Zhang Jing sat in his new office and began to greet the first patient.

"Knock knock......" There was a knock on the door.

"Please come in." Zhang Jing shouted softly outside the door.

Somewhat unexpectedly, three people came in at once.

An old woman, a middle-aged woman and a little girl of three or four years old.

It should be three generations of grandchildren.

Without waiting for Zhang Jing to speak, the middle-aged woman directly handed over the medical record book.

said: "Hello, Dr. Zhang, I was introduced by Huanhuan's mother, and she said that you have seen the child's problem. I had made an appointment with her to come with her, but she said that there would be something to do later, so we came over first. ”

Zhang Jing nodded, took a closer look at the little girl, and found that her skin was very white, but it lacked luster and was a little pale.

The eyes are big, clear, very smart, and there is no fear of life at all.

So he bent down and whispered directly to her, "Little girl, shall we shake hands?" ”

"I'm not called Little Girl, my name is Xuanxuan." Unexpectedly, Liu Zixuan immediately corrected in a childish voice.

As soon as he finished speaking, he was accompanied by a strong cough.

"Doctor Zhang, my Xiaobao has been coughing for a long time......" Xuanxuan's mother hurriedly began to describe the condition.

Zhang Jing waved his hand: "Xuanxuan's mother, please don't talk yet, let me come to check the pulse first." ”

Then he said softly to the children: "Come on, Xuan Xuan, let's shake hands and don't make a noise for the time being, okay?" ”

Liu Zixuan nodded his little head and stretched out his little hands.

"Awesome!" Zhang Jing said as he gently held his little hand, and his thumbs were on the three parts of the inch.

After a while, the finger prompted: take it lightly, but the pulse force is weak, and the heavy press is obviously insufficient.

It's for the floating weak vein.

"Xuan Xuan, now open your mouth wide and make an 'ah' sound, okay?" Zhang Jing continued to say softly.

Liu Zixuan is very cooperative and skillful, and it seems that he has done a lot in kindergarten.

Zhang Jing took a small medical flashlight and took a closer look at his tongue and pharynx.

It was found that her tongue coating was a little white and greasy, and her pharyngeal condition was okay, without obvious congestion and enlarged tonsils.

"Well, great, roll your little tongue up a little more, okay?"

This time, Liu Zixuan was a little dazed, and moved his tongue a few times, but he couldn't finish it.

Xuan Xuan's mother hurriedly demonstrated on the side: "Xuan Xuan, look at my mother, this is how you do it." ”

"Oh." Liu Zixuan tried several more times and finally succeeded.

So, Zhang Jing hurriedly looked at the situation under the tongue.

It was concluded that the tongue was faint and sublingual stasis was not obvious.

After that, Zhang Jing took out the stethoscope again and said to Liu Zixuan: "Next, the doctor uncle is going to call you, but what, you can't speak for the time being, you can only inhale hard, and then exhale, do you understand?" ”

Liu Zixuan nodded again.

Zhang Jing began to carefully perform auscultation.

Some people may ask, isn't the stethoscope something that was only invented by modern medicine? How can I use it as a pure Chinese medicine practitioner?

Yes, the stethoscope is the most commonly used diagnostic tool for internal and external gynecologists and pediatricians, and modern medicine began with the invention of the stethoscope.

Therefore, it can be said that the stethoscope is the hallmark of the modern physician.

It is recorded that the inventor of the stethoscope was Reneke, whose full name was Hone Xiofele Hecint Renek.

On September 13, 1816, Reineck used a thin notebook rolled into a cylinder to solve a diagnostic problem that had plagued him for a long time, and then he invented the most primitive stethoscope.

Traditional Chinese medicine has "looking, hearing, inquiring, and cutting", and Western medicine also has four diagnoses, that is, "sight, touch, and listening".

The concept of auscultation was developed as early as Hippocrates' time, and doctors could diagnose the sound of the heart and lungs by placing the ear directly close to the patient's chest.

This diagnostic method was also used until the early 19th century, before Reinec invented the stethoscope.

Ancient Chinese medicine, because of the constraints of male and female etiquette, could never be like Western doctors, directly using the ears close to the patient's chest for auscultation.

Therefore, auscultation is a big shortcoming in the diagnosis of cardiopulmonary diseases.

Although Zhang Jing aspires to be a pure Chinese medicine practitioner with superb medical skills, he is by no means pedantic and inflexible.

He has great respect for the achievements of modern Western medicine, and does not reject some necessary auxiliary diagnostic equipment, especially stethoscopes.

As he once told Bai Bing, there is no one who is superior or inferior in traditional Chinese medicine and Western medicine, but each has its own merits.

In a nutshell, although Zhang Jing advocates traditional Chinese medicine, he will never be a brainless Western medicine.

……

Zhang Jing listened carefully to the heart and lungs in front of him, and then listened to his back.

A pronounced crackle was found in the right anterior chest area, mixed with sputum sounds.

When Zhang Jinggang took off the stethoscope, Xuanxuan's mother couldn't hold it anymore.

He asked anxiously, "Doctor Zhang, how is it?" Is there bronchitis, is it serious? ”

Zhang Jing bowed slightly: "If there is obvious crackles in the lungs, Western medicine will diagnose bronchitis, or even bronchopneumonitis, it doesn't matter." TCM patients don't care about the names of these Western medical diseases. ”

"According to the current situation, Xuan Xuan's physique is cold, and the cold phlegm in her lungs is more obvious. Has she had nasal symptoms in recent days? Is it a symptom of nasal discharge, nasal congestion and sneezing? ”

Xuanxuan's mother thought for a while and replied, "I only know that the snot is not obvious during the day, so there should be very little, sneezing...... Well, it's less, and the nasal congestion doesn't seem to be noticed. However, she slept with her grandmother at night......"

Speaking of this, he turned his head and looked at the old woman who had been silent behind him.

The voice asked coldly: "Her grandmother, when Xuan Xuan was sleepy at night, did she have a runny nose, a blocked nose, and sneezing?" ”

The old lady spoke a strong native dialect and replied hesitantly: "Yes...... I had a runny nose and was sleepy until midnight...... Also...... It's blocked, too, Ah ...... Not much. ”

Thanks to Zhang Jing's hometown in the countryside, located at the junction of the three provinces, the hometown dialect is integrated with the dialects of the three provinces, which is extremely jerky and difficult to understand.

This made Zhang Jing inadvertently acquire a special skill, that is, the dialects of all parts of the country can almost be heard.

Therefore, I didn't need Xuanxuan's mother to translate at all, and I already understood it.

Zhang Jing continued to ask Xuan Xuan's mother about the process of Xuan Xuan's illness.

Xuanxuan's mother cleared her throat and said slowly: "Doctor Zhang, it's like this, our family Xuanxuan was in good health before she went to kindergarten, and she rarely even got a cold. ”

"However, since I went to kindergarten in September this year, I have had a cold and cough in three days, and I don't have too many fevers. I have always seen a Western doctor in a children's hospital, and at first I could still take Western medicine to stop, but then the medicine didn't work, so I had to hang on for a few days. ”

"No, just a few days later, I started to have a cold and cough again the night before. When I went to the hospital for an examination, he said that it was bronchitis and asked us to hang water, otherwise it may soon turn into pneumonitis. However, we are really worried that she is so young, and it hurts her body too much to hang on the water all the time. Therefore, I want to take some anti-inflammatory drugs and cough medicines first to see if I can carry it. ”

"Just yesterday in the community square, when I was chatting with Huanhuan's mother, I heard that you are very sick with children here. So, I want to try Chinese medicine, after all, the side effects of drinking Chinese medicine are always a little smaller than hanging water, right? ”