"Treatise on Febrile Diseases" says that it is caused by Taiyang disease, which is treated by the doctor. Therefore, if the pain occurs when the abdomen is full, it belongs to Taiyin, and Guizhi plus Shaoyao Decoction can treat it; for those with severe pain, Guizhi plus Dahuang Decoction can treat it.
If Taiyin is a disease, the pulse is weak, and the patient's stomach Qi is weak and easy to move.
I would like to ask Dr. Lin, what is "big real pain"? What are the mechanisms of "pain when the abdomen is full" and "pain when the abdomen is full"? "
In the side hall of Xuanhu Hall, only Lin Zhichang and "Chen Wanying", the master and servant, were left in the room. The medical disciple who was in the hall previously had left at the request of "Chen Wanying", and the door was closed tightly. In the room, "Chen Wanying" thought for a moment and then asked.
Hearing this, Lin Zhichang's eyes flashed with joy. He originally thought that the little girl in front of him would ask something very tricky and biased, but he didn't expect that the question asked by the other party would be so simple. He pretended to ponder for a moment, and then stroked his beard. Answered:
"Ms. Chen, this severe pain is abdominal pain and I refuse to press. As for "pain when the abdomen is full", it belongs to deficiency, cold or heat. It is a debate whether peony should be used more tonic or purgative. If it is based on deficiency, rhubarb and peony should be used. It should be reduced because people have weak stomach qi and are prone to movement. Dashi pain is relatively more severe than pain when the abdomen is full, and can be treated with Guizhi plus Dahuang decoction. I wonder if I can explain it clearly. ?”
After saying that, a look of pride appeared on Lin Zhichang's face. Obviously, this kind of problem is indeed a piece of cake for him!
"Sure enough, Divine Doctor Lin is very knowledgeable and has superb medical skills. The little girl is very impressed! Then please ask Divine Doctor Lin to listen to the little girl's second question!"
"Chen Wanying" smiled lightly, then looked at Lin Zhichang with admiration, and said: "Many people think that the real Yangming Qi in Taiyin is actually the Qi component of Yangming, but my father once said that the disease of Taiyin and spleen collaterals lies in the blood component. These two This statement makes the little girl very confused. I wonder if Dr. Lin can help the little girl solve her doubts?"
Lin Zhichang's expression was slightly dull. The question "Chen Wanying" asked before was considered a basic question in medicine. Anyone who has studied "Treatise on Febrile and Miscellaneous Diseases" written by Zhang Zhongjing, a medical sage of the Eastern Han Dynasty, can generally answer it. But "Chen Wanying" "The answer to the question we are asking now cannot be found from medical skills alone. This must be analyzed based on actual medical practice experience!
For professionals, one question can tell how good a person is. Now just by relying on this second question, Lin Zhichang was very sure that the little girl in front of him must be an expert!
This time, Lin Zhichang thought for a long time before replying: "Both of these statements have certain truths, but I believe that these two statements are not the original intention of the medical sage. First of all, pain when the abdomen is full does not necessarily have symptoms. Guizhi plus peony decoction is not a remedy for both external and internal symptoms. The medical sage has made it very clear in "Treatise on Febrile Diseases", "Pain when the abdomen is full belongs to Taiyin." "
It was originally a superficial syndrome, but the condition has changed after being mistakenly diagnosed. It is both Taiyin and Taiyin, which means it is a sign of intention. The use of Guizhi plus Shaoyao decoction does not necessarily relieve the superficial syndrome. It should be noted that Guizhi decoction has no direct effect on sweating, but regulates the spleen and stomach, and has the function of harmonizing the nutrition and health. Therefore, when treating superficial syndrome, one must sip porridge to induce sweating in the ribs.
Taking Guizhi plus peony decoction not only eliminates the need to sip the porridge, but also uses acid-harvested peony, which shows that there is no dispersing effect. I call this prescription an agent that can solve both external and internal problems. It is not suitable for treating both Taiyin and Taiyang diseases. In actual treatment, symptoms of abdominal fullness and pain are often not accompanied by superficial symptoms. Xiaojianzhong Decoction, Guizhi plus Shaoyao Decoction is often used to achieve the effect, which is sufficient evidence. "
Having said that, Lin Zhichang couldn't help but wipe the sweat from his forehead. In just that moment, he didn't know how many cases he had deduced in his mind. Thanks to his rich medical experience, otherwise he might have been troubled by this question. Stumped, but the final result was pretty good, and he was very satisfied with the answer!
It was just too nerve-wracking to come up with this answer. He could only pray in his heart that the next questions from "Chen Wanying" wouldn't be as difficult as this one, otherwise at his age, he really couldn't afford such mental exertion!
"Pah pah pah~!"
After listening to Lin Zhichang's answer, "Chen Wanying" couldn't help stroking her hands and said: "Miracle Doctor Lin is indeed very skilled in medicine. Your insights really made this little girl suddenly enlightened. My father will be delighted if he hears these words of Doctor Lin." If you don’t like it, I might even come to visit you!”
"Haha! No prizes, no prizes! I'm just a little older and have more experience in practicing medicine!"
Lin Zhichang waved his hand and said with a smile: "Can you please ask Miss Chen the third question~?"
One question cost five guan, and now he has earned ten guan. Although the second question took a little more brains, compared to visiting patients, this way of making money is undoubtedly easier now!
"Chen Wanying" nodded, and then said with a serious face: "Okay! Divine Doctor Lin, please listen to the third question..."
… … … … …
"The ten questions have been completed. Today's exchange with Divine Doctor Lin has benefited the little girl a lot. This is fifty Tang Yuan, please accept it with a smile, Senior Lin~!"
It was approaching noon when "Chen Wanying" had finished asking all ten questions. At this time, she stood up and bowed to Lin Zhichang, then handed over five Tang Yuan cards and said.
Lin Zhichang was very tired at this time, and a look of deep exhaustion appeared on his face. It was obvious that he did not answer these ten questions easily. He stood up and took the Tang Dynasty question handed over by "Chen Wanying" without leaving a trace. Yuan, then said: "Haha! It's easy to talk! If Miss Chen has any doubts about medical skills in the future, you are welcome to come to Xuanhutang again!"
"Yeah~! Yes! Let's say goodbye for now. See you later!"
"Chen Wanying" nodded and said goodbye.
"Haha! See you later!"
Lin Zhichang cupped his hands, but secretly thought that the girl in front of him had better come here often to give money.
"Yu'er, let's go~!"
"Chen Wanying" called to the maid behind him, and then the two of them walked towards the door together.
"Chen Wanying" left Xuanhutang with her "maid", but she didn't know that there was a person crawling on the roof of the house where she was just now. As she left, that person also gently "Gone" away!
… … … … … …
"Wow! Sister! You are just so awesome! That old man surnamed Lin really thinks you are the daughter of a family practicing medicine in Jiangnan~!"
At Dongshikou, "maid" Yu'er pulled "Chen Wanying" excitedly and said with a bright smile.
"Hehe! Don't I look like the daughter of a big family? Shuoyu?"
"Chen Wanying" smiled slyly when she heard this, and then she reached out to scratch Yu'er's creaky nest, which made the other party giggle.
"Kekeke~!"
"Like, like, sister, stop scratching!"
The two sisters got into a quarrel and chased each other on the street. This crazy and noisy look did not look like a wealthy family. If Lin Zhichang saw this scene at this time, he would definitely shout, "How dare you cheat, stinky girl" "Old man"!
"Okay! Let's stop making trouble! Shuoyu, do you remember what old man Lin just said?"
After a long time, the two sisters came to a dilapidated small courtyard in the east of the city. The slightly older girl said seriously.
"Hmm! I remember about 50% to 60%, right?"
The girl named Shuoyu tilted her head and thought for a while before replying.
"Fifty to sixty percent? That should be enough! I probably remember more than eighty percent! Shuoyu, come in quickly. Before we forget, write down the answers to these questions on paper. My sister will take the Yunshan exam tomorrow. ! Hey! With Old Man Lin’s answer, it is absolutely certain that your sister and I will be admitted to Yanhuang Academy this time!"
The older girl said proudly.
These two girls are obviously not the daughter and maid of a family practicing medicine in the south of the Yangtze River. The older girl is not named Chen Wanying, but is called Chen Shuozhen. As for the previous maid named "Yu'er", her real name is Chen Shuoyu. She is Chen Shuozhen's sister.
It is said that Chen Shuozhen met Li Zexuan by chance at the foot of Yunshan Mountain that day, and unexpectedly got the admission test questions for the Yanhuang Academy of Medicine. Chen Shuozhen was so excited that night that she couldn't sleep well. She thought that knowing the test questions in advance would be absolutely foolproof and sure of success, but When she got up early this morning to study the test questions, she was completely dumbfounded!
Because she can’t do many of the questions above!
Although Chen Shuozhen studied Taoism and medical skills with Tian Xuanzi for two years in the mountains, she had only read some medical books and was far from being a doctor. She had never seen a doctor before!
Some of the theoretical questions on the Yanhuang Academy Medical College test paper may not be too difficult for Chen Shuozhen, but when it involves some experiences related to practicing medicine, she won't be able to write them at all!
The saddest thing in the world is not that you failed the exam, but that you knew the content of the exam before the exam, but you didn’t know the answers to each question, and you still got nothing during the exam!
(After all, there is no Baidu in this era, so you can’t find the accurate answer to any question with just a few clicks of your fingers)
Seeing that the admission quota for Yanhuang Academy Medical College, which was already within easy reach, was about to slowly fly away, Chen Shuozhen was of course unwilling to give in, so the two sisters put together such a big show in Xuanhutang!
The reason why I chose Xuanhutang is that Xuanhutang was indeed very famous before, especially Lin Zhichang, the doctor there. However, the former imperial doctor had rich medical experience. Chen Shuozhen believed that the questions on this test paper of Yanhuang Academy Medical College must be difficult. Lin Chichang will not be defeated;
The second reason is that due to the emergence of the United Medical Center of the Tang Dynasty, small private medical clinics in Chang'an City and the counties surrounding Chang'an City have been greatly affected. Chen Shuozhen expected that the business of Xuanhutang would also be affected. In this way, Come, she can also get the most perfect answer with the least amount of money!
If it had been left in the past, Lin Zhichang might not have been willing to answer the question, let alone the question of five guan of money, or even the question of ten guan of money!
By the way, Chen Shuozhen could directly ask other doctors the questions, a shameless free inquiry, but that would be inefficient and the answers he would get would be unreliable. More importantly, Chen Shuozhen didn't want too many people to know about these questions!
Because so many people know about it, once the examination papers for Yanhuang Academy Medical College are released, the situation will get out of hand!
"Uh-huh!"
Chen Shuoyu naturally had no objection to Chen Shuozhen's request. The little girl followed Chen Shuozhen and ran into the house. As soon as she entered the house, the little girl quickly shouted: "Sister! Why don't we change our clothes before doing this?" Right? Otherwise, if you accidentally stain these beautiful clothes with ink, you will be in trouble~!"
In order to stage this hidden drama, Chen Shuo really bought a set of clothes for himself and Chen Shuoyu. Although Chen Shuoyu was wearing maid clothes, even so, it was several times better than what they usually wore. So, This little girl is so cautious.
"Oh! It's so troublesome! If you get dirty, I'll just buy you another one! When I get admitted to Yanhuang Academy and earn back all the academy's scholarships, will we still have to worry about money at that time?"
Chen Shuozhen heard this and said nonchalantly.
Speaking of which, she just spent fifty thousand dollars, how could she feel sorry for the clothes that cost several thousand dollars now
Although she is a "miser", she also knows that if she wants to make money, she must pay her capital!
Besides, the money is not hers...
"Sister, how much money do we have left?"
"There are still more than twenty guan, right? Don't worry, little sister, the 50 guan we gave out today, I will definitely earn back double the 50 guan in the future~! Oh, by the way, that silly and lovely His Highness King Wei, why haven't I met him recently? What about? It would be great if we could meet a few more times~!"
Chen Shuozhen pinched his cute chin, and couldn't help but recall that big guy who was "foolish and rich" - Li Tai!
"Oops! Stop talking nonsense! Go and sort out the answers! Although this old man Lin likes to rely on his elders and show off his talents, and although it costs a lot of money, he has to say that he is still somewhat genuine. With his answers, sister will take the admissions exam tomorrow. I’m sure nothing will go wrong!”
… … … … … …