Over the years, I have not been able to be with some people, not because of the big gap in our medical skills, but because of the difference in our treatment philosophy.
Let's take the spirit ** as an example, the course of treatment of this disease is relatively long, many doctors are "showing their skills" on this, prescribing you medicine for a week, and when you see the effect, start to adjust the prescription for you, it doesn't matter if you adjust it, a piece of paper is full, let you continue to use it, and the effect is getting smaller and smaller, and the more money is spent.
There are too many doctors who prescribe prescriptions, resulting in our real Chinese medicine practitioners, who prescribe a few flavors of medicine, but they are labeled as "magic sticks". really responded to that sentence, when the world is dark, the person who is monologue is wrong. Like a spiral of silence, fewer and fewer people dare to speak the truth.
The patient is a 24-year-old woman who was in her second year of high school at the time of her first illness. appearedInsomnia, early awakening, lack of concentration, little talk, reluctance to socialize with others, like to be alone, and gradually appear to feel that classmates are laughing at herTalking about her, thinking that everyone didn't like her, feeling insecure, suspecting that someone was going to kill her and her mother, and often telling her mother at night to lock the doors and windows, feeling that everyone knew what she thought. SometimesIn a daze, talking to himself, laughing alone, and hearing a voice in his ear talking to himself out of thin air, many times, but unable to explain the specific content. After a long time, parents were worried that their children would become "crazy", and after seeing my article, they came from the Northeast to find me for their children**.
Diagnosis: uncertain, difficult to sit still, red tongue, thick moss, fine pulse.
Open party:It is considered that the liver is depressed and the spleen is deficient, resulting in qi depression and phlegm coagulation。So directly prescribe: floating wheat, peach kernel, safflower, red peony, Chuanxiong, musk, tulip, calamus, bupleurum, tulip, woodto regulate qi and soothe depression and dissolve phlegmCalm the nerves
The patient said, I came all the way here, and you prescribed me these medicines, which are not as expensive as my travel expenses. I laughed, the efficacy of the medicine has nothing to do with the size of the prescription, your situation can only be prescribed these, you just eat as I say, and you don't have to run directly for the next follow-up, now that the network is developed, we also keep pace with the times, and I am not stubborn.
* At the time of the follow-up visit, the patient felt that after taking it for a month, the stool was diarrhea several times, the smell was foul, the chest and abdomen were cool and comfortable, the irritability was reduced, the sleep was better, the appetite was improved, and the effect was not better. After 2 years of follow-up, the patient's condition was not **.
Her situation is actually very simple, that is, the spleen deficiency leads to abnormal transportation, and the five grains accumulate and produce phlegm. The liver is stagnant and cannot be drained, so the fluid stops accumulating, which increases the load on the spleen. And "the kidney is the foundation of phlegm", kidney yang is weak, yang qi is weak, not enough to dry water moisture, easy to produce phlegm turbidity.
So this recipe uses 4general direction
Raw malt - the general of the spleen. Sweet, flat. Return to the spleen and stomach meridians. And this dose, malt is very particular, a small dose of digestion and stagnation, soothing the liver and relieving depression; The power of large doses to dissipate is strong, dissipating qi and blood. The dosage of the pre-prescription is also varied to achieve different effects.
Peach, safflower, red peony, tulipRemove stasisGreat General. The patient's tongue has a thorn on the tip of the tongue, which is caused by liver depression, and these three flavors can remove blood stasis on the liver and restore the function of liver detoxification.
Calamus, BupleurumLiver thinningGreat General. After peach kernels, safflower, red peony, and tulip remove blood congestion on the liver, Bupleurum to dredge the liver meridians and strengthen liver function.
Chuanxiong, woody, muskXingqiGreat General. Qi and blood are a part of Chinese medicine in the human body in the theory of traditional Chinese medicine, qi and blood are sufficient, there are no diseases, replenish qi and blood, and the flow of qi and blood will be smoother, and the patient's spirit will improve.