"Your condition is caused by a deficiency type pain, and in treatment, we need to use a nourishing method to replenish the deficiency of Qi and blood."
Lu Xuan said this not only for the patient to hear, but also for Ji Xiuwen and Su Kenan.
Therefore, as Lu Xuan mentioned these things, the two instinctively took notes. For parts they couldn't write down in time, they used keywords as placeholders and marked what they didn't understand, planning to ask Lu Xuan for clarifications later.
Seeing this, Lu Xuan smiled at the two of them: "You both remember the eight methods of traditional Chinese medicine, right?"
Almost instinctively, both nodded. The eight methods of traditional Chinese medicine are fundamental basics that even the least studious person would remember.
The so-called eight methods refer to the eight treatment methods of sweating, vomiting, purging, harmonizing, warming, clearing, reducing, and replenishing, first recorded in the book "Treatise on Cold Pathogenic Disease."
The eight methods of traditional Chinese medicine were developed by our predecessors through long-term medical practice, summarized from differentiating syndromes by the eight principles, forming basic guidelines for treating various syndromes.
Generally speaking, when pathogenic factors are on the exterior, sweating method is used; if they are inside and at the top, vomiting is used; if they are inside and in the middle, purging is used; when half-exterior half-interior and Qi movement is disordered, harmonizing is used; if the disease nature is cold, warming is used; for heat nature, clearing is used; for accumulation or stagnation, reduction is used; for deficiency of vital Qi and insufficient function, replenishing is used.
The eight methods were already introduced in detail in "Treatise on Cold Pathogenic and Miscellaneous Diseases" by Zhang Zhongjing of the Eastern Han dynasty.
Cheng Zhongling's "Medical Insights" from the Qing dynasty further elaborates: "The origin of illness is encapsulated in internal injury and external invasion; the nature of illness in cold, heat, deficiency, excess, interior, and exterior, Yin and Yang; while treatment methods are fully encompassed by the eight methods of sweating, harmonizing, purging, reducing, clearing, warming, and replenishing."
It can be said that Cheng Zhongling's "Medical Insights" provides a more systematic exposition of the eight methods, summarizing the core of treatment methods in traditional Chinese medicine.
In recent years, through clinical practice, modern traditional Chinese medicine has developed more than 16 treatment methods on the basis of the eight. Besides the eight, this includes methods such as expelling wind, dispelling dampness, regulating Qi, regulating blood, expelling phlegm, opening orifices, calming the spirit, and stabilizing and securing.
At this moment, the man's stomach pain post-surgery was treated with replenishing, one of the eight methods, as suggested by Lu Xuan.
Replenishing, also known as supplementing or benefiting, aims to nourish the deficiency of Qi, blood, Yin, and Yang in the body, treating various deficiency syndromes.
Deficiency can involve Qi deficiency, blood deficiency, Yin deficiency, Yang deficiency, and so on, and replenishing varies as Qi-replenishing, blood-replenishing, Yin-replenishing, and Yang-replenishing. Depending on the urgency and degree of weakness, it can be divided into vigorous replenishing and gentle replenishing.
The "Suwen: Make True Doctrine" mentions: "Replenish what is deficient" and "Benefit what is damaged."
The "Suwen: The Theory of Correspondence of Yin and Yang" says: "Warm those with insufficient form with Qi; replenish those with insufficient essence with flavor."
The Qi, blood, Yin, and Yang of the human body are interdependent, and various replenishing methods are often used in combination.
For example, in cases of "blood depletion complements Qi," Qi-replenishing drugs can be added to blood-replenishing formulas. If the primary focus is on benefiting Kidney Yang, it should be complemented with Kidney Yin tonics to achieve Yin-Yang balance. If pathogenic factors are unresolved, using replenishing methods is inappropriate as it might retain the pathogenic factors. If pathogenic factors are still present while vital energy is deficient, replenishing drugs can be added to the evacuating formula, which embodies the principle of "strengthening the host and removing the pathogen."
Seeing both of them remembered the eight methods, Lu Xuan did not elaborate further but continued, "To replenish the deficiency of Qi and blood, we should choose a formula combining Rhizoma Coptidis Donkey-hide Gelatin Soup and Gastric Nourishing Soup. The Rhinzoma Coptidis Donkey-hide Gelatin Soup treats Cold Pathogenic Disease with Shaoyin syndrome, irritability with sleeplessness, as well as true Yin exhaustion in warm diseases, and intense fire exuberance.
In it, the bitter cold Rhizoma Coptidis clears heat from Qi and blood, the sweet and warm donkey-hide gelatin tonifies the blood, the sweet and cold chicken egg yolk nourishes the stomach fluid, and the sour astringent white peony balances Yin and Yang..."
"Why do we need to use the medicine this way?" Ji Xiuwen raised his doubts. Having little exposure to patients, his lack of experience made it hard for him to understand why Lu Xuan used the medicine in such a way, questioning the rationale behind these drug combinations.
Lu Xuan glanced at Ji Xiuwen and then explained the interaction between the medicines in detail: "White peony and Rhizoma Coptidis have a sour and bitter inducing effect; donkey-hide gelatin mixed with Rhizoma Coptidis can both nourish and not feel cloying; the combination of Scutellaria, Rhizoma Coptidis, donkey-hide gelatin, and chicken egg yolk can clear heat without dryness.
What the patient now needs most is to clear heat and nourish fluids, and this prescription is the most comprehensive way to clear heat and nourish fluids. However, even so, it's not entirely sufficient for the disease's needs, so I also chose Gastric Nourishing Soup to be used in combination. This prescription is specifically effective for injuries to Lung and Stomach Yin fluids, with Adenophora replenishing Yin, draining fire, benefiting Qi, and clearing the lungs, and Ophiopogon, known for its cooling and nourishing properties.
Dongyuan referred to it as 'cool yet replenishing, nourishing without being cloying, none surpassing Ophiopogon,' significant for cases of Yin not nourishing Yang, causing vexing heat and thirst; it helps generate fluids and moisten dry conditions remarkably;
And Solomon's seal is neither cold nor drying, removing pathogens, nourishing Yin, substituting for ginseng and astragalus, treating all deficiency and damage; mulberry leaf enters Lungs and Stomach meridians, with the ability to clear dryness and dispel wind; hyacinth bean harmonizes the middle, descends Qi, clears and expels turbid substances, and is well-suited for treating spleen and stomach, removing dampness, alleviating heat, and detoxifying; licorice harmonizes the various medicines, neutralizing all toxins.
In summary, Rhinzoma Coptidis Donkey-hide Gelatin Soup focuses on clearing heat, nourishing blood, and moistening Yin, whereas Gastric Nourishing Soup emphasizes generating fluids and moistening dryness. Together, these formulas complement each other perfectly."
Although Ji Xiuwen seemed to understand only partially, and Su Kenan, with a few days of accumulation, could understand somewhat, her comprehension was still limited.
Lu Xuan wasn't in a hurry. Traditional Chinese medicine can't be rushed; otherwise, it wouldn't have been overshadowed by Western medicine in just a few decades to a hundred years.
"Su Kenan, you should first register the prescription and note down what you don't understand,"
Lu Xuan said, placing the patient record booklet with the prescription in front of Su Kenan.
But just as he finished saying this, a chaos erupted outside the consultation room, accompanied by cries.
Lu Xuan frowned slightly, instinctively looking towards the outside of the consultation room, recognizing the voices seemed to be from the direction of the laboratory section.
"Could something have happened?"
Lu Xuan's face showed concern; the voices were clearly not from within the Health Center, most likely patients, and considering the crying, the probability of an incident was very high.
Thinking of this, Lu Xuan couldn't sit still. He stood up and asked, "What happened?"
Moments later, a head appeared at the doorway of the consultation room: "Dr. Lu, it's coming from the lab section over there. It looks like someone fell..."
"No, it's a mischievous child who fell off the blood draw table and seems to have fainted, but it's chaotic at the lab section, so I'm not sure if it's true. From the crying, it sounds like the kid's mother, and her cries are chilling. It's too crowded; I couldn't get in."
A head suddenly appeared again at the door.
Upon hearing that a child had fallen from the blood draw station and fainted, Lu Xuan's expression changed. Ignoring the many patients still waiting for him, he quickly got up and rushed towards the laboratory section.
Ji Xiuwen didn't think twice and followed him out.
Su Kenan, not fond of such commotion, stayed behind due to her introverted nature. After printing the man's billing invoice, she hobbled towards the herbal medicine room.
She had been familiarizing herself with the herbal medicine room during her free time these past days, so she could be more helpful during busy times, and not be flustered when it comes time to dispense medicine.
Lu Xuan rushed to the blood draw window of the lab section in one breath, seeing many people already surrounded the blood draw station, making it impenetrable. From the center of the crowd, women's cries occasionally emerged, and he vaguely heard Wang Youqing's shout: "Quick, call 120, the child has already fainted."
"Hello, is this 120? This is Qiu City Street Health Center. We have a child here who fell from the blood draw table, possibly hit their head, and has now fainted..."
Hearing this, Lu Xuan didn't hesitate, directly parting the crowd: "Everyone, make way..."
As Lu Xuan parted the crowd, some sharp-eyed patients noticed it was Lu Xuan, quickly shouting, "It's Dr. Lu; Dr. Lu is here. Everyone, make way for Dr. Lu to have a look."
Recently, Lu Xuan has been rather popular at the Health Center, and many people just want his consultation. Recognition of Lu Xuan has been growing; upon hearing he's here, the crowd quickly made way.
Seeing a path opened, Lu Xuan did not hesitate and swiftly moved to the center of the crowd.
Following closely behind, Ji Xiuwen was amazed by Lu Xuan's high recognition among patients.
In such a situation, not to mention at the Health Center, even those big hospitals don't often have doctors with such reception.
This is trust!
What is most important for a doctor?
Isn't it the trust of patients?
Feeling envious, and while the crowd hadn't fully converged again, Ji Xiuwen quickly followed along.
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