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第65章 脉动应指析气血盈亏(1 / 1)

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仁济堂中医馆的玻璃上结着细密的冰花,苏怀瑾刚把刘建军的随访记录归档,就见一个扎着亚麻色辫子的年轻女孩扶着门框进来,羽绒服下露出半截TS品牌的补铁片药盒,指尖苍白得几乎透明。

“苏医生,我蹲下站起来眼前发黑,”女孩声音轻得像片羽毛,“社区体检说我血红蛋白82,比去年降了20g/L。”她掏出学生证,“林小羽,美院学生,吃了三个月TS补铁片,胃里火烧火燎的。”

护士小林递上铁代谢检测报告,苏怀瑾注意到她腕部戴着TS智能手环,边缘皮肤因长期佩戴磨出了红印。“血清铁6μmol/L,总铁结合力升高,”小林低声说,“西医诊断缺铁性贫血,建议服铁剂,但患者拒绝,说吃了吐。”

苏怀瑾示意林小羽坐下,脉枕上的艾草香混着她身上淡淡的薰衣草味。指尖刚搭上寸关尺,脉象细弱如游丝,重按几乎消失,这是典型的“气血两虚”之象。再看舌象,舌质淡白如纸,舌苔薄白,符合《中医诊断学》中“心脾两虚,气血生化不足”的辨证。

“平时月经量多吗?”苏怀瑾边问边打开舌象分析仪,镜头里林小羽的眼睑结膜苍白,“是不是严格素食?连鸡蛋牛奶都不吃?”

“我信 vegan 三年了,”林小羽掀起袖口,肘窝处有片淤青,“TS补铁片是网红产品,说植物铁更好吸收,可吃完胃绞痛,只能停了。”她腕部的手环突然震动,屏幕跳出“红细胞生成素不足”的提示。

“您这是脾胃虚弱,气血生化无源。”苏怀瑾指着脉象图解释,“脾为气血生化之源,长期素食导致蛋白质摄入不足,就像工厂没了原材料。”她特意避开林小羽腕部的手环,那设备正闪烁着补铁的提示灯,“TS补铁片可能含有刺激性成分,伤了胃黏膜。”

“可素食圈都推荐这个!”林小羽掏出手机,相册里存着TS补铁片的检测报告,“里面有红枣提取物,怎么会伤胃呢?”

“中医讲‘补血先健脾’,”苏怀瑾调出《中药成方制剂标准》,“用归脾汤加减,阿胶珠9g,明确驴皮来源,烊化后冲服;煨木香6g,用面裹煨制,减少燥性。”她特意注明:“黄芪用炙黄芪,蜜炙后补气效果更强,逐步加到30g。”

小林端来温姜茶,林小羽喝了一口,苍白的脸上泛起一丝血色:“苏医生,阿胶珠怎么吃?我宿舍只有电热水壶。”

“把药煎好后,关火放凉到50℃,再把阿胶珠放进去搅拌。”苏怀瑾在医嘱里特别标注,“配合琥珀酸亚铁片,饭后服,同时吃一片维C,帮助铁吸收。”她知道,必须打破患者对纯素食的执念,“每周吃三次豆腐、黑豆,植物蛋白也要搭配合理。”

提到TS补铁片,林小羽突然压低声音:“我们画室好多同学都吃这个,最近集体月经量大,老师说这是‘身体排毒’……”

苏怀瑾心中一凛,想起刘建军的TS理疗仪和王秀芳的养胃粉。她假装查看手环,发现设备后台正实时上传铁代谢数据,而林小羽的细弱脉,正是TS算法试图“纠正”的目标。“记得每天早餐加一勺黑芝麻糊,健脾又补血。”她边说边记下手环的型号。

抓药时,药房老周对着阿胶珠皱起眉头:“这批阿胶珠烊化后有颗粒感,怕是牛皮胶冒充的。”苏怀瑾用镊子夹起一颗,对着灯光观察,确实没有正品驴皮胶的通透感。“通知库房查验质检报告,”她在药材验收单上批注,“联系程野,检测是否含有工业明胶。”

林小羽离开前,苏怀瑾盯着她的背影,发现她走路时肩膀微驼,正是气血不足的躯体表现。这种细微的气血亏虚,在TS的“植物补铁”宣传中被简化为单一成分补充,反而忽视了脾胃的根本作用。

深夜整理病历,苏怀瑾发现林小羽的TS手环数据里,细脉出现的频率和TS服务器的“植物铁推送”时间完全同步。她刚要联系程野,护士站传来消息:“明天有个IT主管,累得爬不起来,脉细如丝,排除了甲状腺问题和抑郁症……”

窗外,苏怀瑾想起《黄帝内经》“气血者,人之神”的教诲。TS项目用科技手段干预气血生成,看似在“补充”营养,实则在破坏人体自有的生化节律。

喜欢岐黄手记请大家收藏:岐黄手记本站更新速度全网最快。

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