Come on, Dr. Wu

Chapter 414 Village Clinic
What Wu Xiaofu didn't expect was that Xie Yao didn't take them to the B&B, but took them directly to a clinic.

Yes, that's the clinic.

"Director Wu, welcome to the Bian Miao Village Health Center for inspection."

Hearing this, Wu Xiaofu couldn't help but twitch his lips. He could see that Xie Yao really didn't let go of any resources. He wanted him to make use of his value. Otherwise, who would bring tourists to the clinic?

Wang Linlin and Xu Qingmiao's faces also changed. Xu Qingmiao quickly came to Xie Yao and pulled him, "What are you going to do?"

"Director Wu is a great expert from the East China Sea. You also know the situation in Bian Miao Village. I just want Director Wu to take a look at our village clinic to see if there is anything that can be improved."

Xu Qingmiao rolled his eyes at Xie Yao and said, "Then you should also find some time. You have to let Director Wu have fun for two days first."

Looking at the two people who were plotting loudly, Wu Xiaofu felt helpless. You two are really not from the same family and you can't even enter the same house.

Qu Ying laughed happily, but Wang Linlin felt a little embarrassed.

"Director Wu, I'm sorry, this, this."

Wu Xiaofu didn't have any objection. It would be good if he could support primary medical care while having fun.

"It's okay, let's go in and take a look."

As soon as Wu Xiaofu opened his mouth, Xie Yao immediately became happy. Otherwise, he really just wanted Wu Xiaofu to help look after the clinic. Thanks to his and the villagers' efforts, the clinic has developed very well.

There are also two doctors with good academic qualifications working in the clinic, but they can only treat headaches and colds.

The situation in villages all over the world is actually similar. Most of the people in Bian Miao Village are still elderly, and the characteristic of these elderly people is that they delay treating minor illnesses and do not seek treatment for serious illnesses. These elderly people were very nice to Xie Yao when they were young, and many of them are still working in his shop now.

Looking at these situations, Xie Yao felt very distressed. When he heard that Wu Xiaofu was coming over, he suddenly had an idea and decided to see if Wu Xiaofu could help.

Enter the health center.

In fact, the conditions of grassroots health clinics are still quite good. The basic facilities cover two floors and have more than a dozen rooms.

Although the two doctors are young, they are both college graduates who passed the civil service examinations and came to the countryside. Although they lack grassroots work experience, they have a solid theoretical foundation. As long as someone guides them or they accumulate experience, they will be able to take on the position of village doctor in the future.

The two village doctors were both girls, about twenty-four or twenty-five years old, younger than Wu Xiaofu and Qu Ying. They had obviously heard of Wu Xiaofu's reputation, and when they heard that it was Wu Xiaofu coming, they immediately became excited.

Quickly take Wu Xiaofu to visit the health center.

Not to mention, not only the basic buildings, but the infrastructure is also very good.

In terms of drug supply, basic medicines are basically available.

As for medical equipment, we even have electrocardiographs and color ultrasound machines, and there is no shortage of other smaller machines.

But I could tell at a glance that it hadn't been used for a long time and was covered in dust.

The two doctors obviously haven't learned how to use it yet, which is normal. When they graduated from college, these Wu Xiaofu definitely didn't know how to use it either.

After turning around, Xie Yao looked at Wu Xiaofu nervously, "How is it?"

Wu Xiaofu nodded and said, "Not bad. How about this? I will stay here for four days. I will see patients here for three hours every afternoon. You can ask the elderly in the village to come and see the doctor.

If possible, please bring back another batch of Chinese medicine. I will make a list for you later and you can see if it works."

Upon hearing this, Xie Yao couldn't contain his surprise, but he also felt a little embarrassed. Wu Xiaofu only came for four days in total, but he took up four and a half days. It was a bit unfair.

Rubbing her hands, she said, "Director Wu, this is not good."

"Okay, I'll be happy to support primary healthcare."

Then he looked at Qu Ying, who nodded, "I'll help you."

For Qu Ying, it doesn’t matter what she does or where she is. As long as she is with Wu Xiaofu, she is happy doing anything.

There was nothing to worry about this time. Wu Xiaofu and Qu Ying returned to the B&B under the leadership of Wang Linlin.

The homestay here has been renovated, retaining the characteristics of Biannan while also having all the modern conveniences.

"This was renovated by Abbot Qingmiao. Now our B&B is the most popular one in the village."

Wu Xiaofu nodded when he heard this. It was obvious that there were a lot of people coming and going in the village now, and there were even more tourists in this B&B. If Wang Linlin hadn't reserved a room for them in advance, they would probably not be able to stay there.

"We have a party tonight. Director Wu, you and Dr. Qu can come and join us."

When in Rome, do as the Romans do. Wu Xiaofu naturally wouldn't refuse since he was here to have fun.

Tourists from all over the world gathered together, chatting about their own interesting stories, drinking a little wine and eating rich food. Wu Xiaofu and Qu Ying felt that all the pressure from their daily work was released and they relaxed.

Wu Xiaofu and Qu Ying got up early and went out for a run together. They were by the Erhai Lake, feeling the morning breeze. It was just the right season, not so hot. The sea breeze made them feel much more comfortable.

The two of them walked like this, passed by a rice noodle shop, ate a bowl of rice noodles together, and felt that life was more beautiful and their hearts were sweeter.

There are many beautiful scenery around the village.

Wu Xiaofu and Qu Ying walked around for the whole morning, and Wang Linlin called them to have dinner before they could go back.

Wang Linlin is going to take Wu Xiaofu and Qu Ying to a specialty store at noon. The store serves local specialties of Biannan. Wang Linlin and Xu Qingmiao like them very much and let Wu Xiaofu try it as well.

Xie Yao was also there, and the Chinese medicine was brought back. I have to say that Xie Yao's ability to get things done is impeccable.

The food in this restaurant is really good. After getting used to eating Donghai cuisine, it feels like a change of taste every now and then.

After a short nap at noon, I arrived at the clinic at two o'clock in the afternoon.

The elderly people in the village were already waiting in advance.

It wasn't as chaotic as I had imagined, and there were actually people maintaining order.

Looking at Xie Yao, Xie Yao quickly spoke.

"You are here to have fun, and I can't let you get too tired, so I have assigned numbers to the people in the village who need medical treatment. You have to come in order over four days. There are thirty of them today. I have also found someone to maintain order and I guarantee that you won't have to worry too much."

Listening to Xie Yao's words, Wu Xiaofu nodded. He took everything into consideration. No wonder he could achieve such a great success. Xie Yao also came back from Donghai to support rural undertakings. He had a postgraduate degree and earned a lot of money. It actually took a lot of determination for him to come back.

With two doctors and Qu Ying cooperating with Wu Xiaofu, the consultation work was not difficult.

Those devices were just gathering dust there, so Wu Xiaofu simply let individual patients try them out. Qu Ying knew how to use them, so it was a good opportunity to teach the two doctors.

Four days is enough time for them to learn and use it in the future.

Of course, these are just basic equipment, and it is definitely impossible to make a detailed diagnosis using only these.

To be honest, this is also the reason why many great experts cannot play a big role when they go to the countryside. Western medicine attaches great importance to instrument data. Without these, the difficulty of diagnosis will increase sharply. They are used to being cautious and are not used to making diagnoses and prescribing medicines without definite evidence.

Of course, Wu Xiaofu is not subject to these restrictions.

His current level of Chinese medicine is already very good, and with the assistance of these basic equipment, it is enough.

In fact, most of the elderly people in the village still suffer from some underlying diseases.

Hypertension, diabetes, heart disease, cerebral infarction, and some digestive system diseases.

In fact, these can all be treated with traditional Chinese medicine.

The first patient to see the doctor was an elderly female patient in her seventies, Xie Yao said beside her.

"This is Grandma Xiulan. She fell while picking mushrooms in the mountains yesterday and broke her arm. Her family wanted to take her to the hospital in the city, but she didn't want to go. It's a good opportunity for you to take a look. If she needs surgery or something, we can arrange it right away."

Wu Xiaofu nodded when he heard this and looked at Grandma Xiulan. To be honest, at the age of over 70, Grandma Xiulan's physical condition is very good. Who else at this age would go up the mountain to pick mushrooms?

Distal radius fracture.

After the examination, Wu Xiaofu had an idea. After feeling the patient's pulse, he ruled out the possibility of cerebral hemorrhage.

In fact, if an elderly person falls and suffers a fracture, it is not a big deal. After all, it is not life-threatening and can be delayed. However, cerebral hemorrhage is not a good thing. If an elderly person falls, it is very easy to get cerebral hemorrhage, and this must be paid attention to.

"It's just a fracture of the distal radius. I'll put it back in place and fix it with a plaster. It will only take about a hundred days for you to recover. No surgery is needed. But when I remove the plaster, you have to take me to get an X-ray. I'll remove it when it's healed."

Xie Yao and Grandma's family were also happy to hear this. It was good that there was no need for surgery. If surgery was really needed, they didn't know how to persuade Grandma. They were afraid of spending money and were used to getting sick. If they were asked to treat her, they would rather be disabled than do it.

While preparing the plaster, I also took the opportunity to teach the two doctors. Basic things like plaster are available in the clinic and the operation is simple. It is actually just a matter of running water through it and measuring the size.

The two of them are not stupid and they can do this simple operation after just one lesson.

One of them was asked to cooperate with Wu Xiaofu to perform the reset while he was explaining. Grandma Xiulan was listening with great interest. Although she didn't understand, she thought it was very powerful.

Click!

A voice came, and before Grandma Xiulan could shout, Wu Xiaofu had already finished the operation. In just one move, the fracture was reduced. Wu Xiaofu had performed this operation countless times in the emergency room and was very skilled at it.

Just put on a plaster and it's done.

The people behind were even more convinced after seeing what Wu Xiaofu did. Not to mention anything else, Xiulan's grandmother was in so much pain yesterday that she couldn't sleep. Even painkillers didn't help, and it hurt even more when touched.

It’s different now. Although it’s still uncomfortable, at least it doesn’t hurt anymore.

The second patient was younger, only in his fifties, but he was thin, not in good spirits, and had dry lips.

After asking about the medical history, I found out that the patient was drinking, eating, and urinating frequently, which are typical symptoms of diabetes, and this was confirmed by taking the patient's pulse.

"You have diabetes, you need to take medicine."

diabetes?
The patient was shocked when he heard this. This wasn't a village where information was cut off. How could he not know what diabetes was?

Not to mention other things, some of his co-workers who work away from home have diabetes. Not only do they have to take injections every day, but they also can't eat this or that.

He once joked that it was a good thing he didn't do that, otherwise, this kind of life would be worse than death.

Now, he has it too.

"Director Wu, I don't want to get an injection. It's expensive and painful, and it's worse than death. Do you have any other solution?"

Wu Xiaofu asked Xiaonan to measure the patient's blood sugar. What a coincidence, there were two doctors in the clinic, one with the name ending in "Nan" and the other ending in "Bei", so there was just Xiaonan and Xiaobei.

26.5, this blood sugar concentration is not low, but it is not surprising. The patient has had symptoms for several years and has never been treated. The blood sugar level has remained high and has been rising all the way. All organs of the body have been affected, so this blood sugar level is also expected.

From a Western medicine perspective, this blood sugar level cannot be lowered by medication alone, and injections are necessary, but the patient is willing.

You can try Chinese medicine treatment.

Diabetes is actually a disease of thirst, which is characterized by thirst and good appetite. The patient loses weight day by day. In addition, the kidney and bladder meridians are qi-transforming, so the patient urinates frequently with a sweet taste.

In ancient times, the main basis for diagnosis was the sweetness in urine and the attraction of insects and ants.

Now some elderly people also use this folk remedy. They urinate on the ground, and if ants gather there, they know that their blood sugar is high.

From the perspective of traditional Chinese medicine, there are actually several main causes of diabetes.

1. Excessive sexual intercourse and kidney yin deficiency. Diabetes caused by insufficient kidney essence and qi is a dialectical relationship with the kidney. It is usually accompanied by spleen and stomach imbalance and the spleen's inability to control sweetness. It was a single symptom in ancient times, but nowadays, nine out of ten diabetes are caused by kidney.

2. Improper diet, excessive heat in the lungs and stomach, and a preference for drinking fatty, sweet, and greasy foods can generate dampness that turns into heat, damage the stomach yin, and block the spleen qi. Over time, this can lead to difficulty in dispersing the qi in the middle burner of the spleen and stomach.

The spleen governs the limbs. If food and water cannot rise and fall in the limbs, weight loss will occur. This is because the spleen cannot control sweet taste.

It cannot flow through the twelve meridians to the various organs to form the essence of the internal organs, but instead flows through the lower burner along with the waste of the internal organs. In addition, the Yin fire in the stomach is alone and hyperactive in the middle burner, consuming the true Yin and failing to disperse the body fluids.

Just like a stove with a fire at the bottom, the lungs are the organ that circulates qi and disperses body fluids. When the stomach is burned, the earth cannot produce metal and restrains water. Metal and water cannot produce each other. The vital energy cannot be nourished downwards and cannot be circulated, causing thirst without being thirsty. This is also the most common cause of diabetes today, even after it was proposed.

3. Congenital deficiencies. People with congenital deficiencies are often classified as suffering from diseases such as infantile malnutrition, which is easy to confuse. Nowadays, most of them are generally classified as type 1 diabetes.

This type of diabetes is different from most cases of diabetes. Symptoms of diabetes appear early and are poorly controlled by medication.

But in traditional Chinese medicine, this is not the case, because traditional Chinese medicine does not have a pancreas. During clinical diagnosis, it is necessary to combine Western medicine examinations with traditional Chinese medicine thinking. "Western medicine divides diseases into mild and severe, and traditional Chinese medicine discusses miscellaneous diseases." Both are indispensable.

We need to distinguish both the names of diseases in traditional Chinese medicine and those in Western medicine and analyze them carefully. In fact, type 1 diabetes is not that complicated. In comparison, warming and nourishing the acquired constitution, using the innate constitution, paying attention to breathing, and practicing internal skills generally have miraculous effects.

Therefore, the treatment of type 1 diabetes mainly focuses on tonification, and the medications used are suitable for high-quality products. This is different from the three methods of tonification, elimination and purgation for type 2 diabetes. Most people with type 1 diabetes are born with insufficient kidney essence, which leads to deficiency of various internal organs.

These modern Chinese medicine prescriptions are all left over from ancient times, and have been adjusted and improved. It is believed that warming medicines are still the best choice for the treatment of diabetes. The medicine enters the body through the spleen and stomach, and the five elements are divided. Of course, diabetes is generally caused by yin deficiency as the main symptom and hyperactivity of fire as the symptom. The effect will be better if both attacking and supplementing are used.

Both Baihu Renshen Decoction from Zhongjing and Xiaoke Pills from Zhang Xichun are effective, but Wu Xiaofu found in clinical practice that with the advancement of the times, most cases have become those with weak spleen and stomach, liver yin deficiency, insufficient kidney water, and hyperactivity of heart fire.

At this time, the spleen and stomach are still the main focus, with the goal of unblocking the Qi mechanism. Over time, the generation of pathological products is discovered, so Wu Xiaofu believes that the treatment of diabetes at this time should be shifted to attacking, supplementing and eliminating.

So for this patient, Wu Xiaofu felt that coptis chinensis and dried ginger, the first medicine for the spleen and stomach, should be used. The ratio of coptis chinensis to dried ginger is 3:1 to neutralize the dryness in the stomach, and calm the pathological products of dampness and heat in the stomach, and it should be combined with some tonic products for yin and yang to treat the combined symptoms of menstruation and excrement.

Thinking of this, Wu Xiaofu did not hesitate and directly suggested taking Chinese medicine for treatment. The patient was naturally very happy.

For them, there is no better way to cure diseases than taking Chinese medicine.

Wu Xiaofu asked Qu Ying to help him get the medicine, but he had to give her the necessary instructions, "Less sexual intercourse, less fatty and greasy food, less..."

(This is purely my personal opinion. Please do not follow the example of taking medicine for treatment. You should still seek professional treatment from a professional doctor.)
(End of this chapter)