Chapter 584 Bone Troop Wind, Trigeminal Neurological Pain (Monthly Ticket Update)
Fang Yan repeatedly looked at the prescription prescribed by Zhang Tongrentang.
The prescription is actually very simple, with gypsum, raw rehmannia, Ophiopogon japonicus, Agnesium and Achyranthes stomata.
And this prescription is relatively famous. It is the classic prescription "Jade Girl Decoction" based on the real heat of Yangming, mainly based on gypsum and raw land.
The effect is to clear stomach heat and nourish kidney yin.
It is mainly used to treat stomach heat and yin deficiency. This symptoms are generally headache, toothache, loose teeth, irritability, heat and thirst, red tongue and yellow coating.
Yu Nu Decoction aims to clear stomach heat and nourish kidney yin while treating stomach heat and Yin deficiency syndrome. If the patient has pure Yangming full heat, there is no yin deficiency symptoms, such as high fever, sweating, thirst, strong pulse, and no Symptoms of kidney yin deficiency, using Yunu Decoction may cause the evil of real heat to remain in the body due to the addition of yin-nourishing drugs, making the disease difficult to cure.
If the patient only shows kidney yin deficiency and no symptoms of stomach heat, such as only sore waist and knees, dizziness and tinnitus, five hearts and fever, red tongue and less coating, etc., and no stomach heat symptoms such as toothache, heat and thirst, use Yu Nu Decoction Among them, gypsum, Anaesthesiology and other medicines that clear stomach heat may damage the vital energy and aggravate yin deficiency.
In addition, it is best not to take it for pregnant women, because Achyranthes pills has the effect of promoting blood circulation and promoting menstruation, leading blood downward. Taking it for pregnant women may affect the stability of the fetus and may cause fetal uneasiness or even miscarriage.
During the period of taking Yu Nu Decoction, you should avoid eating spicy foods, such as chili peppers, peppers, mustard, etc. Spicy products can easily help heat and generate fire, which is contrary to the effect of Yu Nu Decoction to clear stomach heat, which may aggravate the heat evil in the body and affect the efficacy of the medicine.
However, the above are almost unlikely to cause the patient's current symptoms. Unless the pharmacist takes the wrong medicine while picking up the medicine, it is impossible for the patient to open his mouth because of the medicine in it.
Fang Yan saw that the patient looked a little impatient, and he comforted:
"Don't worry, I'll check it out for you."
After careful observation of Fangdian, he found diffuse swelling on the left cheek of the patient, and the color of the cheek skin looked the same as normal. You could feel a little hot when touched with your hands.
After recording the medical case, Fang Yan said to the patient:
"Take my pulse with both hands."
The patient nodded obediently, then stretched out his hand. After Fang Yan took the pulse next to each other, he found that the pulse was stringy and rapid.
Then Fangyan asked the patient again:
"Can you open your mouth a little and let me see what your tongue looks like?"
The girl hesitated for a moment after hearing this, but she still endured the pain and opened her mouth slightly to the width of her finger. It was obvious that this width alone made her feel very uncomfortable.
His brows were furrowed, and his tight fists endured the pain of opening his mouth.
Fangyan also took this opportunity to see the patient's tongue coating was thin and slightly yellow.
"Okay." Fang Yan said to her.
After hearing this, the patient immediately closed his mouth and showed a look of relief.
At this time, Fang Yan had basically figured out the truth, and then asked the patient:
"Does your mouth feel bitter, your throat is dry, your head feels dizzy, and your chest and ribs are filled with discomfort?"
The patient nodded after hearing this.
Fang Yan had confirmed her condition at this time. She was in the state of Fenghuo and Shaoyang.
When the evil of wind and fire accumulates in Shaoyang, the qi and blood circulation of Shaoyang meridians are not smooth, resulting in the veins being tight and stringy meridians appear. For example, just like a river channel is partially blocked, the pressure on the river channel wall increases when the water flows through it, similarly, the tension of the vessel increases to form string veins.
In addition, wind and fire are accumulated, which can easily transform heat and produce fire. The heat evil is strong inside, which will further accelerate the circulation of qi and blood and prompt rapid pulse conditions.
It is like pouring a lot of stones into the calm lake, causing layers of ripples, making the originally calm water flow turbulent, similar to the heat evil disturbing the qi and blood, and causing the pulse to beating faster.
She saw both string numbers, and the typical Shaoyang meridian symptoms were fever, bitter mouth and dry throat, dizziness, and bitter chest and flanks, so she was diagnosed.
Fang Yan now knows the reason why she can't open her mouth, it should be the Bone Grotto Feng.
It is a chronic suppurative disease caused by alveolar bones. It is named after the pus flows out of the mouth or cheeks after ulceration, and looks like a leaking groove.
In Western medicine, this disease is called: mandibular osteomyelitis.
The traditional Chinese medicine surgery book "Ultra Collection of Experiences" written by Gao Bingjun in the Qing Dynasty records:
"The symptom of bone trough wind is inherently achieved through internal transmission and transformation, and there are also external transmission and transformation."
Translated into vernacular, it means: The bone trough wind is certainly caused by the internal transmission of internal organs, and also caused by the disease caused by the external evil of the body.
It is pointed out that this disease occurs after improper treatment of gum soreness, or directly occurs due to unclean oral cavity.
In the earlier Ming Dynasty, a classic surgical traditional Chinese medicine "Authentic Surgery" written by Chen Shigong, a famous doctor in Nantong, Jiangsu, clearly recorded:
"At first, it is born in front of the ear and the cheeks and jaws, and it hurts to hide muscles and bones. After a long time, it gradually becomes swollen. Cold and heat are like malaria, the teeth are tightly closed, and you cannot eat."
This patient girl, her condition is basically considered a match.
Therefore, the treatment plan is to clear the wind and heat of Shaoyang, detoxify and reduce swelling.
Fangyan immediately started writing prescriptions.
6 grams of Bupleurum, 5 grams of Qianghuo, 6 grams of Anti-wind, 6 grams of Schizonepeta, 10 grams of Cymbidium baicalensis, 9 grams of Scutellaria baicalensis, 15 grams of White chrysanthemum, 15 grams of Honeysuckle, 15 grams of Xanthium, 3 grams of Mint, 10 grams of Forsythia , 10 grams of Qilin exhaustion, 5 grams of isatis root, 15 grams of diced grass, and 10 grams of fried gardenia.
In addition, the dialect prescribed external medicine for applying thick skin nitrate and camphor thick to the affected area.
After prescribing the prescription, Fangyan handed it to the assistant and said:
"Take the patient to apply medicine first."
"After applying, take the patient to the Chinese pharmacy to get the medicine."
Then Fang Yan turned his head and said to the patient girl:
"Your current situation has little to do with the medicines prescribed by Tongrentang, but they did not have accurate diagnosis and failed to clear the wind heat of Shaoyang in your body."
No mistakes, one song, one content, one in 6, one book, one bar, one reading!
The girl nodded and believed in the dialect.
Then Fang Yan reminded her again:
"Your external medicine must come here to change it once a day."
"After nine o'clock in the morning in the clinic here, there are people at any time, and any doctor can change it for you."
The girl nodded and walked out with her assistant.
Then the next one, without calling in dialect, sat directly in front of him.
The patient is a man in his 40s who looks familiar. He said to Fangyan:
"Hello Dr. Fang, we've seen it some time ago. Do you still remember it? You come to our bank to exchange dollars."
When Fang Yan heard this, he immediately remembered that this person was the bank manager who received them that day.
Fang Yan nodded at him and said:
"Well, hello, let me tell me, where are you feeling uncomfortable, right?"
The bank manager said to Fangyan:
"When I woke up a week ago to brush my teeth and rinse my mouth, my right teeth felt sore, as if all the rows of teeth were about to lose their soreness, but at that time, I thought it was because the water was too cold to rinse my mouth, so I didn't care."
"But later when I was having breakfast, the right alveolar suddenly hurts like someone was electrocuted. I had half of my face on my right, and in the next two hours, I felt pain as long as I was next to each other."
"After two hours, I thought the symptoms were cured, but I didn't expect that when I was having lunch, I immediately felt so painful that my mouth couldn't even open my mouth."
Let's talk, the man asked to Fangyan:
"Doctor Fang, do you think I'm in the same situation as the previous girl?"
Fang Yan shook his head and said:
"No, depending on the nature of the pain in your pain area, and the symptoms of factors such as eating cold water, you are not a bone problem, it should be a very typical trigeminal neuralgia."
The man didn't understand either. When he heard the word "nervous", he suddenly became nervous:
"Ah, is there a nerve problem?"
Seeing this, Fang Yan smiled and comforted him:
"Don't worry, you are much better for treatment than that girl. I'll give you two injections to ensure that you don't feel pain after lunch in half an hour."
PS: After this chapter, I owe you 82,000 words.
There is still some in the afternoon
(This chapter ends)