第96章 同病异治
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庞雨琴仔细瞧，道：“他面色也不算正常，你瞧他嘴红得不正常。让我看看你的舌头。”
病人忙把舌头吐出。
庞雨琴盯着瞧了一会，对文浩道：“杜先生，他这舌象挺怪的，该如何辩证啊？”
杜文浩仔细了瞧道：“他舌象是有点复杂，你现在所学还看不懂。你瞧，他舌质淡红而润，抰白较腻，这是寒象，注意看舌色还微现紫黯，这是陈寒郁滞已久之证症持续时间太长了。——你们再给他切脉看看。”
“好！”雪霏儿自然抢先，诊脉之后，道：“这脉也挺紧的而且一摸就摸到了，是浮脉，跟刚才那病人一样。”
庞雨琴诊脉之后点头：“是啊，是一样的脉。”
杜文浩先诊脉，然后点点头：“错，是一样的
庞雨琴道：“一样的脉，难道这位病人也伤寒表实证？”
雪)儿摇头道：“不对！他两三年都是一直发热，烧得比较低，杜先生说，伤寒表实证是一种表证，你想，两三年了，哪有那么久的表证啊？恐怕早该转成里证了。”
庞雨琴听她这么一说，也没了主意，望向杜文浩。
杜文浩道：“太阳伤寒表实证是感受外邪所致，感邪的轻重和邪正盛衰的不同，寒热症状的轻重也会不同。感邪轻，则寒热俱轻，感邪重，则寒热俱重，邪正俱盛，则寒热俱重；邪盛正衰，则寒热俱重；邪盛正衰，则恶寒重而发热轻。但不管怎样，发热和恶寒同时出现或者交替出现，是伤寒表实症的显著特点，并不限于时间的长短。结合他舌象主寒，印证了脉诊和问诊所得，所以，雨琴说得对，他这病和前面那位一样，也是太阳伤寒表实证。”
雪霏儿噘着嘴道：“又是她对。我怎么就不能对一回呢？”眼珠一转，道：“这次我来开方，——依旧用麻黄汤！对吧？”
杜文浩摇摇头：“对，也不全对！”
“为什么？”
“麻黄汤乃辛温发汗之峻剂，汗出过多必伤人正气，他这病时间久了，本已伤正，不耐久服，所以，方中调和甘草量要大。前方只用一钱，这次可加至六钱，而且不灸！力求缓和峻猛发汗，且只能服两剂。他远道而来，复诊不易，后面的方剂一并下了。——这两剂服完，会发汗退烧，但营卫会失和，应接着服用桂枝汤加味，通阳解表，调和营卫。”
杜文浩说了桂枝汤配伍，庞雨琴记了，送到柜上拣药。
雪霏儿想了想，奇道：“既然都是伤寒表实证，为何用方不同呢？”
“他二人尽管病症相同，但身体情况不同，发病时间长短不一样，病机不同，治法当然就不能相同了。这就是‘同病异治’的道理。”
那农夫拿了药，付了诊金，谢过之后走了。
杜文浩和二女匆匆来到后堂饭厅吃了午饭，当大夫有空吃饭的时候，就紧吃，要不然，等到病人来了便又吃不成了，遇到急症重症需要抢救，饿上一天也是经常的。
果然，他刚吃完第一碗，还没等添饭，傻胖就匆匆跑了进来：“杜先生，钱神医来了！”
“哦。”杜文浩头也不抬继续吃饭。
“还有一个病人，用马车运来的。”
“哦，”杜文浩心想，钱不收胡子一大把了，也是行医之人，还没不懂事到人家吃饭的时候来拜访，既然来了，肯定是有什么病人搞不定，送来叫自己会诊来了，继续大口刨饭，先吃饱再说。
“那病人大口吐血！好像快死了。”
这下杜文浩吃不下了，扔掉碗，站了起来。
傻胖又补了一句：“是府城来的，有个府城的大夫陪着。”
“府城来的？”杜文浩一愣。府城距离县城一两百里，能从府城来找自己瞧病，算得上远道而来了。想不到自己名声连府城的人都知道了，颇有几分得意的同时，又感到心里隐隐有一丝不安。连府城的大夫和钱不收都搞不定，来找自己，这病肯定轻不了。
傻胖又说了一句，这句话让所有的人都站起来了：“——病人是个尼姑！”
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