When Yang Rui returned to the medical hall, it was already three o'clock in the afternoon, and before he entered the medical hall, Yang Rui heard intermittent coughing sounds from inside, and when he walked into the medical hall, Shen Lao was diagnosing a middle-aged lady in her fifties.

Accompanying the middle-aged lady was a middle-aged man wearing a suit with a resolute complexion, the middle-aged man's clothes did not look very outstanding, and the suit was obviously the color of the road, but Yang Rui could feel a faint atmosphere of a superior from this middle-aged man.

At this time, Shen Lao was checking the middle-aged lady's pulse, his fingers had been on the middle-aged lady's wrist for a minute, but he still did not have the consciousness to take it away, at this time he frowned, his face was solemn, it seemed that the middle-aged lady's disease should be more complicated.

"Xiao Yang is back!" After another minute, Shen Lao gently took away the fingers placed on the middle-aged lady's wrist, looked up at Yang Rui and said, "Come, you can also check this condition." ”

If he had encountered such a complicated illness before yesterday, Shen Lao would never have let Yang Rui get started, but after seeing Yang Rui's medical skills yesterday, Shen Lao's opinion of Yang Rui has improved again.

Yang Rui nodded, stepped forward and sat down in Shen Lao's seat, and while looking at the middle-aged lady's face, he asked, "What's the matter, tell me the medical history in detail." ”

The middle-aged lady glanced at Yang Rui and found that Yang Rui was outrageously young, so she couldn't help but look back at her husband, and when she saw her husband nodded, she pushed the stack of materials in her hand to Yang Rui: "This is my medical record." ”

Yang Rui picked up the medical record and looked through it carefully, this medical record turned out to be issued by the provincial hospital, the whole medical record was very detailed, all the test sheets, and what drugs were used in the treatment process were clear at a glance.

Judging from the medical records, this patient turned out to be just coughing, this cough has lasted for seven or eight months, the cough is a dry cough, no phlegm, sometimes I want to cough, but I can't cough, it is very uncomfortable.

According to the results of the examination at the hospital, the middle-aged woman's chest X-ray did not show any abnormalities, and the hospital diagnosed chronic cough at first.

Cough is the same as headache, the cause is also very complex, there are many causes of chronic cough, in just a few months, the hospital has made various speculations about the situation of middle-aged women, what postnasal drip syndrome, cough variant asthma, gastroesophageal reflux cough, eosinophilic bronchitis, etc., these are all ruled out, but there is no slightest problem.

The causes were ruled out one by one, but the middle-aged lady's cough was still the same, and a lot of drugs were used to treat the cough during the period, but to no avail.

Finally, the hospital diagnosed the middle-aged lady, believing that the middle-aged lady's cough is a psychological problem, called psychological cough or psychogenic cough, which is caused by mental tension or emotional fluctuations, and the mechanism of the disease is caused by the increased excitability of the cough center caused by psychological factors.

Moreover, the age of middle-aged ladies is exactly 50 years old, which is the stage of women's menopause, and it is not unusual to have psychogenic cough.

The hospital prescribed a lot of antidepressant drugs, even if the middle-aged lady was unhappy, in order to recover, she had to grit her teeth and take it, but after taking it for a month, it still had no effect, but she became more and more depressed.

After reading the medical records, Yang Rui's brows were also slightly furrowed, the provincial hospital did not diagnose the cause, so this cough is a little peculiar.

Yang Rui motioned for the middle-aged woman to stretch out her wrist again and began to check the middle-aged woman's pulse, and asked out loud: "Are there any other symptoms besides coughing?" ”

"No, it's just a cough, a dry cough, sometimes I want to cough, but I can't cough, it's very uncomfortable, and even "Speaking of this, the middle-aged woman was a little hesitant, and her voice was a lot lower.

"The patient's cough sometimes causes the patient to pee**!" Shen Lao said on the side.

"Causes to pee!" Yang Rui muttered in his heart, coughing caused to urinate**, no wonder the middle-aged lady swallowed and vomited, even a man is absolutely ashamed to talk about this kind of thing, let alone a woman.

Cough causes urination**, many people may think it is sensational, but in fact, according to statistics, in women with chronic cough, a quarter of patients will urinate because of severe coughing**, and even often need to use diapers in severe cases.

Severe cough may also lead to cardiovascular, gastrointestinal, genitourinary, neurological, musculoskeletal, and respiratory complications.

Yang Rui looked at the anxiety on the middle-aged lady's face while checking the pulse, and felt a little unbearable in his heart, coughing for seven or eight months, it is estimated that the middle-aged lady herself suspected that she had some terminal illness.

After listening to the pulse for three minutes, Yang Rui took his finger away from the middle-aged lady's wrist, groaned slightly, and then looked at Shen Lao and asked, "Shen Lao, what do you think?" ”

"What do you think?" Shen Lao didn't answer, but asked Yang Rui rhetorically.

"It's supposed to be a wind cough!" Yang Rui said: "Ms. Gao's illness is cough first, various emotional reactions later, and it is because of the cough that causes his emotional reaction, it seems that the cough is caused by psychological reasons, but in fact it is because of the cough that causes her emotional changes, so I think the diagnosis of psychogenic cough is incorrect, I think it may be wind cough." ”

Listening to Yang Rui's analysis, Shen Lao was taken aback again, Yang Rui's analysis was indeed very reasonable, originally he thought that Yang Rui's acupuncture was powerful, it should be because he had practiced since he was a child, as for the diagnosis and prescription, he should still be lacking, just let Yang Rui get started, as long as he studied Yang Rui, but he never thought that Yang Rui's diagnosis would be so powerful.

It's just that this disease is wind cough, but Shen Lao didn't agree with it, he didn't rush to express his position, but continued: "Tell me your opinion, why do you judge that it is wind cough?" ”

"Zhang Jingyue, a famous doctor in the Ming Dynasty, clearly divided cough into two categories: internal injury cough and external cough, among which the five internal organs and six organs can cause cough, not only the lungs, but also the cough caused by the five internal organs and six internal organs, such as phlegm fever cough, liver fire lung cough, qi deficiency cough, yin deficiency cough, etc., dialectical internal injury cough should pay attention to the changes in phlegm, the phlegm is different, the pathogenesis of cough is different, Ms. Gao's cough is obviously not in line with internal injury cough, so it can only be an external cough."

Yang Rui talked eloquently: "External cough is manifested as wind cold, wind heat, fever, cold intolerance, sore throat, sore throat, etc."

After listening to Yang Rui, Shen Lao reached out and touched his chin, judging from the symptoms, the middle-aged lady's illness is indeed somewhat similar to wind cough, but

"Generally, external cough has a relatively short disease period, but Ms. Gao's illness period is as long as eight months, which seems to be inconsistent with external cough." Shen Lao asked.

Shen Lao is right, the general external cough disease period is relatively short, and the wind cough, there is also a clear explanation in traditional Chinese medicine, the general external cough is divided into wind, cold, heat, dampness, dryness, fire six kinds, also known as the six senses.

In traditional Chinese medicine, it is said that "when the wind is prosperous, it is itchy", which means that the invasion of wind evil can easily lead to dry and itchy throat and fear of irritation.

Ms. Gao's symptoms are that once she encounters stimulation, she has an itchy throat, dry cough, no cough, no phlegm at all, and wind cough also has recurrent symptoms, which are not easy to get better suddenly.

There is only one point, wind cough is an external cough, and the general illness period is no more than three to eight weeks, but from the medical records, Ms. Gao has been coughing for more than eight months, and it has been nearly 30 weeks.

Hearing Shen Lao's questioning, Yang Rui groaned for a while and said: "From the perspective of the cycle, this disease does not conform to the cycle of wind cough, but the wind cough is easy to recur, and the patient has not been treated symptomatically in the process of treatment, so it seems that it will cause recurrent attacks, and it is possible that it will not be cured for a long time. ”

Shen Lao frowned, muttered for a long time, looked at Yang Rui's eyes were getting brighter and brighter, and then nodded and said: "What you said is right, I am too cautious, since it is diagnosed with wind cough, then treat it according to wind cough, you say the prescription, I will write it." ”

Yang Rui knew that Shen Lao had the intention of testing him, and he was not hypocritical, so he nodded and prescribed a prescription based on ephedra, baibu, and winter flowers, the prescription was very simple, but it undertook many effects of lowering lung qi, dispelling wind and relieving cough.

"Okay, very good, Xiao Yang, I didn't see that you are not only good at acupuncture, but also in diagnosis and prescription, amazing." Shen Lao laughed, picked up the pen, wrote down his name, and handed it to Yang Rui to grab the medicine.

PS: Let me explain, Xiaoxiao's medical text, most of the diseases in the book are well-documented, only slightly exaggerated, but book friends must not be rigid and rigid, and you need to find a professional doctor for treatment when you are sick.

At the same time, my medical style is consistent with seeking truth from facts, a little exaggeration, don't spray book friends who don't like it, and finally ask for recommendation votes, ask for collections, tomorrow Monday, I hope you can help smile and rush to the list, if it is on the home page, at least two three changes next week.