Chapter 235: Uremia
Without waiting for Xiong Wenfa to knock on the door, the automatic sensor door opened in front of him.
There was a man sitting at the table, and when he saw them come in, he also stood up.
Xiong Wenfa was very surprised. Wasn't that the female doctor he had seen in a hospital ward? How did it end up in a company building?
Moreover, the person he accompanied his wife to see was obviously a disciple of Zhou Guoshou - where is he now?
The room was very large, but there was nothing blocking the view, Xiong Wenfa's eyes scanned around, and he didn't see anyone else.
Tao Le saw his question and introduced himself directly.
"I'm Tao Le, and I'm now a special medical advisor to Miao Technology." She said, with a wry smile on her face:
"At the same time, he is also the fourth disciple of Master Zhou Jishen, and he is invited to treat your wife at this time."
Xiong Wenfa suddenly realized. He checked Zhou Guoshou's information on the Internet just now in the car, and naturally saw the news that he admitted to the closed disciple Tao Le.
It's just that there are no other age and height photos on the Internet except for the name.
He couldn't have imagined that this Doctor Tao was a doctor in the first hospital of the city, and he still had a relationship with himself!
"Hello Dr. Tao!" Xiong Wenfa immediately said: "You help my wife take a good look, can her disease be reversed?" ”
Although he came with great expectations and hope for a cure in the depths of his heart, Chinese medicine still needs to be practiced.
Even if Doctor Tao is a disciple of Zhou Guoshou, he is too young in the end - it would be good to have the master's three-point true inheritance.
Suppressing the small disappointment in his heart, Xiong Wenfa opened the file bag in his hand and took out a thick stack of materials.
He was a very careful person, and his wife's medical records, examination lists, and medication history for many years were all sorted and arranged together by date.
"Don't worry, I'll do my best." Tao Le agreed. She was already thinking about this matter in her heart, so she would naturally treat her wholeheartedly.
Huang Wenjing's feet were swollen and difficult to walk, and she relied on her husband's support all the way, which was already a little overwhelmed at this time.
Seeing this, Tao Le hurriedly motioned for the two to sit down on the sofa.
She first flipped through her medical history. The materials are thick, but they are all years old.
It was the last examination, and it has been more than two years since now, during which proteinuria and hematuria have been repeated, always ranging from three to four + signs, and the medicines taken are all prednisone, compound nephritis tablets, vitality source tablets, calcium tablets and other drugs, and the effect is not ideal.
"I haven't been to the hospital for a follow-up in the past two years?" Tao Le asked.
"Nope. My wife didn't really want to go, anyway, it was like that, and she went to buy the medicine she had been taking. Xiong Wenfa explained, and then said:
"Recently, my wife obviously feels serious, her back hurts severely, her blood pressure rises, her feet are swollen and painful, and I wanted to take her to see the doctor again."
It turned out that they didn't know that Huang Wenjing's condition had probably entered a new stage.
Tao Le nodded and began to check his pulse.
Huang Wenjing's face was unpretentious and her spirit was sluggish, even if she was sitting there, she was still restless.
Tao Le carefully checked the pulse, and saw that the pulse was extremely weak, and it was slippery and counted.
The pulse refers to the pulse that is floating and soft, which can be felt when pressed lightly, but cannot be detected when pressed again, which is more common in the evidence of blood loss, yin injury or dampness and stagnation;
Slippery pulse refers to the smooth and fluent pulse, like a rolling ball, and the main phlegm drinking, food stagnation, real heat and other symptoms are one of the criteria for judging the happy pulse.
Coupled with the number of pulses of rapid heart rate, it can be judged as spleen and kidney yang deficiency in traditional Chinese medicine, causing dampness and internal depression.
Tao Le looked at Huang Wenjing's tongue coating again, and the tongue was red, white and moist.
Not only that, but after a while, Huang Wenjing reached out and scratched his left and right arms three or four times, obviously itching all over his body - this is also a symptom of uremia.
When glomerulonephritis progresses to the endstage, it is difficult for toxins from the body to be excreted through the kidneys, and uremia is formed.
At this point, patients are often left on hemodialysis to stay alive.
Tao Le's heart sank slightly, and he asked Huang Wenjing's symptoms carefully, and learned that she had loss of appetite, vomiting from time to time, frequent nocturia, fatigue all day long, palpitations and shortness of breath, and sleepless dreams, so she became more and more aware of her heart.
She opened the golden finger and corroborated her judgment.
The interface is dark red. Age: 38 years old. Health: 35
Etiology: Chronic glomerulonephritis (end-stage) 80%, liver stagnation and qi stagnation 15%, malnutrition 5%
Blood pressure: 150/100 heart rate 110 beats/min creatinine 890μmol/L glomerular filtration rate 28mL/min,
Complications: Uremia (early) renal hypertension sinus tachycardia
Glomerular filtration rate is an important indicator of clinical judgment of renal function, which refers to how much creatinine in the blood can be excreted by the glomeruli per unit of time.
The glomerular filtration rate of normal people is 80-120L/min, and Huang Wenjing's value is only 28 - indicating that her kidney function has been greatly reduced; When you are below 15, you will have to have a kidney transplant.
Although the condition is serious, Tao Le has a golden finger, and everything is under control.
This time, Tao Le is going to use the soup recipe plus acupuncture, a two-pronged approach.
She was silent, and while she was thinking about the soup recipe in her mind, Huang Wenjing and Xiong Wenfa glanced at each other.
"I, I don't want to go for another check-up." The former glanced at the latter and whispered.
"I know, I know it, but it's true that you haven't looked it up in a long time. This time, the company invited Dr. Tao to come, and it must be checked as well. ”
"It's okay to say otherwise, my blood vessels are too difficult to find, and every time I take a blood test before, I have to prick it several times." As soon as she thought of this, Huang Wenjing felt that her heart palpitations were even worse, and her palms were covered with cold sweat.
"I know, Ah Jing, you have to be strong, even if it's for me and for my daughter, bear with it again, okay?" No matter how low the voice of their conversation was, Tao Le could hear it clearly, and he smiled at the moment.
"Don't worry, there's no need for additional tests." "I'm already clear about the situation," she said. ”
She picked up her pen and prescribed medicine.
The prescription is very simple, 150 grams of gallnut, 100 centipedes, powdered capsules, 5 capsules each time, 2 times a day, 50 grams of crane grass, decoction water.
Gallic is the clam, which is mentioned in the "Golden Kui Yaolu" that it can cure thirst, that is, diabetes, and also has a good effect on diffuse gastritis and mouth ulcers.
However, using it to treat proteinuria and hematuria caused by kidney disease was something Tao Le had learned from Tang Wanhe in his previous life, and the effect was excellent.
Gallnut is good at collecting astringency as the king's medicine, and the subordinate medicine centipede is good at penetrating as the subordinate medicine, accompanied by the strong, astringent, and hemostatic effects of the crane grass, the three complement each other, and the main and secondary are clear.
The prescription was ready, Tao Le did not hand it directly to Xiong Wenfa and his wife, but pressed a button on the table.
Immediately, a young man knocked at the door and entered. Xiong Wenfa recognized him, it was Xiao Mo who drove to pick them up just now.
Xiao Mo was extremely respectful to Tao Leji, and took the prescription she handed over with both hands: "Do it immediately, it will be delivered to Mr. Xiong's hands later." ”
Tao Le could see at a glance that this Xiao Mo was also a robot, but she would not expose him.