Chapter 627: Stage treatment, what kind of acupuncture is so big? (Happy New Year!)
Open the file bag in the dialect and it is the order for the medicine to be prescribed at that time.
He found that the most common ones should be antibiotics.
He sighed in his heart, "What a guy, this is entirely based on the three tricks of the small clinic!"
There are antibiotic eye drops, such as levofloxacin eye drops and tobramycin eye ointment.
There is also intravenous sodium ceftriaxone and vancomycin.
In addition, there is glucocorticoid, which is anti-inflammatory and anti-allergic and immunosuppressive, which can reduce inflammatory reactions and tissue damage. However, it is necessary to closely observe the intraocular pressure because it is very easy to use. Complications like hormonal glaucoma may occur.
Then there are other vitamin drugs, which help promote nutritional repair of the retina, as well as vasodilators to improve blood circulation in the fundus and promote inflammation absorption.
In addition, the dialect also saw something, which was dexamethasone injection.
Fang Yan asked:
"The hospital also injected dexamethasone into your vitreal body?"
The patient shook his head and said: "No, the medicine was prescribed at that time, but I didn't dare to promise them that treatment."
"I thought at that time that my eyes were just a pack of water. If the needle was inserted, it would not explode directly? So no matter what they said, I didn't agree to the injection."
Fang Yan heard it This is a bit funny and hilarious. However, her previous treatment plan was also confirmed, which was indeed done according to the treatment of suppurative inflammation of the fundus.
At this time, the patient continued to tell her current state, and she said: "Now, the head, eyes, and two shoulders, whether they are awake or sleeping, standing or lying, they feel swelling and pain. Four months ago, the biggest words in the newspaper were no longer visible, and now I can only feel a faint light when I look at things with both eyes."
"In addition, this abdomen is so suffocating that people feel upset that they have a pain all day, and eat it all day long. The things were less than one or two, and the whole person was very anxious, afraid of hearing sounds, and fearing complex things. "
Dialogue observation found that the patient spoke weakly and slowly, and he showed signs of his voice when he spoke. An urgent and unbearable state.
He asked to the patient:
"How about urination and defecation?"
"The stool is normal, but urination is frequent, and only a little urination is a little at a time," said the patient.
"Where is the menstruation?" Fang Yan asked again.
The patient hesitated slightly, and then answered honestly: "There is little menstruation, and I can't see my husband saying that it is accompanied by the discharge of dirty things, mixed with black blood clots. In addition, menstruation will occur only once every two to three months.”
Hearing the patient's description, the two people standing behind the dialect were a little too big.
Why are there so many messy symptoms?
The whole thing is like a hodgepodge, dialectics alone is enough for people to drink a pot.
They can predict that the patient's pulse is absolutely wonderful at this time, and the two hands are definitely different.
If they were asked to sit in a dialect position to treat the patient, they would definitely take out a piece of paper, write down all the problems, and then slowly think about the symptoms above to verify the above symptoms .
Because of such a lot of symptoms, I might forget them all in a while.
But at this time Fang Yan did nothing, but instead touched her chin and thought.
It was as if he had already remembered all the symptoms that the patient had just mentioned.
At this time, the husband next to the patient said to Fangyan: "The hospital outside cannot cure it no matter how much medicine is taken. They have recommended surgery to replace the cornea. I was a few days ago. I have heard about you on the radio, so we thought of you here to try treatment."
Fang Yan nodded and said to the patient: "Come on, stick your tongue out and I'll take a look."
The patient listened to the words, and obediently stretched out his tongue out for Fang Yan to observe carefully.
The tongue coating was found in the dialect and grayish-white.
The color of this tongue coating is generally three possible. The first is external cold and dampness. This is when the human body experiences cold and dampness evil, and the cold and dampness are blocked on the surface and have not yet entered the internal state. This is the tongue coating on the tongue.
Another type is the internal accumulation of dampness and turbidity, which means that the human body's internal organs are dysfunctional, especially the spleen's transportation and transformation function, which leads to the internal accumulation of dampness and turbidity in the body, which hinders the normal operation of qi, blood and body fluids, which will be reflected on the tongue.
The last type is spleen and stomach deficiency and cold. The spleen and stomach are the basis of acquired nature. If the spleen and stomach yang energy is insufficient, the deficiency and cold are internalized, the transportation and transformation function is abnormal, and water and dampness cannot be metabolized normally, it may spread to the tongue. If thin and gray tongue coating is formed, patients usually have symptoms such as loss of appetite, abdominal distension, abdominal pain, warmth and pressing, and loose stools.
Banyan then took the patient's pulse.
The time for taking the pulse is longer than going up, because the pulse this time is the same as what Zhang Yanchang and Yang Jingxiang judged before, and it was really wonderful.
The cun and guan in the left hand are heavy and hard, the guan is floating and smooth, and the slight is pressed, and the slight is heavy and hard.
The cun Guan and Cun in the right hand is long and powerful, the strings of the guan are pecking and hard, and the slightest and slippery and weak.
The inch pulse on the left hand generally corresponds to the heart and the small intestine. The deep pulse indicates that the disease is located inside. The astringent pulse is responsible for poor circulation of qi and blood, and lack of blood and deficiency of essence. If you are weak, it means that you have insufficient positive energy.
The Guan meridian on the left hand corresponds to the liver and gallbladder.
Floating pulse is responsible for exterior symptoms or deficiency of yang and external overturning, but combined with the characteristics of stringy and smoothness and astringent pressing, the situation is more complicated.
String pulses are often seen in liver disease, pain, phlegm and fluid, etc. Slid pulses are responsible for phlegm and fluid, food accumulation, solid heat, etc. When pressed, astringent pulses indicate poor circulation of qi and blood.
Overall, it may be caused by liver depression and qi stagnation, qi stagnation turns into fire, and liquid refining into phlegm, forming a sign of phlegm and fire stagnation, indicating that the patient is emotionally unstable, prone to irritability or depression, accompanied by chest and flank swelling, Symptoms such as bitter mouth and dry throat.
This is almost the same as what the patient said before.
The left hand zi pulse corresponds to the kidney and bladder. Deep and weak signs of kidney yin or kidney yang deficiency, insufficient qi and blood, and cannot be supplemented with the lower part.
It is because the kidney essence is deficient and cannot transform qi and blood, or the kidney yang is insufficient, and the warming and driving functions are weakened, resulting in slow circulation of qi and blood.
The right hand pulse corresponds to the lungs and large intestine.
Floating pulse is responsible for exterior symptoms, but long and strong are mostly signs of real heat.
The Guan meridian of the right hand corresponds to the spleen and stomach.
Floating strings indicate that liver depression invades the spleen or external evil qi affects the spleen and stomach. The pulse is irregular and the pulse is rapid. The astringent pulse indicates that the qi and blood flow are not smooth.
In summary, it may be due to dysfunction of the spleen and stomach and blockage of qi and blood.
The zi pulse of the right hand corresponds to the Mingmen and Sanjiao.
Slightly subsided indicates that the disease is deep. Slid pulses generally cause phlegm, fluid, food accumulation and other solid evils, but the place is slippery and weak. Combined, the fire in the Mingmen is weak, and the function of the three burners is abnormal, resulting in water and dampness, which leads to water and dampness. Stop internally, and at the same time, the positive energy is already weak.
It was found that so many situations were found, so Fangdian needed to carefully contact dialectically to find the main cause of it.
No mistakes, one poem, one post, one content, one in 6, one book, one bar, one read!
He still remained calm and began to observe the patient's face.
The patient's facial color is light and unpretentious, and the color is obviously lighter than that of normal people. It is accompanied by a pathological yellow, which looks withered and not moist and shiny, just like the color of plants withered without moisture and nutrients.
The pale and sallow complexion often appears at the same time, indicating that the human body may have problems such as insufficient qi and blood, weak spleen and stomach.
After the four diagnosis and treatment of looking, listening, asking and touching, the dialect came to a conclusion.
Under the eager anticipation of Zhang and Yang, he began to write on the medical case in front of him: "The patient's face was pale and sallow, and he often felt shortness of breathing. , chest tightness. Through pulse detection, it was found that the pulse in the right hand was floating, long and strong. This situation was caused by the accumulation and blockage of lung qi, which fumigated upward but could not drop smoothly. This abnormal state of lung qi in turn affected the eyes , blurred vision of the patient."
"If this continues, it will lead to insufficient kidney water. The lungs belong to metal, and the kidneys belong to water. Metal produces water. The dysfunction of the lungs will affect the kidneys. The liver belongs to wood. If the kidney water is insufficient, it will not nourish the liver wood, causing the circulation of the meridians to be hindered. The eyes Only by relying on the nourishment of blood can you see clearly. When the meridians are blocked, the eyes cannot get sufficient blood supply, so the symptoms of unclear vision or even invisible things appear. "
After writing, the dialect I stopped writing in the treatment plan column again.
Returned his attention to the patient.
This action was immediately captured by Zhang Yanchang and Yang Jingxiang behind him.
They immediately had some ideas.
You should know that the eyes are an important organ of the human body. In the eyes of traditional Chinese medicine, "the eyes are the gathering of the veins" and are closely related to the internal organs and meridians of the whole body.
Ophthalmic diseases will not only affect the local function of the eyes, but may also be the manifestation of systemic diseases in the eyes. At the same time, eye diseases may also affect the functions of qi, blood, internal organs, etc. in the whole body.
So in clinical practice, the diagnosis and treatment of ophthalmic diseases are crucial to maintaining overall health, and are related to and influenced by the diagnosis and treatment of diseases in other departments. If other departments fail to practice, they will be treated during treatment. Reluctant.
Then they were very curious that since the dialect had been dialectically produced, what issues were he thinking about now?
In an instant, they thought that Fangyan might be stumped by something.
But immediately they subconsciously denied this idea.
From the current point of view, Fang Yan would never be stumped on this kind of problem. Even according to his dialectical analysis, Zhang Yanchang and Yang Jingxiang already had some ideas of treatment in their minds.
At this time, they saw that Fang Yan moved the pen back to its previous position and wrote a summary:
The patient had lung depression, spleen deficiency, kidney water deficiency, and water did not contain wood.
Then moved to the treatment method and wrote:
Strengthens the spleen and lungs and nourishes the liver.
Then quickly wrote the prescription:
15g of Scutellaria baicalensis, 9g of Mulberry White Bark, 12g of Suzi, 3g of Citrus aurantium, 6g of Schizonepeta, 6g of Wind-proof, dandelion 15 grams, 6 grams of thorn, 6 grams of blood vine, 10 grams of wormwood, 6 grams of angelica, 3 grams of asarum, 10 grams of angelica, 15 grams of privet, 7 grams of donkey-hide gelatin, 6 grams of peach kernel, 10 grams of chicken gizzard , 6 grams of fried betel nut, 15 grams of Codonopsis pilosula, 15 grams of Atractylodes macrocephala, 10 grams of Zhiren, and 10 grams of Polygonum multiflorum.
There are 22 medicines in total, which are directly blurred for Zhang Yanchang and Yang Jingxiang.
Then they saw the dialect in the back and continued to write:
"In order to treat the problem of upward stagnation of lung qi but not falling, Scutellaria baicalensis, mulberry white dermis, and Citrus aurantium are used to dissipate stagnation and reduce lung qi, open chest blocks, eliminate irritability, and prevent the eyes from being fumigated by heat. The patient has The eyes are blind, red cataracts appearing in the corners of the eyes, white cataracts on the eyes, and swelling and painful on the head and eyes. Therefore, use schizonepeta, banana, dandelion, thief, marrow, angelica, and asarum to open up the eye veins. qi and blood, eliminate cataracts, stop swelling and pain in the head and eyes, and reduce intraocular pressure. Use Angelica, Ligustrum, and donkey-hide gelatin to nourish yin fluid and replenish qi and blood, and use peach kernel and schizonepeta to remove blood stasis , regulate menstruation. Use chicken gizzard, Citrus aurantium, Codonopsis pilosula, Atractylodes macrocephala, and Polygonum multiflorum to strengthen the spleen and stomach, regulate stomach function, eliminate irritability, and stop frequent urination. First eliminate the patient's irritability and increase appetite. Let your vitality and physical strength be strengthened, and then acupuncture treatment is performed. "
Although these medicines are used for twenty-two ingredients, one after another, and all the symptoms mentioned by the patient were targeted.
But when I saw the last few words, the two were stunned. The medical case said, "If the disease is treated, will it take a stage to be treated?"
And it seems that the previous treatments are all laying the foundation for the subsequent acupuncture treatment.
An idea popped up in their minds:
What kind of acupuncture is such a big style?
PS: The 6,000-word update has been completed. Through everyone's efforts, before the end of January, there were 300 more monthly tickets, so I owe you 6,000 words.
I owe you a total of 113,000 words.
February began, and Lao Feng continued to work hard to write.
There are additional updates tomorrow during the day.
(This chapter ends)