Under, Chinese medicine flavin

Chapter 79
Although Director Li assured him, Wang Xinlu reluctantly took Huang Su out of Director Li's office.

Seeing that Wang Xinlu was in a bad mood, Huang Su didn't intend to step forward to make trouble, so she silently followed behind him.

"Where did you graduate and where do you work?" Wang Xinlu asked as he walked ahead.

Although he was reluctant, since he took over the job, Wang Xinlu still had to be serious and responsible.

Huang Su replied: "I graduated from Mengjiang Medical University and now work in the Department of Traditional Chinese Medicine of Grassland People's Hospital."

Walking into the office of internal medicine, Wang Xinlu did not sit down, and continued to ask: "Have you gone through the formalities for further study and entry?"

"I haven't dealt with it yet. When I came in the morning, I went straight to Professor Sun." Huang Su replied.

Wang Xinlu continued to ask: "Did you bring the notice of further study?"

"Bring it!" Huang Su nodded.

Wang Xinlu pointed to a young doctor at the workstation and said, "Zhang Yuan, take Huang Su to the Human Resources Department to go through the formalities for further study and entry, and then take him to the Purchasing Office to get a white coat and office supplies."

Soon, Huang Su walked into the internal medicine office with a brand new white coat and office supplies.

Along the way, Huang Su also got acquainted with Zhang Yuan, and Wang Xinlu was Zhang Yuan's postgraduate tutor.

"Huang Su, sit there, that's your workstation." Wang Xinlu stood up and pointed to the vacant workstation.

Huang Su put his backpack and newly-collared office supplies on the workstation, thinking: Could this be the workstation of the doctor Wang Xinlu complained about.

Wang Xinlu continued: "Huang Su, quickly change into your clothes and follow me to the hospital. A new patient has just been accepted."

Huang Su took off his coat and stuffed it into his backpack, put on a white coat, pinned his work card, and put his pen into his chest pocket.

This pen must be well protected. In the hospital, no pen can be used up in the hands of the original owner.

Huang Su and Zhang Yuan followed behind Wang Xinlu and walked into the internal medicine ward.

Wang Xinlu walked towards a young man in his 20s.

I saw two balls of medical cotton balls stuffed into the patient's nostrils, which were already stained red with blood.

Wang Xinlu picked up the patient's arm and checked the pulse, and asked, "Does the nose often bleed?"

The patient replied: "Bleeding often, at least once a day, sometimes two or three times a day."

Wang Xinlu continued to ask: "How long have you had frequent nosebleeds?"

"One……"

Before he finished speaking, the patient coughed up a large blood clot from his mouth, and then spit out several mouthfuls of saliva mixed with a lot of blood.

It can be seen that the nose bleeding has not stopped, and has flowed from the nasal cavity into the mouth.

Wang Xinlu brought the spittoon to the patient's mouth so that he could spit out the blood in his mouth.

"Huang Su, have you ever diagnosed and treated patients independently?" Wang Xinlu asked seemingly casually.

"I worked as an outpatient in Grassland Hospital for half a year and treated many patients." Huang Su changed her modesty in front of Sun Guiying and replied truthfully.

Huang Su knew that this was not the time for her to be modest and low-key. If she kept a low profile, she might copy and sort out the medical records with the new doctor in the past three months.

If you are really a doctor who is here for advanced training, it is indeed a very good learning opportunity to learn the doctor's syndrome differentiation ideas while copying medical records to strengthen memory and study.

But I didn’t really come here for advanced studies. I came to the Department of Internal Medicine to be inspected by Professor Sun Guizhi. How can I pass the assessment? The only way is to treat more patients and treat patients with different syndromes.

Hearing Huang Su's words, Wang Xinlu couldn't help frowning and looking at Huang Su, Zhang Yuan beside him also looked at Huang Su in shock.

Wang Xinlu's inadvertent words were not aimless.

He wanted to explore Huang Su's medical skills through this patient, so as to formulate the direction of training, but he didn't expect Huang Su to speak wild words.

Huang Su didn't seem to see the eyes of the two people, and briefly explained the reason why she was in the grassland people's hospital without being humble or overbearing.

Wang Xinlu also said curiously: "Then I will hand over this patient to you for diagnosis and treatment. Let me see your strength."

After the patient's mouth stopped bleeding from the nasal cavity, Wang Xinlu gave up the position to Huang Su.

Huang Su continued to ask: "Do you usually have a lot of nosebleeds?"

"Usually the amount of bleeding is not much, but occasionally there is a large amount of bleeding." The patient replied: "Today, the amount of bleeding is particularly large. Fortunately, I passed by your hospital and it took a long time in the emergency department to stop the nosebleed. But I could still feel the blood coming from my nose. Finally, the ER referred me to internal medicine."

Huang Su then asked: "When there is no bleeding, do you feel that the nasal cavity is very dry?"

The patient replied: "Yes, I usually feel that my nose is very dry. Sometimes when I pick my nose, my fingers will be covered with blood scabs."

"Do you usually have dry mouth and coughing up phlegm?" Huang Su continued to ask.

The patient replied: "There is no phlegm, but the mouth is very dry."

From the questioning, Huang Su basically had a basic judgment on the type of nosebleed of the patient and said: "Stretch out your hand, I will take a pulse."

Put Huang Su's three fingers on the patient's pulse, the pulse beats very fast, especially on the left side.

Huang Su put down the patient's wrist and continued: "Stick out your tongue and let me see the coating."

The patient sticks out his tongue, only to see that the tongue is normal, only the tip of the tongue is obviously red, and the tongue coating is yellow and thin.

Nosebleed, which is called epistaxis in traditional Chinese medicine, is a type of blood syndrome, mainly caused by exuberant fire in the lungs, stomach, and liver. Especially at the turn of winter and spring, when yin and yang alternate, the human body is very easy to get angry.

The TCM syndromes of epistaxis include excessive heat in the lung meridian, nasal bleeding, dripping out, bright red color with less amount, dry nasal cavity or cough with less phlegm, dry mouth and body heat, red tip of tongue, white fur and rapid pulse.You can drink Sangjuyin for treatment.

Excessive stomach heat type, nasal bleeding, large amount and red tongue, dry nose, dry mouth and bad breath, dry stool, red tongue with yellow fur and vigorous pulse.You can drink Niujiaodihuang Decoction for treatment.

There are liver and kidney yin deficiency type, epistaxis redness, intermittent onset, small amount, dry mouth and thirst, dizziness, palpitations and insomnia, five upset and hot, red and crimson tongue, less tongue coating, thready and rapid pulse.You can take Zhibai Dihuang Pills for treatment.

Huang Su stood up and said to Wang Xinlu: "The patient's pulse rate is especially worse in the left inch, and the tongue looks like the tip of the tongue is red, which is a sign of heat evil invading the lungs. However, the thin yellow coating of the tongue indicates that there are heat evils in the viscera, which leads to excessive heat and forced blood flow. Bleeding. I am going to prescribe a prescription for clearing heat, cooling blood and stopping bleeding."

说着黄素胸口口袋掏出新领的笔，在处方单上写道：银黄藤15g、连翘15g、黄芩15g、桑叶12g、大蓟15g、小蓟15g、茜草12g、白茅根12g、槐花12g、仙鹤草15g、甘草9g。6剂。

Huang Su handed the prescription to Wang Xinlu and said, "Professor Wang, please correct me!"

Wang Xinlu scanned the prescription and said: "The prescription is all right. Yinhua vine, forsythia, scutellaria baicalensis, and mulberry leaves clear away lung heat, big thistle, small thistle, madder grass, white thatch grass, and Sophora japonica flower clear heat and cool blood, Agrimony stop bleeding, licorice Harmonize the medicines."

Huang Su was attracted by Zhang Yuan who was beside Wang Xinlu.

Zhang Yuanzheng was holding a plastic file folder in one hand, and was recording something quickly, wishing to write sparks with the pen.

Huang Su thought to himself: This buddy is a bit inferior to being a doctor, he should become a stenographer.

Wang Xinlu handed the prescription to the patient and said, "Just follow this prescription, drink six doses according to the above prescription, and come back for a review if you still have nosebleeds."

The patient asked: "Doctor, do I not need to be hospitalized?"

Wang Xinlu said: "You don't need to be hospitalized for this little problem, remember to drink more chrysanthemum tea when you go back."

"Not bad!" Wang Xinlu looked Huang Su up and down again and said, "From now on, you will sit with me every Wednesday. This time the director finally assigned me a decent doctor."

After speaking, Wang Xinlu walked out of the ward with his hands behind his back.

Looking at Wang Xinlu's back, Huang Su thought to himself: I have worked with Director Wang for more than ten years, but I haven't noticed that he still has the habit of bragging.

"Professor Wang seldom praises others, so he can make Professor Wang say he is good. Dude, you are this!" Seeing the tutor leave, Zhang Yuan approached Huang Su and said, and finally gave Huang Su a thumbs up.

(End of this chapter)