Chapter 51: Coronary Heart Disease
But when she went to the internal medicine department, she was listening to the people in the internal medicine department that there were no them in the ward of the patient treated by Grandpa Shang and Lu Feng, and even the young patient was missing.
She was in a hurry, and hurried back to the hospital and Lu Feng's house, but she also didn't see anyone, so she turned back to the hospital again, secretly regretting in her heart that she hadn't gone to the cafeteria to look for it before.
Walking out of the corridor of the outpatient department of the Chinese Medicine Hospital, before rushing to the staircase of the canteen, Wang Yumeng suddenly stopped, because on the stairs above, Shang Wende and Lu Feng were walking down with faint smiles.
"Grandpa Shang, you...... Where have you been? I've been looking for more than two hours, but I haven't found you! Wang Yumeng asked with a hint of grievance in his tone.
Shang Wende turned his head to look at Lu Feng, then looked at Wang Yumeng with a smile and said, "We did a great deed today, so we came out of the ward late!" ”
Wang Yumeng looked surprised. Coming out of the ward late? She'd been to the patient's ward before, and there was no one in it!
"What's the good thing?" She asked curiously.
Lu Feng said with a smile as he went downstairs behind Shang Wende: "The good thing Master did today is to make a man extremely vicious, full of evil, arrogant, arrogant, and despicable...... In short, he is a very evil person, who changes his evil and returns to righteousness, turns back to the shore, puts down the butcher's knife, and becomes a Buddha on the ground. ”
"Flutter ......"
The grievances in Wang Yumeng's heart dissipated without a trace, and he glanced at Lu Feng with tears and laughter, and said coquettishly: "What you said is too exaggerated, right?" Where is it still a human being, it's just a big devil! ”
Lu Feng smiled, he used such an exaggerated tone, just to tease Wang Yumeng, seeing her smile, Lu Feng smiled and said: "It's all the same, it's all the same!" ”
Wang Yumeng's eyes were horizontal, and he said coquettishly again: "Everything is the same, I don't see it at all!" Why are you shutting down? I've been worried for more than two hours! Hmph, I'll settle the account for you when I go back! ”
Lu Feng was stunned, then took out his mobile phone from his pocket and looked at it, then raised his mobile phone in great depression and said with a wry smile: "It's not my fault!" No power! ”
Jiyang City Hospital of Traditional Chinese Medicine, since yesterday after treating the tuberculosis of young patients, Lu Feng has been with a satisfied smile, although he understands that his ability in traditional Chinese medicine is still too poor and too poor, but with the master of the Buddha, constantly saving a piece of fresh life, how happy and proud of it.
Today is the fifth day of coming to the TCM Hospital, and Lu Feng spent most of the other three days treating a teenager with tuberculosis except for the first day after diagnosing a hepatitis B patient and treating her with acupuncture. Of course, during these three days, Shang Wende would also let him follow him in the outpatient clinic when he was fine, helping patients to check their pulses while pointing out Lu Feng's various illnesses.
The day's work began in earnest after he returned from the internal medicine ward.
Shang Wende did not treat the young patient with tuberculosis anymore, because there was no need in the future, watching Lu Feng come back from internal medicine, Shang Wende said with a faint smile on his face: "Today, you will consult all day, and the same will be true for the next few days." ”
Lu Feng was slightly stunned, and then said with a smile: "Master, don't worry! I will definitely be careful to consult the patient according to the pulse of the study, but I still need to be by your side, Master, because if I were myself, I am afraid that there will be many diseases that cannot be diagnosed. ”
Shang Wende nodded, a hint of satisfaction flashed in his eyes, his apprentice was not arrogant or arrogant, and his understanding of himself was still very clear. As a healer, blind confidence can have serious consequences, especially if multiple conditions are similar.
Sitting at the consultation table that originally belonged to Shang Wende, Lu Feng felt a little apprehensive in his heart. He understood that he was not alone in his grasp, and although he did not show any uneasiness in front of his master, he knew in his heart that he was still lacking in medicine.
The first patient was an old lady who walked in with her children's support, and she looked to be estimated to be seventy or eighty years old.
"What's wrong with your old body?" Lu Feng asked softly with a kind smile on his face.
With a look of doubt in her eyes, the old lady turned her head to look at the children beside her.
A young man who looked to be about twenty-six or seventeen years old, with a thick distrust in his eyes, asked, "I said, this doctor, looking at your age, it seems that you are not as old as me, can you diagnose what disease my grandmother has?" I heard that the good level of Chinese medicine is some old Chinese medicine practitioners, who have enough experience, just like this old Chinese medicine doctor, why doesn't he diagnose the patient, but let you diagnose it? ”
The smile on Lu Feng's face remained unchanged, and he said: "Can it be diagnosed, this will only be known after diagnosis, this is my master, if I want to diagnose wrong, his old man will also point it out on the spot, you can rest assured." ”
After speaking, he stopped explaining, looked at the old lady again and said, "Old man, where are you unwell?" Tell me about your symptoms, and I'll take your pulse and get it checked. ”
When the old lady heard Lu Feng's explanation just now, she immediately looked up at Shang Wende, as if there was this old Chinese medicine doctor, and she felt a lot more relieved.
"My chest often feels dull, there is a feeling of suffocation, stuffiness, and a sharp burning pain, and this pain usually lasts for several minutes, sometimes it is long, and it lasts about 15 minutes. Sometimes there is even pain in the heart. At the time of pain, there are also feelings of collapse, sweating, shortness of breath, nausea and dizziness. Doctor, what do you think of me? ”
Lu Feng's brows furrowed slightly, there were many cases of this kind of illness, and then he stretched out his hand and said with a smile: "Old man, you stretch out your hand, I will give you a pulse, see how your pulse is?" ”
The old lady was very cooperative this time, and there was no doubt in her eyes, and she didn't look at his children and grandchildren again, she directly stretched out her wrist and handed it to Lu Feng to check the pulse.
Lu Feng gently moved the old lady's forearm, placing it at a height close to the same level as her heart, palms up, forearms squared, to ensure smooth blood circulation. As for his fingers, Yongsan is designated in place, inch, mouth, and pulse are divided into three parts: inch, guan, and ruler, and he first presses his middle finger at the same level in a high arch shape, and touches the pulse with his fingertips.
In Shang Wende's several medical books for Lu Feng, including "The Pulse of the Lake", a total of ten common disease pulses are divided, which are: floating pulse, sinking pulse, late pulse, number pulse, virtual pulse, solid pulse, slippery pulse, flood pulse, thin pulse and string pulse. But Lu Feng once remembered that when Master Shang Wende taught you to take the pulse, there were two kinds of pulses, namely the knot pulse and the generation pulse.
After a minute or two of pulse checking, Lu Feng used the method of counting pulses: rapid pulse (more than 90 pulses per minute), which is characterized by a faster than normal pulse. Because the pulse beats strongly, it can be diagnosed as real heat. At the beginning of external fever, the viscera is hot, the evil heat is agitated, and the blood runs faster.
In an instant, a disease name popped up in Lu Feng's heart: coronary heart disease, abbreviation: coronary heart disease.
Coronary heart disease refers to abnormal lipid metabolism, lipid deposition in the blood on the originally smooth arterial intima and the accumulation of some athero-like lipids in the arterial intima to form white plaques, called atherosclerotic lesions, these plaques gradually increase and cause arterial lumen narrowing, so that blood flow is blocked, resulting in cardiac ischemia and angina.
Easily turning the old lady's pulse, Lu Feng did not rush to conclusions, but his eyes narrowed slightly, and his gaze swept over the old lady's face: the skin was clammy and cold, gray, and obviously seriously ill.
"Doctor, what's wrong with my grandmother? Can you diagnose it? The twenty-six-seven-year-old young man, with an anxious look on his face, asked eagerly, of course, if Lu Feng looked up at his gaze, he would be able to find the look of disbelief in his eyes.
After a moment of silence, Lu Feng recalled in his mind what he had learned about coronary heart disease, as well as the symptoms that his master had taught him, and then said: "If I am not wrongly diagnosed, this old man has coronary heart disease, which is what we often call coronary heart disease. ”
Coronary heart disease?
The four or five relatives who accompanied the old lady looked at each other one by one.
A layman in medicine, a man in his forties and fifties, asked in a hurried tone, "Doctor, are you sure that you are diagnosing coronary heart disease?" There's no genetic condition for this disease, right? Our ancestors have never had coronary heart disease? ”
Lu Feng showed a hint of a smile and said with a smile: "This coronary heart disease only has a certain chance of being inherited, but this probability is very small. Generally, people with this coronary heart disease are generally over 45 years old in men, 55 years old in women, or women who are prematurely menopausal. There are many other causes of coronary heart disease, such as: high blood pressure, diabetes, smoking, overweight, obesity, gout, lack of exercise, etc. Coronary heart disease is the most common type of disease caused by atherosclerosis, and it is also a common disease that seriously endangers people's health. ”
"Is this disease easy to cure?" This time, there were several people who spoke in unison.
It seems that the patient's family and the patient are most concerned about this issue!
Lu Feng hesitated for a moment, and looked at Master Shang Wende, who was smiling and silent.
At this time, Shang Wende showed a satisfied look in his eyes, nodded, and said: "Yes, although I didn't take the patient's pulse, but from her face, shortness of breath, and her symptoms, I can determine that she has coronary heart disease, that is, coronary heart disease." ”
Hearing Master say this, Lu Feng was like fifteen buckets of water - his heart finally calmed down, since his diagnosis was correct, then it proved that the treatment he remembered was also correct!
"I will prescribe a prescription for you, and you will catch the herbs according to the prescription, and then decoction in water. Prescribe three courses of medication, each for a week, and after three weeks, you come back to check it out. Quickly prescribe the prescription for the treatment of coronary heart disease in his memory and hand it to the patient's family, and Lu Feng left with the other party's continuous thanks.
Originally, those family members who didn't believe in Lu Feng had a trust mentality after hearing Shang Wende's affirmative answer. Because they could see that the old Chinese medicine doctor beside Lu Feng was instructing his disciples or students, with this double insurance, the chance of making a mistake in the diagnosis would not be too high!
The first patient had just left, and then another patient walked in.
This is a middle-aged man of about forty years old, judging from his complexion, his complexion is ruddy, everything is healthy, only his brows are slightly furrowed from time to time, and occasionally a trace of pain flashes in his eyes.
Lu Feng politely asked him to sit down before asking, "What is wrong with your body?" ”