novel for you Chapter 960 Familiar Chapter
Chapter 960 Familiar Chapter
Chen Yang took the patient's pulse calmly. After about five minutes, he stopped and opened his eyes, with a bright light in his eyes.
"How is the pulse?" Chang Lihua asked immediately.
"The pulse is stringy, hard and astringent, like pressing a guitar string. If you press hard, it becomes hollow. The pulse on the radial side is especially severe. If you press deeply, it becomes almost nonexistent!"
Chen Yang said slowly: "This pulse, "Binghu Pulse Theory" says: 'String pulse is straight like a zither string, tightness indicates its strength and string indicates image'; 'Astringent pulse is thin and slow, difficult to come and go, and scattered and stopped vaguely between fingers'. Stringy and hard pulse indicates pain, depression, phlegm and fluid, and also indicates yin damage to liver hyperactivity; astringent pulse indicates essence damage and blood deficiency, qi stagnation and blood stasis. When pressed hard, it feels empty, and the pulse on the left side is deep and weak, which is a clear evidence that the kidney's original yin is greatly depleted and cannot fill the pulse channel, yin cannot restrain yang, and the empty yang floats outside!"
As he spoke, Chen Yang looked at Chang Lihua and said in a calm tone: "Old Master Chang believes that this is 'yang deficiency and floating'. The pulse of yang deficiency should be deep, slow and weak, or thin and almost dead, and there is absolutely no such stringy, hard and stagnant phenomenon! People with yang deficiency are afraid of cold and have cold limbs, listlessness, clear and long urine, and frequent urination at night. And what about Elder Lin?"
Chen Yang said one by one:
"Dry mouth at night, drink water to save yourself: this is not due to insufficient body fluid, but due to the inability of yin to support the body, resulting in the burning of virtual fire."
"It is easy to wake up at Yin time and hard to fall asleep again: Yin time belongs to the lungs, and the lung metal produces the kidney water. The kidney yin is greatly depleted, the son steals the mother's qi, and the lung qi cannot be restrained and descended, so it is easy to wake up."
"Fear of cold but hot palms and soles, especially at night: this is a typical case of 'real cold and false heat'! The virtual fire in the upper part of the body floats, so one feels hot (the palms and soles are the yin meridians), and the original yang in the lower part of the body is deficient and has no way to warm up, so one feels cold. At night, the yang enters the yin, and the virtual yang has no yin to enter, so the disturbance is even greater, so the heat sensation is aggravated."
"In the afternoon, the head feels dizzy, like looking at flowers through fog: in the afternoon, the Yang Qi gradually declines, and the Yin Qi gradually increases. Mr. Lin originally had Yin deficiency, and although the Yin Qi was strong in the afternoon, it was pathological Yin (not enough Yin essence), which could not nourish the clear orifices, so the head felt dizzy."
Chen Yang's eyes swept over Doctors Wang and Li, and finally fixed on Chang Lihua's face: "Old Master Chang, if it is really Yang deficiency and floating, the correct treatment should be to warm the kidney and boost Yang, and guide the fire back to the origin. But you and the health care team have been using ginseng, deer antler, cinnamon and aconite and other very spicy and hot products for a long time, as well as paste prescriptions that warm the kidney and boost Yang. What effect do they have on Mr. Lin's 'dry body' with 'Yin exhausted below and Yang floating above'?"
After a pause, Chen Yang's tone suddenly became sharp: "It's like pouring boiling oil on a land that has been cracked and barren due to drought! In the short term, the oil shines and seems to 'boost the spirit', but in fact, the false yang is forcibly pulled up by the pungent and hot drugs, like a last ray of light, but in fact, it is madly consuming the remaining true yin in the body!"
"If this continues, the Yin will become more and more dry and the Yang will become more and more floating, until the oil runs out and the lamp dies, and the Yin and Yang are separated! The various fever symptoms that Elder Lin had before have worsened, such as a more severe dry mouth, more intense heat in the palms and soles, and more waking up at the Yin hour. This is a clear proof that warming and nourishing is improper and is adding fuel to the fire!"
"You... are talking nonsense!"
Chang Lihua was so angry that his face turned pale, and he pointed at Chen Yang with trembling fingers: "I have been practicing medicine all my life, how could I not know about Yin deficiency and Yang deficiency? Mr. Lin is old, and the decline of Yuan Yang is the root cause! You only see the 'heat' symptoms, but not the 'cold'! The pulse is stringy and hard? That's liver qi stagnation! Astringent and heavy when pressed? That's qi and blood deficiency! How can you arbitrarily conclude that it is Yin deficiency and Yang hyperactivity? As for those tonic medicines..."
Chang Lihua tried to defend himself, "That's to protect the foundation and slowly warm the body. How could you say that it's 'adding fuel to the fire'?"
"Liver Qi stagnation?"
Chen Yang refused to give in: "Mr. Lin has an open mind and a broad mind, so why would he be depressed?"
"The pulse of a person with both Qi and blood deficiency should be thin, weak and powerless, how can it be hard and stringy? Senior Chang, please feel Mr. Lin's skin, especially the inside of his arm."
Chen Yang turned to Elder Lin and said, "Elder Lin, I'm sorry."
As he spoke, Chen Yang gently stroked the skin on the inside of Lin Lao's forearm with his finger.
A clear white mark appeared and lingered for a long time!
"The skin is cracked and the blood is not nourishing the skin! This is a typical manifestation of extreme Yin blood deficiency!"
Chen Yang's voice was firm: "Please ask Mr. Lin to stick out his tongue again."
Mr. Lin cooperated by sticking out his tongue.
The tongue is reddish, especially the tip of the tongue has obvious red spots, the tongue root has thin and dry coating, and even has faint cracks, while the tooth marks on the edges of the tongue are not very obvious.
"The tongue is red with little fluid, the coating is thin and dry, and there are cracks on the tongue! How can this be the pale, plump and tender tongue with white and smooth coating that is expected for yang deficiency? This is clearly a sign of severe damage to the yin fluid and virtual fire burning the tongue! The slight tooth marks further indicate that spleen deficiency and dampness are not the main cause, but rather that the yin deficiency has caused the tongue to be malnourished, making it slightly fatter!"
Every rebuttal of Chen Yang was based on classics and hit the nail on the head, refuting Chang Lihua's arguments one by one.
"Mr. Lin, do you feel a slight bitter taste in your mouth right now? Especially at the root of your tongue?"
Elder Lin felt it carefully and said in surprise, "Huh? If you hadn't told me, Xiao Chen, I wouldn't have noticed it. It does taste a little bitter."
"This is caused by the virtual fire burning the kidney yin, the kidney water not being able to rise up, and the virtual fire fumigating!"
Chen Yang looked at Chang Lihua who was somewhat speechless: "Old Senior Chang, these subtle physical signs may not be detected by instruments, and long-term 'good indicators' may cover them up, but the pulse, tongue, skin, and subjective symptoms all point to the same pathogenesis - exhaustion of true yin and floating of false yang! The most urgent task is not to use warm medicine to 'add fuel to the fire'"
"Instead, it is necessary to use a large dose to nourish the true yin, to calm the latent yang, to guide the dragon into the sea, to lead the rootless floating fire back to the kidney! In my prescription, 90 grams of Rehmannia glutinosa is the main ingredient, which can replenish the lost true yin, like a long drought meeting a sweet rain; Morinda officinalis is warm and moist to guide the fire downward; Longmu is a heavy ingredient to calm the mind and calm the yang; Oil cinnamon is the size of rice grains and ground into powder for drinking, to take advantage of its miraculous effect of guiding the fire back to the origin, without the disadvantages of its pungent, hot and dry nature, just like a lighthouse to guide navigation; it is supplemented with Ophiopogon japonicus and Schisandra chinensis to nourish yin and restrain qi, Amomum villosum to prevent greasy, and roasted Licorice root to harmonize... It is the right prescription for the symptoms, so where does the saying of "tiger and wolf" come from? Although the dosage of the medicine used by me is large, the combination of the main, secondary, auxiliary and adjuvant ingredients is precise, taking the meaning of "heavy doses to cure chronic diseases", which is by no means reckless!"
Chen Yang's speech was full of citations from classics, with strict logic and a complete chain of evidence. He elaborated on the theory of "yin deficiency and yang hyperactivity, true cold and false heat" step by step from pulse, tongue, symptoms, signs, drug compatibility, and pathogenesis analysis to the fullest extent.
The side hall was so quiet that even the sound of breathing could be heard clearly.
Doctors Wang and Li looked thoughtful. Professor Zhao, a Western medicine doctor, also nodded frequently, feeling that Chen Yang's analysis was very thorough.
Lin Zhenxing's eyes were filled with admiration and excitement.
Chang Lihua's face turned from white to red, and then from red to blue. He moved his lips, wanting to refute, but found that every argument of Chen Yang was like a precise scalpel, dissecting the "Yang Deficiency Theory" on which he relied into pieces.
Those physical signs and details that he had previously ignored or forced to explain were pointed out one by one by Chen Yang, becoming irrefutable evidence.
The experience and "feel" that he was proud of seemed so pale and powerless in the face of Chen Yang's meticulous logic and solid basic skills in traditional Chinese medicine.
"you you……"
Chang Lihua pointed at Chen Yang, his fingers trembling more violently, his chest rising and falling violently, and after a while he said: "Don't forget, Elder Lin is almost 90 years old. How can he be without problems at such an old age? Can some problems be solved just by raising them? It is our responsibility to let Elder Lin spend a peaceful day..."
"Just because you can't do it doesn't mean others can't do it. Now that the problem has been discovered, it must be solved. Turning a blind eye and covering one's ears to steal the bell, how can a good doctor behave?" Chen Yang asked.
"you......"
Chang Lihua almost choked to death. This sentence sounded so familiar to him, as if Wen Xiuping had said the same thing to him four or five years ago.