Li Xiuli took out his mobile phone and dialed Kuang Li's mobile phone number.

"Xiao Kuang, tell you something."

"What's the matter?" Kuang Li's lazy voice sounded, thinking that she should be sleeping.

"Li Jun said that he wants to change a doctor, and he wants you to take care of it."

"I care?" Kwong Li was surprised, "How can that work! You're on duty today, and I'm just helping you take in the patient, so I won't ask for it."

"Okay. I'll talk to him."

In fact, Li Xiuli is reluctant to change doctors.

"I'm sorry, but Dr. Kwong doesn't really want to be your chief doctor."

"No, it won't." Li Jun instantly lowered his face, "She helped me see a doctor just now, she talked and laughed, and she was good at talking."

Li Xiuli frowned, thinking in his heart, could it be that this Li Jun has bad intentions?

Li Jun said, "Otherwise, I'll ask her myself tomorrow." Or you tell me her phone number."

"Tell her yourself tomorrow, and she'll agree."

It's impossible to give Li Jun's phone number, what if people really have bad intentions.

"Reach out, I'll help you prescribe Chinese medicine today."

"Can't we wait for Dr. Kwong to go to work tomorrow?" Li Jun looked at Li Xiuli hesitantly.

"You, don't waste time, the explosion is an emergency, the more you delay, the more stubborn it will be."

"Okay."

Li Jun was reluctant, but he couldn't find a suitable reason to refuse Li Xiuli, so he could only reluctantly nod and agree.

After the pulse was completed, Li Xiuli already had the answer in his heart.

However, treatment cannot be based solely on tongue coating and pulse, and a history must also be sought.

"What's your relationship with your wife?"

"What are you asking for?" Li Jun was very surprised.

Li Jun asked Kuang Li to take charge of himself, if it wasn't Li Xiuli's problem, or Li Jun himself had a problem.

In this regard, Li Xiuli feels that he is very upright and has no big problems.

The one who has the problem can only be Li Jun.

In order to let him answer honestly, Li Xiuli said: "Tinnitus has a lot to do with emotion, especially bursting, which often has a lot to do with the liver."

"I just got into a fight with my wife and I suddenly had ringing in my ears."

I see!

"Do you usually do the same?"

"Yes, we often quarrel, that crazy woman, she has to be unforgiving, and if she doesn't do anything well, she scolds and scolds."

"yes." Li Xiuli sneered.

"That's it!" Li Jun blushed and was angry.

"Are you feeling unwell?"

According to Li Xiuli's estimate, Li Jun should be upset and irritable, and his chest and flank should be swollen and uncomfortable.

When taking a medical history, do not ask in a positive tone, otherwise it is easy to mislead the patient. For example, "Are you constantly upset and irritable?"

"When I see that crazy woman, I get angry, I get annoyed when I see her, and when I get bored, my chest is stuffy, and it's very uncomfortable."

Li Xiu bowed his head and listened silently.

"How does your mouth feel?"

"It's dry, I want to drink water, but it's the same no matter how I drink, sometimes my mouth is bitter."

"Stick your tongue out."

Li Jun stuck out his tongue.

I saw that the whole tongue was red and yellow, as if it was coated with a thin layer of egg yolk.

The tongue is red and yellow, suggesting heat.

"Doctor Li, am I angry?"

"There is indeed fire." Li Xiu bowed his head.

The whole tongue is yellow, indicating that the heart, liver, spleen and stomach are hot. However, fever has a primary and secondary degree, and the onset time is short, so it is unlikely that there is heat in all three aspects.

Recalling Li Jun's tongue coating, it can be seen that there are no red spots and thorns on the tip of the tongue, and the bottom end of the tip of the tongue can have a little yellow moss, but the yellow moss is the most obvious in the middle of the tongue. As for the base of the tongue, the yellow moss gradually decreases.

Lee Jun meets Lee

Xiuli was deep in thought, he pursed his lips and interrupted, "Doctor Li, you can't do it! It takes so long to see a doctor, especially if it takes ten minutes!"

He has not seen Chinese medicine once or twice, and he knows the process of Chinese medicine treatment very well.

First of all, a brief medical history is asked, mainly related to the symptoms of the disease, such as how his tinnitus sounds, how long it has been on, how long it lasts, etc., as for the symptoms that are not too related such as stool, urine, and chest tightness, the general doctor will not ask more.

But this Li Xiuli asked about cold and heat, sweating, head and body, urine and urine, diet, and urinate......

This time and again, I asked for more than ten minutes.

The worst thing is the pulse, which is ten minutes!

Li Xiuli was silent and continued to think.

In terms of the distribution of yellow moss, the yellow moss is the most abundant in the tongue, and theoretically speaking, the heat of the spleen and stomach is the most obvious.

However, is the cause really caused by the burning of the spleen and stomach?

"Please, stick your tongue out again."

「......」

Li Jun muttered, "I've seen a lot of Chinese medicine practitioners, and everyone's pulse is a few minutes, but you're good, it's ten minutes!"

"Please, stick your tongue out again." Li Xiuli repeated what he had just said.

「......」

"Ahh Li Jun was helpless, he only felt that he was on the thief ship, and in the face of Li Xiuli, who did not enter the oil and salt, he could only stick out his tongue honestly now.

It's okay to stick out your tongue, but you have to see it clearly at once, I just watched it once, and now I look at it again, it's not a level, right!

Tomorrow I must take care of Dr. Kwong! He made a secret decision in his heart.

Li Xiuli looked at Li Jun's tongue, he turned slightly and looked at Li Jun's side face, and suddenly became enlightened.

There is red on the tongue!

The tongue belongs to the liver and gallbladder, and the red side of the tongue indicates that the liver and gallbladder are hot.

In this regard, Li Jun's tongue coating and pulse are completely consistent with the symptoms, and there is no situation where the two do not correspond.

The tongue coating veins and symptoms are distinguished from each other, and the results of the two after dialectic are the same, and the final dialectical accuracy is inseparable.

This is Li Xiuli's view that 'where the pulse and evidence do not match, there must be a truth and a falsehood, and it must be carefully distinguished.' Clinical insights.

"Li Jun, you are uncomfortable with your liver qi, depressed and turned into fire, and disturbed your ears along the scriptures, so you have sudden tinnitus.

You are usually working or living, a lot of unsatisfactory, every time you are depressed in your chest, and you are depressed for a long time, it is for the liver fire.

The liver fire is vigorous, the wood is on fire, the mother is sick and the child belongs to the fire, and there is heat in the heart, so there is upset, and the face is red and the ears are red.

The heat is easy to consume the qi, so there is a bitter mouth and dry throat, dry stools and yellow urine.

As for the chest and flank, where the liver is located, it is natural that there will be chest and flank swelling and discomfort."

He analyzed Li Jun's condition one by one and said it.

"Oh." Li Jun's answer was calm.

Who wouldn't endorse, if you learn this industry, you must have memorized a lot.

"You go into the acupuncture room inside, I'll help you prescribe medicine, and I'll go in and do acupuncture for you later."

"Okay." Li Jun left silently and responded casually.

After Li Jun left, Li Xiuli sighed lightly: "This Li Jun always feels weird!"

I have to change doctors if I have nothing to do, and I still point fingers at my own treatment, but I don't know that I don't respect doctors like this?

There are three steps of lifting, pressing and sinking, and these three steps must be achieved in the left and right inches, close and rulers, that is, nine steps. Each step should not be low beats, and it takes nearly seven minutes to count four or nine beats.

However, seven minutes is only a theoretical time, and it will take up a certain amount of time to compare left and right, before and after, and think and analyze in the mind at the same time.

Those big guys who have a few minutes of the pulse are either making a decoration, or simply a single pulse, without digging into it....

After all, the most intuitive way to see a doctor is to ask about the medical history.

Simply, by combining several symptoms together, it is easy to analyze the patient's syndrome type.

Even the patient's tongue coating can be formulated.

For example, Li Jun's syndrome type is liver fire disturbance, and theoretically his tongue coating veins are: red tongue and yellow tongue, and the number of pulses.

Open the doctor's workstation, click on the Chinese medicine interface, and start entering the Chinese medicine:

Coptis chinensis, skullcap, gardenia, gentian, mountain wood, aloe vera, indigo......

Li Jun entered the public treatment area with some dissatisfaction.

At this time, Liu Qin had been waiting for a long time.

"Li Jun, why did it take so long for you to come in?"

"It's not Dr. Li from your department, I see a doctor for most of the day!"

Liu Qin sneered, she didn't expect the patient to say this, "That Dr. Li took so long to see a doctor, but it took a long time to see a doctor, and he looked carefully, you understand."

"Dr. Li said he wanted acupuncture, where did he go for acupuncture?"

"Here." Liu Qin pointed to an empty treatment table in front of her, "You lie down, and you can do acupuncture later."

Li Jun was silent, took off his shoes, lay on the treatment bed, and silently closed his eyes.

Liu Qin trotted out of the treatment area and entered the office, where she saw that Li Xiuli was still recording Chinese medicine, "Doctor Li, your patient has already laid down and can do acupuncture."

"Sister Qin, I see." Li Xiuli replied with a smile.

"Doctor Li, I kindly remind you that your speed of seeing a doctor is too slow, and there will be more patients in the future, what should you do?"

"Don't be afraid, I don't have many patients anyway."

"But the patient just now, who was crooked, complained that you were too slow to see a doctor."

"It's fine. The medical treatment must be comprehensive, otherwise it is easy to miss and the dialectic is not accurate enough."

"I don't understand this, you can go in quickly, don't keep the patient waiting." Liu Qin shook her head helplessly and trotted away.

A few minutes later.

Li Xiuli slowly entered the treatment area.

Acupuncture treatment for sudden tinnitus is as effective as a drum!

He looked at Li Jun's still red cheeks and ears, and a method of bloodletting sprouted in his heart.

There is heat in the blood, and bloodletting can cleanse away the heat and expel the liver and gallbladder fire from the blood.

Take the four acupuncture points of the ear tip and Quchi, prick it with a syringe needle, and squeeze out six drops of blood.

Then cooperate with the acupuncture ear door, listening to the palace, listening to the meeting, the wind, the Zhongqing, and the Xia Xi as the main acupoints.

The liver is disturbed, and the use of between the lines, foot crying, and Taichong is added.

After acupuncture is completed, then combined with local electroacupuncture treatment, no moxibustion, leave the needle for 30 minutes.

Get! For the rest, just wait for the needle to be pulled.

Following.

Early in the morning after the shift is handed over.

Li Xiuli and Kuang Li both stood in the corridor of the emergency department on the second floor.

The two of them made rounds together.

At this time, Li Jun was already sitting on the hospital bed, waiting for Li Xiuli to come over to check the ward.

Just before the shift, Li Xiuli had already completed his ward rounds.

At this time, the two came here to ask Li Jun if he had changed doctors.

"Li Jun, it's morning!" Li Xiuli greeted with a smile, he looked at Kuang Li on the side, "Doctor Kuang is also here, didn't you say that you want to change doctors?"

"Li Jun, morning!" Kwong Li greeted with a smile.

"Hello Dr. Kwong!" Li Jun's eyes fell on Kuang Li, and a smile appeared on his face.

"Dr. Kwong, I want you to be my doctor in charge." As he spoke, his gaze never took off Kuang Li.

Strictly speaking, he has never left Kwong Li's chest.

The sensitive Kwong Li was stared at by his burning gaze, and there was a feeling of being lasered, and goosebumps on her body gradually came out, which was very uncomfortable.

"I'm sorry, I'm afraid not!" Kwong Li took a step back and blocked half of her body behind Li Xiuli, "Although I was the first patient yesterday, I also helped Dr. Li substitute for the class, so the patients accepted should theoretically be under the care of Dr. Li."

Li Junjun's eyes still stayed on Kuang Li, Kuang Li had just moved his body, he could only move his buttocks and adjust the best posture to look at Kuang Li.

Li Xiuli and Kuang Li looked at each other, a little nothing

Language.

It's too straightforward, it's too red!

"I heard that your hospital has a rule of law, called the first diagnosis responsibility system, it stands to reason that if you are the first to see me, you should be my doctor in charge."

「......」

Kuang Li was completely speechless, and couldn't find the right words to scold him back and forth for a while.

Yes, but it's not a hard and fast rule!

Li Xiuli was also speechless. Can't you treat the disease well, you have to ask Kuang Li to take care of her. Are you here to see a doctor, or are you here to see a wife?

"It's better than that. You shouldn't have drunk the Chinese medicine yet, wait for the Chinese medicine today, and see how the effect is tomorrow, if the effect is not good, I will be your doctor in charge."

Li Jun hesitated for a while, "Yes!"

Li Xiuli and Kuang Li went down to the second floor together and entered the doctor's office.

Kwong Li pursed her lips and complained, "Doctor Li, I shouldn't have helped you substitute for you, I always feel that Li Jun has bad intentions!"

"It's just a psychopath!" Li Xiuli nodded.

At this time, there were only the two of them in the office.

"That Li Jun was always staring at me just now, and I got goosebumps!"

"Haha. I found out too. Actually, he was the same yesterday, but not so blatantly."

"Woooooooooo I'm so uncomfortable to be stared at by him!"

"Who told you to be pretty! People are staring at your breasts without blinking."

"Get out!" Kuang Li patted Li Xiuli's head, "You guy, are you also bad at learning!"

Her cheeks were crimson, she turned her head sideways to Li Xiuli, her hands were on her chest, her lips were pursed, and her arms were driven, and she fell together, which was very spectacular.

"This is your arrogance capital!" Li Xiuli sneered.

"Get out!"

Kwong Li leaves the office.

At this time, Li Xiuli began to wonder if Li Jun had a problem with his brain.

Li Jun is always staring at Kuang Li! He is definitely here to find a partner, not to see a doctor!

Li Xiuli had a bad premonition in his heart.

This is a doctor, and anyone can see it!

————————————

According to the agreement, there should be a patient today, that is, the patient with refractory facial paralysis who consulted Li Xiuli when he was at Liang Dan's house.

"Is Dr. Lee here?"

"I'm here." Li Xiuli was sitting in the office just now and saw the person who entered the office.

"Aunt Li, you're here."

He recognized this person as the patient he had just thought of - intractable facial paralysis.

This facial paralysis has been for half a year, and the diagnosis of facial neuritis has ruled out other causes such as head trauma, head and neck tumors, and stroke, which belongs to Bell's palsy.

The patient's name is Chen Shuzhen, who lives in the city, and has just retired this year, thinking of going to travel after retirement, but as a result, he has facial paralysis.

In the city hospital, acupuncture physiotherapy, traditional Chinese medicine, Western medicine, and hyperbaric oxygen have all been used, but now there is no improvement.

"Alas, it's not convenient to come to your city at all, and it's so hard to wait for the bus." Chen Shuzhen crooked her mouth, like a dragon king opening her mouth.

"Aunt Chen, it's not easy for you to come to our Yicheng. It's not convenient to run back and forth, you have a history of this for half a year, and the treatment time is long, I recommend that you be hospitalized for half of it."

"That's what I thought, too."

"Well, register me with your social security card."

"Okay." Chen Shuzhen took out a social security card from a black leather crossbody bag she was carrying, and handed it to Li Xiuli, "Here you are."

If a gold is merged, several benefits that originally required several cards are now only needed for a small card, which is really a good policy for the benefit of the country and the people.

"Auntie, look up at your forehead."

Chen Shuzhen's eyes rolled up, trying to raise her eyebrows, only to see the left side of the eyebrows slowly rising, and then the left forehead showed three horizontal frontal lines, like a 'three'.

The right side of the brow did not move at all, and the skin on the forehead above it was like a mirror in the lake, and there were no waves.

"Positive forehead test!"

Li Xiuli commented slowly.

Guo Lao Shi Xueming's experience told him that there are many causes of facial paralysis, and the most common are stroke, head trauma and facial neuritis.

Among them, stroke is divided into cerebral hemorrhage and cerebral infarction, and modern Chinese medicine divides stroke into ischemic stroke and hemorrhagic stroke, but both are called rheumatism after the onset time of more than half a year.

As for head trauma, the facial paralysis caused by it is similar to that of a stroke, but in fact, it is brain tissue damage, and the symptoms caused by it are naturally similar.

The last type of facial paralysis caused by facial neuritis is the most common in clinical practice, and it is also the facial paralysis with the greatest individual differences in efficacy.

The reason why I say this is that I am also face paralysis, and some people are not treated, and the sky is fine, and they can't even see the slightest sequelae. And some people, even if they are actively treated, the effect is mediocre. The most serious and unlucky belong to patients like Chen Shuzhen, who are almost not good at all.

A positive forehead elevation test often indicates facial neuritis. Facial paralysis due to head trauma and stroke generally does not cause a positive forehead lift test.

"Both eyes are closed."

Chen Shuzhen did it honestly.

I saw that her left eye was closed, and her right eye was half-open. It's a bit like an ordinary person sleeping with his eyes open, his eyelids are half-squinted, revealing a small part of the whites of his eyes.

The inability to fully close the right eyelid is also one of the hallmark symptoms of facial paralysis.

"The eyelids can't be completely closed!"

Li Xiuli frowned, it has been half a year, and when he raised his forehead, no forehead lines were revealed at all, and his eyelids were still motionless, and he couldn't close them at all, this was really stubborn facial paralysis!

Very stubborn!

"Doctor Li, I went to the ophthalmology department to see this eye, and my eyesight is much worse than the left one!"

"Hmm." Li Xiuli nodded in response.

In many patients with facial paralysis, the vision of the affected eye will be reduced to a certain extent.

"Left eye closed!"

Chen Shuzhen did so, her left eye was closed, and the left side was fine, but the corner of the right side of her mouth was driven by the left cheek, pulling it to the left side.