This doctor is not short of money

Chapter 911 Five Types of Cerebral Insufficiency

After Cao Binghe's "enlightenment" from Du Heng yesterday, and after half a day and a night of thinking, he understood why Du Heng got angry yesterday, and also understood the problems he had during this period, so his mentality has now been adjusted.

So seeing Du Heng annoyed at this time, he knew what Du Heng was annoyed about, so he wanted to turn around and remind his colleagues behind him.

It's just that Du Heng didn't give him this chance, and just stared at him to calm him down.

Cao Binghe's heart trembled because of Du Heng's eyes, he just lowered his head and stopped talking, and began to pray silently for his two colleagues who didn't have long eyes.

Because Du Heng's eyes at this time are much darker than yesterday's eyes when he was obviously angry.

This was a look he had never seen since he and Du Heng had known each other for such a long time.

As soon as he shut up and remained silent, Du Heng stood up straight and looked calmly and coldly at the two laughing and talking behind him, "Doctor Liu, do you know the condition of this patient? "

The Dr. Liu who was called pretended to stand in front of Du Heng, but said with a relaxed smile on his face, "This patient was hospitalized due to dizziness, headache, palpitation and fatigue. Dr. Cao diagnosed insufficient blood supply to the brain."

After finishing speaking, he proudly raised his eyebrows at the colleagues beside him.

The meaning seems to be saying, see, even though my buddy is chatting with you, his ears are not idle.

And the colleague next to him actually responded with an expression, as if to say: You are still the best.

Du Heng saw all these small movements, but he pretended not to see them, and continued to stare at Dr. Liu and asked, "To be more specific, which type of brain blood supply deficiency is this patient's condition?"

uh~~~~~
Dr. Liu was stunned, because Cao Binghe didn't say anything just now.

Or it should be said that Cao Binghe wanted to speak, but was stopped by Du Heng.

But at this time, Dr. Liu still didn't feel any nervousness, and replied with a smile, "Deputy Director Du, I can't answer this question, because he is not my patient, so I don't know the specific situation."

Du Heng said softly, "Oh, you don't have to understand if it's not your patient.

Then you can analyze the specific situation based on the symptoms that Dr. Cao just mentioned. "

uh~~~~~
Dr. Liu was at a loss for words again.

He did listen to Cao Binghe just now, but he listened selectively.

While he was joking with the people around him, he also had to write down the words of other people verbatim, which was impossible.

If he really had that ability, he wouldn't be standing here.

Du Heng glanced at Dr. Liu coldly, and his displeasure was beyond words. This also made the playful Dr. Liu finally realize something was wrong, and hurriedly stood up a little more politely.

"Since the analysis can't come out, let's change the question, the one that just needs to be endorsed, how many situations can there be when the blood supply to the brain is insufficient?
Let’s talk about the corresponding treatment method. "

Dr. Liu was silent for the third time, and even felt his throat was a bit dry, so he swallowed hard to moisten it.

But he didn't want his mouth to dry out. There was no body fluid in his mouth, so he could only let his Adam's apple move up and down exaggeratedly.

Just looking at Du Heng's eyes that didn't let go of him at all, Doctor Liu could only grit his teeth and say, "There are Qi deficiency and blood stasis syndrome, liver fire syndrome...etc. There are many different classifications.

Generally speaking, it is caused by cervical spondylosis, carotid artery or cerebral atherosclerosis, and other diseases such as hypertension and hyperlipidemia can also be caused.

of treatment. . . "

Hearing this, Du Heng's eyes suddenly widened. He thought that Dr. Liu might not be able to answer any of them, or his answer was incomplete as it was at the beginning.

But he never expected that this person would come up with a description of this disease in modern medicine.

In fact, not only Du Heng was surprised, but also Cao Binghe and other ward round doctors were surprised by Dr. Liu's answer.

This is a department of traditional Chinese medicine, so the content of the answer must be related to traditional Chinese medicine, and what the patient is looking for must be the treatment method of traditional Chinese medicine.

If a patient wants Western-style explanation and treatment, then he can go directly to the Western medicine department. Why do you have to go to your Chinese medicine department?

Everyone suspected that Dr. Liu probably didn't expect Du Heng to ask him a question, so he was nervous, and that's why there was such a big oolong.

However, there are also people who suspect that this Dr. Liu may simply have poor basic skills.

But no matter what the possibility is, if you look for the root, you can actually find Director Wu.

Because generally when he organizes ward rounds, he only asks the patient's attending doctor and does not ask other people.

Even sometimes, it is just to see if there is any problem with the diagnosis and treatment of the attending doctor. As for the questioning part, there is no question at all.

Therefore, this made everyone in the department relax, and it also gave some people an opportunity to deal with Director Wu's ward rounds just by understanding their patients' symptoms and related connections.

But not all ward rounds are performed like Director Wu.

In addition to discovering, correcting, and supervising the treatment of the attending doctor, the director's rounds also have a teaching function, which is to improve the learning ability and professional ability of the department.

So this question does not have a specific target or a specific disease.

Originally, Du Heng was a little angry, but after hearing this answer, he was surprised and lost his anger.

He became very calm, calm and didn't want to talk to this person anymore.

Turning around as if nothing had happened, looked at Cao Binghe and asked, "How many days has your patient been in the hospital?"

Cao Binghe scolded Doctor Liu inwardly, he was afraid that his grandson would annoy Du Heng and let Du Heng take his anger out on him.

So when he heard Du Heng's question, he hurriedly said, "The patient has been admitted to the hospital for five days."

"Have the symptoms improved? When will you be discharged from the hospital?"

Cao Binghe glanced at Dr. Liu, and saw that he was going to throw fire on me.

Although Cao Binghe had already begun to slander, he still answered honestly, "Most of the symptoms have improved, but the patient is still dizzy, and will appear top-heavy with a little activity, so I have to observe for a few more days."

Du Heng glanced at Cao Binghe, and said in a soft voice, "The patient is flustered and fatigued, accompanied by headache, and you diagnose it as qi deficiency and blood stasis, which is not a problem.

There is no problem with the treatment idea of ​​replenishing qi and promoting blood circulation, and the choice of prescriptions. "

Pause, and then said with emphasis, "But the patient still has dizziness, dreaminess, and poor sleep, which are typical manifestations of hyperactivity of liver yang.

Hyperactivity of liver yang is also a typical type of cerebral insufficiency. "

Speaking of this, Du Heng glanced at Cao Binghe with a clear expression on his face, and felt relieved in his heart.

This kid can be selected by Lan Changhua. In addition to his excellent learning ability, the adjustment and transformation of his mentality is also a major advantage.

As for what I was worried about yesterday, it seemed that I was a little narrow-minded.

Then he smiled lightly and said, "I changed the medicine in the morning, and changed it to a prescription that nourishes yin and subdues yang. Let's see the effect tomorrow morning."

Cao Binghe nodded, "Okay, I'll change it right away."

Du Heng hummed softly, and then turned to bed No. [-].

Bed No. [-], in just three days, he has become the No. [-] person who is disgusted by all the staff in the department.

According to the rules of the past few days, this person is more familiar with the working system of doctors and nurses than the doctors and nurses themselves.

Regarding the flaws and deficiencies in these systems, he seemed to be stuck in a BUG, ​​and the doctors and nurses who were tossing about dared to be angry but did not dare to speak out.

Du Heng took this patient step by step.

Specifically, after the ward check, if the condition is almost recovered, then take strong measures to let him out of the hospital as soon as possible.

If you can't solve the problem, then solve the person who created the problem.

If the recovery of the disease is not satisfactory, then use the Huairou policy, talk to him yourself, talk about everyone's difficulties, and hope that he can find out with his conscience and stop torturing the big guy.

Bed No. [-] was also hospitalized because of insufficient blood supply to the brain.

It's just that the person in bed No. [-] suffered from insufficient cerebral blood supply due to hyperactivity of liver yang, deficiency of qi and blood stasis, while he suffered from insufficient cerebral blood supply due to exuberant liver fire and deficiency of kidney essence.

Although the former suffers from dizziness, palpitation, and fatigue symptoms, and may have a top-heavy problem, he can control it. He only needs to stop or squat down to relieve the symptoms.

But this No. [-] bed is different. Exuberant anger tends to cause dizziness, while deficiency of kidney essence tends to make waist and knees weak.If you feel dizzy, your legs just go limp, and you don't even have time to stop, and you'll fall to the ground with just a 'bah'.

It's okay if it's at home, or somewhere else.

But if this happens when crossing the road, or when getting on and off the car, it will kill the driver.

So in his case, it is the best choice to really have to be hospitalized for treatment.

And there is another reason, that is, insufficient blood supply to the brain, which is particularly likely to induce stroke.

A stroke is also a stroke in the usual sense, so if you don't pay attention to it, if you really have a stroke and leave sequelae, this is the most troublesome thing.

So from this point of view, hospitalization is the best choice.

Another thing is that Du Heng has achieved results in the treatment of stroke sequelae, so he must have a say in the pre-existing symptoms of stroke after such a long period of research and treatment.

So finding him in the hospital is still the best choice.

This patient is under the responsibility of Dr. Xiaobai, but it is actually Du Heng's patient, so he is well aware of the patient's condition and treatment.

Therefore, during the examination, he did not ask Doctor Xiaobai to introduce him, but said directly while examining, "Insufficient blood supply to the brain is a common disease of old age, and its harm is very serious.

The conditions that cause insufficient blood supply to the brain can be roughly divided into five categories: phlegm and blood stasis obstructing collaterals, excessive liver fire, qi deficiency and blood stasis, hyperactivity of liver yang, and kidney deficiency and essence deficiency.

The first three are mostly positive, and the latter two are mostly false.

In many cases, various symptoms will not appear alone, but two or three of them will appear together.

At this time, we must carefully dialectical to find out the pathogenesis, in order to prescribe the right medicine. "

Having said that, his inspection of the No. [-] bed is considered to be over, and he immediately has an arrangement in his mind.

Then he stood up straight, pointed to bed No. [-] and said, "This patient is full of anger and kidney deficiency."

As soon as he finished speaking, Bed No. [-] expressed his displeasure.

After all, it doesn't matter how old a man is, as long as he has kidney deficiency, he will definitely not be able to bear it.

But Du Heng ignored him, and didn't give him a chance to speak, but continued to look at the people in front of him and said, "Exuberant anger will lead to a more irritable personality, more anxiousness in doing things, and even a situation where you will compete with yourself .

Most of the reasons for this situation are due to stagnation of the liver, that is, stagnation of the liver caused by stagnation of liver qi.

Therefore, in response to this situation, what we have to do is to clear the liver and purify the fire. "

Listening to Du Heng's explanation, although bed No. [-] was angry, it didn't come out.It's just that now that Du Heng has finished speaking, he just wants to say something.

But Du Heng still didn't give him a chance, he just took a slight breath and said, "The liver stores blood, the kidney stores essence, kidney essence can transform into liver blood, and liver blood can also nourish kidney essence.

When the liver is stagnant, the storage of essence and blood is insufficient, and it is inevitable that it will not be able to nourish the kidney yin.

Over time, it will affect the kidney yin, resulting in a situation of kidney deficiency and essence deficiency.

So we must remember that the appearance of a certain disease is definitely not a unilateral appearance, or it only affects itself.

We need to use this obvious symptom to push it up and down and find its cause and effect. "

Then Du Heng looked at bed No. [-] again, "Just like this patient, he was admitted to the hospital for only three days, but I have a clear diagnosis and accurate medication, and now he has recovered like a normal person, and he can go through the formalities later and be discharged directly to the hospital. Home."

Speaking of this, everyone's eyes glanced at Cao Binghe intentionally or unintentionally.

Everyone felt that Du Heng meant something by saying this.

But soon, everyone suddenly realized that this annoying spirit was discharged from the hospital?

For a moment, the joy in everyone's hearts rushed straight to their foreheads.

If it weren't for the pressure from Du Heng in front of them, they would have almost cheered.

And at this moment, Bed No. [-] suddenly came to his senses, staring at Du Heng and asked, "Doctor, am I leaving the hospital now?"

Du Heng turned his head and looked at bed No. [-] with a smile and said, "Of course I will be discharged from the hospital when I recover.

After you go back, you should pay attention to these points, avoid getting angry with others, don't quarrel with others, and ah, you can't drink or smoke.

In addition, remember to take the medicine on time, and come back for a review every once in a while. "

After saying this, Du Heng turned his head and looked beside the No. [-] bed, "Where are your family members, aren't they here?"

Bed No. [-] didn't keep up with Du Heng's train of thought, and replied blankly, "They are going to work, and they will come here when they deliver lunch."

Du Heng snorted, and immediately turned to Doctor Xiaobai and said, "Doctor Bai, the family members are not here, you can help the patient run around later and go through the discharge procedures.

After the ward rounds are over, you will also communicate with your family members. Did you hear that? "

Did you hear me?

Doctor Xiaobai wished he could call his family right now, so that he could send this plague god away as soon as possible.

But before he could nod his head in agreement, he heard a loud shout from the next door, as well as shouts from the family members.

(End of this chapter)