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第31章 听其话疏其郁(第2页)

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景初表情很严肃,“李医生,我知道你诊断很准确,这位妇人确实是肝气郁结。”

“肝开窍于目,所以肝气郁结者容易眼睛酸胀疼痛,肝经上至头顶,所以郁结者也容易头痛头晕,肝经分布在人的胸胁之中,因此肝气郁结者的胸胁容易胀痛也容易乳腺增生。”

“肝气不顺,不能疏解脾胃,胃口就不好,易生胃病,而肝木生火,肝郁气滞者也容易心烦,失眠。”

“肝为肾之子,肝郁严重就会偷盗肾气,进而导致肾亏腰酸。”

景初分析着这位妇人的病情,“所以李医生给这位妇人来疏肝解郁的逍遥散,是为对症下药。”

所以?

大家也知道逍遥散是肝气郁结的经方,但这与李医生听不听病人说话有何关系?

众人不解,包括李涛文,他对自己的出方很有自信,所以景初说他诊断及出方准确,早在他意料之内,甚至觉得景初拿这个妇人的病案来作为今日的案例分析来总结不够经典。

景初知道大家心中有疑问,便接着道,“这位妇人肝气郁结来求诊,属于已病。李医生对症下药,治的就是已病!”

这话大家都认可,来医院寻医问药无一不是在治已病。

“但她为何肝气郁结?李医生开了疏肝解郁的逍遥散,治的是当下的病症,有治疗效果,但若不从根源处治疗,这逍遥散下去,暂时好了,也依旧会再生肝气郁结。”

“在我看来,肝气郁结亦属于情志之病,怒伤肝,怒不宣泄则抑于肝内,要断其根源,应追溯其怒,解其怒,才能搭配药方治其根。”

这会中医师办公室的人才明白景初为何要拿这个病案来做总结。

确实在医院里,每天面对几十号病人,他们也会疲乏,更会失去耐心,也就别提听病人说话了。

景初看大家的神色,知道他们也明白自己为何会拿这个案例出来说了,然后对李涛文说,“李医生,逍遥散之所以可以疏肝解郁,重在逍遥二字。”

“无郁于肝,方能情志逍遥!反之亦然。”

“所以断病准确,如果可以听其话,疏其郁,才是根治之道,这才是中医之追朔本源。”

李文涛听完景初的话后震撼不已,是啊,自己向来诊病出方精准,可为何总有些病人为着同样的病情反反复复地回来找他复诊?

归根究底,是他在治病却没治根啊!

终究是他过于自负,行医二十多年,却不懂在听病人说话疏解情志的过程也是在治病救人。

他不禁朝景初行了个师礼,他知道今日的收获,将改变他往后的行医方式。

中医的望闻问切,其中闻除了闻病人的味道,还有听说病人的话语之意,是他太过自负了。

大道至简,医途之路不管在何年岁,都需抱着一颗谦卑上进的求索之心。

这个案例分析,也让中医科的医师们受益匪浅,也让他们在往后面对病人的絮絮叨叨做到了耐心倾听,在言语的安抚中给许多病人带来了精神的慰藉,从而使药效直达病灶,不再反复。

这也让京都中医科慢慢在众多科室中领先于人。

🎁黑丝纯欲主播-免费请退出浏览器阅读模式,否则将导致章节内容缺失及无法阅读下一章。

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