This doctor is not short of money

Chapter 752 The Difference Between One Word
Three-year chronic nephritis?
Du Heng suddenly felt his eyelids twitch wildly.

He pursed his lips and said, "Director Niu, does the patient have chronic nephritis?"

Director Niu didn't show any embarrassment at all, and said directly, "That's right, the patient is a girl from a dance troupe, and she came to the hospital for an examination three years ago because of blood in her urine.

Diagnosed as chronic pyelonephritis at that time, and prescribed medicine for the symptoms.

However, this girl's work requires high training intensity, and because she is a role in their unit, the task of performing is relatively heavy.

So as long as you work continuously and get seriously involved, the condition will recur.

In the past three years, I have come three to four times a year, but I have not been able to fully heal. "

Director Niu paused slightly, and his expression became serious, "In the past three years, when this girl went to other places to perform, she also consulted other doctors, and even when she performed abroad, she also found the best local doctor. .

But that's the effect.

And because of taking more and more miscellaneous medicines, the interval of onset is getting shorter and shorter. "

Director Niu sighed, and then said, "When this girl came at the end of last year, I asked Professor Lan to see her."

Du Heng's eyes lit up, and he hurriedly asked, "Oh, what did Professor Lan say?"

"Wait a minute, I'll look for it for you." He turned his head and entered the patient's name on the computer, and then began to search for the previous records.

After dozens of seconds, Director Niu said, "I found it, and Professor Lan diagnosed that cold evil invaded the kidney and the kidney yang was insufficient.

The prescribed prescriptions are Atractylodes macrocephala, Poria cocos, aconite, and ginseng. . . "

Du Heng quickly compared the results in his mind, and found that according to the diagnosis of cold evil invading the kidney and deficiency of kidney yang, the medicine prescribed was no problem.

Moreover, Lan Changhua can add aconite to this recipe, which can be said to be the finishing touch.

But it is obvious that the patient is here again now, and the diagnosis is still the same, which means that Lan Changhua's diagnosis and treatment are wrong.

As soon as Du Heng thought about it, Director Niu put down the mouse in his hand, turned to Du Heng and said, "When the patient first started taking the medicine, it did have some effect.

But after taking it for a period of time, thumb-sized red bumps appeared on the body one after another, which were painful and itchy.

In addition, there happened to be a performance out of town at the time, so she had no time to check, so she stopped taking the medicine decisively. After two days, the red pimples on her body disappeared.

Since then, she has never taken traditional Chinese medicine again. "

Du Heng got a little dizzy.

Chronic nephritis, how to say this disease?

It's quite torturous when it happens, definitely the kind of torture that can drive people crazy.

However, once the disease is diagnosed, most of it is relatively easy to treat.

But the problem is this disease. Because of individual differences, its manifestations are also different.

You may even suffer from illness for a period of time, but after a day or two, three or four days, you will recover by yourself, and after a while, you will have the illness again, over and over again.

The result of this is to make the patient ignore it subconsciously, or give the doctor a wrong diagnosis direction.

Once such a result occurs, it may be due to a certain kidney-damaging behavior of the patient, which will immediately aggravate the condition and eventually directly develop into kidney failure.

And the kidney failure developed from chronic nephritis is fundamentally different from the kidney failure caused by Ding Yuxue's son's acute kidney injury.

Simply put, one can be cured and the other cannot be cured.

Another feature is that even if you find out some chronic nephritis, you can't cure it with the existing medical methods and drugs. This is a very painful thing.

Because you can only watch the patient being tortured, and the patient's life is counting down, but you can't do anything.

But now, according to what Director Niu said, this female patient seems to have gathered all the troubles in one place.

Not only did he have chronic nephritis that could not be cured, but he also had a sudden urinary tract infection. If he was careless, he would really be heading towards kidney failure.

Du Heng frowned, Director Niu also knew that this patient was in too much trouble, maybe out of guilt, so he described the things on the paper to Du Heng in detail.

"When I was about to get off work yesterday, the patient came to me again because of acute urinary tract infection." Director Niu looked at Du Heng and said slowly, "According to her own statement, since yesterday morning, she has been going to the toilet every two minutes, but Only a drop or two at a time.

And when urinating, the horse's mouth (do you know where it is?) There will be a burning pain. "

Du Heng closed the medical record folder.

The above things can only be used as a reference for him, and he also needs some other information, "What are the feelings of other aspects?"

"Low-grade fever, irritability, wanting to drink water all the time, and blood in the urine." Director Niu frowned slightly and continued, "By the way, she has been three days, no, counting today, she has not had a bowel movement for four days."

"Urinary tract infection, didn't you treat it yesterday?"

Director Niu's expression turned a little ugly, but he still said softly, "Healed, since she was admitted to the hospital, she has been given medicine.

But when I checked the room in the morning, I found that the problem of her dripping urine had not been resolved, and she also had pain in the lower abdomen, and the desire to urinate became more and more obvious. "

Du Heng was a little surprised, "No effect at all?"

"The effect is there. The blood white blood cells and urine protein have returned to normal."

The two of them just looked at the case and said dryly, it was still not so meaningful.

And with the lessons learned by Lan Changhua, Du Heng dare not draw conclusions easily now.

After thinking about it, Du Heng said, "How about this, Director Niu, how about taking me to see the patient?"

"It should be, let's go." Director Niu got up first, and took Du Heng to the ward.

The girl was very beautiful, even though her face was swollen, her arms and legs were swollen, it didn't affect her beauty at all.

With such a face and figure, it would be strange not to be valued by the dance troupe.

Du Heng muttered silently in his heart, and then started the inspection.

After inspection, Du Heng discovered that the girl's problem was more serious than Director Niu said.

She didn't just have a stomachache, it was so painful that she couldn't touch it at all.

Tossing and turning is not an exaggeration to describe.

But when the pulse was checked and the tongue coating was finished, Du Heng's complexion became a little unsightly.

When the two returned to the office again, Director Niu looked at Du Heng who was frowning, and quickly asked softly, "Deputy Director Du, is there anything you can do about this situation?"

But Du Heng didn't answer Director Niu's question, but after thinking twice, he said, "Director Niu, find out Professor Lan's diagnosis, and I'll take another look."

Director Niu was puzzled, but he followed Du Heng's wishes and found out Lan Changhua's diagnosis records.

Slow pulse!
Sure enough!

Du Heng couldn't help but relax.

It seems that Lan Changhua's dialectic is not wrong.

Then I looked at the other records carefully, and found out in the records that the patient caught a cold during the performance due to clothing problems.

So far, Du Heng felt completely relaxed.

The result of his examination was a deep pulse and a dry yellow tongue coating.

Shenmai: cun heavy phlegm stagnant water stop chest, Guan main cold pain obstructed, turbid ulnar left and dysentery, kidney deficiency waist and lower yuan pain.

The characteristics of counting pulses are: counting pulses can be known as yang heat, and only the emperor's phase fire is used to treat it. It is really suitable to cool down, relieve deficiency and warm up, but fear it when lung disease is deep in autumn.

The combination of the two phases, coupled with the characteristic of dry and yellow tongue coating, is a damp-heat syndrome.

But Lan Changhua's diagnosis gave a damp and cold conclusion.

Although the difference is only one letter, the difference between heat and cold not only cannot cure the disease, but because of the heat and heat, heat toxins accumulate and excretion is insufficient, resulting in the end of heat toxins breaking out into sores.

That is to say, the patient stopped the drug decisively. If he continued to drink it, he would not have one or two red bumps, but all over his body.If one or two of them are broken at that time, it will be too much to suffer.

When Du Heng just finished the inspection, he thought it was Lan Changhua's problem, and he was getting confused or careless.

But Du Heng thought about it carefully, it was impossible.

With Lan Changhua's character, it is impossible for him to be careless, and he just lost his vitality and was a little weaker, not because he was confused.

So Du Heng thought that there must be something wrong with it.

Sure enough, after careful inspection in this way, it was found that the patient had caught a cold.

But on the other hand, Lan Changhua was still not rigorous enough. If he had thought about it at the time, he would not have made such a mistake.

Director Niu watched Du Heng's face constantly changing, and his heart fluttered, and finally saw a smile on the corner of Du Heng's mouth, so he hurriedly asked, "Deputy Director Du, do you have an idea?"

Du Heng nodded slightly, "Thought it out, it's not a big problem."

"It's not a big problem?" Director Niu was stunned for a moment, "Which aspect are you saying is not a big problem?"

Du Heng smiled, "It's not big."

Director Niu's eyes suddenly lit up.

He didn't feel that Du Heng was bragging, especially a week ago, he had seen the treatment of acute kidney injury, and this kind of thought would never have appeared in his mind.

He just asked eagerly, "Then Director Du, please tell me quickly."

"First of all, the patient itself is a symptom of damp heat. And now she has difficulty passing urine and defecating for four days. This is the evidence of damp heat accumulating in the lower coke."

Du Heng said confidently, "The first step now is to defecate. As long as the defecation is smooth, the patient's fever, abdominal pain, pain in the horse's mouth, and blood in the urine can be easily solved."

Director Niu's eyes twitched.

Everyone knows what Du Heng said, but the problem now is how to make the two things smooth.

Du Heng seemed to see what Director Niu meant, and immediately continued, "Just now Director Niu said that every time the patient is exhausted, the disease will relapse, and this time the situation is similar.

Therefore, the patient is an overworked body with internal injuries, so the medication must be done quickly and quickly.

If you take it slowly and use the medicine slowly, the medicine will be exhausted before it reaches the lesion. "

After finishing speaking, he paused slightly, and then said to Director Niu, "Director Niu, do you have a pen and paper?"

Director Niu glanced at Du Heng's chest, where there were three or four pens hanging brightly.

But Director Niu didn't say anything, he just took down his pen very honestly, and handed it to Du Heng.

Du Heng thought for a while with a pen and said, "Use rhubarb first to purify the accumulation, clear away heat and fire, and also have the effect of removing dampness. It can be said to kill three birds with one stone, which is just right for patients.

Then use Haijinsha, this medicinal material clears dampness and heat, clears away stranguria and relieves pain, and it is also just symptomatic. . . . "

Afterwards, I saw Du Heng talking about several kinds of medicinal materials. While specifying the dosage of each medicinal material, he also explained the properties of the medicinal materials to Director Niu.

After handing the prescription to Director Niu, Du Heng put the pen into his pocket naturally, "Director Niu, let's get someone to prepare the medicine, in addition, get someone to prepare six egg whites and a pot of rice wine.

And the rice wine should be warm, not cold.

Take it once every three hours, neither fast nor slow. "

Seeing Du Heng put the pen into his pocket very naturally, Director Niu's eyelids jumped a few times.

He knew that his pen should never come back.

After Du Heng finished speaking and confirmed with Director Niu, he turned and went back to the Department of Internal Medicine of Traditional Chinese Medicine.

Just after work in the afternoon, when Du Heng was about to go to the outpatient clinic, Director Niu called him again.

At this time, Director Niu no longer had the frown he had in the morning, and the joy in the corners of his eyes could not be concealed.

"Deputy Director Du, this is you." As soon as we met, Director Niu gave Du Heng a thumbs up.

Du Heng was delighted when he saw it, "Why, have you seen the effect?"

Director Niu nodded happily, "Your medicine is just a little troublesome to prepare, and the things you wanted were only poured down half an hour ago.

No, less than half an hour after taking the medicine for the patient, the urine passed through, and it was all bloody urine.

This will make the lower abdomen pain a little lighter, and the fever will subside a little. "

"Let continue to take the medicine if it works. She hasn't passed her stool yet. When the stool passes, you can call me again."

"I'm so excited, and the patient has nephritis himself. Although the hematuria should be seen in the urine, you should help and have a look. It's too late if something goes wrong."

Director Niu was afraid that Du Heng would leave, so he hurriedly took Du Heng by the arm and walked to the ward.

It's not that he is timid.

But Du Heng's medicine was too fast.

Although Du Heng had said before that this treatment should be done quickly, he would be able to urinate in less than half an hour.

Du Heng reluctantly followed Director Niu to drag him away, and he was not released until he was in the ward.

After checking again, it was confirmed that there was no problem, so after continuing to feed the medicine every three hours, Du Heng hurried to the outpatient clinic.

At this time, at the door of the consulting room, people were already crowded to the front and back.

At the door, a resident doctor, an intern, and a nurse, three people worked hard to maintain order at the door.

There were many people in the past, but it was within everyone's acceptance range.

But in the recent period, too much truth is a bit too much.

As for the grandsons who registered, they also thought that Du Heng was young and could withstand the abuse. Anyway, as long as they came to register, they would register.

They don't care if Du Heng has to work overtime or push people until the next day.

(End of this chapter)