This doctor is not short of money

Chapter 639 The Old Man Without a Pulse
Hearing Du Heng's words with a half-smile but a serious tone, Du Xueting sighed in her heart, but with a trace of luck, she asked cautiously, "Speak, uncle."

Du Heng smiled, "Tomorrow you have one day of entertainment time, and I will take you back to the mountain in the evening, and then we will stay at home together for a day, and we will come down early on Sunday afternoon, so you can clean up the place where you live, and I will take Xiaoyi to enroll in a remedial class.

From Monday, you follow me to work in the hospital until you start school.

And I also want to tell you something, this holiday, you have no salary, no reward.

At the same time, I will arrange a teacher for you. How much the teacher can teach you and how much you can learn depends on your own ability. "

"Ah~~" Du Xueting was suddenly dumbfounded, just like the feeling when she was head-to-toe with a sheep when she was a child, and then she was slapped hard by the sheep. Her head was directly confused, and it took a long time before she said, "Uncle, my classmate It's still there."

"You don't have to worry about Gu Ya. According to Gu Ya's current situation, her body is not suitable for going out and playing. She needs to recuperate for at least three weeks."

When he said this, Du Heng turned his attention to Gu Ya, "After you start taking medicine to recuperate, your body will be weak for a while, and you are already skinny, so it's best to rest at home .

When your body is strong, if you are not in a hurry to go back, you can also come to the hospital to study with Tingting. "

"Thank you uncle." Gu Ya looked back at Du Xueting, who was half dead, and then agreed with a smile.

Du Xueting said very reluctantly, "Uncle, do I have time to rest?"

"Of course, the assessment is once a week. As long as you pass, you can enjoy the weekends that everyone has." Du Heng's mouth curled up a little, "If you fail, then you can stay in the hospital with peace of mind, and study as you should. , help if you need help."

"Is there still an exam?" Du Xueting couldn't hold back immediately, "Then how to test, who will test me?"

"Of course the teacher I found for you tested you. He has the final say on what to test and whether you pass the test." Du Heng looked at Du Xueting with a smile, "So, whether you can live comfortably this vacation depends on yourself. It's up to you."

After finishing speaking, leaving Du Xueting lamenting behind, Du Heng went back home, and the next morning, he went to the hotel to pick up the two of them to the hospital.

After arriving at the hospital, all the preliminary procedures were completed, and the case and prescriptions were completed, Du Heng looked at Gu Ya and asked, "Student Gu Ya, I told you about your situation last night, don't you need it?" Hospitalized, you can take care of yourself at home with peace of mind.

I have a question now, do you want to take the prescription and go home for treatment, or do you want me to treat you right here? "

Gu Ya's expression obviously hesitated for a moment, and Du Xueting next to her immediately said, "Xiaoya, I'm here for treatment, my uncle can take care of your situation at any time, if I go back to your house, there will be no my little brother over there." Uncle is such a powerful doctor."

As soon as Du Xueting finished speaking, Du Heng immediately glared at his niece, "Tingting don't talk nonsense."

After being told, Du Xueting immediately gave Du Heng a grimace, then continued to look at Gu Ya and said, "Xiaoya, what I said is true, when you are almost done recuperating, you come to study with me and be my companion , I’m too bored by myself, please.”

Looking at the tortured Du Xueting, Gu Ya agreed.

"I'll prescribe the medicine for three days first, and ask the hospital to fry it for you. Now go and play by yourself. You have to come back before five o'clock in the evening. Let's go back to the mountain together."

"Okay uncle." Du Xueting jumped up, and couldn't wait to pull Gu Ya and walked out, "Goodbye, uncle."

Looking at Du Xueting who didn't want to stay for a moment, Du Heng hurriedly said, "Go get the medicine first, and then go play."

"Uncle." When the voice came, Du Xueting had already dragged Gu Ya out of the door.

"This girl." Du Heng shook his head helplessly.

But it was just such a sentence, and then he bowed his head and started his work.

Now every morning, he has to check the two project teams, the reported treatment status of the previous day, and the doctor's order arrangement for the day.

Don't be scolding the pediatrics the day before, today there is a problem with my project, that's a shame.

Du Heng was busy checking the status of the two projects in the office, and the outpatient clinic of the Department of Traditional Chinese Medicine was also very busy with people coming and going.

The only difference from other departments is that the outpatient clinic of the Department of Traditional Chinese Medicine still mainly treats the elderly. This is the foundation laid by Du Heng in the previous two months.

Moreover, the elderly group, because of their own life characteristics, that is, good treatment, in their group, there will be word-of-mouth fermentation, and among the young people, word-of-mouth is rarely used in medical treatment. in this industry.

This is the situation now. At the beginning, it started from the elderly in a few surrounding communities, and gradually expanded to communities further away, and this scope is still expanding.

And this gradually fruitful fruit, as Du Heng consciously and gradually withdrew from outpatient treatment, was successfully picked by Dr. Ma.Moreover, the physical problems of the elderly are generally the same. Although there are slight differences, their roots remain the same.

With the context left by Du Heng, and Dr. Ma's own willingness to learn, he has been able to better carry out the work of the Department of Traditional Chinese Medicine.

And as the more patients he handles, Dr. Ma feels that his progress is more obvious, and then his confidence is stronger, and he becomes more and more comfortable in seeing a doctor.

But today, looking at the old man opposite, Dr. Ma was disturbed and even panicked.

At this time, the old man's complexion was darkened, he was short of breath, but he honestly put his right hand on the pulse pillow.

Dr. Ma felt that his forehead was sweating and his heart was beating extremely fast, but he knew that he couldn't show his timidity at this time, otherwise the reputation of the Chinese medicine department would be ruined by himself after so long of hard work.

After taking a deep breath and stabilizing his mind a little, Dr. Ma showed a steady smile on his face, "Give me your left hand again."

The old man glanced at Dr. Ma suspiciously, "Didn't you touch your left hand just now?"

Dr. Ma did not show any panic, with a reassuring smile on his face, "The pulse I felt just now is a little different from the pulse on the right hand, so I will try to verify it carefully.

You know, our TCM department does not take X-rays or do blood tests, and the diagnosis is all based on the pulse condition. If you are not careful, you are not at ease, right? "

The old man smiled, "That's what you said."

After finishing speaking, he wanted to take off his right hand and replace it with his left hand, but Dr. Ma stopped him directly, "You don't need to take your right hand, I will do it with both hands."

The old man glanced at Dr. Ma, and took the pulse with both hands. He had never encountered it before, so he thought it was strange, so he did it directly.

Dr. Ma watched the old man put his hands away, took a deep breath, stabilized his mind, and began to check the pulse again with both hands.

But when he touched the pulse with both hands, his throat still twitched involuntarily.

He didn't make a mistake just now, nor did he have hallucinations.

The old man's right hand has three divisions of cun, guan, and chi, and there is no pulse.

Even though he quickly pressed his fingers into the old man's flesh, there was no pulse, and he couldn't feel the slightest beating.

But the old man's left hand pulse is a normal pulse, and it is very clear that Shen Chi's pulse was also the same when he felt it just now.

However, in traditional Chinese medicine, pulse diagnosis is never based on the pulse condition of one hand, but two hands together for reference.

Who doesn't have a pulse?

Of course it was dead.

Because even a person who is on the verge of death and has only his last breath left, he also has a pulse.

But is the old man in front of him dead?
Of course not.

Although his face was a bit dark and his breath was uneven, but his back was straight, let alone dead, he was not even seriously ill.

Dr. Ma slowly folded his hands and asked softly, "Uncle, have you visited other Chinese medicine practitioners before?"

"I went to the hospital to see it once. There is also a Chinese medicine clinic downstairs in our house. I used to see it at his place most of the time, but that's all."

"Oh, what did the doctor say?"

"Just say I'm short of breath."

"Didn't you say the pulse?"

The old man shook his head, "I didn't say it, and I didn't understand it even if I said it, so I didn't ask."

With these words, Dr. Ma has a bottom line in his heart.

That's the doctor from before, he didn't know what to do, he was just fooling the old man.

The slow pulse in the left hand, no matter what the condition of the right hand is, it can already be concluded that it is evidence, so it is just a deficiency of qi, and it must be a fool.

And it is very likely that the doctor in this clinic did not feel the pulse condition of the right hand, and then he did not dare to diagnose and prescribe medicine based on evidence, so he used some medicines to improve Qi, not seeking merit but seeking no fault, first put the money away Let's talk later.

And this kind of behavior, before Du Heng came, he often did it.

Anyway, when seeing a doctor, it is impossible to say to the patient, "I'm sorry, I can't see your disease, please ask someone else to be wise".

Because having said that, first, some economic benefits have to be lost on the spot.Second, although I am very honest, my reputation of incompetence has spread.

Therefore, no idiot would do such a thing, unless he has reached Du Heng's level and no longer cares about one or two word-of-mouth reputations, he may do so.

Dr. Ma's mind was spinning quickly, thinking about a lot of things, but he still couldn't solve the old man's problem.

Because he didn't dare to diagnose the old man based on the pulse of one hand.

How to do?
Dr. Ma sighed. If it had been left in the past, he would have made the same choice as the doctor in the clinic, just prescribing some Qi deficiency medicine to fool him.

But now, under what Du Heng heard and saw, he was a bit unable to do such a thing, and now he couldn't do such a thing either.

In case the old man's right hand pulse is a sign of a serious illness, but his level is too shallow to feel it, thereby delaying the old man's illness, then he has made a mistake.

Not only the nurses knew about Du Heng's anger in the pediatrics department yesterday, but all the doctors in the hospital also knew about it.

Gao Qin was fined [-], Deputy Director Lu was fined [-], and Dr. He was fined [-]. In addition, Deputy Director Lu and Dr. He were fined [-], and the monthly bonuses of Deputy Director Lu and Dr. He were cancelled, the year-end evaluation was cancelled, and the places for the second period to go to the province to study women and children were cancelled.

This kind of punishment made everyone feel like a chill, and began to become dedicated to their duties.

Don't look at the fine this time, but what about this month's bonus?
According to everyone's estimates, the pediatric bonus for this month is at least 3000 yuan.

And there is another point, if the evaluation of excellence at the end of the year is cancelled, then the evaluation of the annual bonus will lose even more, especially now that the hospital is booming, the missing part will definitely hurt people.

With such an example, Dr. Ma will definitely not choose the previous method to end this diagnosis and treatment.

And there is another point, now that Du Heng is here, and he has the bottom line, why should I do things that are unconscionable and have no practical benefits.

At worst, he would lose himself in front of Du Heng.

Besides, it's not a big deal to be ashamed in front of Du Heng.

First, he is the dean, and second, his level and industry status are there, so this is not a problem.

"Uncle, I'm a little uncertain about your situation. I'll ask our dean to come over and have a look. Please take a moment."

The old man became a little surprised, and hurriedly asked, "Am I seriously ill?"

Dr. Ma was taken aback by the old man's words, and quickly explained, "No, no, it's just that I'm not sure about your pulse, so I'll ask the dean to come over and have a look.

To cure a disease, you must cure the root cause, otherwise it will be the same as what you saw in the clinic before. You spent a lot of money, but in the end there was no effect.

At that time, you are wasting money and delaying the best time for medical treatment. "

The old man breathed a sigh of relief this time, and nodded vigorously, "Doctor, you are right, you are such a good doctor."

So embarrassing!

Doctor Ma smiled awkwardly, then took out his phone and called Du Heng, explained the situation, and hung up the phone.

Then Dr. Ma said to the old man, "Uncle, you wait outside first, I will show the people behind, and when our dean comes, I will call you, okay?"

The old man was very reasonable. After hearing what Dr. Ma said, he immediately stood up and walked out, "Okay, I'll wait outside."

As for the old man's cooperation, Dr. Ma also let out a long sigh of relief.

A quarter of an hour later, Du Heng put his hands in his pockets and slowly entered Dr. Ma's consulting room. Seeing that he was prescribing medicine for a patient, he sat directly opposite him and waited for his diagnosis and treatment to end.

And Dr. Ma is also focused on the diagnosis and prescribing calmly.

"Dean."

"What patient stumps you?"

Dr. Ma was embarrassed and hesitant, "Just now there was an elderly patient, 68 years old, male, with a slow pulse in his left hand, but no pulse in his right hand, and he couldn't feel the three parts of Cun Guan Chi."

Du Heng blinked his eyes with interest. He didn't confirm with Dr. Ma whether he felt the wrong pulse, because he knew that no matter how poor Dr. Ma was, he couldn't make such a low-level mistake. have a look."

Dr. Ma got up and went to the door, and called the old man who was waiting at the door to come in.

After listening to the introduction, the old man looked at Du Heng suspiciously. For a moment, he felt that Dr. Ma was fooling him.

The dean introduced in front of him is obviously younger than Dr. Ma.When he said it was the dean, the old man believed it. After all, the so-called 'rejuvenation of cadres' had begun in this society. Even if he hadn't seen it, he had heard of it a lot.

But to say that this young man's level can be higher than that of Dr. Ma, he is a little bit unconvinced.

But people are mature, and this is a hospital, he also believed that Dr. Ma would not dare to fool him, so he was only slightly surprised, and sat opposite Du Heng.

Du Heng didn't talk nonsense, and directly asked for two hands to diagnose the pulse.

And as Dr. Ma said, the left hand pulse is normal, but the old man's right hand pulse really doesn't exist.

But Du Heng didn't panic like Dr. Ma. Instead, the three fingers for pulse diagnosis directly turned outward along the radius and touched the outside of the wrist.

This time the old man couldn't help it anymore, "Isn't this the dean, the pulse is on the wrist, and you can't feel it outside."

But Du Heng just smiled slightly, three fingers stopped on the outside of the radius, and then smiled, "Other people's pulse is in the wrist, but your pulse has to be felt here."

These words made the old man very surprised, and he moved between Du Heng and his own wrist in disbelief.

As for Dr. Ma, who had been confused all this time, when he saw Du Heng's three fingers moving outwards and staying at the outer edge of the radius, the knowledge points in his mind that were still dusty and blurred instantly became clearer.

At this time, shame and embarrassment all crawled into his heart.

Du Heng grabbed the old man's arm with great interest, and then looked at it carefully, but he couldn't see anything from the surface skin, so he stretched out his hand to press and touch the old man's radius and ulna.

When it was four fingers away from the wrist, a smile appeared on Du Heng's face.

The old man looked confused, "Here, Dean, what are you laughing at?"

"When you were young, was this forearm injured?" Du Heng asked softly.

The old man nodded in surprise, "Yeah, it's been more than 40 years. He just entered the factory and was not skilled in the work. When he cooperated with the master, he didn't grasp the angle well and was hit with a big hammer."

Du Heng grinned, and was hit with a hammer, which hurt very much, "Didn't you have an operation?"

The old man shook his head, and said in a long voice, "No~yes~, our thinking at that time was that surgery was a matter of debilitating, and our factory had a factory hospital at that time, and there was an old doctor who was very good at bone setting in the hospital. As long as we have a bone problem, we will find the old doctor to deal with it, and there has never been a problem.”

The old man was full of emotions, and he sighed as he spoke, "But the old man is stubborn, and he has been in the cowshed. After he came out, he didn't find an apprentice. He just brought his skills into the coffin. It's a pity. gone."

While speaking, the old man raised his arm, "Look at my arm, it was broken at the time, and that old man got it for me. It's been over forty years, and there is no problem at all."

Regarding the old man's statement, Du Heng nodded in agreement, "It's really good. This bone-setting technique is a masterpiece. It's a pity that it hasn't been passed down."

In this way, the old man agreed very much, and said with a smile, "Your level is not bad, just like this, you know that my hand was injured when I was young."

Du Heng also laughed, but he didn't follow the praise and said, "Uncle, let's talk about your illness."

With such a statement, the old man dispelled all doubts about Du Heng in his heart, and said cheerfully, "Okay, you are troubled, help me take a good look."

Du Heng continued to smile, keeping the old man in a relaxed state of mind, and said softly, "Uncle doesn't smile often at home, does he?"

"Yes, my wife passed away the year before last. I was the only one at home during the day. At night, the children had to be busy with their own work and study after work and school. Don't joke, there was no one to talk to."

The old man's originally smiling face gradually became dim.

"Miss your wife?"

"I really want to."

Du Heng also sighed silently in his heart, "Even if you think about it again, you have to eat, how can you not eat?"

"When my wife first left, I had no appetite. Later, when I couldn't see the food, I was also hungry and panicked, but when I sat at the table and smelled the food, I started to feel sick.

Hey, I went to the hospital and saw that I had some kind of spleen and stomach injury. I also saw it in the clinic in front of us and said that I was qi deficiency. It didn't help anyway. "

"Sickness of thinking, combined with a bad diet, and a slow pulse, it does look like a spleen and stomach injury. Although it's not entirely true, it has something to do with it."

Du Heng said slowly, "As for saying that you are short of qi, that's completely nonsense. You can't see your shortness of breath, and just use a deficiency of qi to fix it. That's not right."

The old man was a little angry, "You bastard, I said why I took so many medicines from him and it didn't work. I didn't understand it at all. No, I have to get the money back when I go back."

After finishing speaking, he looked at Du Heng and asked, "Then... Comrade Dean, what is my problem?"

"Yin and yang are opposite."

"What?"

Not only was the old man dumbfounded, but Dr. Ma was also stunned.

Regarding the doubts of the two, Du Heng explained calmly, "The heart and lungs are in the upper burner of the chest cavity, so when the heart and lungs are healthy, a person's complexion will be bright and bright; Whether it is strong or not depends on the liver and kidneys; while the spleen and stomach are located in the middle burner, transporting and transforming subtleties, and perfusing the four internal organs.

Therefore, whether a person is in good health or not depends entirely on the Qi of the spleen and stomach.If the spleen and stomach are injured, the four viscera will have nothing to gain, and if the spleen and stomach are ill, all the four viscera will be ill. "

Du Heng spoke very slowly, first telling the root cause of his illness, and then continued, "Uncle, if you worry too much, your spleen and stomach qi will stagnate; if you don't eat properly, your spleen and stomach qi will be damaged.

So some doctors say that you have an injury to your spleen and stomach, and this is the reason. "

After a short pause, Du Heng used one but spoke again, "However, this doctor didn't think carefully, couldn't argue clearly, and didn't find the real symptom, so your problem can't be solved.

The mouth is the way to get in and out of the temper, the lips are the door of the mouth, the temper passes through the mouth and the lips are gorgeous, the lips of a normal person should be red, dark red, or purple at worst.

But your lips are black.

This is because the gold and water are against the earth, so the black appears on the lips.

Normally, the qi of the lungs and metals should go upwards and pass through the mouth and nose, but now it flows downwards to the spleen and stomach, which is the opposite of yin and yang.Uncle, your complexion is still burnt black. This is because the Yangming stomach channel has weakened, so you have a burnt face. This is also a manifestation of the loss of yin and yang in the spleen and stomach.

Therefore, if you only treat the spleen and stomach, but do not straighten out the yin and yang, your problem cannot be truly solved. "

After Du Heng finished speaking, the old man said in a daze, "My disease is so troublesome." Then he looked at Du Heng and asked, "Then can I still be saved?"

Du Heng smiled, "Of course it can be saved, just raise yang and disperse yin."

After finishing speaking, he said to Dr. Ma, "Let's prescribe prescriptions, Cimicifuga, Fangfeng, Baizhi, Fushen, Paojiang...prescribe ten doses."

Then he said to the old man, "As for this medicine, just take one dose a day. Every time you drink it, it will work best between eleven o'clock in the morning and two o'clock in the afternoon."

The old man nodded seriously, "Okay, I'll make a note."

Du Heng leaned back, and said to the old man while Dr. Ma was beating the case, "Uncle, after you go back, you should let go of your mood, eat and drink, and chat with your family more. .

The deceased is gone, it is okay to remember, but you can't trap yourself.

You just said that when the son and daughter-in-law come back, they have to work overtime and the grandson is also busy with homework.

The current society is like this. Everyone is under a lot of pressure. If you don’t work hard, some people will work hard. If you don’t work hard and make progress, you will be thrown out.

As the head of the family, you are a role model for the whole family. If you are unhappy all day long, the children will be able to work and study well. "

The old man let out a long breath, "Hey, I know too, but the whole person can't help thinking about it, there is no way."

"Don't worry about it in the future." Du Heng reassured, "Drink your medicine on time when you go back, go out more often after eating, play chess with the old man, go to the square dance with the old lady, and you will feel better."

The old man was amused, "You child, I am already my age, and you still dance with the old lady. No, I'm so ashamed."

Seeing that the old man smiled, Du Heng also laughed, "You are only 68, and it's not like you can't go the old way, besides, you just want to dance in the square, why can't you do it.

Don't worry, your children will definitely support you to go out more. "

Afterwards, the old man happily left with the payment slip.

But Du Heng looked at Dr. Ma with a smile, "Do you want to understand what's going on?"

Doctor Ma nodded embarrassingly, "Seeing your fingers valgus, I thought of it, it should be the anti-guanmai?"

"That's right, it's the anti-guan pulse, but to be precise, the old man's pulse should be a skewed flying pulse caused by trauma. At that time, he didn't deal with it well during the bone setting, and the pulse was a bit too skewed."

"Hey, because of physiological variation or trauma, the radial artery runs backwards on the back of the wrist joint due to physiological variation or trauma." Dr. Ma sighed, "When I was in school, the teacher talked about the abnormal pulse. I mentioned it once when I was working, but I have never encountered it once after working for more than ten years, so I forgot this knowledge point, I am really ashamed.”

Du Heng smiled and said, "I'm fine, when I took the junior exam, I had this question.

But, you shouldn't be panicking today.

A living person, no matter when, his pulse can be weak or thin, but he will never have no pulse. "

(End of this chapter)