"The first place is moist tongue coating."
"Second place, the mouth is neither dry nor bitter."
"The third place, the pulse is not counted."
"Adding these three points of judgment is sufficient to prove that it is not a heat syndrome. The heat syndrome is just an illusion, but a cold syndrome!"
Lu Yi said seriously.
ah?
Zhou Wenxuan's whole body trembled. He didn't understand the dry tongue coating at all, and he didn't even ask about dry mouth and bitter mouth.
He found out that his pulse was not counting, but when he was studying traditional Chinese medicine, his teacher told him that counting the pulse does not necessarily mean heat syndrome! Just because you don’t count doesn’t necessarily mean you don’t have a hot syndrome! Make a comprehensive judgment.
But based on comprehensive judgment, this person has a fever syndrome!
"admire!"
Wang Fengnian hugged Lu Yi and said, "As expected of Dr. Lu, the dialectics are very clear."
"If the mouth is not dry and not bitter, it means there is no heat syndrome. If the pulse is hot, if it is not counting, it means there is doubtful heat syndrome. If the tongue coating is two, cold and heat are not just judged by whether the coating is yellow or white, but mainly by whether it is moist or dry. A moist tongue coating is cold. , dry is hot!”
"So this is a cold certificate!"
Wang Fengnian's voice seemed to come from the nine heavens, causing Zhou Wenxuan to freeze on the spot and fall into the ice cave.
Is it really a cold syndrome?
Did I make a mistake?
That prescription...
Zhou Wenxuan's hands were trembling, and he stared at the prescription in his hand that he was very confident about. The evidence was wrong, and the prescription was not correct at all!
Lu Yi got his dialectics right, and so did the six community doctors.
Am I not even as good as a community doctor?
Looking at Zhou Wenxuan, who had a gloomy expression and was in a state of despair, Huang Congjing and the other six people were so happy that they made you act cool!
But the next second I couldn’t laugh anymore.
Because they think about it and their judgment was also wrong...
"Okay, both of you, please show me the recipe."
Wang Fengnian didn't ask for Zhou Wenxuan's prescription.
After receiving the prescriptions handed over by both parties, Wang Fengnian first took a look at the prescriptions given by Huang Congjing and the others.
"9 grams of dried ginger, 6 grams of cinnamon, 6 grams of licorice, 9 grams of Atractylodes macrocephala, 9 grams of Codonopsis pilosula, 3 grams of Asarum, 3 grams of Magnolia officinalis, 1.5 grams of cloves, and 6 grams of Amomum villosum."
Yes, with six people working together, this recipe is very sophisticated!
Ran looked at Lu Yi's prescription again, his eyes suddenly condensed, he raised his head and took a deep look at Lu Yi.
"What's your idea behind this prescription?"
Wang Fengnian did not judge, but looked at Huang Congjing and others.
After studying prescriptions for more than 20 years, Huang Congjing had already analyzed the idea behind the prescription, and immediately said confidently: "The patient's main syndrome is deficiency and coldness of stomach qi, so the Lizhong Decoction can treat it, and then add other medicines! Among them, dried ginger, Cinnamon, licorice, Atractylodes, and Codonopsis pilosula are used to treat spleen and stomach deficiency.”
"The patient's stomach becomes more bloated after drinking water, which shows that there is too much water. He uses asarum to dilute the water."
"If the patient has stomach bloating, use Magnolia officinalis to promote qi and eliminate accumulated gas."
"The patient has a loss of appetite. Use cloves and Amomum villosum to regulate the spleen and stomach and increase appetite!"
Wang Fengnian nodded.
But he didn't ask Lu Yi a question. Instead, he exchanged the prescriptions of both sides meaningfully and said: "These are your respective prescriptions. Take a look."
Huang Congjing and the others took the prescription from Lu Yi doubtfully. Their six pairs of eyes quickly looked at it, then they looked at it carefully and then were stunned.
Like them, the main dish is Lizhong soup.
But there is a difference.
They used dried ginger while Lu Yi used canned ginger, and the amount of canned ginger was 20 grams!
There is also an additional medicine in it, Evodia Fructus.
Huang Congjing quickly analyzed the prescription in front of him.
If this medicine is added, Lu Yi's prescription can be regarded as a combination of Lizhong Decoction and Evodia Decoction, because Evodia Decoction also contains ginger and Codonopsis pilosula.
Can……
Huang Congjing's eyes were full of surprise.
Although Evodia Decoction can also treat stomach deficiency and cold syndrome, its ability to remove cold and warm symptoms is not as strong as that of Lizhong Decoction!
He clearly remembered that his grandfather told him when he was teaching him that if the stomach qi is weak and cold, use Evodia Decoction. .
The patient has obviously had stomach cold for a long time. The Lizhong Decoction is enough here, so why bother adding Evodia?
As for paojiang and dried ginger, both can warm the spleen and stomach, but the warming effect of dried ginger is more rapid than that of paojiang! Why is Paojiang used here again?
Lu Yi glanced at Huang Congjing's prescription in his hand, turned to Zhao Jinliang, and said with a sunny smile: "We won."
ah?
Huang Congjing suddenly raised his head and said hurriedly: "We should have won, right?
"Although our prescriptions are very close, our prescription is obviously more effective!"
"There are two recipes for Lizhong Decoction in ancient medical books, one uses canned ginger and the other uses dried ginger."
"Dried ginger is pungent and hot in nature, while paojiang is mild in nature and is more effective in treating weak spleen and stomach. And the original prescription of Lizhong Pills in "Treatise on Febrile Diseases" uses dried ginger."
"The cannon ginger you used is not as effective as our dried ginger! How can you win?"
Who won?
Zhao Jinliang's joyful expression suddenly dropped again.
The hearts of Feng Yigu and the directors of five other community hospitals who had just been touched by Lu Yi's words instantly revived with blood!
"There is a second one. The patient's stomach Qi is weak and cold. Lizhong Decoction is enough. Adding Evodia Fructus is completely unnecessary. You are just superfluous! We still win!"
Huang Congjing is impressive and full of confidence.
Who of you won?
Seeing the calm-looking Lu Yi and the confident Huang Chongming, everyone present was confused.
It should be considered a draw.
Wang Fengnian secretly thought to himself that the addition of Evodia was wonderful, but here it is true that dried ginger is more reasonable and more effective than dried ginger.
Not bad though!
Lu Yi is so young and has such thorough medical research.
There are strengths and weaknesses, and it is normal for the mastery of Chinese medicine to be inaccurate.
"Let me explain."
Wang Fengnian looked at the confused people and explained: "There are two differences in the prescriptions of Dr. Lu and these six doctors. One is that Dr. Lu uses canned ginger, and the six doctors use dried ginger. The other is that Dr. Lu's prescriptions are different. With the addition of Evodia, the difference between the two sides lies in these two places."
So close?
Everyone around was surprised when they heard this.
"Everyone, if you feel like you haven't been cured just now, you can line up at the door of the clinic. I'll be there shortly."
Lu Yi smiled and said to the surrounding patients.
This move made the confused people present even more confused.
"You gave up?"
Huang Congjing stared at Lu Yi and asked.
"Two questions for you."
Lu Yi shook his head and said: "Tuxu Mucheng, how to explain it?"
This question doesn’t trouble me!
Huang Congjing immediately replied: "The stomach belongs to earth, the liver belongs to wood, wood restrains earth, and the liver affects the stomach. Under normal circumstances, the two naturally live in harmony and restrain each other, but when the earth's Qi is insufficient, it will be difficult to withstand the restraint of wood. This causes the wood to invade, making the stomach even weaker."
Lu Yi asked again: "The patient has been ill for three years. If his stomach has been cold for so long, what will happen to his liver?"
"The liver will be cold..."
Huang Congjing was stunned as soon as he said it, and his expression suddenly changed.
Jia Gui and the others were also stunned, their expressions changing from stunned to ugly.
Seeing the expressions of Huang Congjing and the other six, Feng Yigu's heart suddenly sank.
Could it be that something went wrong?
"Second question, the patient reports that he has loose stools. Should he use canned ginger or dried ginger?"
Lu Yi asked again.
Huang Congjing frowned. Either canned ginger or dried ginger would work, because what does the looseness of the stool have to do with the two?
Wang Fengnian frowned and started thinking after hearing Lu Yi's question.
Suddenly, lightning flashed in his mind, and he immediately remembered a book!
His eyes suddenly widened and he said: "Use Pao Jiang!"
He suddenly turned his head to look at Lu Yi, his eyes full of shock.
He took back his previous comment. Lu Yi was not unfamiliar with Chinese medicine at all, but was very proficient in it! More proficient than him and everyone else here!
ah?
Why?
Huang Congjing looked at Wang Fengnian in disbelief.
In the crowd, a man wearing a mask and a hooded down jacket with the collar turned up and tightly wrapped Wu Shengli stared at Wang Fengnian.
In order to see Lu Yi's defeat with his own eyes, he had to come in person!
"It's better for patients here to use Paojiang!"
Wang Fengnian took a deep breath and said: "There is a book called "Jizhitang Medical Cases", and the author Cao Renbo has a discussion about Lizhong Tang."
"Li Zhong Decoction Taiyin is an excellent prescription. It changes according to the syndrome. If the yang energy in the middle palace is not comfortable, use dried ginger and take its powder; if the yang energy in the lower abdomen is depressed, use cannon ginger to keep it. It changes. Between loose stools and loose stools!”
"The meaning of this sentence is whether dried ginger or cannon ginger should be used in Lizhong Decoction. It depends on whether the patient's middle Jiao Yang Qi is uncomfortable or the lower abdominal Yang Qi is sunken."
"If the Yang Qi in the middle burner is not relaxed and the stool is not loose and loose, use dried ginger! If the Yang Qi in the lower abdomen is depressed and the stool is loose and loose, use Pao Ginger! This patient has loose stools, so Pao Ginger is used here!"
ah?
Is there any other way to say this?
Huang Congjing was stunned, as were Jia Gui and the other five doctors.
Wu Shengli, who was wrapped tightly in the crowd, trembled all over and his eyes were full of confusion. He didn't know this.
