Chapter 23 Diagnosis

With Luo Tianyi as an apprentice, someone recorded Li Dongyuan's medical records. In this way, we can see more information about how Li Dongyuan diagnosed diseases. Let me give you a few examples: There was a patient named Wang Shanfu who had a rather troublesome disease. He had trouble urinating, his eyes protruded from holding back, his abdomen was distended like a drum, and the skin above his knees became very hard. Can't even eat.The doctor in front used all kinds of urination medicines, but none of them worked. So Li Dongyuan was invited, and Li Dongyuan saw it, good guy, this is a critical illness.

Although Li Dongyuan was already a famous doctor at that time, he was still very cautious when seeing a doctor. He would never deal with unsure patients lightly. He said: "This patient's illness is already very critical. If you don't think carefully, you can't deal with it. Let me Go back and think about it (you are in a hurry, but you can’t deal with it if you don’t think about it, so I’ll think about it when I return).” Then I went home and analyzed it seriously, but I still couldn't figure it out, why didn't the medicine for reducing penetration and promoting dampness work?

As a result, I also thought about it at night, and I lay down and fell asleep (I guess I didn’t fall asleep, but I still thought about it). In the middle of the night, I suddenly got up with my clothes and said loudly: "I figured it out!" (Suddenly grabbed the clothes and got up , Said: I got it.) It is estimated that Luo Tianyi must have been frightened stupid, thinking that it was haunted, but when he took a closer look, it turned out to be his master. Luo Tianyi was woken up in a daze, and then quickly took a pen to record the teacher's thinking results. Before Li Dongyuan put on his clothes, he began to discuss: "The "Huangdi Neijing" said: the bladder is the organ responsible for body fluid, and only when the gasification function is normal, the water can come out. But now these doctors use light infiltration The medicine for promoting dampness has no effect. This is due to abnormal qi transformation. Qixuanzi (that is, an expert named Wang Bing in the Tang Dynasty) said: Without yang, there is no yin, and without yin, there is no yang. Yihua. These light-penetrating medicines are all yang medicines, and there is only one lonely yang energy there, where does this yin energy come from!" (Ancient Chinese philosophy believes that yin and yang are a pair of things that always go together, It is impossible to leave anyone, they are mutually rooted and mutually restricted)

I don't know if Luo Tianyi understood it in a daze, but I have memorized the content anyway. The prescription was prescribed on the second day, and a lot of medicines with negative properties were used (administered with the medicine of group Yin), and the patient recovered quickly, urine came out, and the abdominal distension disappeared. Healed without taking a second dose of medicine (healed without taking the medicine). It seems that a master is a master, and he hits the mark with one blow. Let me talk about the medical case of Yuan Haowen. After Li Dongyuan returned to his hometown, Yuan Haowen also visited Zhending.

Of course, he didn't come to see Li Dongyuan in particular. He was a big celebrity at the time and had many friends, so he walked around when he went to Zhending's Dongjia and Xijia. He went to the house of the patient Wang Shanfu first. This Mr. Wang is the official in charge of wine in the capital. Of course, there is also a little wine at home. Yuan Haowen probably went to this wine and drank a little more. As a result, within two days, Yuan Haowen found a small sore on the back of his head, on the head and neck. He didn't pay attention to it at first, but two days later he began to feel pain.But I didn't care.

The next day, I saw Li Dongyuan (see Li Gongmingzhi, a Chinese medicine doctor). The two were happy to see each other, but I forgot to ask about my sores. I saw it several times a day, and I forgot to ask. . After another two days, it broke down, and I began to feel stiff and numb in my neck, "dissipating from the momentum, and the heat and poison are blowing out." At this time, someone started to scare him: You haven't heard that there is a Mr. Liu in the local area who just died of gangrene! In ancient times, gangrene on the back or the back of the brain could really lead to death. For example, Fan Zeng, the famous son of Xiang Yu, died of gangrene on the back.

Yuan Haowen was terrified. On the third day, the sore was so painful that I couldn't sleep. I don't know what happened to this Yuan Haowen, but he didn't go to Li Dongyuan, but went to another surgeon.This makes me puzzled, probably because I didn't tell them at the beginning, and now I am embarrassed to find them?Or think that Li Dongyuan is good at treating internal injuries, but he is not sure how well he is doing surgery?Anyway, we don't quite know what people thought at the time. The surgeon first prescribed some medicine, and then seeing that the patient was such a famous celebrity, he was not at ease, so he brought a senior brother to take a look together.

The result of reading is: I can’t do it now, I have to wait until the pus comes out in 18 days, and then deal with it, and it will be cured in three months (I don’t know who this person learned from, such a treatment can’t prevent death. ). Yuan Haowen was very embarrassed, the more he thought about it, the more frightened he became, and he thought to himself: With such pain, I should die in eighteen days! That's why he quickly found Li Dongyuan. When Li Dongyuan saw it, he didn't take it seriously at all, "talking and laughing as usual". Yuan Hao asked in a hurry, brother, I'm about to die, why don't you take it seriously?

In fact, our Li Dongyuan is very good at using psychotherapy. If he showed a serious look at this time, Yuan Haowen would probably be so scared that he would drink medicine to commit suicide at night. Li Dongyuan said: "Of course this sore is a bit serious, but with me here, you can put your heart in your stomach!" Then he went home, leaving behind Yuan Haowen who was restless. In the afternoon, Li Dongyuan came with equipment, and he took out a moxa pillar the size of a jujube pit (a pillar made of mugwort velvet, which is used in Chinese medicine for moxibustion). Yuan Haowen almost fainted from fright: "What are you doing?!"

Li Dongyuan told Yuan Haowen: "First use the strategy of attacking with fire, and then use medicine." Yuan Hao asked: "My God!" So Li Dongyuan began to use moxibustion and moxibustion for more than 100 years. The specific location of moxibustion should be the wound according to the records, but this kind of treatment method is not very useful now (don’t turn around and use moxibustion to treat sores. I'm not even Li Dongyuan, I'm not sure about that). Then the medicine is prescribed.Before prescribing the medicine, I explained a lot of truths to Yuan Haowen, and also recited a long section of the "Huangdi Neijing", saying that "you must subdue its owner, first its cause, and its beginning will be the same." , the end will be different" and so on, it is estimated to be a few hundred words, so I won't type it out for you.

Li Dongyuan understands that for a person with special knowledge like Yuan Haowen, he must explain the truth clearly to him, otherwise this kind of person is very suspicious and thinks that he can analyze it, and when he thinks about it in a wrong way, he will go to some quack doctor if the treatment is half uncertain. gone. In the end, the recited things that everyone didn’t quite understand were very effective. Yuan Haowen felt that there was a lot of knowledge in it (he must have thought so, because he recorded all these contents and signed his own name) , included in "Dongyuan Trial Prescriptions"), so he began to treat with peace of mind. Li Dongyuan’s prescriptions are: Coptis chinensis, Scutellaria baicalensis, Cortex Phellodendron, Rehmannia glutinosa, Anemarrhena anemarrhena, Notopterygium, Duhuo, Fangfeng, Ligusticum, Fangji, Angelica, Forsythia, Astragalus, ginseng, licorice, sumac, Alisma, orange peel , Campanulaceae. He also told Yuan Haowen that after taking the medicine, he would be more energetic, his appetite would increase, and his muscles and bones would be strong. Yuan Haowen didn't care so much, and drank the medicine in one gulp. As a result, I felt very sleepy after drinking, and fell asleep on the bed (snoring after taking the medicine). The next day, when the sun was very high, I got up and touched it with my hand, huh?The sore disappeared by seven to eight points (the sore swelling was reduced by seven or eight by hand). Yuan Haowen is really a suspicious person, the sore became smaller, and he wondered if he was going to come out from the front (Suspected sore through the throat)?So he quickly called Li Dongyuan over. Li Dongyuan is really unlucky to meet such a patient, there is no way, who is a friend.just ran. I came to have a look and said: "You will be healed soon, start counting the number of days from today (finger to count the day), within five or seven days, the scabs will heal, and you can go out" (not five or seven days, make a date) scab, you can go out). Three days later, Yuan Haowen suddenly had a "sleep change" in his sleep, and this suspicious person thought it was a sign of death.So it was very painful, but I couldn't find anyone to talk about it (I was afraid that it would be the time of death, and I was very worried about it, but I had nothing to say). The savior finally came, and Li Dongyuan happened to come to visit him. As soon as he entered the door, he teased Yuanhao and asked: "You have three things that are effective after taking the medicine, why didn't you tell me?" , why?) Yuan Hao asked pretending to be stupid: "Huh?" Li Dongyuan: "Did you eat a lot these past few days?" Li Dongyuan: "Your feet and knees were boring before, but now you are walking with more energy?" (Your feet and knees are old and weak, do you have strength now?) Yuan Hao asked: "Yes!" Li Dongyuan: "When you slept last night, there was a change in sleepiness, why didn't you take the initiative to explain it?" Yuan Haowen smirked and thought: I just won’t tell you! (I laugh at it, but I will never tell you about this change) After a few more days, everything will be healed. It only took 14 days from the beginning of the treatment to the recovery as usual. In fact, while treating the gangrene, Li Dongyuan also adjusted Yuan Haowen's body incidentally. Yuan Haowen was very impressed, and recorded the treatment process himself, and added a paragraph at the end, to the effect that: other doctors may be able to treat well, but like Li Dongyuan, in addition to treating well, they can also treat the disease. The reason is very clear (the unspoken secret in Lishu style), I have only seen Li Dongyuan alone in my life who can do it. What he was thinking about was still that profound theory! What a scholar! I don’t know if you are willing to listen to these medical cases. If you like them, I will talk about them again. Anyway, there are many medical cases, so let’s talk about one more: There is a man named Li Heshu who has been very unhappy. Unhappy because there was a problem with the heir, and it was always unresolved, and I was bored in my heart. One day I couldn't bear it any longer, so I went to Li Dongyuan and said, "I want to report a problem to you. After I was middle-aged, I got a son, but when I was one year old, something went wrong." Li Dongyuan was very curious: "What's the problem?" Li Heshu said: "He developed an 'erythroid tumor' on his body, but the treatment didn't work and he died." Now it seems that this is a problem of tumors. Li Dongyuan: "Is there such a thing?" Uncle Li He: "Yeah, it's not over yet. Later, I had three or four children, and they all died of the same erythroid tumor when they were one or two years old! Please help me find a solution! " Li Dongyuan felt a little scratching his head when he heard it, let alone Li Dongyuan, this matter is enough for experts from major hospitals in Beijing to study it for a while (it is estimated that it may not be possible to study it). In the end, Li Dongyuan said to Li Heshu in a responsible spirit, "Well, I'll go back and try to think about it, and see if I can come up with an idea." After returning home, Li Dongyuan thought about this question carefully as usual. The next day, Li Heshu came again, and Li Dongyuan told him: "I already know why!" Uncle Li He was very curious and asked urgently, "Why?" Li Dongyuan explained: "Your kidney (the 'kidney' in Chinese medicine is not only the kidney of the urinary system in Western medicine, but also includes the reproductive system), there is volt fire (that is, the fire evil hidden inside), which is passed on to give birth to children. (In today's words: use this kind of genetic gene to give birth to a child), so all children have such a disease, "touch and move" (meaning that when they encounter an incentive, they start to have a disease), and the disease occurs between the muscles , commonly known as fetal tumor is it." Li Heshu expressed his admiration, but he didn't quite understand this theory. So Li Dongyuan said again: "You can observe your semen to see if there is any red substance in it." Li Heshu ran home quickly, observed it, and it really did! (Estimated to have caused inflammation). Then he ran back again, and this time he believed it thoroughly, so Li Dongyuan began to prescribe a prescription, using Zishen Pills for treatment, to "eliminate the fire evil in the kidney and make up for the deficiency of true yin", and then told Li Heshu that he must avoid it. Alcohol, and avoid spicy food. The prescription of Zishen Wan is very simple, that is, two liang of Anemarrhena made from wine, two liang of Phellodendron cortex made from wine, and one qian of cinnamon, made into pills, and taken according to the amount each time. Then let Li Heshu's wife take Liuwei Dihuang Pills to invigorate the kidney yin. If she becomes pregnant again, she should take the powder made of Scutellaria baicalensis and Atractylodes macrocephala five or six times. As a result, with Dong Yuan's encouragement, Li Heshu worked hard and gave birth to another son. He didn't suffer from the disease until he was three years old, and he grew up until then. After this incident, Li Heshu admired Li Dongyuan so much that he was convinced, and said: "Mr. is a genius doctor!" Then, he worshiped Li Dongyuan as his teacher, and "learned from it", and became another disciple of Li Dongyuan. Not much to say, in short, Li Dongyuan treated many patients during this period, and many medical records were recorded, so that we can see the master's hands today.