第108章 关节痛的妇人
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第108章关节痛的妇人
铭捋了捋白胡须，道：“该病患出血日久而成血虚那是自然的，但因伤之太甚，其血枯证已有阴阳脱离之象，非救逆不可。龙腾小说网ltxs520.com除了补血补气，老朽还真想不到别的什么法子来治这病了。”
钱不收点头道：“有道理，救逆同时补气补血。——师父，你看呢？”
呵呵笑道：“不用问，他的看法肯定与我们这两个老家伙不一样。”
杜文浩笑了笑，道：“不好意思，我的看法和两位的确有些不一样，我认为，血虚只是该证的表象，是虚劳的后果而不是原因。如果只补血气，便是治标不治本。”
钱不收和龚铭互看一眼，龚铭笑道：“怎么样？我说的没错吧？杜老弟，你接着说，如何才能标本兼治？”
再生障碍性贫的治疗一直是中西医共同面临的一个老大难问题，中医对这种病的治也经历了一个漫长的发展过程。从古代到现代，在很长的历史时期，直到新中国成立前，治疗方法差不多都是补养气血为主。后来随着中医研究的发展，出现了补脾肾或者补肝肾的用方。
中西医结合开展以后，究发现再生障碍性贫血的发病机制主要与肾有关，大多数属于肾阴亏损、气血俱虚，于是，出现了以滋阴补肾为主，兼补气养血的办法。这是目前中医治疗再障的主要思路。所以杜文浩也决定从这个角度着手。
杜文浩道：“该患心悸气短，周身乏力面色苍白无华唇淡，甲床苍白。手脚心热，盗汗，口渴思饮（牙出血）、鼻（鼻腔出血）和肌（皮下出血）。脉细数，舌质淡。血属阴，阴虚包括血虚，心血不足，心阳偏亢，故有心悸；血为气之母，血虚者气亦虚，故有气短、乏力；血不荣肤，故见苍白无华、唇淡、甲床苍白，舌质淡；阴虚血虚生内热故见手脚心热；虚热伤津，故有口渴思饮；热伤血络或迫血妄行，故有多部位出血；脉细数亦为阴虚内热之象。——综观以上诸症，辨证当属肾阴虚。”
和钱不收禁不住连点头。龚铭问：“杜老弟只说辨证，还没说如何标本兼治呢？”
“滋;补肾！”
“滋阴补肾？”龚和钱不收两人都是一愣。
“没错！用滋;补肾方合当归补血汤加减。所谓孤阴不生阳不长。阳生则阴长。故在补阴为主地方药中。还需要加少许补阳药。意在阳生阴长。”
铭两手一摊。笑道：“好一个滋阴补肾！用这法子治虚劳血枯老哥我还是第一次听说。杜老弟真是敢为天下先啊！钱大夫那法子和你地用方那是换汤不换药。你地不行地肯定也不行。既然补气血这条路行不通。要不们就按杜老弟这法子试试看如何？”
钱不收点头微笑：“嗯。师父这方子虽然闻所未闻。但言之成理。大可一试！”
三人商定先退热止血。再滋阴补肾治虚劳血枯。拟定用方之后。自有钱不收去准备了。
大雪下了一夜。第二天一早终于停了。只是天还阴沉沉地。
吴聪和傻胖一大早就起来把门口的积雪都扫到了一边，门口青石板积雪踩实了会成冰，很危险，得扫开免得病人滑倒。一大早便来排队等拿号的病人和家属，也帮着一起扫，很快便扫出一条路来了。
英子在大堂生了三炉火，一炉给杜文浩瞧病，一炉给傻胖、吴聪站柜，还有一炉大的，给排队等着瞧病的病人们。
杜文浩起床之后，先探视复诊了住院的病人。阎妙手的儿子疙瘩已经能在床上活动了，只是他的伤属于传染病，再没有完全康复之前，不能离开隔离病房。周捕快的烂最严重，所以恢复也最慢，但神智已经完全清醒，也能做起来说话吃饭了。静慈主持已经能正常饮食，不用搀扶也能慢慢行走了。
只是空惠的中风有些麻烦，尽管人已经清醒，但偏瘫和话语含糊没有明显好转。这种病不是三天两天就能治好的。杜文浩根据复诊辨证，进一步调整了药方。
林青黛一直在负责后院住院部的修建，目前一切进展顺利。蒲山的媳妇一大早就来济世堂拿走了昨日杜文浩他们三人开的药。
两天后，杜文浩和钱不收、龚铭他们带着杜文浩开的滋阴补肾的药，再次来到三棵柳村，给蒲山复诊。
吃了上次开的药之后，蒲山的烧已经退了，而且，出血也明显减少。蒲老汉用上次杜文浩他们捐赠的银钱买了一些米回来熬粥给蒲山喝，葛根已经不吃了。
三人复诊之后，都认为方子开对了，便让蒲山开始服用滋阴补肾的药。
蒲老汉陪着笑脸道：“钱神医，能不能多开几付药？”
“为什么？”
问。
“是这样的，老汉我有个弟弟，在刘家湾住，昨天托人捎信来说他病了，病得挺重，想见见我，但这边又走不开。一商量，决定一家人过去住些天，也好照顾他，等过完年再回来。所以，我想多开些药带上，就免得来回跑城里头了。”
钱不收道：“多开几付也成，但不能太多了，因为要根据病人服药情况随时调整配伍用药，不能指望一副药就彻底治好你儿子的病。等一会你让人随我们回城里，老朽再开几付给带回来，等病情好些了，能动了，还是来一趟城里，我们再给复诊调整一下用药。”
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