Chapter 065: Methods of decoction of Chinese medicine and dietary contraindications
After the medical record was written, Zhang Jing took out a blank prescription note and rewrote it in block letters to transcribe the prescription.
Then he handed it to Xuan Xuan's mother: "Regarding the decoction method and dietary taboos, it's a bit complicated, I'll go out with you." You grab the medicine first, and later I will give you an explanation of how to decoction and dietary contraindications. ”
Xuanxuan's mother nodded again and again: "That's great, I'm afraid that my brain is stupid and I can't remember." ”
The two of them walked out of the door of the consultation room, one after the other.
At this time, the boss Ma Hui had also come to the clinic and was maintaining order.
Zhang Jing then stepped forward to say hello: "Sister, I'm going to print something, please ask the patient's family to wait a little longer." ”
"Go, go, I have this secret weapon, and the children can't make trouble." Ma Hui raised the villain book in Yang's hand.
Indeed, after all, I have been a mother, have experience, and know how to calm these bear children.
Zhang Jing walked into the pharmacy, and when Gui Cui saw it, he quickly got up from the chair.
"Dr. Zhang, is there something wrong?"
"It's okay, you enter the prescription for Liu Zixuan's child first, and charge for the medicine. I'll borrow your computer and print something. Zhang Jing put the prescription in his hand on the table.
"What do you need to fight? Just tell me, I'll just fight. You forgot, I'm a fast type. Gui Cui hurriedly said.
Zhang Jing smiled: "No, don't let the patient's family wait too long, just busy yourself with your own business." The words I want to type are all in my head, and it will be faster to type them myself. ”
"Oh, that's right, okay then."
Gui Cui put the prescription and began to enter it quickly.
It took less than a minute to complete.
Then he said to Xuanxuan's mother who was standing outside the window: "Liu Zixuan, the total of three doses of medicine is 16.8 yuan, you can just scan the code to pay." ”
After hearing the WeChat arrival prompt, Gui Cui immediately picked up the prescription, stood up and gave up her seat to Zhang Jing.
Said sweetly: "Doctor Zhang, I'm going to grab the medicine, you can type." ”
"Okay." Zhang Jing nodded.
AFTER ZHANG JING SAT DOWN, HE FIRST CLICKED ON THE MINIMIZED OUTPATIENT SYSTEM, AND THEN FOUND THE WORD DOCUMENT ON THE DESKTOP.
Although Guicui uses pinyin typing,But because the download is Sogou Wubi input method,At the same time, it supports pinyin and Wubi without switching,Direct entry can be。
Regarding the explanation of this decoction method and dietary taboos, Zhang Jing had already imagined it, but it was inconvenient to prepare in advance before meeting a cough and asthma patient.
In order to avoid Guicui misunderstanding that she is suspected of being an unpredictable prophet.
Zhang Jing's memory is very good, and although he usually uses the computer very little, it does not affect his five-stroke typing speed.
The first thing to do is the decoction method, which is based on the experience of Mr. Li Yu.
However, for the convenience of patients, he made changes to make it more detailed.
Within three years of age, generally use 300 ml of water, first soak in water for about 10 minutes, fry over high heat, then turn off the heat, fry for about 15 minutes to 18 minutes, concentrate to 80 ml to 120 ml, and take it warmly in three to five times.
For three to six years old, generally use 400 ml of water, first soak in water for about 15 minutes, fry over high heat, then turn off the heat, fry for 15 to 20 minutes, concentrate to 120 ml to 150 ml, and serve warmly in three times.
From six to ten years old, generally use 500 ml of water, first soak in water for about 15 minutes, fry over high heat, then turn off the heat, fry for 15 to 20 minutes, concentrate to 150 ml to 180 ml, and take it warmly in two to three times.
For children over 10 years old, generally use 600-700 ml of water, first soak in water for about 20 minutes, fry over high heat, then turn off the heat, fry for 20 to 25 minutes, concentrate to about 200 ml, and warm it in two to three times.
For adults, generally use 1000 ml of water, first soak in water for about 20 minutes, fry over high heat, then turn off the heat, fry for 30 to 40 minutes, concentrate to 300 ml, and warm it in two to three times. (You can also use the two decoction method, use the residue after the first decoction, add 500 ml of water, fry over high heat, then turn off the heat, fry for 20 to 30 minutes, concentrate to 150 ml, combine the two medicinal juices of 450 ml, and take it warmly in three times)
Note: If there is a decoction of the medicine first, put it in water to fry for 15 to 30 minutes, the amount of water is about 200-300 ml, pay attention not to decoction. After cooking, put in about 5 to 8 minutes before frying, and turn up the heat a little more.
If the condition is urgent, there is no need to soak, you can add water and fry it directly. If the herbs are not clean, you can use water once before soaking. After frying, if the liquid is cloudy, it should be filtered with gauze to remove the slag.
Precautions for taking medicine: 1. If there is no special explanation, it is generally advisable to take Chinese medicine about 15 minutes after meals; 2. Generally one dose a day, and for emergencies (such as fever or severe cough and asthma), it is advisable to take a small amount of frequent medicine (about 40 minutes between two doses). After eating one dose, you can decoction another dose, and in severe cases, you can even use several doses a day to maintain the concentration and effective impact of the drug.
After typing these contents, we will continue to enter the dietary contraindications for patients with cough and asthma and general common diseases:
1. Seafood shrimp and crab fish (seafood shrimp and crab, patients with allergic cough and asthma, at least for more than one year, if the situation is stable, river shrimp can be opened first; No obvious irritation was found in kelp and it was not contraindicated; Freshwater fish, if the cough is not obvious, you can eat some, but not too much. )
2. Ice and cold drinks (Neijing says: cold drinks hurt the lungs, so it is strictly forbidden during coughing and wheezing, and those with weak yang qi and asthma should stay away even if they are not in the attack period; It is advisable to drink more warm water at ordinary times, and drinks should be prohibited during the coughing and asthma period. )
3. Watermelon, pear, melon, cantaloupe, mango (watermelon should be strictly forbidden during the cough and asthma period, and patients with allergic cough and asthma should usually eat less or no food; Dry cough is not taboo pear; Melon, also called melon, is as easy to irritate the throat and produce phlegm as cantaloupe; Mango is easy to cause allergies, easy to stimulate and aggravate inflammation, longan, lychee, durian is the same; Some patients are allergic to pineapple and should be observed. )
4. Spicy and greasy (such as chili products, spiced food, roast chicken, beef and mutton, goose meat, spicy hotpot, braised pork, fatty pork, hooves, glutinous rice food, Qingtuan, zongzi, frying, barbecue, baking, lo-mei, etc.). )
5. Sweet and greasy (such as candy, chocolate, moon cakes, desserts, cakes, cream, etc.) )
6. McDonald's, KFC (ice and fire, hot and cold are mixed together, which is most likely to aggravate coughing and wheezing; It should be strictly forbidden during the coughing and wheezing period, and it should be eaten sparingly. )
7. Pickled products (such as salted meat, salted eggs, salted fish, pickles, olive vegetables, bacon, sausages, sausages, etc.) )
8. Dairy products (yogurt should not be used when coughing, and it should be placed at room temperature when usually taken; If the cough is noticeable, the milk should be stopped. )
Finally, to make it easier for patients to be able to contact themselves.
I also attached my mobile phone number, as well as the schedule of the clinic.
After adjusting these contents to No. 4 Song style, it just fills a sheet of A4 paper.
Zhang Jing printed twenty sheets in advance for later use.
Guicui had already grasped the medicine and stood aside to watch carefully.
While watching, he praised Zhang Jing again and again for thinking carefully.
However, when she saw the last mobile phone number left, she couldn't help but remind: "Dr. Zhang, don't write this personal phone number directly, if you really need it, just tell the patient verbally, otherwise you are likely to be harassed." ”
Zhang Jing frowned slightly: "If a patient has something to contact the doctor, how can it be considered harassment?" ”
Although Gui Cui was scolded, she didn't care at all, and still insisted: "Of course ordinary patients won't, but some people with ulterior motives can't say it well, such as some girls or something." ”
Of course, Zhang Jing knew that her words meant something, but there was no need to hide this matter from her.
So he said lightly: "I have basically left the phone number of the patients in front of me, including Li Ziqi." ”
"Huh?" Gui Cui was immediately stunned.
I secretly said in my heart: Okay, you are a doctor Zhang, and you said that you don't mean anything to her at all, and you remember her name so well, so you can come when you open your mouth. The mobile phone number has also been left to others, and I am not afraid that she will misunderstand at all!
Zhang Jing didn't have time to talk to Gui Cui, so he got up and picked up the printed Chinese medicine decoction method and dietary taboo instructions, and walked out of the Chinese medicine pharmacy quickly.
He greeted Xuanxuan's mother, who was sitting in the waiting chair, and said, "Xuanxuan's mother, please come to the consultation room with me again and explain the decoction method and dietary taboos." ”