192 Entered the Department of Internal Medicine

"Dandan is such a workaholic!" After chuckling, Li Xiuli was a little ashamed of himself.

This Liang Dan works too hard.

However, I have been in a hurry to submit a project application recently, and I am pressed for time. Besides, he had a meal with Liang Dan last night, which caused everyone to be two or three o'clock late, where would he have the time and energy to catch up with the manuscript.

"Dr. Lee, you're awake." Liang Dan looked up, serious and slightly tired, showing a hint of a smile, she put down the laptop above her long legs, and stretched, "I'll help you get your clothes."

"Hmm."

After a while, Liang Dan came out of the bathroom with three clothes in his hands.

"Don't come out yet." After Liang Dan threw his clothes to Li Xiuli at will, he hurriedly stretched out his hand to cover his eyes and ran out of the bedroom with hurried steps.

This stupid woman, obviously covering her eyes with her hands, how can she still see the direction of going out?

Shaking his head, Li Xiuli put on his clothes.

"It's fragrant!" I pulled the corner of my sleeve and took a sip of it, and there was a fresh scent of lemon.

Saying goodbye to Liang Dan and riding a motorcycle, Li Xiuli went straight to the hospital.

He is not Liang Dan, he needs to rush to work at 8 o'clock in the morning every day, but he is busy between the office and the treatment room.

When I came to the office, it was already 8:20, and I was 20 minutes late.

Along the way, Li Xiuli looked at the time once and found that it was too late to hand over work in the morning, so he made a phone call to Deng Qingmei.

Deng Qingmei didn't ask anything, but readily agreed, and politely told him to pay extra attention to safety on the road, and never ignore the safety of driving all the way in order to rush to work.

Li Xiuli was a little confused, and he didn't react for a while. Deng Qingmei, why did she suddenly be so good to herself, and her attitude was completely reversed.

Could it be that I helped the department win the first place in a prescription competition, so I was impressed?

If you win a provincial pharmaceutical competition, will you be able to pay it back?

Shaking his head, Li Xiuli didn't think much about it.

He stepped into the office and was greeted by a slightly obese white-haired old lady.

The old lady sat on the waiting couch with a large nylon bag in her hand.

Nylon bags, which are very common in Yicheng, are generally used by rural people.

Sturdy, durable, and the key is that it can hold a lot of things.

Next to the old lady, sat Kuang Li.

Kwong Li sits at her desk, her eyes always on the computer screen.

She is prescribing Chinese medicine.

"Dr. Li, you're finally here, this old lady has been waiting for you for almost an hour." Kwong Li's cat-like ears moved, and as soon as she turned around, she was sure that Li Xiuli had arrived in the office.

"Oh, okay." Li Xiuli gave Kuang Li a big smile back, and then looked at the old lady in front of him.

"Hello, I'm Dr. Li, what's wrong with you?"

The old lady was stunned for a moment, her slightly pale eyes rolled, and she looked at Li Xiuli from top to bottom, "Oh, it turns out that you are Dr. Li, I really didn't expect Dr. Li to be so young."

The corners of Li Xiuli's mouth twitched, he also didn't expect that this patient didn't know how to know his name. The comrade who introduced the patient to himself, didn't he tell people in advance that he was still young?

"I'm sorry! I didn't mean to say you, I told me to come to you." The old lady looked ashamed, she smiled dryly, for fear that her words and deeds would make Li Xiuli uncomfortable.

In her eyes, when a patient offends a doctor, it takes more courage than a thunderstorm that is about to rain and not to collect clothes.

"Wencai?" Li Xiuli tilted his head, wondering if he had this patient.

"Dr. Li, don't you remember?"

"What?" Li Xiuli looked at Kuang Li suspiciously, "Do you know?"

"Of course! You, noble people forget things, Wencai is the wife of your patient Shi Yu."

"Oh." Li Xiuli suddenly brightened

, "It turned out to be an introduction from Uncle Shi Yu."

He looked up in the direction of the door, at the pennant that hung quietly.

The pennant that Shi Yu gave himself was the first pennant he received since he went to work, and it was very commemorative.

"Excuse me, Auntie, where are you uncomfortable?"

"Both of my feet are swollen!"

After the old lady finished speaking, she tried to bend over, her belly gradually bulged, she held her old breath, her face turned red, and she stretched out her hand with difficulty, rolled up her black trouser legs, revealing her two calves.

Kuang Li and Li Xiuli looked down at the same time.

"Dr. Li, my foot has been swollen for two years, and I have been to many places to see it, and the swelling has disappeared and disappeared."

Li Xiuli stretched out his thumb and gently pressed the inside of the old lady's tibia.

After a while, the pressed skin caved in, revealing a one-centimeter-deep thumb mark.

"It's the same over here." Kwong Li stretched out her thumb and pressed it to the other side of the old lady.

After inquiry, the old lady's surname was Yao, 72 years old, and she had a history of chronic bronchitis for more than 20 years.

Now the main complaint is phlegm shortness of breath, chest tightness and palpitations, and edema of the lower limbs for more than 2 years, which has been aggravated for more than 1 month.

In the past, I used to go to internal medicine, Chinese medicine, and Western medicine.

This time, after listening to others' introductions, I specially came to the acupuncture and rehabilitation department to find Li Xiuli to see Chinese medicine.

"Dr. Li, can I do acupuncture for my swollen foot?"

The corners of Li Xiuli's mouth twitched, he was very surprised.

Could it be that Mrs. Yao came here to try acupuncture?

Li Xiuli and Kuang Li glanced at each other, laughing and laughing.

Li Xiuli smiled, "Grandma Yao, you are not suitable for acupuncture, but you can prescribe Chinese medicine."

"Ahh Mrs. Yao grew her mouth, revealing her golden teeth, and she looked at Li Xiuli and Kuang Li, "I just heard from others that Dr. Li, you are very good at acupuncture, and your appendicitis has been cured with acupuncture."

Li Xiuli and Kuang Li glanced at each other.

I see.

Li Yujie's situation, others may not know, but the two of them know best.

Basically, it relies on traditional Chinese medicine, and acupuncture only plays a role in enhancing the curative effect.

"I'll help you prescribe Chinese medicine, and you stretch it out and put it on the pulse pillow." Li Xiuli, who was always smiling, raised his hand and put his right hand on the side of the desktop pulse pillow, waiting for Mrs. Yao to reach over.

"I've taken a lot of Chinese medicine, and the effect is average, I don't think it's useful to take Chinese medicine." Mrs. Yao shook her white-haired head, her slightly cloudy eyes glanced at the pulse pillow, she hesitated again and again, and did not move.

"Grandma Yao, don't worry, Dr. Li is familiar with the classics and has his own unique understanding of Chinese medicine." At this time, Kuang Li on the side explained.

Mrs. Yao nodded, and finally put her right hand on the pulse pillow.

"Inch of pulse."

Li Xiuli looked at Kuang Li, raised his finger hand, and beckoned to Kuang Li, "Doctor Kuang, you can also come and try."

"Hey." Kuang Li bowed her head, pulled over a stool casually, put it in front of Li Xiuli, put her three fingers together, and began to call the pulse.

Half a day.

She bowed her head again, and muttered, "It is indeed a Shen pulse, mainly in the inch."

"Yes! The main problem of Grandma Yao is the word "phlegm".

Kwong Li looked surprised, she looked at Li Xiuli's handsome face with a smile on her face, and pursed her cherry lips, "Dr. Li has memorized all the theories."

Li Xiuli shrugged his shoulders and smiled without saying a word.

Kuang Li couldn't wait, she looked at Mrs. Yao, "Grandma Yao, please stick out your tongue and take a look."

The tongue is red cherry, tooth marks can be seen on both sides of the tongue, and the tongue coating on the surface of the tongue is thin, and visible fine particles can be seen.

"The tongue is light and fat, and the moss is thin and greasy." Kwong Li smiled and told what she saw.

Li Xiuli nodded, smiled and encouraged, "That's a good point."

"Hey!"

Li Xiuli looked at it again

Xiang Mrs. Yao, "May I ask Grandma Yao, how do you usually cough?"

Traditional Chinese medicine (TCM) pays attention to the combination of four diagnoses, but it is not able to rely entirely on tongue diagnosis and pulse diagnosis, and must refer to other symptoms.

After inquiry, Mrs. Yao often coughed and coughed up sputum, spitting out foamy sputum, sticky, and occasionally there were blood clots in the sputum, which were repeated and lingered.

It is often induced by seasonal changes, especially after the swollen feet in the past two years, obvious shortness of breath when going up the stairs, and sometimes chest tightness and palpitation.

After taking diuretics, it can subside, but the edema will recur as soon as the medicine is stopped.

Li Xiuli looked at Mrs. Yao's face, only to see that her face was vague and gloomy. After being inquired about his appetite, he complained that he was sluggish and did not want to eat or drink.

Nowadays, there is less urine and loose stools.

Li Xiuli opened the outpatient doctor's workstation, entered his work number, found Mrs. Yao's number, and began to draw up traditional Chinese medicine.

Diagnosis: Cor pulmonale.

Syndrome type: Yang deficiency and flooding, phlegm and stasis.

Kuang Li kept staring at the screen, and just after Li Xiuli typed the words "phlegm and stasis", she swallowed a mouthful of saliva, her eyes were confused......

Li Xiuli didn't know it and continued to draw up a recipe.

Treatment: warm yang and water, phlegm and stasis.

Cooked aconite, dried ginger, poria cocos, atractylodes, cocos, atractylodes, cocos, fine spice, schisandra, schisandra, licorice, astragalus, peach kernel, almond, jujube.

Li Xiuli wrote the electronic outpatient medical records, and after prescribing the Chinese medicine, he said to Mrs. Yao: "Grandma Yao, your Chinese medicine is prescribed, take ten payments first, and then come back for a follow-up after eating."

"Oh." Mrs. Yao stared at the computer screen, she hesitated for a moment, and then said to Li Xiuli, "Doctor Li, will it be too much for ten Chinese medicines?"

"Phlegm can be removed for a long time, not in a day."

"Oh." Mrs. Yao heard the rain and fog, muttered something that seemed to make sense just now, got up, and walked towards the office door.

Wait for Mrs. Yao to leave.

Kwong Li impatiently sat down where Mrs. Yao had been sitting, and she muttered, "Doctor Li, is it okay for me to ask you a question?"

"Please."

"I looked at the patient's tongue just now, and I didn't notice any bruises?"

"Oh. You saw that I added a "phlegm and stasis junction" syndrome, right?"

"Yes!"

"You, why did you bring it up just now, otherwise I can just show you in person." Li Xiuli shook his head helplessly, now that the patient has left, it is not easy to demonstrate.

He's not going to run out and shout for the patient to come back, right?

In this way, it is too cheap.

"Just now, Grandma Yao's tongue was slightly dim, and if you check her sublingual veins, you will find abnormalities."

"Ahh Kuang Li's eyes widened, she clenched her fist with one hand, and gently tapped her head, "I'm so stupid, why don't I look at the patient's gold and jade liquid!"

"Heh... Blame me for not reminding you." The corners of Li Xiuli's mouth twitched, he was a little ashamed to see that Kuang Li was so attentive to him, but he didn't do a good job as a teacher.

"Director Li, you can accompany me to the ward rounds later!" At this time, Kuang Li showed a sly smile, and she slammed her fragrant shoulder into Li Xiuli's chest, "Okay..."

After that, she also deliberately winked at Li Xiuli.

"Don't!" Li Xiuli hurriedly waved his hand, "Our director is only in his forties, where is my turn to be the director."

"Yo, you mean, if our Director Deng is over fifty, wouldn't you want to fight for it?" Kwong Li grinned and deliberately quipped.

"Ahh Li Xiuli almost rolled his eyes, and he touched his forehead with one palm - a headache!

"Dr. Lee, I think so." At this time, Kwong Li's expression suddenly became serious, she glanced in the direction of the office, and saw that no one had come in, so she lowered her voice slightly, "Doctor Li, I am very confident that you will win the top three in the provincial pharmacy competition."

"Why did you talk about this all of a sudden?"

"Don't you want to? That's a yes thing

I can become a disciple of the old man!"

Li Xiuli shook his head, sitting on the chair with his back slightly straightened, "Being a disciple of a master of traditional Chinese medicine is the dream of everyone who studies Chinese medicine, and I used to think so."

"That's right!" Kwong Li patted her chest, and she said sincerely, "I really want to become a disciple of the national elder, so that my Chinese medicine career can go longer and further."

"I understand, I'll try to help you!"

"Well, then please!" Kwong Li returned to her usual state again and left with a smile.

Looking at Kuang Li's departing back, Li Xiuli sighed.

He didn't plan to become a disciple of any master of traditional Chinese medicine, and he wouldn't leave Yicheng Traditional Chinese Medicine Hospital just because he was famous.

But Kwong Li is different, once she has the opportunity to enter a bigger platform, she will definitely leave without hesitation.

"Little Kwong Kuang, come on!"

The sea is wide and the fish jumps, and the sky is high for the birds to fly.

"Dr. Lee!" Just when Li Xiuli thought he had been liberated, Kuang Li suddenly appeared behind him.

A fair-skinned jade hand slapped on Li Xiuli's shoulder, and the latter suddenly turned around, and saw Kuang Li looking at it with a smile, and spit out a sentence that almost dropped his jaw in shock, "Director Li, is it okay to accompany me to the ward round?"

"Don't call me Director Li, I can't stand it." Li Xiuli didn't have a good air, he couldn't wait to seal Kuang Li's cute cherry mouth with a piece of tape.

Together, the two walked up the wide, old staircase to the emergency department nurse's office.

Kuang Li smiled, as if she had found a boyfriend.

She bent over, revealing her snake-like waist, revealing two white jade hands on her knees, "Five, ten, thirteen, sixteen, twenty, twenty, twenty-one, twenty-five, thirty. Well, that's it."

After that, she took out the medical record folders from the medical record rack and handed them to Li Xiuli, who was watching the play on the side.

Li Xiuli was stunned for a moment, and found that the successive medical record folders were handed to Kuang Li, he hurriedly took the medical record folders, and complained in his mouth: "Xiao Kuang Kuang, didn't you ask me to guide you through ward rounds? That's the attitude you have to ask me?"

Kwong Li pouted, happy, not only did she not feel ashamed, but her smile was even brighter, and she even got carried away, "I love this."