Chapter 603 Doctor Fang, a gynecologist! The style of medicine has changed again!
This is not an ordinary condition.
Improper treatment for ectopic pregnancy has been more than two years.
And there was a mass bulge on the right abdomen, the size of a duck egg. Now it has reached a point where it has to be treated.
It's much more serious than the oral ulcers in the past ten years.
The three people standing behind Fang Yan all looked at Fang Yan at the same time, wanting to see how he would treat this disease.
Traditional Chinese medicine gynecology occupies an important position in the traditional Chinese medicine system.
As early as the "Huangdi Neijing", there were related discussions on women's physiology and pathology. Zhang Zhongjing's "Jinkui Yaolue" in the Han Dynasty established "Pulse and syndrome of pregnancy in women" "Pulse and syndrome of postpartum in women" "Pulse and syndrome of postpartum in women" " The three articles of "Mutual Diseases and Pulse and Syndrome Treatment of Miscellaneous Diseases" discuss the syndrome and treatment of various gynecological diseases, and set a precedent for the treatment of gynecological syndromes in traditional Chinese medicine.
Since then, doctors from all generations have continuously enriched and improved the gynecological theory of traditional Chinese medicine, making its inheritance orderly, and becoming an indispensable and important part of the traditional Chinese medicine theoretical system.
There are also many famous gynecologists in traditional Chinese medicine, such as: Qian Boxuan, Wang Weichuan, Zhu Xiaonan, Han Bailing, Ha Litian, Luo Yuankai, Liu Fengwu, and He Zihuai.
Traditional Chinese medicine gynecology has formed a unique diagnosis and treatment method and theoretical system for women in view of the special physiological and pathological characteristics.
Women experience special physiological processes such as meridians, belts, fetus, births, and milk throughout their lives. These processes are closely related to the internal organs, meridians, and qi and blood. Learning Chinese medicine and gynecology have always been a major issue that cannot be avoided.
Therefore, from this we can also see what level of dialect is.
At this moment, Fang Yan ignored the burning gazes of the three people behind.
Observe the patient.
The patient is about 1.5 meters tall, with a thin body, a little dark complexion on his face, as if there is dust, and his lips appear a purple color, which is a blood stasis and internal obstruction.
Simply put, it is that blood stasis blocks the meridians, and the circulation of qi and blood is not smooth, and the facial skin cannot be nourished by qi and blood, and the complexion will become dark.
Blood stasis is like an obstacle on the road, hindering the smooth flow of the "traffic line" of qi and blood.
At this time, the complexion is not only dark, but also dark, and even ecchymns may appear on the tongue.
So Fangyan said to the patient:
"Pull out your tongue and I'll take a look."
The girl obediently stuck out her tongue. Fang Yan looked at it and found that there was indeed purple air on her tongue and purple ecchymns.
Her moss is thin and greasy.
Then Fang Yan took her hands and found that the pulse was thin and stringy, and pressed down slightly astringent.
Based on the previous patient's own description of the disease, the dialect made a judgment.
This situation is because blood stasis is blocked in the lower abdomen, causing damage to the Chong Mai and Ren Mai, and the condition is clearer and easier to understand.
However, the irregular menstruation has lasted for more than two years. The evil yin and cold qi stubbornly condenses into the body, and the positive qi of the human body has also been damaged. This situation cannot be improved in the short term.
Therefore, we should adopt methods that take into account both eliminating disease and supporting positive energy, and carry out treatment step by step.
The relationship between evil qi and positive qi should be considered and treated step by step.
At this time, the patient beside him asked carefully to the dialect:
"How about Dr. Fang? Is this disease easy to cure?"
The expression of the dialect remains unchanged, and he said calmly:
"Improper treatment of ectopic pregnancy in women, resulting in pelvic mass, which is actually not uncommon in gynecological clinical practice. Your disease affects menstruation, and even leads to infertility and irregular menstruation. It lasts for more than two years, and it may be treated. Relatively slower.”
"I plan to treat you in three steps. First, regulate the liver and spleen and remove blood congestion in the body. Only after unblocking the meridians can the medicine break the cold of your three yin and eliminate the bag in your abdomen."
"After these two steps, slowly regulate the liver and spleen and nourish the blood meridians to solve the problem of infertility. I expect it will take about 70 or 80 days to complete the entire treatment."
After hearing the treatment plan for the dialect, the patient nodded in a vague way, and then asked a question similar to the first patient just now:
"In other words, you can cure my disease, right?"
Fang Yan said to the patient:
"Yes, it can be cured, it's just a little longer."
The three people behind Fangyan had different expressions.
Xiao Chengzhi looked like an old god, and he couldn't tell what he was thinking.
After listening to the three healing methods in Fang Yan just now, Zhang Yanchang showed a thoughtful look.
As for Yang Jingxiang, he touched his chin, swept his eyes over the other two people's faces, and then said to Fang Yan:
"Dr. Fang, what specific treatment plan do you have?"
"If you take your time, it's not that it's not possible, but the problem is that this is a free clinic. How can the patient come to you at that time?"
The dialect said:
"It's okay, it doesn't matter if I don't look for me. I will write down all the next medication plan clearly. She can go to other doctors to prescribe medicine or to find me." Yang Jingxiang frowned:
"You can't use fast medicine?"
Fang Yan glanced at him:
"It's not fast."
Yang Jingxiang opened his mouth to refute, but suddenly he thought of something and then closed his mouth.
Xiao Chengzhi, who was standing beside him, showed an obvious smile, while Zhang Yanchang looked puzzled.
Fang Yan wrote something on the medical case and said:
"The patient has blood stasis in the lower abdomen, which damages the Chong Mai and Ren Mai. Moreover, the irregular menstruation has lasted for more than two years. The evil of yin and cold stubbornly condenses in the body, and the positive energy has also been damaged. These conditions cannot be eliminated in a short time. Treatment should not only eliminate the disease, but also protect the positive energy and proceed gradually according to the steps. The use of medicine can be divided into three stages..."
"First of all, we must regulate the functions of the liver and spleen, and take into account the blood circulation and remove blood stasis. We use Xiaoyao San with Guizhi Fuling Wan, and add some medicines according to the specific condition. This step is to first open up the road for the circulation of qi and blood."
"Then, use the potency of Puji Dangzi Decoction in "Qianjin Yaofang" to remove cold evil and overcome the stubborn and coagulated blood stasis. However, the method of quickly cleaning the uterus of the decoction is not used, but It is to use the medicine with strong and powerful strength in a lighter dose to pills, and it is still a method of slowly eliminating the disease. "
"Finally, regulate the liver and spleen again, nourish the blood, and unblock the meridians. Use Xiaoyao Wan with Heiguipi Decoction, and add medicine appropriately according to the condition. Through this stage, the previous treatment effect can be consolidated and the body can recover better."
After saying that, he paused, and the patient nodded in a vague way. The three people behind him were already serious at this moment, knowing that Fangyan was going to be the key.
Fang Yan turned his head and continued to write a medical case while continuing to talk about "notes". He only heard him say:
"During the entire treatment process, two key issues must always be paid attention to. One is "slowness". Even if you know clearly that the patient is suffering from a disease, you cannot use the attack method without restraint. Even if you want to remove blood stasis, the same is true for the same. It is necessary to use a relaxed approach. Always be vigilant and never damage the patient's righteousness again. In fact, symptoms that have been sick for many years cannot be cured by a pair of medicine. What's more, if there is adhesion in the surrounding organs, How can adhesions be loosened in a short period of time? Therefore, treatment should adhere to a realistic attitude."
No mistakes, one song, one content, one in 6, one book, one bar, one reading!
"Another key point that must be paid attention to is to protect the stomach qi. From the beginning of taking medicine, we need to gradually protect the stomach qi to assist digestive function. This is because the spleen and stomach in the middle burner are the source of the biochemical qi and blood of the human body. Only like protecting the acquired world The fundamentally the same thing. Only by protecting the stomach qi can you achieve the effect by taking medicine and recovering will be guaranteed.”
Hearing this, Yang Jingxiang's face felt a little hot, and he admitted that his voice was a little loud just now.
Zhang Yanchang showed a sudden enlightenment.
Only Xiao Chengzhi has not changed and is still staring at the dialect.
Yang Jingxiang just discovered that he had made a mistake and was stared at by so many people, which really made him feel a little embarrassed.
It was only after Zhang Yanchang was sorted out in dialect that he understood what was going on. He has always been studying the treatment of rheumatism in his family. In fact, the gynecology aspect is the least experienced by several people.
Fang Yan had just sorted out the treatment plan clearly, and then he understood how to treat it.
I feel admiration for the peer in front of me. Otherwise, if they can get full marks, I will not be as good as the level of clarity of my thinking.
On the other hand, after the dialect writes the previous theoretical ideas, it then writes a prescription with Xiaoyao San and Guizhi Fuling Wan:
There are Bupleurum, Red Peony, White Peony, Angelica sinensis, Atractylodes, Poria cocos, cinnamon, cinnamon twig, danjiang, peach kernel mud, tangerine peel, green peel, ginger, cinnamon sap, charred hawthorn and charred Shenqu.
There are 15 medicines in total and seven doses.
No one here questioned that there was a problem with the prescription prescribed by Fangyan. After the three of them read it, Zhang Yanchang and Yang Jingxiang immediately showed a sudden enlightenment.
It seems that I have understood the dialect's medicine school.
But Xiao Chengzhi, who was calm just now, frowned because he found that the way of using dialect medicine was different from before, so he couldn't help but mutter softly:
"It's changed again..."
"Ah? What has changed again?" Yang Jingxiang looked at Xiao Chengzhi for no reason.
Xiao Chengzhi glanced at the other party, regained his calm expression, and responded:
"Ha, nothing."
Yang Jingxiang opened his mouth and wanted to scold him for pretending, but when he thought of the other party's identity, he held back his words.
Although he has a little temper, that person is not stupid.
After thinking about it carefully, I guess what Xiao Chengzhi said should be that the style of using medicine in dialect has changed.
Then Fangyan wrote the second stage of treatment Pu Ni Tangzi Decoction to the later.
And Xiaoyao San and Heiguipi Pills used in the third stage.
Then the dialect said to the patient:
"The first prescription, you can just pick up medicine in the pharmacy now. There are seven doses in total, one dose per day. After 7 days, your current physical condition should be improved, and then you can go to Union Hospital of Traditional Chinese Medicine. I will synchronize your medical case. Just mention your name when you go, and naturally someone will give you follow-up treatment."
"Of course, if you don't have time, you can also take this list to find another doctor."
"For example, our Dongzhimen Hospital can do it. When people there see my medical case, they will prescribe medicine according to the list inside."
The patient asked in surprise:
"Didn't you just say that you are slowing down? Can I improve my current condition in seven days?"
Fangyan nodded and said:
"Yes, improve your physical condition in seven days, and then eliminate the bag on your stomach for twenty days. The remaining forty or fifty days will be to condition and repair your body and treat your infertility."
PS: The 6000-word basic chapter has been updated.
There will be additional updates later.
(This chapter ends)