This doctor is not short of money

Chapter 596

The patient sat upright slightly, with a somewhat discouraged and listless expression.

After waiting for a while, he said leisurely, "My wife accompanied me to many hospitals for examination, some hospitals diagnosed me with neurosis, and some doctors diagnosed me as mental mania.

They prescribed sleeping pills for me, as well as some medicines to regulate nerves and sedation, and I could be quiet for a day or two when I took them. "

Du Heng and Wang Qingpeng looked at each other, isn't that what western medicine is for?

It is not surprising that my body has not been adjusted well, and it is not a cure for the symptoms.

"Then have you ever seen a doctor?"

"I've seen it too. It said that I have blood deficiency and mental confusion. I can't remember the names of many names. Anyway, they are almost the same." The patient spoke very slowly, trying to speak clearly.

"They gave me some boiled soups, like Suanzaoren soup, and some pills, such as Tianwang Buxin Dan, Baizi Yangxin Pills, etc. I have taken them all.

During the period of taking the medicine, the symptoms were relieved, but there were more problems such as red eyes, sore mouth and tongue, and shortness of breath. "

Speaking of this, the patient looked at Du Heng and the two, "I originally wanted to get Zhang Lao's account, but Zhang Lao's account was too difficult to get registered, and I didn't get connected after three months.

This time I heard that I wanted to be a volunteer. It was Mr. Zhang’s students looking for patients, so I agreed to come.

Two doctors, can Mr. Zhang see my illness? "

Wang Qingpeng glanced at Du Heng, and immediately answered with a smile, "Don't worry, Mr. Zhang is our Dinghaishenzhen. Mr. Zhang will check and approve every patient's diagnosis and treatment process."

"Then I'm relieved." The patient's expression was slightly relaxed.

Du Heng didn't care about the patient's problems, and when he relaxed, he asked, "Can you tell me what symptoms you have now?"

"Symptoms?" The patient raised his eyes and looked at Du Heng, "there are many symptoms. First of all, the food is not delicious, tasteless; and then it is upset. It is annoying to sit and talk to you, and the mouth is dry and dry. Bitter, always wanting to drink water; three is bad stool, a little constipation, once every three or four days."

Du Heng looked at the patient in surprise, and found that his description of his symptoms was very organized and quite clear.

But after thinking about it, this person has already seen other doctors, and he is probably proficient in being asked.

In an instant, Du Heng felt sorry for him.

"Come on, lie down and let me check it for you."

"it is good."

The patient was also quite cooperative and did not ask questions.

The tongue coating is yellow and greasy, and the pulse is stringy and strong.

After the examination, Du Heng stood up, and Wang Qingpeng asked, "Doctor Du, what do you think?"

After pondering for a while, Du Heng said, "The patient's syndrome is that the Yin and blood in the heart and liver are insufficient, and the heart and liver fire is so strong that it disturbs the mind, and if the mind is restless, it leads to restless sleep.

Um~~ In this case, nourishing yin and blood, combined with his sleepwalking symptoms, combined with a strong sedative to soothe the nerves, he can sleep peacefully after two doses. After taking it for one month, he will be able to adjust properly and never repeat it again. "

Wang Qingpeng asked, "What is the prescription for?"

"I'll go back and make a prescription for you."

"Isn't it okay to make prescriptions or Chinese patent medicines?"

Du Heng smiled lightly, "Actually, it is also possible, such as Tianwang Buxin Pill, which can nourish yin and blood, invigorate the heart and calm the nerves, and treat problems such as yin deficiency and blood deficiency. It is more suitable for patients' conditions, but this medicine weakens the heart-fire Reduce liver fire, so the effect is slow.

Suanzaoren Decoction and Baizi Yangxin Pills are similar, either the dosage is too light, or it lacks the power to soothe the nerves. To put it bluntly, it is a little bit wrong, and it basically does not work in the short term.

And the prescription I want to prescribe is actually a modified recipe of Suanzaoren Decoction. In nourishing blood and calming the nerves, clearing away heat and annoyance, an important medicine for calming the nerves is added.

Of course, the dose of the original prescription will be adjusted accordingly, so that the patient can sleep well tonight.

Otherwise, everyone really thinks that Chinese medicine is a slow doctor. "

Having said this, Du Heng sighed silently in his heart.

Based on what he saw and heard in Luqi today, he found that the traditional Chinese medicine practitioners here and his own in Jinzhou have the same problems.

The overall understanding of medical science is insufficient, and the focus is too obvious; prescribing medicines is step-by-step and sticky; the third is timid, and the dosage of prescriptions is just between useful and useless; and the dialectical is not comprehensive, This caused a slight omission in the medication, which also caused the prescribed medicine to jump between useful and useless.

The reason for these problems, in addition to the restrictions of the Pharmacopoeia, is more of the constraints of one's own thoughts.

Wang Qingpeng also smiled, explained a few words to the patient, and then left with Du Heng.

But just as Du Heng turned around, he heard the patient behind him suddenly say, "This doctor, can I ask you a few questions?"

Du Heng stopped in his tracks, turned around and looked at the patient, "No problem, just ask."

"Doctor, why do I sleepwalk around two o'clock in the morning every day?" The patient looked curious, and even a little bit worried, "I asked this question to the doctors who treated me before, but they They didn't make it clear to me.

Some people also told me that I had provoked uncleanness, and asked me to talk about superstition, and I listened.

I went to temples to worship Bodhisattvas, to ask for consecration instruments; I also went to Taoist temples to burn incense and offer incense money, but these two points, the problem of sleepwalking, have never changed. "

Wang Qingpeng looked at the patient in surprise, "Have you ever talked about superstition?"

"That must have been said before." The patient had a natural expression, "Sleepwalking in the middle of the night for two days every day, who can bear such a horrible thing?

Moreover, I have seen Western medicine and Chinese medicine, but I can't explain to me clearly why. What if I don't talk about superstition?
At least it is a psychological comfort. "

What he said made sense, but Wang Qingpeng was speechless and could only turn his head to look at Du Heng.

It's no surprise that Du Heng's behavior towards patients is no surprise. When he was working in Zhonghu Town, he saw something even more superstitious than this.

But the patient was right, he had to explain to him about falling ill at two o'clock in the morning.

Then he coughed lightly and said slowly, "In our traditional Chinese medicine, there is a time medicine called Ziwu Liuzhu theory.

It explains in detail the flow of qi and blood in the human body, and the corresponding relationship with time. At what time, the qi and blood of your body will flow through the corresponding meridians.

And around two o'clock in the morning is the time when Qi and blood flow to the liver.At this moment, the liver is enriched with qi and blood, and the liver qi is strong.

Excess qi is fire, so when the liver qi is strong, the liver qi will be strong, and if the fire is strong, the mind will be confused, and the fire will generate wind, and when the wind is strong, it will move, and if it moves, it will run away.

This is why you sleepwalk in the middle of the night. "

The patient suddenly realized, "At the end of the day, it's because of the fire in my body. NND, just this problem has become a heart disease in our family for more than a year, and it almost scared me to death."

Du Heng smiled and said nothing, as if he talked too much, he would be suspected of slandering his colleagues.

At this time, Wang Qingpeng also spoke, "Dr. Du, then I have another question to ask."

"You said."

"Why does this patient have both babbling in his dreams and symptoms of sleepwalking in the middle of the night?"

"Our traditional Chinese medicine theory says that the liver stores the soul, and this soul is our spirit. If the soul is disturbed, we will dream more and talk more, and if it is more disturbed, we can leave.

In fact, this goes back to what I said just now, when the liver qi is strong, the anger is strong, and when the liver qi is strong, the mind is confused. This is why sleepwalking.

So looking at it all together, whether it's raving or sleepwalking, the problem is all due to anger. "

Wang Qingpeng blinked his eyes twice, "The problem has been found, you have also used the medicine to calm the nerves, why did you say just now that you still need to use the medicine for nourishing yin and nourishing blood?"

Du Heng didn't rush back to this question, but after organizing his words slowly, he said slowly, "There is a famous saying in traditional Chinese medicine that the cure must seek the root.

For the patient's characteristic of being excited but restless, using heavy tranquilizers is a symptomatic medicine, but it is not a cure for the root cause.So we have to know, where does the patient's exuberant fire come from?

If you don't solve this problem, just to soothe the nerves, it's the same as Western medicine giving you medicine to regulate sedation.

Then why the fire is prosperous and the wind is moving, and the blood is insufficient due to deficiency of yin.

Because it has long been summed up in our medical theory, deficiency of yin leads to excessive fire. "

Du Heng's words were clear enough and clear enough that Wang Qingpeng remained silent.

Du Heng added a sentence at the end, "There is a saying in the Canon of Internal Medicine that the cause must be subdued, and the treatment of nocturnal excursions just reflects the correctness of this sentence.

And this statement, by extension, can be applied to all psychotic disorders. "

"clap clap"

As soon as Du Heng finished speaking, there was a figure applauding at the door of the ward behind him.

When Du Heng and Wang Qingpeng looked back, they saw Zhang Dewen, supported by his junior, clapping lightly, and behind Zhang Dewen, Kang Zhirong had finished his work and came back together.

"Dr. Du's words are enough to reflect that in the theory of traditional Chinese medicine, he has already entered the room, and he has a great demeanor." Zhang Dewen walked in slowly and continued, "And Dr. Du's impartiality and comprehensive medical skills are even more important. It shows the integrity of traditional Chinese medicine very well.

In this regard, old man, I am not as good as you. "

In the ward, the old man praised Du Heng in front of so many people, which made Du Heng a little happy.

But madness is not his character, so he hurriedly said modestly, "Mr. Zhang is too serious."

Zhang Dewen seemed to have let go of his concern for Du Heng, or saw that his students had hope of recovery, and he was in a good mood, with a smile on his face, "I am not complimenting, but seeking truth from facts.

As far as the few cases I have seen with my own eyes recently, Dr. Du deserves this evaluation.

Xiao Guan competed with you because he was too reckless and a little over his control, so I asked Dr. Du not to take it to heart. "

Du Heng's brows moved slightly, and he quickly looked at Kang Zhirong who was standing at the back.

And when Du Heng looked over, Kang Zhirong nodded in agreement.

When he saw Kang Zhirong nodding, Du Heng heaved a sigh of relief. Zhang Dewen said so, which means that the statement has been issued.

And as Kang Zhirong nodded, Du Heng also knew the statement, so there shouldn't be any major problems.

Zhang Dewen chuckled, "Dr. Du, regarding the competition between you and Xiao Guan, Xiao Guan was impulsive, and we issued a statement using Xiao Guan's online account.

However, the question about your communication did not stop because of this. The Department of Traditional Chinese Medicine of our hospital has already sent you an invitation. I wonder if Dr. Du is inconvenient to participate in this communication? "

Sure enough, Jiang is still old and hot. It is impossible for such a big hospital to issue an apology statement for individuals, but they also used their own methods to save their face and also gave Du Heng face.

And as the news of the invitation was sent out, Du Heng's status in the industry was imperceptibly raised. Even if Du Heng's level was recognized, it was also a reward for Du Heng.

Du Heng chuckled, "Being able to communicate with Mr. Zhang is another improvement for me. This is something I wish for, how could I refuse."

For such a result, all parties can explain the past, Du Heng is very satisfied.

And don't look at Guan Bo who has trouble with me, it's actually Zhang Dewen and the hospital. Without these two, Guan Bo is a fart, and it is impossible for him to pass the test application in the hospital, and it is impossible to find a good volunteer in just one day By.

So against Zhang Dewen and Lu Qi Hospital, this result is the best result.

With my own face, there are a lot of benefits, and through the follow-up exchanges, maybe I can get some more benefits, so why not do it.

Going down the slope is the best choice.

Du Heng will not be stubborn, insisting on letting others apologize openly, to maximize face, but not at all, this kind of thing can't be done.

When Zhang Dewen heard Du Heng's answer, the smile on his face became even bigger, "Have you finished reading Dr. Du's place?"

"It's over."

"how do you feel."

"The last somnambulism is very interesting." Du Heng laughed.

Zhang Dewen was slightly taken aback, and instantly he understood Du Heng's meaning, that is, the first few were boring and uninteresting.

This time Zhang Dewen became interested again.

These ten cases, he had done off-site guidance for Guan Bo at the time, and he knew it was a bit difficult. He himself was struggling, and he was a little uncertain, especially the last one, sleepwalking, which was the most uncertain one.

"Dr. Du has made all the diagnoses?"

Wang Qingpeng next to him said quickly, "Dr. Du has diagnosed all ten volunteers, and I have also made brief records on them. Now I just need to go back and write out the corresponding prescriptions."

"Now that we've finished reading it, let's go back and discuss and study together, and see Dr. Du's understanding of these diseases, so that we can learn a lot."

Zhang Dewen made a joke with a smile, and then led everyone back to his office.

Wang Qingpeng's record is very brief, but apart from Kang Zhirong, the others present are all attending Chinese medicine practitioners. Based on the patient's case, it is not a problem to understand these.

Moreover, there are explanations by Du Heng and Wang Qingpeng, so it is not difficult to understand.

(End of this chapter)