few patients will choose this channel. Those who can choose this channel mostly seek medical treatment on the Internet, or even have no access to medical treatment.
"Let me take a look first."
Seeing that the woman had already arrived on the stage, Shen Qiuyun asked her to sit down in front of him. While checking her pulse, he asked, "Apart from the persistent low-grade fever, are you feeling any other discomfort?"
Ms. Li added weakly, "I... I always feel very anxious and my face is burning, but I am shivering with cold. No matter how many quilts I cover myself with, I can't get warm. I can't sleep at night. I feel anxious as soon as I close my eyes... My mouth is dry, and drinking water doesn't quench my thirst... It's so torturous..."
The woman's voice was filled with fatigue and helplessness from being tortured by a strange disease for a long time.
"What a strange disease!" Sun Mingde frowned as he looked at Ms. Li's strange complexion and guessed, "Internal heat and external cold? Deficiency of both yin and yang?"
Shen Qiuyun has already started taking Ms. Li's pulse, with his fingers on Ms. Li's wrist, his brows becoming more and more furrowed.
Seeing that Shen Qiuyun remained silent after taking the woman's pulse, He Huimin, Zhao Hailin, Sun Mingde and others also took the woman's pulse.
Next was Chen Yang's turn. When it was Chen Yang's turn, Chen Yang concentrated and calmed his mind, took the pulse with three fingers, and observed it carefully.
The consulting room fell into a brief silence, with only the slight hum of the camera. The experts had different expressions. Shen Qiuyun and He Huimin exchanged solemn glances, while Zhao Hailin and Sun Mingde seemed a little confused.
"How is the pulse condition? Experts, please share your thoughts." The host asked the question at the appropriate time.
Shen Qiuyun spoke first, with obvious confusion in her tone: "The left pulse is as thin as a thread, and you can hardly feel it when you press hard (it's so thin that it almost stops). The right pulse is slightly better, but it can't be felt when it's superficial, it's thin and weak when it's taken in the middle, and it can only be felt when it's taken from the bottom (it's so thin and weak)... This... this is a manifestation of extremely weak Yang Qi and inability to stimulate it! But the patient's face is clearly red like makeup, and he feels hot and dry in the mouth..."
“The tongue image is also contradictory!”
He Huimin asked the photographer to take a close-up of Ms. Li's tongue: "Look, the tongue is very pale and tender, without any blood color, the tongue is fat, and there are teeth marks on the edges. This is a typical tongue image of qi deficiency and yang deficiency! But the tongue coating is thin, yellow and dry..."
"If this is...if yang deficiency causes internal cold, why is there yellow dry tongue coating?"
Zhao Hailin pondered, "Yin deficiency and excessive fire can also cause low fever, red cheeks, and dry mouth. Although the deep and thin pulse does not conform to the typical fine pulse of Yin deficiency, it cannot be completely ruled out... Maybe... it is Yin and Yang deficiency, and the virtual fire is inflamed?"
Sun Mingde nodded in agreement: "Director Zhao's words make sense. Long-term illness will lead to weakness. The patient has a low fever for years, which consumes the Qi and Yin, resulting in damage to both Yin and Yang. The false Yang floats upward, so the face is red and hot; the true Yang is deficient below, so the patient is afraid of cold and has cold limbs."
Sun Mingde pondered for a moment and said, "I suggest... nourishing yin and clearing heat and guiding fire back to the origin together, such as Zhibai Dihuang Wan with a small amount of cinnamon?"
"inappropriate!"
Shen Qiuyun immediately retorted: "The pulse is deep and thin, and the tongue is pale, plump and tender. This is a clear sign of excessive cold and yin and weak yang! The yellow dry tongue coating is probably a false sign! If we use bitter and cold drugs such as Anemarrhena and Phellodendron to nourish yin and clear heat, wouldn't it further damage the already weak yang? I'm afraid it will cause complications!"
Several experts held different opinions and the diagnosis came to a deadlock.
Yin deficiency? Yang deficiency? Yin and Yang deficiency? All of them seem to have a basis, but none of them can fully explain all the symptoms.
The camera swept across Ms. Li's anxious and expectant face, and then across the experts with frowned brows, and the atmosphere on the scene became somewhat solemn.
There was also a buzz of discussion in the audience.
In the director's room, Tang Wenshan's heart was in his throat. Chen Yang had impressed everyone with the first case, but was he going to get stuck with the second one? This was a live broadcast!
At the same time, some barrage comments began to fly all over the Internet.
"Oh, this is Chinese medicine. Several experts see one patient and come to so many conclusions. If this were Western medicine, at least there wouldn't be much disagreement on what disease it is."
Immediately afterwards, a comment mocked: "So after a year of not looking forward to it, here comes 'functional low fever of unknown cause'?"
"If you don't understand, don't talk nonsense. Doctor Chen has already popularized science. This is the characteristic of Chinese medicine. Chinese medicine dialectics vary from person to person. It's like an argumentative question. You have to infer and argue based on the patient's condition and finally draw a conclusion. You are a bunch of idiots. Don't talk nonsense if you don't understand."
"The discussion online has heated up."
Lin Yi and Xia Hongliang were in Lin Yi's office, watching the show on a computer, and could see all kinds of comments. At the moment, comments were everywhere, and the two of them were also discussing them.
At Jialin County Hospital, many doctors from the Department of Traditional Chinese Medicine are also watching the show.
Someone asked Xun Jiahong: "Director Xun, what exactly is this disease?"
"Everyone just watch carefully." Xun Jiahong opened his mouth, he was thinking.
"Dr. Chen..."
The host placed his last hope on Chen Yang, who had been observing silently: "What do you think? What is the root cause of the patient's contradictory symptoms of 'real cold but false heat' and 'real cold inside but false heat outside'? How can we solve it?"
All eyes instantly focused on Chen Yang.
The studio was so quiet that you could hear a pin drop; even Ms. Li's heavy breathing was audible.
The audience in the auditorium was silent as well, and everyone looked at Chen Yang expectantly.
At this moment, the screen also gave the audience a close-up, and everyone watching the show could see the real reactions on the audience's faces.
Chen Yang's face was calm, his eyes were clear, and his voice was steady and penetrated the silence: "The analysis of the predecessors is reasonable, but the key point is that we must look beyond the appearance and grasp the essence of the disease - the cold and yin are strong inside, and the yang is suppressed outside! This is the 'Dai Yang Syndrome'!"
"Dai Yang Certificate?!"
Shen Qiuyun and He Huimin cried out almost at the same time, with a light of enlightenment flashing in their eyes!
Zhao Hailin and Sun Mingde looked stunned.
"Exactly!"
Chen Yang nodded, stood up, walked to Ms. Li, and did not explain immediately, but did something that surprised everyone.
Chen Yang stretched out the back of his hand and gently touched Ms. Li's unusually red and hot cheekbone, stayed there for a few seconds, and then quickly withdrew it.
"It confirmed my guess..."
Chen Yang also said to the host: "Come over and touch it, stay a little longer?"
The host was a female host. Upon hearing this, she looked closer in confusion, then carefully touched the place where Chen Yang's hand had just touched with her finger and said in surprise: "Huh? It felt hot at first, but then it felt... warm? It's not that hot! But Ms. Li's face looks so red!"
"That's right!"
Chen Yang looked at Ms. Li with a sharp gaze: "Ms. Li, touch your face. Do you feel that your skin is very hot? But after touching it for a long time, you feel that the 'heat' is only on the surface. It is not hot inside, and even... a little cold?"
Ms. Li followed the instructions and touched her burning cheek with her cold hand. After feeling it for a while, she nodded vigorously with a trembling voice: "Yes! Yes! Doctor, you are absolutely right! It is hot to the touch on the outside, but I feel... I feel that this heat is false, and the inside is empty and cold! It's like..."
"It's like a charcoal fire that is almost burned out. The layer of red ash on the outside looks hot, but it's already cold inside!" Chen Yang added with a smile.
"Yes, that's it." Ms. Li nodded.
Chen Yang's metaphor was exactly the description of her personal experience, and it instantly hit the point!
"If one's body is very hot but one still wants to put on clothes, it means that the heat is in the skin and the cold is in the bone marrow!"
Chen Yang said slowly, referring to the original text of Article 11 of Treatise on Febrile Diseases: "Ms. Li feels hot, her face is red as makeup, and her mouth is dry and she wants to drink. She seems to have a fever, but she is thirsty and likes hot drinks, and she doesn't drink much. She is very afraid of cold, her limbs are cold as ice, her pulse is deep and thin, and her tongue is pale and plump! This red and hot sign is definitely not real fire, but the excessive cold in the body, which forces and rejects the remaining weak Yang Qi to the surface of the body and the head! It's like a dying lamp that is about to go out, and the last bit of light and residual warmth that comes back! This is the critical symptoms of 'cold inside and heat outside', 'blocking Yang', and 'holding Yang' described in the Shaoyin disease chapter of Treatise on Febrile Diseases! If you mistakenly use cold and cool to clear heat, it will accelerate the death of Yang!"
These words are like the sun shining through the clouds!
Shen Qiuyun and He Huimin nodded excitedly!
Zhao Hailin and Sun Mingde were struck by lightning, and cold sweats streamed down their cheeks! They almost prescribed a prescription to nourish Yin and clear fire! That would be tantamount to murder!
"Then...what should we do?" Ms. Li's voice was full of fear and hope.
Chen Yang smiled, and his smile comforted Ms. Li, just like the warm sun in winter: "At this time when the yin and cold are strong inside, the remaining yang is floating, and life and death are at stake, a medicine with strong pungent and hot properties, breaking the yin and restoring the yang, and connecting the inside and outside is necessary! "Treatise on Febrile Diseases" says: 'Shaoyin disease, diarrhea, clear stool, cold inside and heat outside, cold hands and feet, weak pulse, body does not feel cold, and the person's face is red... Tongmai Sini Decoction is the main treatment.' Although this syndrome does not have diarrhea, the essence of yin and cold rejection, true cold and false heat is the same! Therefore, the original recipe of Tongmai Sini Decoction should be used to turn the tide!"
As he spoke, Chen Yang picked up the pen and quickly wrote down the prescription on the prescription pad. At the same time, Chen Yang's prescription was displayed on the big screen, and the audience at the scene and the audience in front of the TV could see it.
30g of dried aconite root (pre-boil for 2 hours), 45g of dried ginger, 30g of roasted licorice root
4 stalks of green onion (added later)
A cup of children's urine
"Thirty grams of aconite?!"
Sun Mingde screamed subconsciously, his face changed: "Doctor Chen, this... this dosage... is it too strong?"
Zhao Hailin's voice trembled as well: "Yes, Doctor Chen! The normal dosage of aconite is only about ten grams, this... this is three times as much! And there's also forty-five grams of dried ginger! This... this is the thunderbolt method of the Fire God Sect! The risk is too great!"
For doctors who follow the rules, such as Sun Mingde and Zhao Hailin, the dose of aconite used by Chen Yang was indeed too large.
The most important thing is that this is a live broadcast program. If something goes wrong with such a large dose, it will not be a good thing for Chinese medicine.
In the director's room, Tang Wenshan also stood up in shock, his palms full of sweat.
The online comments were even more explosive:
"What the hell! 30 grams of aconite?! Is this to kill people or to save people?"
"The Fire God Sect wouldn't dare to use it this way, right? Just prescribe such a large dose?"
"Is Doctor Chen crazy? The patient looks so weak!"
"The person above knows nothing! This is called extraordinary heart rescue! Didn't you hear Doctor Chen say this is a critical condition?"
"But this is a TV show! What if something goes wrong..."
In Shen City, in Lin Yi's office, Xia Hongliang looked at the barrage and snorted disdainfully, "If this weren't a show, the pharmacopoeia stipulates that aconite cannot exceed 30 grams, and Doctor Chen might use a larger dose."
"Yes, this kind of program is somewhat restrictive to Chen Yang."
Only those who are knowledgeable would know that it was because of the TV program that Chen Yang was as conservative as possible.
Facing the questioning and horrified eyes, Chen Yang's expression was as calm as the abyss, without any panic, and his voice was as steady as a rock, with a convincing force:
"Extraordinary diseases require extraordinary medicines and extraordinary methods! The patient's pulse is deep and thin, which is a sign of imminent yang death! Fu Pian, which is very spicy and hot, can pass through the twelve meridians and is the best product for restoring yang and rescuing the adverse condition! Without this large dose, it is not enough to break the deep cold and invigorate the dying primordial yang! Thirty grams is the bottom line for breaking yin and restoring yang, and turning the tide! Gan Jiang stays and does not leave, warming the yang soil in the middle burner and helping Fu Zi to restore yang. Zhi Gan Cao is sweet and slow to stay in the middle, which not only eliminates the toxicity of Fu Zi, but also harmonizes the medicinal properties, making the strong medicinal effect last for a long time. These three flavors are the core of Tongmai Sini Decoction, and none of them can be missing, and the dosage cannot be insufficient!"
He paused, then pointed to the word "scallion white" on the prescription: "Four stalks of scallion white are added at the end for their spicy and fragrant Yang-promoting energy! This ingredient may seem ordinary, but it is actually the finishing touch! Scallion white is hollow and is good at promoting Yang energy. It can lead the strong medicinal power of aconite and dried ginger directly to the floating Yang that is blocked on the surface of the body by the Yin and cold, allowing it to return to its place and reach the limbs and bones! It is like digging a path in the frozen river, guiding the flood (Yang heat) back to the right path (internal organs), eliminating the blockage!"
Finally, Chen Yang's finger landed on "a cup of urine from a child" and said something startling: "As for urine from a child... its salty and cold nature can be used to assist the hot medicine! Urine from a child (midstream urine from a healthy boy) is salty and cold in nature, which can lead the empty and floating fire downward to the kidneys, and can also restrain the dry and hot nature of aconite and dried ginger, preventing them from hurting the yin and stirring the blood! This is the wonderful use of the "Inner Canon of Medicine" of 'the most serious should be followed' (using medicines that are consistent with the nature of the disease to treat complex and serious diseases)! It also contains the meaning of 'seeking yang in yin'! It seems contradictory, but it is actually in line with the principle that yin and yang are mutually rooted and restrained!"
The explanation, which quoted classics and was incisive, clearly analyzed the seemingly dangerous medication and revealed the profound medical principles contained therein! Especially the two brilliant words "scallion white promotes yang" and "children's urine is a counter-acting agent" made experts such as Shen Qiuyun and He Huimin dazzled and amazed!
"I see!"
Shen Qiuyun let out a long sigh, his eyes full of admiration: "Use the scallion white to break the cold resistance! Use the salty and cold urine to counteract it, prevent the pungent heat from damaging the yin, and guide the dragon into the sea! Doctor Chen is bold as a bucket and careful as a hair when using medicine! Tongmai Sini Decoction is originally a strong medicine for breaking yin and restoring yang. After this modification, it is a combination of hardness and softness, which not only retains its thunderous power, but also adds its comprehensive charm! I admire it!"
He Huimin also sincerely praised: "Dr. Chen's prescription, which is based on the classic prescription of Treatise on Febrile Diseases, combines the courage and insight of the later Huoshen School with his own unique ingenuity! This prescription of Dr. Chen can be regarded as a textbook-level model for treating true cold and false heat, and dangerous syndromes of excessive yin and suppressed yang! The younger generation is formidable, and it is a blessing for Chinese medicine!"
Zhao Hailin and Sun Mingde were already speechless, only filled with shock and fear. They finally understood that the gap between them and the young man in front of them was not just age and experience, but the depth of understanding of the principles of traditional Chinese medicine and the courage to make decisions in times of crisis!
Although Ms. Li and her family only partially understood what was said, the experts' expressions and words gave them great confidence, and they thanked them repeatedly.
"Although the prescription has been prescribed, the disease is serious and cannot be delayed."
Chen Yang said to the host, "Please prepare the medicine according to the prescription backstage and boil it immediately. The aconite must be boiled for two hours first. After the numbness is gone, add the remaining medicine. Add the scallion in the last five minutes. Use fresh midstream urine from a child, add it to the boiled medicine, mix well and take together. The first dose of medicine must be taken today!"