Chen Yong knocked on the door, and waited for the people in the room to say please come in before opening the door and walking in. Pen % fun % Pavilion www.biquge.info

There were three beds in the ward, and only the one near the door lay an elderly woman of about sixty years old, her skin was yellow and shiny, like orange peel, and the sclera part of her eyes was also dyed yellow, which looked a little frightening, and she was pressing her hand on the liver, and her mouth let out a feeble moan. Sitting next door to take care of her was a man in his thirties, and the faces of the two were somewhat similar, which should be a mother-son relationship.

"The whole body is yellow, which is a typical jaundice symptom." Zheng Yichen looked at it, and his heart was bright, "This old man obviously suffers from jaundice, and jaundice in the field of traditional Chinese medicine is mostly caused by dampness and heat leading to bile overflow, which is divided into yin yellow and yang yellow. The hot poison is strong, and the Puji disinfection drink is used. ”

Zheng Yichen was able to distinguish the symptoms of the disease at first glance, he was a little excited, and then his mood was depressed again, today is a Western medicine assessment, and the analysis he just made was a theory of traditional Chinese medicine, which was obviously off topic.

"Jaundice can exist independently as a disease in the field of traditional Chinese medicine, but in the field of Western medicine, it only represents the symptoms and signs of a certain disease, and there are several diseases that can cause the symptoms of jaundice. He thought to himself.

After Chen Yong entered, he greeted the patient: "Auntie, hello, I am the doctor in charge of treating you, my name is Chen Yong, I know that you are very hard, we will ask you some questions first, and then do some examinations, and write a good medical record to treat you, I hope you will cooperate well to get better quickly." ”

The man sitting on the side looked like a tiger with a bear's waist, and seemed to have a quick temper, first expressed his dissatisfaction with the doctor's belated arrival, and then quickly patted the patient's shoulder and said softly: "Mom, the doctor has come to see the doctor." ”

The patient looked pained, nodded to Chen Yong, and began to moan quietly.

Chen Yong called Zheng Yichen and the others over, and said in a tone that only they could hear: "Now let's start asking for a medical history, doing a physical examination, and finally coming up with a diagnosis and treatment plan." Zhiwei, you start first. ”

Xu Zhiwei opened his mouth to agree, his eyes rolled a few times, he shook his head and said, "No, if I ask Zheng Yichen on the side, don't you see it all?" I asked him to recuse himself when I was doing the assessment, so it was fair. The implication is that he believes that Zheng Yichen is inferior to him and wants to steal his teacher, and even doubts whether Chen Yong deliberately arranged it this way, so that Zheng Yichen has a chance to pass the assessment.

Zheng Yichen sneered: "Since you are so afraid of what I have learned from you, why don't I start the assessment first, you can stand aside and watch, anyway, with your IQ, you can't steal my teacher." ”

Chen Yong snorted: "I said that whoever assesses first will be assessed first, and it is not your turn to decide to come first and come later." Since Zhiwei has an opinion, the patient's condition is not suitable to be disturbed for too long, the assessment method is changed, Zhiwei conducts the first stage of medical history examination, Zheng Yichen conducts a physical examination, and finally both of them give diagnosis and treatment plans. That's all right, right? ”

Xu Zhiwei originally wanted to continue to question, but he looked at Chen Yong's gloomy eyes for a while, and immediately admitted: "No opinion, then I'll start asking about the medical history first." ”

He walked to the bed and communicated loudly with the patient: "Auntie, what's your name?" ”

"Chen Sujuan."

"How old are you?"

“56。”

Xu Zhiwei was familiar with the road, and while asking for a doctor, he took a pen and paper to record the content of the consultation, starting from the most basic information, and continuing to ask about the chief complaint, current medical history, past medical history, marriage and childbirth history, drug and food allergy history, and family genetic history.

The old man groaned and answered questions at the same time, sometimes in pain he couldn't speak, and his son on the side had to answer for him.

Three minutes later, after the complete medical history was asked, Xu Zhiwei stepped back with satisfaction, just in time to see Chen Yong nodding his head slightly, which was regarded as a compliment to his swiftness and clarity when asking about the medical history.

Even Zheng Yichen had to admit that Xu Zhiwei's medical history inquiry process just now was a perfect textbook template.

"Hey, don't be flustered, it's up to you, or are you going to surrender and lose half?" Xu Zhiwei smiled viciously and whispered in his ear.

"You don't need to be reminded, you shouldn't use yourself as an alarm clock." Zheng Yichen came to the patient's side and said softly, "Auntie, where do you feel the most pain?" ”

The patient listened to his question, groped his fingertips in his abdomen a few times, pointed to a dot and said, "It hurts the most here." ”

Zheng Yichen stretched out his hand and pressed it on that point, and stroked it on the epidermis in a clockwise direction with his fingertips: "This is it, right?" ”

The patient groaned, "That's right, you...... You lighten it, it hurts, it hurts. ”

"Auntie, you inhale slowly first, yes, breathe with your stomach, take your time. Then exhale, as slowly as you inhale. Zheng Yichen stopped rubbing his fingers, his fingertips were erected, perpendicular to the surface of his body, and he changed his fingertips to the tapping method, and his fingertips continued to exert force, gradually increasing his strength, and he fell deeply into the skin of his abdomen.

The patient inhaled to the end and began to exhale, with the rhythm of her exhalation, Zheng Yichen relaxed to a certain extent, slowly reduced the force, and the patient's abdomen returned to the roundness.

When he withdrew his finger, the patient suddenly let out an "ahhh

Zheng Yichen's son, who had been looking at him with suspicion on the side, was furious: "What are you doing? My mother is already in a lot of pain, and you still press her so hard, I'm going to the medical department to sue you......" He rolled up his sleeves to reveal his strong arms, as if he wanted to punch Zheng Yichen.

Xu Zhiwei gloated, and secretly muttered in his heart: "I told you not to do a good physical examination, do these extra things, you deserve it, fight, hurry up." ”

Even Chen Yong frowned, thinking that Zheng Yichen's actions were purely troublesome, and he was trying to stop the impulsive son, and by the way, he scolded Zheng Yichen a few words to let him extinguish the fire, and then personally checked the old man's house to mediate the turmoil.

At this time, the patient finally spoke, and his voice was much louder: "It's so comfortable, it's the most comfortable in the last few seconds since I got sick." Doctor, you press a few more times. ”

When Zheng Yichen's fingers just touched the pain point in her abdomen, she did have some unbearable pain, as Zheng Yichen's pressing force increased and her inhalation deepened, the originally extensive tenderness converged on this pain point like a hundred rivers and seas, it was strange to say, at this time she also felt pain, but it was a comfortable and comfortable pain, and she wished Zheng Yichen could press harder.

When the inhalation reached the end, when she began to exhale, she clearly felt the pain gathered at one point, like a balloon punctured by Zheng Yichen's "pointer", every time his fingers were reduced by a point, the pain was also reduced by a point, and when he completely released his fingers, the patient's discomfort had been reduced by half.

After she said this, it was like a gust of wind, blowing away the haze of the rain in the ward. Xu Zhiwei opened his mouth wide, very incredulous, Chen Yong said secretly: "It's so dangerous, I almost scolded Yichen." He took back the words that came to his mouth, and showed a calm smile on his face, as if to say: I knew that there would be such a result, but he followed me, how many catties and taels I don't know?

Her son, who was about to stage a full martial arts, smiled and sat back in his seat, slightly embarrassed: "Mom, it turns out that you feel comfortable calling so loudly, and I misunderstood the doctor." I'm sorry, doctor, it turns out that you are treating my mother, please help my mother press a few more times, thank you. ”

Zheng Yichen used the finger to refer to the needle, and picked the patient's most painful "Ah Shi acupoint" as the tap point, and then stimulated it with breathing.

The essence of the "pointer" is to be soft and deep, pushing the muscles and bones, in order to achieve the same therapeutic effect as acupuncture, avoid using rigid force, otherwise not only can not cure the disease, but will aggravate the pain of the patient.

Traditional Chinese medicine pays attention to "urgency is to treat the symptoms, slow to treat the root cause", Zheng Yichen's pointer just now is more laxative, one advance and three retreat, this method has a good pain-relieving effect for acute pain, and it has been tried and tested.

"A is acupoint" does not belong to the acupuncture points of the twelve meridians and the eight veins of the strange meridians, and is characterized by taking the pain point as the acupoint, the ancient acupuncture physician treated the patient with pain, groped to a certain part, and the patient screamed because of the pain: "Ah! Be. Hence the name.

Compared with the surprise of the people present, Zheng Yichen seemed much calmer, he was trembling in Western medicine, and the use of Chinese medicine acupuncture and massage skills, he was a bamboo in his chest, and he already knew that he would definitely be able to relieve the pain of patients.

"If you feel comfortable, then I'll help you press a few more times, and then you will have the energy to do a physical examination later."

Zheng Yichen smiled lightly and clicked a few more times, the old man's pain was greatly reduced, he no longer groaned, his face was happy, and he said gratefully: "Thank you, doctor, what's your name?" ”

"My name is Zheng Yichen, Auntie, you don't have to work so hard now, I'll give you a physical examination."

The patient nodded briskly: "No problem, come on." "The patient's scheming is very simple, as long as you can solve her pain, you have won her trust, and she will cooperate in whatever she wants.

Zheng Yichen picked up the ear tube of the stethoscope with both hands, put it in his ear, and heated the auscultation head with his palm, and then placed it on the patient's skin to listen to the breath sounds in the lungs and heart sounds.

Next, we will start testing the abdominal pain response to tenderness and rebound tenderness, some nerve reflex tests of the extremities, and then checking the sensitivity of the pupil to light reflexes.

Xu Zhiwei blossomed happily on the side, a set of normal physical examinations, should be from top to bottom, first check the head, facial features, then whether the veins in the neck are distended, followed by the lungs, heart auscultation, Zheng Yichen disrupted all the steps: "Sure enough, how can a Chinese medicine college student do a formal Western medicine physical examination?" He sneered inwardly.

Chen Yong put his hand on his cheek, thoughtful, as for what he was thinking, only he knew.