For patients with sciatica, acupuncture and moxibustion are the main pain relief in the acute stage, and after the pain is relieved, traditional Chinese medicine is the main treatment.

The human body is a whole, and under normal circumstances, even if it is a herniated lumbar disc or even a prolapse, which affects the nerve entrapment, he will not experience any discomfort.

However, once the human body has a bias, that is, an imbalance of qi, blood, yin and yang, etc., the disease will attack.

"Does it hurt?"

Lee so-ri taps under Lee so-young's lumbosacral region, trying to find the tender point.

Any tender point is a manifestation of the lack of smoothness of the local qi and blood meridians.

If it hurts, it doesn't work, if it doesn't hurt, if it is empty, it hurts less.

"Pain, pain, pain!" At this time, Li Xiuying shouted loudly.

Li Xiuli stared at the position of his thumb, two centimeters above the sacroiliac symphysis, which is equivalent to the position of the large intestine Yu.

With a needle prick, Li Xiuli inserted the syringe needle back and forth, "Is it swollen?"

"No swelling."

Lee so-young is obese and uses a conventional syringe needle, which cannot reach a predetermined depth and must use a three-inch needle.

For this reason, Li Xiuli has changed the three-inch-long syringe needle in advance.

"I'll go, your needle is scary enough!" Beside him, a man in his early thirties saw the long syringe Li Xiuli was holding in his hand, and he was full of excitement, stretched out his hand, and patted it on his chest.

"Dr. Li, is the needle long?" Li Xiuying, who was lying on the treatment bed, couldn't help but worry when she heard the man next to her speak.

The injection is scary enough, it is still a long needle!

"It's not long, I think it's a little short for you." Li Xiuli glanced at Li Xiuying's fat ass and bear waist, he really didn't think the needle in his hand was long.

"Oh." Li Xiuying wanted to look back at Li Xiuli, but when she turned around, the lumbosacral pain worsened violently, and she couldn't help frowning, and had to give up this difficult action for her.

When Li Xiuli saw her turn around, he hurriedly moved the syringe in his hand to the other side of Li Xiuying.

It's good that you don't see the syringe needle, otherwise it might scare the patient.

"Pain, pain, pain!"

His fingers dropped, his thumb was just right, and he found the first tender point.

Iodophor disinfected around the tender point, following the marks left by the nail on the skin in advance, he held the pen and inserted the needle vertically.

Lightning-fast speeds.

Li Xiuying didn't know that the syringe needle at this time had broken skin.

Insert the needle slowly and vertically two-thirds of the way, "Lee so-young, do you feel swollen?"

Li Xiuying tilted her head, she looked in the direction of the corridor, squinted her eyes slightly, and felt the abnormality of her lumbosacral region with her heart.

Three seconds later.

She shook her head, "Not swollen."

Hearing this, Li Xiuli lifted the syringe up and down five times, with a moderate speed, and continued to ask, "Is it swollen now?"

Li Xiuying closed her eyes and felt the pinprick sensation just now, "It's still not swollen."

Li Xiuli was not discouraged, but continued to hold the syringe and slowly went down half an inch.

If it is an ordinary person, after piercing about an inch in the lumbosacral region, there will be obvious swelling pain, but Li Xiuying is different, she is too obese, and the pain point is deeper.

While inserting the needle, Li Xiuli continued to ask, "Is it swollen?"

Li Xiuying's answer was still the same, "No swelling."

Li Xiuli continued to go deeper.

In the end, the three-inch long needle was completely submerged, "Is it swollen?"

"No swelling!"

"it!" The man watching the play on the side was stunned, and he was stunned to see that the needle that was the length of his middle finger to his wrist was completely submerged in other people's butts, which was simply shocking!

The most incredible thing for him was that he was completely submerged, and the chubby woman in front of him was completely painless!

Simply so!

"Sister, don't you feel any pain at all?"

"It doesn't hurt, it really doesn't hurt!"

"Handsome guy, please be quiet for a while." At this time, Li Xiuli turned his head to look at the man and said with some dissatisfaction.

"Okay!" The man readily agreed, and soon shut up and stopped talking nonsense.

Li Xiuli continued to hold the needle, it stands to reason that this is already a tender point, and the syringe needle will stay here, and there will be obvious swelling pain.

However, it didn't.

In other words, the acupuncture is in the wrong direction!

At this moment, Wang Ming walked out of the first consultation room, he overheard Li Xiuli asking Li Xiuying, he deliberately stopped for ten seconds, and then smiled on his face, shook his head and left.

Wang Ming smiled secretly, slandering in his heart, the syringe is injected at the acupuncture point, once the tender point is identified, it would be good to directly inject the potion into it, why bother to insert it again and again, increase the pain in vain, and don't think about it for the patient, it is really speechless!

【Ding! 】

At this time, Li Xiuli was not panicked at all.

Shi Xuemingguo's acupuncture experience in his mind told him that when injecting acupoints, if he only presses the pain points, and does not take the same deqi technique as acupuncture after entering the needle, the effect of acupoint injection will be greatly reduced.

This kind of discount, in the most serious cases, can be discounted by 5%.

[Dear master, the system has detected a negative evaluation from Wang Ming. 】

[System determination: false.] 】

[Reward: 1 skill point.] 】

[Current Remaining Skill Points: 6]

[May I ask the host: lottery or upgrade skills? ] 】

Keep it for now!

After squeaking back from the system that was not intelligent at all, Li Xiuli was inexplicably a little happy, he looked behind him and saw Wang Ming swaggering by, but he didn't know that the latter was just his tool.

Six skill points, you can upgrade three intermediate skills, and you can upgrade one advanced skill.

Keep it and wait for the Chinese medicine identification competition and prescription science competition to use it again!

At this time, he wants to brush up on some more skill points, be prepared!

"Doctor, why don't you get an injection?" At this time, the man on the side who shut up couldn't bear it anymore.

said yes and stopped talking, but after Li Xiuli inserted a long and disgusting needle into someone's buttocks, he was indifferent, what do you want to do?

"Shut up!" Li Xiuli glared at the man.

He didn't want to explain too much.

The man watching the play on the side was just a patient, chattering, and sounding very noisy.

"Dr. Lee, haven't I finished my injection?" At this time, Li Xiuying was also a little puzzled, she came here, if Dr. Li was at this level, she would be very disappointed!

"Don't worry, you must find this pain point accurately, and the treatment effect will be good!"

Acupuncture is a handicraft, and there are many details and experiences in the acupuncture process, which are the key to determining the efficacy.

Of course, the selection of electroacupuncture and moxibustion also plays a key role.

In short, this is a very hands-on TCM subject, and its requirements for experience and courage are not much worse than the surgery of Western medicine.

Li Xiuli lifted the needle two inches, and the needle at this time was only one inch into the skin.

With the tip of the needle as the center, he tilted the needle direction toward Li Xiuli's spine 15 degrees, and then completely submerged it.

The man watching the play on the side was stunned.

stabbed someone's ass, or the kind that was completely stabbed, and now I was not satisfied, so I had to change directions and continue to stab!

Oh my god!

The man closed his eyes, not daring to look more.

Look at me again, I'm a dog!

"Ahh Li Xiuying screamed sharply, shocking the audience.

Patients on treatment beds in the public treatment area and patients on the waiting list all looked at the screaming woman.

Kuang Li frowned and hurriedly ran out of the third consultation room, she looked at the needle in Li Xiuli's hand that was completely submerged, and was quite worried, "Doctor Li, do you need help?"

Li Xiuli smiled and replied, "No."

"Okay.

Kwong Li looked puzzled, but she didn't want to ask anything, she entered the third consultation room again, and didn't forget to take another look at Li Xiuli and Li Xiuying when she left.

"Dr. Lee, it's painful, it's numb!" Lee so-young continued to shout.

"That's right, that's how it feels! Is there anything else you feel like?"

"Yes, I feel like one of my thighs is numb!"

"Well, I've finally found it!" Li Xiuli was delighted, he fixed the syringe needle with his left hand, and gently pressed the thumb of his right hand to slowly inject three milliliters of potion.

"Oh my God!" The man watching the play exclaimed again, "Didn't you hit the sciatic nerve just now, you dared to inject the nerve!"

"Shut up!" Li Xiuli rebuked again.

"I used to hear from doctors that if you can't hit the nerve during the injection, especially if you hit the sciatic nerve, it will cause paralysis."

"I'm an acupuncture practitioner now, not a Western medicine, please be quiet!" Li Xiuli didn't want to explain anything to this person.

The man is right, when the injection (intramuscular injection) cannot hit the nerve, even if it is unintentionally hit, it must be changed in a different direction or in a different position of the injection.

Therefore, in the eyes of Western doctors, when intramuscular injection, the ring jumping point (equivalent to one of the sciatic nerve surface projections in Western medicine) is a contraindication point.

Li Xiuli once saw a patient who was injected with penicillin in the township health center when she was young, and the nurse helped her to play the ring jumping acupoint, and the patient happened to be severely allergic to penicillin. It was finally rescued, but the patient was completely paralyzed from the right hip down and became a disabled person.

However, at this time, Li Xiuli was doing acupuncture, and the theory of traditional Chinese medicine and the theory of Western medicine were not the same thing.

All he wanted was to stimulate the sciatic nerve with a potion.

"Dr. Li, I hit the nerve, do you really want to get it?" At this time, Li Xiuying was so shocked by the man, and she was also nervous.

"Li Xiuying can rest assured that my operation is fully in line with the practice standards of traditional Chinese medicine."

"Oh." Li Xiuying didn't seem to understand, so she could only nod helplessly.

What is the standard of TCM practice?

What about the practice of Western medicine?

She had a question in her mind, but she didn't say much.

I've already gotten on the thief ship, and if I want to get out, I'm afraid it's too late.

Remove the needle and press on the tender point with a clean cotton swab for ten seconds.

At this time, there were still four milliliters of potion in the syringe.

Keep looking for tender points.

Li Xiuli's gaze moved, following Li Xiuying's bulging ass like a tiger's back, and he landed his gaze on the ring jump!

Ring jump, a forbidden area for intramuscular injections.

Ring jump, a common point for acupuncture point injection.

Li Xiuli continued to hold the pen and jumped slightly towards the ischial bones, and the lightning pierced.

After breaking into the skin, the speed slows down and you feel the layering of muscles with your heart.

Ordinary muscles, after being pricked by sharp needles, will have a feeling like piercing tofu.

Feel the reaction of the needle body when the needle is pricked, and at the same time feed back to your fingers to feel how the muscles are doing under the ring jump.

It takes experience, it takes brains.

"Pierced under the skin, at two inches, there is a rustling blockage, continue to go deeper, the rustling sensation disappears." Li Xiuli muttered in his mouth, not minding others to hear.

Speaking his inner thoughts appropriately will help to enhance his sense of mystery.

"Dr. Lee, what's a rustling sensation?" At this time, Li Xiuying was puzzled.

"Normal muscles don't rustle, but when there are cords in your muscles, they rustle. Of course, depending on the severity of the muscles, the sound is different."

"Ahh Lee so-young continued to seem to understand. These things in Chinese medicine are really mysterious, but they are effective!

"So, is my ass amazing?"

"Poof!" The man watching the play couldn't help but squirt.

The ass is amazing, why does it sound like some shit!

"Awesome, but I've seen a lot more powerful than you.

Li Xiuli replied more conservatively and moderately made the condition a little heavier.

As a doctor, you need to protect yourself.

For example, if a patient's illness may be severe or mild, the doctor must tell the patient and family members about the possible seriousness.

"So, what should I do?" Li Xiuying was a little worried, and her fingers were already grasping the sheets.

The sheets were wrinkled, and the part that was lying on her stomach was also pulled and moved in the direction of her fingers, which showed how worried she was at this time.

"I do my best."

Li Xiuli temporarily chose to ignore the rustling feeling just now and chose to continue to go deeper.

Now, what needs to be solved the most is Li Xiuying's waist and hip pain.

"Is it swollen?"

"I don't feel it."

Li Xiuli used the method just now to explore in the other directions of the ring jump.

The left side is invalid.

The right side is invalid.

On the right side, Lee so-young said that the swelling pain was noticeable.

Fill half of the remaining four milliliters of the potion.

Pull out the syringe and continue to press the swab to the ring jump.

At this point, there are only two milliliters of potion left in the syringe.

"Dr. Lee, are you done?" Li Xiuying was a little confused, she really didn't expect that there would be so much attention to a spanking needle.

"Don't worry, it's not over yet!"

At this time, Li Xiuli followed Li Xiuying's buttocks, and then continued to move down.

Gluteal clefts, thighs, popliteal fossa, calves.

On the outside of the calf, there is an acupuncture point that treats sciatica, where a broken bone may cause foot drop.

The depression in the anterior and inferior part of the fibula small head - Yangling Spring.

Below Yangling Spring, there is the common peroneal nerve.

The common peroneal nerve is damaged, resulting in foot drop and inability to turn the toes up.

Guo Lao Shi Xueming likes to acupuncture in Yangling Spring to treat sciatica.

The long needle is pierced under the skin, and the needle is rocked from side to side, looking for a needle feel.

"How do you feel?"

"Ma Ma Ma!"

Slowly push in the remaining two milliliters of the potion, and the acupuncture point injection is completed.

At this time, Li Xiuying could clearly feel the numbness of the skin on the outside of her calves and the instep of her feet, which was very uncomfortable.

"Dr. Lee, are you done?" She couldn't stand it anymore, it was so uncomfortable!

Some prostration, some exhaustion, some unbearable, more fierce than her husband who couldn't eat enough.

"It's over." Li Xiuli pulled out the syringe and prepared to leave.

Li Xiuying was a little curious, it was the length of the needle that made her miserable.

When she looked back, she found the three-inch long needle in Li Xiuli's hand, "I'll go, it's so long!"

Her head was flushed, and she chose to lie directly on the treatment bed, not wanting to say anything.

No wonder the verbose man next to him exclaimed, it turned out to be such a long needle!

Longer than her husband's!

After the acupuncture point injection, all that remains is regular acupuncture.

There is nothing special, Li Xiuli quickly finished the acupuncture, and after explaining to Liu Qin, he was ready to go to the office.

Yang Zhizhi, director of the medical department, was still waiting there, and he couldn't neglect others.

After washing your hands, you can slowly run out of the treatment area.

I saw that in the office, Yang Zhizhi was chatting with Deng Qingmei.

The two of them had some serious expressions, as if they were discussing something.

Prepare two disposable cups, put them in the best West Lake Longjing, pass the boiling water first, and then soak it.

"Director Yang, Director Deng, drink tea."

Li Xiuli smiled and placed two cups of hot tea on the table next to the two.

"Dr. Li, you're finally done, you're a busy man." Yang Zhizhi looked at Li Xiuli with a smile and waved his hand at Li Xiuli, "Sit, sit, sit."

"Hmm." Finding a place to sit down, Li Xiuli looked at Yang Zhizhi, ready to help the latter see a doctor.

Yang Zhizhi used to be a TCM internal medicine physician, and later served as the director of the township health center, gradually leaving the clinic. Five or six years ago, he was transferred to Yicheng Hospital of Traditional Chinese Medicine and served as the director of the medical department.

"Doctor Li, I also heard what happened just now, Director Deng."

"Oh, is Director Yang ready to criticize me?"

"It's not enough to criticize, but some people like to find leaders and connections, and they want to get more care in the hospital, which is understandable."

"Director Yang, I know this."

"It's good to know. Many people seek medical treatment not to save money or save time, but so that doctors can treat them more attentively."

"Hmm. Director Yang is right."

"Don't talk about that. I've had a faint pain in my stomach for a while, and I've prescribed some Chinese medicine for myself, but the effect is not very good, so I want to find you, a master who suddenly appeared, to see if the medicine can cure the disease."

"Don't dare, don't dare, I'll do my best."

At this time, Li Xiuli faintly felt that it was true that Yang Zhizhi was looking for him to see a doctor, but it was also true that the colleagues who saw the doctor wanted to assess their abilities.

Yang Zhizhi's abdominal pain was very simple, the onset time was one month, the pain was faint, and no abnormalities were found in color ultrasound, CT, and blood biochemical examinations.

He is also a TCM physician, at least once, and has been prescribing Chinese medicine on his own for a long time, but the effect is not good.

After drinking the five doses of traditional Chinese medicine, the abdominal distension and pain gradually decreased, and then continued to prescribe five doses of traditional Chinese medicine, but the symptoms did not improve again.

Subsequently, Director Lu of the outpatient clinic was asked to prescribe three doses of traditional Chinese medicine, but the effect was average, so he did not return to the clinic.

After briefly stating his medical experience, Yang Zhizhi said that he suddenly and unexpectedly received a pennant conveyed to him by the dean yesterday, and he suddenly realized that he could also go to Li Xiuli for abdominal pain.

It just so happened that the dean called again this morning, asking him to go to the dean's office to get the pennant, and he decided to personally run the acupuncture department to send the pennant today, and ask for a prescription casually.

"Danxi Heart Method: Abdominal Pain": "When you first get it, your vitality is not empty, and you will push it, which is the general law. It will be difficult for a long time, and it is advisable to be strong and sick. Weakness and long-term illness should be eliminated by ascending."