I can hear the voice of Chinese medicine

Chapter 34 Hiccup

After driving Xu Wenzhi away, Lu Xuan felt that his ears were finally clear.

The patient is in a good mood, which is conducive to treatment.

At this point, Lu Xuan still felt relieved.

Otherwise, in Xu Wenzhi's case, if he was in a bad mood, it would only make his condition worse.

However, Lu Xuan also felt a big headache when he met such a patient who was familiar with him and possessed the attributes of a social cow.

From the moment Xu Wenzhi entered the consulting room, the words in his ears never stopped.

It was as if there were flies buzzing in my ears all the time.

If he hadn't known that this was due to Xu Wenzhi's character, he would have driven them away long ago.

He glanced at the computer screen again. The dense registration information behind it gave Lu Xuan a bit of a headache.

Who would have thought that two days ago, she was still worrying about not having any patients, but now she is caught in the troubles of too many patients.

The main reason is that his efficiency is too low by himself. He does everything by himself, so the speed of medical treatment cannot be accelerated.

"Ginger is still old and spicy!"

Lu Xuan sighed. A few days ago, Hu Meiqiao said that he would have an assistant for him, but he didn't think it was necessary. Only now did he know that the dean had already thought about today's situation, so he had to plan ahead.

However, even if it was prepared, it still did not catch up.

The recruitment speed is obviously not that fast. In the short term, he still has to support the Traditional Chinese Medicine Department by himself.

As for the rest of the health center, none of them came from Chinese medicine, not even one who studied Chinese pharmacy. If they came to be assistants, they might not even know how to take medicine, and they would become more and more helpful when the time comes.

It's okay to take too much or too little medicine, but it's scary if you take the wrong medicine.

Not only can it not cure the disease, but it will aggravate the disease.

It was precisely because of these considerations that Lu Xuan never dared to think about asking other people in the courtyard to help.

It's better to be busy and tired by yourself than to have an accident.

It may be a little slower to do it alone, but the advantage is peace of mind, and you don’t have to worry about taking the wrong medicine.

"call!"

Taking a deep breath, Lu Xuan took a short rest, and then began to operate the calling system on the computer again.

"Next person."

"number 18."

……

"number 23."

"number 27."

It was not until 11:30 that Lu Xuan finally finished reading more than half of the patients registered in the morning.

When Wang Youqing walked to the door of the Department of Traditional Chinese Medicine, he didn't ask Lu Xuan to eat first. Instead, he shouted inside: "Xiao Lu, what do you say?"

Lu Xuan was giving someone a pulse, and when he heard the shout, he looked up, only to realize that it was time for dinner.

The patients who had been waiting at the door all morning became nervous when they saw Wang Youqing running over. They looked at Wang Youqing like a tiger.

If Dr. Lu went to eat, they would have been wasted this morning.

Even if you come in the afternoon, you still have to wait for a long time.

When Lu Xuan was just in college, his mother was not in good health, so she took her to the hospital to see a doctor, because the temporary registration number was relatively late, and when they arrived, the doctor had already left work to eat, so why did they come back in the afternoon, making the group of people in the back stupid? Waited all morning.

With that experience, even though he knew that everyone would be close to one o'clock in the afternoon after watching the morning, Lu Xuan had no choice but to bite the bullet and say, "Uncle, please help me pack a meal and bring it up. I'll watch it while eating later." , No delay, I can’t run away to eat, let everyone wait here.”

Lu Xuan's words immediately aroused the sympathy and infinite favor of many people.

As a patient, after waiting all morning, especially when it’s time to get off work and eat, what do you fear the most?
Isn't it just that the doctor left them and went to eat by himself?
Aren't you just worried that your whole morning was wasted here?

They could tolerate Lu Xuan being slow and inefficient alone, but they absolutely couldn't bear being abandoned.

But Lu Xuan didn't.

He didn't give up on everyone and ran to eat by himself.

What's more, after Lu Xuan asked Wang Youqing to bring the meal, he reminded the patients behind: "Those whose numbers are in the back, you can go to the opposite side to have something to eat first, I'm sure it won't be fast by myself, when you come back after eating, It's almost here for you."

"People are iron, food is steel, if you don't eat a meal, you will be hungry."

After hearing this, many patients' eyes turned red for a while.

At this moment, Lu Xuan's image in their hearts suddenly became taller.

A few patients seeking medical treatment even turned on their mobile phones, took pictures of Lu Xuan, added copy, and posted them online.

"This is the sincerity of great doctors!"

Wang Youqing took a deep look at Lu Xuan with a complicated expression.

He didn't expect that Lu Xuan would say that.

When it's time to get off work, get off work on time.

When it was time to eat, he ran directly to eat. He had seen many such situations before when he was in the Ninth Hospital. Many doctors were scolded by patients, but in the end they just ignored it.

This situation occurs in every hospital, and it is very common.

The law does not punish the public. There are too many such black sheep, and it is hard for the hospital to say anything.

But in the end?

It affects not only the hospital, but also the image of doctors in the minds of patients.

In recent years, Western medicine has taken the lead, but it has also been criticized.

When he first came to call Lu Xuan, he thought that Lu Xuan would put down his work, abandon the remaining patients and go directly to dinner. However, he did not expect that Lu Xuan made a decision that was unexpected and reasonable.

"Okay, I'll bring it up to you later."

After speaking, Wang Youqing turned and left.

"We continue to see patients."

Lu Xuan sat down again. The others did not gather around the door. Instead, they consciously walked to the seats next to them and sat down, waiting quietly.

When Lu Xuan sat down, a middle-aged man in his thirties walked in. The moment he saw Lu Xuan, he sat down and was a little excited: "Doctor Lu, you have changed my paranoid attitude toward doctors." view."

Lu Xuan looked at the other party in confusion.

"My name is Zhou Binghe."

Zhou Binghe introduced himself, and then continued: "Actually, I have been sick for more than five years. I have been to many hospitals and seen many doctors. To be honest, I want to give up, not because it can't be cured. , but the attitude of some doctors towards patients made me really lose trust in doctors.

Do you know?Just last week, I went back to my hometown. Thinking that I had nothing to do, I went to the hospital in my hometown to register for a doctor. Because I went there at short notice, the number was very late. When it was time to eat, the doctor stopped the consultation and told me to come back in the afternoon. But in the afternoon, there was a meeting in the hospital and the doctor was not there. I was running for nothing that day. It was a lot of trouble to cancel the registration afterwards. I didn't get the registration fee until the hospital was about to get off work.

To be honest, I am tired.

My wife heard what you said and asked me to come and take a look. I didn’t want to come because I was really disappointed with the doctor. Only after seeing you and listening to what you just said did I realize that there are still good things in this world. The doctor's, it's just that I was unlucky and didn't come across it before. "

After saying that, Zhou Binghe said solemnly: "Dr. Lu, thank you, thank you for giving me a new perspective on doctors."

Lu Xuan listened quietly, and when Zhou Binghe finished speaking, he smiled and said: "Actually, I have had the same experience as you before, and I just put myself and others. Every industry has mouse shit, and there are black sheep. Don't let some people live up to you." Abandon yourself if you take responsibility, let alone torture yourself because of other people’s mistakes.”

Zhou Binghe was in awe: "Thank you Dr. Lu, I understand."

Lu Xuan nodded, and then asked: "Tell me about your condition first."

Zhou Binghe told them one by one without hesitation.

They even took out some of the checks they had done before.

Lu Xuan looked at it in detail for a while and already had the answer in his mind.

Hiccup.

This is what Western medicine often calls reflux esophagitis.

The symptoms were relieved a lot by taking omeprazole and mosapride by themselves. However, the symptoms recurred after stopping the medication. After that, I went to many hospitals for treatment, but there was no improvement. The condition was mild and sometimes severe, and it was also accompanied by chronic non-atrophic gastritis.

The main symptoms are heartburn, acid reflux, hiccups, bad taste in the mouth, poor appetite, sleep sound, and stool once a day.

Knowing the illness, Lu Xuan took his pulse again and glanced at Zhou Binghe's tongue.

"Red tongue, yellow and greasy coating, tooth marks on the edges, and slow and slippery pulse."

Lu Xuan murmured softly.

A deep and slippery pulse means that there are both sinking and slippery pulses at the same time. The sinking pulse governs the interior, which generally manifests as visceral diseases, and the slippery pulse generally manifests as phlegm-retention, food accumulation, and excessive heat.

With his own judgment in mind, Lu Xuan calmed down again and listened secretly.

[Reflux esophagitis?This is what Western medicine calls it. As far as traditional Chinese medicine is concerned, except for "vomiting acid", it can all fall into the categories of "stomach pimples", "chest pain", "epigastric pain" and other diseases. The treatment of this disease is often based on the treatment of the liver. 】

Treat from the liver?

Lu Xuan frowned, a little confused.

Fortunately, the following explanation quickly reminded him of some of the content he had recited.

["Suwen Xuanji Yuanbing Formula · Spitting Acid" said: "The sour one has the taste of liver wood, and gold is made from fire. If you can't flatten wood, the liver wood will be intensified, so it is sour." Zhu Danxi also Cloud: "Those who swallow acid, dampness and heat accumulate in the liver, and come out between the lungs and stomach."

The pathological mechanism of patients "vomiting acid" is that the liver and stomach are not in harmony, the liver qi is disturbed, blocked in the throat and chest, and the stagnation turns heat from yang into acid.

If there is no stagnation, there will be no soreness. If there are all kinds of stagnation, qi stagnation will be the first, so the first step in treatment is to soothe the liver, and then to relax the middle part. 】

Hearing this, Lu Xuan's eyes lit up and he suddenly realized.

This is the magic of traditional Chinese medicine. Especially for a master of traditional Chinese medicine like him who has a professional background, he often only needs a few tips to understand it.

And this point is particularly important.

This is experience.

When it comes to soothing the liver, Lu Xuan doesn’t know the methods by heart, but he knows a few of them.

To soothe the liver is to regulate qi first, and to strengthen the spleen is the key to Kuanzhong, and the method of "tong" is always the main method.

The liver governs catharsis, regulates the flow of qi, and promotes the transportation and transformation of the spleen and stomach.

Therefore, we often start from the liver and stomach, regulating qi and opening up the stagnation to unblock the fu organs, so as to smoothen the bowels.

When I was in school before, I always heard from my instructor how important clinical experience in Chinese medicine is, but before I got in touch with it, Lu Xuan didn't have much experience. Fang cures the disease.

It was only when he came into contact with patients that Lu Xuan realized the importance of clinical experience.

But at this moment, this out-of-the-way explanation made Lu Xuan understand the importance of having a good teacher.

Why do many students who graduate from universities of traditional Chinese medicine always want to go to big hospitals?

Isn't it because some powerful Chinese medicine doctors have been recruited by big hospitals?
If I want someone to advise, I can only go to a big hospital.

Lu Xuan's ancestral graves were filled with smoke, and the eighteenth generation of his ancestors showed up, so he opened the bug that could eavesdrop on the thoughts of Chinese medicine.

Otherwise, as a student who just graduated, I'm afraid he will have to spend his whole life in the hospital.

[Stagnation of liver qi, long-term accumulation of heat, rebellion against the stomach, so heartburn, acid regurgitation; Poor appetite.The location of the disease is in the stomach, which is related to the liver and spleen. The main pathological factors are stagnation of qi, deficiency of the spleen, followed by turbidity, stagnant heat, and blood stasis.

During treatment, soothing the liver and relieving the capital should be the first to relieve the urgent need.Among them, bupleurum, citron, and bergamot soothe the liver and stomach, and disperse stagnation of qi.

Furthermore, it strengthens the spleen and widens the middle to treat the root cause of the disease.

Perilla strengthens the spleen and widens the middle and removes dampness; Magnolia officinalis and Jishi relieve gastric qi and reduce qi; Jiaoshan hawthorn, Jiao Shenqu, tangerine peel, Gallus gallus gallus, etc. remove qi and stagnation, strengthen the spleen, eliminate food, and remove stagnation;
Yincheng, Scutellaria baicalensis and Coptis chinensis are used to clear away heat and dampness; Fritillaria fritillary, jellyfish, gypsum, and corrugated powder are used for symptomatic treatment to suppress acid and clear stomach fire. 】

While listening, Lu Xuan wrote down the prescription in the medical record provided by Zhou Binghe. (The dosage of the prescription is put in the author's words, it does not count for the number of words)

"Doctor Lu, can my disease be cured?"

Seeing that Lu Xuan finished writing the prescription, Zhou Binghe couldn't help asking.

"Can be cured."

Lu Xuan nodded and changed the subject: "If it's just a simple reflux, it's not difficult. But you also have chronic non-atrophic gastritis. It may take a long time to cure it completely. For details, it depends on The presence or absence of symptoms after taking the medicine.”

Hearing that it can be cured, Zhou Binghe breathed a sigh of relief: "It doesn't matter if it takes a long time. I have also seen a lot of Chinese medicine. Chinese medicine can cure the root cause, so it will naturally take a long time."

"I can rest assured if you think so."

Lu Xuan said with a smile.

The reason why traditional Chinese medicine has been slowly falling into disrepute and has only shown signs of rising in recent years is that it is slow to produce results. Patients give up without seeing the curative effect within a short period of time and turn around and fall into the arms of Western medicine.

As time goes by, fewer and fewer people see traditional Chinese medicine.

"You sit down for a while and I'll get some medicine."

After leaving a word, Lu Xuan got up and walked into the Chinese medicine room again.

He no longer knew that this was the first time he had come to the Chinese pharmacy.

While picking up the medicine, Lu Xuan was thinking that the reason why Zhou Binghe's condition has gotten worse during this period is not only because he didn't take the right medicine, but also because of his paranoia and resentment towards the doctor.

Stagnation of liver qi will definitely affect the stomach.

This is also the fundamental reason why many diseases nowadays cannot be cured by Western medicine. They will be relieved if you take medicine, but will come back immediately if you don’t take medicine. The fundamental reason is that Western medicine basically treats the head for headaches and the feet for foot pain.

Zhou Binghe had acid reflux, so he was prescribed omeprazole and antacids. These drugs can only relieve the symptoms, but cannot fundamentally solve the problem. Naturally, he would get sick after stopping the drugs.

Zhou Binghe took the medicine and left, but Lu Xuan had no time to spare and continued to see the doctor.

In the morning, Lu Xuan was so busy that he was so busy that he ate his lunch in the consulting room while seeing a doctor. The afternoon call ended at seven o'clock in the evening.

When the last patient left the Chinese medicine department with the medicine, Lu Xuan stretched himself, got up and stretched his muscles and bones.

After sitting for a day, my buttocks are already numb.

At this moment, Wang Youqing walked in, "How do you feel?"

"tired."

Lu Xuan looked at the other party: "But... very fulfilling."

It was unprecedentedly fulfilling. In one day, he felt like he had learned more than he had learned in a year at school.

The key is that it feels good to apply what you have learned.

The kind that feels so good.

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　　General reflux esophagitis can basically be cured by taking a pill. If there are other chronic gastric diseases, it is 1+1>2, and it will take a long time to treat.

　　Also, please vote and invest, I’m very grateful.

　　
　
(End of this chapter)