Qimen Holy Physician
Chapter 82 Young people should be more down-to-earth!
Chapter 82 Young people should be more down-to-earth!
In the afternoon, Liu Lian and the others were in another diagnosis room to observe. However, I don’t know whether it was because the two doctors didn’t have the habit of letting the students do it, or because of other reasons. From the beginning to the end, Liu Lian and the others became spectators. But there is no rubbing, and rubbing is just getting started.
Although Liu Lian and the others didn't say anything, they were already extremely depressed. Gao Hao's face was even lowered. Only Wang Chengzhong was still watching curiously as if nothing had happened.
"Next." One of the younger doctors said.
He is said to be young, just compared to another doctor, but he is about the same age as Cai Sheng, in his 30s, his name is Zhou Jicheng, and the other doctor is female, named Qiu Wenhua, who looks in his 40s.
As soon as Zhou Jicheng finished speaking, a man in his thirties came in holding a two or three-year-old girl. The little girl's eyes were half-opened, she looked a little dull, and her figure was extremely thin.
Besides these two people, there was also a middle-aged female doctor who came with them.
"Doctor Qiu, this child is paralyzed and has a persistent fever. He hasn't improved after so long in our pediatrics department. Our director told him to come and see you." The middle-aged female doctor said.
"Oh, okay, Doctor Zhang, you sit down first." Qiu Wenhua said, then looked at this Doctor Zhang, and said, "Tell me about the specific situation first."
Doctor Zhang nodded, put the medical record bag in his hand on the table, took out a stack of inspection and laboratory test sheets and said:
"This child has been sick for five months. Basically, he has fever in the afternoon every day. The temperature is between 39 and 40 degrees. The right arm is stiff, and the left eye has begun to squint."
Dr. Zhang took out a chest X-ray, pointed to it and said: "In the initial examination, the chest X-ray showed right bronchial lymph node tuberculosis, so we arranged for her to be hospitalized and treated with streptomycin, ramidycin and other drugs. .Two months later, the little girl's body temperature gradually returned to normal, and we took another chest X-ray of her, and that's it, her condition has improved significantly."
Looking at the two chest x-rays in Dr. Zhang's hand, Qiu Wenhua nodded and said, "That's true."
However, since he was sent to the Department of Traditional Chinese Medicine again, there must be a new change in his condition, Qiu Wenhua asked, "And then?"
Dr. Zhang sighed and said, "At first we thought we were going to get better, but who knew that last month we had a high fever again, and the body temperature rose directly above 40 degrees. Not only that, but also drowsiness, projectile vomiting, unconsciousness, and occasionally Still twitching."
"We checked immediately and found that her pupils were equal in size and round, and her light reflection was also very slow. She also had positive nape strength and Koenig's sign, and Babinski's sign was also positive on the right side. Blood test, she The white blood cell count was also high, the lymphatic reaction was slow, the cerebrospinal fluid pressure increased during lumbar puncture, the cerebrospinal fluid cell count was also high, and the sugar five-tube test was also weakly positive. Based on these, our director diagnosed tuberculous meningitis."
Listening to Dr. Zhang's narration, Liu Lian's head was in a muddle, because he was so dizzy hearing all these western medical terms that he couldn't understand any of them. Even the diagnosis of tuberculous meningitis made him understand. It's cloudy.
Since he didn't understand, Liu Lian no longer bothered to listen to what she said, but walked over and looked up and down in his own way.
Dr. Zhang and Qiu Wenhua glanced at Liu Lian but ignored him. Dr. Zhang continued:
"After our rescue, the little girl regained consciousness and her body temperature has dropped a lot compared to before, but now there are new problems."
"What's the problem?" Qiu Wenhua asked.
Doctor Zhang pointed to the little girl's right hand and right leg, and said, "We found that her right limb was weak and weak, and she couldn't lift her right leg. She needed someone to help her when she walked, and her right upper limb was also limited in lifting."
Doctor Zhang grabbed the little girl's right hand and said: "Doctor Qiu, look, it's like this, her right hand has been held tightly, and she can't stretch it out at all, and her left eye is still squinting outwards, mentally dull, and her speech is slurred. Not only these, but she has been restless at night and sweats frequently. Although we continue to treat with anti-tuberculosis drugs and Maitong liquid, her body temperature is still at 37 to 38 degrees every afternoon. It has been more than 40 days now gone."
Hearing Dr. Zhang's words, Qiu Wenhua and Zhou Jicheng, who was sitting opposite her, looked at each other and frowned. The disease was indeed a bit tricky, but since it was sent to their TCM department, it was impossible for them to do nothing, even if it couldn't be cured. Well, at least something has to be done, otherwise other departments will definitely say that the Chinese medicine department is incompetent.
"Let me make a diagnosis first."
Qiu Wenhua touched the little girl's right hand and right leg, pulled them up and weighed them, then leaned over and smiled, "Little girl, open your mouth and let me see your tongue, okay?"
The little girl shrank back slightly, as if a little afraid.
At this moment, the little girl's father, who had been silent all this time, said, "Doctor, let me do it."
As he said that, he lowered his head and said softly, "Girl, be good, stick out your tongue?"
Hearing his words, the little girl hesitated for a moment, and slowly stuck out her tongue. Qiu Wenhua quickly stretched out her tongue to look, and Liu Lian also looked intently, and began to think in her mind.
"Okay, it's okay, really good." Qiu Wenhua touched the little girl's face and smiled.
Then Qiu Wenhua began to check the pulse. Generally, children are the most difficult to check the pulse. Not only the child is hyperactive, but also the pulse is thin, which is very difficult to check. Fortunately, this little girl may be unwell, or she may be well-behaved. From the beginning It didn't move at all.
After it was over, Qiu Wenhua thought about it for a long time, then looked at Zhou Jicheng who was opposite him and said, "Jicheng, you should take a look too."
Zhou Jicheng nodded, walked over and began to check the pulse.
After a while, Zhou Jicheng let go of his hand, his face was no more relaxed than Qiu Wenhua's, and he was thinking hard.
Seeing the two of them thinking there, Liu Lian suddenly said, "Doctor Qiu, why don't you let me see it too?"
Qiu Wenhua raised his eyes to look at Liu Lian, with an imperceptible scorn flashing in his eyes, as if mocking Liu Lian's overreaching, but he didn't say anything, nodded and hummed.
Doctor Zhang looked at Liu Lian in surprise, then glanced at Zhu Yue and the others sitting beside him, and immediately understood that they were students who came to observe.
Liu Lian started to feel the pulse. He examined it very carefully, and took longer than Zhou Jicheng to check the pulse. After withdrawing his hand, Liu Lian thought carefully, and gradually got the number in his mind, and then nodded slightly.
Of course Qiu Wenhua didn't believe that Liu Lian had completed his argument. Seeing Liu Lian's expression, he couldn't help laughing and said, "Why, this student, what did you see, tell us and let's listen."
Although Qiu Wenhua smiled lightly, there was a bit of disdain in his smile. A student is a student, and it took so long, so I probably didn't notice anything.
Although Liu Lian noticed Qiu Wenhua's expression, he didn't care, and said:
"The little girl is depressed, her body is thin and thin, her tongue is red and uncoated, her pulse is narrow and thin, and it is faster than ordinary people, which is a sign of counting. Therefore, my dialectic is that yin deficiency generates heat, which hurts the meridians. It should nourish yin and clear away heat. , activate the meridians.”
Hearing Liu Lian's words, Qiu Wenhua frowned immediately, and said: "Okay, you can sit aside and study hard when you go back. Young people should be more down-to-earth and not be so ambitious."
Although Qiu Wenhua himself didn't have a definite diagnosis, he obviously didn't believe Liu Lian, and even thought that he liked to show off, so there was some lesson in his words.
(End of this chapter)
In the afternoon, Liu Lian and the others were in another diagnosis room to observe. However, I don’t know whether it was because the two doctors didn’t have the habit of letting the students do it, or because of other reasons. From the beginning to the end, Liu Lian and the others became spectators. But there is no rubbing, and rubbing is just getting started.
Although Liu Lian and the others didn't say anything, they were already extremely depressed. Gao Hao's face was even lowered. Only Wang Chengzhong was still watching curiously as if nothing had happened.
"Next." One of the younger doctors said.
He is said to be young, just compared to another doctor, but he is about the same age as Cai Sheng, in his 30s, his name is Zhou Jicheng, and the other doctor is female, named Qiu Wenhua, who looks in his 40s.
As soon as Zhou Jicheng finished speaking, a man in his thirties came in holding a two or three-year-old girl. The little girl's eyes were half-opened, she looked a little dull, and her figure was extremely thin.
Besides these two people, there was also a middle-aged female doctor who came with them.
"Doctor Qiu, this child is paralyzed and has a persistent fever. He hasn't improved after so long in our pediatrics department. Our director told him to come and see you." The middle-aged female doctor said.
"Oh, okay, Doctor Zhang, you sit down first." Qiu Wenhua said, then looked at this Doctor Zhang, and said, "Tell me about the specific situation first."
Doctor Zhang nodded, put the medical record bag in his hand on the table, took out a stack of inspection and laboratory test sheets and said:
"This child has been sick for five months. Basically, he has fever in the afternoon every day. The temperature is between 39 and 40 degrees. The right arm is stiff, and the left eye has begun to squint."
Dr. Zhang took out a chest X-ray, pointed to it and said: "In the initial examination, the chest X-ray showed right bronchial lymph node tuberculosis, so we arranged for her to be hospitalized and treated with streptomycin, ramidycin and other drugs. .Two months later, the little girl's body temperature gradually returned to normal, and we took another chest X-ray of her, and that's it, her condition has improved significantly."
Looking at the two chest x-rays in Dr. Zhang's hand, Qiu Wenhua nodded and said, "That's true."
However, since he was sent to the Department of Traditional Chinese Medicine again, there must be a new change in his condition, Qiu Wenhua asked, "And then?"
Dr. Zhang sighed and said, "At first we thought we were going to get better, but who knew that last month we had a high fever again, and the body temperature rose directly above 40 degrees. Not only that, but also drowsiness, projectile vomiting, unconsciousness, and occasionally Still twitching."
"We checked immediately and found that her pupils were equal in size and round, and her light reflection was also very slow. She also had positive nape strength and Koenig's sign, and Babinski's sign was also positive on the right side. Blood test, she The white blood cell count was also high, the lymphatic reaction was slow, the cerebrospinal fluid pressure increased during lumbar puncture, the cerebrospinal fluid cell count was also high, and the sugar five-tube test was also weakly positive. Based on these, our director diagnosed tuberculous meningitis."
Listening to Dr. Zhang's narration, Liu Lian's head was in a muddle, because he was so dizzy hearing all these western medical terms that he couldn't understand any of them. Even the diagnosis of tuberculous meningitis made him understand. It's cloudy.
Since he didn't understand, Liu Lian no longer bothered to listen to what she said, but walked over and looked up and down in his own way.
Dr. Zhang and Qiu Wenhua glanced at Liu Lian but ignored him. Dr. Zhang continued:
"After our rescue, the little girl regained consciousness and her body temperature has dropped a lot compared to before, but now there are new problems."
"What's the problem?" Qiu Wenhua asked.
Doctor Zhang pointed to the little girl's right hand and right leg, and said, "We found that her right limb was weak and weak, and she couldn't lift her right leg. She needed someone to help her when she walked, and her right upper limb was also limited in lifting."
Doctor Zhang grabbed the little girl's right hand and said: "Doctor Qiu, look, it's like this, her right hand has been held tightly, and she can't stretch it out at all, and her left eye is still squinting outwards, mentally dull, and her speech is slurred. Not only these, but she has been restless at night and sweats frequently. Although we continue to treat with anti-tuberculosis drugs and Maitong liquid, her body temperature is still at 37 to 38 degrees every afternoon. It has been more than 40 days now gone."
Hearing Dr. Zhang's words, Qiu Wenhua and Zhou Jicheng, who was sitting opposite her, looked at each other and frowned. The disease was indeed a bit tricky, but since it was sent to their TCM department, it was impossible for them to do nothing, even if it couldn't be cured. Well, at least something has to be done, otherwise other departments will definitely say that the Chinese medicine department is incompetent.
"Let me make a diagnosis first."
Qiu Wenhua touched the little girl's right hand and right leg, pulled them up and weighed them, then leaned over and smiled, "Little girl, open your mouth and let me see your tongue, okay?"
The little girl shrank back slightly, as if a little afraid.
At this moment, the little girl's father, who had been silent all this time, said, "Doctor, let me do it."
As he said that, he lowered his head and said softly, "Girl, be good, stick out your tongue?"
Hearing his words, the little girl hesitated for a moment, and slowly stuck out her tongue. Qiu Wenhua quickly stretched out her tongue to look, and Liu Lian also looked intently, and began to think in her mind.
"Okay, it's okay, really good." Qiu Wenhua touched the little girl's face and smiled.
Then Qiu Wenhua began to check the pulse. Generally, children are the most difficult to check the pulse. Not only the child is hyperactive, but also the pulse is thin, which is very difficult to check. Fortunately, this little girl may be unwell, or she may be well-behaved. From the beginning It didn't move at all.
After it was over, Qiu Wenhua thought about it for a long time, then looked at Zhou Jicheng who was opposite him and said, "Jicheng, you should take a look too."
Zhou Jicheng nodded, walked over and began to check the pulse.
After a while, Zhou Jicheng let go of his hand, his face was no more relaxed than Qiu Wenhua's, and he was thinking hard.
Seeing the two of them thinking there, Liu Lian suddenly said, "Doctor Qiu, why don't you let me see it too?"
Qiu Wenhua raised his eyes to look at Liu Lian, with an imperceptible scorn flashing in his eyes, as if mocking Liu Lian's overreaching, but he didn't say anything, nodded and hummed.
Doctor Zhang looked at Liu Lian in surprise, then glanced at Zhu Yue and the others sitting beside him, and immediately understood that they were students who came to observe.
Liu Lian started to feel the pulse. He examined it very carefully, and took longer than Zhou Jicheng to check the pulse. After withdrawing his hand, Liu Lian thought carefully, and gradually got the number in his mind, and then nodded slightly.
Of course Qiu Wenhua didn't believe that Liu Lian had completed his argument. Seeing Liu Lian's expression, he couldn't help laughing and said, "Why, this student, what did you see, tell us and let's listen."
Although Qiu Wenhua smiled lightly, there was a bit of disdain in his smile. A student is a student, and it took so long, so I probably didn't notice anything.
Although Liu Lian noticed Qiu Wenhua's expression, he didn't care, and said:
"The little girl is depressed, her body is thin and thin, her tongue is red and uncoated, her pulse is narrow and thin, and it is faster than ordinary people, which is a sign of counting. Therefore, my dialectic is that yin deficiency generates heat, which hurts the meridians. It should nourish yin and clear away heat. , activate the meridians.”
Hearing Liu Lian's words, Qiu Wenhua frowned immediately, and said: "Okay, you can sit aside and study hard when you go back. Young people should be more down-to-earth and not be so ambitious."
Although Qiu Wenhua himself didn't have a definite diagnosis, he obviously didn't believe Liu Lian, and even thought that he liked to show off, so there was some lesson in his words.
(End of this chapter)
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