Song Yi

Chapter 170 Female Infertility
Du Wenhao shouted: "If you don't have a clear diagnosis, how can I treat you? Do you want me to operate on you immediately and open your stomach for inspection?"

"No! Don't! Don't touch my belly! Ouch..., mother! Don't let them cut my stomach..., mother! I'm afraid..., I don't want them to cut my stomach...!"

"Okay! Don't cut it! Don't cut it! ——Dr. Du, can you cure my son's disease without cutting the abdomen?"

Du Wenhao frowned: "Looking at the current situation, it is preliminarily concluded that it is a stomachache, which may have developed into a large chest syndrome. If that is the case, the only way to heal the wound is by caesarean section..."

"I don't! I don't want a laparotomy...! Mother! I don't want to have a laparotomy...! Ouch..."

The lady continued to comfort her daughter and begged Du Wenhao to treat her without caesarean section.

Du Wenhao smiled wryly, thought for a moment, and said: "Her current condition has not developed into a critical condition, and there is no need for a laparotomy for the time being. How about this, I will give her acupuncture and moxibustion to relieve pain, and observe for a long time to see if she can be treated with decoction."

The lady said: "Can't we use medicinal soup now?"

"No!" Du Wenhao shook his head and said, "If the judgment is correct, Ling Ai's disease may have developed into a large chest syndrome, that is to say, there may be perforation in the abdominal cavity and stomach, leading to abdominal infection, so fasting is necessary. To prevent the decoction from flowing into the abdominal cavity and aggravate the condition. We can only use acupuncture to relieve pain first, and at the same time, fasting and gastric tube decompression are used to help close the perforation, and then decide what to do next according to the situation..."

Ms. Wei moaned and said, "Okay! You can treat it quickly! As long as you don't have a laparotomy, you can do anything, it hurts..."

Du Wenhao asked her to take a half-sitting position, which was beneficial to relieve abdominal pain.Take golden needles, choose Zusanli, Zhongyuan, Tianshu as the main points to insert, and add Qihai and Guanyuan.Deep puncture and needle retention for half an hour, each cup of tea is used to strengthen the technique.

Acupuncture once every three hours.After each acupuncture, let Xue Feier pay attention to observe the patient's condition to see if there are bowel sounds.

The hospital was busy with business without accepting the money, and after handing over the patients to Du Wenhao, he drove back to the hospital.

Du Wenhao came out of the ward after applying the needles, and Pang Yuqin came to meet him. After asking about the situation, he said, "Husband, Mr. Zhuang is here to visit."

"Zhuang Jimou? Hehe, are you talking about his concubine's pregnancy?"

"It seems that he brought his wife and two concubines with him. He was cheerful, and the servant who followed him picked out a load of gifts. By the way, there was also a young man and woman who came with him. I don't know who they are. Meeting, I said to report, but they heard that you were treating a disease, so they stopped them, and waited for you to finish your work. Now you are waiting in the living room."

"Okay, let's go and have a look." Du Wenhao started to leave.

"Husband!" Pang Yuqin hesitated to speak.

"What's wrong?" Du Wenhao turned around and asked.

Pang Yuqin hesitated for a moment, but said in a low voice: "Master Zhuang is now the young governor of the Kaifeng Mansion, in charge of medical affairs. When I see Master Zhuang later, why doesn't my husband ask him to train the stable women in Kaifeng Mansion on midwifery knowledge? Last time Pan from the Imperial Medical Bureau The judges underestimated what my husband said. Although my husband endured it, we always felt aggrieved in our hearts. We must prove that what my husband said is correct and win back this tone. Moreover, let those stable women know the new delivery method, It is also a good thing to benefit the people.”

Du Wenhao nodded and said: "It makes sense, it doesn't matter if you don't live up to expectations, but what you said about training Mrs. Wen is indeed a great thing to accumulate virtue. I will mention it to him later and let you and Fei'er go Teach them."

When he came to the living room, Zhuang Jimou was chatting happily with his three wives and concubines, when he saw Du Wenhao coming in, he hurriedly got up and greeted Du Wenhao.

After the guests and hosts were seated, Zhuang Jimou cupped his hands and said, "Sir! Our visit this time is to thank you for your kindness. If it wasn't for your master's rejuvenation, I am afraid that the incense of my dealer will be cut off. I brought some small gifts and returned Please accept it sir."

The servant sent the gift list, Du Wenhao glanced at it, 200 taels of silver, and several bolts of silk and satin.Zhuang Jimou's move was quite generous, Du Wenhao bowed to thank him, and then said a few words of humility.Then the topic was brought to Zhuang Jimou's official affairs.

Du Wenhao shared his idea of ​​setting up a stable wife training class and letting his wife and younger sister teach the class.

When Zhuang Jimou heard it, he applauded.

In ancient times, the Wen Po (midwife) was under the unified management of the yamen, which was registered and compiled by the Yamen. Zhuang Jimou was the Shaoyin of the Kaifeng Mansion, who was in charge of medical affairs, and the Wen Po was in his charge.Du Wenhao helped him cure impotence, and his concubine got pregnant smoothly. He was full of praise for Du Wenhao's medical skills. Although he still didn't understand the necessity of training stable women, since Du Wenhao said it was necessary, it must be necessary Besides, it is always good to let a doctor with excellent medical skills to train.

Du Wenhao briefly talked about the serious consequences such as postpartum stroke caused by the backward knowledge of midwifery, which also explained the importance of training stable women.Zhuang Jimou and Liu Shi are both experienced people. They have heard and seen that many mothers and newborns died of postpartum stroke and other diseases. I'm very happy, it's a great deed to have no excuse to praise Du Wenhao.

When it comes to details, Zhuang Jimou is sophisticated and said: "The training of the Wen women should not be rushed. These old women have developed a habit for many years. If you force them, I am afraid that these Wen women will talk nonsense in private, and they will be obedient. It also depends on your training problems. So, I mean, first train young women under the age of 40. These people's delivery habits are not stable, easy to correct, and more obedient. Wait until the death rate of these women is reduced Yes, with the obvious effect, other stable women will naturally feel envious, and will take the initiative to ask to participate in the training. We will vigorously publicize the effect of the new method of midwifery, and it will be known to everyone. Naturally, mothers will also ask for the new method of midwifery."

Du Wenhao nodded and said: "This is a good way, advance steadily, point to point, avoid rebound. Let's do it like this!"

Only then did Zhuang Jimou introduce the young couple who had been by the side with smiling faces all the time: "These two are Master Cao Canjun and Wei of the Yamen. They have also been married for many years and have not been able to conceive a child. I heard that I was treated by my husband and finally conceived." After having a child, I admire her very much, so I came here to seek medical treatment."

Hu Cao Canjun is a small official in charge of household registration, from the eighth rank.

Wei Cao Jun hurriedly got up and clapped his hands together with a smile: "Mr. Du, please help my husband and wife. If you can continue the incense, I will be very grateful!" His wife Cheng also got up with a blushing face and gave a blessing.

Du Wenhao hurriedly got up to return the salute.

Zhuang Jimou said: "Okay, we'll leave when you see a doctor!" He agreed to notify them when the training course was ready, and then Zhuang Jimou's family left.

After Du Wenhao asked, he learned that the couple had been married for six or seven years and had no children. Both the family and the husband were very anxious and sought medical treatment in many ways, but nothing worked.

Du Wenhao glanced at Mrs. Cheng, and saw that she was rather muscular, with a ruddy complexion, a faint black hair on her upper lip, and a red tongue when she looked at the back of her tongue.Can't help but move in my heart, said: "I'll check the pulse for you two first."

Wei Canjun's pulse was normal, and Cheng's pulse was stringy and rapid.

By examining the pulse, Du Wenhao found that Cheng's arms were also more hairy and dark.Du Wenhao already had calculations in his mind.

He asked Pang Yuqin to take Cheng to the next room for a gynecological examination and consultation.Du Wenhao had already taught her the essentials of inspection.Before going, I whispered the key inspection items and the content of the consultation.

Here Du Wenhao inquired about Wei Canjun's intercourse situation, and learned that their intercourse had been harmonious. The man's ejaculation, duration, ejaculation and ejaculation volume were all normal. The preliminary judgment was that the woman's problem caused the infertility.

After a while, the two came back, and Pang Yuqin whispered to Du Wenhao: "Her lower limbs, around the breasts, and the midline of the lower abdomen are hairy, and a few are relatively long. You can touch both ovaries with your hands."

"How's your menstruation going?"

"I asked, the menstrual cycle is very short, usually about 20 days, and sometimes the menstrual cycle lasts longer, lasting more than ten days. The menstrual blood is bright red."

"Any other symptoms?"

"Well, pain in the two flanks before menstruation, often pain in the head, irritability, dreaminess, bitter mouth and dry mouth."

Du Wenhao nodded, and asked Cheng, "How do you usually eat? Do you like sweet or spicy food?"

"The diet is okay, I like spicy food."

"Have you used any supplements before?"

"I have used it, I have taken some warming supplements."

According to the diagnosis and examination, Cheng's abnormal hormone secretion caused hirsutism, coupled with the obvious enlargement of both ovaries, it was preliminarily judged to be polycystic follicle syndrome of Western medicine. This disease is often caused by endocrine disorders and is relatively difficult to treat. , Polycystic ovary must be treated fundamentally to restore the ovary to its normal function.Du Wenhao did not have more modern examination and treatment methods, so he decided to start with conventional treatment first, and first correct menstruation.

In the Song Dynasty, of course, we could not find a cure from the perspective of western medicine, but could only use TCM syndrome differentiation and treatment. Du Wenhao said to Cheng: "Your body is full of yang, and you like to eat spicy and warming products. Emotional disorders, liver stagnation and fire, rush Ren Fu heat, forcing the blood to flow indiscriminately, the sea of ​​blood is restless, the menstrual blood falls in advance, and the heat destroys the blood, so the blood volume is profuse, the complexion is rosy, the tongue is red, and the pulse is stringy and rapid, which is the sign of liver congestion and heat. Syndrome of blood stagnation and heat. I am going to use Longdan Xiegan Decoction to help you treat it. The purpose is to clear away heat and cool blood, soothe the liver and regulate menstruation. You take it for a while to see the effect, and then come back for a follow-up visit."

After thanking Wei Caojun and his wife, they picked up the medicine, paid the consultation fee and left.

In the afternoon, Du Wenhao gave Ms. Wei acupuncture and moxibustion several times.

After closing the door at night, Du Wenhao came to Ms. Wei's ward for follow-up consultation.Before entering the door, I heard Miss Wei scolding inside: "What a goddamn doctor! Ouch..., after a long time of treatment, there is no pain at all, and he said that the laparotomy is better than Hua Tuo..., Ouch..., Is there such a bad Hua Tuo? Is he deliberately entertaining me...? Ouch, mother! My stomach hurts..., Ouch..."

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　PS: In the book review area, book friends often ask doctors. I have said that Chinese medicine pays attention to syndrome differentiation and treatment, and it is necessary to make a face-to-face examination to clarify the syndrome before checking the syndrome below.Coupled with my limited level, I dare not speak nonsense.However, the medical cases of some book friends are very interesting. Lao Mu adapted the short story of this book (the story of "female infertility" in this chapter is the book friend "hot-blooded little man" who asked the doctor. Interested book friends can refer to the book review Related posts in the district), while writing the story, I will give some answers by the way, which may inspire these book friends who ask doctors, but please don’t copy and use the prescriptions in the novel without authorization, or go to the Chinese medicine hospital to see the doctor face to face It is appropriate.

　　In addition, if you haven't asked for a monthly pass this month, please ask for a monthly pass by the way.

　　
　
(End of this chapter)