第107章 军需品
最新网址:m.ltxsdz.com
三人都笑了。
钱不收捋着花白胡须道:“但不知师父这三七粉,能否治疗蒲山的虚劳血枯证?”
杜文浩道:“当然可以,只要是血症,不管是外伤出血,各种原因的吐血,血、崩漏、咳血、二便下血等等,内外出血,不管有无瘀滞,都能用!而且,还可以治疗跌打损伤,瘀血肿痛,我曾经用三七粉治好了雷捕头的肘关节瘀伤。对于虚劳血枯的出血,三七可加用丹参、牡丹皮配伍,止血袪瘀。止血没问题。回头我就把药配伍好了给你,你转给他们。”
“我替他们一家多谢师父了!”
杜文浩想了想,:“光止血,治不了蒲山的病,只能缓得一些时日罢了,他虚劳血枯非常严重,必须想办法从根本上彻底治疗!”
摇头道:“杜老弟这话哥我倒不敢赞同,所谓急者治标,缓者治本,现在蒲山主要的急症有两个,一个是出血不断,这一点杜老弟的三七粉可以解决,但是第二个急症,也就是壮热不退,钱大夫已经治疗一个多月,没有效果,这是咱们必须首先解决的,只有把血止住了,把壮热退了,解决了治标问题,然后再来治本。”
钱不收道:“言有理。蒲山壮热不断,所谓热者寒之,但老朽用遍了辛凉解毒的药,包括甘寒的,苦寒解毒的,都没效果。师父有何高见?”
杜文浩想了想,道:“壮热不,这是有点麻烦,你用了那些药?”
“银花、连翘、公英、石膏、知母等等,寒凉药差不多都用遍了。”
“这……,让我想想,看还有没有别的药可以用。”杜文浩脑袋里盘算回忆有那些寒凉的药是宋朝之后出现的,找一两味新药,或许能起到效果。
正在杜文浩思索的时候,龚捋着白胡子道:“虽然他壮热不退,但是你们是否记得,在他家里,我们曾经给他喝水,他却要凉水喝,这寒冬腊月的,他居然想喝凉水,这说明他心里烦热,但是,碰到水碗之后,又感觉到凉,马上又缩回去了,说明他是真寒,心里烦热只是虚热。
何不用炮附子、干姜、红参和灸甘草试试如何?”
钱不收愣了一下,呵呵笑了:“对对!我怎么忽视了这一点!对!虚热真寒!实为寒症,当热之!我这一个月用的却尽是银花、连翘、公英,知母之类的寒药,岂不知他是真寒,这下寒上加寒,自然治不好他的壮热了。——师父,你以为如何?”
杜文浩摇摇头:“恐怕不行!虚劳血枯并发感染,导致壮热,既然有热证,热者寒之,不收用寒凉之药是对的,因为他是感染导致高热,大夫主张反其道行之,用附子、干姜,这附子辛甘温煦,有峻补元阳、益火消阴之效,干姜辛热燥烈,都是大热之药,他本来就壮热不退,岂不是火上浇油嘛!”
也摇头道:“非也!《伤寒论》云,‘身大热,反欲得衣者,热在皮肤,寒在骨髓也’此乃阴盛阳浮。所以,该当寒者热之。”
钱不收也频频点头。
杜文浩本想反驳,可是,张开嘴却不知该如何说起。因为他细细一琢磨龚铭说的话,发现自己竟然无从反驳,当时蒲山接水的情景历历在目,对照张仲景《伤寒论》的论断,的确是虚热真寒,应当用热药而不是寒药。自己又局限在了西医再生障碍性贫血导致感染这西医思路的阵里,用西医思路来指导中医用药,而没有好好用中医辨证,不禁有些惭愧。心想,这两个老中医临床经验远胜于己,辨证精准,自己以后可得多多向他们学习。
想到这,杜文浩不好意思地拱拱手:“对对!是我忽视了。那咱们就用龚大夫这方子用药吧。”
钱不收道:“止血退热之后,如何治疗他这虚劳血枯证,咱们也一并商量了吧。我先说说我先前的用药。用方主要是补益心脾和补血补气的,从这一个多月的用药来看,没什么效果。”
瞧了一眼杜文浩,笑道:“杜老弟用方别出心裁,你就后说,免得我听了你的辨证用方,把老哥我自己也搞糊涂了。”
钱不收和杜文浩都笑了。
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