I can hear the voice of Chinese medicine

Chapter 177 Guange (chronic renal insufficiency)

"Doctor Lu, I'm here again."

Lu Xuan was still wondering why no one had come in for so long, when he heard a familiar voice coming from the door.

When he looked up, he found that it was Liu Shao. He couldn't help but said curiously: "It doesn't seem like you were the one whose number was called just now?"

Liu Shao chuckled: "I'm next. I'm here with a friend today, and I want you to take my pulse and see how I'm doing during this period."

"Listening to your energetic voice, I can tell you're recovering well even without looking."

"Doctor Lu can also read faces, you can see this."

Lu Xuan rolled his eyes, "You have such a good face, why do you need to see it? Anyone who is not blind can see it."

"Is that so? I also feel like it's getting better this week."

"But the medicine you prescribed is still very powerful. I have only taken it for two or three weeks, and my urine sugar level is only [-]+. The main reason is that I feel much better than before."

Liu Shao helped Old Li sit down and said, "Dr. Lu, please give me some advice. My friend's father is about to give up. Nothing we say makes sense. We just say no. In the end, the money is gone and the people are gone."

Lu Xuan then turned his attention to Old Man Li: "What's wrong, uncle?"

"Chronic renal insufficiency."

"Guan Ge?"

"what?"

Thinking that his diabetes was called "diabetes" in Lu Xuan's mouth, Liu Shao seemed to have thought of something and asked tentatively: "What does Chinese medicine say?"

"You do understand quite well." Lu Xuan said with a smile.

"Have you never eaten pork and never seen a pig run away?"

Liu Shao showed off: "I have seen you a few times, Dr. Lu, and naturally I know that these terms I don't understand are probably the traditional Chinese medicine term for chronic renal insufficiency. Just like my diabetes disappears in your mouth." Like thirsty."

Lu Xuan didn't tell Liu Shao anymore, but asked, "How long has it been?"

While Lu Xuan was asking these questions, Liu Shao was familiar with the task and lifted Old Man Li's arm directly onto the pulse pillow.

Liu Shao didn't know much about this, so he could only look at Li Chengyuan and said, "Come here."

"More than a year."

Lu Xuan nodded and placed his right hand directly on Old Li's inch ruler, while Li Chengyuan told Old Man Li's situation and took out all the checklists he had done before.

Lu Xuan checked the checklist and looked at the checklist that Li Chengyuan took out while checking Old Man Li's pulse.

Old Man Li was admitted to the hospital a year ago because he felt unwell. During his hospitalization, his blood creatinine was checked: 596 μmol/L. Kidney color ultrasound showed that both kidneys were shrinking.

He had diabetes in the past. At first, Mr. Li refused dialysis because he felt that the cost of dialysis was too high. Moreover, he had to undergo dialysis at least a dozen times a month. His son's meager salary was not enough to pay for his dialysis, and he did not take any western medicine during this period.

However, his condition progressed rapidly and he had to undergo dialysis. Li Chengyuan paid the money without telling Old Man Li, saying that the recharged money was non-refundable. Only then did Old Man Li have to accept the reality.

However, Old Man Li's condition was a bit serious. Even inpatient dialysis and Western medicine treatment did not have a very good effect. In the end, Li Chengyuan ran out of money and could only be discharged from the hospital.

And Li Chengyuan was a fan of Liu Shao. He quit his local job on Liu Shao's recommendation, brought Old Man Li to Yongcheng, and came to Lu Xuan Clinic to request treatment with traditional Chinese medicine.

Before coming here, the blood creatinine was checked: 672 μmol/L, hemoglobin (HGB) 89g/L, urine routine: urine protein (+++), occult blood (+).

It can be said that the situation is much more serious than when I was first hospitalized.

While Lu Xuan looked at the checklist, he asked about some of Old Man Li's physical conditions and recorded them in detail in the medical record.

Symptoms: general weakness, cold sensitivity, moderate edema of both lower limbs, depression when pressed, soreness and weakness in the waist and knees, difficulty walking, loss of appetite, poor sleep, dry stool, short urine, pale tongue with thin yellow fur, and a thin and weak pulse.Western medicine diagnosis: chronic renal insufficiency (renal failure stage); Chinese medicine diagnosis: Guan Ge (kidney yang deficiency syndrome).

For traditional Chinese medicine, medical record keeping is a basic skill.

Medical record recording is called writing medical records in traditional Chinese medicine, and there are strict record elements and patterns.

According to the rhetoric of traditional Chinese medicine, both current medical records and ancient medical records are collectively called medical records.

The records of relevant symptoms, prescriptions, medications, etc. used by traditional Chinese medicine when treating diseases are often used as book titles, such as "Clinical Guide Medical Records" by Ye Tianshi in the Qing Dynasty, and "Medical Records of Famous Doctors in the Qing Dynasty" by Qin Bowei, a recent scholar.

A medical record is a medical record, which is a continuous record of syndrome differentiation, legislation, and prescription medication when a doctor treats a disease.

Chun Yuyi, a famous doctor in the Han Dynasty, creatively recorded 25 medical cases he treated, which was called "Clinical Records" at the time.

The medical record is not only the patient's physical condition, but also includes the patient's name, address, occupation, pathology, syndrome differentiation, treatment, prognosis, etc.Later generations of doctors compiled the records of the medical records they treated into personal medical records.

There are also those that specially select medical records from ancient and modern famous doctors and compile them into volumes, such as "Famous Doctors' Cases", "Famous Doctors' Cases Continued", "Ancient and Modern Medical Records", etc.

Modern medicine also has systematic and strict requirements for writing medical records.

The medical record is a comprehensive record and summary of the medical staff's diagnostic work. It is not only the basis for determining diagnosis and formulating treatment and preventive measures, but also important information for summarizing medical experience, enriching teaching content and conducting scientific research; sometimes it also provides information for other work Authentic and reliable materials and complete medical records can also deeply reflect the quality of medical care and academic level.

While Lu Xuan was diagnosing Old Man Li, Liu Shao was watching curiously. Seeing Lu Xuan writing down many conditions about Old Man Li in the medical record, he couldn't help but think of some of the situations he had encountered in the hospital before. I couldn't help but said: "Nowadays, Western doctors don't write medical cases very much. Although it does save a lot of time, it also brings a lot of trouble to patients. When changing hospitals or doctors, they don't know the last doctor's prescription. In this case, syndrome differentiation is relatively difficult, and patients cannot understand their physical condition well."

"Of course, it's useless to write it. What Western medicine writes is like ghost drawings. No one can understand it at all. Only they themselves know what they write. Unlike traditional Chinese medicine, they are afraid that patients will not understand what they write. Write the case directly in block letters.”

"In fact, Western medicine is also written, but now it is not written in the medical record, but is operated on the computer."

"What is there? Write it to yourself? Can't the patient understand his condition? What kind of medicine did he take? What kind of judgment did the doctor make?" Liu Shao curled his lips and asked.

"And, if I remember well, Western medicine used to write about it, but I don't know when it started, and suddenly it stopped writing about it."

"Writing medical cases has always been passed down in this way, whether it is Western medicine or Chinese medicine. Why does Western medicine just omit this step? Isn't Chinese medicine still insisting on it?" It can be heard that Liu Shao has treated some patients with diabetes over the years. I have a deep resentment towards Western medicine. "Traditional Chinese medicine is not about persistence. If I have to use one word to describe it, it would be better to say it is inheritance." Lu Xuan explained.

"Inheritance?" Liu Shao frowned.

Lu Xuan nodded and said: "Medical records are the result of the evolution of the medical system in the course of society. The purpose is the same, which is to record the condition and establish a file, which can be used to determine the condition, summarize experience, and even serve as a reference for teaching materials. etc.

In fact, it is to digitize the condition, model it, express it, and even make it a conventional standard.

According to the modern physics point of view, the description of a thing is the elements of time and space, and ancient China also had its own way of expressing the elements of time and space.

For example, time and space are introduced into models such as stems, branches and five elements, five movements and six qi, and meridian flow at twelve o'clock.

Some schools of medical records only focus on the description of symptoms and pulse conditions, and do not record the age very accurately, nor do they remember the time of treatment or the solar term when the disease occurred.

Some doctors, who have a deep understanding of the five movements and six qi, will accurately record the time of treatment to the year, month and day, and even record the stems and branches.

This is a habit, and you will also make a note when recording the time of illness.

The "Huangdi Neijing" also describes in detail the impact of the Nine Palaces and Eight Winds on human health. The time field and the space field have their own effects on the human body.

Just like the same disease, the medication will be different in different periods. It is different in spring and summer, and the same is true in autumn and winter.

These are all elements that form the disease. There are many factors that make up a thing, but what is the key point?How to simplify the model itself reflects the degree of understanding of the spatiotemporal characteristics of the disease. "

"No wonder Chinese doctors are still writing medical cases, but Western medicine has abandoned this job." Liu Shao suddenly said after hearing this.

"Doctor Lu, can my friend's father's illness be treated with Chinese medicine?" Although Liu Shao liked to inquire about these things, fortunately he did not forget the business.

"Of course it's okay to take Chinese medicine."

Lu Xuan thought for a moment and said, "But my uncle's condition is quite serious, and the treatment will take a long time. If it really takes effect, it will take at least ten days and a half. As for the blood creatinine and urine protein, they need to be reduced, or even It may take two or three months to return to a somewhat normal state."

"It doesn't matter if it takes a long time, as long as I can live almost like a normal person in the future." Li Chengyuan said quickly.

"Dr. Lu, how much does it cost to take medicine for such a long time?" For Old Man Li, what he was more concerned about was not whether it could be cured, but how much it would cost and whether he could afford it.

However, before Lu Xuan spoke, Liu Shao consoled him: "Uncle, don't worry about the cost. How much does it cost to take Chinese medicine? For a week's medicine, the out-of-pocket cost may only be more than 100, or even It may not even be a hundred dollars, and the medicine cost is only a few hundred dollars a month, which is not enough for two dialysis sessions. You can rest assured and see Dr. Lu with peace of mind.

Dr. Lu said this, which means he is very confident. He said that in two to three months, I think you may be able to restore those abnormal indicators to near-normal levels by taking medicine for less than two months. "

Lu Xuan laughed. He wanted to say something like you are not afraid that I won't be able to cure him later, but thinking about his uncle's lack of confidence, he thought about it and still didn't say it.

However, Liu Shao's words still had some effect, and Old Man Li felt a little relieved after hearing this.

"If the cost of medicine for a month is only a few hundred yuan, then that's okay, that's okay."

Seeing Old Man Li's cautious look, Lu Xuan couldn't help but take a deep breath, feeling very complicated.

Although there are diseases that cannot be cured by traditional Chinese medicine, there are not many cases where Western medicine fails to cure the disease and causes the patient to return to poverty. Moreover, Western medicine often costs tens of thousands or even hundreds of thousands in treatment costs. For many people nowadays, it is not enough. On top of his already poor situation, Yayu was burdened with a huge mountain on his back, which made it difficult for him to even breathe out.

Otherwise, Old Man Li would never have said such a thing.

Lu Xuan didn't even have the slightest doubt that if Liu Shao said that the cost of treatment was higher, the other party might simply choose to give up the treatment and not let himself become a burden to his son.

The treatment cost of several hundred yuan a month may be just a meal for many people, but for someone like Old Man Li, it is enough to make him give up his right to live.

The cruel reality made Lu Xuan feel a little bad.

"Doctor Lu, why don't you prescribe some medicine, preferably for more than half a month. My brother and I have just arrived in Yongcheng not long ago, and we haven't found a job yet. Your number is difficult to get, so we have half a month to buffer. It’s also more convenient.”

Liu Shao's words brought Lu Xuan back to reality.

"Yes, Doctor Lu, can you prescribe medicine for half a month?" Li Chengyuan asked quickly.

From what a few people said, Lu Xuan also knew that Old Man Li had probably used up almost all of his family's savings in order to treat his illness, otherwise he would not have given up on the treatment, so he nodded and said, "Okay."

"Thank you, Doctor Lu." Li Chengyuan thanked him quickly.

Lu Xuan shook his head slightly, then immersed himself in writing and drawing, writing the prescription below the case.

Prescription: Jingui Shenqi Pills.

Medication: 50 g of Astragalus, 30 g of Atractylodes, 20 g each of Rehmannia glutinosa, Chinese yam, Cornus officinalis, and Gorgon fruit, Alisma, Poria, peony bark, cinnamon, Atractylodes (decocted first), tangerine peel, Achyranthes bidentata, cicada slough, skullcap, and zhizi. 10g each of licorice and 6g cooked rhubarb. 14 doses, 1 dose per day, decoction in water.

After writing it, he gave the medical record directly to Ji Xiuwen.

Ji Xiuwen looked at the syndrome differentiation process and prescriptions written by Lu Xuan, frowned slightly, and thought about the things he didn't understand before asking questions later, so he planned to register the prescriptions into the system.

But Liu Shao was more curious about this aspect: "Dr. Lu, can you tell me the medical theory behind the medicine you prescribed?"

Li Chengyuan was surprised, could he still ask these questions?

He didn't know that no doctor had ever spoken so clearly before.

According to his understanding, it is the medicine I prescribe, you just take it and you will be fine. As for the medical theory and so on, the patient does not need to know that much.

However, Li Chengyuan also knew that Liu Shao was curious about Chinese medicine, so it was normal for him to ask.

After all, the main reason why he pays attention to Liu Shao's live broadcast room is because Liu Shao will tell some stories about traditional Chinese medicine in the live broadcast room, as well as his own medical treatment over the years. While he is seeing doctors, he also promotes traditional Chinese medicine.

Especially after Liu Shao found Lu Xuan, more and more people were paying attention to Liu Shao. In addition, Liu Shao's physical condition was getting better and better, and Liu Shao himself became more and more curious about Chinese medicine.

Now that I have such a good opportunity, how could I let it go?

(End of this chapter)