Chapter 409: Treatment of Dementia
Ye Chen was checking the bad old man's tongue, pinching his mouth, being able to see his tongue lightly, and then giving him a pulse to see the pulse, but it made him feel strange.
This bad old man's pulse is a little different from that of ordinary people. The reason why in traditional Chinese medicine is that it is expected to be heard and cut is naturally because pulse cutting plays a very important role in a patient's medical treatment. Looking at the pulse, you can see that a patient has a lot of problems.
Now when Ye Chen checked the pulse of the bad old man, the confusion of the other party's pulse made him feel very strange, and he felt something else that was not in the pulse.
When Ye Chen was there to check on Han Wenshi, Uncle Han and Han Yujia were both watching nervously, and when Ye Chen stopped, their expressions slowly returned to normal.
"Miss Han, how old is your second grandfather this year?" Ye Chen asked.
"Nine, sixty. Han Yujia said.
Looking at the gray hair of the bad old man, it is possible to be in his sixties. However, Ye Chen felt that this age seemed to be inaccurate, and this bad old man gave him the feeling that he was at least eighty or ninety.
Since Han Yujia said that, Ye Chen didn't bother with the old man's age anymore, and continued to ask: "Then how long has he been suffering from dementia? What is his previous medical history? ”
These should have been asked to the patient himself, but when the patient has this situation, he will definitely not be able to say it, and he does not know how to say it, so he can only ask the relatives around the patient.
"Dr. Ye, this disease has been going on for more than a year, and when I was seeing a doctor in a big hospital, the attending doctor was diagnosed with vascular dementia. In the past, he had no medical history and was in good health, but after the onset of the disease, he liked to drink liquor more, and his physique was poor. During the seizure, the consciousness is dizzy, does not know the family, the emotions are intense and irritable, often hallucinates, and even run out by themselves, do not know the way home, jump off the building, talk to themselves, cry and be hungry. Uncle Han said.
However, when Ye Chen was checking the bad old man just now, he found that the situation was a little different from what these two people said. Could it be that I had just checked the pulse wrongly, or was it because other doctors had made a mistake when they were treating the bad old man?
After Ye Chen listened, when he carefully checked the pulse of the bad old man again, he felt still like that, and even made him feel a little unspeakably surprised.
Since Han Yujia and Uncle Han may not know about those things, they may also be reluctant to say it, Ye Chen did not ask any more, but first helped the bad old man back to his room, and asked Han Yujia to wipe his body, change into a set of clean clothes, and let him rest here.
When Ye Chen and Uncle Han went outside, they asked Uncle Han to bring a piece of prescription paper, and Ye Chen sat in front of the table in the living room of the inner courtyard and wrote: "Han, male, more than 60. Initial diagnosis: the patient has been demented for more than one year. He suffered from cerebral thrombosis for more than a year, accompanied by memory loss and unconsciousness. Diagnosed with vascular dementia in a hospital, treatment was ineffective. No other medical history. ”
"Examination: the patient is unconscious, does not know his family, is easily manic, often hallucinates, runs out, jumps off buildings, shakes his head and neck, talks to himself, cries easily and is hungry, loves to drink, and has acceptable bowel and bowel movements. Tongue image: The tongue is dull and greasy. Pulse: Shen Xian. ”
"Traditional Chinese medicine dialectic: This is dementia, which is liver and kidney deficiency, blood stasis and internal resistance, phlegm and fire disturbing the heart. Treatment: tonify the kidneys and strengthen the brain, clear away heat and detoxify, invigorate qi and dispel stasis, and dispel phlegm. ”
"Prescription: 20 grams of Polygonum multiflori, 15 grams of wolfberry, 20 grams of dodder seeds, 30 grams of black mulberry, 30 grams of black sesame seeds, 30 grams of black soybeans, 30 grams of astragalus, 10 grams of Chuanxiong, 15 grams of salvia, 15 grams of red peony, 10 grams of peach kernels, 10 grams of safflower, 15 grams of calamus, 30 grams of nightshade, 3 grams of lotus seed heart, 9 grams of Xanthium seeds, 12 grams of forsythia, 15 grams of honeysuckle vine. 7 doses, decoction with water, 1 dose per day, divided into two doses. ”
After Ye Chen finished writing the prescription, in addition to writing the date of his first visit on it, he also had his name, and now handed it directly to Uncle Han, saying: "In addition to drinking medicinal soup, let him drink less, it is best not to let him stick to the wine during this period of drinking medicine." ”
These exhortations are important. After all, when the patient drinks the medicine, it is best not to take other medicines indiscriminately, if you drink alcohol for a long time during the period of drinking, it is possible to resolve the effects of those medicines.
"Dr. Yip, I understand. Uncle Han said with a smile. Now that Ye Chen has seen the bad old man and prescribed the medicine, he naturally asked Boss Han to pick up the rare medicinal materials for him. The main reason why Ye Chen came here was to buy that rare medicinal material to go back to assist in cultivation and break through. As for treating that bad old man now, it's just a casual thing.
"Doctor Ye, now that you are treating Yu Jia's second grandfather, how much treatment fee are you going to charge?" asked Uncle Han with a smile. After all, there is no one in this world who does free things for anyone.
Even those so-called philanthropists, who donate how much money they donate each year to help other poor people in need, are just seeking fame or more profit. Now that Ye Chen has seen Han Wenshi, in the opinion of Uncle Han, he should charge for treatment.
"Uncle Han, don't use this!" Ye Chen said. In fact, in ancient times, when doctors treated people, they charged a fee, after all, they had to support their families, but they would not charge a lot, or in the case of their own medicinal materials, and in many cases, to help those poor people to see a doctor, they also had to be labeled with medicinal materials for free.
Now Ye Chen is just prescribing medicine for Wang Wenshi's treatment, and he has not given them the medicinal materials for the prescription, in Ye Chen's opinion, naturally there is no need to collect it, not to mention, the last time he charged Uncle Han such a high treatment fee, he felt embarrassed.
"It can't. Otherwise, if everyone comes to you for medical treatment and no charge, you will definitely not be able to come!"
With Ye Chen's traditional Chinese medicine skills, as long as he sat here in his pharmacy for a day and prescribed medicines to other patients for free, Uncle Han felt that all the medicinal materials in the store would be sold out in one day.
This is exactly the role played by a famous doctor who really knows medical skills, and Ye Chen naturally can't sit here all day. Now he didn't take it, he just felt that he shouldn't have it.
In the end, Ye Chen could only say: "When Miss Han's second grandfather really recovers, give me treatment fees." If it is not cured, then I will not charge the treatment fee. ”
"That's okay, if you really cure him, it's equivalent to the value of ten pairs of rare medicinal herbs you bought!" Old Uncle Han looked at him and said with a smile.
Ye Chen didn't expect that it would be like that, because he now buys a pair of medicinal materials, one dose costs 150,000, five doses and one pair is equivalent to 750,000, and ten pairs of such rare medicinal materials are equivalent to 7.5 million.
It seems that that bad old man should be a very high-status person in the Han family, just because he suffers from the current dementia.
When Uncle Han went to pick up the medicine for Ye Chen, and it didn't take long to take out the rare medicinal materials, he looked at him and said, "Doctor Ye, the medicinal materials have been picked up." ”
Ye Chen took it, smelled the smell of the rare medicinal herbs, and found that the medicine was even fresher, it should have just been excavated. In traditional Chinese medicine, some medicines have a great collection effect after they are dug up, and the longer the collection, the better the efficacy.
However, some are time-limited, naturally the fresher the better, and in the case of a long time, there may be moldy insects, which need to be used often to dry.
Now these rare medicinal materials, Ye Chen knew that the fresher the better. After he took out the bank card and swiped it for Uncle Han, Ye Chen pressed the password and paid 750,000 yuan.
After taking the big bag of rare medicinal materials, he looked at Uncle Han and Han Yujia, who had just come out of it, and said, "Uncle Han, Miss Han, I will come to give Second Elder Han a follow-up examination in seven days, and then see how he will do after drinking the medicine." ”