Chapter 67 Pediatric Diagnosis and Treatment
Xu Yang began to diagnose and treat the child.
Liu Jingning asked, "Doctor Xu, do you need me to bring the relevant examination report?"
"No, I don't. Xu Yang shook his head slightly.
Xu Yang shouted twice: "Yiyi, Yiyi." ”
The little girl opened her eyes and looked at Xu Yang, but quickly closed her eyes tiredly.
Xu Yang also sighed slightly, he was only more than a year old, and he couldn't even speak. Why is it said that pediatric diseases are difficult to treat, Chinese medicine says that pediatrics is dumb.
A toddler like this can't even speak. If you are a little older, it will be difficult to accurately express your feelings in words.
Traditional Chinese medicine looks at and hears and asks, and the four diagnoses are combined, and one consultation is directly abolished. Moreover, the pulse of children is difficult to diagnose, and children are very active, so it is difficult to diagnose the pulse accurately.
Therefore, for generations, Chinese medicine has been very cautious in the diagnosis and treatment of pediatrics, but it has also derived several unique diagnostic methods.
Xu Yang carefully began to do a face-to-face consultation, and the child's face was pale and yellow, coughing and wheezing, and the color around the mouth was pale and light.
Children are blue, and high fever is often accompanied by high fever around the nose column, eyebrows and lips, which is frightening!
The lips are light, there is no dryness and cracking, and the fluid is not injured?
Xu Yang continued to diagnose, and he took Yiyi's hand over. He wiped Yiyi's right palm with his left fishthenar part and found that the other party's palm was not sweaty. Then he used his right hand to measure Yiyi's left palm, and it was also sweatless.
So hot, but no sweat. Sweat is the appearance of deficiency, and no sweat is the appearance.
Proof of the facts?
Xu Yang picked up Yiyi's hand and observed the fingerprint of his index finger, which is a special diagnostic method for infants and young children, and is only suitable for infants and young children under the age of two.
Because a child of this age is not filled with qi and blood, and the meridians are undetermined. The fingerprint of the pediatric index finger is a branch of the Taiyin and Lung meridians of the hand, so the diagnosis of the pediatric index finger meridian has the same reference value as the diagnosis of the inch-mouth pulse.
This is called pediatric index finger pulse diagnosis, also known as pediatric fingerprint diagnosis.
The index finger has three sections, which are divided into three levels: wind, qi, and life. The first section is the wind pass, the second section is the air pass, and the third section is the life pass.
Xu Yang asked her to stretch out her index finger, and then grabbed the other fingers and fixed them. Then Xu Yang used his right thumb to push Yiyi's index finger, pushing straight from the tip of his finger to the root of his finger.
These onlookers looked strange.
"What is this doing?" Yiyi's father couldn't help but ask.
Cao Dehua replied: "This is a pediatric index finger pulse diagnosis method, a special diagnosis method for infants and young children in traditional Chinese medicine. ”
"Oh. Yiyi's father nodded, he felt very powerful when he heard this name, and he really deserved to be the apprentice of a national expert.
Liu Jingning also pursed his lips, he used to think that this kind of thing was unscientific, but now he doesn't know what to say, he just feels very messed up.
After a few pushes, the veins are clear.
It is cyan, the main wind, straight to the air close.
Xu Yang's face was a little solemn, and the three sections of his index finger were wind, qi, and life.
If the veins are manifested in the wind pass, it is the evil qi that enters the channel, and the evil shallow disease is light, and it is not serious at this time; but from the wind pass to the qi pass, it means that the evil qi has entered the meridians, and the main disease and evil are deep and seriously ill, and then it begins to be serious.
The last section is the life pass, if the veins penetrate from the wind pass all the way to the bottom of the life pass, it means that the evil qi has entered the viscera and may endanger life.
Looking at Yiyi's posture, if the condition is not under control today, it will definitely turn into a serious illness, and it will be really dangerous. The condition was serious, and Xu Yang also felt a lot of pressure.
Xu Yang slowly exhaled a breath, calmed his mind, and then reached out to probe Yiyi's fingers.
"Huh?" Xu Yang frowned: "Fingers are a little cold?"
He put down Yiyi's two hands, Xu Yang hurriedly went down and touched Yiyi's two feet, her feet were also cold. Such a high fever, but the limbs are not warm.
"Hiss......" Xu Yang nodded slightly.
He continued to probe, pressed his hand on Yiyi's body, and found that the other party's chest and abdomen were full and there was diaphragm.
He turned his head and shouted outside, "Get me a tongue depressor." ”
"I'll go. Liu Jingning answered, and he went to the nurse's station to get it.
The tongue depressor was brought over and handed to Xu Yang.
Xu Yang asked Yiyi to face the natural light, and he said, "Come, Yiyi, open your mouth, ah......"
Yiyi's mother also said to Yiyi: "Yiyi, let's open our mouths, ah." ”
Yi obediently opened her mouth slightly.
Xu Yang put the tongue depressor in, pressed it gently, poked in, and then quickly took it out.
"Vomit ......" Yiyi's tongue was stimulated and vomited.
Xu Yang took advantage of this moment to completely observe Yiyi's entire tongue, which was light and gray.
It's a little unbearable, but I have to do it. Such a young child, and so sick, it is impossible for you to make her stick out her tongue honestly, and she can only observe the whole tongue by vomiting directly.
The tongue is pale and grayish.
If the tongue is light, it is a sign of cold or falsehood. The moss is gray and white, and the tongue coating is from white to gray, regardless of which part of the tongue is, and it is transmitted after the external sense.
"I see. Xu Yang's heart suddenly became enlightened.
But Xu Yang didn't dare to be careless, because the child at this moment couldn't withstand any misdiagnosis, and if he didn't control it, he would really become seriously ill!
Xu Yang saw that Yiyi was very well-behaved, so he had been lying quietly in his mother's arms, he had been diagnosing for so long, and the child had not moved.
It is not that the pulse of a child cannot be diagnosed, it takes time to diagnose the pulse, and the shortest and shortest is five minutes, and the child often does not have such a great patience.
Therefore, the difficulty in pediatrics lies in diagnosis.
"Let's check the pulse again. Xu Yang made a decision, he grabbed Yiyi's hand with his hand, did not put it on the pulse pillow, but pressed his thumb on Yiyi's wrist inch mouth, and then used his index finger to put it on the back of her wrist to play a fixed role.
From the outside, it was Xu Yang who clamped Yiyi's wrist with his two fingers.
There are three parts of the inch mouth and the ruler, and in the past, three fingers were needed to diagnose the pulse, corresponding to each of them. But children under the age of two are too small to have their wrists fully developed.
Therefore, one finger can cover three parts, and this diagnosis method is called "one finger cut three passes." ”
One finger has to complete the work of the previous three fingers, and this pulse is not so easy to diagnose.
Xu Yang exhaled a few breaths, calming down, the most important thing in diagnosing the pulse is to calm the heart, and if the doctor does not calm down, the diagnosis will definitely not be accurate.
Xu Yang carefully diagnosed, Yiyi was very well-behaved, he didn't move, and leaned very quietly, which also made Xu Yang feel a lot more relieved.
After a while, Xu Yang finished diagnosing the pulses on both hands.
It is the vein of floating and slippery, and the main manifestation of the floating vein, which is slippery in the float, and the main wind phlegm is in the lungs.
Xu Yang breathed a sigh of relief, the situation was already obvious, and he said, "Open the square!"
Several people outside were shocked, and the diagnosis came out.