176 No one came to him for medical treatment

Yang Zhizhi's course of illness lasted for a month, with faint abdominal pain, coming and going, liking warmth and pressing, it was weak and long-term illness, and it should be promoted and eliminated.

"May I ask if Director Li still has the prescription for you?"

"Yes."

Yang Zhizhi said, took out his mobile phone, opened the mobile phone album, and rummaged for photos.

After a while, he found a recipe from the album.

Shu pepper, dried ginger, ginseng, starch syrup.

It is a large Jianzhong soup, which mainly treats cold pain in the heart and chest, vomiting and can't eat, cold in the abdomen, upward rushing skin, seeing a head and feet, up and down pain and can not be touched, the tongue is white and slippery, the pulse is thin and tight, and even the limbs are faint and the pulse is subdued.

In short, it is the treatment of pain caused by cold, the abdomen has a protruding skin due to the pain, and even the intestines are spasmed due to the abdomen can touch long hard objects.

Judging from its symptoms, it can be determined that this prescription is used to treat "the first time".

"Director Yang, when you first had abdominal pain, did it hurt badly?"

Yang Zhizhi was thoughtful, he tilted his head and made a thinking gesture.

"It's a little bit bad, and my stomach hurts coldly, like a knife."

"That's right!"

"By the way?" Yang Zhizhi also studied Chinese medicine internal medicine, and at this time he began to wonder.

"Your first recipe still works well." At this time, Li Xiuli began to comment.

"Later, Director Li gave me a different recipe, you see." Yang Zhizhi slid the screen of his mobile phone, and after a while, opened another prescription, "This is Xiao Jianzhong Soup."

Cinnamon sticks, licorice, jujubes, peonies, ginger, caramel syrup.

Li Xiuli took a look, it was really a small Jianzhong soup.

He knew that after Yang Zhizhi took this prescription, the curative effect was average, and then he asked Director Lu of the outpatient clinic to prescribe traditional Chinese medicine.

"Show me Director Lu's Chinese medicine."

"Okay." Yang Zhizhi continued to rummage, and after a while, he found the traditional Chinese medicine prescribed by Director Lu.

Dried ginger, Codonopsis, Atractylodes, boiled licorice.

"This is Richu soup." Li Xiuli turned on the screen of his mobile phone and commented.

"Hmm. After eating this recipe, the effect is not too obvious. My abdominal pain is faint, and I can't say that it is very uncomfortable, but if I don't get rid of him, my heart is like a big stone that weighs on me."

"Understood!" Li Xiuli replied with a smile.

"You, don't put too much pressure on yourself, just treat me like an ordinary patient."

"Director Yang, in my eyes, you are just an ordinary patient."

"......" Yang Zhizhi was speechless for a while.

He heard just now that Deng Jian had a leading friend who wanted to do acupuncture here and wanted Li Xiuli to help cut the line, but Li Xiuli refused.

Obviously, Li Xiuli is a person who does not eat oil and salt, and will not deliberately show face for the sake of who is the leader.

Li Xiuli helped Yang Zhi know the pulse, and then tongue diagnosis.

Yang Zhizhi's situation is summarized as follows:

The course of the disease is one month, and now the abdominal pain is faint, coming and going, liking warmth and pressing, the tongue is light, pale, and the pulse is slow.

The main disease poem of "Pulse of the Lake: Shen Pulse" says: "Sinking and diving to store yin and menstrual diseases, several heat, cold, slippery and phlegm. Weakness and weakness and qi, sinking and strength accumulation and cold. The phlegm and water stop the chest, and the cold and pain in the main body are blocked. Ulnar turbidity and diarrhea, kidney deficiency and lower Yuan Dysentery."

Yang Zhizhi's Shen veins on both sides mainly lie in the ulnar, which means that "the ulnar region is turbid and discharged, and the kidney is deficient and the waist is weak."

The description of the slow pulse in the "Pulse Meridian": small and fast are faster than late.

The ulnar pulse is one breath and three solstice, that is, one breath time, beating three times.

The small piece of Yu Chi is a breath that beats four times.

A normal person, in one breath, beats five times.

Therefore, a slow pulse is a pulse that beats lower than normal.

There is a saying in "The Science of the Pulse of the Lake": "Floating is the wind, sinking is dampness, slowing the wind is weak, slowing down the dampness, slowing down the spleen, slowing down the weakness of the qi."

Yang Zhi knew that the ulnar pulse was slow, and it was

There are also abnormalities in the lower focus (kidney), and it is accompanied by spleen deficiency and dampness.

Li Xiuli took out the prescription list and began to draw up the prescription.

Cooked aconite......

Yang Zhizhi, who looked at Li Xiuli with expectant eyes on the side, was like an apprentice with a master at this time, and his eyes fell on Li Xiuli's vigorous and powerful wrist, and he no longer moved.

"You want to use aconite?" When Li Xiuli had just written down the first Chinese medicine, Yang Zhizhi's scalp began to tingle.

He is like an apprentice with a teacher, who initially understands that aconite is poisonous and should be used with caution in clinical practice.

When Li Xiuli was in college, he listened to a Chinese medicine teacher and explained the toxicity of aconite.

Tongue paralysis, limb paralysis, and even respiratory muscle paralysis, which can be life-threatening in severe cases.

Even, the teacher of Chinese medicine, also talked about several cases of poisoning with large doses of aconite that she had encountered.

"When used properly, aconite is a miracle medicine in clinical practice." Li Xiuli glanced at Yang Zhizhi and said a little seriously.

He likes to use aconite, and likes to use aconite's effect like the miraculous curative effect of the warm yang of the drum.

Li Xiuli continued to prepare prescriptions, cinnamon branches, licorice, jujubes, peony, ginger.

"Why isn't there caramel yet?" This time, Yang Zhizhi really didn't understand.

He looked at Li Xiuli in a daze, and the recipe prescribed by the latter, except for the cooked aconite, was Xiao Jianzhong's soup.

But the medicine of Xiao Jianzhong soup is caramel sugar.

Xiao Jianzhong soup without caramel can only be called Guizhi double peony soup.

"You don't need caramel candy, because the recipe I prescribed is not Xiao Jianzhong soup."

"Why don't you use Xiao Jianzhong soup?" Yang Zhizhi was a little confused.

As we all know, Xiao Jianzhong decoction is mainly used to treat anxiety deficiency and cold, liver and spleen disorders, and yin and yang disharmony. Clinically, there will be acute pain in the abdomen and abdomen, which will come and go, and like to press warmly; or the heart throbs, and the heart is restless, and the face is pale; It also shows hot hands and feet, dry throat and dry mouth.

And he thinks that he is in line with the first symptom.

"Then Director Yang, can you tell me why you think you need to open Xiao Jianzhong Soup?"

Yang Zhizhi did not hesitate, "The vague pain in the abdomen is a deficiency disease, and it likes to be warm and pressed, and it is a medium anxiety and deficiency and cold. Reuse caramel as the king's medicine, one is warm to replenish the deficiency, the other is to relieve pain, one medicine and two are good at it, why not use it?"

Li Xiuli smiled, no wonder Director Li and Yang Zhizhi in the outpatient clinic felt that they needed to use a large dose of caramel as the king's medicine.

The idea is right, but the problem is in the pulse – the ulnar pulse is slow.

It is true that the middle focus is deficient and cold, but the lower focus also has kidney yang deficiency, and the phase fire (the heart is the king, the kidney is the phase, and the kidney yang is the phase fire) is deficient and void to warm the spleen, so the spleen and yang are insufficient.

The spleen likes dryness and dislikes dampness, the spleen is dry soil, the spleen yang is insufficient, and it is easy to get wet.

However, Yang Zhizhi knew that the spleen dampness was not enough to reach the outside for one month, so the moss was still white, but the pulse was the most able to reflect the pathological changes in the human body.

In addition, starch syrup is a greasy product, if used in large doses, it is more likely to trap the spleen and yang, and help dampness and phlegm.

Therefore, Li Xiuli went to caramel and added cooked aconite as a medicine, which played a role in warming the spleen and yang.

Li Xiuli came out with his thoughts one by one, and then Yang Zhizhi suddenly brightened up, stunned.

"The Horn Vein is so amazing!" Yang Zhizhi nodded and looked at Li Xiuli with some surprise.

At this time, he realized that it was not that Xiao Jianzhong Tang was bad, but that their pulse was biased and did not discover the hidden mysteries in the pulse, which ultimately led to the inaccurate dialectical selection.

"If you want to learn Chinese medicine well, the pulse is the key!" Li Xiuli smiled indifferently.

He's right. Doctors of all generations, who are not familiar with medical books, and have a lot of experience in pulse diagnosis.

"Then Dr. Li has a book recommendation for pulse diagnosis, so that I can learn it too?" At this time, Yang Zhizhi was like a true apprentice, looking at Li Xiuli with burning eyes.

"Yes, recite "The Study of the Pulse of the Lake."

"Okay, I'll carry it!" Yang Zhizhi nodded heavily at Li Xiuli as if he had seen a big star.

Yang Zhizhi took it beautifully

prescription form, run to the outpatient to pay for the medicine.

Outpatient lobby.

Yang Zhizhi is in a very good mood, although Li Xiu's traditional Chinese medicine is beyond his imagination, but after Li Xiuli's analysis, he is very confident in this prescription.

At this time, he happened to pass by the clinic where Director Li was located.

Director Li's consultation room in the outpatient clinic is just opposite the hospital's toll hall, which is the most densely populated place in the hospital.

The reason why the hospital arranged for him to sit in this outpatient clinic was also to help him increase the outpatient volume. From here, it can be seen that the hospital attaches great importance to Director Li.

At this time, Director Li happened to be fine, he sat in his consultation room, staring at the computer silently.

In the computer, all the patients he saw today were recorded.

Nowadays, it is a computer office, and all patients' medication information is recorded.

"Director Yang's abdominal pain is still a bit now, what is the problem?" He frowned, puzzled.

It's better to make a phone call and ask him to come over for a follow-up visit when he is free!

There was nothing to do at the moment, he took out his mobile phone and prepared to call Yang Zhizhi's number.

"The bell rings to call home

in his life

It seems to be a little embarrassed

What does black skin mean to him......

Five seconds after Director Li dialed Yang Zhizhi's number, he suddenly heard someone's mobile phone ringing outside the clinic.

This familiar ringtone, it seems that I have heard it somewhere.

Yang Zhizhi, who was smiling, suddenly saw his mobile phone ringing, he took out his mobile phone and saw Director Li's call.

Director Li is very well-known in the hospital, and Director Li in the mouth of his colleagues in Yicheng Hospital of Traditional Chinese Medicine refers to him.

He is now the most famous TCM physician in the hospital, and now he is over 70 years old, and it stands to reason that he can enjoy family fun at home, but he can't let go of his years of clinical practice, and the hospital also needs these experienced old TCM doctors.

As a result, he now sits in the hospital's highest-traffic consultation room.

Yang Zhizhi hung up the phone and walked directly towards Director Li's office.

"You stinky boy, you actually hung up my phone!" Director Li, who was wondering why Yang Zhizhi hung up his phone, suddenly a middle-aged man appeared at the door, and he scolded: "You old thing, you actually hung up my phone!"

"Don't dare, I'm at your door, and if I answer the phone, wouldn't it be a waste of my phone bill."

"Fart! Don't think that my old man doesn't understand anything, you can connect the phone and you don't have to pay for the phone!"

"Wouldn't it be better for me to come in and say?" Yang Zhizhi had a bitter face, he was a dignified director of the medical department, and in the eyes of Director Li, who was over the age of old, he was always a little baby.

"You, your wings are stiff! The moment you put on your open crotch pants, I will be the head of the medical department of our Yicheng Traditional Chinese Medicine Hospital!"

Director Li is right, as one of the veterans of the hospital, he has indeed served as the director of the medical department.

According to his qualifications, being the dean is more than enough, but because of some things, he eventually regrets the position of dean.

"Don't dare!" Yang Zhizhi sneered.

"Tell me, what do you have in your hand?" Director Li's eyes were vicious, and he saw at a glance that Yang Zhizhi was holding a prescription list for traditional Chinese medicine, but he couldn't be sure whose list it was.

"This is the list of Chinese medicines I just got from Dr. Lee."

"Hurry, hurry! Bring it to me."

Yang Zhizhi's right hand holding the prescription list clenched tighter, just like a child who has been hungry for three days holding a pitiful piece of money in his hand, "Director Li, don't tear it up."

"Hurry up and bring it, if you don't bring it again, I'll tear you up!" Director Li had a straight face, like an angry child.

Although he was old, his eyes were vicious, and he had already seen most of the contents of the prescription list.

In the recipe, almost all the medicinal flavors are no different from the recipes he prescribed, and the first cooked aconite was blocked by Yang Zhizhi's thumb.

"Give. You're a thousand

Don't be angry." Yang Zhizhi trembled, and carefully put the prescription list on the table.

Now he is in his 40s, and he is already a senior leader of the hospital, but in the eyes of Director Li, he has always been like a student.

"Cooked aconite? Or fifteen grams?"

"Yes, it's cooked aconite." Yang Zhizhi nodded heavily.

Director Li touched the scalp under his pale hair, and muttered, "With fifteen grams of aconite, this Dr. Li is also bold enough, what tricks does he want to play?"

Yang Zhizhi sat on the stool, silently looking at Director Li in a daze, not daring to say anything.

It was the first time to see Director Li thinking so seriously, which made Yang Zhizhi a little worried and a little scared.

Half a day.

Director Li looked up suddenly, and he knew to Yang Zhi, "Reach out and come here."

Yang Zhizhi understood that Director Li wanted to give himself a pulse.

Director Li half-squinted his eyes and felt the pulse pulse under his three fingers.

"I see!"

"Director Li, are you using the right recipe?"

"Hmm. It turns out that your ulnar pulse has some faint slow pulse, because I didn't judge carefully enough, and I made a mistake......

Director Li thumped his chest and stomped his feet, quite ashamed of himself.

Just as he had just finished muttering, he suddenly raised his head and looked at Yang Zhizhi.

The latter was stared at by his sharp eyes, a little hairy, a little timid.

"Xiao Yang, which Doctor Li is this Dr. Li?"

Yang Zhi knew that he was urinating.

But he thought about it, there are indeed many doctors in the hospital with the surname Li, almost every department has a Dr. Li, and there are nearly 20 clinical departments in the hospital.

"Dr. Li from the Department of Acupuncture." In order to distinguish between the first department and the second department of acupuncture, Yang Zhizhi deliberately said that it became the first department of acupuncture and moxibustion.

"Lee Xiu-li?" Director Li was a little surprised, and hurriedly asked, "Is that Li Xiuli, who recently made trouble robbing several surgical patients?"

"Yes, that's him! Director Li, have you heard of it too?"

"I haven't heard of it, recently, the doctors in the surgical clinic have been muttering, and they are talking about appendicitis and robbing them of what they say, so that they can eat after surgery!"

"Yes, that's him." Yang Zhizhi was stunned, his expression stiffened, he actually knew the inside story. That chronic chronic appendicitis was he who acquiesced to Li Xiuli's acceptance.

Director Li nodded as he spoke, "However, I think Dr. Li is doing the right thing! If you can cure a disease with Chinese medicine, why do you have to use surgery, just take an extra knife out of thin air, as for it..."

"That's what Director Li said."

"Okay, you go pay the money and get the medicine, see if you are happy." Director Li shook his head helplessly, it was not good to obstruct it, and there was no need to obstruct Yang Zhizhi to pick up the medicine.

After Yang Zhizhi left, only Director Li was left in the huge consultation room.

"Can I learn Chinese medicine quickly? At my age, there are still a lot of things I don't understand, and I still need to keep learning, but that Dr. Li, isn't it too fast?"

Shaking his head helplessly, if he can't figure it out, then he doesn't want to.

——————————

While Director Li and Yang Zhizhi were chatting, the North Courtyard of Yicheng Hospital of Traditional Chinese Medicine, on the third floor of the Administration Building.

Vice Dean Liu Lan sat in the office.

In front of her, sat Deng Qingmei.

Deng Qingmei came this time to completely solve the trouble.

"Director Deng, do you want to transfer Deng Jian from your department?"

"Yes! Deng Jian did not obey the allocation in us, repeatedly charged privately, and refused to repent. Today, even relying on the fact that he is an old employee, he can charge for himself privately, and help patients cut the queue!"

The patient she was talking about was Director Huang of a certain department in the county.

"Director Deng, Director Huang is a leader of our county, and he still has some power, as long as he makes a phone call, our dean will come over to greet him in person."

"I know."

"Then you still say that Deng Jian took his money?"

"Dean Liu, look."

At this time, Deng Qingmei opened her mobile phone and showed a series of pictures to Liu Lan for reference.

Half a day.

Liu Lan tilted her head back and leaned back in her chair, she squinted her eyes for a while before opening them again.

Her eyes were a little gloomy, and her face was a little unpleasant, "Director Deng, do you really want to drive Deng Jian away?"

"No, no, no, I didn't want to chase him away, I just felt that he wasn't suitable for work in our department."

"And where do you think he can go?"

"Acupuncture and moxibustion II."

Liu Lan shook her head, "The place in the second department of acupuncture and moxibustion can't leave Deng Jian's. As far as I know, Deng Jian, several of our hospitals in Yicheng have several good classmates who are the directors of the hospitals."

"I know that." Deng Qingmei nodded, but her attitude was still resolute, she looked at Liu Lan seriously, neither humble nor arrogant.

"Okay! I'll help you report to the dean. It's a pity......

Liu Lan squinted her eyes and let out a long breath of turbidity, a little dazed, a little helpless, and a little bitter.

"Then I'll go back to the South Courtyard." After that, Deng Qingmei was still sitting, and she looked at Liu Lan.

Seeing that Liu Lan was motionless and didn't pay attention to her, she could only get up and leave gloomily.

Half a day.

Liu Lan looked at Zhang Yang, who was sitting on the side, silent, "Xiao Yang, is the batch of doctors that the hospital is recruiting this year about to report soon?"

"This has entered the inspection period, and it will be announced at the end of the month, so I think I will be able to report next month."

"That's good!"

Zhang Yang was speechless for a while, she could vaguely guess some clues from the conversation between the two just now.

Deng Jian is going to be transferred out of the first department of acupuncture and moxibustion to the second department of acupuncture?

The department of the second department of acupuncture and moxibustion is about to go out of business, is he really willing to go over?

I couldn't figure it out, and she couldn't guess what the leaders were thinking.