"Right eye closed!"

The right side is indifferent.

Li Xiuli gasped, and couldn't move at all!

This is the most serious facial paralysis Li Xiuli has ever seen, others are paralyzed, she is completely paralyzed on the right side of her face, and she has become some dead flesh.

"Cheer up!"

Chen Shuzhen did so, and saw that the left side of her face was very elastic and slightly bulging, but the right side of her face was like bubble gum without elasticity, and it quickly became swollen.

Comparing the two sides, it can be seen that the right side is obviously swollen.

"Dr. Li, can I be cured of this?"

Good?

Some diseases cannot be completely cured, such as facial paralysis, no matter how good the effect is, there will be some sequelae.

Chen Shuzhen in front of her, her current situation, compared with when she was paralyzed, has not made any progress.

What kind of recovery does she mean by being good?

"Let's do our best!" Li Xiuli did not give a clear answer, but only gave an ambiguous answer.

It has been more than half a year since the onset of the disease, and it has entered the sequelae, and the optimal recovery stage has been missed: one month before the onset of the disease.

Also miss the golden phase of recovery: three months.

It is half a year after entering almost no therapeutic value.

"Doctor Li, you have to think of a way, I'm here for you."

"I know." Li Xiu bowed his head.

For him, he will treat patients equally whether they are rich or poor, whether they are noble or lowly.

"A few days ago, I went to the city hospital to see a doctor, and the director there told me that I should not be treated, saying that the treatment was ineffective and that it had been finalized."

"They're right." Li Xiuli nodded and replied.

"Why do you say that...... Chen Shuzhen's face was dejected, obviously unable to believe that Li Xiuli also thought so.

Prior to this, she had been hospitalized in the city hospital for the first few days of her illness.

Li Xiuli saw from her diagnosis that at the beginning of the disease, she had already used high-dose hormone anti-inflammatory treatment, and the dose gradually decreased in the following week, and the hormone had been stopped on the seventh day.

This is the most standard treatment for facial paralysis in Western medicine today: high-dose hormone pulse therapy.

Most hospitals, for the treatment of facial paralysis, will adopt this regimen.

Secondly, it is combined with nutritional neurological drugs, citicoline, vitamin B1, and methylcobalamin.

Ten days after the onset of the disease, murine nerve growth factor was also used for a month.

The drug of rat nerve growth factor is very expensive, and Yicheng Hospital of Traditional Chinese Medicine sells for 160 Chinese dollars, and it cannot be included in medical insurance, which is a self-financed drug.

A month's worth of murine nerve growth factor costs more than 4,000, which is difficult for ordinary families to bear.

But Chen Shuzhen still insisted on using it, which shows how much she attaches importance to her illness.

However, after using mouse nerve growth factor for a month, her facial paralysis symptoms still did not improve, even if there was no progress at all, and she always remained at the peak of the onset of the disease.

After that, she went to the neurology department of the Municipal People's Hospital for inpatient treatment, and the nutritional neurotherapy continued, but instead of using murine nerve growth factor, adenosine triphosphate sodium tablets were added.

Adenosine triphosphate, which everyone has learned in high school biology class, is a substance responsible for transferring energy.

The significance of Chen Shuzhen's use of adenosine triphosphate is to supplement ATP to the paralyzed facial muscles on the right side.

In addition, the Municipal People's Hospital gave her the same treatment as a cerebral infarction patient - hyperbaric oxygen.

Hyperbaric oxygen for a month, twice a day for two days, can be described as a colorful hospitalization life.

In the first two months of the disease, the Municipal Hospital of Traditional Chinese Medicine and the Municipal People's Hospital arranged acupuncture treatment for her.

Acupuncture is internationally recognized as the best treatment for facial paralysis, especially facial paralysis caused by facial neuritis.

Li Xiuli began to think about the precautions of acupuncture.

acupuncture for facial paralysis,

There is one thing in particular that needs to be noted.

In the first seven days of the disease, that is, in the acute stage of facial paralysis, the facial nerve has just been damaged, and the nerve is fragile, if strong stimulation such as electroacupuncture is used, it is very easy to damage the patient's facial nerve, which not only cannot promote the healing of the disease, but aggravates the condition.

Li Xiuli frowned, could it be because in the first seven days, the doctors of the city hospital gave her electroacupuncture, or even strong stimulation of electroacupuncture, which has led to the fact that half a year has passed, and there is no improvement in facial paralysis.

But when he thought about it carefully, he always felt that the possibilities were almost negligible.

But any mature acupuncturist knows this common sense, and it will definitely not be so.

Could it be an intern or a soy sauce attendant?

It's possible!

In large hospitals, there are many patients and doctors are too busy, and some doctors will ask interns who perform well in clinical practice, that is, let them give acupuncture to patients.

Toothache!

If this is the case, it is like the wire is burned by a strong current, and no matter how much you toss, the wire will not be able to transmit the current.

"Dr. Lee, do you have confidence in me?"

"Yes! My confidence is to give you a reasonable dialectical prescription, a reasonable acupuncture treatment, and as for the efficacy, I am also looking forward to it."

"Then I'll trouble Dr. Lee." Chen Shuzhen was polite.

As a citizen living in the urban area, she traveled all the way to Yicheng, a subordinate city, to see a doctor, just because of Li Xiuli's reputation in the cloud hospital app.

At this moment, Chen Shuzhen's mobile phone rang.

"Excuse me, I'll go out and answer a call." She ran out of the office and answered the phone outside the office.

At this time, Li Xiuli opened the doctor's workstation and prepared to draw up Chen Shuzhen's various signature conversations.

He had not yet asked about his medical history, tongue diagnosis, and pulse diagnosis, but Li Xiuli sat at his desk and waited quietly.

At this time, Wang Ming walked out of the first consultation room, he just hung up the phone and walked to the door of the office, "Dr. Li, did you accept a patient with facial paralysis just now?"

Li Xiuli frowned, this also let you know?

She nodded in acknowledgement, "I did take one."

"I just had a patient call me and say that she has a relative who is hospitalized with you and asked me to come and have a look."

In fact, Wang Ming's words were not finished.

The meaning of Chen Shuzhen's relatives is to ask Chen Shuzhen to change a doctor and ask Wang Ming to take care of Chen Shuzhen.

At this time, Chen Shuzhen trotted over, her left side showed a smiling face, and her right side showed a dead fish eye, "You are Dr. Wang, right?"

Wang Ming smiled faintly, "It's me."

"My cousin told me to come to you directly, saying that you are doing well, but I have already been hospitalized by Dr. Li, and now I let you see a doctor, isn't it good?"

"It's okay!" Wang Ming smiled faintly, "I've seen a lot of your illness." He looked at Li Xiuli on the side, "Doctor Li, the patient's relatives have all said that they told me to take care of this patient, and I think you should transfer it to me."

Li Xiuli frowned, Wang Ming did this, it was simply a righteous and bright robbery of patients.

This is not a big hospital with endless patients, but a small Yicheng Traditional Chinese Medicine Hospital, and the total number of patients in the hospital is not enough for the total number of employees in the hospital.

"The patient's wish is to look for me, but it's not her relative who she says to look for, and who she really wants." Li Xiuli replied lightly, but he was not afraid of Wang Lai's toughness.

"That, Dr. Li, why don't you help me take a look at it, the two doctors refer to it together, and the effect is the best."

On the phone, her relative, but Wang Ming, as his own relative, is still called his cousin, so he will not deliberately deceive himself.

"Okay!" Wang Ming was the first to agree, and he looked at Chen Shuzhen with a smile, "Blow."

Chen Shuzhen blew honestly.

"Close your eyes."

......

Wang Ming didn't say much, but Chen Shuzhen just did it honestly.

After a while, Wang Ming got to know Chen preliminarily

Sook-jin's medical history.

"Your disease is of little therapeutic value, and I don't recommend you to continue treatment."

"What?" Chen Shuzhen was obviously stunned, she didn't expect that Wang Ming would say this about herself.

Half a year after the onset of the disease, she has entered the sequelae, although her facial paralysis symptoms have not improved, but as a flesh-and-blood woman, how can she be willing to give up hope of recovery.

As the saying goes, if you live for a breath, you have to live desperately, and she will never give up hope for recovery!

"Doctor Wang, you can't say this absolutely!" Li Xiuli was a little dissatisfied.

The patient was his, and if Wang Ming hadn't received a call from Chen Shuzhen's cousin, he would have never let Wang Ming interfere with his patient.

Now, Wang Ming has even issued a conclusion that the patient has completely lost confidence, how satisfied is he?

I must be dissatisfied!

"Half a year after the onset of the disease, the symptoms did not improve at all, and now the recovery period has been missed, and the sequelae period has entered, how can this disease still be better?"

"Well, Dr. Wang, should I be discharged?" Chen Shuzhen was encouraged by Wang Ming's remarks, and some wanted to give up treatment.

"This is my advice, don't waste medical resources, now the medical insurance funds are not enough." At this time, Wang Ming seems to be really reasonable.

With that, he swaggered away.

Li Xiuli was speechless.

Who wouldn't understand this?

Even Chen Shuzhen herself has heard from other doctors a long time ago.

"That Doctor Li, to tell you the truth, I went to the Provincial People's Hospital to see a doctor a few days ago, and the professor there told me that he advised me not to treat it, and the treatment is of little significance." At this time, she told her reason.

"Auntie, you don't have to be so discouraged, I'll help you think of more ways." Li Xiuli can only comfort people like this now.

I've gone through the admission procedures, so I won't give her a refund again and replace it with an outpatient clinic, right?

There's really no need for that!

Although Shi Xueming's acupuncture experience told him that the treatment value and efficacy of facial paralysis after half a year are not great, it is not ineffective, but it is the most challenging.

The reason why I say this lies in the word 'stubbornness'.

TCM practitioners should not always stop at treating simple and mild diseases, but should pay attention to stubborn diseases, difficult diseases, miscellaneous diseases, and serious diseases, which is the characteristic of TCM ahead of Western medicine.

Western medicine has no way to treat the sequelae of facial paralysis, but there are many ways to do it in Chinese medicine.

At this time, Li Xiuli had already come up with more than a dozen treatments in his mind, all of which were rarely seen or even heard of by many Chinese medicine practitioners.

He didn't want to watch Aunt Chen Shuzhen miss this opportunity to recover.

"Thank you Dr. Li for your kindness, let me be discharged from the hospital, I'd better give up."

Chen Shuzhen has a sad face on one side, and the other side has loose facial muscles, and there is no superfluous expression.

"It's better than that." Li Xiuli looked at Chen Shuzhen seriously, "You can stay for three days and see how the effect is." If the effect is good, continue the treatment, and if it is not good, you will be discharged from the hospital, what do you think?"

Three days!

Chen Shuzhen gasped.

In three days, the so-called "good effect" can also be counted as a little stronger in her eyes, such as when the eyelids are closed.

However, will Dr. Lee blow up the cowhide?

Chen Shuzhen was in a difficult situation, for three days, she couldn't believe it, I was afraid that the treatment would be over before the acupuncture effect had accumulated enough.

"Auntie, please trust me!" Li Xiuli stared at Chen Shuzhen and said very seriously.

"Okay!" Chen Shuzhen was attracted by his sharp and Chen Ken's eyes, and she nodded vigorously.

Isn't it just three days?

All at once it passed.

Now she can only be a dead horse as a live horse doctor.

"Sign here, and I'll help you prescribe Chinese medicine later."

Li Xiuli took out a stack of information and explained it to Chen Shuzhen page by page.

After the latter signed, Li Xiuli began to take the pulse.

The tongue is light, the moss is slightly white, and there seems to be water, and there are tooth marks on the side of the tongue, and the veins under the tongue are not visible.

Is it a weakness of the spleen and stomach?

At this time, Li Xiuli, relying solely on checking his tongue, was still not enough to judge Chen Shuzhen's syndrome.

"Auntie, do you have no strength?"

"Yes!" Chen Shuzhen nodded, "I often don't have the strength, so I want to lie down more, and I don't want to move more."

Not wanting to move too much and not having the strength is a sign of fatigue, which often indicates qi deficiency.

"Come, stretch out."

After asking about other symptoms, Li Xiuli began to take the pulse.

As a qualified TCM practitioner, you must be proficient and apply what you have learned, not just as an ornament.

Li Xiuli felt it with his heart and found that the pulses on the left and right were very different.

The vein on the left, like a marble, rolls above the plate. I saw that under the touch, there was a sense of sliding.

It's a slippery vein.

There is a saying in "The Pulse of the Lake": slippery (yang in yin), before going back and forth, fluent tossing and turning, and replacing it as a pearl.

It is a very distinctive pulse, and it is also the first pulse that the physician who has learned the pulse first.

This is also the only pulse that many laymen know.

After all, there are TV dramas and mediums, and slippery pulses are often used to indicate that a woman is pregnant.

Just as the slippery vein belongs to the yin vein in the yang, in general, it is the yang vein, that is, it belongs to the empirical evidence.

However, there is a difference between true and false evidence, and Chen Shuzhen's slippery pulse refers to his right vein.

Li Xiuli put three fingers on her inch and felt the latter's pulse with his heart.

Half a day.

Li Xiuli put down his fingers and smiled at Chen Shuzhen, "Your left and right pulses are inconsistent, but the left side of the pulse is slippery, which is a manifestation of phlegm dampness. The right side of the vein is the Shen vein, especially the Guan vein, which indicates that the spleen and stomach are weak."

Chen Shuzhen heard it in a fog, she didn't understand the so-called dialectical thinking of Chinese medicine, "That, you can help me prescribe Chinese medicine."

"Okay."

Li Xiuli pressed the keyboard with his hand and began to tap the traditional Chinese medicine:

tangerine peel, banxia, poria cocos, licorice......

After the Chinese medicine was prescribed, Li Xiuli's expression was still serious again.

If you simply want to rely on traditional Chinese medicine to cure Chen Shuzhen's stubborn facial paralysis, I am afraid it is a fantasy.

This is not alarmism, but fact.

Traditional Chinese medicine directly reaches the sick place, regulates the internal organs and qi, balances yin and yang, and corrects the abnormal state of the human body with the bias of the drug.

But Chen Shuzhen's right facial meridian, which is equivalent to the right facial nerve, has already languished.

Chen Shuzhen is lying on the treatment bed.

Li Xiuli stared at Chen Shuzhen, "Auntie, I'll give you partial bloodletting first."

Li Xiuli bled with a plum blossom needle.

After disinfecting the right side of the face, take the right forehead, upper jaw, cheeks and the area behind the ear, and gently tap the plum blossom needle.

"Auntie, don't worry. This is a plum blossom needle, and it doesn't hurt much after knocking it, and there will be a slight hot feeling at night."

At this time, Chen Shuzhen frowned, where was she still in the mood to answer Li Xiuli's reminder.

On the right side of the face, there are faint bright red dots the size of a needle.

After a while, the pinpoint-sized spots began to enlarge and eventually became as thick as a syringe for acupuncture.

At this time, the plum blossom needle puncture is not to bleed, but to trigger local meridian reactions and strengthen meridian conduction.

This point has a certain similarity in the treatment of limb meridian diseases by acupuncture.

The local meridians are blocked, and it is painful if it is not passed. Through the acupuncture of the blocked meridians, the qi and blood are circulated, and the general rule is not painful, so the disease is cured.

After the plum blossom needle is served, it is conventional acupuncture.

————————

Following.

Morning shifts.

Li Xiuli admitted several special patients yesterday.

First, he had chronic appendicitis, which was often hospitalized in surgery and did not heal for a long time.

Yesterday, he was a stubborn facial paralysis with an onset time of more than half a year, and he has been sentenced to "death" by a professor from the Beijiao Provincial People's Hospital.

Nurse Li Jie finished reporting.

Deng Qingmei had a straight face.

She didn't expect that Li Xiuli's heart was so big.

Pick out difficult and miscellaneous diseases to cure!

Emergency Department Inpatient Department.

"Auntie, how does your stomach feel today?"

In front of Li Xiuli, on the edge of the bed, Li Yujie was sitting.

Li Yujie has often had a dull pain in her stomach these days, although it is not so painful, but it is also very uncomfortable.

"It's better." He answered honestly and did not lie.

Deng Qingmei stood aside, she had already decided in the past few days, when Li Xiuli was rounding, she must keep an eye on the side, don't poke out any baskets for him.

"Sister Li, how do you feel the effect compared to the previous treatment after a few days?" At this time, Deng Qingmei interjected.

"Before." Li Yujie was thoughtful.

"It seems that if I was hospitalized in surgery before, it would be much better if I also had a sling needle."

That's right!

Deng Qingmei had a faint answer in her heart.

Chronic appendicitis is easy to treat the symptoms, but difficult to treat the root cause!

Li Xiuli ignored Deng Qingmei, he looked at Li Yujie, "Trouble Aunt is lying down, her legs are bent, I will help you palpate your abdomen."

The only thing that can prove effective is whether the tenderness around the appendix has decreased, and then the color ultrasound is repeated to see if there is a mass or mass that has resolved.

The former is easy to see, while the latter may take some time.

"Uh-huh!"

Li Xiuli put his hand on his abdomen, Li Yujie suddenly frowned, and the corners of his mouth twisted into an "S" shape.