hotmtlnovel Chapter 133 Differentiation of Syndromes and Treatment of Prescriptions: Deficiency and Excess
Chapter 133 Differentiation of Syndromes and Treatment of Prescriptions: Deficiency and Excess
Chapter 133 Differentiation of Syndromes and Treatment of Prescriptions: Deficiency and Excess
1. Long-term accumulation of cold in the spleen and stomach
Morning light streamed into the clinic's entrance, and a gentle breeze rustled the grass and trees under the eaves.
A middle-aged man with a haggard face slowly walked into the consultation room.
"Dr. Chen, I have suffered from coldness in my spleen and stomach, chest and abdominal distension, and poor digestion for many years."
Chen Shanhe's gaze was calm as he carefully observed the newcomer's expression.
"Do you usually have a poor appetite, a dull, cold pain in your abdomen, and cold hands and feet all year round?"
The patient nodded slightly, his brows furrowed with deep sorrow.
"I consulted several doctors in the city, and the herbal medicines they prescribed were all roughly the same."
Zhou Deshan stood to one side, observing the entire consultation with a gentle gaze.
"Why can't I get rid of my chronic cold syndrome even after taking herbal decoctions regularly for a long time?"
The man let out a soft sigh, and his shoulders slowly slumped down.
"Each time I take the medicine, it only temporarily relieves the pain, and the symptoms will recur after a few days."
Xu Jingming frowned slightly, a deep sense of doubt rising in his heart.
"Both are spleen and stomach deficiency and cold syndromes, and the same medication should be used to treat the symptoms and cure the disease."
Aerial views of the entire street, alleys, and residential buildings slowly unfold.
In the marketplace, chronic ailments such as spleen and stomach cold and dampness are commonplace.
Most traditional doctors in the past viewed similar illnesses as a whole.
They simply refer to the fixed prescriptions in ancient books and blindly follow the prescriptions to get the medicine.
They never consider the patient's physical condition or emotional distress.
Using only a single treatment method to address all the same symptoms and ailments.
They only know how to take simple internal herbal medicine and abandon external treatments that focus on the meridians.
Over time, mild symptoms can linger and gradually develop into chronic, long-term illnesses.
Poems as proof:
Spleen deficiency and cold stagnation have plagued me year after year.
An ancient remedy with only one ingredient is difficult to cure in the long run.
Incompetent doctors fail to recognize abnormal body shapes.
Minor illnesses, if delayed, can escalate into serious problems.
Second, many doctors are rigid in their prescriptions and lack flexibility.
Chen Shanhe lightly placed his fingertips on the pulse pillow and calmly examined the patient's pulse.
"In the past, all doctors used traditional ancient prescriptions for warming the middle and strengthening the spleen."
The patient's eyes flickered slightly, and he looked at Chen Shanhe in astonishment.
"How could the doctor know the exact cause without ever reviewing past prescriptions?"
"The old-fashioned doctors in this world always stick to the same old routines," Chen Shanhe said calmly.
"Whenever we encounter symptoms of coldness in the spleen and stomach, we directly apply the established formulas."
Xu Jingming stood with his hands behind his back, looking somewhat bewildered.
"The external symptoms are completely identical, and the same herbal decoction is being used. What's wrong with that?"
Zhou Deshan slowly shook his head, his mind more meticulous and thorough than his junior brother's.
"The symptoms are all the same, but the strength of each person's vital energy and blood is different."
Chen Shanhe glanced at his two apprentices, his expression becoming solemn and serious.
"This is the biggest drawback that old-fashioned doctors struggle to overcome throughout their lives."
The group of elderly men were well-versed in various medical books and classics.
Memorize thousands of classic herbal prescriptions that have been passed down through generations.
Thinking gradually becomes completely rigid and inflexible.
They do not understand the principle of treating both internal and external ailments, and they neglect the accumulation of cold and dampness in the meridians.
Commonly used basic medicinal herbs by ordinary doctors: Codonopsis pilosula, Atractylodes macrocephala, Poria cocos, and prepared licorice root.
The four medicinal herbs are mild and warming, only able to nourish the stomach superficially, and cannot thoroughly dispel cold.
A single, mild medicine has a weak and ineffective effect, unable to dispel the deep-seated cold within.
Therefore, countless chronic diseases persist for many years, recurring repeatedly and difficult to eradicate.
Poems as proof:
Adhering to the principles of scripture and ink painting is biased.
One prescription can be used to treat all kinds of malaria.
Unaware that the body is divided into strong and weak,
A superficial medical practice is unlikely to resolve doubts.
III. The True Meaning of Treating Different Diseases with the Same Method
Chen Shanhe slowly withdrew his wrist from taking the pulse, his expression calm and composed.
"Today I will dissect the profound principles of traditional Chinese medicine and explain the origin of different treatments for the same disease."
Xu Jingming leaned forward slightly, focusing his mind and listening attentively to the teachings.
"I have often heard this essential medical principle, but I have never been able to fully comprehend it."
Zhou Deshan's eyes were clear and gentle as he bowed respectfully, waiting for the explanation and analysis.
"What are the differences in the underlying mechanisms behind diseases that appear identical on the surface?"
"What the naked eye can see are merely symptoms on the surface of the body," Chen Shanhe said slowly.
"Both suffer from spleen and stomach deficiency and cold, but some people have cold qi stagnation in the middle jiao, while others suffer from spleen damage due to worry."
"Some people live in damp and cold environments, while others are born with a deficiency of vital energy."
"Their moods and thoughts vary greatly, and their daily eating habits are also quite different."
Even if all the pain sensations are exactly the same.
The depth of cold pathogens in the body, the balance of qi and blood, and the blockage of meridians are all completely different.
Naturally, the same herbal decoction should never be used for all patients.
It is necessary to differentiate between conditions such as severe cold, severe dampness, qi deficiency, and depression, and to formulate appropriate prescriptions accordingly.
In addition to oral herbal decoctions, moxibustion therapy should also be used.
Only by treating both internal and external factors can the root causes of chronic diseases be completely eradicated.
Poems as proof:
The external symptoms are the same, but the internal symptoms are different.
Yin and Yang, deep and shallow, each have their own paths.
Different treatments for the same disease is the true way.
Ancient medical principles are contained within this body.
IV. Understanding the Root of Medicine Through Personalized Medication
After listening to the patient's insightful and unique medical perspective, the doubts that had been building up in the patient's mind for many years were instantly cleared up.
"I have been seeking medical treatment for many years and have always suffered from the torment of a cold spleen and stomach. Only now do I realize that the reason why my long-term illness could not be cured was because the doctors did not tailor the prescriptions to my individual needs."
Chen Shanhe's expression was gentle and mild, his eyes were calm and composed, and his voice was steady and measured.
"The classic remedies and prescriptions passed down from ancient times can only be used as a reference for medical practice. They should never be rigidly and indiscriminately copied to treat all diseases in the world."
This time, the patient's constitution, characterized by melancholy and depression, and dampness and cold in the middle burner, was treated with a well-structured and personalized internal medicine prescription based on syndrome differentiation.
The medicinal materials used are dried ginger, dried tangerine peel, stir-fried yam, white hyacinth bean, magnolia bark, and costus root, all in a reasonable combination.
This person is always preoccupied with worries, and excessive thinking over time damages the spleen's fundamental function.
Therefore, based on the warming and tonifying properties of herbal medicines, herbs that regulate qi and soothe stagnation can be added or removed as appropriate to complement and harmonize the formula.
Besides taking herbal decoctions to slowly nourish the internal organs and blood,
Simultaneously, it is combined with external treatment techniques such as abdominal meridian warming and massage.
Gently massage the stagnant meridians of the spleen and stomach to dispel the cold and dampness accumulated under the skin.
Only by regulating both internal and external factors and ensuring smooth communication between the body and the mind can the root causes of long-standing illnesses be gradually eradicated.
Xu Jingming slowly relaxed his furrowed brows, his mind suddenly awakening to the truth.
He then truly understood that blindly burying himself in medical books and clinging to outdated prescriptions and formulas was futile.
A rigid mindset and inflexibility will prevent one from ever becoming a truly excellent doctor with both moral integrity and professional competence.
Zhou Deshan was humble and composed, nodding slowly and gently.
I carefully memorized the entire set of syndrome differentiation prescriptions and external treatment methods.
He secretly reminded himself to be more cautious in every future consultation and clinical practice.
First, it is necessary to distinguish the patient's innate physical constitution (whether it is strong or weak) and to determine the depth of the emotional and mental illness.
Then, the dosage and combination of herbs are carefully considered and combined with meridian therapy for treatment.
The aerial view of the distant town streets, mountains, and rivers slowly converges and freezes in time.
Chen Shanhe subtly guided the two, offering his own unique insights into military strategy and medical principles.
Use the strategic thinking of military strategists to assess the situation and weigh the pros and cons to understand the underlying problems.
The core principle of traditional Chinese medicine is to treat patients according to their individual conditions and to follow their natural course.
Those who practice medicine must be well-versed in the principles of prescription selection, use, and application.
The wonder of the complementary effects of internal herbal remedies and external therapies.
Completely break free from the narrow-mindedness and self-imposed limitations of the older generation of doctors.
Based on the fundamental principles of a compassionate physician, one should continuously refine one's medical skills.
Both disciples now fully understood the profound meaning behind it.
Every common ailment in the world has its own unique treatment methods.
We must abandon outdated and rigid medical practices.
Flexible and adaptable prescriptions and diagnosis-based treatment are the right way for traditional Chinese medicine to survive and thrive for generations.
Poems as proof:
Understanding the spirit of medicine by administering medicine according to the individual.
Do not rigidly adhere to Chen Fang's methods.
Adaptability is the cure for human ailments.
With a pure heart, we guide people through the mortal world with kindness.