Chapter 211: The Sense of Ritual in Psychotherapy
In the consultation room, Li Maoyang wore a white coat and a mask, and looked at the patient in his 60s in front of him calmly.
The body is thin, the abdomen is distended like a drum, the limbs are thin like firewood, and the chest cavity is still "monkey~~monkey~~" wheezing and phlegm sounds.
After seeing several patients with advanced liver cirrhosis in the city hospital, and then facing such a patient, he could tell at a glance that this was a patient with advanced liver cirrhosis.
Liver cirrhosis is a Western medical name, as the name suggests, large-scale necrosis of liver cells leads to liver fibrosis and sclerosis.
According to its main clinical manifestations, TCM can correspond to symptoms such as "accumulation", "jaundice" or "bulging".
The stages of cirrhosis are differentiated according to the compensated and decompensated stages.
(Compensatory can be simply understood as the function of the diseased organ allowing other organs to take over.) )
If a patient has ascites, gastrointestinal bleeding (i.e., hematemesis or melena), or even hepatic encephalopathy, the presence of one of these symptoms indicates that the patient's cirrhosis has reached decompensation.
This is what people call advanced cirrhosis.
Because the appearance of these symptoms means that the functions of various organs in the patient's body have been extremely weakened, and they are unable to complete some basic metabolic and operational functions.
Such patients usually do not live for more than 5 years.
"Young man, I'm ...... Is there any salvation or not? ”
The patient, Old Man Chen, also looked at Li Maoyang, and asked Li Maoyang with a smile.
Now, the old man seems to have thought about it.
can have such an open-minded mentality, even on the surface, it suddenly made Li Maoyang laugh: "Uncle, beating your face is a long-lived appearance that can live to ninety-nine, rest assured, Lord Yan will not change a person's lifespan casually, I will take your illness." ”
Chen Guilan, the daughter of a patient in her thirties, who accompanied the old man, said gratefully: "Thank you, Dr. Li!" ”
Li Maoyang waved his hand and smiled: "No thanks, it's your father's face that is longevity, so I will take over, otherwise I won't take over." ”
"Doctor Li, do you really know how to make faces?" The patient's daughter asked incredulously.
Hey, she really believed it!
It's no wonder that she, the patient's family was already in a mood of 12 points of longing, and Li Maoyang was known as a "little miracle doctor" at such a young age, and a normal person felt that there was really something mysterious about him.
Li Maoyang was a little speechless in his heart, is it just to coax the old man to be happy, even if it is a kind of psychological treatment, can you believe this?
But since Chen Guilan asked so, he couldn't say that he was joking in front of the old man, wasn't that a waste of his previous efforts?
"Haha." He smiled and didn't answer Chen Guilan's words directly.
However, this made Chen Guilan feel that he was even more mysterious.
"Go back tonight, let your dad burn three pillars of incense in the courtyard at one o'clock in the morning, pay attention to the fact that you must be in the center of the courtyard, don't say anything, only burn incense and kowtow, and others must not speak."
Li Maoyang's eyes rolled and he told Chen Guilan.
Since even Chen Guilan believes what he said, it is better to make a plan and simply push this psychological treatment one step further!
Now this old man Chen is just some open-mindedness on the surface, but the fear and anxiety in his heart cannot really be eliminated, not to mention how strong the will to survive is, it is better to treat his psychological problems with a plan.
Now Li Maoyang has mastered some hypnotism, made great progress in psychotherapy, and knows the great role of ritual in regulating mental state.
What he told Chen Guilan in front of Old Man Chen above was actually to emphasize the sense of ritual in psychotherapy.
Why do you have to stress in the wee hours of the morning?
Why do you have to be in the middle of the yard?
Why can't you speak?
In fact, he particularly emphasized these details, which is to emphasize the "sense of ritual" with the superstitious psychology of the countryside.
The more mysterious and miraculous it is, the better the curative effect!
On the contrary, if you don't emphasize these details, you can say that it is okay during the day and at night, in any location, and on the street...... Uh, this is so special and has a sense of ritual of fart, who would believe it?
In psychiatric therapy, "believing" is the most important thing, and if there is no "believing", there will be no efficacy of psychiatric therapy.
"Well, good, Dr. Li!"
Chen Guilan looked at Li Maoyang with wide eyes and nodded seriously.
Old man Chen also nodded with a serious expression.
This scene made Li Canyang on the side extremely speechless.
Looking at Li Maoyang, his eyes were full of disdain.
This guy is again!
The gods are chattering, three points of ghosts and seven points of doctors, is this the secret of this guy's cure?
There's no image of a doctor at all.,Why do you look like a god?
The great doctor is sincere, is it really good to make patients like this?
Li Maoyang directly ignored Li Canyang's eyes, and began to do four consultations for Old Man Chen, while making detailed records.
He was conscious, his abdomen was swollen like a bulge, and his body was extremely weak.
Eating and drinking is difficult, and there are signs of bleeding in the digestive tract.
Phlegm wheezing, cold, chills, cough, cough with yellow sticky phlegm.
Loose urine, constipation.
The tongue is red, thin and yellow, and the veins are thin and smooth.
……
It's like a dilapidated old car, the cylinder is pulled, the piston is blocked, the tires are broken, all of them are black smoke, and they can't run.
For Western medicine treatment, you have to change the parts and liver.
It's a good idea, of course.
The premise is that the old man has so much money, his physique can withstand the toss of surgery, and the postoperative rejection reaction is not strong.
Otherwise, it may be a loss of both people and money.
The operation was done successfully, but the person died.
It can make people laugh out of tears......
Well, don't this.
Now we can't see how to save Old Man Chen's old broken car without replacing parts.
Li Maoyang looked at Old Man Chen and his daughter Chen Guilan with sincere eyes: "You go back and do what I said first, and then come back tomorrow to get the medicine." ”
He had to think carefully about how to treat this disease.
At the moment, he can't come up with a relatively precise treatment for a while.
"Okay, okay."
Chen Guilan nodded in agreement and left with her father.
"Can you cure this disease?"
Seeing that the father and daughter were gone, Li Canyang's eyes widened like a copper bell and looked at Li Maoyang.
"Neuropathy. If you can't cure me, why take over. Li Maoyang rolled his eyes and said, "Come here, discuss how to treat it?" ”
"Didn't you say you could treat it yourself?" Li Canyang hooked his head.
Li Maoyang was about to say something, when Qiao Guoguo came with her brother Qiao Langlang.
"I saw a car just leave?" Qiao Guoguo came in and asked.
"He has to take over an advanced cirrhosis!" Li Canyang frowned and said to Qiao Guoguo.
Qiao Guoguo stepped forward and took Li Maoyang's diagnosis record and looked at it for a while, and frowned slightly: "The patient who was pushed down by the big hospital? ”
Li Maoyang nodded: "But it's not that the mule urinates blood, there is a chance to save it." Let's first discuss the old man's condition and treatment. ”
Qiao Guoguo turned back to his younger brother and said, "Pour yourself water and drink, listen to it if you want to, if you don't want to listen to it, go back and learn your homework." ”
Li Canyang patted Qiao Langlang's shoulder affectionately: "Coming here, it's like your own home." ”
Then he took the initiative to come around and also participated in the discussion of the disease.
With Qiao Guoguo coming, he was interested.
Li Maoyang rolled his eyes at him again, little cheap.
Qiao Langlang poured a glass of water and drank it, standing on the periphery and listening to the three of them discuss the condition without saying a word, when he saw a girl coming from the window, his eyes suddenly kept ......