第三十六章 谈笑风生
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医生点了点头。
王志继续说道：“这种方法其实也是望，比如说看到病人眼眶下凹陷处，有轻微浮肿，好像刚刚睡醒起床的样子，颈部人迎脉搏动，时时作咳，若用手按压患者手足，被按之处深陷不起的，这是风水肤胀的症状。再比如皮肤滑而不涩目光泽的，是风病；尺部肌肉松软柔弱的，是身体困倦等等，不看你怎么知道啊。”王志笑呵呵的看着对方说道，眼中有些戏谑之色，这个家伙肯定是从那个地方看到那么一句话，就拿出来为难，根本就是白痴，其实这些说到底也不过是望的一种而已。
医生被王志看的不好意思，迅速的坐了下去，低着下头去。
王志懒得理他，高声道：“众位还有什么要问的吗，这次希望大家问一些有营养的话题啊。”
下面的一群医生被王志说的都是有些尴尬，可以说大多数人都是看不起王志的，都是抱着刁难的态度，如今王志连续回答了两个问题，虽然并没有多少实质的东西，但是看王志的态度和表情，众人就算是傻子也知道人家是个高手。
“这个王医生，抱歉，因为您太年轻，所以我们有些轻视，还请怪罪，我也是一名中医，最近在治疗患者时确实有一些问题，原本是打算问江教授的，可是江教授...呵呵。”医生微微一笑，不好意思的道：“现在看来只好问您了。”
“请问，只要我知道的一定详细回答。”王志轻笑着说道，从这位医生有些微红的脸上王志还是可以看出对方并不是存心刁难的人。
“患者头痛10年余，经常发作，发则头痛难忍，伴有恶心呕吐，用止痛药不能止痛，持续多日不能止，常由过劳、受寒或情绪郁怒诱发。西医诊为血管神经性头痛，历经中西医诊治未愈。近因用脑太过，气候严寒而发，始则视力模糊，羞明畏光，前额及眼眶胀痛，继则头顶及前额两侧剧痛难忍，如锥如刺如裂，曾用强痛定，麦角、杜冷丁不能止痛，畏寒怕风，频频恶心呕吐，甚苦。诊脉弦紧，舌质暗赤，边有紫气，舌下络脉淡紫粗长而怒张，舌苔白滑，头维、印堂及百会穴有压痛，血压及体温正常。脉证合参，证属血瘀夹寒，请问王医生眼下对于这个病人有什么好的法子吗。”医生不好意的问道，虽然说在交流大会上直接询问病例的并不稀罕，不过王志毕竟太过年轻，他只是说出情况，对方却是没有机会亲自诊断，这样询问却是有些过了。
王志听到对方直接以病症询问，并没有不悦，微微的思索了一番道：“头痛是临床常见病，根据致病原因的不同，可以分为外感头痛与内伤头痛两大类。外感头痛多因风，寒、湿，热等邪气，循经上扰，壅滞头窍，而发为头痛。一般起病急，病程短，多伴表证，病性属实，治疗多以祛风散邪为法。内伤头痛，多因情志、饮食，劳倦、房劳，体虚等原因，导致肝阳偏亢，痰浊中阻，瘀血阻窍，气血亏虚，肾精不足等病理改变，以致头窍失养，或清窍被扰，而发头痛。一般病程长，起病缓，多伴肝、脾、肾诸脏功能失调证候，病性复杂，有虚有实，尤易虚实夹杂，治疗多采取补虚泻实，标本兼顾的治则。切忌头痛医头，并应针对头痛部位酌配引经药物。”
微微顿了顿，王志接着说道：“你说的这种情况因该是......可用川芎30克，当归15克，细辛15克，白芷15克，藁本10克，蜈蚣3条研磨冲水煎服，昼爷两剂6小时1次。服药2剂，头痛基本会停止，泛恶呕吐亦平。原方减量，每日1剂，5日后，诸症消失，偶有失眠，余无所苦，舌脉均转正常。持续用药，三月会完全康复。”
“谢谢王医生，这次真是受益匪浅。”医生恭敬的说道，此时眼中在没有半点不屑之色。
台下的众多医生见到王志口若悬河，不仅连药方都是随口说出，就是治疗后的基本状况也是了若指掌，都是叹服不已，不少人都是窃窃私语，就是坐在台上的林胜堂此时也是微微颔首，他身为中医老国手，自然更是能够看出王志的水平。
“下面还有没有人要问的，如果没有，我就下去了，后面可是有不少老前辈等着呢。”王志见到那个医生坐下，平静的看着台下的众多医生，再次笑着问道。
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