Chapter 378: Is it coronary heart disease?

Tao Le stopped the husband from feeding the medicine and asked, "When did your wife get coronary heart disease and how was it diagnosed?" ”

"She has been suffering from coronary heart disease and angina pectoris for more than three years, and she was diagnosed in the hospital in her hometown, and she has been insisting on taking aspirin, nitroglycerin and Diao Xinxuekang."

When he said this, he glanced at his wife worriedly: "Doctor, let me give her medicine first, and then let's talk about it." ”

Tao Le shook his head, rang the bell and called the nurse to come in, and pulled the patient's bedside electrocardiogram.

This is the advantage of large private hospitals, even the expert clinics of Chinese medicine are equipped with bedside ECGs and some other equipment to facilitate more accurate dialectics.

Sure enough, there was no accident, the patient's electrocardiogram was so normal that it couldn't be normal, myocardial infarction, heart failure, angina pectoris, all of which could not be seen at all.

Tao Le almost thought that the patient had hysteria. Otherwise, just give her 10 ml of diazepam, which should alleviate all symptoms. This is, of course, a joke.

It is still necessary to find out the medical history and then check the pulse.

"Have you had a coronary angiogram?" Tao Le asked.

Coronary angiography is the gold standard for confirming coronary heart disease.

"No, I didn't do that." The patient will be able to speak at this point.

"That's a coronary CTA?"

Coronary CTA, also known as coronary multi-spiral CT, is not as invasive as coronary angiography and is more acceptable to most patients.

"I just went to the cardiology department and told me about the symptoms, so I took the medicine."

In other words, there is no absolute evidence to support the diagnosis of coronary heart disease.

The patient's husband also interjected: "Actually, there have been many attacks before, all at night, but we all waited for the symptoms to stabilize and then went to the hospital during the day." ”

Therefore, I did not go to the hospital during the onset of the disease. I don't know what kind of hospital their hometown is, and how it is so easy to diagnose it.

Tao Le drew a question mark on "coronary heart disease" in his heart, and then continued the previously interrupted pulse.

The patient rolled up his sleeves to reveal half of his forearm, and Tao Le's heart moved.

Her hands and forearms are rough, dark, lichenified, pallinus, and marked with numerous scratches.

On the fingers and the back of the hand, there are a small number of pimples and blisters.

Although the weather is cold outside, the room temperature is not low due to the air conditioning in the house, but the patient's wrists are cold.

Tao Le took all of this in his eyes and took the pulse seriously.

The patient's pulse is thin and weak, which is generally more common in the symptoms of qi and blood deficiency.

The tongue is pale and fat, with tooth marks on the edges.

"Are you usually afraid of chills and cold limbs?" Tao Le asked.

"I'm afraid of the cold, and I can't see a little wind." The patient is weak and authentic.

"Even in summer, my hands and feet are cold." The husband added.

"It's been a long time to have this eczema, it should have been more than ten years?" Tao Le asked.

The husband and wife glanced at each other at this time, revealing a burst of joy, which made her a little confused.

"Doctor, in fact, we are mainly here to see this wet clinic today." The patient said: "You can see at a glance that this disease has been suffering for 12 years, which means that you have real talent and learning, and you deserve to be an expert." ”

Tao Le understood what kind of patient this was.

In her previous life, she had seen many similar patients. With the intention of taking the school examination, they didn't say anything about the symptoms, and waited for the doctor to take the pulse to see if the other party could see this kind of thing, she didn't care about it for a long time.

"I've had eczema for 12 years, so I've definitely found a lot of people to treat it, right?"

The husband nodded, took out a few thick medical records, and handed them over.

Tao Le already has a preliminary idea in his heart, and he still needs to verify it in his previous medical records.

Sure enough, there are all the commonly used methods to treat eczema, what clears away heat and dampness, dispels wind and wins dampness, nourishes blood and dispels wind, dampness and itching. Among them, there is also a famous party opened by Tao Le.

It's just that there are so many recipes, but there is no kind of Tao Le wants.

That's why today, they're going to find her head.

Tao Le reviewed it carefully and felt that the dialectic was correct, so he opened the golden finger.

The sight was indeed a disease of yang deficiency, cold and dampness, which was the same as her diagnosis.

Now she also understands that the patient's chest tightness and palpitations just now are really uncomfortable, and they are not pretending.

Because this disease lasts for a long time, it will damage the heart.

She gave the patient and his wife a brief explanation of the symptoms.

"All pains and sores belong to the heart. Moisture enters the body for many years, enters the blood veins, and returns to the heart, resulting in damage to the heart and yang, so there will be palpitations and chest tightness, which is not coronary heart disease. ”

"Not? But we've been curing eczema, and we're all getting wet." The patient's husband wondered.

"It is necessary to treat eczema, but the direction of treatment must be adjusted." Tao Le's voice is very calm:

"Your wife is afraid of cold and cold, has insufficient kidney qi, and is deficient in qi and blood, which belongs to yang deficiency and cold dampness.

She didn't say much more, so she put pen to paper and prescribed prescriptions to make aconite Wenyang, cinnamon branches, fine xin to dispel cold, astragalus, codonopsis to benefit the heart, angelica and blood, atractylodes, parsnip, poria, poria cocos, white fresh skin, ground skin seed, cicada molt to dispel wind and overcome dampness and itching.

"Eat ten pairs first, and call me for a follow-up when the time comes." Tao Le wrote his phone number behind the recipe and handed it over, and said:

"I'm here for a free clinic, you can choose: either go to the pharmacy outside to buy medicine, or just grab it here, but the prescription I prescribe can give a 5% discount to the cost price."

She had already seen that the clothes of the husband and wife were a little old, and they didn't look like rich people.

Nowadays, Chinese medicine rarely gives prescriptions to patients themselves, they all take the medicine in their own pharmacy and then put it away.

There are several reasons for this: first, the quality of medicinal materials in outside pharmacies may not be as good as the guarantee of your own home; the second is the price on both sides, the difference is indeed not small; The third is to protect yourself.

Tao Le was originally a free clinic, so there is no need to worry about so much. And she was sure that there could be no problem with this recipe.

"Thank you, doctor!" The husband had a smile on his face: "I won't tell you the truth, just to treat her eczema, we have traveled to many places across the country and spent a lot of money, but we just can't see it well." ”

He looked at Tao Le, his eyes were full of trust and expectation: "You are a disciple of Zhou Guoshou, the prescription will definitely work, I believe you!" ”

The couple got up to leave, and the next patient came in.

Tao Le looked at this girl of the same age as himself, with a pair of unfocused eyes and obvious butterfly-shaped red spots on his face, and sighed in his heart.

As soon as Jian Yuying entered the door, she was stunned. The expert number that stayed up until midnight to grab, why is the doctor so young?

"Excuse me, which one is the Tao expert?" She looked left and right and asked the question.

Tao Le sighed again. Youth, is a hurdle that she can't overcome.

"You're on my call." Tao Le said: "The patient's lupus erythematosus, the time is not short, right? ”

(End of chapter)