Chapter 233: Is this guy going to be good this time?
After eating, Li Canyang angrily took Qiao Langlang and Yang Qing back to the car, and only Li Maoyang, Qiao Guoguo and Qiao Fang were left in the box.
Qiao Fang coughed and cleared his throat, and said a row of words slowly.
"Doctor Li, if I asked you earlier if there is a shortage of patients in the clinic, don't misunderstand."
"I am the head nurse of our department, and I am also a small leader in the hospital, serving whose food and protecting whose bowl, I can't do things inside and outside!"
"However, there are always patients in the hospital who can't be treated, and they can't treat people and delay their illness, which is also a minimum professional ethics for medical staff."
"So it's okay to quietly show them the way, and I don't think I'm lacking in virtue to do this kind of thing."
"Anyway, even if no one tells them, as long as they don't lose their lives, they will find a place to see a doctor sooner or later, it's just a matter of time."
"It's a serious illness for others, and we can't bear it when we see it."
"If Dr. Li can really accept and digest some of this kind of patient, in fact, we can be regarded as accumulating virtue, after all, you are close there, and you don't spend much money."
Li Maoyang listened to Qiao Fang's slow and leisurely speech, and glanced at Qiao Guoguo from the corner of his eye, it seems that Qiao Guoguo and Qiao Fang's relationship before was not just for Yang Qing and Qiao Langlang's little thing.
Hey, this girl is really good!
To say that for his Li Maoyang's current medical skills, he receives an average of two or three patients a day on the Internet (when Alia is there, Alia is not there, and there is not even one patient a day), and an average of seven or eight patients a day in the clinic is enough for him to toss.
However, there is a problem here, that is, most of these patients who come to the clinic for treatment have relatively simple conditions, which is not conducive to his eye-opening and long-term experience.
(That's one of the reasons why he still sees patients remotely, but seeing people through video isn't as much experience as seeing patients in person.) )
And there are so many types of patients that can be seen in a hospital!
At present, if he can accept some patients from Liuyuan County Hospital, it will naturally be a very cost-effective thing for him to increase his experience and practice his medical skills.
Therefore, if Qiao Fang can help him in this regard, he will naturally ask for it.
"Then thank you, Sister Qiao!" Li Maoyang said seriously, "As long as this kind of patient comes, I won't let Sister Qiao be busy in vain." ”
"No, no, no! This is because I can't see the patient spending more money and taking the wrong road, but it's not for anything else, Dr. Li, don't think about it! Qiao Fang said hurriedly.
"I know Sister Qiao doesn't have this kind of thought, but good people should be rewarded after all!" Li Maoyang said, "Let's talk about this in detail later, what is the situation with Sister Qiao?" ”
"It's just that I have some menstrual cramps in the past year, have you seen this disease?" Qiao Fang looked at Li Maoyang and said.
"I've seen it, but dysmenorrhea is divided into primary dysmenorrhea (functional lesions) and secondary dysmenorrhea (due to pelvic organic diseases) in Western medicine.
Li Maoyang said calmly.
When he asked Qiao Fang to take a look at a little problem with his body, he guessed several possibilities, including the option of dysmenorrhea.
So at this time, it can be regarded as a prepared answer.
If it is dysmenorrhea caused by pelvic organic lesions, such as uterine stenosis, cervical stenosis, etc., Qiao Fang should not ask him for a traditional Chinese medicine treatment, but for the sake of safety, he still asked.
"I have taken radiographs and there are no organic lesions." Qiao Fang affirmed.
"Then I'll give Sister Qiao a pulse."
Li Maoyang stretched out his hand and said.
Qiao Fang stretched out her hand, and after Li Maoyang took her pulse, he gave her a face-to-face diagnosis while checking her pulse.
He can basically do two things now.
Qiao Guoguo watched Li Maoyang diagnose Qiao Fang with a calm expression, and he couldn't decide whether this guy would be good this time.
Now he needs to be diagnosed and dismissed quickly, but there is no time for him to check the information or discuss with them.
Seeing that this guy diagnosed Ren Xiaojing's condition in the morning, he didn't discuss it with her, and the result was fine.
At this time, I don't know if I can do it here in Qiao Fang.
can't judge from the expression on this guy's face, experience tells her that Li Maoyang is a big ghost, don't look at it at this time, maybe it's possible to sing an empty city plan.
Qiao Guoguo was secretly thinking about it, and she had no choice but to quickly recall some of the knowledge points she had learned about dysmenorrhea.
From her knowledge, dysmenorrhea can be roughly divided into empirical evidence and false evidence.
Empirical evidence is generally painful if it is not general, and false evidence is generally painful if it is not honorable.
(Pain caused by blockage of meridian qi and blood; If it is not honorable, it will be painful: the uterine cavity caused by insufficient qi and blood is not moisturized and painful. )
Empirical evidence can also be cold evidence and heat evidence.
Cold syndrome is pain caused by cold coagulation and blood stasis.
Fever syndrome is caused by qi stagnation and blood stasis, qi deficiency and blood stasis, phlegm dampness and blood stasis.
False evidence is naturally caused by a deficiency of qi and blood, so it is essentially a cold syndrome.
……
Qiao Guoguo recalled the relevant knowledge points all the way, and at the same time also visited Qiao Fang.
But what made her a little nervous and frustrated was that because Qiao Fang had applied fat powder, it was still a little thick, and she could hardly diagnose anything.
She glanced at Li Maoyang and found that this guy was carefully observing other people's eyes again.
She didn't know if this guy could see anything in the patient's eyes (she highly suspected that this guy was accumulating experience, and he might not be able to see much), but he would look seriously into the patient's eyes every time.
Later, after Li Maoyang's pulse was diagnosed, he looked at Qiao Fang's tongue.
said to Qiao Guoguo: "The pulse is heavy, the tongue is red, and there is a little ecchymosis." ”
Then he turned to Qiao Fang and asked.
"Sister Qiao, do you still have chest and flank swelling and discomfort during menstrual cramps? And, more pain when the hand is pressed against the lower abdomen? ”
Li Maoyang asked after doing a pulse diagnosis and tongue diagnosis.
Hearing Li Maoyang's question, Qiao Guoguo's eyes lit up, it seems that this guy is not singing about the empty city plan this time?
Dysmenorrhea is a false sign of happy pressing, but the empirical evidence refuses to press it, because it is more painful to press.
In addition, this guy asked Qiao Fang if she had dysmenorrhea accompanied by chest and flank swelling and discomfort, obviously suspecting that Qiao Fang was suffering from dysmenorrhea caused by qi stagnation and blood stasis.
Poor stagnation of liver qi can also lead to dysmenorrhea, and will be accompanied by chest and flank swelling and discomfort.
"yes, yes, that's how I am!"
Qiao Fang was pleasantly surprised.
It seems that I have finally met a Chinese medicine doctor who can identify her symptoms, and it seems that Li Maoyang's medical skills are really good!
Later, Li Maoyang questioned Qiao Fang again, and asked about her premenstrual lower abdominal pain, purple and black menstrual color, blood clots, and a small amount.
"Sister Qiao, you have empirical dysmenorrhea caused by qi stagnation and blood stasis, just regulate qi and activate blood."
After Li Maoyang finished speaking, he prescribed a prescription for Qiao Fang.
Angelica, Rehmannia, Red Peony, Sichuan Qiong, Xiangfu, Green Skin, Yuanhu, Sichuan Neem, Skullcap.
This is actually to change the white peony in the Siwu soup to red peony, and then add the incense, yuanhu and green skin that promote qi and blood, because Qiao Fang's symptoms are also mixed with some evil fire, and then add neem and skullcap.
Siwu soup is to nourish and invigorate blood.
Therefore, the whole prescription is to nourish blood, promote qi, invigorate blood, clear blood circulation, dispel blood stasis, and clear heat.
(It implements qi and blood activation, and it can clear blood stasis.) )
"Sister Qiao grabbed the medicine according to this prescription, and after taking fifteen doses in a row, she should be able to get rid of this dysmenorrhea."
After Li Maoyang finished prescribing the medicine, he also made such a promise.
The prescription passed by the systematic drug efficacy deduction, and he was naturally full of confidence.
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