novel for you Chapter 884: Chinese Medicine Must First Be Named “Zhong” (Part )
Chapter 884: Chinese Medicine Must First Be Named “Zhong” (Part )
The patient's tongue image has been photographed and displayed on a large screen.
Zhao Hailin and Sun Mingde looked at the patient's tongue photo carefully again. The purple and swollen sublingual veins were indeed shocking!
They just paid too much attention to the Western medical name of "cholelithiasis" and the main symptom of "flank pain", habitually applied the common pathogenesis of "dampness and heat", but ignored more detailed signs!
This is also a common problem among many Chinese medicine doctors today. Habits become second nature, and they subconsciously ignore Chinese medicine dialectics and directly apply Western medicine symptoms, forming preconceived ideas.
Chen Yang continued to analyze: "The Clinical Guide to Medical Cases says: 'At the beginning of the disease, the qi is in the qi, and after a long time, the disease enters the collaterals', and 'the pain enters the collaterals after a long time'."
"Mr. Wang has had a history of illness for more than three years, with recurrent pain that does not heal. This is a sign of a long-term illness. Long-term stagnation of Qi will inevitably lead to poor blood circulation, endogenous blood stasis, and blockage of the gallbladder meridian. The gallbladder organ is smooth when it is unobstructed, and blood stasis blocks the meridians, making the bile duct blocked. Not only is it difficult to expel stones, but it is also the root cause of severe pain! His bitter mouth and dry stool are signs of Qi stagnation turning into heat and Qi obstruction in the viscera, but the root cause is still Qi stagnation and blood stasis!"
"Therefore, to treat this condition..."
Chen Yang said slowly: "If we only soothe the liver and gallbladder, and clear away dampness and heat, it is like scratching an itch with a shoe, and it is difficult to shake the root of the stasis. We should focus on 'activating blood circulation and removing blood stasis, unblocking collaterals and relieving pain', and supplement it with 'soothing the liver and regulating qi, and slowly unblocking visceral qi'. If the blood stasis is resolved and the collaterals are unblocked, the bile duct will naturally be unblocked, not only can the pain be stopped, but the stones will also have a chance to loosen and be discharged."
"If you only pursue 'stone removal' and use a lot of choleretic products, it may damage your Qi and blood, which will not help the disease and may even induce stone impaction and colic!"
"Excellent! It penetrates deeply!"
He Huimin nodded slightly: "Seeing the disease and knowing the source, not being limited by the name of the disease, Doctor Chen's theory has deeply grasped the essence of Ye Tianshi's theory of 'long-term illness entering the meridians'! Cholelithiasis flank pain is mostly clinically seen in damp-heat type, but this case of blood stasis blocking the meridians is more typical and tests the doctor's ability to differentiate symptoms!"
After all, Chen Yang is a doctor who graduated from her own school, so He Huimin naturally has no hostility towards Chen Yang. Today she just plays the role of a supporting actor.
Shen Qiuyun also nodded in agreement: "The pulse is deep, stringy and astringent, the sublingual collaterals are purple, and the pain is like a knife twisting and drilling, and the top of the head refuses to be pressed. These are the three signs of blood stasis! Doctor Chen identified the main symptoms and analyzed the pathogenesis accurately. The main prescription should be Xuefu Zhuyu Decoction and Jinlingzi Powder!"
Chen Yang picked up his pen and wrote down the prescription:
桃仁12克 红花9克 当归15克 生地黄15克 川芎9克 赤芍12克 川牛膝12克 柴胡9克 枳壳9克 桔梗6克 甘草6克（血府逐瘀汤基础）
Add: 15g of Corydalis yanhusuo (made with vinegar), 9g of Chuanlianzi (Jinlingzi powder, which can promote qi and blood circulation and relieve pain)
6g of raw rhubarb (added last, to clear the bowels and relieve heat) 30g of Centella asiatica and 15g of Lycopodiella citrate (wrapped and decocted, to promote bile secretion and expel stones)
6g of roasted pangolin (ground into powder and taken with water to remove blood stasis, dredge meridians, soften and disperse lumps)
The prescription was once again displayed on the big screen.
"Xuefu Zhuyu Decoction and Hejin Lingzi Powder! Add roasted pangolin to dissolve blood stasis and dredge the meridians..."
Zhao Hailin murmured softly as he looked at the prescription.
This prescription is closely linked to the pathogenesis of "blood stasis blocking the collaterals", with a clear distinction between the primary and secondary, and both attacking and supplementing. Xuefu Zhuyu Decoction itself has the function of nourishing blood, while also taking into account the function of promoting bile secretion and expelling stones. Centella asiatica, Lycopodiella cuneata and bowel movement are also beneficial. Raw rhubarb is taken with roasted pangolin powder, which can break up blood and dredge collaterals and treat stubborn blood stasis, as the "spearhead" of the attack. The medication is precise and the combination is appropriate!
The host heard Tang Wenshan's instructions through the headset and asked at the right time: "Doctor Chen, in addition to herbal medicine, can acupuncture also relieve Mr. Wang's severe pain?"
"of course can."
Chen Yang nodded: "For this type of acute flank pain caused by qi stagnation and blood stasis, acupuncture often has an immediate effect in relieving pain."
As he spoke, Chen Yang signaled the staff to push the acupuncture bed over.
After Mr. Wang lay down, Chen Yang took out the needle, moving as fast as lightning:
The right gallbladder point, the extraordinary point, the tender point 1-2 inches below the Yanglingquan point: Straight insertion 1.5-2 inches, strong stimulation and drainage method, large-scale lifting, insertion and twisting. This point is a special point for treating bile duct diseases and relieving biliary colic!
Right Yanglingquan, Gallbladder Meridian He point: Straight puncture 1.5 inches, drainage method. Soothe the liver and gallbladder, dredge the meridians and relieve pain.
Right side Riyue Gallbladder Mu Point and Qimen Liver Mu Point: Obliquely insert the needle 0.5-0.8 inches, evenly supplement and drain, and regulate the liver and gallbladder Qi.
......
Chen Yang moved the needle very quickly with clean and neat techniques, especially at the gallbladder point and Yanglingquan point, where he used strong lifting, inserting, twisting and draining techniques.
Mr. Wang frowned at first, but as Chen Yang performed the acupuncture, the pain on his face eased rapidly at a speed visible to the naked eye, and the hands that were pressing tightly on his abdomen slowly loosened!
"Huh?... It really... It really doesn't hurt that much anymore! I feel much more comfortable! I just... I feel that the twisting force... has dissipated!" Mr. Wang exclaimed in surprise, with a hint of relief in his voice.
The scene burst into warm applause again!
The rapid effect of acupuncture in relieving pain once again intuitively conquered the audience!
"Thank you Dr. Chen."
After Mr. Wang was escorted off the stage, the host smiled and said, "Dr. Chen is so young, but his medical skills are superb. It's really admirable."
"Thank you, host."
Chen Yang smiled and said, "In fact, Chinese medicine is not as difficult to learn as imagined. Many times, we misdiagnose and mistreat, or find it difficult to improve, just because we don't know the right method. It's just like treating a disease, the method is wrong."
Chen Yang glanced at Sun Mingde and Zhao Hailin and said, "Just like what Director Zhao and Director Sun said just now, they are biased and use Western medical names to describe diseases. This is the most common mistake made by most Chinese medicine practitioners in clinical practice."
Zhao Hailin and Sun Mingde were both stunned, and then fell silent. They didn't expect Chen Yang to bring up this topic at this moment.
Although Zhao Hailin and Sun Mingde were afraid of Chen Yang, they still had some thoughts about Chen Yang in their hearts, so they subconsciously targeted Chen Yang and wanted to compete with him from the beginning.
Chen Yang could naturally see it, and the habits of Sun Mingde and Zhao Hailin were indeed common problems among many Chinese medicine practitioners today. Chen Yang felt it necessary to talk about it on the show.
"Traditional Chinese medicine is the quintessence of our country. To learn traditional Chinese medicine, we must maintain and carry forward its traditional advantages and unique characteristics..."
Chen Yang said slowly: "Treatment based on syndrome differentiation is the most fundamental embodiment of the advantages and characteristics of traditional Chinese medicine. It can also be said that it is the soul of traditional Chinese medicine and the root of traditional Chinese medicine..."
“No matter how Chinese medicine innovates and keeps pace with the times, its roots must not be lost. Once the roots are lost, Chinese medicine will lose its advantages and characteristics…”
After a pause, Chen Yang continued, "However, since Western medicine spread to the East and Chinese medicine and Western medicine collided and talked, Chinese medicine's education model, diagnosis model, medication ideas, and research methods have become more and more numerous and more exciting, but Chinese medicine has become a little unlike Chinese medicine. I also hope that Chinese medicine practitioners can understand this and reflect on it..."