Rebirth in the medical world

Chapter 519 Do you want to check the body?

For this uninvited guest who must come to disturb her once a month, she hated her teeth itchingly, but there was nothing she could do!She even thought that it would be great if she became a man!
"Huh? Dysmenorrhea?" Ouyang Chenhui's first reaction was this. Although he was a little-known doctor in his previous life, he had already memorized his knowledge of obstetrics and gynecology. It is said that he is a famous doctor of gynecology, but he can still handle common gynecological diseases and frequently-occurring diseases at his fingertips!

Therefore, when Kavlin talked about abdominal pain during menstruation, his first reaction was dysmenorrhea!
However, there are many types of dysmenorrhea, and some of them may not be a big problem. In real life, there are not a few women who have a history of dysmenorrhea, but if the dysmenorrhea is more serious, it will be more troublesome. I think Kavlin may belong to that group. This has seriously affected her normal work and life!
The causes of severe dysmenorrhea are also different, so if you want to cure dysmenorrhea, finding the right cause is the most important thing!
"Well, Kavlin, I want to ask you a few questions now, I hope you can answer me!" Ouyang Chenhui said!
You must know that in China, young male doctors often cause unnecessary troubles when treating women. Therefore, almost every sentence should be cautious and cautious, and no matter what you do, you must always say what you say first of!

"I know, you can ask!" Kavlin was very cooperative, with a pair of big Barbie doll-like eyes flickering at Ouyang Chenhui. The cute cute girl stared at it, still a little embarrassed!
"Then I'm starting to ask! Kavlin, how old are you this year? The first menstrual period is in the teens, how many days does it usually last? How much is the amount? What is the color?" Ouyang Chenhui answered these gynecological questions in one breath Asked over and over again!

What Ouyang Chenhui didn't expect was that when he finished asking these questions in one breath with some embarrassment, Kavlin laughed!

Ouyang Chenhui was amazed by the way Kavlin laughed. Kavrine, who looks like Barbie, did not show any shyness when she smiled. That kind of laugh that completely disregarded her image showed her innocence and naturalness on the contrary. the other side!
"What are you laughing at?" Ouyang Chenhui was a little surprised. Generally, when girls go to the gynecology department, they are only nervous and guarded. It's really rare that she is as free and easy as she can laugh!

"It's nothing!" Kavrine may have realized that she was impolite, so she stopped laughing immediately, but the blush on her face was still there!
"Dr. Ouyang, I have answered such questions hundreds of times. Almost every doctor who sees me will ask me these questions, but none of them gave me a good opinion. I thought you wouldn't ask, but I didn't expect you to." Ask these..." Kavlin explained the reason why she laughed just now, but before her words, Ouyang Chenhui could hear a hint of disappointment!

"That's right! Although I am from China and know Chinese medicine, I am not ignorant of Western medicine. You Americans have always liked to see Western medicine, so I naturally thought of using Western medicine to diagnose your disease first. Already!" Ouyang Chenhui said with a guilty conscience, in fact, asking these questions is also a habit of his, although he has already done considerable research on Chinese medicine, but due to the dominance of western medicine for a long time, he also inadvertently Between natural and unnatural is the first choice of Western medicine!Besides, in his previous life, the obstetrics and gynecology knowledge he had mastered were all derived from western medicine theories!
"I have lost interest in western medicine. As I said, I have seen hundreds of doctors, but I am still in pain. When I saw your live broadcast this time, my father asked you to treat me with traditional Chinese medicine. ..." Kavlin said, but obviously, she doesn't seem to have as much confidence in Ouyang Chenhui now as before!

"Okay then, I'll use our Chinese medicine technology to examine you!" Ouyang Chenhui smiled secretly, it seems that his signature in the future may become a Chinese medicine doctor!
"Doctor Ouyang, do you also need to be checked?" Kavlin asked quickly after Ouyang Chenhui finished speaking.

"Yes, Western medicine pays attention to inspection, palpation, percussion, and auscultation, while our Chinese medicine pays attention to seeing, hearing, and asking. This is a difference. Although they are different, they are all methods of checking the body. Naturally, means are indispensable!" Ouyang Chenhui explained!

"Then, please wait a moment, can you?" Kavlin seemed to have remembered something!
"Of course!" Ouyang Chenhui nodded quickly!Being alone in a room with such a troublesome Barbie doll, he really needs to give himself some time to calm down!
After receiving Ouyang Chenhui's permission, Kavlin quickly went upstairs, and after a while, Ouyang Chenhui heard the sound of running water coming from the bathroom upstairs!
Ouyang Chenhui didn't know what Kafulin was up to, he took out a glass of ice water from the drink that the servant brought him to choose, and drank it down, slowly following the ice water along his esophagus. Slowly flowing down, he felt his hot heart slowly cooling down, and his brain seemed to wake up a bit, and at the same time, his brain began to work at a high speed!

Some of his knowledge about dysmenorrhea was slowly recalled from the memory bank!

The study of dysmenorrhea in traditional Chinese medicine has a long history. The pathogenesis of dysmenorrhea was first seen in the "Internal Classics".A woman suffers from abdominal pain during menstruation, which is mostly due to fatigue and blood qi, resulting in physical weakness, and the wind-cold air attacks the cell channels, damaging the Chong Ren channel.This has laid a theoretical foundation for the study of the etiology and pathogenesis of dysmenorrhea.Physicians of later generations have made a major breakthrough in the theory of dysmenorrhea.To sum it up, it's nothing more than falsehood and reality.

"Jingyue Quanshu Women's Regulations": "Abdominal pain during menstruation is manifested by deficiency and excess. Excessive symptoms may be caused by cold stagnation, blood stagnation, qi stagnation, or heat stagnation; Because of qi deficiency." Contemporary doctors have their own explanations.

Now Ren Ma Baozhang divides the pathogenesis of dysmenorrhea into five types: kidney qi deficiency, qi and blood weakness, qi stagnation and blood stasis, cold coagulation and blood stasis, and damp heat accumulation. If it is severe, the uterine qi and blood are not flowing smoothly, and "if it is not smooth, it will cause pain"; The uterus of those who are deficient are lost in nourishment, and "disproportion leads to pain", and the core position of "impulse and Ren injury" in gynecological pathogenesis is highlighted.A card of primary dysmenorrhea, its main pathogenesis is "external and internal phase causes, Chong Ren stasis".

Western medicine believes that dysmenorrhea is related to the menstrual cycle of ovulation.The mechanism of dysmenorrhea is related to prostaglandin activity.The content of prostaglandins in the body of patients with dysmenorrhea is higher than that of patients without dysmenorrhea.Increased release of prostaglandins (PG): abnormal increase of PGF2a in the endometrium and blood during the secretory phase, which induces uterine muscle contraction/spastic pain; at the same time, it can cause gastrointestinal reactions.Oxytocin is the most powerful uterotonic agent known so far. After coupling oxytocin to its receptor and G protein, it activates phospholipase C and induces an increase in the concentration of cytoplasmic Ca2+ through the intracellular phosphoinositide signaling system. High, which causes the uterus to contract strongly during childbirth.In addition, oxytocin may act on the uterine artery. Recent studies have shown that oxytocin may play an important role in the contraction of the uterine artery. In addition to regulating the normal function of the uterus, oxytocin can produce temporary ischemia of the uterus. This mechanism It may also be involved in the occurrence of primary dysmenorrhea.Of course, this is only a relatively accepted theory at present, and some other obstetrics and gynecology experts believe that increased leukotrienes are related to dysmenorrhea.Elevated vasopressin: High estrogen levels in the late luteal phase stimulate the posterior pituitary gland to release excess vasopressin, causing excessive uterine contraction.In addition, mental factors are also a major cause of dysmenorrhea!
A large amount of information about dysmenorrhea was mobilized in Ouyang Chenhui's brain, but it just passed by in a flash. These are some general statements, and what he needs to know is some special dysmenorrhea!
Kavlin has seen many doctors, so he can basically be sure that her dysmenorrhea is definitely not dysmenorrhea in the general sense, otherwise, it would not be so difficult to diagnose and treat, so he felt that there was no need for him to Western medicine continues to pursue this issue more, and what he has to do next is to clarify Kavlin's constitution through observation, hearing and questioning, and to conduct textual research through syndrome differentiation and treatment to reach a conclusion!
After choosing the entry point, Ouyang Chenhui stopped his high-speed brain, no matter what, it's not too late to feel the pulse first!
Ouyang Chenhui thought about it a lot, and a long time passed, but Kavlin hadn't come down for a long time, and the sound of running water upstairs was still there, which made him very strange, what the hell was this girl up to? ?Wouldn't it be letting yourself go?Ouyang Chenhui listened carefully to the movement upstairs, and he felt that Kavlin most likely went upstairs to take a shower!

Seeing that it was getting late, Ouyang Chenhui felt like he was being tricked!This makes him very unhappy!Is the daughter of the richest man amazing?If it weren't for Professor Bruce's face, he wouldn't have come at all!

Sulking secretly, the sound of running water upstairs seemed to have stopped. After a while, there were footsteps on the stairs!This reassured Ouyang Chenhui a little, after all, this girl was not playing tricks on him!

"Doctor Ouyang, I'm really sorry for keeping you waiting!" Cavelin hurried down the stairs wearing a pair of slippers on her feet, dripping water from her hair.And Kavrine was wrapped in a big bath towel!

Such a scene made Ouyang Chenhui mess up again, what is this Kafulin going to do?
"Doctor Ouyang, where is the examination?" Kavlin asked him after approaching him!
"Just right here!" Ouyang Chenhui didn't dare to look at Kavlin's body wrapped in a bath towel!In the United States, girls aged [-] or [-] are already well-developed!
"Here?" Kavlin looked at Ouyang Chenhui strangely!

"Yes!" Ouyang Chenhui also nodded strangely!
"Okay!" Kavlin said, and then she made a movement that Ouyang Chenhui couldn't believe!
(End of this chapter)