I can hear the voice of Chinese medicine

Chapter 50 Malnutrition
As soon as Liu Baizhe left, Lu Xuan became a little irritable for no reason.

He knows that some things cannot be changed by himself.

Medical treatment is expensive, just like a wide and unknown river with fast currents, and he is just a small stone.

Throw it in, let alone block the torrential flood, I'm afraid it won't even stir up a splash.

It sounds cruel, but the reality may be crueler.

He is still just a young doctor in a health center. Even if he is somewhat famous now, all he can see is the suffering in front of him.

Can understand a little bit of darkness that ordinary people can also know.

But is this the darkest?

There was a big question mark in Lu Xuan's heart.

If this is the greatest darkness, then the world is relatively happy.

But he knew it was absolutely not.

The higher you stand, the more you will see. The light will not be more, but less and less.

Thinking of this, Lu Xuan felt a deep sense of powerlessness.

But soon, as the next patient came in, Lu Xuan's face returned to normal.

A woman in her thirties came in, holding a thin and yellow boy by the hand.

After entering the consultation room, the woman let go of the child's hand, put the registration form and the child's medical record in her hand directly in front of Lu Xuan, and said softly, "Hello, Doctor Lu."

"Hello." Lu Xuan nodded towards the other party and smiled.

"Is the child feeling uncomfortable somewhere, or..."

"Child."

"What happened to the kid?"

Wu Xiaoyan hugged her son on her lap and sat down, then a look of helplessness appeared on her face: "It is too difficult to raise children now. They get sick every three days. We were not like this at that time."

Lu Xuan smiled noncommittally.

This is not unreasonable. Children in the past were indeed not so easy to get sick. After all, there were many free-range children. But now, most families are in good condition, and there is only one child in the family, so they naturally treat them as babies and take good care of them.

Hold it in your hand for fear of getting hot, hold it in your mouth for fear of melting.

It cannot be hot or cold.

Every winter, the Women's and Children's Hospital is the busiest.

Of course, usually not idle it wants.

The improvement of material conditions, not only did not make the child's physique better, but the resistance was much weaker.

Wu Xiaoyan pointed to the child she was holding on her lap and continued: "Especially in my family, I feel that he has been taking medicine since he was a child. He is either sick or on the way to illness. Sometimes I think, I am sick Why is such a thing! It’s just asking for trouble for myself, and now that it’s born, I can’t bear to ignore it.”

After saying that, I felt helpless again.

After a small complaint, Wu Xiaoyan talked about the child's situation.

Lu Xuan listened quietly to Wu Xiaoyan's description of the child's recent situation while checking his pulse and tongue.

Wu Xiaoyan's child is three years old this year. Recently, she has had a fever around three o'clock in the afternoon every day, sweating profusely, and her mental state is also very poor. It feels like she hasn't stayed up for a few days.

I don't have much desire to eat every day, and I don't even want to eat.

I have bowel movements once a day, but every time they are very dry and hard like rocks.

Lu Xuan focused on the child.

The child might be timid, and being stared at by Lu Xuan, he shrank into Wu Xiaoyan's arms in fear.

Wu Xiaoyan comforted: "It's okay, don't be afraid of Tangyuan, Uncle Lu is not a bad person."

Tangyuan's face is yellow and thin, not to mention that the hair is dry and sparse. Even on Wu Xiaoyan's body, she is restless and moves around.

"Dr. Lu, what's going on with my glutinous rice balls?"

Although Lu Xuan already had some judgments in his mind, he still said with a smile:

"Pick up the child's clothes, and I'll take a look at the stomach."

"Oh, alright."

Wu Xiaoyan lifted up the short sleeves of the glutinous rice balls in cooperation. The glutinous rice balls looked thin, but their abdomen was swollen and their veins were exposed.

Lu Xuan pressed his stomach lightly, then withdrew his hand, frowning slightly.

Malnutrition?

Lu Xuan felt Tangyuan's pulse again and counted the pulse carefully.

The pulse is thin, straight and soft.Mainly used for various types of deficiency and fatigue, especially yin deficiency and blood deficiency.

Or it can be seen in water-damp internal resistance. Generally speaking, thinness is blood deficiency, and detailed number is yin deficiency.

These causes may be due to insufficient blood volume and reduced vascular filling, resulting in vasoconstriction and thin pulse.

And damp evil suppresses the veins, and fine veins can also be seen, but they must be thin and powerful.

Arterioles can also be seen in anemia, late febrile venereal disease, or chronic wasting disease.

When counting pulses, the pulses come quickly, with more than five pulses in one breath.Mainly seen in heat syndrome, including the entire process of some heat venereal diseases.

However, children's pulse rate is already fast, and Tangyuan is only three years old, so pulse counting can't explain too many problems.

The only thing that can know something is the thin pulse.

Coupled with the results of the inspection, Lu Xuan already had an accurate judgment in his mind.

However, even so, Lu Xuan still asked: "When did this situation begin for glutinous rice balls?"

Wu Xiaoyan thought for a while and said: "It seems to be the Mid-Autumn Festival last year, yes, after the Mid-Autumn Festival last year, Tang Yuan suddenly said that his stomach was bloated. At that time, Tang Yuan ate a lot of moon cakes. We thought it was just a little too much, so we didn't care. , Unexpectedly, the situation became more and more serious later.

I went to the hospital for a checkup, but couldn't find out a single reason. During this period, I watched the child lose weight day by day, and he couldn't sleep well at night. The adults were almost tortured by him.

The point is, the resistance is getting weaker and weaker, and I get sick at every turn. Last winter, I either coughed or was on the way to cough. When I coughed, I got a fever, and it took an injection to suppress it. But it didn't take long for me to cough again with bronchitis.

In desperation, I heard someone said that you were having a consultation at the health center, so I thought I would bring him over to have a look.

Doctor Lu, what is wrong with my glutinous rice balls? "

Hearing this, Lu Xuan felt that his judgment was not wrong, so he looked at Wu Xiaoyan and said, "The child must have eaten too much mooncakes during the Mid-Autumn Festival last year, and developed serious malnutrition."

"Calculation?" Wu Xiaoyan frowned slightly.

"It's what we often call accumulated food." Lu Xuan explained.

Only then did Wu Xiaoyan understand, but then she asked full of doubts: "Doctor Lu, is food accumulation so serious?"

"Infantile malnutrition is a condition that occurs in many children. Some children have milder symptoms and are harmless, while others have more serious symptoms. Like the current situation of Tangyuan, it is undoubtedly very serious."

"Don't feed your children too much food. There is an old saying that if you want your children to be well, they need to be cold and full."

At this point, Lu Xuan also became serious: "The child is only three years old, how big a stomach can he have? Eat so many mooncakes at once, even an adult would have to eat them. Children are not sensible, so are adults not sensible too? Let your children do whatever they want?"

"Dr. Lu, I didn't know that eating too many mooncakes would be so serious. If I had known, I definitely wouldn't have eaten so many glutinous rice balls." Wu Xiaoyan patted her thigh and said with regret.

"Doctor Lu, don't worry, I will remember it in the future."

Lu Xuan explained patiently: "Children's physical development is not yet complete, and eating a little more will easily cause spleen and stomach deficiency, and loss of circulation. Once the malnutrition is serious, it will not be cured in a short while. Like many diseases, chancres are chronic diseases with a long course."

In the concept of traditional Chinese medicine, there are two different explanations for the word "increased". The meaning of "increased" usually means that children are addicted to eating fat and sweet, which damages the spleen and stomach and injures the shape and energy. Malnutrition", while the other means "dry", most of the malnutrition is dry of spleen, stomach and body fluid.

The former is its etiology, and the latter is its pathology.

Therefore, the disease of malnutrition referred to in traditional Chinese medicine refers to the deficiency of the spleen and stomach in children, dry body fluid, resulting in haggard fur, thin muscles, thinning and wrinkled hair, and hot flashes in the afternoon; at the same time, there is muddy urine Turbidity like rice swill, large veins in the abdomen, protruding umbilical teeth, flowers, shrunken cheeks, dry nose, erosion of eyes, rubbing nose and digging ears, rubbing teeth and biting nails and many other symptoms.

In the view of traditional Chinese medicine, malnutrition is a chronic debilitating disease, and it is also the result of the transformation of various diseases.

Therefore, the ancients had a saying that "consumption over the age of 15 is tuberculosis, and malnutrition under the age of 15".

Therefore, malnutrition also includes food accumulation, insect accumulation, food damage, tuberculosis, calcium deficiency, anemia, liver disease, etc.

In short, malnutrition in children is related to the deficiency of the spleen and stomach and the disappearance of body fluid.

However, tuberculosis in adults is fundamentally different from malnutrition in children. The mechanisms of the two are different, and the syndromes and treatments are different.

There are many reasons for malnutrition syndrome, but in general, they can be summarized into two points:

One is eating fat and sweet food, the food is too mixed, it is not easy to digest, or the food is unclean, born of various insects, which damages the spleen and stomach, and stagnates for a long time to generate internal heat, excessive internal heat will damage yin, and the body fluid of the spleen and stomach will be damaged. The muscles become thinner and thinner, and the belly swells day by day, resulting in malnutrition.

The second is that the medication is too aggressive, resulting in damage to the spleen yin, internal heat due to body fluid injury, poor Qi movement in the middle burner, and accumulation of insect turbidity, which gradually leads to weight loss, abdominal distension, and exposed veins.

All in all, malnutrition is a disease of the spleen and stomach, and its pathology lies in "destroying body fluid" and "generating internal heat".

The situation of glutinous rice balls is a typical example of accumulation of glutinous rice balls causing damage to the spleen.

"chronic?"

When Wu Xiaoyan heard this, she was also a little nervous: "Then what should I do?"

"It's not difficult to cure malnutrition, but..."

Speaking of this, Lu Xuan paused for a moment, and then continued: "It's just that after you go back, you must not feed the child food that is too difficult to digest, and you must not eat too much in each meal, just the right amount, and the child will not eat too much. Growth, eat too much, malnutrition, not only will not grow, but will appear malnutrition, or even stop growing."

"I'll prescribe you a side medicine, take it for a week, and then focus on diet and recuperation. You can also take some Four Gentlemen Decoction as appropriate."

"Ah, thank you, Dr. Lu, thank you so much." Wu Xiaoyan quickly expressed her thanks.

Lu Xuan was immersed in writing down the prescription, and then he raised his head and said: "The ingredients in the prescription include Trigonella, Curcuma, Turmeric, Green Bark, Jade Piece, Burnt Hawthorn, and Gallus gallus gallus, which can help digest food and resolve stagnation. Coptidis Coptidis, Coptidis Coptidis, Aloe Vera, and Soap Alum clears away heat and eliminates troubles, kills insects in the flesh, promotes qi, promotes grass growth and widens the stomach.

The combination of various medicines can remove the accumulated stagnation and turbidity in the stomach and intestines, strengthen the function of the spleen, normalize transportation and transformation, and make it rise and fall freely. "

After finishing speaking, he also instructed: "Three doses of medicine, decoction in water, three times a day. After taking the medicine, the problem should not be serious. However, you still need to pay attention to your diet when taking the medicine. You should not be overly full. Come back for a follow-up visit later."

"Okay, I remember."

Wu Xiaoyan nodded heavily.

Lu Xuan didn't say much, and gave the medical record to Su Kenan: "Enter it in the system, and I'll get the medicine."

"Doctor Lu, why don't I go get the medicine, I can walk with this foot." Su Kenan got up and was about to go to the Chinese medicine store.

However, Lu Xuan pressed it back again: "Let me do it, your feet will take at least half a month to walk, and I am familiar with Chinese medicine, so the efficiency of dispensing medicine is higher."

Unable to defeat Lu Xuan, Su Kenan could only sit down again, carefully took Tangyuan's medical record, entered the prescription into the system, then generated a payment slip and handed it to Wu Xiaoyan.

Click, next.

Before Wu Xiaoyan left, the patient behind her came in.

Seeing that there were still people inside, he couldn't help but froze for a moment.

Wu Xiaoyan pulled the dumplings and stood up, waiting aside.

Su Kenan whispered: "Doctor Lu went to get some medicine. He will be fine soon."

"It's okay, I'm not in a hurry." The new patient responded with a smile, and then nodded to Wu Xiaoyan before sitting down.

Not long after, Lu Xuan walked out of the Chinese pharmacy with medicine in hand.

Wu Xiaoyan took the medicine and thanked her profusely before leaving the clinic.

Lu Xuan looked at the patients outside and began to speed up.

For the next patients, he didn't let Su Kenan try again.

On the one hand, there is not so much time, and there are many patients waiting outside. If every patient is allowed to have a try, Su Kenan may not be able to see them all in two or three days.

On the other hand, Su Kenan may not remember too much, and it may have a counterproductive effect at that time.

Rather than talking about chaos, it might be better to just say that one, and the effect may be better.

Since there was no need to explain too many pathologies to Su Kenan, the next step was much faster.

However, at noon, the uncle still brought the meal.

Seeing a doctor while eating is probably the only one in the entire Yongcheng medical field.

But there is nothing we can do about it. There are too many patients in the morning, and we will definitely not be able to finish them all if we don’t work overtime.

However, for Lu Xuan, it was both pain and happiness.

As far as he is concerned, he is full of motivation. If it weren't for the lack of manpower, he would even want Hu Meiqiu to let go of the registration. He will see hundreds of people a day, accumulate experience at the fastest speed, and become a teacher as soon as possible. Most diseases do not need to rely on the voice of the heart, but you can accurately differentiate the symptoms and prescribe prescriptions.

He didn't know when his miraculous ability to obtain the voice of his heart would disappear. The only thing he could do now was to accumulate as much clinical experience as possible while the ability was still there.

Generally, attending Chinese medicine practitioners basically sit for three days a week, and not necessarily all day long, sometimes just one morning or one afternoon.

All told, it might be a full two days.

Chief TCM physicians may spend less time in consultation.

According to this conversion, when Lu Xuan completes the schedule in a week, at least twice as much as the general attending Chinese medicine doctor, plus Lu Xuan working overtime at noon, it is three times.

It can be said that if he stayed in the clinic for one year under this situation, he would have accumulated three times more clinical experience than the average Chinese medicine practitioner.

Coupled with the precise guidance of a group of teachers, this time has to be doubled several times.

Three to five years later, he may not be worse than any famous doctor, or even stronger.

　PS: Let me talk about the plot, I read both the comment section and chapter reviews, whether it is good or bad, I generally don’t like to control reviews, that is, I will not delete bad book reviews, so there are some trash in the book review area, Some say it's okay.

　　However, the most talked about recently should be the plot. Going to the doctor every day is really boring, but after all, the protagonist’s reputation has not spread, and many plots are difficult to write, but it is only a matter of a few chapters, and the plot can be developed.

　　In the follow-up, it will not only talk about some knowledge of internal medicine of traditional Chinese medicine, but also acupuncture (acupuncture and moxibustion), cupping, scraping, etc.As for the surgery of traditional Chinese medicine, because there are not many medical books in this area, I have been looking for content in this area, so I can only say that I try my best.Simple Chinese medicine surgery exists, but it involves a deeper level, which has not been found for the time being.

　　Another point is that this book has a chance to be published in Sanjiang, so I would like to thank everyone for reading it in time and giving it a ride. [Update with [-] words after it is put on the shelves], if you send the blade if it is less than [-] words, anyway There are also readers who know where I am writing. At worst, I will attach the detailed address. After subscribing, I will add updates. The leader will add three chapters (one chapter should not be less than [-] words).

　　Above all, thank you for your continued support.

　　
　
(End of this chapter)