Chapter 168: Woman Infertility
Du Wenhao shouted: "If you don't diagnose clearly, how can you be treated?" Do you want me to give you an immediate operation and open your stomach for probing? ”
"Nope! No! Don't touch my stomach! Ouch......, mother! Don't let them cut my belly ......, mother! I'm afraid of ......, I don't want them to cut their stomachs......! “
"Good! Don't cut it! Don't cut it! - Dr. Du, can you cure my son's disease without dissecting my stomach? ”
Du Wenhao frowned: "Judging from the current situation, it is preliminarily concluded that it is stomach and heartache, and it may have developed into a large chest syndrome, if so, there may be only one way to heal the wound by laparotomy......"
"I don't! I don't want to ...... by caesarean section! Mother! I won't die by caesarean section......! Ouch ......"
The noble lady comforted her daughter again and begged Du Wenhao to treat her without caesarean section.
Du Wenhao smiled bitterly, thought for a moment, and said: "Her current situation has not developed into a critical illness, and she does not need to be treated by laparotomy for the time being, so let's do it, I will give her acupuncture and moxibustion to relieve the pain first, and observe it for a long time to see if it can be treated with decoction." ”
The lady said, "Can't you use medicinal soup now?" ”
"No way!" Du Wenhao shook his head and said, "If the judgment is correct, it is possible that Ling Yan's disease has developed into a large chest syndrome, that is to say, there may be perforation of the abdominal cavity and stomach, resulting in abdominal infection, so it is necessary to fast, so as not to flow into the abdominal cavity and aggravate the condition." You can only use acupuncture to relieve the pain first, and at the same time help the perforation to close through fasting and gastric tube decompression, and then decide what to do next according to the situation......"
Miss Wei groaned, "Okay! Cure it! As long as you don't have a caesarean section, you can do anything, it hurts......"
Du Wenhao asked her to take a semi-sitting and lying position, which is conducive to relieving abdominal pain. Take the golden needle, select Zusanli, Zhongyuan, and Tianshu as the main acupuncture points to enter the needle, with Qihai and Guan Yuan. The deep prick is left for half an hour, and each tea kung fu strengthens the technique once.
Acupuncture every three hours. After each acupuncture, Xue Fei'er was asked to observe the patient's condition to see if there were intestinal sounds.
The hospital was busy with official business, and after explaining the patient to Du Wenhao, he took the car back to the hospital.
After Du Wenhao finished administering the needle, he came out of the ward, Pang Yuqin greeted him, and after asking about the situation, he said, "Husband, Lord Zhuang is visiting." ”
"Zhuang Zhenmou? Hehe, I'm here to talk about his concubine's pregnancy, right? ”
"It seems that I came with my wife and two concubines, and I was happy, and the servants who followed me also picked up a gift. By the way, there was also a young man and a woman who came with him, and I don't know who it was. After coming for a while, I said to go and report, and they heard that you were healing, so they stopped you, and they will wait until you are done. I'm waiting in the living room right now. ”
"Okay, let's go check it out." Du Wenhao was about to leave.
"Husband!" Pang Yuqin wanted to speak and stopped.
"What's wrong?" Du Wenhao turned around.
Pang Yuqin hesitated slightly, but still said in a low voice: "Lord Zhuang is now the Shaoyin of Kaifeng Mansion, in charge of medical affairs. When I see Master Zhuang later, why didn't my husband ask him to train the knowledge of Wen Po midwifery in Kaifeng Mansion? Last time, they underestimated what the husband said, although the husband endured it, we always felt aggrieved in our hearts, and we must prove that what the husband said is correct and fight for this breath back. Moreover, letting those stable women know the new delivery method is also a good thing for the benefit of the people. ”
Du Wenhao nodded and said: "It's a little reasonable, it doesn't matter if you fight or not, but the training of Wenpo you said is indeed a big thing to accumulate virtue, and I will mention it to him later, let you and Fei'er teach them." ”
When he came to the living room, Zhuang Zhenmou was talking to his three wives and concubines, and when he saw Du Wenhao coming in, he hurriedly got up and greeted him.
After the guest and host sat down, Zhuang Zhenmou arched his hand and said, "Sir! We are here to thank Mr. for his kindness, if it is not for Mr. Rejuvenation, my dealer this incense, I am afraid that it will be cut off. I brought some small gifts and asked the gentleman to smile. ”
The servant handed over the gift list, and Du Wenhao glanced at it, with two hundred taels of silver and a few pieces of silk and satin. This Zhuang Zhenmou was quite generous, Du Wenhao bowed down and thanked him, and said a few words of humility. immediately led the topic to Zhuang Zhenmou's official business.
Du Wenhao said that he wanted to open a training class for Wen Po and let his wife and sister teach.
When Zhuang Zhenmou heard it, he applauded.
In ancient times, Wen Po (midwife) was managed by the yamen and registered by the yamen, and Zhuang Zhenmou was the Shaoyin of Kaifeng Mansion, in charge of medical affairs, and this Wen Po was under his control. Du Wenhao helped him cure impotence, and his concubine became pregnant smoothly, he was full of praise for Du Wenhao's medical skills, although he still lacked understanding of the necessity of training a stable woman, but since Du Wenhao said that it was necessary, it was definitely necessary, and besides, it was always good to let a doctor with excellent medical skills come to train him.
Du Wenhao briefly talked about the serious consequences such as postpartum stroke caused by the backwardness of midwifery knowledge, which also illustrates the importance of training stable women. Zhuang Zhenmou and Liu's are all from the past, they have heard and witnessed and know that many mothers and newborns die of postpartum stroke and other diseases, and they have a lot of feelings about this, and they are very happy to hear Du Wenhao say that the mortality rate of mothers and newborns can be greatly reduced after training, and they have no mouth to praise Du Wenhao This is a great good deed.
Speaking of details, Zhuang Zhenmou is old and sophisticated, and said: "The training of stable women cannot be rushed, these old women have developed a habit for many years, if they are forced, I am afraid that these stable women will talk nonsense in private, and they will also be disobedient." And if something happens to the midwife, it depends on your training. So, I mean, first train young women under the age of 40, these people have not yet stable midwifery, they are easy to correct, and they are more obedient. When the mortality rate of these stable women has been reduced and there is an obvious effect, other stable women will naturally be envious and will take the initiative to ask to participate in the training. When the time comes, we will vigorously publicize the effect of the new method of midwifery, and it will become a household name. Naturally, the mothers will also ask for the new method of delivery. ”
Du Wenhao nodded and said: "This method is good, steadily advancing, leading from point to point, to avoid rebound." That's it! ”
Only then did Zhuang Moumou introduce the young couple who had been accompanying the smiling faces: "These two are Lord Wei of the Yamen Cao Joining the Army. Their husband and wife have been married for many years and have not been able to conceive a child, and after hearing that I was treated by my husband and finally conceived a child, I admired it very much and came to seek medical treatment. ”
Hu Cao joined the army and was a petty official in charge of household registration, from the eighth grade.
Wei Caojun hurriedly got up and smiled with his hands: "Mr. Du, please help me husband and wife." If you can renew the incense, thank you very much! His wife, Cheng, also blushed and got up and bowed.
Du Wenhao hurriedly got up and returned the salute.
Zhuang Zhen said: "Okay, you see a doctor, we will leave first!" He informed them after the training course was ready, and then Zhuang Zhenmou's family said goodbye and left.
After asking, Du Wenhao learned that the couple had been married for six or seven years, and they had no children, and the family and husband were very anxious, and sought medical treatment in many ways, but there was no effect.
Du Wenhao glanced at Cheng and saw that her body was relatively strong, her face was ruddy, her upper lip had faint black fluff, and her tongue was red when she looked at her tongue. I couldn't help but move in my heart, and said, "I'll check the pulse of the two of you first." ”
Wei's pulse is normal, and Cheng's pulse is numerous.
Through the diagnosis of the pulse, Du Wenhao found that Cheng's arm also had a lot of hair and was black. Du Wenhao already had a plan in his heart.
He asked Pang Yuqin to lead Cheng to the next wing room for gynecological examination and consultation. Du Wenhao had already taught her the essentials of the inspection technique. Before I went, I whispered to me about the key items to be examined and what to know about the consultation.
Here Du Wenhao asked Wei Senjun about his sexual intercourse, and learned that their intercourse had been very harmonious, and the man's erection, duration, ejaculation and semen volume were all normal, and the preliminary judgment was that the woman's problem caused infertility.
After a while, the two came back, and Pang Yuqin whispered to Du Wenhao: "She has hairy lower limbs, breast periphery and lower abdomen midline, and a few are relatively long. Both ovaries can be palpated by the hand. ”
"How's the menstrual going going?"
"I asked, the menstrual cycle is very short, usually about 20 days, and the menstrual cycle sometimes lasts for a long time, and it can't be finished for more than ten days. Menstrual blood is bright red. ”
"What other symptoms?"
"Well, the two flanks are swollen and painful before menstruation, the head is often swollen and painful, the heart is irritable, there are many dreams, and the mouth is bitter and dry."
Du Wenhao nodded and asked Cheng, "How do you usually eat?" Do you like to eat sweet or spicy? ”
"The diet is okay, I like to eat spicy."
"Have you used any supplements before?"
"I've used it, I've taken some warm supplements."
From the diagnosis situation, Cheng's hormone secretion is abnormal resulting in hirsutism, coupled with the obvious enlargement of both ovaries, the preliminary judgment is polycystic follicle syndrome of Western medicine, many of this disease is caused by endocrine disorders, which is relatively difficult to treat, and must be treated from the root of polycystic ovaries to restore their normal function. Du Wenhao did not have more modern examination and treatment methods, so he decided to start with conventional treatment and correct the premenstrual period first.
In the Song Dynasty, of course, you can't find a treatment from the perspective of Western medicine, you can only use traditional Chinese medicine to distinguish the syndrome and treat it, Du Wenhao said to Cheng's family: "You are yang in the body, like to eat spicy and warm products, emotional disorders, liver depression and fire, Chong Ren Fu heat, forced blood to act in vain, the sea of blood is restless, menstrual blood goes down in advance, heat evil breaks the blood, so the amount of blood is large, the complexion is ruddy, the tongue is red, and the number of pulses is the sign of liver congestion and blood fever, and the syndrome is liver depression and blood fever." I am going to use Gentian Liver Decoction plus or minus to help you treat, the purpose is to clear heat and cool the blood, soothe the liver and regulate menstruation. You take it for a period of time to see the results, and then come back for a follow-up visit. ”
After Wei Caojun and his wife thanked him, they picked up the medicine, paid the consultation fee and left.
In the afternoon, Du Wenhao gave Miss Wei several more acupuncture treatments.
After closing the door after dark, Du Wenhao came to Miss Wei's ward for follow-up. Before I entered the door, I heard Miss Wei scolding inside: "What a bullshit miracle doctor!" Ouch ......, after being treated for a long time, it doesn't hurt at all, and what do you say about laparotomy and healing, ...... more powerful than Hua Tuo, ouch ......, is there such a bad Hua Tuo? Is he deliberately entertaining me......? Ouch, mother! My stomach hurts...... ouch ......"