I can hear the voice of Chinese medicine

Chapter 71 The more you understand, the more doubts you have
"Lu Xuan, I've already called you foster father. If you don't teach me, I will fight you to the death."

When Lu Xuan had already walked into the consultation room of the Chinese medicine department, Ji Xiuwen's low voice of "shameless" could be heard vaguely in his ears.

Shaking his head helplessly, Lu Xuan came to the consulting room and sat down.

I still vaguely remember that when we were in school, the two joked that if one day someone wanted to call them real skills, he could even call him foster father. Unexpectedly, Ji Xiuwen actually called them.

Although it was just a joke among friends, to a certain extent, Ji Xiuwen's desire for clinical experience can also be seen.

If he didn't really want to learn, even if it was just a joke, Ji Xiuwen couldn't really shout.

"What happened outside?"

Su Kenan asked curiously.

There was quite a lot of commotion from the Laboratory Department just now, but because she ran to get medicine for the patient, plus her legs and feet were inconvenient, and she didn't like to join in the fun, so she didn't go over to take a look.

But vaguely, she heard many people praising Lu Xuan, and she couldn't help but ask.

Lu Xuan gave her a surprised look. With Su Kenan's temperament, no matter how curious he was, he would probably not ask.

Is the sun coming out in the west today?

Lu Xuan glanced back subconsciously. The one rising in the east was quite normal!
"It's nothing serious. It's just that a child fell off the blood draw table and was concussed and unconscious. She was given acupuncture and moxibustion, and now she's cured." Lu Xuan said calmly.

Su Kenan's water-like eyes flashed with brilliance. Was he cured of concussion and coma with just acupuncture?

Although she has not had much exposure to acupuncture, she also knows that acupuncture is easy to learn but difficult to master.

Most people can learn by themselves at home. Anyway, if you can't prick the patient, you can prick yourself. Start with the simplest acupuncture points that will not cause harm to the human body. It is not difficult to learn something.

However, using acupuncture to treat some difficult and complicated diseases, or even emergencies, is not something that ordinary people can master.

I originally thought that Lu Xuan was only accomplished in Chinese medicine, internal medicine and bone setting, but I didn't expect that he could also do acupuncture.

You must know that there are actually very few such comprehensive Chinese medicine practitioners nowadays.

Most Chinese medicine practitioners basically only know the same thing.

Either they are good at internal medicine of traditional Chinese medicine, that is, pulse differentiation and prescribing prescriptions, or bone setting or acupuncture and cupping, etc., there are not many all-rounders.

However, ancient Chinese medicine is different. Whether it is internal medicine, bone setting, or acupuncture and cupping, they are all very proficient.

It is conceivable how much the almost omnipotent Lu Xuan shocked her.

"It's not as casual as what he said. In that situation, ordinary Chinese medicine practitioners, even if they are good at acupuncture, would not dare to give acupuncture easily."

At this moment, Ji Xiuwen walked in from the door and said with a smile: "This guy is very skilled, but he is also very courageous. A two-year-old child dares to give an injection easily. Anyway, I would definitely not dare. "

After finishing speaking, he gave Lu Xuan a look, don't forget that I'm calling foster father, don't forget what you promised me.

Lu Xuan rolled his eyes and turned to look at Su Kenan: "Kenan, keep calling."

Su Kenan earnestly carried out the tasks assigned by Lu Xuan.

Ji Xiuwen didn't care, anyway, he was entangled with Lu Xuan.

He had to learn the art of acupuncture.

Not to mention anything else, if you can master acupuncture, you will be popular wherever you go.

Even if you don't go to the hospital and are not in the system, you can open a clinic by yourself.

When Ji Xiuwen was thinking about this, the person who was called was a very polite patient who knocked on the door, and walked in after Lu Xuan raised his head to signal.

"Doctor Lu."

Chen Yunyun greeted Lu Xuan politely, and then sat down.

Lu Xuan glanced at the other party and already judged the other party's situation in his heart, but still asked politely: "Ms. Chen, are you feeling uncomfortable somewhere?"

"Doctor Lu, I have been suffering from vitiligo for many years. I have seen it in the hospital. I have taken a lot of medicine and applied a lot of medicine. I spent a lot of money, but the vitiligo on my body has never disappeared. How good, and more and more, more and more serious."

Chen Yunyun took off the sun protection clothing he was wearing, revealing the white marks on his arms.

Chen Yunyun's skin lesions manifested as local depigmentation spots, which were milky white and varied in size, ranging from 1 to 2 cm to [-] cm.The boundaries of white spots are clear. In some cases, the pigment is increased at the edges, and in some white spots, residual normal skin islands can be seen.The hair in the white spots can also turn completely white, and the mucous membranes can also be invaded.

When this kind of disease occurs, it is mostly one or several hypopigmentation spots, and the pigment has not completely disappeared, so the boundary with normal skin can be unclear. There are also punctate hypopigmentation spots at the beginning, and the skin lesions gradually develop and expand, and the pigmentation is completely lost. It can be integrated with each other, and the boundary with normal skin is gradually clear.

The development and rest of the skin lesions are carried out alternately. Some patients have obvious seasonality. Some patients have skin lesions that are confined to certain parts for a long time, while some patients develop rapidly and spread to the whole body.

Chen Yunyun's condition is pretty good, it's only on his face and limbs, but it hasn't spread to his whole body.

With the current speed of development, it will only be a matter of time before it affects the whole body.

This is definitely a terrifying thing for a woman.

"I can wear clothes to cover my limbs, but I really don't know what to do with my face. People will always look at me strangely when I go out."

Speaking of this, Chen Yunyun couldn't help but let out a long sigh.

Although she also knows that the person looking at her is not intentional, she often warns herself not to care about other people's eyes.

But as a woman in her 30s, how could she not care about these things?

Moreover, Chen Yunyun is actually not bad looking. Although his skin is a bit darker, he looks very good, and his skin is actually very healthy except for vitiligo. Although he is not very beautiful, he is definitely not ugly. Such a beautiful woman.

But now, I have these white spots on my face, and I can imagine how worried I am.

Lu Xuan can also understand that in this situation, let alone a woman, even a man can hardly say that he doesn't care.

There is no one who does not love beauty.

Just like what Chen Yunyun said, she can wear clothes to block the ones on her arms, but how can she block the ones on her face?
Seeing that Lu Xuan remained silent, Chen Yunyun asked, "Doctor Lu, can my condition be cured by taking Chinese medicine?"

Lu Xuan pondered: "I'll take a look first."

The pathogenesis and etiology of vitiligo are still unclear, but modern medicine generally believes that the onset of vitiligo is an individual with genetic qualities, which is manifested in various aspects of immune function, nerves, spirit, endocrine, and metabolism under the stimulation of various internal and external factors. Disorder, leading to the inhibition of the enzyme system or the destruction of melanocytes, or the production of melanosomes or the melanization process, and eventually the loss of pigment.

Mental factors and neurochemical factors may play an important role in the pathogenesis.According to clinical observations, mental factors and trauma are the main inducing factors of vitiligo, and summer is the season of this disease.

Chen Yunyun's vitiligo also became more serious at this time, and many of the spots appeared new.

In traditional Chinese medicine, Vitiligo is called "Vitiligo", "White Bark", and "White Bark Wind".

In "On the Causes and Symptoms of Various Diseases", there is a record of "Vitiligo, the face, neck and body flesh color turns white, which is different from the flesh color, and it does not itch, so it is called Vitiligo". There is also a related record in "Song Dynasty" Shengji Zonglu, "Shengji Zonglu" also said "... ...In mild cases, there are only white spots, and in severe cases, the whole body will be gray after a few months...The hair also changes, and it is not bad all year round."

Traditional Chinese medicine believes that emotional internal injury can cause stagnation of liver qi, poor movement of qi, and repeated wind and evil strokes on the skin, resulting in disharmony of qi and blood, which cannot nourish the skin. Obstructed in collaterals; liver and kidney have the same source, liver deficiency and kidney deficiency, Weirong has no chance to flow freely, and the skin, hair and interstitial tissue are not nourished and cause disease.

Lu Xuan didn't know much about skin diseases, and that was all he could remember.

However, fortunately, there are some things to be pointed out, otherwise Lu Xuan would have a headache in this situation.

After listening for a while, Lu Xuan suddenly realized.

In the concept of traditional Chinese medicine, vitiligo syndrome types are divided into six types: disharmony of qi and blood, internal dampness and heat, liver stagnation and qi stagnation, liver and kidney insufficiency, spleen and kidney yang deficiency, and meridian blockage. The symptoms and characteristics of different syndrome types are also different.

For example, Qi and blood disharmony, generally white spots are light in color, with blurred edges, and develop slowly, showing the characteristics of a pale tongue and thready pulse.

Chen Yunyun's condition belongs to acral vitiligo, which mainly occurs on the face and extremities. According to the location of viscera in traditional Chinese medicine, the location of the disease should be the heart and spleen.

Because the heart governs the blood vessels, which are on the face, and the spleen governs the limbs and is the source of Qi and blood biochemistry, the weakness of the heart, spleen and blood will inevitably affect the imbalance of Qi and blood in the meridians in the parts it controls, which will then cause changes in local skin color and form white spots on the skin. , which is also the main type of vitiligo lesions, so during treatment, the main focus should be on tonifying the heart and spleen.

Lu Xuan pondered for a while, and wrote down the prescriptions in Chen Yunyun's medical record: Raw Astragalus 15g, Polygonum Polygoni Multiflori 30g, Caulis Polygonum 10g, Radix Paeoniae Alba 20g, Ligustrum lucidum 10g, Angelica 10g, Safflower 10g, Mozaolian 15g, black sesame 20g, windproof 10g.

Then it was handed over to Su Kenan for registration into the system.

After Chen Yunyun went out with the fee receipt, before Ji Xiuwen got up, Lu Xuan explained: "There are too many patients, I will let you try it yourself according to the situation, some things, if you talk too much, you will actually I can't remember."

Ji Xiuwen was stunned for a moment, stood up and said with a smile: "You don't have to tell me so clearly, I know."

If every patient had to explain it clearly to them and let them try it, I'm afraid it would be enough to see a dozen patients a day, or even less than ten patients if there were some intractable diseases.

Naturally, Lu Xuan couldn't let them try one by one.

Moreover, one or two quarters of Xiuwen a day is enough.

I went to a big hospital and worked as an assistant for other doctors. On average, I didn’t know if I could have one assistant per day.

Even if there is, it is impossible for Lu Xuan to explain it carefully.

Lu Xuan smiled: "Actually, you can think about it carefully these two days. While studying systematically, you can specialize in a certain type of disease. Just like Su Kenan, she is more interested in gynecological diseases."

When it comes to gynecological diseases, Su Kenan's fair face is visibly red.

Ji Xiuwen didn't pay attention to these, but stood there and thought about it, then nodded and said: "Okay, I'll think about it these two days."

He actually wants to learn all the subjects, but he also has self-knowledge. With his talent, he wants to learn all the diseases well. Not proficient in the situation.

In other respects, there is nothing wrong with such a situation, but Chinese medicine is not enough.

Rather than knowing a little bit of everything, it’s better to specialize in a little bit.

As for why Lu Xuan knew everything and seemed to be so proficient, Ji Xiuwen could only curse a pervert in his heart, and then walked into the Chinese medicine pharmacy with the charge sheet.

Lu Xuan didn't say much. He knew Ji Xiuwen's character and knew he would make a choice.

The Chinese medicine department on Monday was busier than usual.

Not only were there new patients, but there were also patients who needed to be re-examined last week. After a whole day, Lu Xuan's fingers were almost numb.

When the last patient was sent away, Lu Xuan couldn't help but stand up and stretch: "Finally finished reading."

Ji Xiuwen now really believed what Hu Meiqiao said.

In the Traditional Chinese Medicine Department of the health center, it is no longer a question of whether it is busy or not, but that there are too many registered patients.

Moreover, because of his arrival, Lu Xuan deliberately let go of the registration in the morning. In one morning, apart from wasting some time trying to identify the pulse for them twice, at other times, Lu Xuan was basically rushing, wishing to send 1 Minutes are divided into 2 minutes. I worked overtime at noon until I was about to go to work in the afternoon before I finished reading the number 75 registered in the morning.

Thief horror.

Ji Xiuwen thought of the county hospital of traditional Chinese medicine he had been to. How many Chinese medicine doctors could see patient No. 75 in one morning?

No, none at all.

It's not that he can't see it so quickly, or that he's unwilling to work overtime to see it, but that few Chinese medicine practitioners can get so many patients to take the initiative to call him.

This kind of situation can only be seen in women and children's hospitals.

Especially the Municipal Women's and Children's Hospital. Ji Xiuwen went there once, accompanying relatives and children. In the emergency department, a doctor can see at least a hundred patients in a morning. If he is fast, he can treat two hundred patients.

However, Western medicine is different from Chinese medicine in that it lacks the process of pulse and syndrome differentiation.

These processes have been replaced by modern medical equipment.

What the doctor needs to do is to see and confirm the symptoms through examination, and then prescribe medicine according to the situation.

After packing up, Lu Xuan suddenly looked at Ji Xiuwen who was also packing up: "Go out for dinner tonight?"

Ji Xiuwen raised his head, "Okay!"

"It just so happens that I have something to ask..."

Ji Xiuwen opened his mouth.

Lu Xuan could tell from the shape of his mouth that he seemed to be calling... foster father?
Lu Xuan was speechless for a while, but he didn't leave. Instead, he waited for Cheng Gaowen and Zhou Liting to arrive, took their pulse and prescribed this week's medicine before leaving the Chinese Medicine Department with Ji Xiuwen.

Just as he walked out of the consultation room, he was stopped by Wang Youqing.

Seeing that Wang Youqing hadn't left yet, Lu Xuan was stunned for a moment, and then suddenly realized: "Uncle, are you planning to treat us again?"

"You saw it."

Wang Youqing bared his teeth: "But I think you two are going out for dinner?"

Lu Xuan nodded: "Well, Xiuwen has just arrived. As the host, I can't treat him to a meal? Uncle, come together, but today you don't need to treat me as usual, I will come."

After speaking, he laughed.

Wang Youqing shook his head slightly: "Forget it, you two go ahead. I'm going, and I'm afraid Xiao Ji won't be able to let go."

After finishing speaking, before Lu Xuan asked him to stay, he carried his bag and walked into the elevator.

"Is it okay?"

Ji Xiuwen was a little worried.

Lu Xuan waved his hand: "It's okay, uncle is just like this. If we didn't know each other, he would definitely take you out to have a good time today."

"Let's go and eat some grass at the cows opposite."

"Row."

Ji Xiuwen doesn't pay much attention to what he eats. What he is most anxious about now is to know what happened to his good friend in the past half a year to make such a big change.

In one day, the more he knew about Lu Xuan, the doubts in his heart not only did not decrease, but actually increased.

(End of this chapter)