This doctor is not short of money

Chapter 612

Wu Buwei's words made Du Heng very respectable, but he and Wu Buwei had been separated for more than three months. At this time, the timing was just right, so he thought about it again, wanting to see if this guy has made progress during this time.

Du Heng leaned on the back of the chair, folded his hands on the table, looked straight at Wu Buwei, "Regulate yin and yang, warm the liver and kidney, and achieve the purpose of nourishing the lower yuan, this idea is correct.

So if you are allowed to treat it, how do you use the medicine?How to grasp the rhythm of this treatment? "

The difficulty in treating diseases in traditional Chinese medicine lies in dialectics. Only dialectical conclusions can be obtained, and how to treat diseases is not difficult.

However, many problems now lie precisely in the link of treatment.

Either the medication is inaccurate, or it is to prescribe more medication, which destroys the overall rhythm of treatment, thus making the treatment slow or ineffective at all.

Moreover, Section Chief Song's illness has many causes. Once the rhythm of treatment is not well grasped, the medication is too light and ineffective, and under the catalysis of the medicine, it will slowly form a chronic illness, which will make the disease more complicated.

But if the medicine is overdone, it will just blindly warm the liver and kidneys, so that the tendons of the abdominal contraction will not be relieved. Even if it does not retract in the future and the urination returns to normal, its function will become single. Besides going to the toilet, it will also There is no other use.

The patient was only in his thirties, and he was in his prime. The consequences of this kind of result, to put it lightly, would be the separation of his wife and children, and to put it more seriously, the family may be destroyed.

In today's society, as long as you are a normal person, you will be a widow in your thirties, and there are not many people who can grow old with you.

After Du Heng finished asking, everyone's eyes turned to Wu Buwei. For a moment, they were envious, jealous and hated, and various emotions began to surround Wu Buwei.

Even some older people still feel a little bit ashamed.

There are so many experienced people discussing it, but in the end it was picked up by a brat. This is a very shameless thing.

Although the gazes of these people were complicated, no one questioned Du Heng as the referee.

The current Du Heng, what he has done in the past three months is enough to make them shut up obediently and bow their heads.

Wu Buwei was used to such eyes when he was in the hospital. At this time, he was just quietly thinking about Du Heng's problem, and he didn't care about those eyes staring at him.

After thinking about it for a while, Wu Buwei had an idea in his mind, and said calmly, "The liver stores the soul, and the kidney stores the essence. The first step is to warm the liver and kidneys, so as to relieve the patient's emotions, release emotions, and relieve the cold in the body. Treat the problem of shrinking the yang into the abdomen.

Hmm~~~, for medicine, cinnamon sticks and cinnamon. . . . . . "

He paused slightly while speaking, and continued after thinking for a while, "Among them, Evodia rutaecarpa should be reused and added to 25 grams."

Dr. Ma also frowned slightly. Evodia rutaecarpa has the effect of warming the liver and kidney, astringent essence and detoxification. It is really no problem to use it here. However, Evodia rutaecarpa has a small poison. The general dosage is between 1.5-4.5 grams, and rarely [-] grams. up.

And when other medicines are about ten grams, this amount of 25 grams is really amazing.

Although Wu Buwei was taught by Dean Du personally, and Dean Du’s medication is higher than this dose, but you, Wu Buwei, are just an undergraduate student who has just graduated for a year. Using such a large dose is a bit too precarious. up.

Thinking of this, Dr. Ma slowly raised his hand and shook it. After Wu Buwei saw it, he stopped, "Doctor Ma, what do you say?"

"I just have one question. Evodia rutaecarpa is very appropriate to use here, but is the dosage a little too heavy? What's Dr. Wu's explanation for this?"

Wu Buwei took a breath of air-conditioning, and said slowly, "The Emperor's Internal Classic has a saying: All colds are absorbed and induced, all belong to the kidneys, and the patient has a symptom of rising cold air, which shows that the severity of cold air in the body is not the same as that of ordinary warming medicines. solve.

Evodia rutaecarpa can warm both the liver and kidney meridians, and it can be used for both purposes, and it is just right for the symptoms. I also add cinnamon twigs to calm the adverse reactions, so the dosage is not too large. "

There is a dosage basis and adjuvant medicine to match, Dr. Ma thought about it for a while, and then signaled Wu Buwei to continue.

But at this time Li Shuxun's eyes were shining brightly.

They are also Du Heng's junior, um~~ he is actually a senior, let's skip this, Wu Buwei's achievements in following Du Heng for a year alone make him, a new junior, envious.

I have followed Li Jianwei for three years, and I don't have the strength that Wu Buwei is now. It seems that I have to hug my brother's thigh tightly in the future.

With his three more years of master's study experience, he believes that his progress will be faster than Wu Buwei.

Wu Buwei didn't notice everyone's expressions, but continued to think carefully, thinking about the next treatment plan, "This treatment process can't be too long, three to five medicines are best.

When the patient's liver and kidneys are warmed and nourished, it is necessary to increase the medicine that nourishes yin and enters the liver. It is used to transform yin into yang and nourish yang with yin, so as to continue to relieve the symptoms of shrinking yang into the abdomen, and it can also relieve the tendons without hurting the root.

If you take medicine. . . .This time, add it to the prescription just now. . .Peony and licorice soup? "

At the end of the speech, Wu Buwei's tone was a little low, he seemed a little unconfident, and turned his head to look at Du Heng.

Du Heng smiled back, but let him continue talking.

And this smile also greatly increased Wu Buwei's confidence, "This recipe uses the pungent sweetness of cinnamon to transform yang, and the sour sweetness of peony sweetness to transform yin, and uses yin to nourish yang, reducing adverse energy and charging qi.

In the future, according to the actual situation of the patient, the aconite can be reduced to warm the yang without hurting the yin, and it is enough to proceed step by step. "

When the voice fell, it also meant that Wu Buwei's answer this time was over, and everyone in the office was silent, some bowed their heads in thought, some suddenly realized, and some blushed.

Du Heng kept his smile unchanged, and asked Wu Buwei with a smile, "Follow-up treatment, keep the front unchanged, just increase or decrease the dose?"

"Yes." Wu Buwei looked at Du Heng's smile, suddenly a little uneasy.

If it was in the past, if he was right, Du Heng would say it very clearly. If he was not right, he would be like this now.

Du Heng leaned back and said softly, "Let me tell you an allusion. Some people may have seen it before, so it's the first time you've heard it."

In ancient times, there was a family in Chengdu. The man was middle-aged, but had no children. He asked a high-ranking man to get one, but when the medicine was ready, he died.

In this man's family, there was an old slave in his seventies who was hunched over and had pain in his waist and feet, so he could only walk with a bent body.

The man's wife, Mrs. Chu, saw that her husband was dead and the prepared medicine was useless, so she gave the medicine to the old slave.

The old slave took the medicine for several days, and whispered to Mrs. Chu one day: "Taking this medicine myself is very effective. All the diseases in the whole body have been cured, and the intercourse is like a young and strong person."

Chu had an affair with him, and later became pregnant. After four months, Chu became pregnant, and her mother could see through the matter.

The mother probed into the reason, Chu told the truth, and the mother beat the old slave to death.

Because his leg bones were broken, the marrow leakage was like gold. After many trials, it was called "Lao Nu Wan", and was also called "Canglong Wan" by doctors.

Du Heng looked around and asked softly, "Have you heard of this medicine?"

Everyone shook their heads together, their eyes full of confusion.

This kind of story is a little exaggerated when you hear it, so the medicine mentioned in it is either a legend or an exaggeration.

And it's the andrology medicine in this kind of eclectic story, they are not interested in it, and at the same time they don't believe it.

Du Heng looked at the reactions of the crowd, and shook his head helplessly, "Lao Nu Wan was first recorded in the book "Miraculous Effective Prescriptions" written by Dong Su, an envoy of the Taiyuan Hospital in the Ming Dynasty, and later included in "Yulin's Prescriptions."

Then he sighed and said, "It is clearly recorded in medical books that this medicine is specially used to help the yang. If you want to relieve it, drink three sips of cold water. It is most effective when you are old and weak, and you suffer from rheumatism, waist and feet pain.

And there is a main disease poem: adding essence to nourish kidney deficiency, removing cold and rheumatism; "

Du Heng was really helpless towards these people.

It’s okay for young people, but those people are middle-aged, but they are still attending doctors. They are wasting their time every day. No one reads medical books more, and they don’t know what these people think about every day. , What do you want to do again.

Everyone in the office blushed. Although Du Heng didn't criticize them harshly, his sigh was full of disappointment and contempt, which made their calm hearts twitch uncontrollably.

Just at this moment, the cell phone in Du Heng's pocket rang, which relieved the embarrassing atmosphere temporarily.

Du Heng looked around the crowd again, and then picked up the phone, "What's wrong with Director Gao?...Okay, I'll be right over."

After hanging up the phone, Du Heng stood up, and said to Wu Buwei, "Just follow your treatment process just now, and at the fourth time, add this old slave pill to nourish the kidney and essence, warm the kidney and help the yang." , to dispel coldness, it is best used to consolidate the curative effect."

After finishing speaking, Du Heng walked towards the door, and when he was about to leave, he suddenly turned his head and said to everyone in the room, "When you have time, read more books and medical records, don't just wait for dinner and gossip. "

When the voice fell, Du Heng also drifted away, leaving everyone in the office staring at each other in embarrassment.

"Director Gao, what's the matter?" Arriving at the gynecology clinic, Gao Qin happened to leave after seeing a patient, so Du Heng asked casually.

Gao Qin was busy writing something, and then said to Du Heng, "A patient came to our department just now, and his lower body was bleeding a bit. Our doctor did an internal examination and found no problems. We want her to have HPV and TCT ( Pap smear) examination, but she disagreed life and death.

Our doctor felt that something was wrong with this patient's condition, so he brought it to me.

After I heard about the condition, I also felt that something was wrong, and I wanted the patient to have an examination, but the patient still refused. "

After listening to Gao Qin's words, Du Heng hesitated slightly.

His first reaction was whether the Department of Internal Medicine asked patients to undergo unnecessary and invalid examinations in order to increase their examination charges.

But this idea was just a change, and Du Heng took it back.

After getting along with each other in the past few months, let alone other departments, the gynecology department led by Gao Qin has never had such a thing happen.

So now Gao Qin also insists on the patient's examination, which is highly suspected that there is something wrong with this patient.

"Why don't patients want to do it? And, do they have to do it?"

"I read the case of this patient. He is 25 years old and married for half a year. He came to our hospital for an examination a month ago because of lower body bleeding. gone back."

After finishing her own business, Gao Qin stood up, "A week ago, she came again, and it was still due to lower body bleeding. At that time, our doctor ruled out pregnancy, miscarriage, etc., suspected that there was a problem with the uterus, and asked She did a checkup, but she refused, so our doctor asked her to sign the refusal on the checklist and let her go back.

But today she came again, not only bleeding, but also dripping, and a little pain in the lower abdomen. She asked her to have an examination, but she still refused. "

Gao Qin frowned tightly, "The continuous bleeding in such a short period of time has become dripping, there must be something wrong."

After Du Heng heard this, his face became serious, "Contact bleeding is usually caused by excessive sexual intercourse, which causes uterine spasm and endometrium shedding.

But such a short period of continuous bleeding, if it is only contact bleeding, it is too easy to be high. . . "

Gao Qin coughed softly, and suppressed Du Heng's last words.

Du Heng also felt that he had made a slip of the tongue, and hurriedly said, "Normal people should not be like this. Did you ask what it was like before?"

"I asked. She and her husband met five years ago, and the bleeding is only a recent thing."

"Then it is really possible that there is a disease in the body." Du Heng frowned slightly, "Where is the patient now?"

"I didn't dare to let her go, I asked her to wait outside." Gao Qin pointed outside.

Du Heng straightened his expression, walked to the seat opposite Gao Qin and sat down, "Call someone in, and I'll take a look."

"Okay, I'll call now."

After Gao Qin finished speaking, she pushed open the door and walked out, shouted a few words in the corridor, and saw two young women walking into the consulting room with a child in their arms.

Gao Qin pointed to the woman who was not holding the child and said, "Dean, this is the patient, please show me."

The woman who didn't hold the child took a step back, "Why is he a male doctor?"

It was the first time for Du Heng to encounter this question, and he really didn't think of any good words for a while.

Gao Qin explained with a smile, "This is the director of our hospital, the deputy chief physician of traditional Chinese medicine, and also..." Then there was a long list of titles and honors from Balabala, used to dispel the woman's doubts.

"Chinese medicine." The woman slowly sat next to Du Heng, and whispered, "Is it okay?"

How to answer this?

But this is not a question to ask Du Heng, so Du Heng pretends he didn't hear it, let's talk about the result.

Du Heng casually pulled over Gao Qin's two books as pulse pillows, "Come on, stretch out your hand, and I'll give you a check."

While reaching out her hand as required, the woman looked at Du Heng and asked, "You won't do that internal inspection for me too, will you?"

Du Heng stretched out his hand to feel his pulse, and said with a dark face, "Don't do it."

I said silently in my heart, I am afraid of blisters on my mouth.

(End of this chapter)