Chapter 245: Gu Fan's Philosophy of Practicing Medicine
After the patient left, Gu Fan was about to call the nurse to let the next patient come over.
Situ Hao stretched out his hand to stop, "Don't be in a hurry to let the next patient come over, I'll ask you a few questions first." ”
Gu Fan was a little apprehensive in his heart, and thought about it carefully, he had no problem with seeing the patient just now, and there was no problem in grasping the medicine, so he was relieved, "Mr. Situ, excuse me." ”
Seeing that there was no greeting here, the nurse did not come up to ask, and stood there to prevent the next patient from entering the isolation zone.
The patient standing outside the isolation zone looked at the two people five meters away, and his heart was a little up and down, worried that this doctor named Gu Fan had no real talent.
Situ Hao turned around and looked at Gu Fan in front of him, "I read the prescription you prescribed just now, and it can indeed treat that patient's condition, but is the medicine a little less? You use angelica as a medicine to nourish blood and qi, and gardenia promotes the patient's rest, why don't you add American ginseng, schisandra, He Shou Wu and other medicines? Gardenia, angelica, these two flavors of Chinese medicine are not as good as what I just mentioned." ”
Hearing Situ Hao's question, Gu Fan suddenly realized that Situ Hao was questioning the prescription he prescribed, but it was inconvenient for the patient to veto his plan in person, which was equivalent to saving a certain amount of face for himself, "The ginseng in the Four Gentlemen's Soup already has the effect of nourishing blood and invigorating qi, if American ginseng is added later, some medicinal effects will be repeated." Although the efficacy of gardenia is not as good as that of other traditional Chinese medicines such as Schisandra chinensis and Polygonum multiflori, the cost is much lower. The patient was only twenty-four years old, but he had calluses on his palms, which proved that he lived on physical strength. Instead of prescribing those precious Chinese medicines for treatment, it is better to prescribe some cheaper Chinese medicines. Although the efficacy of the drug is a little worse, but the patient is younger, Chinese medicine and the immune system regulate each other, after taking it for a week, the effect will not be better than those precious herbs to find out. ”
Situ Hao was slightly surprised when he heard Gu Fan's explanation, he didn't expect that in five minutes, this kid thought so much, "But have you ever thought about it, the patient comes to you to see a doctor, just to make the condition improve quickly, not to save money." ”
Situ Hao said that there is nothing wrong with this, the reason why patients see a doctor is to treat their own body, and the pain tortures people's bodies and souls at the same time.
In this world, everyone cares about money, but under the torture of illness, money may be the most powerful thing for them.
Gu Fan sat in his position, bent down slightly and bowed, "Gu Fan is taught." ”
Although Gu Fan said so, if he was asked to do it again, he would still open this one to come out. As far as the medicine just now is concerned, seven pairs of drugs will cost a maximum of 100 yuan. If you calculate according to Situ Hao's prescription, there are still seven pairs of medicines, not to mention three hundred and fifty-six.
Similarly, for the treatment of a patient's pain, it may take two or three days for cheap drugs to take effect, and expensive drugs may improve on the same day. As an ordinary person, it is inevitable to choose the first one. Why?
Money is hard to earn, is hard to eat, and it is not easy for the people at the bottom to make money, so what are they doing with all that unjust money?
As a doctor, you must first think about the patient's condition, but you can't ignore other factors. For example, their affordability, length of treatment, personal privacy, etc.
These are not related to the disease, but they are closely related. In addition to medication, the speed of improvement is closely related to the patient's mood.
A depressed patient will never recover as fast as a positive patient.
Seeing Gu Fan's humble acceptance, Situ Hao nodded his head, tapped his fingers lightly on the scoring sheet a few times, pondered for a while, and did not mean to mention the pen to score, "Call the next patient." ”
With the benefit of the two doctors, the nurse quickly arranged for the next patient to be seated.
The patient in front of him was a woman, a little fat, dressed in gold and silver, dressed as an upstart.
The woman sat down, handed the medical record book in her hand to Gu Fan, smiled at Situ Hao and nodded, "Mr. Situ, it's troublesome." ”
Situ Hao didn't ask for it, "It's not troublesome." ”
Gu Fan looked at the basic information in the medical record book, He Qin, forty-one years old, a native of Kyoto, stretched out his hand to check the pulse of the other party, "Have you been chest tightness and shortness of breath recently, anxiety, irritability, during menstruation, the amount is small, and even has symptoms that do not come?"
He Qin looked at Gu Fan and nodded vigorously, "Yes, yes, it's all right for you." ”
Gu Fan nodded slightly, "Is there anything else uncomfortable?"
At the same time of questioning, Gu Fan constantly observed the patient's complexion and the movements of his body and limbs, and was judging by combining his pulse and diagnosis.
He Qin thought for a while, "It's very shallow when you sleep, and you will wake up with a little noise." Sometimes I can't sleep, I have insomnia, I have a lot of dreams. ”
Gu Fan nodded, "Roll up your trouser legs, and I'll see if your thighs are swollen." ”
As a forty-one-year-old woman, she naturally wouldn't be like a young man who couldn't let go, she wouldn't twist or pinch what she said or do, rolled up her trouser legs, and let Gu Fan press on her legs.
There is no puffiness in the legs, there are few menstrual periods, even menopause, irritability, chest tightness and shortness of breath, abnormal sleep, obvious menopausal symptoms.
But the woman is only 41 years old, and she is indeed your age for menopausal onset.
He Qin looked at Gu Fan after diagnosis, and leaned forward slightly, "Doctor, I don't have anything, right?"
Gu Fan smiled and nodded, "It's not a big deal, menopause, every woman will encounter it." ”
When she heard about menopause, she didn't look very good, "Menopause? Isn't that a fifty-year-old woman's mistake?"
"No, menopause usually occurs between the ages of 40 and 50, and the closer to the age of 50, the more likely it is to develop. Gu Fan picked up the pen in his hand and recorded his diagnosis results in the medical record book, "With the development of society, regardless of men and women, the pressure of life increases, and many diseases are gradually getting younger, and menopause is one of them." ”
The early menopause mainly involves people's hearts, rest, diet, and personal factors.
With the development of society, many women are experiencing more and more pressure in the process of employment and life, and early menopause is also a long-term disease.
The appearance of menopause means that a woman's body is declining, aging, and her skin is dull, which every woman does not want to see.
Gu Fan glanced up at the woman, "Traditional Chinese medicine believes that menopause belongs to, liver and kidney yin deficiency, liver stagnation and qi stagnation, and it is not very troublesome to treat." ”
Hearing Gu Fan say that it was not very troublesome to treat, the woman nodded again and again, "Doctor, can you stop it from appearing during this menopause?"
He Qin was thinking about something, what, Gu Fan naturally understood, "Menopause is a common disease that women will inevitably have, and this disease cannot be completely eliminated, it can only be said that it is shortened, or retreated." I'll prescribe medicine to you to postpone this condition for a while. ”
Can it be postponed? He Qin is naturally very happy, but how long can it be postponed, a month or two, or a year or two?
"How long can you step back?"
Gu Fan picked up the pen and began to write the prescription, without raising his head, "The medicine is just an adjunct, under normal circumstances, there is no problem for one or two years, if you can maintain physical and mental health and no pressure, it is possible to postpone it until after the age of forty-five." ”
Hearing that it could be postponed for four years, He Qin's face covered with thick foundation leaked a bright smile, "That's the best, that's the best." ”
Gu Fan raised his eyelids and glanced at them, shaking his head slightly.
The love of beauty is the same in the world, regardless of men, women and children.
Goji berries, chrysanthemums, raw land, mountain meat, yams, poria cocos, zexiao, danpi, American ginseng, angelica, keel, deer horn gum
Twelve flavors of medicinal materials, eight of which are the classic Qi Ju Dihuang pills, the last four drugs are to promote the woman's new generation, and have the effect of nourishing blood and invigorating qi and maintaining health.
After writing the prescription, Gu Fan carefully checked it, thinking that this prescription had been prescribed perfectly.
The woman looked at Gu Fan and began to check the prescription, "Doctor, I still want to have another child, see if you can adjust the prescription, even if the price is high, it doesn't matter." ”
Gu Fan's eyelids lifted slightly, smiled and shook his head, "There is no need to adjust the prescription, this medicine is to nourish yin and replenish yang, the menstrual period has returned to normal, the warm nest has regained its vitality, and it will naturally ovulate." ”
Hearing Gu Fan's answer, the woman looked at the national player sitting next to her, "Why don't you help me take a look at it again?"
Situ Hao naturally would not refuse, even if the woman did not make such a request, he would take the initiative to get started, only in this way could he understand the patient's condition and better judge Gu Fan's treatment.
After taking the pulse, he asked some questions about the symptoms of the patient's physical problems, nodded his head, and took the prescription from Gu Fan's hand and looked at it.
When he saw the medicinal materials written on it, he looked at Gu Fan in surprise, was this kid hit because of what he just said? There are several precious medicinal materials in the medicine prescribed above, and there are more than 200 yuan for such a pair of medicines, and of course the medicinal effect is also very obvious.
Situ Hao wanted to revise it, but the prescription was indeed correct, and it was not wrong to delete some of it. It's an exam, so what's going on if you cut it yourself?
With a sigh in his heart, Situ Hao finally signed his name under the prescription, "There is no problem with the prescription, just take the medicine on time." ”
The woman looked at Situ Hao's appearance of wanting to speak and stopped, and frowned, "Mr. Situ, is there really no problem with this painting?"
Situ Hao heard He Qin's question, and nodded his head, "There is no problem with the medicine itself, but the price is a little high." If you don't think it's appropriate, I'll ask the little doctor to fix it. ”
Hearing that it was just a matter of price, He Qin glanced at Situ Hao, and in his heart, the old man made a fuss, "The price is high, isn't the effect of the medicine good?" As long as the effect of the medicine can be seen, I can still afford to eat one or two thousand yuan for a pair of medicines. ”
The corners of Situ Hao's mouth twitched, nodded slightly, and remained silent.
Gu Fan sat next to him, almost holding back his laughter. The concept that Chinese people only buy expensive and do not buy good can be said to be the exquisite performance of this woman.
It's not that Gu Fan's medication is not good, it can be said that it is quite standard. However, if it is treated with ordinary drugs, two pairs of drugs can also achieve the efficacy of one drug, and its cost is less than one-third of this one-third.
But Gu Fan still chose an expensive prescription, why? Because this woman is rich, if the rich don't slaughter the poor, will he slaughter the poor?