The patient's husband told Fang Han the patient's medical history in great detail.

The patient's family lives in a small township in the southeast of Nanhe Province, the climate is humid and rainy, and many people in the town have small problems with joint pain, and the patient is no exception, but most people do not care very much, but they did not expect the patient's condition to become more and more serious, to be precise, this situation has been several years.

From the initial joint pain to the whole body pain after that, it was unbearable, so I began to seek medical treatment everywhere, and my medical career has been a year and a half.

Fang Han listened very seriously.

From the perspective of Western medicine, rheumatoid arthritis is a chronic systemic autoimmune disease mainly based on joint lesions, which is mainly manifested as joint swelling and pain caused by the synovium of the facet joints, followed by cartilage destruction, narrowing of the joint space, and joint stiffness, deformity and dysfunction due to severe bone destruction and resorption in the late stage.

Even now, modern medicine does not have an accurate judgment on the cause of rheumatoid arthritis.

However, from the perspective of traditional Chinese medicine, as early as more than 2,000 years ago, traditional Chinese medicine made a more comprehensive and incisive summary of the etiology and pathogenesis of rheumatoid arthritis. The winner of the wind is paralysis, the winner of cold is paralysis, and the winner of humidity is paralysis and ....... ”

Rheumatoid arthritis is classified as a paralytic disease in traditional Chinese medicine, and paralysis has the meaning of obstruction. Traditional Chinese medicine believes that paralysis is caused by external evil invading the meridians, and the qi and blood are blocked, causing symptoms such as soreness, pain, numbness, heaviness and unfavorable flexion and extension in the joints, so it is a paralysis syndrome. Due to long-term illness or deficiency of the liver and kidneys, qi stagnation and blood clotting, resulting in joint swelling, deformity, rigidity and muscle and pulse tightness.

And for rheumatoid arthritis, Chinese medicine has also made a more detailed classification.

First, wind, cold and dampness: the main manifestations are joint soreness, or some muscles are soreness and numbness, which can lead to limb urgency and even joint enlargement. Due to the abundance of wind, cold and dampness in different patients, this type can be further divided into Xing Bi (Feng Qi Sheng), Pain Paralysis (Cold Qi Sheng), and Zhu Bi (Damp Qi Sheng).

Second, damp heat paralysis: manifested as joint soreness, local heat and swelling, pain is not approachable. Impaired joint mobility, which can affect one or more joints, and include fever, thirst, etc. Patients with this disease for a long time can be divided into liver and kidney deficiency type, qi stagnation and blood stasis type, qi and blood weakness type, etc.

According to the above classification and syndrome differentiation, traditional Chinese medicine can use the method of dispelling wind and channeling for those who practice paralysis, which can be used to dispel wind and channel, such as fengfeng soup and Daqianghuo soup; for those who are paralyzed, they can use the method of dissipating cold and dampness, such as Astragalus Wuwu soup and Wenjing Tongbi soup; for those who are paralyzed, they can use the method of dispelling dampness and paralysis, which can be used to decoix seed decoction, dehumidifying and paralysis decoction, etc.; for damp heat paralysis, they can use the method of clearing dampness and heat, and they can use Guizhi Peony medicine Zhimu decoction. For the type of qi and blood weakness, the method of nourishing qi and nourishing blood and relieving tendons and channels can be used, such as Duhuo parasitic soup and ginseng Baihu soup, etc., for the type of qi stagnation and blood stasis, it can be used to dispel blood stasis and tongluo, and can be used to add flavored Siwu soup, etc., and for the type of liver and kidney deficiency, the method of nourishing the liver and kidney can be used, and the method of nourishing the liver and kidney can be used, and the flavored deer horn gum pills can be used.

According to Fang Han's judgment, the patient's rheumatoid is a kind of wind-cold dampness, which is mainly caused by the local climate, which causes the wind cold to invade the meridians and the joints to swell.

"Doctor Fang, my lover's disease?" the patient's husband looked at Fang Han, and Fang Han's young face did not make the patient's husband worry much.

The patient's husband is a high school teacher, and he can be regarded as a literate person, and the formal teacher is also half of the system, so the patient's husband knows how to read words and feelings.

Not to mention his brother's recommendation, the director of the provincial department still has a great voice and network in the medical and health system, and there are so many tertiary hospitals in Jiangzhou Province, his brother only recommended Fang Han of Jiangzhong Hospital, which shows how powerful this young man is.

And when he first entered the door, the patient's husband had also been observing, there were so many doctors on the scene, Lu Xinwen and Chen Yuan and even Xiao Yun Hengwen Xueyi were much older than Fang Han, but so many doctors had a lot of respect for this young man.

The patient's husband still understands some things about the hospital, in a place like the hospital, young people want to get ahead, want to be respected by other doctors, it really depends on the real level, without a few brushes, how can so many old qualifications be respected and recognized?

Hospitals are places that pay attention to qualifications, and the more places that pay attention to qualifications, the young doctors who can come out are the best among them.

Many people go to the hospital to see a doctor, and they often don't care much when they meet a young attending or deputy high, thinking that they are newcomers, but in fact, this is a misunderstanding.

"Let's go to the hospital, arrange for the patient to be hospitalized first. Fang Han turned back to Chen Yuan and ordered, "Just arrange for the patient to live in our bone injury area." ”

"Good. Chen Yuan nodded, the current vacant beds in the bone injury division are still abundant.

After giving Chen Yuan's instructions, Fang Han said to the patient and the patient's husband: "I already understand the patient's situation, what about the specific treatment, let's take internal and external fumigation, and I will hand over the treatment plan to Dr. Chen later, let's be hospitalized for a period of time to see the effect, how about it?"

Now Fang Han's speech is quite tactful, working in a place like a hospital, as a doctor, you still have to pay attention to ways and means to speak, and the words of packing tickets are unacceptable for doctors.

The condition is changing rapidly, even if it is a stable disease, once the doctor says that there is a package, there will really be an accident, that is the handle, the doctor himself is in trouble, and the hospital will also be in trouble.

"We listen to Dr. Fang. The patient's husband nodded, since he was here, and he was looking for Fang Han on purpose, they were naturally mentally prepared.

"Okay, let's arrange for the patient to go through the hospitalization procedures. ”

Fang Han explained two sentences to Chen Yuan, and then brushed and wrote two prescriptions, one for internal administration, one for external fumigation, internal for external fumigation, and after writing, Fang Han handed over the prescription to Chen Yuan.

As soon as Chen Yuan went out, a nurse came in and announced: "Doctor Fang, Director Fang has informed you to go for a consultation." ”

.......

Fang Han came to the rescue room, and there were already many people in the rescue room, Fang Haoyang, Li Wenjun, and Miao Dalong.......

In the emergency room lies a patient in his forties, who is awake by this time.

"Director Fang. Fang Han stepped forward and said hello and asked, "What's the situation?"

Without waiting for Fang Haoyang to speak, Miao Dalong hurriedly said: "The patient had early stomach cancer surgery two years ago, and then he has been sitting on anti-cancer treatment, and the cancer metastasized to the liver a year after the operation, and now it has metastasized to the peritoneum. ”

Fang Han immediately knew the complexity of the condition, no wonder the patient had woken up, and Fang Haoyang also notified him to come over for consultation.

Miao Dalong was talking here, Qin Weihua also arrived, and Miao Dalong told Qin Weihua about the situation again.

Qin Weihua didn't say anything, and Fang Han personally examined the patient, and then looked at Fang Haoyang.

"Let's arrange for the patient to be admitted to the hospital first, let's go to the consultation room. ”

Miao Dalong and several resident doctors arranged for the patient to be hospitalized, while Fang Han, Fang Haoyang, Li Wenjun, and Qin Weihua went to the consultation room on the side.

When he entered the door, Qin Weihua couldn't help but get angry: "Ha, really, it's been two years, I've been treated in the Medical Affiliated Hospital for two years, and I didn't come to our Jiangzhong Hospital for a long time, I see that I can't help it, but I came to our Jiangzhong Hospital to try my luck, what is this, ah..... Even worshipping the Buddha and burning incense is not like this, is it?"

This is not to blame Qin Weihua for being angry, but the patient's situation is very serious.

The Affiliated Hospital of the Medical Institution has already sentenced the patient to death, but now it is letting the patient come to the Jiangzhong Hospital to try his luck, and the Jiangzhong Hospital is cured, it is good to say, if this is not cured, won't it be detained again, but the Affiliated Hospital of the Hospital, one push, two five or six, the money that should be collected has been collected, the treatment that should have been done has been done, and the patient has not died in the Affiliated Hospital, how good.

Qin Weihua is also good-tempered, and this time he couldn't help but get angry: "It's been two years, even if the patient comes half a year earlier, we won't be so passive, right?"

Treating diseases and saving people, what is important is a timing, the condition is changing rapidly, even if it is cancer, Qin Weihua has not been cured, the problem is, you have delayed all the good opportunities in other hospitals, and the condition has reached the last moment, but now you are coming to Jiang Intermediate Hospital, this is ......

"Old Qin, don't say a word, the matter has come to this, let's discuss what to do, right?" Li Wenjun smiled and comforted.

"There's nothing I can do. Qin Weihua spread his hands, the patient is now suffering a big loss of kidney yin, yin does not hold yang, vitality is lost, stomach qi is gone, and vitality is gone, what do you say?

Fang Haoyang and Li Wenjun also knew that the situation was severe, the patient fainted at the gate of Jiangzhong Hospital, but there was no danger to his life at the moment, and he basically woke up when he was sent to the emergency room.

But the problem is the patient's condition, as Qin Weihua said, the kidney yin is greatly lost, the yin does not hold the yang, the vitality is lost, and the stomach qi is gone.

Those who have studied Bian Que and met Cai Huangong know that Bian Que saw Cai Huangong for the first time and said: "You have a disease in your stomach, and if you don't treat it, you will be afraid of it." Cai Huan Gong didn't take it seriously, Bian Que saw Cai Huan Gong for the second time and said: "Jun's disease is in the skin, and if it is not cured, it will be profound." "Cai Huan Gong still doesn't take it seriously.

Bian Que saw Cai Huan Gong again, and said: "Jun's disease is in the stomach, and if it is not cured, it will be profound." Cai Huan Gong still didn't take it seriously, and the next time Bian Que saw Cai Huangong, he became "Wanghuan Hou and left".

Huan Hou asked people, Bian Que said: "The disease is in the intestines, the soup and ironing are also within the reach, in the skin, the needle and stone, in the stomach, the fire is also within the reach, in the bone marrow, the fate belongs, helpless." Now in the bone marrow, the minister is uninvited. ”

Although this story is about avoiding medical treatment, it also talks about the different periods of the disease, even if Bian Que is sick and falls ill with bone marrow, that is, he is terminally ill, and he can only look at Huan Hou and leave.

Now the patient's situation is almost like this, in the intestines, in the skin, in the stomach, people don't think of Jiangzhongyuan, now to the bone marrow, the doctor said, I can't help it, you go to Jiangzhongyuan to see, right?

The doctors in Jiangzhong Hospital are not immortals.