"Oh, yes. Almost two weeks ago, the baby started to have diarrhea after eating some crab roe stewed eggs. Several times a day, sometimes it pulls like water. ”

"Later, I bought a box of anti-inflammatory medicine in the pharmacy and gave it to my child for two days, but it didn't work. Under the recommendation of other mothers, I took probiotics for a few days, although the number of times seemed to be a little less, but I still pulled. ”

"I had no choice but to take the baby to the children's hospital. The doctor prescribed a different anti-inflammatory drug, plus a box of Mommy Love. After eating it for two days, the symptoms were somewhat relieved. Not entirely good, though. The stool is still very unformed day by day, and it is also three or four times more than before the illness. ”

"No, it's been almost half a month, and I haven't seen any better, and I'm dying of sorrow. I happened to meet the neighbor's eldest sister in the community last night, and said that your medical skills are very clever and can cure, so I came here today. ”

"Well, Huanhuan's mother, you are right to choose to see Chinese medicine. Don't look at diarrhea is not a serious illness, but if it drags on for too long, it will cause great damage to the spleen and stomach. Especially in children, the spleen and stomach function has not yet developed well, and the impact will be greater. Zhang Jing said with a serious face.

"Yes, yes, yes, so please give me a good treatment, my family is just this one baby, but nothing must happen. Have you already figured out the recipe? The young mother asked nervously.

Zhang Jing did not reply directly, but began to conduct a detailed consultation.

One asks about cold and heat, two questions about sweat, three questions about the head and body, four questions about the bowel movement, five questions about diet, six questions about the chest, seven questions about deafness and eight thirst, nine questions about old diseases and ten questions about the cause.

Zhang Jing has always kept in mind the song of ten questions about consultation.

At the same time, I also remember the admonition of my mentor Li Yu.

No matter how confident you are in the diagnosis of the disease, you must not ignore the importance of consultation.

Because, many things that are not well considered can be compensated for by asking for a doctor.

In particular, pediatrics was also called dumb in ancient times.

Many children may not even be able to speak, or even if they can speak, they often talk nonsense, and many of them cannot be trusted.

In this case, parents need to do so. As a result, it takes more time to see a doctor.

After about seven or eight minutes, the whole consultation was over.

Zhang Jingzheng said: "You can rest assured, Huanhuan's condition is not serious at present. I'm just telling you that if your child gets sick in the future, don't take it lightly. In particular, you can't just go to the pharmacy to buy anti-inflammatory drugs for granted, you must remember that anti-inflammatory drugs in Western medicine are antibiotics, and they are definitely not a panacea. ”

"So, you see, now the state is also vigorously rectifying the abuse of antibiotics. Because, if not necessary, the casual use of antibiotics can cause serious harm to the body. ”

"According to the theory of traditional Chinese medicine, antibiotics are equivalent to the heat-clearing and detoxification drugs in traditional Chinese medicine, and the medicinal properties are bitter and cold. If the body is already cold, taking too much bitter cold medicine will definitely make it worse and worse. Moreover, the cold is sad. ”

"When the yang energy is damaged, the physiological functions of the yang master to warm, promote, defend, solidify~absorb and vaporize begin to decline. In Huanhuan's body, it is manifested as cold and temperature blocking, and diarrhea does not stop. In other words, his yang qi solidity ~ ability to take in is inhibited. ”

"So what to do?" The young mother is a little anxious again.

"It is not difficult to find out the cause of the disease, since it is cold and dampness in the spleen and stomach, then directly add a fire to the body to warm the yang and dissolve the dampness."

"What do you mean, put a fire in your stomach?" The young mother said with horror in her eyes.

Zhang Jing smiled slightly, shook his head, and continued to explain: "It's not really fire, it's Wen Yang's meaning. ”

"Well, it's me thinking too much." The young mother smiled awkwardly.

"Well, then I'll prescribe it now, and I'll prescribe a dose of medicine first. After you have a normal bowel movement, you can also come and get some Chinese medicine for conditioning. ”

"Is one dose a day?"

"Yes."

"No, Dr. Zhang. After pulling for so long, what can you do if you drink medicine for a day? The young mother was puzzled again.

Zhang Jing looked determined: "I said, your child's current situation is not serious, and one dose of medicine is enough to stop diarrhea." However, judging from the pulse, his body and spleen are deficient, and it is best to regulate it for a period of time, which will be of great benefit to future growth and development. ”

In fact, this time, Zhang Jing can prescribe traditional Chinese medicine for later conditioning to children.

However, considering that young mothers are more suspicious, it is more appropriate to wait until the diarrhea is cured before prescribing a conditioning prescription.

After all, at the end of the day, only real results can make patients trust the doctor completely!

Zhang Jing's words really hit the young mother's heart.

"Okay, just listen to Dr. Zhang." The young mother said happily.

Zhang Jing began to record medical records on the computer and write prescriptions.

Originally, he wanted to learn from Li Yu and also use paper prescriptions. Moreover, I also want to decoct the medicine for Xiao Huanhuan in person.

However, as things stand, it is clear that the time is not yet ripe.

The clinic also has printed prescription forms, but when you need to charge a fee, you can enter them into the computer, which may be troublesome.

As for the traditional decoction equipment, he is not qualified to make a purchase proposal to the boss for the time being, after all, it is already equipped with a decoction machine.

Therefore, in a hurry, we can only settle these two points first.

Zhang Jing doesn't play with mobile phones and doesn't like to surf the Internet, but that doesn't mean he can't operate a computer.

On the contrary, since computers are a compulsory subject in college, Zhang Jing actually has a lot of fun. In particular, the five-stroke typing speed is far higher than the average of the class.

After a while, Zhang Jing finished recording Xiao Huanhuan's medical record on the computer.

"The child, male, two and a half years old, had diarrhea for nearly half a month, three or four lines a day, and had taken antibiotics, probiotics, Mamiai and other Western medicines. Engraving: tired, slightly poor, urinating normally. Check: The tongue is light, the moss is greasy, and the pulse is weak and slightly slippery. ”

"Diagnosis: Taiyin and Shaoyin Disease (Cold and Damp Internal Discontinuation), Prescription: Aconite Lizhong Soup."

"Prescription: 3g of aconite, 3g of raw dried ginseng, 3g of dried ginger, 3g of boiled licorice, 6 of fried atractylodes. One dose. Warm medicine decoction in water. ”

The same content was transcribed again in block letters in the medical record book.

This is a requirement of the higher authorities, even if the electronic medical record is used, a copy must be taken away by the patient.

Of course, most hospitals use the method of printing electronic medical records.

This feature is generally not supported for small outpatient systems, or printing devices are not convenient to use.

Strictly speaking, there is no prescription for aconite Li Zhong Tang in the "Treatise on Typhoid Fever".

Zhang Jing remembered that the recipe was recorded in the university textbook "Prescription Science", which originated from a classic prescription in the Song Dynasty physician Chen Wuxue's "Three Causes and One Disease Syndrome Formula", named Aconite Lizhong Tang.

However, he knew better that the aconite Li Zhong Tang was actually evolved from the Li Zhong Pill in the "Treatise on Typhoid Fever".

The original formula of Lizhong Pill is composed of: three taels of ginseng, three taels of dried ginger, three taels of licorice (boiled), and three taels of atractylodes.

Usage: On the four flavors, pounded and sifted, honey and pills, such as chicken yellow Xu Da. Take a number of boiling soups, and one pill, grind, warm it, three or four days a day, and two nights.

The abdomen is not hot, and it is beneficial to three or four pills, but it is not as good as the soup.

The soup method, with four things, cut according to two numbers, eight liters of water, three liters of boiling, go to the trickle, warm one liter, three times a day.

If the umbilicus is built, the kidney is pneumatic, go to the operation, and add four taels of gui.

If you vomit more, go to the operation, and add ginger three or two.

If there are many of them, they will also use surgery.

For palpitations, add two taels of Poria cocos.

Those who thirst for water should add the technique and divide the front of the foot into four halves.

For those with abdominal pain, add ginseng and make the front of the foot in half.

For those who are cold, add dried ginger and cut the front of the foot into four halves.

If the belly is full, go to the operation and add an aconite. After taking the soup, if you eat, drink a liter of hot porridge, slightly self-warm, and do not uncover the clothes.

……

Through the addition and subtraction of the pill prescription in the "Treatise on Typhoid Fever", it is obvious that there was originally a saying that aconite was added in the middle of the medicine, but it was not extracted separately as an independent prescription name.

After the prescription was issued, Zhang Jing immediately explained to her the decoction method.

Take a ceramic medicine jar and pour the Chinese medicine into it, soak it in about 300 ml of water for 15 to 20 minutes, and do not pour out the soaked water.

Put it on the gas stove and heat it on a high heat, then turn it to the smallest heat, and continue to cook for about 15 minutes.

Pour out the liquid juice, the total amount is about 100ml, strain and drain.

Take warm, about 30 ml at a time.

After the explanation, the young mother still had a little concern: "What if the child is bitter and unwilling to drink the medicine?" ”

"You can add some rock sugar appropriately, but not too much."

"Okay, okay, then don't worry, Dr. Zhang, thank you!"

"You're welcome, this is the doctor's job, you can contact me at any time if you have any situation, and I'll leave a mobile phone number for you."

"Huh? How embarrassing is this! Thank you so much! ”

The young mother said excitedly.

It's no wonder that when you go to the hospital to see a doctor, where have you seen someone who offers a contact number.

Even if you insist on it, people won't give it.

The reason is that the doctor also has his own personal time and is inconvenient to bother.

However, you can also understand this subtext: seeing a doctor is a special transaction, and after-sales service is not provided.