Under, Chinese medicine flavin

Chapter 97
The next day, Huang Su walked into the office with a backpack and a large rainbow lollipop in his hand.

Zhang Yuan, who was sitting next to the door, looked up and saw the lollipop in Huang Su's hand.

"Huang Su, you really bought it."

As he spoke, Zhang Yuan took the lollipop from Huang Su's hand and began to play with it.

"Since you have agreed, of course you have to do it. The world of children is simple." Huang Su watched Zhang Yuan playing with the lollipop, fearing that he would break it, and continued: "If you want to be a qualified lollipop In pediatric Chinese medicine, one must first learn to understand the psychology of children."

Zhang Yuan played with the lollipop in his hand and said, "You think highly of me to become a pediatric Chinese medicine doctor. I don't have the courage."

In Chinese medicine, pediatrics is also called mute department, so named because young children cannot describe their illnesses by themselves.Doctors of TCM Pediatrics not only require superb medical skills, because young children's bodies are more fragile than adults.You must also be patient, tolerant, and patient.Because the thinking of young children is often not on the same channel as that of adults, pediatric doctors are required to be more patient. In addition, the pulse and some reactions of young children are different from those of adults, and doctors have to carefully clear the fog and find the source.

There has been a saying in Chinese medicine since ancient times, it is better to diagnose ten men than one woman.It is better to diagnose ten women than one child.It shows the difficulty of pediatrics in traditional Chinese medicine.

"Seeing how promising you are, even if you become a physician in the future, you will inevitably encounter young children. Don't tell me you won't treat them." Huang Su reached out to snatch the lollipop from Zhang Yuan's hand and said, "Here Come on, break it again, I bought it in several small shops on the way to work."

Huang Su returned to her workstation and wiped the dust off the table.

After a short rest, it's time for the Monday morning meeting again.

Huang Su and Zhang Yuan walked out of the office together and came to the hall of the Internal Medicine Inpatient Department.

Not long after, all the people arrived. Wang Xinlu presided over the morning meeting today.

It can be seen from this point that the hospital has begun to focus on cultivating Wang Xinlu as the successor of the director of internal medicine.

Standing in front, Wang Xinlu coughed lightly and said, "Tell me about the conditions of the inpatients and newly admitted patients yesterday."

A morning meeting lasted for half an hour, and the last male doctor reported: "A six-year-old girl was transferred from the emergency department yesterday. The girl's medical record was described as convulsions. Now the patient's temperature has dropped to 37 degrees Celsius. The patient's treating doctor is Dr. Huang."

After speaking, the male doctor looked at Huang Su.

"I know about this patient's situation." Wang Xinlu nodded and said, "Since everyone has reported, let's start rounds."

Wang Xinlu led a group of medical staff towards the inpatient area.

Huang Su, Zhang Yuan and several graduate students walked in the back.

"Huang Su really envies you. You can consult patients alone now. When will I last to consult patients alone?" Zhang Yuan looked at Huang Su enviously, imitating the tone of a male doctor just now: "The patient The treating doctor is Dr. Zhang."

Seeing Zhang Yuan's strange tone, Huang Su couldn't help but smile.

After checking all the way, Huang Su and Zhang Yuan followed at the end of the team.Until entering Yan Mingzhong and Shi Jun's ward.

Wang Xinlu scanned the crowd, found Huang Su behind the line and said, "Huang Su, come here, you are the patient's doctor."

Huang Su walked to Wang Xinlu's side, and Wang Xinlu asked, "Have you experienced convulsions in the past few days?"

Yan Mingzhong said very happily: "Just last night there was a convulsion, and the duration of the convulsion was greatly shortened compared to before. The convulsion lasted for about 10 minutes, and the convulsion stopped not long after the doctor came. There isn't an hour at a time that doesn't stop."

Wang Xinlu asked again: "Is there any discomfort after taking the medicine these few days?"

Yan Mingzhong frowned and replied: "These two days I always feel severe chest tightness, and my hands and feet are cold."

Immediately, Huang Su and Wang Xinlu touched the patient's hands and feet respectively, and they were indeed cold.

Wang Xinlu said: "Extend your left hand, I'll take the pulse."

Yan Mingzhong stretched out his left hand, Wang Xinlu checked the pulse for a while, then handed his arm to Huang Su and said, "Doctor Huang, check it out."

When Huang Su reached out her hand, she felt that the pulses under her fingers were weak like strings, especially in Zuo Guan, which was a stringy pulse.

Huang Su checked the pulse of his right hand again, which was also a stringy and thin pulse.

Putting down Yan Zhongming's wrist, Huang Su said: "Put out your tongue, let me see the coating on your tongue."

Yan Mingzhong stuck out his tongue, and saw that the tongue was still uniform in color, but there were some ecchymosis on both sides of the tongue, and the tongue coating was thin and moist.

Seeing that Huang Su finished reading the tongue, Wang Xinlu asked: "Doctor Huang, tell me what's going on."

Huang Su replied: "Chest tightness and discomfort, and cold hands and feet are caused by deficiency and cold blood in the liver meridian, which cannot be filled to the end."

The patient's tongue is uniform in purple color, and the white, thin and moist fur is mainly associated with cold syndrome.

If it is the main heat syndrome, the color of the tongue is mostly dark blue and purple, and the tongue coating is dry. It will not be like the current purple tongue with uniform color and moist tongue coating.

If it is the main congestion syndrome, the color of the tongue will be unevenly distributed, accompanied by ecchymosis.

Stringy pulse governs liver and gallbladder disease, especially in Zuoguan, which proves that the disease is in the liver and gallbladder.The thready pulse is the card of both qi and blood deficiency.

This is also the reason why Wang Xinlu asked to examine his left hand when he came here. This is a famous doctor who, based on the patient's symptoms, has already guessed the condition without looking at the tongue coating.

In fact, if you are an experienced and solid Chinese medicine practitioner, you can basically judge [-]% of the patient's condition by looking, hearing and asking. Taking the pulse is to confirm the condition on this basis, and to prescribe and quantify it.

Friends who want to learn Chinese medicine should not worry about whether they can feel the pulse. As long as they master the observation, hearing and questioning, they will be able to deal with some usual physical problems at home.

Wang Xinlu asked, "Tell me about your treatment plan."

Huang Su said: "Use Angelica Sini Decoction to warm the meridians and dispel cold, nourish blood and unblock the veins."

Danggui Sini Decoction, a warming agent, has the effects of warming the meridians and dispersing cold, nourishing blood and unblocking the arteries.It is mainly used to treat cold hands and feet caused by blood deficiency and cold syndrome, or pain in waist, thigh, leg, foot, shoulder and arm, poliomyelitis, frostbite, women's dysmenorrhea, frozen shoulder, and rheumatoid arthritis.

黄素掏出处方单，在处方单上写道：桂枝15g、白芍20g、当归20g、细辛5g、甘草10g、木桶10g、大枣8g、红花15g、赤芍15g、丹参20g、鸡血藤30g
Huang Su handed the prescription to Wang Xinlu. On the original Danggui Sini Decoction, Huang Su added some medicines such as safflower, red peony root, salvia miltiorrhiza, and milletus spatula to promote blood circulation, remove blood stasis and dredge collaterals.

"Take this prescription tomorrow." After Wang Xinlu handed the prescription to the nurse, he said to the patient: "After taking this prescription and the convulsions disappear, you can go through the discharge procedures. Drink it for a while after you go back, what? When the tongue turns from purple to red, you don’t need to take it any more.”

Yan Mingzhong said: "Doctor, how can we understand what you said? I finally saw the hope of recovering from the illness. I'd better be cured and then leave the hospital."

Huang Su explained for Wang Xinlu: "Dr. Wang was also worried about your excessive expenses, so he suggested that you leave the hospital. If you want to go home after being cured in the capital, you can rent a house nearby and come over for regular checkups. You don't have to live all the time. in hospital."

Yan Mingzhong hurriedly thanked: "Thank you! Dr. Wang and Dr. Huang, you not only cured my illness, but also considered us in life."

The group went to Shi Jun's clinic again.

Wang Xinlu asked, "Is your nose still bleeding these days?"

Shi Jun said: "The nose has not bled for the past few days."

Wang Xinlu said: "Stick out your tongue and let me see."

I saw Shi Jun's tongue, the yellow coating has disappeared, now the tongue coating is white and moist, and the tongue has become ruddy.

Wang Xinlu said: "You are fine now, and you can go through the discharge procedures. When you go back, you will often drink chrysanthemum and wolfberry water to prevent your nose from bleeding again."

(End of this chapter)