第37章 小儿辩证
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钱不收示意切下一小块糖,两手拈着递过去:“来!吃吧,很甜的!”
妇人有些受宠若惊,忙把怀里的孩子扳过来,说道:“欢儿,快!神医爷爷给你糖吃哩,快接着,谢谢爷爷啊!”
孩子终于伸出枯瘦的手。更多小说ltxs520.com钱不收一只手握住他的手腕,另一只手慢慢将那块麦芽糖举在他面前,微笑问道:“喜欢吃糖吗?”
孩子点点头,却又马上摇头,想缩回手,却被钱不收握着不放。正要哭闹,钱不收已经将那麦芽糖慢慢放在了他的手心:“来!吃吧!很好吃的!要用舌头舔,不能用牙齿咬,不然会粘掉你的牙的哟!”随即笑嘻嘻放开了孩子的手,顺势拍了一下孩子鼓起的肚囊,笑道:“好好吃东西哟,身子才能康健!”
小孩瞄了他一眼,拿着麦芽糖,放在嘴边,伸出舌头舔了舔,眉头一皱,又舔了舔,终于吧嗒一声,把糖扔到了地上,扭过身又躲进了妇人怀里。
“这孩子!”妇人脸通红,歉意地朝钱不收笑了笑,伸手在孩子屁股上轻轻打了一下,“你么这么不听话!怎么把爷爷给的糖扔地上?”
孩子立即杀猪一般嚎叫起来,屁股一蹲,躺在地上满地打滚。
妇人更是尴尬,蹲在地上哄着孩子,一边跟钱不收道歉说对不起。
“不碍事,老朽已经诊到孩子的脉了,也看到了他的舌象。”钱不收却笑了,捋着胡须,转身对阎妙手道:“你为何要认证为脾虚?”
阎妙手神情有些尴尬,涨红着脸道:“这孩子来诊病时,就跟刚才一样,不让徒儿诊脉,也不给看舌象,徒儿见他消瘦、面黄、腹胀、厌食,故认为是脾虚。”
钱不收又望向憨头:“你呢?你觉得你师兄认证如何?”
憨头是个直肠子,憨憨笑道:“《诸病源候论》云:‘小儿食,不可过饱,饱则伤脾,脾伤不能消于食,令小儿四肢沉重,身体若热,面黄腹大是也。’师父您教导云:‘脾主困,实则困睡,身热饮水,虚则吐泻生风’,又云:‘脾病,困睡泄泻,不思饮食’。所以,徒儿认为,师兄诊断是有道理的。孩子应当是脾虚,应当调治脾胃。”
“那为何你师兄下的药方,孩子吃了没有效果呢?”
憨头不好意思挠挠头:“这个……,徒儿也不知道。”
“那是因为方不对证!”钱不收叹了口气,摇摇头,“为师说过很多次了,替孩子瞧病,要特别注意望诊,要特别注意从面部和眼部诊察小儿的五脏疾病,另外还有注意孩子的身形动作。憨头,你说说,该如何给孩子望诊?”
憨头咳嗽一声,仰着脑袋背道:“师父教导云:‘望面,以左腮为肝,右腮为肺,额上为心,鼻为脾,颏为肾。其望目,赤者心热,淡红心虚热,黄者脾热,无精光者肾虚。’另观睡卧是仰是俯,睡时是上窜还是下窜,手足是否动摇,皆主五脏之病。师父云:‘心主惊、实则叫哭发热、饮水而摇搐,虚则卧而悸动不安。肝主风,实则目直大叫,呵欠,项急顿闷;虚则咬牙,多欠气。热则外生气,湿则内生气……”
“行了,你再说说该如何为小儿诊察脉象?”
“师父教导云:‘小儿脉乱不治,气不和脉弦急,伤食沉缓,虚惊促急,风浮,冷沉细……’——师父,小儿六种脉象都要背吗?’”
“不用背了,让你这样背下去,天黑也背不完。”钱不收捋着胡须苦笑道,“你既然已经记住这些诊察之法,那你再瞧瞧,孩子该如何辩证?”
憨头歪着脑袋凑过去瞧那孩子,好一会,才不好意思地摇摇头:“师父……,如果不是脾虚,那徒儿不知了……”
钱不收叹了口气:“适才为师已经替这孩子诊脉望舌,这孩子脉细沉滑,舌尖红,苔中微黄而厚。加之形体消瘦,面色萎黄,纳呆厌食,嗳腐口臭,腹胀如鼓,夜寐不安,尿黄多汗,大便干燥,当为何证?”
一直静静看着的杜文浩暗自吃惊,心想这老头果真厉害,用给麦芽糖这机会握一下孩子的手腕,立即察觉清楚了脉象,让孩子舔麦芽糖的功夫,便观察到了孩子的舌象,不仅方法巧妙,且能在短短一瞬间便准确诊出脉象和舌象,可谓达到了出神入化的地步了,片刻间便将孩子的病症查问清楚,真不愧神医的称号。只不过,他徒弟刚才背的东西,自己好像在哪见过,只是一时想不起来了。
憨头听了钱不收的话,恍然大悟,涨红着脸挠挠脑袋,说道:“师父,徒儿知道了,这……,这是宿食积滞,停聚不化之症!”
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