Chapter 012: Yang Mingfu empirical evidence of repeated high fever
Walking into Huang Biao's internal medicine clinic, Zhang Jing did not open the blinds, but chose to turn on the lights.
Because, in his opinion, TCM consultation is not a show, let alone a window exhibition.
Moreover, exposing the patient to the view of passers-by is also a violation of the patient's right to privacy.
Huang Biao's desk is relatively empty, except for the pulse pillow, tongue depressor, blood pressure monitor, stethoscope, telephone, there is only one ceramic teacup.
On the entire table, there was not even a single medical book.
It's no wonder that his only secret weapon, "Soup Song", is engraved in his mind, and he doesn't need to bring it with him at all.
As for other medical books, he didn't plan to study them at all, so he brought them with him.
Another point, according to Zhang Jing's guess, Huang Biao may be worried that if he puts a medical book on the table, he will be considered by the patient that he has not learned kung fu yet.
In addition, in one corner of the consultation room, there is also a computer, which was originally equipped for writing electronic medical records and issuing electronic prescriptions.
It's just that Huang Biao can't operate a computer at all, let alone type, so he can only sit aside for the time being.
Zhang Jing knows that except for Huang Biao's occasional little busy on weekends, patients usually only have three or five a day on normal working days.
Therefore, Zhang Jing did not have the luxury of expecting how many patients he would be able to receive just one day of consultation.
For him, even if there is only one patient, he will be able to prove himself.
Sadly, however, the morning passed without any movement from the door to the clinic.
During the lunch break, Gui Cui told Zhang Jing.
Throughout the morning, except for the two who came to Wang Sen for massage treatment, there was one who wanted to see the gynecology.
However, when I learned that Huang Biao was on vacation and didn't go to work today, only when he was in the clinic, no matter how Gui Cui recommended him, he refused to register.
Zhang Jing knew that Gui Cui had done his best.
No way, these days, in the general concept of the people, Chinese medicine is the older you get, the more popular it is, so it is more reliable to find an old Chinese medicine doctor to see a doctor.
Soon, it was more than half of the afternoon work.
Zhang Jing shook his head helplessly, and said in his heart: It seems that there is little hope of receiving internal medicine patients in a short period of time, and we have to use roundabout tactics.
Isn't the level of acupuncture and moxibustion level reaching the level of "little famous", although it is not too high, but compared with Wang Sen, it is still significantly higher.
Although Wang Sen claims to have been in the industry for more than 20 years, his medical skills are extremely limited, and it is unceremonious to say that he can't even reach the entry level of traditional Chinese medicine.
The reason why some fixed patients are all dependent on a project of massage.
As for other acupuncture and cupping or something, it's just for show, just to overcharge for treatment.
Because, Zhang Jing had already discovered that Wang Sen couldn't even recognize many of the most conventional acupuncture points.
I have to admit that Wang Sen's massage technique still has some skills.
However, if you don't distinguish yin and yang and don't know how to take acupoints, what is the difference between you and a professional blind masseuse?
Therefore, in a sense, Wang Sen is not treating diseases at all, but giving patients health massages.
……
Zhang Jing is planning how to use warm acupuncture for patients in the acupuncture and massage room to gain the first clinical experience.
"Knock knock......" There was a knock on the door outside the clinic.
Zhang Jing was overjoyed.
Secret Passage: Finally a patient?
"Please come in." Zhang Jing hurriedly whispered.
Unexpectedly, it was Guicui from the Chinese medicine pharmacy who opened the door and walked in.
"What, something?" Zhang Jing's tone was a little disappointed.
"Doctor Zhang, there's a patient, you can take a look."
"Where, invite him in."
She ...... She's in the hall, and she hasn't registered yet, and the kid has a high fever, you see, can ...... You can't show him first. ”
Gui Cui may also feel that this is not very respectful to the doctor, and her speech is a bit slurred.
Zhang Jing didn't care about these at all, and immediately got up from the chair.
"Let's go, let's see."
When I came to the hall, sure enough, there was a middle-aged woman sitting in a waiting chair, holding a little boy of five or six years old.
It was late autumn, and the indoor temperature did not exceed 20 degrees, but the little boy was only wearing a thin vest and his feet were bare.
Even so, fine beads of sweat oozed from the palms of the hands and soles of the feet from time to time.
However, the sweating on the body is not obvious, because the small vest is basically dry.
"Hello, this is Dr. Zhang from our clinic, graduated from a regular university and has a medical practitioner certificate." Gui Cui pointed to Zhang Jing and introduced.
The middle-aged woman looked at Zhang Jing and felt that he was too young, with a look of distrust.
"Let's let Dr. Zhang take a look first, and it doesn't cost you any money, right?" Gui Cui continued to agitate on the side.
Zhang Jing actually had a rough judgment at this time.
High fever, sweating hands and feet, and the fever is at three or four o'clock in the afternoon, which is what Chinese medicine calls hot flashes.
Three or four o'clock in the afternoon is also the master of the Yang Ming Sutra, which is a typical Yang Ming Fu evidence.
"Yes, eldest sister, I can cure your child's disease." Zhang Jing said calmly.
"Can it really be cured? Young people don't talk big. The middle-aged woman glanced at Zhang Jing a few more times.
"Yes, it can be cured." Zhang Jing emphasized again.
"I was going to buy some antipyretics and continue to go to the hospital at night to hang up water." The middle-aged woman pointed at Guicui, and then said: "But this little girl said that there are no antipyretic drugs for sale here, so if she stopped me and said that you can cure this disease, the child will not have to suffer from hanging water." ”
"Well, she didn't lie to you, eldest sister, take the child to the consultation room, let me diagnose it well." Zhang Jing said in a very serious tone.
The middle-aged woman stood up hesitantly with the child in her arms, and then followed Zhang Jing into the internal medicine clinic suspiciously.
"You may be seated."
After the middle-aged woman sat down, Zhang Jing began to check the little boy's pulse.
Sure enough, the finger is very large, like a turbulent wave, which is a typical pulse of the big vein.
"Kid, open your mouth."
The little boy seemed to resist a little and closed his little mouth tightly.
Seeing this, his mother threatened in a loud voice: "Hurry up and be obedient, or you will have to get an injection again." ”
This trick really worked, and the little boy immediately opened his mouth wide.
"Awesome, stick your little tongue out again." Zhang Jing leaned down and said softly.
Hearing the compliment, the little boy was more cooperative.
Zhang Jing took a small medical flashlight and shone it into his mouth, and the entire pharynx could be seen clearly, and even the tongue depressor was saved.
Of course, not to save a small tongue depressor. However, many people are more afraid of tongue depression, because it often induces nausea reaction, especially in children.
After the tongue diagnosis, the result is: the tongue is red, yellow and thick and not moist.
It is also in line with the empirical characteristics of Yang Mingfu.
Next, continue the consultation.
"Eldest sister, please briefly describe the onset and treatment process of the child in the past few days."
"Oh, yes. Last Wednesday, I took my children to play in the community square at night, maybe the wind was too strong, and I sweated a lot, and I accidentally caught a cold. ”
"In the middle of the night, the child suddenly developed a high fever. Then, together with my husband, I took the child to the hospital for emergency care. ”
"After the doctor asked him to do a blood test, he said that it was nothing serious, it was a common cold, and he hung two bottles of anti-inflammatory injections. After hanging the water, the child's body temperature dropped a little, and then the doctor prescribed oral anti-inflammatory drugs, as well as a bottle of red potion to reduce fever. ”
"By the next morning, the fever had subsided. I continued to take the anti-inflammatory medicine, but in the evening, the fever came back up. So I gave the child a fever-reducing red potion, and soon sweated profusely, and the fever slowly subsided. ”
"What I didn't expect was that on the third day, it was still the same, it was fine during the day, but I had a fever at night. I thought it was impossible to go on like this, so I had to take the child to the hospital again. ”
The doctor ordered another blood test and added an X-ray. After the results came out, the doctor still said that the problem was not big, but the cold was not completely healed, and he had to continue the infusion for a few days. ”