As soon as he entered, he saw two doctors sitting facing him, looking at him, a little embarrassed, but quickly spoke.

"Well, I came to see a doctor, I was supposed to go to see Dr. Huang, but when I didn't see anyone, I thought I had left after work. When he saw someone here, he walked in. I didn't expect Dr. Huang to be here. ”

Astragalus stood up at this time and looked at the comer. This person still has some impressions of astragalus, this person actually has no major problems, that is, rheumatism and bone disease are not difficult to treat, but it is definitely not as simple as a cold.

"Doctor Huang, I took the medicine you prescribed to me last time, and I also applied it externally, listening to your frequent pressure on those acupuncture points, it was quite effective at first, but it slowly became more and more ineffective. Just last night, when I got up at night, I sat up hard, and I felt like my waist was about to break, and I couldn't move, but it didn't scare me to death. ”

"I thought I had twisted it when I got up, but I didn't have the pain of the sprain, but the same piercing pain that I had been tormenting before. It took a lot of time to get out of bed this morning. ”

"Just because of this severe back pain, I rushed over early in the morning, but I didn't expect it to be this time here. I thought Dr. Huang was off work just now, but I didn't expect to be here. Dr. Huang, hurry up and show me again, this pain is really terrible. ”

The patient held the door with one hand and his waist in the other, and walked very slowly, moving forward little by little. Seeing this, Huo Tianlei and Dr. Huang hurriedly went up to support the patient, and helped the patient to lie on the bed.

This person pointed out that Dr. Huang would show it, and Huo Tianlei would not do anything to rob other people's patients, so he stood aside and observed the patients.

With a patient, Astragalus's expression became much more serious. According to where the patient is pointing, lift the patient's clothes and look at the patient's waist.

Rheumatic diseases are a group of extremely common clinical symptoms with arthralgia and chills as the main symptoms. Rheumatism is the abbreviation of rheumatic diseases, which generally refers to a large group of diseases that affect bones, joints, muscles and their surrounding soft tissues, such as bursa, tendons, fascia, blood vessels, nerves, etc.

Rheumatic diseases refer to a large group of diseases that affect bones, joints, muscles and their surrounding soft tissues, such as bursa, tendons, fascia, blood vessels, nerves, etc. The etiology can be infectious, immune, metabolic, endocrine, degenerative, geographical, hereditary, neoplastic, etc.

I saw that the patient's waist was not visible from the outside at this time. Astragalus stretched out his hand and gently pressed on his waist.

I moved little by little, but this time I didn't move, and as soon as I touched it, the patient said that it hurt so much. Huo Tianlei also saw the patient's pale face and sweat stains on his forehead, and Astragalus was also taken aback by the patient's reaction, and immediately withdrew his hand.

After a while, he still put his hands on the patient's waist, this time in a different part, and pressed little by little from top to bottom. At first, it was fine, but slowly the heart-piercing pain made the patient cry out in pain and take a sharp breath.

"Tell me exactly where it hurts, what kind of pain?"

Astragalus frowned, always feeling that it shouldn't be like this, but he couldn't tell what was going on. Ask the patient to describe what kind of pain is there.

With the description of the patient's forehead, the doubts on Astragalus's face became heavier and heavier instead of alleviating.

There are indeed many types of rheumatism, and listening to the description of the patient, it is indeed the most common one, but how can this patient be so painful now, this should not be very abnormal.

Regarding rheumatism, the first is diffuse connective tissue disease, the second is seronegative spondyloarthropathy, etc.

The specific classification is probably diffuse connective tissue disease, which is roughly classified as rheumatoid arthritis. Juvenile arthritis. Lupus erythematosus. Scleroderma. Diffuse fasciitisDiffuse fasciitis with or without eosinophilia. Polymyositis and dermatomyositis, polymyositis, dermatomyositis, polymyositis or dermatomyositis associated with malignancy, polymyositis or dermatomyositis in children associated with vascular disease.

Necrotizing vasculitis and other types of vascular lesions, polyarteritis nodosa. Allergic eosinophilic granulo-swollen vasculitis (Churg-Strauss syndrome). Allergic vasculitis, serum sickness, Henoch-Schonlein purpura, mixed cryoglobulinemia, malignancy, hypocomplementaemic vasculitis.

granuloma, swollen arteritis, Wegener's granulomyitis, giant cell (temporal) arteritis with or without rheumatic polymyalgia, Takayasu's arteritis. Kaasaki disease. Behcet's syndrome. Sjögren's syndrome. Overlap syndrome. Other polymyalgia rheumatica, repetitive panniculitis, polychondritis complex, erythema nodosum.

The second type is even more severe, seronegative spondyloarthropathy, syndrome. Psoriatic arthritis. Inflammatory bowel arthritis.

The third type is osteoarthritis. The fourth is infectious arthritis. And this fifth is also arthropathy caused by metabolic and endocrine diseases. For example, crystal-induced arthritis . Caused by sodium urate crystals (gout), calcium pyrophosphate crystals (pseudogout, cartilage calcification), alkaline calcium phosphate crystals (hydroxyapatite).

Other biochemical abnormalities of amyloidogenicity; Vascular disease. Other congenital disorders Marfan syndrome, EH1ers-Dan1OS syndrome, osteogenesis imperfecta.

Endocrine disease Diabetes mellitus, acromegaly, hyperparathyroidism, hypothyroidism. Immunodeficiency disorders, hypogammaglobulinemia, 1GA deficiency, complement deficiency. Genetic disorders Congenital polyarticular curvature, hyperactivity syndrome, progressive ossifying myositis.

The sixth is one of the most difficult diseases in medicine at the moment, tumors. Neoplastic rheumatism. Pathogenic synovial tumors; Then there is secondary leukemia, multiple myeloma, and metastases.

The seventh is bone and cartilage lesions, which are roughly divided into eight modules, namely generalized and localized osteoporosis. Osteomalacia. Hypertrophic osteoarthropathy. Diffuse original bone hypertrophy. Osteitis. Ischemic osteonecrosis. Costochondritis. Other.

If you want to talk about this eighth type, it is probably non-articular rheumatism. Rather, periarticular lesions bursitis, tendinopathy, enthesitis, cysts. Intervertebral disc lesions. Original low back pain. Others: fibromyalgia, fibrofibrositis, psychogenic rheumatism, etc.

Other than that, there are only other diseases with joint symptoms, periodic rheumatism, intermittent joint effusions. Drugs induce rheumatic syndrome. Other chronic active hepatitis, multicentric monocyte-macrophage, trauma, etc.

In short, the current situation of this patient seems to be the first disease, diffuse connective tissue disease. All conditions are in line with this condition, but this rheumatic pain is normal. But the pain is to this extent, it is a little too much to say, and I am afraid that there are other causes.

Astragalus frowned, and then said something to make the patient endure a little, and began to press it himself to rule out some situations. However, the more I looked at the astragalus at this time, my heart slowly sank.

This time, it's not easy!

This was the biggest thought in Astragalus's heart, but he quickly withdrew his hand. The patient felt as if he had just been fished out of the water. The whole person was sweating profusely and his face was pale, and the astragalus had taken away his hand at this moment, but the pain was still increasing.

"Doctor Huo, can you take a look?"

Astragalus took a step back and went over to take the patient's pulse. called Huo Tianlei and asked him to take a look at the patient's situation.

The patient was lying on the bed, his face was pale and sweating, looking at this young doctor who was a little unspeakable, and he wanted to refute it, but the pain was too torturous, and the whole person was lying there writhing incessantly, trying to relieve the pain.

Huo Tianlei was also very curious when he saw the patient's situation, so he set his eyes on the patient's waist. I watched the observation, but I didn't see anything.

Wangwen Wenqi couldn't detect anything wrong at this time, so Huo Tianlei directly put his hand on the patient's waist, and slowly a wisp of true qi flowed out of Huo Tianlei's palm, and then slowly got into the other party's body.

At the same time, Huo Tianlei gathered his mind to check the patient's condition. I thought it was a small problem, but when he sank down to investigate, he realized how troublesome the patient's waist was.

It can't be described as troublesome, in short, it's like a dam, when the floodgates are opened, but they just don't open it, and over time the water overflows. In short, the patient's condition is not simple or optimistic.

Because Huo Tianlei obviously felt that there seemed to be something on the patient's waist, and this thing was likely to be something that should not appear, such as a tumor...

He withdrew his hand and looked at the patient without speaking. And this patient was in pain before, but just when Huo Tianlei's forehead palm was attached to his back, he slowly felt that his waist was no longer as painful as just now, which greatly alleviated the patient's pain.

And the astragalus had just sent the patient's wrist away at this time.

"I'm afraid it's not easy. ”

The patient looked at Astragalus and just wanted to ask Dr. Huang what was going on and what was going on, but Astragalus had already stood up and spoke.

"Hmm. ”

It's not a bad thing for Huo Tianlei to be simple or not, but he does know what the situation is about. The current situation is indeed not simple. The same answer, and then no more sound.

"I'd suggest you'd better go and do an MRI to see what's going on inside. You also seem to have some problems with your kidneys. ”

Astragalus said that the limitation of traditional Chinese medicine is that it cannot intuitively check the situation in the patient's body. Some just look and smell and cut the needle to check the pulse. Looking at the situation now, it is understandable to suggest that he go for an MRI.

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