The following is excerpted from Luo Xianming's Biography of Sun Simiao. Starting with how Sun Shi recognized and treated dysentery, we can see how a generation of doctors explained their sincerity as great doctors.
When (Sun Simiao) was "established", we can find out his medical practice track, because he recorded in his book that he "suffered from two hot dysentery and one cold dysentery" at this stage.
Dysentery is an emergency of gastrointestinal infection, and its clinical manifestation is severe diarrhea, which is usually caused by food and can be transmitted to each other. Sun Simiao was infected with this disease when he was born, which shows that his life is very irregular and his sanitary conditions are not good. Looking for the root cause is inseparable from the cold and poor health of young people. As a result, the "year of the year" has not been established, and various pressures have multiplied, resulting in sustained damage to health and inability to recover effectively. Visible Sun Simiao congenital deficiency, not a freak.
Sun Simiao suffered from dysentery for the first time, but he didn't know its severity. Although he had a dull pain in his abdomen when he got up early, he insisted on going out because he had already made an appointment with several patients for fear of missing the house call. He had no time to make a fire, so he picked up the porridge left over from last night and drank it.
The weather in early spring is warm and cold. The ice on the tree hasn't melted yet. As soon as the sun shone, "sasha vujacic" set. Sun Simiao's stomach was filled with cold food, and a cool breeze was blowing on the road. When it was time to make house calls, his stomach was already busy. The place to visit is a shack on the edge of the village, and the wall leaks air. Sun Simiao continued to be cool, but three people were admitted. Suddenly, he felt a peristalsis in his stomach, and he felt uncontrollable.
"Excuse me, I have to go to the bathroom." Sun Simiao said, clutching his stomach and ran.
Sun Simiao turned around, still want to stand, continue to make house calls. As a result, my pants were dirty before I went to the toilet for the second time.
Shame, a doctor, so embarrassed. He had to stop making house calls and start adjusting himself.
The first time Sun Simiao encountered this disease, it happened to him. Therefore, he not only can't find a ready-made prescription, but also can't keep valuable medical records, and it's inconvenient to ask others for advice, which is very humiliating. Young people's self-esteem dominates him and can only add pressure to themselves.
He opened a medical book and looked at the relevant prescriptions, not knowing which prescription to use. My stomach is getting louder and louder because I missed the treatment. Finally, I was afraid to go out and had to stay at home. The result is "more than 0/00 trips all day long/kloc, even the toilet has been moved".
Sun Simiao suffered this time. How do you feel about traveling 100 days and nights? Before that, although he was physically weak, his spirit was good, which covered up many potential diseases. Now it's a staged outbreak, so it's like crossing a river. He was scrawny with dysentery, and he had no strength to climb mountains. Sun Simiao realized that without health, there would be no career or even nothing.
"Think of some way to cure yourself. This autumn can't be planted in vain. " Sun Simiao stumbled at the thought of treating rabies, confident that he would overcome the disease.
Different from the treatment of rabies, it was to treat others, but this time it was to prescribe medicine for myself. Sun Simiao has no face and can only solve the problem privately. He wants to do experiments on himself to see which prescriptions are effective and suitable for him.
Sun Simiao's visit was a great surprise. It turns out that there are various prescriptions for dysentery, some of which are published in books and some of which are circulated by the people, which makes people feel at a loss. Sun Simiao made up his mind: "I will try my best to see which prescriptions work."
Sun Simiao attaches importance to every class and never pays tuition fees for nothing. He settled down to visit his neighbors and verify every prescription. Great, don't worry about one thing, that is, others will not have an accident, and they will all bear it themselves. Although he may suffer, he has no scruples.
As a result of verification, the drugs taken by Sun Simiao often cancel each other out, resulting in good and bad symptoms. So it was good for a while, and then it was committed again soon. As soon as the hot dysentery was brought under control, I got cold dysentery again. In the severe stage, Sun Simiao went to the toilet nearly 200 times a day, his abdomen was empty and his legs were as soft as straw. The illness is so dangerous that even I doubt whether I can come back. But he gritted his teeth and persisted, determined to try many remedies himself. He tossed and turned over and over again, almost ruining his stomach. I don't know how long it will take to fully grasp the situation of all parties.
Sun Simiao won by a landslide.
Mastering this unique skill is of great use. At that time, food hygiene conditions were limited, and dysentery was one of the most common diseases, which affected many people in towns and villages. When Sun Simiao first received such patients, he saw various symptoms. Those with yellow juice due to heat toxicity, those with black blood due to heat toxicity, those with cramps in the five internal organs, those with red blood, those with fish brain stagnation, those with pure blood dysentery due to heat toxicity, and those who walk day and night. When colleagues talk about this disease, they still call it "this disease is very difficult to treat."
Sun Simiao now face these, but appear to have answers.
A middle-aged patient has sharp cheekbones and deep cheeks, so it is difficult to dig a little meat with a pickaxe. You can't get into the house without crutches, even if you collapse. Sun Simiao diagnosed the other person as a dysentery patient. He knelt in front of the patient and patiently asked, "How long have you been ill?"
"Three, three, three ..." The patient held out three fingers, and his voice was so weak that he couldn't pronounce it clearly.
"Three years?"
"Three, three, ten, ten ..."
"Ah, thirty years? You really suffered. " Sun Simiao was greatly surprised. He immediately thought of the pain he had experienced and was determined to relieve the patient's pain. He gave the patient a low table, told him to sit down, comforted him not to be impatient, and then inquired about the cause and treatment in detail. Knowing that the patient could not be cured after countless visits to the hospital, Sun Simiao asked the other side about the taboo, and then grasped the tunnel: "Never mind, it can be cured. But you have to listen to my advice, especially to keep your mouth shut. "
The patient was skeptical, took Sun Simiao's prescription and was on crutches.
Sun Simiao's medication was really clever and hit the patient's symptoms. The patient took the medicine for two months and changed the prescription three times in the middle. The man who suffered from dysentery for more than 30 years was able to walk freely after Sun Simiao took away his crutches.
According to the individual characteristics of patients who have been cured for a long time, Sun Simiao adopted the prescription of "Four Training Pills", and then added and subtracted according to the condition. This prescription is contained in "Qian Jin Fang Yao Pi Han Xie Ba", which says: "After thirty years of treating dysentery, the bones are flaccid and yellow, and the intestines are slippery. A wax fried pill. " He strictly requires patients to avoid eating during the treatment, and foods such as cold and greasy must not be eaten. However, the patient had been unable to control his mouth before, and he ate it up when his condition was a little better, which led to uncertainty.
This is one of the cases of dysentery cured in Sun Simiao. In the same volume, Sun Simiao also recorded the side of Jiao Ai Wan. It cures a patient who has suffered from dysentery for 30 years. "Everything he eats is indigestible, green or yellow, and his limbs are heavy. When he set out, he was dizzy, his flesh and blood were exhausted, his feet were cold and his stomach was hot, and his muscles turned bitter. There must be help from beginning to end. " This shows the seriousness of his illness. There is also a note on the back of the party, which can cure "no children due to a cold". It is understood that Sun Simiao not only treated men, but also cured female patients with this prescription.
Later, it became more and more specialized in treating dysentery, and the recommended prescription "Qili Pill" was another example. The composition of the pills is as follows:
In the water, Liang Hanzhong Mufangji Liu Sanpuyi Liang Longxi Danggui Siliang Huanglian 223 years old wine bitter wine five liters and good black beans three liters.
According to Sun Simiao's textual research, this prescription can cure dysentery, typhoid fever, headache, red eyes, vexed limbs and fever diarrhea; Or the doctor has vomited, his abdomen is stuffy, he wants to drink a cold drink, but he can't solve it. He has severe abdominal pain, vomited when eating warm food, and suddenly felt cold and hot, like warm malaria; Or dysuria, vomiting and diarrhea due to fullness of breath. Because he is worried that patients can't control themselves, he often makes his own pills and gives them to patients. And according to different situations, tell different doses.
That day, another patient came, complaining that he was particularly healthy and fat. He doesn't need bedding to sleep in cold nights, and likes to sleep outdoors during summer breaks. He chooses fat meat for meat, and he hates fine meat. Unexpectedly, I suddenly got dysentery and went to the toilet one hundred times a day. Sun Simiao told the patient that the disease was caused by malnutrition and dysentery and bad living habits. The patient repeatedly said yes.
Sun Simiao asked, "Can you eat less and get fatter?"
"I just can't help myself."
"Then the book is very small and hangs to warn yourself." Sun Simiao laughed.
"I hope that the gentleman will tell the truth, and only ask Amobao. What he writes often doesn't count. "
Sun Simiao saw the seriousness of the other party and immediately waved his hand and said, "All diseases such as malnutrition, dampness and dysentery are caused by eating too much fat in summer, so it is good to sleep in cold." "Li" cloud: the moon of a gentleman, the heat of midsummer, is thin but not fat, so as to cook cakes. This time is not good for people, and people who keep in good health should give it a profound warning. No, I'm malnourished and my ears are wet. "
The patient took it, thanked him and went home, hanging a banner on the wall to warn himself. From then on, the patient learned a lesson, made strict demands on diet and daily life, developed good living habits, and finally bid farewell to malnutrition and dysentery completely.
After a lot of clinical practice, Sun Simiao was finally surprised to find that dysentery is not so difficult to treat, but only needs deliberate treatment. Compared with other chronic diseases, the cure rate is higher. In the words he later wrote in "Fang Pi Re Xie Qi", "this disease is easy to cure in the world". Behind this change from "difficult" to "easy" is Sun Simiao's painstaking efforts.
Then why is there a saying that dysentery is difficult to treat? Sun Simiao's personal experience is knowledge, which is not only the responsibility of doctors, but also the fault of patients. Doctors should refrain from superficiality and carelessness and try to stop; The patient is: "the neutral is arrogant and the medicine tastes bitter." They can't stop themselves from taking the bait early, they want to be embarrassed; The fever is getting worse, the stomach is getting weaker and weaker, the heart is weak, and I can't eat any food or take any medicine. If it is not cured, it is said that dysentery is difficult to treat, and it is also a mistake. "
Sun Simiao also classified dysentery: "There are four kinds of dysentery, namely, cold, heat, malnutrition and strangeness. Cold is white; The heat is red; Boils are mixed with red and white, without complicated joints, and sleep more; Phlegm is pure blood. " He also talked about the general treatment principle of dysentery: "heat is beneficial to coptis chinensis, and the dried ginger is removed;" Heat when it is cold; The medicine for furuncle is poured into the lower part; Cure poison according to law. "
Sun Simiao analyzed the reasons why some people can't take medicine: "Anyone who takes dysentery medicine will be dramatic at the first time, and fools will not understand it, that is, they need to stop taking medicine." However, relatively mastering the medicine and the source of the disease, although dramatic, gradually realized the three services, but did not take it unless it was a master. "
How to prevent recurrence? Still have to trace back to the source. After further exploration, Sun Simiao came to the following conclusion: "Generally, all dysentery diseases are avoided, such as raw cold vinegar, pig and chicken fish oil, crispy cheese, salted preserved sauce powder and so on. Everything you eat should be boiled, and you can't be full. This will be a great experience. If the interests are lost, the saints will not save them. "
Through the treatment of dysentery, Sun Simiao deeply felt that there was a great relationship between diet and disease. Not only patients with dysentery, but also other patients are related to diet. This is the germination of Sun Simiao's concept of "food treatment".
Sun Simiao's exploration does not stop there. What he wants is to let other colleagues and ordinary patients grasp the key points and deal with intractable diseases. Therefore, Sun Simiao also selected some prescriptions from "Thousand Prescriptions of Dysentery in Ancient and Modern Times" to compare others. These prescriptions have been personally tested and have special effects. Sun Simiao listed 26 prescriptions and 10 moxibustion methods when he wrote the seventh chapter of Qian Jin Fang Yao Spleen Heat Diarrhea. There are 32 prescriptions in the eighth chapter of Cold Diarrhea. In the ninth chapter of Malnutrition-Damp Diarrhea, there are two expositions and ten prescriptions; Chapter 10 of Pediatric Dysentery lists 37 prescriptions, which are recommended for use. Sun Simiao became an expert in treating dysentery.