Chapter 547: Falling into the trap of Western medicine logic! It should follow the traditional Chinese medicine!
This is the niece of his mother's friend.
Moreover, Aunt Wang Huiyuan helped arrange the work when she just returned to the city.
This is more or less a kind of kindness.
Now that people call their niece over to see a doctor, it’s time for them to repay this favor.
The patient's surname is Zhang, and she said to Fang dialect:
"Western medicine examined liver function and digestive tract, but no abnormalities were found."
"Just diagnosed my problem as neuroblastic vomiting."
"It is said that it is a physical disease caused by my mental disorder, and I need to reduce the pressure on life and adjust my emotions."
She said to Fang Yan with some excitement:
"But the problem is that I didn't have any mental pressure at all."
"Later they said that it might be because the hormones in my body have changed a lot, which affected the regulation of the gastrointestinal system, and the menstruation has stopped."
"I used some medicines to treat emotional anxiety and regulate stomach motivation. After taking it, I kept wanting to doze off. I don't know if it was because of their medicine. Now I don't want to say anything, and my personality has become dull. And I don’t want to move, and I get angry for no reason from time to time, and I feel very unhappy."
"So later I took the initiative to stop these medicines, but the situation still did not improve and I often feel dizzy."
After hearing this, Fang Yan had some guesses in his mind.
But the direction was probably not determined yet, but his expression was still very calm and asked:
"Do you remember this situation before. Did you eat something?"
The patient seemed to have prepared this question for a long time, and immediately responded after being asked:
"I reviewed this later. In fact, it was a very ordinary meal, including steamed buns, pickles, millet porridge, and nothing else."
"I haven't even drunk the water that day."
"I also recalled the dietary situation before that, which was very normal, and I ate, lived and lived with other people."
It's normal to think that if you suffer from this disease and it's not cured, the patient will definitely recall what he did before.
So Fangyan asked, and she immediately answered.
The other doctors around were already confused by the tangle.
There was no abnormality in liver function and respiratory tract. The patient said that there was no abnormality in his mental and emotional aspects, but menstrual cessation and vomiting occurred.
No matter which one it is, it is a very serious matter for a 20-year-old girl.
Judging from the girl's figure, vomiting after eating within the past year and a half made her almost unable to get much nutrition.
Now I am almost as thin as a bamboo stick and I am obviously poor in nutrition.
His face was dark and his body was thin.
Fangyan observed the patient's tongue coating again, and her tongue coating was thin at this time.
After taking the pulse, the pulse was found to be stringy and thin.
The normal tongue coating is thin, white and even, and moderate dryness and wetness.
Tongue coating is produced by stomach qi. Under normal circumstances, thin and white fetus means sufficient stomach qi, normal function of spleen and stomach, the biochemical and chemical fluids of qi, blood and body fluids are orderly, and the body is in a healthy state.
But the patient is definitely not in a healthy state, so another situation involves thin tongue coating, that is, the patient's physical condition will also cause thin tongue coating.
The characteristic of string pulse is mainly caused by liver and gallbladder disease, pain, phlegm and fluid.
In addition, the pulse of the human body in spring is also slightly stringy.
The thin pulse is the corresponding deficiency of both qi and blood, and the deficiency and strain of all deficiency will cause damage. This pulse will occur when the human body suffers from long-term illness, inadequate nutritional intake, spleen and stomach harden, weak function, and unable to biochemical enough qi and blood.
Overall, the patient may have liver depression and qi stagnation, or long-term emotional depression leads to liver qi discomfort and insufficient function of spleen and stomach transportation and transformation.
It may also be because of the weak constitution and deficiency of qi and blood.
Judging from the tongue coating and pulse patterns, the patient at this time is just a very weak person who needs to replenish qi and blood.
As for tonic, she is eating, but she will vomit after eating.
Good guy, I went around and back.
This is a Russian doll.
Others saw that the tongue coating and pulse were written on the medical case in the dialect, and they didn't know how to treat this thing for a while.
Even Fangyan himself scratched his head a little.
The four diagnosis combined with the Western medical diagnosis mentioned by the patient before, all signs indicate that the patient has no other problems except weakness.
Fang Yan took a look at the time and found that it was more than 20 minutes before lunch time was ready.
He wants to take someone to the cafeteria for a meal later?
Can you see if you will trigger vomiting within 10 minutes to half an hour after dining?
However, he always felt something was wrong.
I feel like I've entered a dead end.
Especially the prompts that appear in your mind after various things gather.
So Fang Yan continued to ask the patient, and he wanted to collect more useful information:
"How do you feel before vomiting?"
"For example, swelling or stomach cramps, or feeling nausea."
The patient shook his head and said:
"There is no sign of vomiting before you vomit, you will not feel nausea, and there is no discomfort such as bloating, pain, and nausea in your abdomen and stomach."
Fang Yan touched his chin, thought for a while and then asked him:
"So after eating, do you feel nothing? For example, if you feel a little swollen, or you still feel very hungry?" The patient said to this dialect:
"I feel very thirsty after dinner. Does this count?"
"For sure, of course." Fang Yan nodded.
The patient continued:
"I discovered this situation later. After eating, I always feel dry mouth and want to drink soup or water, but if I vomit after drinking it, I will be even more violent."
Fang Yan nodded, and did not continue to ask about this question, but asked her:
"How is your bowel movement in the toilet after you vomit?"
The patient thought for a while and said:
"The amount is relatively small, and it is dry and knotty, like a sheep dung ball."
Fang Yan snapped her fingers and said to the Chinese medicine practitioners watching around her:
"I understand, the disease is in the liver, and the disease is in the stomach!"
When everyone heard Fang Yan's conclusion, everyone else looked at him in a daze.
One of them said:
"But isn't there any problem with her condition? Western medicine has also checked that the liver function is normal and the stomach and intestines are normal."
No mistakes, one song, one content, one in 6, one book, one bar, one reading!
Fang Yan shook his head and said:
"We just fell into this logical trap. The diagnosis of Western medicine is from Western medicine. We cannot rule out that there is no problem with the liver from the perspective of traditional Chinese medicine."
In fact, at the beginning, Fangdian should not consider the diagnosis of Western medicine. Here he habitually brought himself into the state of diagnosis in his previous life.
What did he need to do when he was doing traditional Chinese medicine in his previous life?
That is to check the diagnostic report first!
And take this thing as an important reference.
If you change the scenario, the dialect will not listen to the patient's Western medical diagnosis report.
Putting aside the misleading of Western medicine, it is actually very easy to judge based on the patient's current situation.
Fangyan said to the puzzled Chinese medicine practitioners around him:
"The problem of nausea actually means that the stomach qi does not drop."
"In traditional Chinese medicine, the first type may be that overeating overeating, overeating fatty, sweet and thick taste causes diet to accumulate in the stomach, causing the stomach to not drop. It is obvious that she vomits after eating, which does not fall. ”
"The other is internal obstruction of phlegm and dampness, which affects the circulation and drop of stomach qi, but it is obvious that her tongue coating does not belong to this."
After saying that, he raised a finger and said with great certainty:
"Then there is only one possibility left, that is liver depression and qi stagnation."
Everyone looked at each other. If we follow the logic of dialect and do not consider the diagnosis and treatment we had done before, it seems that this is true.
The dialect continued:
"And all these problems are actually symptoms of liver qi loss and qi failure."
"Western medicine diagnosed it as neuroblastic vomiting, and it seems that it should be related to emotions."
"Actually, this diagnosis is half correct, but the method they used is wrong."
"The use of medicines to treat anxiety and depression has not been treated at the root of the child."
"So we have complicated this matter. This is a disease of liver depression and discomfort, and loss of middle luck."
Fang Yan said very affirmatively:
"Hepatic depression and qi stagnation are the pathogenesis of nausea and vomiting."
At this time someone put forward different opinions:
"That's wrong. Why did her meridians stop? Isn't it possible that it's a problem with her lower abdomen?"
Fang Yan shook his head and said:
"The cause is still on the liver. If you have been sick for a long time, you will have blood stasis. She vomited for so long and her stomach yin was damaged, and the liver depression was even more serious. When it was time for menstruation, the Chong Mai was blocked, so the menstrual period of the month was not Here comes."
"So I judged this disease as a disease of the liver, stomach and meridians. The blood organs that store blood are stagnant and are not dispersed, the water and valleys are stagnant and do not absorb, and the menstrual blood is blocked and not full."
Hearing Fangyan's judgment, the others stroked it from beginning to end and suddenly felt that it was reasonable and well-founded.
It seems to be a relatively normal solution at present.
Of course, this is normal to eliminate Western medicine diagnosis.
The patient probably also heard what was going on at this time. The dialect means Western medicine diagnosis, but the treatment method is wrong.
It is necessary to use traditional Chinese medicine methods to treat it.
Although she didn't understand what Fangyan said and these things, she still preferred to trust Fangyan in her heart.
"Brother Fangyan, just prescribe me medicine according to your ideas." Xiao Zhang did not call Dr. Fang, but called Fangyan by his friend's child.
Even if the dialect is not judged correctly, it will not have much impact on it.
In this regard, the children of these cadres are much more sensitive than most ordinary people and leave a way out for speaking.
Fang Yan is not stupid either. Of course, he immediately understood the other party’s thoughts, but he was very confident.
Said to the girl:
"Miss Zhang family, I will use Xuanfu Daizhe Decoction and Xiaobanxia Decoction to treat your disease."
"Now I will prescribe the prescription immediately and ask someone to boil the medicine. Then after drinking the medicine, we will go to the cafeteria to eat together."
"See if it will still happen, and you will vomit immediately after eating."
When the girl heard this, she was stunned and was stunned for several seconds before asking:
"You mean, just one medicine can cure me?"
PS: The 6000-word basic chapter has been updated.
I have 100 more monthly tickets, so I owe you 100,000 words.
There will be additional updates later.
(This chapter ends)