Chapter 220: Extraordinary Heart-Saving Soup (3K)
Foot diagnosis of the three pulses originated from "The Yellow Emperor's Internal Classic Suwen. Three Parts and Nine Symptoms".
The foot diagnosis method was popular before the Western Jin Dynasty. Since Wang Shuhe of the Western Jin Dynasty promoted the "Mai Jing" and advocated the "unique cunkou diagnosis method", the foot diagnosis method has been gradually ignored in clinical application and research.
Seeing Fang Yan use this hand to diagnose his pulse reminded Mr. Cheng, who had been familiar with ancient books since childhood, thinking of many past events.
He has also learned this pulse diagnosis method.
Taixi is located on the inside of the foot, in the arterial depression between the highest point of the medial malleolus and the Achilles tendon. It is the kidney meridian.
Taixi is the transmission point of the foot Shaoyin kidney meridian, the original point, which can wait for the presence or absence of kidney qi.
The kidney is the foundation of innateness. The kidney stores essence and transforms qi. It is the foundation of the twelve meridians of the human body and the driving force behind the functional activities of various organs, meridians, tissues, and organs.
It is like the roots of a tree. Although the branches and leaves are dry, as long as the roots remain alive, they are still alive.
Taichong is located in the depression of the artery before the junction of the first and second toes on the dorsum of the foot, and is the liver meridian.
Taichong is also the transmission point of Zujue Liver Meridian, and the original point can detect the presence or absence of liver qi.
The liver stores blood and governs dispersion, and plays a vital coordinating role in maintaining the normal functional activities of various organs, meridians and organs in the human body.
Fu Yang, also known as Chong Yang, is located between the second and third metatarsal bones on the dorsum of the foot, on the outside of the extensor digitorum longus tendon, at the highest point of the instep, 1.5 inches below the Jiexi point, in the depression of the dorsalis pedis artery, which is the Stomach pulse.
Fuyang is the original point on the stomach meridian of Foot Yangming, and can detect the presence or absence of stomach qi.
The stomach is the foundation of acquired life and the source of blood transformation. If the pulse has stomach qi, it will lead to life; if there is no stomach qi, it will lead to death.
If the above three meridians do not decline, the disease may occur even if it is critical. If the three meridians are extinct, the disease may be serious even if it is mild.
That’s why the dialect says that if the three meridians are not extinguished, there is still hope.
But here comes the problem.
"How do you plan to save him?" Mr. Cheng asked Fang Yan.
At this time, Fang Yan had already thought of the classic medical case. It was the medical case of Li Ke, the most famous doctor in modern emergency and critical care.
Considering the current situation, Fang Yan said to Mr. Cheng:
"The patient has been suffering from lung disease and respiratory failure for many years. First, he uses acupuncture at Suliao, Neiguan, Taichong, and Adrenal Gland (ear points) to relieve respiratory failure, and then uses Poge Jiuxin Decoction to support the yang, so as to restore the dying yang and consolidate it, and then add three Drinking it raw removes phlegm, and the scent of musk clears away phlegm and refreshes the mind. ”
Mr. Cheng nodded slightly, then frowned and asked:
"I understand everything else, but I know the heart-saving soup. What is the extraordinary heart-saving soup you are talking about?"
Hearing Mr. Cheng's question, Fang Yan remembered that Li Ke was admitted as a traditional Chinese medicine practitioner by the province's unified examination in 1978, and was then assigned to work in Lingshi County People's Hospital.
The medical records that Fang Yan saw in his previous life were from 1995 and were recorded eighteen years later.
Dialect has never been to Lingshi County, Shanxi Province, and it is impossible for him to tell Mr. Cheng that he learned this from Li Ke.
After thinking for a moment, Fang Yan said:
"The formula of Po Ge Jiu Xin Decoction is based on the Sini Decoction in "Treatise on Febrile Diseases". It uses Sini Decoction combined with Shenfu Longmu Jiu Ni Decoction and Zhang Xichun's Laifu Decoction. It uses aconite, cornus and musk. ”
When he heard Fuzi, Mr. Cheng's face darkened and he asked:
"Reuse Aconite? How much to use?"
"150g to 200g." Fang Yan responded truthfully.
"..." Mr. Cheng was stunned. He didn't expect to use so much.
Other people who know Chinese medicine were also shocked by the amount of aconite in Fang Yan.
Especially Le Miao, she felt that she might not dare to sign the judge's signature.
Mr. Cheng came back to his senses and said to Fang Yan with a serious expression:
"Do you know that ancient and modern herbal medicines have been concluded that aconite is very poisonous. If you drink 150g of it, it will directly kill people?"
After remembering the theoretical dialect of the previous life, the memory becomes clear.
He remembered very clearly that Li Ke had used more than five tons of aconite in his life, and had treated more than 10,000 patients. A dying patient had taken more than 500 grams of aconite in 24 hours, and there had never been a single case of poisoning.
Moreover, the prescription in Fang Yan’s hand has been repeatedly clinically verified for 40 years. Compared with the original versions, it is more comprehensive, more effective, and more able to take into account the whole body and correct the state of systemic failure.
It can be said that his current recipe is the final version after many improvements.
Fortunately, it’s only 1977.
The official pharmacopoeia has not yet limited the dosage of aconite. If the dosage of later generations is followed, a maximum of 15g can be used.
If something goes wrong, you have to take responsibility.
Therefore, even if everyone knew the prescription for Li Ke's huge amount of aconite, not everyone would have the courage to learn to use it.
So he immediately responded:
"In the original recipe of Sini Decoction for Typhoid Colds, roasted licorice has twice the amount of raw aconite, which proves that Zhongjing was fully aware of the toxicity of aconite and the detoxification measures at that time. Licorice can not only detoxify the aconite, but also has a righting effect after being honey-roasted. When using more than 100 grams of aconite, 60 grams of licorice is enough to control the toxicity of aconite. Mr. Cheng, you don’t have to worry about this.”
When Mr. Cheng heard this and saw how confident Fang Yan was, he believed it in his heart.
The origin of this prescription is also explained very clearly in the dialect, and it is a variant of the ancient prescription. It has sufficient theoretical basis.
In order to verify in detail, Mr. Cheng asked:
"What about the reused cornus and musk?"
Dialect responded:
"Zhang Xichun, who created Laifu Decoction, said: Cornus officinalis has the effect of rescuing people, and is better than ginseng, shu, and qi. The properties of cornus are not only tonic for the liver. Anyone with yin and yang qi that is not solid in the human body can be cured. "Contract it", so "Corusia cornus is the first important medicine to save people". ”
"The cornus meat in the prescription has the power to astringe the vitality, fix astringency and slippage, and astringe astringency. It also has smooth properties, so it can benefit the nine orifices, circulate the blood vessels, and astringent the righteous qi without suppressing the evil qi. Use it to help aconite. Cling to the recovered Yang to reverse the loss of Qi and blood in the five internal organs. ”
"Musk is an essential medicine for first aid and awakening. It is a tonic when prescribed. It has the power to cut off all phlegm, syncope and coma, remove filth and open the mind."
"In addition, there are two herbs, dragon and mu, which are important for strengthening the kidneys, absorbing essence, and condensing vitality; the living magnet absorbs the decline and maintains yin and yang..."
Hearing the clear and logical response from Fang Yan, Mr. Cheng became more convinced.
Did he know that Zhu Liangchun gave Fang Yan a set of medical notes on difficult and complicated diseases? Although he had never heard of this poisonous prescription, he thought it was probably from there.
Seeing the patient's condition, he would die if he did not receive treatment, he said:
"How sure are you?"
Dialect responded:
“One hour brings you back to life, three hours you escape from danger, and one day and night you turn danger into safety.”
Hearing Fang Yan's answer, Mr. Cheng couldn't help but widen his eyes. Good boy, I ask you how sure you are, and you can directly tell me the efficacy?
"This is no joke. Death from illness and death are not the same concept." Mr. Cheng said seriously to Fang Yan. Dialect said:
"Mr. Cheng, believe me, I am sure of it. If we delay the process of three meridians and one muster, there will be no hope at all."
When Mr. Cheng heard this, he immediately thought of Mr. Zhu's comments on dialects, and then thought of ear area therapy. Finally, he gritted his teeth and stamped his feet and said:
"Okay, you write the prescription and I'll sign the order for you."
"..." Fang Yan looked at Mr. Cheng in surprise, not expecting him to get involved.
Mr. Cheng said to the dialect:
"What are you looking at? Does your store manager dare to sign for you?"
Le Miao opened her mouth. She wanted to say that if Fang Yan insisted, she would actually dare to sign.
But before she could say anything, she saw Mr. Cheng approaching Fang Yan and saying in a low voice:
"I'm here to sign, so if anything goes wrong, it's easier to talk to."
The dialect here is a bit dumbfounding. He has said it so clearly, but Mr. Cheng is still afraid that he will be poisoned to death.
But thinking about it, from the perspective of others, Mr. Cheng's identity is indeed safer.
Check out the 16-9 book bar and see the correct version!
It was indeed a bit embarrassing to ask Le Miao to sign.
I knew I couldn't put it off any longer.
Treating patients comes first, so I wrote it down quickly.
Cheng Lao took a look at the formula and his eyelids couldn't help but twitch.
Then he didn't say much. He took out a pen and wrote his name on the prescription with a "swish".
He handed the signed form to Fang Yan and said:
"I'll give the injection, you go get the medicine."
"Okay!" Fang Yan nodded.
Just when Fang Yan was about to walk out, Mr. Cheng stopped him:
"Wait, where is the auricular point of the adrenal gland?"
Hearing this, Fang Yan took the sterilized silver needle from Jia Dapeng's hand, inserted the needle directly into the patient's ear, and then said:
"The tip of the lower part of the free edge of the tragus, the midpoint of the 1/2 raised plane below the lateral surface of the tragus."
After saying that, he went straight out to grab some medicine.
Mr. Cheng saw that Fang Yan's acupuncture method was fast and accurate, and it was a technique he had never seen before, and he became more curious about this boy.
However, he continued to move his hands, and with Jia Dapeng's help, he quickly inserted needles into the acupuncture points mentioned in the patient's dialect just now.
On the other hand, Fang Yan had already taken the medicine. After entering the room, he saw that Mr. Cheng had finished giving the injection and was waiting. After taking a look, he said to Jia Dapeng:
"Now that the patient's condition is critical, this medicine needs to be quickly decoctioned with boiling water and a gas tank, and then poured into the pot."
Jia Dapeng immediately agreed, took the medicinal materials and hurried to prepare.
Fang Yan saw that although the patient's breathing improved a lot after the injection, he was still unconscious.
At this time, after the medicine is decoctioned, there is no way to put it into the mouth.
Fang Yan turned his head and asked Le Miao:
"Does Ledian know about administering nasal feeding?"
"Inserting a gastric tube?" Le Miao asked.
Dialect nods:
"Yes, that's the one."
Le Miao nodded:
"I know, get ready to come right away."
With that said, she walked out.
Nasogastric feeding is a special situation where a gastric tube is manually inserted into the esophagus through the nasal cavity, and then injected into the stomach with a syringe.
There is no other way.
At this time, I heard Mr. Cheng’s voice:
"No need, people are conscious!"
Fang Yan turned his head and found that the patient had indeed opened his eyes.
It turned out that Mr. Cheng used his own acupuncture method to wake the person up.
Not to mention that he is an officially recognized acupuncture master, and his methods are indeed high.
However, the situation is still very uncomfortable for the patient.
Completely unable to speak a word.
"Wait a moment, the medicine will be out soon." Fang Yan said to Duan Lao's comrades.
The other party actually nodded, which made Fang Yan feel that he was indeed a veteran who had been on the battlefield. His willpower was definitely top-notch.
Fang Yan came to the backyard at this time and saw Jia Dapeng busy working.
He also hurried forward and started to help.
Pour the medicinal materials into the medicine jar for decoction, then pour boiling water directly into it, turn on the gas stove and use high heat to decoct the medicine.
This recipe was originally fried in cold water and slow fire.
But there is no way to give first aid now, so we can only do it this way. Pour less boiling water. After decocting part of the medicine, Fang Yan immediately pours it into the bowl.
Let Jia Dapeng continue to cook the medicine according to his own instructions. He took the small bowl of medicine to the patient's bed, poured it back and forth with another empty bowl, let the medicine cool down, and immediately began to give it to the patient.
When they saw the medicinal soup slowly entering the patient's mouth, Mr. Cheng and everyone present who knew the medicinal properties of aconite had their hearts in their throats.
They knew the medicinal properties of aconite very well, but if they drank this bowl, they didn't know whether it would turn the corner, as the dialect said, or whether they would die suddenly on the spot.
PS: Awesome, you all guessed this...
(End of chapter)