What appeared on the video call was a middle-aged woman with a sad face.

His self-reported name, Ouyang Li, is from Hunan Province.

Then the woman began to talk to Li Maoyang about her daughter's condition, how to find the gallbladder roundworm, how to do the gallbladder removal, and then how to have endless pain in the liver area for a week after the operation, and the continuous pus leaking from the surgical drainage, the use of penictomycin, gentian laxative liver pills, chaihu qing gansan, etc., have not had much effect, and two months have passed, and her daughter's condition is still the same!

And then how the hospital that operated on her daughter mobilized them to do a second operation on her daughter, how she was rejected, etc.

"The Great Age of Genes"

Li Maoyang's ears began to buzz, it was the first time he had seen such a talkable woman, this was even more nagging than his mother!

"Doctor Li, Doctor Li, I've always been a fan of Alia, Alia is a very honest girl, she said you can do it, I think you really can! Please show my daughter this disease, we are widows and widows, we really can't stand the toss again, so my daughter was removed from her gallbladder at a young age, and I don't know what will happen in the future! ”

The middle-aged woman named Ouyang Li cried to Li Maoyang.

Although both ears were buzzing with this woman's words, Li Maoyang was still full of sympathy for this orphan mother and widow's family.

Biliary ascariasis refers to an acute abdomen caused by roundworms entering the common bile duct, intrahepatic bile duct and gallbladder, collectively known as biliary ascariasis, which is called "syncope" or "ascariasis" in traditional Chinese medicine, and generally occurs in children and adolescents in rural areas with poor hygiene.

The treatment method of traditional Chinese medicine for this disease is to use the medicinal diet bile ascaris soup made with betel nut and neem root bark as the main materials to treat, and the curative effect of antispasmodic, analgesic, expelling roundworms and expelling roundworms is very good.

Surgery to remove the gallbladder is used only as a last resort.

After the gallbladder is removed, there is a lot of trouble, the most obvious problem is that it will affect the digestive function of the gastrointestinal tract, no matter how gluttonous you are in the future, meat and other high-fat, high-cholesterol foods must not be eaten more, otherwise there may be bloating, diarrhea, indigestion and other conditions, and in severe cases, it may also cause bile reflux gastritis.

Li Maoyang didn't know how the exact effect of the traditional Chinese medicine gallbladder decoction was in the rare case where roundworms entered the gallbladder, and the gallbladder of Ouyang Li's daughter had been removed, so it was useless to say anything at this time, so he kept his mouth shut about his opinion on this matter.

"Sister Ouyang, I know the origin of your daughter's condition, in this way, you don't see the time too early, do you want me to see your daughter?"

Li Maoyang saw that Ouyang Li was still crying to him, and hurriedly said.

"Oh, oh......, that's good, good!" Ouyang Li hurriedly muttered, and then her mobile phone made a dingdong sound, she looked at it and shouted, "Oh, Alia, why did you return the medical money I gave you?" No, no, no! I only beg Dr. Li to take care of my daughter's illness, everything else is a trivial matter, and I don't know how much money was spent to see this disease, and I still have this little money! ”

"Sister Ouyang, I don't know about your family's situation before, if you take the money back, I will pay for Dr. Li's medical treatment!" Alia said.

"No need, this time it's my free clinic." Li Maoyang said.

Alia did this to make him a little embarrassed, but he also knew that Alia was like this, and sometimes she was not so thoughtful when her compassion was overflowing.

Maybe that's why she's able to attract so many fans.

In fact, although the world is very complicated, everyone still has a good heart.

Qiao Guoguo on the side glanced at Alia and gently wrapped his eyes around her shoulder.

Here, Alia and Ouyang Li pushed back, but Ouyang Li still insisted on sending the money back to Alia, and Alia saw that Li Maoyang's brows were frowning impatiently, so she didn't push again.

Then Ouyang Li's daughter Ouyang Xiaomei (with her mother's surname) appeared in the video, a little girl who looked thin, with a dull yellow face, a thin body, and a malnourished condition.

This is also normal, first there was ascariasis, and then the operation hurt the qi and blood, and now the liver area is still in pain, and the surgical drainage port is still bleeding pus, and the appetite will not be good, how can people not lose weight?

"How are you eating?" Li Maoyang asked after a brief hello to the other party.

"I can't eat much." Ouyang Xiaomei shook her head timidly.

Sure enough, the liver and spleen soil caused the poor to be poor, which was the first thing any doctor could think of when he heard about Ouyang Xiaomei's condition.

"Is there a feeling of bloating under my heart?" Li Maoyang asked again.

The part under the mouth of the heart is the stomach.

The liver restricts the spleen and soil, and the spleen loses its health, which will inevitably lead to dampness and food stagnation in the stomach.

That will make the stomach feel bloated.

Li Maoyang starts with these two simplest questions.

At this time, he felt very uncomfortable when he looked sick to Ouyang Xiaomei, and he felt as if the other party was not real across the screen.

This is mainly because I can't perceive the other party's yin and yang qi and blood.

In fact, when the doctor sees a doctor, in addition to four diagnoses and one palpation, he will also consciously or unconsciously perceive the yin and yang qi and blood state of the patient, which is actually a part of the diagnosis.

"Yes, I often feel bloated." Ouyang Xiaomei on the other side of the screen replied in a low voice.

"How does it feel in your mouth, is your mouth dry?"

Li Maoyang asked again.

When Ouyang Li nagged at him, although he listened a little impatiently, he still thought about the symptoms that her daughter Ouyang Xiaomei might have, and thought about how to ask questions later, so at this time, he still looked like he was asking.

"Dry, I still feel bitter." Ouyang Xiaomei said.

Li Maoyang's expression paused.

Bitterness is the taste of fire, is the liver on fire?

Or is it bitterness in the mouth caused by bile refluxing down the digestive tract?

It is important to know that bile reflux can easily occur after the gallbladder is removed.

Li Maoyang thought so.

The bitterness of the mouth that accompanies dry the mouth is generally caused by the liver fire (it can be understood that the liver fire dries the liquid in the mouth by the way).

However, Ouyang Xiaomei's situation at this time cannot rule out the bitterness caused by bile reflux.

However, Yang Qi and Jin Liquid are both lost, and Yang Qi cannot fully infuse Jin Liquid into the mouth, which will also cause dry mouth......

For a while, Li Maoyang only felt that his mind was a little messy.

Although it seems to be just a small problem, it is so complicated that it is very difficult to judge.

Maybe it's a combination of both?

Regardless of it, you have to keep asking!

"Thirsty or not? Would you like to drink water? Li Maoyang asked again.

"Thirsty, but don't want to drink water." Ouyang Xiaomei said.

Li Maoyang's expression was another pause.

If Ouyang Xiaomei said that she wanted to drink water, he could also ask if she wanted to drink hot water or cold drinks, so that he could know whether her body was cold or hot.

(If you want to drink hot water, your body will naturally be cold, and if you want to drink cold drinks, your body will naturally be hot.) ）

But Ouyang Xiaomei said that she didn't want to drink water, which made him a little difficult.

Ignore it, continue to hold on like a doctor and ask!

Next, Li Maoyang asked Ouyang Xiaomei about her second stool, and Ouyang Xiaomei said shyly that her urine was yellow and her stool was loose.

This made Li Maoyang's head bigger again, yellow urine means that there is heat in the body, and loose stool means that there is cold in the body?

Not really......

"Is the poop sticky to the toilet?" He asked again.

If you stick to the toilet, you have dampness and heat in your body.

"I don't know." Ouyang Xiaomei said, "My family goes outside to use the dry toilet, and there is no toilet. ”

Li Maoyang frowned.

True...... I don't have a toilet to delay seeing a doctor......

Feces sticky toilet, which means that the body is damp and hot, and feces are sticky to the lake; The feces are not sticky to the toilet bowl and are sloppy, which means that the body is cold and damp.

Now that you don't have a toilet at home, how can I tell the cold and heat in your body by feces?

Li Maoyang really wants to ask, can't you buy a toilet at home?

Well, such a thing cannot be said naturally.

Besides, his family is also going outside to use the dry toilet now.

"I'll look at your tongue." Li Maoyang said weakly.

Ouyang Xiaomei stretched out her tongue as much as she could.

Li Maoyang discerned it for a while, and basically determined that it was a white tongue......

The tongue is white, it should be qi deficiency and blood deficiency, and it is a cold elephant.

So what are the hot signs of dry mouth and bitter mouth and yellow urine in the front?

He clenched his fists weakly and closed his mouth, his palms sweating!

It's a bit complicated......

The combination of observation and consultation makes it difficult to distinguish between cold and heat......

It would be nice if he could have a pulse diagnosis again, and this is when he finally realized the importance of pulse diagnosis again.

Without a pulse diagnosis, it's not easy to finalize.

Although his current pulse diagnosis skills are not even half-, he can also judge the effect from a certain starting point.