曲青莲看到张浩宇三人又朝自己这边来了,心里正纳闷呢?
“曲姐姐,你帮我妈看看吧!许医生那里拍片看了说是骨质增生,我妈她不愿意做手术,打算药物治疗,许医生就建议到你这里开些中药调理一下”张雨桐对曲医生解释道。
“哦哦,好的,好的,阿姨坐吧”曲青莲一边叫胡贵芝坐,一边偷偷瞄了一眼旁边的张浩宇。
“虽然说许医生那边已经确诊了,但是我们中医还是要按照我们的流程来判断,阿姨,你把手伸到这脉枕上,我先帮你诊诊脉”曲医生对胡贵芝道。
当曲青莲切了一会儿脉后,又对张雨桐道:“小桐,你来切脉试试,看看这是什么脉象?”
“嗯,好的!”张雨桐正跟着曲医生学习中医,平常都是学些理论,今天正好实践一下。
“这是…嗯‘涩脉?’”张雨桐切了一会儿母亲的脉象后不确定的问道。
“嗯嗯,可以啊!那涩脉的中医辩证怎么讲?”曲青莲又考起张雨桐的理论知识来。
“涩脉多与血瘀、气滞、痰阻等病理变化相关”张雨桐回道。
曲医生点点头又问:“中医讲究望、闻、问、切,根据你对阿姨的问诊,阿姨怎么说的?”
“妈说脖子痛了几天了,擦了麝香舒筋活血喷雾剂稍好一点,但是过后还是痛,揉捏脖子里面感觉有咔咔响声”
“那患者用了舒筋活血的外用药,有点效,但过后还是痛这又说明了什么?”
“说明患者不是普通的肌肉劳损,舒筋活血外用药只能少许缓解,而不能治本,中医讲‘通则不痛,痛则不通’加上脉象中的涩脉双向印证,患者是颈椎血脉不通引起的疼痛,再加上用手柔捏似有异物在颈椎骨节间发出声响,此时便可确定是颈椎骨质增生引起的颈椎血脉阻塞从而产生的疼痛。”张雨桐一口气分析完病理。
“嗯!不错”曲医生赞许的点点头:“分析完病理,那根据病因及中药药理该如何施治开方?”
曲青莲一边问一边把“处方笺”和笔推向张雨桐。
“小桐能行吗?”胡贵芝疑惑的望着曲青莲道。
“放心吧,阿姨,这不是有我在旁边看着嘛,要是不对,我也会帮她指正不是!”
“对!对!妈,这不是有医术高超的曲医生在吗!又不是小妹独自给你看病抓药”张浩宇也安慰母亲道。说着还与曲青莲对视一眼,两人都有些含情脉脉。
张雨桐也没有对自己母亲说什么,拿过纸笔,开始回忆曾经背过的经典药方,再在结合母亲的病症,开始构思起药方来
不多时,张雨桐一边思考一边写,最后把处方笺推给曲青莲:“我写好了,青莲姐你看看行吗?”
曲医生接过来一看,只见处方笺上写着“川芎、红花、当归、片姜黄、路路通、羌活、白芷、威灵仙、桑枝、白芥子、胆南星…”每味中药后面还标注了克数。
曲青莲点了点头“总的来说,还是可以,但是根据患者的情况,结合我们生活的环境,考虑到基地里面长期生活在非自然阳光下,空气湿度还有些高等特点,病患极有可能由风湿性病变引发,因此加入黄连或龙胆草配伍,”说着,曲青莲又在几味药的克数上稍加改动。
然后又把处方单撕下来递给张雨桐:“去取药吧,我在旁边看着”
一旁的张浩宇看着认真工作的曲医生真是太迷人了!不由得看呆了
张雨桐接过处方单就去旁边的中药柜台,开始用传统的中药小杆称,称起各种中药来。
不一会就已经称了好几种中药,曲青莲看张雨桐不住的微笑点头。
胡贵芝看着自己女儿已经能为自己看病抓药了,心里还是美滋滋的,就是已经是大姑娘了,还没有男朋友让人急。
“曲姐姐,这当归药匣子里没有了,中药库房里还有吗?”张雨桐突然对曲青莲问道。
“没有了,不过我们在基地里面自己种的已经收了不少了,在外面晾着,我去拿”
为什么“当归”这味药缺了呢?那就要问问胡贵芝老人家了,她那些儿媳妇怀孕期间炖了多少“当归鸡”哦!
听曲青莲说去外面晾中药的地方取当归,张浩宇忙对曲医生道:“那我也去帮忙吧!”
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