novel for you Chapter 886: The Lost Path of Liver Depression Transforming into Fire
Chapter 886: The Lost Path of Liver Depression Transforming into Fire
Before we knew it, the show entered the second half and the atmosphere in the audience was still lively.
The host wiped the sweat from her forehead. As a veteran host, this show made her heart fluctuate.
"Next patient, please..."
As the host's voice fell, the camera switched to the patient, and the host began to talk about the patient's symptoms.
"The next patient is also a patient with a difficult disease that has not been cured for a long time. He has suffered from insomnia for ten years. Western medicine diagnosed him with "intractable neurasthenia". He has tried various sleeping pills, anti-anxiety drugs, and even transcranial magnetic stimulation treatment, but the results are not satisfactory. Let's see what tricks Chinese medicine can come up with!"
The camera turned to the audience, and a middle-aged woman in a plain cheongsam slowly stood up.
Her gait was light yet unusually stiff. Her black hair was neatly tied behind her head, revealing a clear jawline. However, the fine wrinkles at the corners of her eyes and the dark shadows under her eyes revealed the double torture of time and illness.
\"This is Ms. Su, 48 years old, a middle school Chinese teacher.\"
The host introduced, "Ms. Su's insomnia is textbook-level. She sleeps for two or three hours at most every day, and it's always a light sleep. She wakes up at the slightest noise. What's more painful is that she doesn't feel sleepy at all during the day. Her brain is like a clockwork gear that can't stop. She often feels a tightness in her chest and her temper becomes irritable..."
This time the patient sat down directly in front of Chen Yang.
After Ms. Su sat down, her voice was as clear as an icy spring, but with a barely perceptible tremor: "I was so tired that my bones were about to fall apart, but after lying down, my mind began to uncontrollably 'play a movie', lesson preparations, student homework, parents' phone calls... Even the names of students I taught 20 years ago would suddenly pop up. Western medicine says this is 'compulsive thinking', but taking medicine doesn't help."
Sun Mingde subconsciously flipped through the Western medicine diagnosis report in his hand after hearing this: "Oryzanol, estazolam, paroxetine... all these drugs have been used up, and drug resistance may indeed develop. In traditional Chinese medicine, insomnia is often related to the heart, liver, and kidney. In Ms. Su's case, I'm afraid it's due to heart-kidney disharmony, yin deficiency and excessive fire?"
Zhao Hailin also looked through the medical records and said based on the previous examination: "The tongue is red with little coating and the pulse is thin and rapid, which is a typical case of yin deficiency and hyperactivity of fire. You can try Tianwang Buxin Dan combined with Shengmai Yin, and add dragon bone and oyster to calm the mind."
At this moment, Zhao Hailin's mentality has stabilized. Since he is not as good as others, he will learn from them. He says whatever he sees.
The gap between the previous patients and Chen Yang was already very obvious. They pretended to be pretentious but ended up losing their status.
Chen Yang did not respond immediately, but focused on observing Ms. Su's body posture. Ms. Su's shoulders were slightly leaning forward, and her right hand was unconsciously pinching her left wrist, with her knuckles turning white. When she spoke, the corners of her mouth were slightly pursed, and her jaw line was tense - this is the body language of long-term liver depression and qi stagnation.
\"Do you usually feel pain in your ribs? Especially when you are emotionally excited, it feels like there is a stone pressing on your chest, and you want to sigh but can't sigh completely? \"
Chen Yang asked.
Ms. Su was stunned, and immediately nodded: "How did Doctor Chen know? In the past six months, I have often felt dull pain in my right side, especially when I was correcting homework late at night. The pain was so severe that I couldn't even hold the pen."
"Stick out your tongue and have a look." Chen Yang picked up the tongue depressor and carefully checked Ms. Su's tongue coating again.
When Ms. Su opened her mouth, the tip of her tongue trembled slightly - her tongue was red, with obvious bruises on both sides, a thin yellow and dry tongue coating, and especially at the edge of the tongue near the liver and gallbladder area, there was an obvious crack!
\"How's your pulse?" Shen Qiuyun couldn't help but ask when she saw this.
Chen Yang took the pulse with three fingers and said: "The left Guan pulse is strong and stringy, just like the fingertips pressing on the strings of a guitar can feel the vibration. The right Cun Guan pulse is slightly weak, but the Chi pulse is deep and fine. This is not simply Yin deficiency and fire, but liver depression and fire, burning Yin blood, and spleen deficiency and weak Qi!"
\"Liver depression turns into fire?" Sun Mingde frowned, \"But the patient has obvious symptoms of deficiency heat, such as dry mouth, insomnia, red tongue...\"
\"When liver depression lasts for a long time, it will inevitably turn into fire, and the evil fire will burn the yin blood, which will cause false heat; but the essence of liver depression has not been eliminated, so the symptoms of swelling and pain in the flanks, stringy and rapid pulse, and ecchymosis on the sides of the tongue still exist. \"
Chen Yang explained, "It's like a ball of wet wood smoldering. On the surface, it looks like green smoke (false heat), but underneath it is actually an open fire that has not been completely burned out (liver depression). If you only know how to nourish yin and reduce fire, it will actually promote liver depression, just like pouring water on wet wood. It seems to put out the fire, but in fact it makes the smoldering last longer."
Zhao Hailin's eyes lit up: "Fu Qingzhu's Gynecology says 'liver depression and fire movement', this symptom is exactly right! The treatment should be to soothe the liver and relieve depression, clear away heat and nourish the blood, and strengthen the spleen and calm the mind. Do not use only nourishing and yin-nourishing products."
"Director Zhao is right."
Chen Yang nodded and wrote down the prescription:
柴胡 12 克 白芍 18 克 当归 15 克 炒白术 12 克 茯苓 15 克 炙甘草 6 克
Cortex Moutan 12 g Gardenia 12 g
30g of sour jujube seeds (fried) 15g of cypress seeds 30g of nightshade
30 g raw dragon teeth (fried first) 20 g magnetite (fried first)
\"This prescription is good.\"
Shen Qiuyun smiled and said: "Xiaoyao Powder soothes the liver and strengthens the spleen, Danzhi clears away liver fire, Ziziphus jujuba seeds and dragon teeth calm the mind and nerves, and what's even better is to use magnets to guide the liver fire downward, which is in line with the method of 'treating the upper disease from the lower part'!"
Zhao Hailin was a little skeptical: "Doctor Chen, the patient has suffered from insomnia for ten years, and his yin and blood have been severely damaged. The dosage of Bupleurum in the prescription is 12 grams. Will it be too pungent and dispersing, and instead consume qi and damage yin?"
\"That's a good question.\"
Chen Yang looked at Zhao Hailin. He had to say that Director Zhao was quite capable and was worthy of being Zeng Anfeng's apprentice.
\"Although Bupleurum is pungent and dispersing, it is combined with white peony root and angelica root, which can both soothe the liver and relieve depression and nourish blood and soften the liver. This is the essence of Xiaoyao Powder. In addition, the patient's right cunguan pulse is weak, and the sign of spleen deficiency is obvious. Stir-fried Atractylodes macrocephala and Poria cocos can strengthen the spleen and replenish qi, which can prevent the disadvantage of Bupleurum from consuming qi. \"
Then, Chen Yang turned to Ms. Su and said, "Teacher Su, do you usually want to go to the toilet when you are nervous? Is your stool unformed and sticky to the toilet bowl?"
Ms. Su opened her eyes wide in surprise: "Doctor Chen, you even know this? I thought it was a bad stomach, so I took a lot of probiotics..."
\"This is a typical manifestation of liver depression and spleen deficiency, which is called 'painful diarrhea' in traditional Chinese medicine.\"
Chen Yang explained, "Liver belongs to wood, spleen belongs to earth. Liver depression and qi stagnation are like a crooked tree squeezing the land next to it, causing spleen and stomach dysfunction. Therefore, the liver and spleen must be coordinated in treatment, which is also the core pathogenesis of Xiaoyao Powder."
The host was so absorbed in listening that he couldn't help asking: "In addition to herbal medicine, is there any auxiliary treatment method for acupuncture?"
\"Of course.\"
As Chen Yang spoke, he signaled the staff to prepare acupuncture equipment.
Then I started acupuncture. For insomnia caused by liver depression and fire transformation, there are three special acupoints: Taichong, Xingjian, and Sanyinjiao. \"
The needle tip accurately pierced into the Taichong point on the back of Ms. Su's foot, which is also the original point of the liver meridian. Chen Yang used the "Tou Tian Liang" acupuncture method, lightly lifting the thumb and twisting the index finger backwards with light force and fast frequency, just like the spring breeze blowing the willow branches.
Given the previous forest fire, this time the Toutian Liangzhen method was within everyone's expectations, but it still made many people exclaim, and the online barrage of comments started flying again.