"Yes, yes, I just came from the ENT department, and the doctor over there said that I had what kind of forked neuralgia I had."

The old man was very happy, and when he saw Li Xiuli so young, he had some doubts in his heart, but he could actually talk about his illness, and it seemed that he still had some ability.

Li Xiuli disagreed.

This disease is called 'facial pain' in traditional Chinese medicine, and it is mainly a symptom of radiation, cautery convulsions in the eyes and cheeks, also known as "facial wind pain" and "cheek pain".

It is more common in women and is more common in people over the age of 40.

"Old man, how long have you been ill?"

"It's been more than a month, I started to go to the ENT department to see a doctor, and I was prescribed some Western medicine, I took it for a week, it didn't work, and the doctor over there asked me to come to you to see me."

"Hmm."

Patients who are uncertain about the ENT department and who are suitable for acupuncture and moxibustion will generally recommend patients to come to the acupuncture rehabilitation department.

But here's the problem.

Those doctors all asked patients to find Wang Ming.

"Did they tell you to look at anyone?"

"No, the doctor over there only told me to come here to see him, and he didn't ask me to find anyone."

Li Xiuli showed a relieved expression. It's not just looking for Wang Ming.

There was an embarrassing scene last month.

He took a patient and spent a lot of time and energy asking questions, and the patient was finally willing to be treated here, but who knew that the patient told him in one sentence that he wanted Dr. Wang to take care of it.

My mother, you want Wang Ming to take care of it, why did you say it at the beginning.

Then, the patient said, "I thought Dr. Wang was the director, and I wanted Dr. Wang to take care of me."

After the embarrassing diagnosis and treatment, every time he met a patient to see a doctor, he would ask the patient who he was looking for, so as not to violate the first diagnosis responsibility system.

Eventually, the old man was hospitalized.

This old man has already used carbamazepine, vitamin B1, methylcobalamin, these basic drugs for trigeminal neuralgia in the ENT department, and the treatment has been ineffective for a week, and finally came to the acupuncture department.

This disease is not a big deal, but it is very troublesome to treat.

Repeated cheek pain, and in severe cases, even affect one side of the scalp and cheeks, which is very uncomfortable.

"Doctor Li, do you need to get an injection for this disease?"

"No, we are in the acupuncture and rehabilitation department, and we rarely have hanging needles."

"And how can this disease be cured?"

"Who said you have to get an injection to cure a disease?"

"I'm going to have some anti-inflammatory potions!"

Li Xiuli: "......"

The previous sentence also said that there is no need to take a hanging injection, and the patient wants to take an anti-inflammatory solution in the next sentence.

The mindset left by the older generation, hospitalization without hanging injections is still called hospitalization?

He's encountered too much, and he feels uncomfortable without a little potion.

In this regard, Li Xiuli has long been surprised. He was happy to explain to the patient that not all problems require injections.

For example, now that the medical insurance is strict, patients with stomach discomfort can eat, why don't you give patients oral PPIs, instead of injections?

The patient does not have fasting difficulties, or the fasting doctor's order is not allowed to use intravenous PPI, and the medical insurance will check it and give you a fine of ten times that will make you die of refreshment.

Want me to give an injection to a patient? Why call a patient unless it is absolutely necessary? Doesn't he smell good when he takes medicine?

The old man said "oh", "I think I have to fight against inflammation for this disease, and it will be better if I have it before." ”

Li Xiuli was surprised.

Something like: 'I used to take an anti-inflammatory, and the disease was cured.' He has encountered too many such words, and those patients have said that anti-inflammatory drugs are superb, and the medicine will cure the disease.

Whether it was useful or not, he was unwilling to explore. He is a doctor who believes in Chinese medicine very much, and if he can use Chinese medicine, he will not use Western medicine, if he can use oral medicine, he will not use intramuscular medicine, and if he can use intramuscular medicine, he will not administer intravenous medicine.

After signing the doctor-patient conversation and communicating with the patient about hospitalization, Li Xiuli did acupuncture for the elderly.

In fact, acupuncture is used to treat facial pain and facial paralysis at roughly the same acupuncture points.

All of them are based on local acupuncture selection, with dialectical acupoints.

Four hundred, Xiaguan, Dicang, Hegu, Taichong, Inner Courtyard......

The next step is to prescribe Chinese medicine to the patient.

Li Xiuli has always believed that their acupuncture department is the purest TCM department, and almost all patients are treated with Chinese medicine with acupuncture, cupping, massage and other non-drug treatments, which are purer than pure milk.

There are almost no critically ill patients in their department, and the difficult patients are either in the internal medicine department and have stabilized their condition, or the condition itself is not serious, but it is difficult.

Facial pain, called trigeminal neuralgia in Western medicine, is one of the twelve pairs of cranial nerve lesions, ranking fifth.

The trigeminal nerve has three branches – the ophthalmic branch, the maxillary branch, and the mandibular branch.

And this old man, his forehead headache is the most obvious, but the pain in his cheeks and corners of his mouth is also obvious.

In other words, this patient has problems with all three.

The patient was in pain like a pinprick and had a petechiae on his tongue.

As for the pulse, the line is thin and late, the exchange is difficult and smooth, and the pulse is uneven.

Li Shizhen wrote in his "Pulse of the Lake", "It is difficult to come and go, and it is vague to be scattered. If the rain is stained with sand, it is easy to disperse, and the disease eats away at the leaves slowly and hard. ’

Li Xiuli fell into a headache, is this a sign of qi stagnation and blood stasis?

In terms of tongue coating and vein, it is indeed in line, but it can cure facial pain in this way, Li Xiuli doesn't believe it at all.

So he began to formulate prescriptions: peach kernel, safflower, angelica, raw land, Chuanxiong......

The complete Blood Mansion Chase Blood Stasis Soup was opened.

This recipe is a prescription for the treatment of blood stasis syndrome in the chest, and it is a famous prescription of Wang Qingren in the Qing Dynasty, but anyone who has studied Chinese medicine knows this prescription.

Wang Qingren's book is "Correcting Mistakes in Medical Forest", which is a book that has been controversial in the medical community for hundreds of years. From his writings, it is clear that his books were mainly to correct what he considered to be medical errors.

Later generations of doctors often have a joke to describe Wang Qingren's "Medical Forest Corrects Mistakes": Medical forests correct mistakes, and the more they change, the more wrong they become.

Once you have formulated a prescription, you are waiting for tomorrow's cure.

At this time, he entered his leisure time, just an inpatient, and the medical record had already been written, so he could only open his mobile phone to look at WeChat.

【Ding! 】

The system in my head came out of nowhere, unprepared.

Is it a negative evaluation given by Wang Ming?

It's not like that.

If it's because of the pennant, then when you show him the pennant, it will be in the account.

The evaluation is someone else.

He is well aware of the impression he has left on his colleagues in the hospital, and as long as he works hard, he will have a lot of opportunities to brush up negative reviews in the future.

Of course, if other people's negative comments are true, then the system will not bird him at all.

He cut off the idea of being a demon.

In fact, even if you maliciously brush negative reviews to get system rewards, just like so-and-so spares your life, as long as you scold others, there will be a reward, and Li Xiuli will not do that kind of thing.

[Negative evaluation from Liu Ming.] 】

[System determination: false.] 】

"Oh"

It turned out to be Liu Ming.