This doctor is not short of money

plan?

There is a plan for P.

It's just that as a patient who has been treated with his own medicine, he has to come to the house for reexamination.

Du Heng chuckled, and like Dean Tian, ​​he ignored the stubborn patient in the opposite bed, and walked to the previous patient again.

At this time, no one disturbed him, and Du Heng could carefully observe the patient's condition.

But after taking a closer look, Du Heng found that the patient's external performance seemed to be no different from yesterday's situation.

Du Heng's eyes froze, and he wrinkled his nose slightly and asked, "How many times did you drink yesterday's medicine?"

The patient leaned on the bed, although his expression was a little stronger than yesterday, but it was limited, that is to say, his face was no longer so sluggish.

Hearing Du Heng's question at this time, the patient replied in the same tone as yesterday, "I listened to you, I drank three meals, and they all drank on time.

I also soaked my feet. After using a thermos bottle of hot water, my feet almost peeled off. "

This patient's attitude, compared to the stubborn patient next to him, is much more flat, even indifferent, a bit like wanting to talk but not wanting to talk.

Du Heng didn't care much about his attitude, but asked in a normal order, "Then how did you sleep last night?"

The patient slowly raised his head and glanced at Du Heng, and then said lightly, "Same as before, I didn't sleep for a while until after three o'clock in the morning.

I woke up when the nurse came in to check my blood pressure in the morning.

Calculating the time, it was about three hours, which was about the same as the time I slept the night before. "

Du Heng's expression became serious.

Although it is only taken for one day, the effect will not have any earth-shaking changes, but it should not have the slightest change.

Immediately, Du Heng glanced lightly at the people who came in, guessing that these people might know that his treatment was not effective, so they followed in to see his joke.

At this time, a young doctor who followed in suddenly whispered, "Dr. Du, can I say a few words?"

After Du Heng heard the words, he looked back, but he saw the speaker, but he didn't answer, but turned his gaze to Dean Tian next to him.

Dean Tian saw Du Heng's gaze, and said directly, "Xiao Chai, what's the matter?"

The young doctor who spoke came from behind, and said respectfully to Du Heng and Dean Tian, ​​"Teacher Tian, ​​Dr. Du, I am quite familiar with the patient. Can I tell you about his actual situation?"

Dean Tian hummed lightly, "Okay, tell me."

Doctor Xiaochai let out a sigh before saying, "That's right, after the patient took the medicine yesterday, I have been observing his reaction.

Originally, he had chest tightness and shortness of breath, but after taking the medicine yesterday, especially in the afternoon, he didn't feel uncomfortable anymore.

While chatting and laughing with the family members, accompanied by the family members, they walked around the corridor. "

The expression on Du Heng's face relaxed slightly.

Let’s just say, it’s impossible for one’s own diagnosis and treatment to have no effect at all.

Dr. Xiaochai continued, "In addition, the patient had been suffering from chest pains before.

But since I took the traditional Chinese medicine yesterday, I was afraid that the patient would react if he continued to take other medicines, so I stopped the previous medicine temporarily.

After stopping, the patient didn't tell me that he had chest pain yesterday. "

After Dr. Xiaochai finished speaking, Du Heng and Dean Tian turned to look at the patient together.

But the patient frowned, reached out and stroked his chest lightly a few times, and finally said with a trace of confusion, "Oh, it really doesn't hurt anymore.

I have always felt a pain in my chest, but the feeling is very slight, but it has been several years, and I am used to it.

I've been focusing on sleep yesterday, and if you don't remind me, doctor, I really haven't noticed this. "

When it came to the end, the patient was no longer as indifferent as before, and the tone of his speech was finally a little more joyful.

As long as there is an effect, it means that there is no problem with my diagnosis and treatment direction.

Du Heng sighed softly, he thought that his level had regressed, and he was being treated wrongly.

I just wanted to sort out my thoughts on the patient's sleep problem, but Dr. Xiaochai said again, "The other thing is the sleep problem mentioned by the patient. I also want to add something."

Dr. Xiao Chai glanced at the patient, and then said to Dean Du Heng and Tian, ​​"I was on duty last night, and the patient was indeed as he said, when everyone else was asleep, he was still awake.

But there is one thing he didn't say, that is, he fell asleep for more than three hours before, and the whole person was in a daze, half asleep and half awake.As long as we come in for rounds, or open the door of the ward when we check blood pressure in the morning, he will wake up.

But when I came to the ward at four o'clock in the morning today, I found that he was sleeping very deeply, and I didn't realize that someone beside him was watching him.

And in the morning, it was the nurses who were working who made a little movement before he woke up. "

This explanation made everyone present realize a problem, that is, from light sleep to deep sleep.

And he slept soundly, which already showed that Du Heng's treatment yesterday was symptomatic.

Du Heng and Dean Tian looked at each other and smiled, but they didn't know what they were laughing at.

And the people who followed in also grinned.

It's just their smiles, which look more like awkward smiles.

They would be scolding Deputy Director Fan's follower in their hearts. It was he who said in the morning that the patient hadn't changed in any way, so they followed to watch the fun.

Otherwise, the stubborn patient next to him would have been used as an example, and they must be crazy to come in to find themselves uncomfortable.

Dean Tian glanced at these people casually, then smiled and motioned Du Heng to continue.

However, Du Heng didn't tell the patient what he wanted, as Dean Tian thought, but became hesitant.

There are two roads before Du Heng.

The first one is that since the medicine the patient drank has worked, the patient has also had a good change. Even if the change is small, it is enough to show that the previous medicine is effective.

Since it is effective, it can be completely "effective but not more effective", but the healing time will be longer.

But as the old saying goes, sickness comes like a mountain and goes away like a thread, so it is reasonable to take a longer time.

The second way is to change a prescription.

Because after taking the decoction, the effect obtained by the patient was a little bit worse than Du Heng's expected effect.

And in the process of being able to speak, Du Heng already knew where the problem was through careful observation.

If the prescription is changed, the patient will definitely see a significant change within a day or two.

But in this way, the patient will recover quickly due to the intensive use of medication, and there is no way to treat and supplement at the same time, causing his body to be weak, and he will have to recuperate for a while after being discharged from the hospital.

What should we do now?
The first method is relatively mild, and the patient will be healed after the illness is gone. This is a very friendly thing for a person who has been ill for a long time, especially an elderly person.

The second method is more urgent, but there will be no sequelae, that is, the patient will be sleepy and weak for a period of time.But through nourishing and nourishing, it is completely possible to make up for it.

Du Heng blinked his eyes twice, he was entangled whether he was in a hurry or kept the quality.

Just when he was in trouble, he suddenly thought of the young man who was still lying in the nursing home.

If the young man passed today and they still didn't find him for treatment, then he would have to go home the day after tomorrow at the latest.

Otherwise, if you continue to stay in Yangcheng, you will be making trouble for yourself.

Thinking about it this way, Du Heng immediately made up his mind, and used the second method, which took two or three days to get the general direction of the patient, and the rest was left to Dean Tian and the others. Then immediately dodge people.

It's just that now the idea is confirmed, and I also have the idea of ​​​​changing in my heart, but I can't say it directly, but I have to go through the process of seeing a doctor.

However, the things that can be checked out are the ones seen yesterday, and there is no major change.

The only difference is that the purple on the patient's tongue has become slightly lighter.

And it was precisely the slightly faded purple on the tongue that Du Heng figured out, which was something that he didn't pay much attention to when prescribing the prescription yesterday.

After finishing the pretense, Du Heng said to the patient, "Yesterday's prescription focuses on regulating qi and reducing phlegm, nourishing the mind and tranquilizing the mind.

And through today's understanding, your disease cannot simply eliminate phlegm.

If you simply remove phlegm, your recovery speed will be as slow as today. "

Hearing what Du Heng said, Dean Tian suddenly asked, "Doctor Du, do you want to change the treatment method?"

Du Heng nodded directly and said yes, "Yesterday, I didn't think thoroughly. The patient's lack of sleep should be caused by mutual obstruction of phlegm and blood stasis.

Yesterday, I used the medicine for resolving phlegm and regulating qi, and the patient's own performance also showed that the idea of ​​resolving phlegm and regulating qi is correct.

But this effect is not very ideal, so I have to change the formula. "

Dean Tian frowned slightly, "What do you mean by 'stasis'?"

Hearing this question, Du Heng suddenly realized that he didn't seem to explain the patient's cause yesterday.

Then he hurriedly explained, "The patient has palpitations, shortness of breath, impatience, or chest pains, all of which are caused by blood stasis blocking the heart collaterals.

And the patient has these symptoms, which will make him restless and become the main factor of insomnia. "

I understand, but I don't seem to understand.

What Du Heng said is very similar to the situation of patients with coronary heart disease, but if you understand it, it seems that it is not so meaningful.

Dean Tian nodded slowly, and she was not going to delve into the details here, but asked directly, "Then what should I do now?"

Du Heng said bluntly, "The patient's phlegm and blood stasis blocked each other, through yesterday's treatment, the phlegm went away a little bit, and the effect also appeared, but not too much.

Moreover, the patient's sleep quality has improved, but when it is time to fall asleep, he still has no intention of sleeping. This is the characteristic of unresolved blood stasis.

So, today I am going to give patients a slightly different prescription, focusing on promoting blood circulation and dredging collaterals, supplemented by nourishing the heart and calming the nerves.

I believe that by tomorrow, there will be a better result. "

After Dean Tian finished listening, a trace of hesitation flashed in his eyes.

But out of trust in Du Heng, after Du Heng finished explaining, she asked Du Heng to prescribe the prescription as before.

Stir-fried jujube, cypress kernels and tangerine peel. . . . .Cantonese turmeric.

There are a total of nine herbs, and Du Heng quickly wrote down the name of the medicine and the required amount.

Then Dean Hou Tian took a symbolic look, and then handed it over to Dr. Xiao Chai who stood up, "Xiao Chai, then I will trouble you, and you will take care of the patients taking their medicines."

Dr. Xiaochai nodded and took it readily.

Seeing that there was nothing exciting to watch, everyone dispersed instantly, and Dean Tian went to her office with Du Heng.

"Dr. Du, I have a question that I wanted to ask just now. I wonder if you can explain it?"

As soon as he returned to Dean Tian's office, Dean Tian couldn't help asking Du Heng.

Du Heng was not surprised to hear this question.

Because when he was in the ward just now, he also saw the hesitant look in Dean Tian's eyes.

"Principal Tian, ​​you can ask, I'm sure I know everything, and I can say everything." Du Heng's eyes are full of sincerity.

Dean Tian said after a slight pause, "I have also talked with some famous Chinese medicine experts before, and they told me that blood-activating medicine has the characteristics of consuming yin and stimulating blood.

And your treatment this time is to promote blood circulation and dredge collaterals while nourishing the heart and calming the nerves. There is a conflict between the two, right?

Also, how do you know the patient has this. . .This problem of blood stasis blocking collaterals? "

It turned out to be the problem.

Du Heng smiled lightly, he didn't find it difficult to answer this question.

I don't know who the famous Chinese medicine master Tian asked, and how he told him. Anyway, he knows how to get back to Tian.

"Dean Tian, ​​let me answer the last question first."

Du Heng stared at Dean Tian and said softly, "Yesterday when you introduced the patient's situation, you said that the patient came to the hospital after taking Suxiao Jiuxin Pills and feeling a little better before admission.

In Suxiao Jiuxin Pills, Sanqi, Danshen, Chuanxiong and other medicines all function to promote blood circulation and remove blood stasis.

So through this point, we can know that the patient's problem is stasis blocking the heart collaterals.

In addition, the comprehensive consideration of the patient's pulse condition, tongue condition, and interrogation can also fully support this diagnosis. "

As for the pulse condition and tongue condition, Du Heng did not elaborate.

Dean Tian also nodded in a trance.

She knew what Suxiao Jiuxin pills were for, but she didn't know what the ingredients of Suxiao Jiuxin pills were.

She didn't even know whether the classification of the causes of heart disease in traditional Chinese medicine was the same as hers.

However, based on the understandings I have heard so far, this classification must be different.

After a short pause, Du Heng continued, "The patient is an old man with weak viscera, low ability to transport and transform water and liquid, and imbalance of Qi, blood and body fluid, which can easily lead to turbid phlegm.

Poor qi movement will lead to blockage of meridians, which leads to endogenous blood stasis.

This time and again, the patient becomes a disease of phlegm and blood stasis mutual obstruction, and this also becomes the root cause of the patient's uneasiness. "