Chapter 918: Ten Question Songs

The next patient was a seven-month-old baby girl who was also brought in by the child's parents.

Entering the door, the child's mother was full of surprise when she saw Fang Han.

"Doctor Fang, I didn't expect it to be you. ”

Fang Han was stunned, this person actually knew him, since he started sitting in the clinic yesterday, to today, he has seen twenty-seven or eight patients, and this is the first patient's family to recognize him.

Otherwise, the doctor's fame is really a virtual thing, it is very difficult to make a name for himself, and it is an instant to bury his fame.

Fang Han is now a celebrity in the medical circle of Jiangzhou Province, and he is also a doctor who can be compared to the deputy senior or above in Jiangzhong Hospital, but in terms of patient recognition, there are really not many people who can recognize him.

After all, medical care is a niche, even if it is a famous doctor, it can't be compared with the third-tier starlets.

"Sit down, do you know our Doctor Fang?" Lin Guangliang greeted with a smile.

"Know, how can you not know Doctor Fang, Doctor Fang is a famous doctor in our Jiang Intermediate Hospital. The child's mother said: "I forgot to say, I am a reporter from Jiang Daily, and the Valin reporter from our company also gave Dr. Fang an exclusive interview." ”

It turned out to be from the news media circle, no wonder.

Fang Han didn't bother with this, and while looking at the child, he asked, "What's the situation with the child?"

"Diarrhea, diarrhea, retching, belching. ”

The child's mother said in detail: "I don't have enough milk-water, I give my child milk powder, and I haven't changed the brand, but the child just has diarrhea, three to five times a day, and the stool is yellow and ......."

"The poop is ......"

Lin Guangliang interjected, Fang Han glanced at Lin Guangliang, and motioned to the other party to continue: "You speak slowly, don't worry, tell everything you know." ”

"Hmm. The other party nodded, and continued to talk about some children's conditions, sleep, stool is not smelly, urine is less and not yellow, etc., Fang Han listened very carefully.

After hearing this, Fang Han looked at the child's tongue coating, and then looked at the child's fingerprints.

The tongue coating is white and greasy, and the fingerprints are pale red.

Then Fang Han used the thumb diagnosis method to feel the child's pulse.

"From the analysis of symptoms, the child's diarrhea may be caused by two reasons, one is that the feeding temperature is not properly mastered or the milk powder is not in harmony with the spleen and stomach, and the other may be caused by the child's spleen and stomach function or poor handwashing disorder. Fang Han analyzed.

"Doctor Fang, if it's the first reason, is it necessary to change the milk powder?" asked the child's mother.

"I said two reasons, but in fact, one factor caused it. ”

Fang Han said: "The child should have just changed the milk powder for not too long." ”

Well, the other party nodded, it took less than a month to change the milk powder, and it was okay for the first few days, but it has started to diarrhea recently. ”

"The child used to eat breast milk, and now the milk powder is changed, the spleen and stomach have a process of adaptation, just like us adults, people who often eat vegetarian food will feel uncomfortable when they occasionally eat meat, which is food and stomach disharmony, people's stomach also has its own habits, long-term eating habits often lead to a synchronization of stomach function, suddenly change food, the stomach may be 'overloaded'. ”

"If you use a more scientific explanation that milk and human milk are different, milk contains some substances that are not suitable for human absorption, at this time it will increase the burden on the stomach, resulting in poor spleen and stomach transport function and malabsorption, resulting in diarrhea. ”

Saying that, Fang Han said to Lin Guangliang: "Cure to strengthen the spleen and invigorate qi, dissolve dampness and dampness, divide the benefits of urine and solid stool, raise and clear turbidity to reconcile qi, and imitate the prescription, flattening the stomach, Shenling Baizhu powder and Cimicifuga Pueraria Yang addition and subtraction, and the ....... of the big party ginseng."

Lin Guangliang quickly printed the prescription, Fang Han took the signature, handed it to the child's mother and said: "Fry it twice, half an hour each time, mix well, twice in the morning and evening, one dose a day, come to me for a follow-up after eating." ”

The child's parents went out with the child in their arms, Lin Guangliang was about to call the next patient, but Fang Han said, "Wait a minute." ”

Lin Guangliang stopped calling, thinking that Fang Han was going to go to the bathroom, who knew that Fang Han did not get up, but said to him: "To see a child, you must be patient, and you must also know how to observe, the child's parents tell about the symptoms and some trivial matters, don't interrupt casually." ”

Lin Guangliang hurriedly sat upright, he knew that Fang Han was teaching him experience.

"Pediatrics, children either can't speak, or the language is not strong, what is uncomfortable they can't express themselves, at this time we can only through careful observation and some descriptions of the child's parents, from the details to analyze and judge, the child's parents sometimes say some long-winded words often have something hidden, they are the most concerned about the child is also in contact with the child all day long. ”

"Dr. Fang, I see. Lin Guangliang nodded hurriedly, he knew that Fang Han thought he had interjected just now.

"The patient's family does not understand medicine, what we ask they sometimes answer what they don't ask, don't worry at this time, we may be negligent when we ask, sometimes this negligence is made up in some verbose words. ”

"Hmm. Lin Guangliang nodded again.

"Call the patient. ”

Fang Han said and continued: "The sights, hears, inquiries and cuts of traditional Chinese medicine are all exquisite, even if it is a consultation, there is a lot of knowledge in it, let me tell you a song recipe for you to remember." “

Lin Guangliang hurriedly listened carefully, this is a rare opportunity.

When he was rotating in internal medicine, he also gave a beating to individual doctors, but no one taught anything like Fang Han.

"One asks about cold and heat, two questions about sweat, three questions about the head and body, four questions about the bow, five questions about diet, six questions about the chest, seven deafness and eight thirst, nine questions about the cause of the old disease, and then several changes in taking medicine, women must especially ask about menstruation, slow collapse can be seen, and then add a piece of language to tell pediatrics, smallpox and measles all take risks. ”

This song recipe was seen by Fang Han when he was reading a book in Guo Wenyuan's study, and it was called "Ten Questions Song." ”

This "Ten Questions Song" is concise and to the point, including almost all the contents of the consultation, when Fang Han saw it, he thought it was very good, so he deliberately looked at both sides and wrote it down.

"Dr. Fang, I made a note of it, thank you. ”

Lin Guangliang hurriedly thanked him, although this song recipe is simple, there are a lot of things in it, and it almost exhausts the essence of the consultation.

Since ancient times, in addition to the grace of parenting, that is, the teacher's inheritance is the most important to solve doubts, parents gave us life, grace is greater than the sky, raise us to grow up, grace leeway, teachers teach us skills, teach us knowledge, give us the ability to survive, this kindness is also heavier than the mountain, deeper than the sea.

A person who is willing to teach you skills is very worthy of cherishing and respect.

Lin Guangliang has been in Jiangzhong Hospital for a year and a half, and from the internship to the current residency training, he is no longer a senior student who has just entered the hospital on the first day of internship.

In the hospital for a year and a half, Lin Guangliang knows very well how difficult it is to learn skills.

The hospital is definitely a place with an extremely strict hierarchy, and most of the doctors are hidden.

Especially for newcomers, the doctors who can be contacted or often contacted are some hospitalizations and attending doctors, and for most of the hospitalizations and attending doctors, they are still on the rise.

Hospitalized to the attending officer, even if you get the title, the hospital has to get a card, and the same is true for the promotion of the deputy high, the promotion channel is narrow, and several radishes compete for a pit, at this time, the newcomer with a little talent is under pressure on the senior hospitalization and even the new attending officer.

Teach the students to starve to death the master, and the doctors naturally have to hide it.

Fang Han was willing to tell him so much, and Lin Guangliang was grateful to Fang Han from the bottom of his heart.

If you really want to count it, there was a little contradiction on the first day of his internship with Fang Han, but he stayed in the hospital because of Fang Han.

"The song recipe sounds simple and contains a lot of things, but it needs to be used in practice, and it is necessary to ask and practice purposefully according to the characteristics of the disease and the different patients. ”

As Fang Han spoke, the next patient had already entered the door.

This time it was an eight or nine-year-old girl who came in, accompanied by the child's mother, after sitting down, Fang Han glanced at Lin Guangliang, Lin Guangliang instructed, hurriedly looked at the child seriously, and asked, "Where is it uncomfortable?"

"Dizziness, weakness, fever, and runny nose. ”

"How's the meal?"

"I don't have a good appetite, and I still kick the quilt when I sleep at night. ”

"Doctor Fang, is this a wind-heat cold?" Lin Guangliang asked a few more things, and then looked at Fang Han.

"Well, there's heat in the body, and the heat evil invades ......"

Fang Han nodded and said, "Come, I, feel the pulse." ”

.......

In Penghua Village, Fang's Medical Center continues to close for one day today.

There are not many relatives in the Fang family, Fang Yuenian is an only son, the old man has no daughter, today Ms. Tian Ling and the old comrade Fang took Fang Tian to pay New Year's greetings to her mother's house, and the old man was at home alone, sitting at the door basking in the sun.

The Peng family next door has a lot of guests today, the Peng family has three children, two daughters, and a son, Peng Donghai is the youngest, and today Peng Donghai's two sisters and husbands have come to the Peng family to pay their respects, and the old man is sitting at the door, somewhat envious.

"Grandpa Fang, my Uncle Fang, they are all going to visit relatives today?" Peng Donghai came out to pick up people, saw the old man, and greeted him with a smile.

"Yes, I'm all going to pay New Year's greetings, and I'm quiet alone. ”

"Fang Han hasn't had a holiday during the Spring Festival this year?"

"No, the Jiangzhong Hospital is busy, Xiao Han is the main backbone of the department, where can I go away, the little doctor can still have a vacation, Xiao Han is really busy, usually fine, the more the New Year's Festival, the more I can't leave. ”

Speaking of his grandson Fang Han, the old man is very proud, he has no daughter, but his grandson is amazing, the famous doctor of Jiangzhong Hospital, how many people envy him, don't look at him next door Haizi drives a BMW, and his grandson drives Wuling, but so what.

"My uncle and Aunt Tian are not here, there will definitely be no one to cook, I will call you for dinner later, you can come along." Peng Donghai said with a smile.

"No, I've got something to eat. The old man said with a smile.

Peng Donghai didn't say much, he carried things and his sister and brother-in-law into the door, and when he entered the door, Peng Donghai's second brother-in-law said: "Who is next door, the grandson is from the Jiangzhong Academy? ”

"How do you speak?" Peng Donghai's second brother-in-law was talking, and Aunt Peng couldn't help but scold: "You kid, why are you like this now, people Xiaohan is amazing, don't talk nonsense in the future." ”