Chapter 175: Rapid Pulse

The more Su Minjuan thought about it, the more excited she became, but after the excitement, she couldn't help but feel a little sad.

I am also a graduate student from a prestigious university, and I am an attending physician with an intermediate title.

Actually asking an undergraduate who has just graduated to support his faΓ§ade is really enough to embarrass his alma mater!

It's just that she is not the kind of character who loves to drill the horns, and the negative emotions will soon turn the page.

Moreover, just after listening to Section Chief Lu's meaning, it seems that he is expected to be exempted from the punishment given to himself.

In other words, the previous worries were a false alarm, which is obviously a great thing.

As soon as she thought of this, Su Minjuan suddenly felt extremely relaxed in her heart.

So after saying goodbye to the child's mother, he shook a ponytail, walked briskly, and led the way with a smile.

Walking out of the ward where bed 616 was located and returning to the doctor's office, Su Minjuan hurriedly beckoned Zhang Jing and Director Yang to sit in the "main seat".

Then he turned around lightly and went to pour tea for Zhang Jing and Director Yang.

"Director Yang, do you drink black tea or green tea?"

"Is there any white tea?"

"Uh...... It doesn't seem to be. ”

"Then let's have some green tea, just put a little bit of it, not too much." Director Yang instructed.

"Hmm. What about Dr. Zhang, green tea or black tea? Su Minjuan nodded and continued to ask Zhang Jing.

Zhang Jing didn't even think about it, and replied directly: "I'm not used to drinking tea, please give me a cup of boiled water, thank you!" ”

By the time Su Minjuan came back from pouring tea, everyone had already sat down, and they all took out a small notebook from the drawer, holding a gel pen in their hands, ready to take study notes at any time.

"Dr. Zhang, can I start now?" Su Minjuan looked at Zhang Jing respectfully and asked.

Lecturing in front of so many people, for Zhang Jing, after all, it was the first time that a big girl got on the sedan chair.

Therefore, it is inevitable that there will be some cramps.

For a while, I really didn't know where to start.

Director Yang could see Zhang Jing's thoughts at a glance, so he immediately relieved the siege and said, "Xiao Su, don't be so formal, just be casual." If you have any questions, please consult Dr. Zhang directly. ”

Su Minjuan understood, so she asked directly: "Doctor Zhang, in addition to Western medicine treatment, we have also used Yinyuhuang injection solution for 616 patients for several days, which should be the first choice of Chinese patent medicine for the treatment of jaundice, why is it not effective at all?" ”

Doctor Zhang frowned, and asked directly: "Doctor Su, the principle of TCM treatment should be syndrome differentiation and treatment, rather than disease differentiation and treatment, what is the preferred medicine?" ”

"I have also differentiated the syndrome, the child's body is yellow and bright, and there is no fear of cold, it should be able to distinguish yang yellow instead of yin yellow, the syndrome is damp and hot, right?"

"Where's the pulse?"

"Hiss......" Su Minjuan hesitated for a moment, and said hesitantly: "When I was admitted to the hospital, I took the patient's pulse, but I just felt that it was beating very fast, close to 100 times per minute, and it was relatively smooth. ”

Doctor Zhang shook his head slightly: "Doctor Su, you may be a little preconceived. A child's basal pulse is inherently faster than that of an adult, and everyone's basal pulse is different. ”

Therefore, it is not reliable to determine whether to count pulses based on the number of pulses alone. Also, there are three parts and nine signs in both hands, Dr. Su, do you think that all the numbers are presented or some of them are presented? ”

"......" Su Minjuan was blindsided when she heard it.

She can't talk about the pulse at all, and even the sliding pulse is even guessed, where can she figure it out and divide it.

Su Minjuan didn't lie, when she was admitted to the hospital, she did check the patient's pulse once, but it took less than a minute for the two hands combined.

At the end of the day, it's just a matter of putting on a show.

Even so, in fact, in the whole of Cory, she is already relatively responsible.

Although it is called a pediatric ward of the Hospital of Traditional Chinese Medicine, it is almost no different from the treatment mode of the pediatric ward of Western medicine.

There is only one difference, that is, there is an additional item that needs to be added to the pediatric medical record of the Chinese medicine hospital, that is, the content of the four consultations of Chinese medicine must be recorded.

It's just that, more often than not, the content of these four diagnoses is not collected, but directly applied according to the template.

At this time, a young female doctor who had studied Chinese medicine couldn't help but interject: "Dr. Zhang, don't I remember that counting the pulse means that the pulse beats more than five times in one breath, that is, the pulse beats more than 90 times per minute?" ”

Zhang Jing shook his head lightly: "That's the most obvious statement, there are clouds in the "Pulse Sutra", and those who count the pulses come and go urgently. Hurry is fast, and the meaning of rush can be understood as hurry or hurry. Or to put it bluntly, it just can't be done calmly, it's to promote. ”

Su Minjuan said thoughtfully: "Doctor Zhang, can I understand it like this?" When we run, our heart beats and pulses faster, but if we don't have the strength to do so, we often feel like our heart is going to jump out of our chest. In other words, a person with a normal body is in a state of calm when his heart beats faster, while a person who is weak and sick is in a state of exhaustion when his heart beats faster? ”

Zhang Jing nodded: "That's pretty much what it means." ”

Su Minjuan remembered the question that Zhang Jing asked herself before, and then asked with a puzzled expression: "Doctor Zhang, if it has been determined that it is a number of pulses." How to distinguish between the three parts of the inch? Could it be that the pulse rate of the three parts can still be different? ”

Zhang Jing replied: "We all know that usually a person's heart rate and pulse are consistent. Correspondingly, the pulse rate of the three parts is basically the same. Therefore, to judge whether a certain pulse on the inch ruler is urgent, the difference is not in the pulse rate value, but the feeling of which pulse is more urgent and more calm, that is where the number of pulses lies. ”

After a long time, Su Minjuan nodded and said with a smile: "It's so profound, it seems that I understand it a little, but I don't seem to understand it very well." ”

The rest of the young female doctors also thought so and echoed it.

Director Yang smiled faintly: "The pulse is originally difficult to understand in my heart, and I need to continue to practice and ponder in clinical practice." Dr. Zhang's understanding of the number pulse is very insightful, and I will tell you that it is the first time I have heard it, and I am very inspired. ”

As soon as the words fell, he turned to Su Minjuan and asked, "Xiao Su, tell me about it, why do patients with jaundice have yellowing symptoms?" ”

Su Minjuan is not a real rookie after all, and she still has a good grasp of the basic knowledge of the profession.

So, after a little hesitation, he replied confidently: "Jaundice patients have a disorder of bilirubin metabolism in the body, which causes the serum bilirubin concentration in the body to be too high. The skin, mucous membrane, and iris have a certain affinity for bilirubin, and too high bilirubin will stain the skin, mucous membrane, iris or other tissues yellow, so jaundice patients are yellow all over the body. In particular, yellow eyes, yellow body, and yellow urine are the main symptoms. ”

"Xiao Su, this is the saying of Western medicine, we are discussing Chinese medicine!" Director Yang reminded in a deep voice.

Su Minjuan's face flushed, and she immediately changed her words: "That's ...... It should be that there is something wrong with the liver, because the eyes of jaundice patients are yellow, and the liver is open. ”