I can hear the voice of Chinese medicine

Chapter 135: Running water does not rot and door hinges do not suffer from beetles (acute attack of gout)
Everyone else was dumbfounded by Dean Hu's words.

Lu Xuan, on the other hand, felt refreshed after hearing this.

He knew that since Dean Hu said so, he would most likely do it.

On the one hand, it is to keep him, on the other hand, it is also to create a life-saving environment for him to the greatest extent.

Just like Dean Hu said, if it really succeeds, then the problems mentioned before will not be a problem.

However, the difficulty is not that great.

Even, the possibility of being hit back directly can be said to be almost [-]%.

Thinking of this, Lu Xuan said: "Dean, I think it's better to forget it, there is no need for me alone..."

"Xiao Lu, this is not just for you."

Before Lu Xuan finished speaking, he was interrupted by Hu Meiqiao.

"If this thing really comes to fruition, the biggest beneficiary will be our health center and the owner of the health center. Even if the Department of Traditional Chinese Medicine can be separated later and become a small traditional Chinese medicine hospital, our health center will also become famous because of it. rise.

So, this is not for you alone, but for everyone. "

But Lu Xuan didn't understand that Hu Meiqiao said this just to stop him from thinking too much, but in fact, if it wasn't for him, why would Hu Meiqiao do this?

Of course, if the health center can benefit, that's for sure.

If the building can really be restarted, money, equipment, and even people will be needed. The power of the dean, Hu Meiqiao, will naturally increase.

But to be honest, the biggest beneficiary is Lu Xuan.

Once the Department of Traditional Chinese Medicine has the opportunity to be separated, the possibility that Lu Xuan will directly serve as the dean is almost [-]%.

And if the Department of Traditional Chinese Medicine is separated, it will not be of any benefit to Hu Meiqiao.

However, Hu Meiqiao had already said this, and Lu Xuan couldn't say anything more. Moreover, what Hu Meiqiao said did make him a little moved.

If the new building can be opened and there is an inpatient department, he will be able to show off his talents.

There is no need to encounter patients like Zhang Song. In order to protect oneself, one can only extrapolate.

Different from Lu Xuan's calmness, Ji Xiuwen was extremely excited after hearing this, as if he was the biggest beneficiary behind this incident.

If there weren't so many people in the conference room, he would have wanted to shout, "My foster father is awesome."

Having said this, Hu Meiqiao looked up at the time and said, "This matter has been decided. I have prepared the materials. Today I will go to the District Health Bureau to report this matter to the old leader.

It's getting late, everyone should go back to their posts. "

Dean Hu spoke, and everyone stood up and left the conference room.

A group of people walked downstairs from the stairs.

"Uncle, do you think this can be done?" Zhou Liting said suddenly.

Wang Youqing spread his hands: "Who knows, the dean also knows that what has been decided will not be changed easily, and we have to report to the old leader today. I am afraid that the preparation will take more than a day or two.

It is impossible to give up, but the probability of success is very low. It is not difficult to use the new building as the traditional Chinese medicine department building. It is empty anyway. With the ability of our dean, it is not difficult to get the approval from the superiors. .

But it would be too difficult to ask the higher-ups to provide people, equipment, and funds. It is still the same sentence, the top dare not open this head, otherwise everyone will do it in the future.

Xiao Lu is indeed the key, but it is still quite difficult to convince others with this.

The most important thing is that Xiao Lu is alone. If there are three or four doctors who are capable of treating alone, there is still a possibility. If he is alone, I am afraid that the superiors will directly reject him. "

Having said this, Wang Youqing paused and said with a worried look on his face: "I don't care whether this thing can be done or not, but whether the dean will be scolded bloody by her old leader. Then she will be embarrassed. It doesn’t look good.”

"How about I ask the dean not to go?" Lu Xuan thought for a moment and said.

As he said that, he was about to turn back, but was stopped by Wang Youqing: "Forget it, you have less contact with the dean. I just said that you can't turn back what she decided without hitting a wall."

"Even if you hit a wall, you'll have to hit your head and bleed bloody before you turn back." Cheng Gaowen continued.

"Look, I'm not the only one who says that." Wang Youqing said with a smile.

"There's no need to go. I know you don't want the dean to do this, but she will come back naturally when she hits a wall, but... having said that, what if this happens?"

Lu Xuan smiled bitterly, there are so many eventualities!
However, after several people persuaded him one after another, Lu Xuan could only give up his plan to find Dean Hu.

Cheng Gaowen, Zhou Liting and others went to the pediatric care department on the third floor, while Lu Xuan and his party went directly to the second floor.

When he arrived at the consulting room, Lu Xuan had no intention of resting for a moment and directly arranged work for Su Kenan and the two of them. The three of them were ready in a short while.

Su Kenan is still responsible for calling numbers and registering information, and the job of collecting medicines is still handled by Ji Xiuwen, a master worker.

"I'll help you with the medicine work later."

Before calling the number, Su Kenan whispered something.

"Are your feet okay?"

"almost."

"Let me see."

Su Kenan raised his foot, and Lu Xuan squeezed it: "It's recovering well."

"Call the number. If there is a lot of medicine-taking work in a while, you can also go and help."

"Ah."

Su Kenan used the mouse to operate on the computer, and soon he remembered the sound of the speaker outside.

Not long after, a patient whose number was called came in.

Chen Xinghua took a breath and came to Lu Xuan from the door.

"Lu... Good morning, Dr. Lu." Chen Xinghua might be here for the first time, and he seemed a little embarrassed, and he was sucking in the air-conditioning from time to time, as if he was enduring some kind of pain.

"Good morning, let's sit down and talk first." Lu Xuan signaled.At Lu Xuan's signal, Chen Xinghua sat down directly, his face a little ugly.

Lu Xuan quickly asked: "Brother Chen, what's wrong? I see that your face is not very good. You seem to be breathing in. Is it hurting somewhere or..."

Chen Xinghua took another breath and said: "My uric acid has always been relatively high, and I have been examined before. The doctor said that I am obese, and I usually like to eat seafood and meat, so I have to be more restrained in what I eat."

"If you have high uric acid, you really need to eat more seafood and meat in moderation, especially seafood and animal offal. I think my eldest brother has heard that these are gout packages." Lu Xuan nodded. At this point, he probably guessed that Chen Xinghua came to see something.

Uric acid, or more seriously, gout.

If it was only because of high uric acid, Chen Xinghua wouldn't have been breathing in the air-conditioning all the time, obviously enduring some kind of pain.

Thinking of the high uric acid he mentioned, it is most likely gout.

Hearing this, Chen Xinghua sighed and said: "I paid more attention to it at first, but as time went by, I found that apart from the higher uric acid, I didn't feel any discomfort in my body, so I didn't take it seriously. What happened last night? A friend came over, so I drank some wine. I don’t know if it was because I was too tired during the day, but in the middle of the night last night, I suddenly felt unbearable swelling and pain in the knuckles of my limbs and the joints of my wrists and toes.

It's hard to even stand up. I'm working alone in Yongcheng, and I happen to live nearby. I heard that you are very good, so I went to the hospital to register before dawn. "

Come to register before dawn, and it's no wonder that you can register on the 1st.

In the health center, in addition to releasing a large part of his account on the Internet, he also reserved a lot for the scene, and many of them are extremely high. This is also for some patients who do not register online. of.

Some hospitals even leave one on-site every one or two numbers in case of emergency.

Like Lu Xuan, No. 1 can only be called on-site most of the time.

Therefore, in many cases, you cannot get the No. 1 test online, except for some doctors who are not very famous and not many people get the test.Doctors who are relatively well-known, seen by more people, and more popular will basically have a reserved number on site.

Otherwise, if there is really no reserved number on site, the patient will spray him to death.

The health center has obviously taken this situation into consideration, and there are quite a few numbers reserved on site.

These are basically for the convenience of residents around the health center. After all, they live nearby and it is convenient to get up early to register.

However, people with mobility difficulties like Chen Xinghua can only come when the health center is not open, otherwise they may not even be able to get an on-site number.

After all, there is no need to doubt the ability of uncles and aunts to get up early.

"Is there anything else uncomfortable?"

"My movements are a little restricted, and I always feel hot and cold. When I came here in the morning, the guard saw that I had difficulty moving and helped me over. Otherwise, I might not be able to get your number."

Lu Xuan nodded and asked Chen Xinghua to take off his shoes. He put on medical gloves and pressed lightly a few times. Chen Xinghua suddenly gasped in pain and almost shouted.

"Your condition is no longer as serious as usual. If you had come earlier, you might have been able to reduce it by taking some medicine. Now that it has reached the stage of gout, it will become much more difficult to treat."

Chen Xinghua also regretted it: "I didn't know it would be so serious. If I had known it was so serious, I wouldn't have drank that drink last night."

"It's not about the drink, it's about paying attention." Lu Xuan said angrily.

"Look at it now, the addiction to mouth is gone, isn't it still you who is in pain?"

After saying that, Lu Xuan couldn't help shaking his head.

Then he felt Chen Xinghua's pulse and looked at his tongue sign.

The tongue is red, the tongue coating is white and greasy, and the pulse is rapid.

Without any examination, Lu Xuan knew that the other party's blood uric acid was probably alarmingly high.

And it's a typical acute attack.

In the concept of Western medicine, gout is a disease caused by purine metabolism disorders. The typical clinical manifestations are acute or chronic gouty arthritis with repeated acute attacks, increased blood uric acid concentration, and long-term patients have joint deposition, which often leads to joint deformities. It may even be accompanied by kidney disease, often complicated by kidney stones.

The clinical manifestations of joint pain are sudden onset, usually with unbearable joint pain and inability to move, or sudden severe joint pain in the middle of the night accompanied by systemic symptoms such as fever. The most affected joints are the big toe and metatarsophalangeal joints, followed by the ankle. , hands, wrists, knees, elbows and other joints of the feet, etc.

Especially the first metatarsophalangeal joint is most affected. A few hours after the joint pain starts, hyperesthesia, obvious redness, swelling, and fever will appear.

In traditional Chinese medicine, gout is classified as seasonal wind.

The cause of the disease is as stated in "Su Wen·Ju Tong Lun": "The meridians circulate continuously; cold air enters the meridians and is delayed. Crying is not possible. If it is outside the meridians, there will be less blood; if it is in the meridians, there will be qi." It doesn't work, so it hurts.

If the cold air travels outside the pulse, the pulse will be cold. If the pulse is cold, the pulse will be constricted. If the pulse is curled up, the pulse will be tight and urgent. If the pulse is short and urgent, the small collaterals will be drawn outward, so the pulse will be painful.If cold Qi travels in the meridians, if it is thin with Wu Qi, the pulse will be full, and if it is full, it will be painful and cannot be pressed.If the spiritual energy comes from above, the pulse will become enlarged and the blood and energy will be disordered, so the pain will be so severe that it cannot be pressed. "

The name of Lijie disease first comes from "Synopsis of the Golden Chamber: Combined Treatment of Stroke and Lijie Diseases and Pulse Syndrome", "Sweating into the water is like water, sad, and yellow sweat occurs in Lijie. Therefore, it is called Lijie. Sheng Ren has astringent and small pulse, shortness of breath, and spontaneous Sweating, painful joints, unable to bend or stretch, this is all caused by drinking alcohol and sweating when the wind blows."

Volume 22 of "Jiubei Emergency Prescriptions" and Volume [-] of "Taiping Shenghui Prescriptions" also explain the cause of Lijie disease, "Fubaihu wind disease is caused by the poison of wind, cold, heat and dampness, and will be caused by deficiency." If the intake is unreasonable, the meridians will be stagnant, the blood and Qi will not flow, and it will accumulate between the joints or in the limbs. The color of the flesh will not change. The disease will be quiet during the day and occur at night, that is, the bone marrow will be sore. The disease is like a tiger's bite. That’s why it’s called white tiger wind disease.”

Zhu Danxi, a medical scientist in the Yuan Dynasty, one of the four schools of Jin and Yuan Dynasties, and the founder of the Ziyin School, gave a very detailed explanation of the etiology and pathogenesis of gout: "In patients with gout, most of them will have their blood boil due to heat. Either wading in cold water, standing on a wet ground, fanning oneself to cool off, or lying down in the wind, the cold and coolness will move outward, and the hot blood will become cold.

It is filthy and astringent, so it hurts.At night, it hurts very much, and it travels in the shade.Pain in all joints of the limbs, wind-heat, rheumatism, blood deficiency, and illness. "

In short, gout is a syndrome that ancient and modern doctors believe is related to metabolic disorders. The cause is often closely related to obesity, an addiction to purine-rich seafood and high-protein foods, and excessive drinking.

For example, obese people often sweat spontaneously due to deficiency, or encounter wind, cold, or enter water, which causes qi and blood to stagnate in the blood vessels and remain in the joints, and joints often ache at night when the body's metabolism slows down. Sudden severe pain and difficulty moving.

"Dr. Lu, I heard that gout is difficult to cure, and you can only take some analgesic drugs. Is that true?" Chen Xinghua couldn't help but ask.

Ji Xiuwen on the side heard that Chen Xinghua was suffering from gout. He thought for a while and asked: "He must have an acute attack of gout, right? I think tophi has not yet formed."

Ji Xiuwen could tell that Chen Xinghua had an acute attack of gout, and Lu Xuan had no doubt that a top student from Zhijiang University of Traditional Chinese Medicine would not have this ability.

Moreover, Chen Xinghua himself has made it very clear that if he doesn't have any judgment at all, he may have learned all these years in vain.

However, even so, Lu Xuan still said: "It is indeed an acute attack of gout. Generally speaking, gout attacks in the acute phase are easy to treat, but if you are not careful, it can easily be treated as rheumatism, which can often delay the transition to the chronic phase.

Once at that time, the attacks become more frequent, and the number of joints involved in each attack gradually increases. After the attack, the swelling and pain in multiple joints often cannot completely disappear, followed by joint deformity and stiffness, joint hypertrophy, and limited mobility.

If tophi is formed, it is probably in the middle and late stages of the disease. Tophi often exists in the bones near joints and erodes the bone.

The formation of skeletal deformities and bone damage can also cause hard nodules to be found in the bursa membrane, tendon sheath and cartilage near the joint and in the subcutaneous tissue of the ear shell. They can also slide, and can also cause the formation of kidney or urinary tract stones.

There is an ancient saying that "running water does not rot, and door hinges do not become beetles".The human body has its own ups and downs. For example, people who drink excessively, eat fish, shrimp paste, and rich food, or those who are overweight and inactive are more likely to suffer from gout. "

(End of this chapter)