I Can Hear the Heart's Voice of Traditional Chinese Medicine-Chapter 393 - 64: Treating Ascendant Deficiency and Sudden Collapse with the Method of Raising Yin and Subduing Yang (Part 2)
At this moment, after listening to Lu Xuan’s words, it suddenly dawned on him, feeling deeply moved.
Huang Beishan looked at Zhang Jingcai and sighed: "Old Zhang, it seems we indeed need to put some effort into acute conditions. Although I have always known that traditional Chinese medicine has had high achievements in acute ailments from ancient times to the present, I haven’t seen much of it. Now I’ve seen it twice here with Lu, to be honest, I’m quite touched."
"I have the same feeling."
Zhang Jingcai nodded and said: "As for Cold Pathogenic Disease, there are actually many records on acute treatment, but most of the patients who come to us have chronic diseases, and we have almost never encountered acute conditions, so we subconsciously neglected research in this area. Seeing this today, and also the one yesterday, you’re right. In any case, if we want to truly achieve greatness in the field of traditional Chinese medicine, we must learn to deal with acute ailments and master it."
As the two were speaking, Ye Haishen pondered a moment and said: "Lu, I’ve looked at the prescription, and you just introduced the patient’s condition, but I’m still a bit confused about your use of the medicine."
Lu Xuan smiled and said: "The prescription mainly uses Rotten Turtle Shell, Dodder Seed, fresh Rehmannia, etc., to nourish yin and subdue yang; using White Poria, Ryunzhi, Northern Schisandra as adjuncts to invigorate the heart and awaken the mind; Dibupi and green wormwood are used to clear the floating heat in the blood; Baked Astragalus, fried White Atractylodes, and Baked Licorice are used to replenish the qi of the middle burner, facilitating communication between the upper and lower, serving as a connection aid. 𝙛𝒓𝓮𝙚𝔀𝒆𝒃𝓷𝒐𝓿𝙚𝓵.𝙘𝒐𝒎
Astragalus has deep roots in its stalks, the most abundant in ascending and penetrating the whole body, so it is a key herb in Qi Replenishing Soup, to achieve the interaction of kidney yin ascending, heart fire descending, achieving mutual communication.
However, how much effect this prescription can have will only be known after the patient takes the medicine."
"I see, I understand now."
Ye Haishen nodded and continued: "However, Lu, since you dare to prescribe like this, you must have some confidence, right? Although I haven’t known you for long, I have a good eye for people. Just judging by this prescription, you must have at least ninety percent confidence in it."
Seeing that modesty was useless, Lu Xuan could only nod and say: "After taking the medicine a dozen times, the pulse should no longer be forcefully protruding and gradually turn to a weaker state, with symptoms retreating accordingly."
"Then what is the use of quickly decocting and taking American ginseng?"
"Why use American ginseng instead of ginseng? When it comes to nourishing Primordial Qi, ginseng is more effective than American ginseng!"
Ye Haishen asked again, and this question also caught the attention of Huang Beishan and Zhang Jingcai. They had considered this question earlier and intended to ask about it. Little did they expect Ye Haishen to mention it first, allowing the two to reap the benefits, gazing intently at Lu Xuan.
Seeing the three of them staring fixedly at him, Lu Xuan was at a loss whether to laugh or cry, but in the next moment, he recovered his serious demeanor and explained: "The reason is actually very simple. American ginseng, 9 grams, quickly decocted and taken, is for preventing collapse.
The patient’s vital energy is greatly deficient, and the disease is critical, there is a high possibility of progressing from faint to collapse, from collapse to being beyond rescue, using American ginseng is a ’treating symptoms first in urgency’ method.
Decocting the medicine won’t be in time, so I can only use this method to buy time for the forthcoming treatment. Otherwise, by the time I prepare the medicine and administer it, the person would have already passed on, especially since the prescription includes Rotten Turtle Shell, which needs to be simmered for a long time. Even decocting here would require two hours, and his condition cannot wait for two hours.
As for using American ginseng instead of ginseng, because the qi-supplementing strength of ginseng, although strong, is more suitable for pure yang deficiency with small pulses; the patient’s condition of yin deficiency with yang excess and large, forceful pulses, using ginseng could risk further boosting the false fire.
American ginseng excels in nourishing fluids and specializes in gentle supplementation, which is most effective for this syndrome."
At this point, Lu Xuan paused, then continued: "As for this, there are actually many records in the Inner Canon, ’Plain Questions: Fang Shengshuai Lun Chapter’ states: ’Faint from insufficient qi, leading to fanciful dreams; at its extreme, confusion.’
’Spiritual Pivot Benshen Chapter’ states: ’Kidney qi deficiency leads to faint.’
’Spiritual Pivot Weiqi Chapter’ states: ’Lower deficiency leads to faint.’
All mentioned in these ancient medical texts indicate that if you see an unexpected loss of consciousness and unrecognition of people, six overflowing pulses, and flaring red cheeks, consider it a stroke, and treat with purgative agents, or attempt to cool the head, seeking to clear and restore consciousness by reducing heat and fire, lowering blood pressure, is bound to be a misdiagnosis.
In the end, it could be due to using the wrong method, choosing the wrong medicine, and not treating the symptom correctly, resulting in the patient’s demise."
The three exchanged glances.
In the situation at that time, if not for the three of them being there and discussing it to determine it was qi collapse, otherwise with only one person, it’s really possible it would be mistaken for a stroke. Frankly speaking, in the patient’s condition at that time, even if sent to the hospital for rescue, Western medicine would likely treat it as a stroke, and the final outcome is self-evident.
Incompetent doctors harming people is no joke.
For small ailments, it might be fine, but for such acute cases, precise diagnosis is really necessary. If the diagnosis is wrong, naturally the wrong medicine is used, leading to no desired effect, resulting in the patient’s death, which is a common occurrence.
This sort of thing is common in both traditional Chinese medicine and Western medicine.
Of course, nowadays, it happens more in Western medicine, after all, such acute conditions are primarily sent to Western medicine for emergency treatment.
In traditional Chinese medicine, very few have access to such acute conditions.
Saying this, Lu Xuan suddenly smiled slightly and said: "Such conditions usually have precursors, but the patient did not seek medical attention. If my guess is correct, the patient might have researched medical principles and is confident in their own methods, otherwise, they wouldn’t have let it drag on to this extent."
The three were incredibly surprised upon hearing this.
Ye Haishen said: "Lu, what you’re saying sounds like divination, is it true? Can you really tell?"
