Jiangzhou in March, the scenery is pleasant, the climate is mild, just like an eighteen or nineteen-year-old girl, revealing a little green, a little less charming, not too much sophistication, but a little more sincere.

The breeze is gentle, like a girl's gentle touch, and the sun is soft, like a lover's gaze.

It's the best season of the year.

However, even the best season is as busy as usual for the doctors.

In a season like spring, when the climate is repeated and the temperature changes, it is easier to get sick, and the number of outpatient patients will not decrease because of the good weather.

For spring, wind is the theme of spring, and strong winds, sweating and wind, and weakness can all lead to illness.

In the absence of surgical arrangements and special emergencies, Fang Han still sat in the pediatric outpatient clinic.

This season, patients with cold and fever in pediatric outpatient clinics are considered the mainstream.

Nowadays, parents are more and more loving and attached importance to their children, and minor illnesses will go to big hospitals, and there are many people who see Chinese medicine.

Influenced by some TV programs and some information on the Internet, many people now have the concept of Chinese medicine, which is that the toxic side effects are small, and the symptoms are treated, especially for children.

The reputation of Jiangzhong Hospital in Jiangzhong City is quite large, and the pediatrics department is also very famous, so the pediatrics of Jiangzhong Hospital has always been a relatively popular department among several departments of Jiangzhong Hospital.

"Doctor Fang!"

Fang Han was looking at the patient, and a resident doctor quietly came in and called Lin Guangliang out, and after a while, Lin Guangliang came back, and waited for a patient to go out, so he whispered to the other party: "Doctor Fang, one of the attending doctors of pediatrics came over just now, and said that he hoped you could add a number!"

Specialist outpatient plus numbers are the norm in major hospitals.

In the expert clinic, there will not be too many numbers fixed every day, and some plus numbers should be planned at the same time.

Doctors from the same hospital, related households from other hospitals, relatives and friends, etc.

In a humane society, this kind of thing cannot be avoided anywhere.

"Hmm!"

Fang Han nodded, no opinion.

This time, he doesn't release too many numbers every morning and afternoon, and under normal circumstances, he can read them around half past ten, and the plus numbers are not too many.

"Then put it in the next place?" Lin Guangliang asked Fang Han.

"Hmm. Fang Han nodded, and as he spoke, a patient had already entered the door.

After seeing the patient who entered the door, the plus patient came in with the child in his arms.

The patient is a little boy about four years old, accompanied by the child's parents.

"Doctor Fang!"

The other party was very polite.

can find a relationship and deliberately find Fang Han, the other party obviously understands Fang Han, otherwise there is more than one expert in the outpatient clinic, and the other party does not need to find Fang Han specifically.

"Sit down!"

Fang Han nodded slightly, motioned for the other party to sit down, and asked while looking at the child, "What's the situation?"

"I don't sleep well, cry at night, grind my teeth, sweat a lot, and now I go to kindergarten, the teacher reflects that the child is inattentive to learning, naughty, and loves to play, and has been to several hospitals, all of which say that it is ADHD, and that there is no good way to educate ......"

When the child's parents told the story, Fang Han kept staring at the child.

The child was held in his mother's arms, and he was not very peaceful from the moment he entered the door, and he kept writhing in his mother's arms.

"Put it on the ground, I'll see. ”

The child's mother put the child on the ground, and as soon as she landed, the child was about to run and was pulled by the mother.

"Good boy!"

Fang Han looked at the child, he was not tall, he seemed to develop later than ordinary children, his face was yellow and white, and his skin was rough.

"How's the diet, what about the urine?"

"The appetite for eating is okay, but I can't sit still, I keep moving, I always have to be pressed to eat well, the stool is relatively dry, there is no problem with other hospital examinations, my child's physique is still relatively good, rarely cold and fever......."

"Open your mouth, uncle!"

Fang Han leaned over and said.

"Ahh

The child opened his mouth, and Fang Han took a look at the tongue coating, which was pale red and thin yellow.

After looking at the tongue coating, Fang Han touched the pulse again, and the pulse was fine.

"Don't get in the way, I'll make a recipe and go back to eat for a while. ”

After touching the pulse, Fang Han went back again, turned back and instructed Lin Guangliang: "Open the mouth, 30 grams of Coptis chinensis, 50 grams of rhubarb.......

When Fang Han said the prescription, the child's parents waited on the side, and when Fang Han finished talking about the prescription, they asked: "Doctor Fang, what is the situation of my child, there is nothing wrong with the Western medical examination." ”

Fang Han said with a smile: "The child's situation can be summed up in two words, wind, fire, heavy fire is sweating, sweating, thirsty, dry stool, heavy wind is itchy skin, love to move, grinding teeth, restless sleep." ”

"Isn't ADHD a personality cause?"

The child's mother asked.

They went to many hospitals, and the examination did not show any major problems, and most of the doctors diagnosed it as ADHD, attention deficit or mild brain dysfunction syndrome.

He also said that the effect of drug treatment in this situation is not great, so supplement more nutrition and pay attention to acquired education.

"There is no such thing as ADHD in Chinese medicine. ”

Fang Han said with a smile: "Everything has a cause, once it exceeds the abnormality, it is pathology, this pathology is not only manifested in the physique, the examination of Western medicine can only check the physique, the data is abnormal, what is the defect, for Chinese medicine, beyond the normal is abnormal pathological behavior." ”

"There are reasons why children are hyperactive, they don't hyperactivity for no reason, personality is one thing, and other factors are also there. ”

"Your children are hyperactive, mainly because the wind is too heavy, the wind is formless and formless, good at walking and changeable, the wind is heavy, the child's skin is itchy, and it will not be able to sit still, and it will also cause the child to play more, which is caused by the fetal toxin. ”

"Since the child was born, he didn't sleep well and cried at night until now, and it's not a recent symptom, is it?"

"Yes, Doctor Fang, you're so right, that's it. The child's mother nodded hurriedly.

"Fetal toxicity is a large range, mainly divided into two kinds, one is congenital, parental genetics, and at the same time there is not paying attention to pregnancy, and then there is the day after tomorrow, the child has just been born, the first contact with the outside world, how many external factors will have an impact on the child, some are serious, and some are slight. ”

Fang Han explained that Lin Guangliang had already printed out the recipe.

Fang Han took the prescription, signed it, stamped it, and then handed it to the child's parents: "Grab the medicine according to the prescription, and ......take it with boiling water every day before going to bed."

"Thank you, Dr. Fang. "

The child's parents took the prescription and stood up to thank them.

"You're welcome, go back and take the medicine as prescribed, and you can come back for a follow-up visit if there is any situation. Fang Han said politely.

Seeing the other party leave, Lin Guangliang asked Fang Han while calling the next patient: "Doctor Fang, why haven't I heard what you said just now, is it Jing Fang?"

"This opening is a folk prescription that has been circulated in Nanhu and other areas for hundreds of years, the local people believe that after the child is born, it should be used to take the opening connection, eliminate the attitude, extinguish the wind and stop spasms, after taking it, the stool is smooth, the appetite is good, the sleep is good, and it is not distorted, especially for some babies who are often on fire, the effect is very good. ”

"Can all ADHD patients use it?" Lin Guangliang asked.

"All babies can be used, but not all ADHD patients, ADHD is a big concept, relatively broad, ADHD causes are more, babies are born to take it, can reduce the occurrence of ADHD, but the specific disease needs to be analyzed on a case-by-case basis. ”

Fang Han looked at Lin Guangliang and said, "The most important thing in traditional Chinese medicine is the actual analysis of the actual situation, and it cannot be generalized. ”

"Got it, Dr. Fang, thank you. ”

.......

Jiangzhong Children's Hospital.

Ge Liming, the director of the Department of Pediatrics, was consulting with several pediatric doctors at this time.

"Director Ge, it seems that the child should have Henoch-Schonlein purpura, and it is Henoch-Schonlein purpura caused by Epstein-Barr virus. ”

"Epstein-Barr virus?"

Ge Liming frowned.

"Henoch-Schonlein purpura has allergens, which can be divisions, food, air, etc., we have conducted a detailed investigation, and the patient has no history of allergies to these things, but it was found that the Epstein-Barr virus antibody is positive. ”

"So it's probably caused by Epstein-Barr virus?"

"If it's Epstein-Barr virus, it's more troublesome, and at present, there is no specific treatment for this virus. ”

Epstein-Barr virus is a herpetic virus that is the causative agent of infectious mononucleosis.

The virus has the biological property of specifically infecting humans and certain primate B cells in vitro and in vivo. Humans are the host of EBV infection and are mainly transmitted by saliva.

Generally speaking, asymptomatic infection of this virus mostly occurs in young children, more than 90% of children aged 3~5 years old have been infected with Epstein-Barr virus, and more than 90% of adults have virus antibodies.

Epstein-Barr virus mainly manifests itself in the proliferation of oropharyngeal epithelial cells, and then infects B lymphocytes, which enter the bloodstream in large quantities and cause systemic infection, and can remain latent in human lymphoid tissues for a long time.

At present, there is a vaccine for Epstein-Barr virus, but there is a lack of specific treatment drugs.

Henoch-Schonlein purpura, also known as self-limited acute hemorrhage, is an allergic vasculitis that invades the skin and other organs, small arteries and capillaries.

For Henoch-Schonlein purpura, it is very important to find the allergen, but the allergen of the patient is Epstein-Barr virus, which is quite tricky and troublesome.

"You can try some therapies that boost the patient's immunity. Ge Liming said.

"It has been used, but at the moment, this treatment has had little effect, the patient is currently presenting with acute abdominal pain, generalized joint pain, we must relieve the symptoms as soon as possible, otherwise it will cause a lot of burden on the patient's kidneys. ”

Ge Liming frowned, this is a more difficult situation, the patient's condition is more serious, acute abdominal pain, joint pain all over the body, and it can also damage the kidneys......

: The second more, the surgical part is written less, Chinese medicine is internal medicine, and I don't want to get out of the main line of the hospital, it is more difficult to write, these days are a transitional period, it is not easy to write, everyone understand!