Chapter 208: Different Diseases and Same Treatment
The earliest Miao doctor was a combination of witch doctors.
Although the witch doctor may sound superstitious, its curative effect is real empirical medicine, which is not much different from Chinese medicine.
Pedal Pedal Tread.
It was just when Xiao Bufan had just digested the knowledge he had gained in his mind.
Tang Boqing led a group of attending physicians to walk in from outside.
Seeing this, Xiao Bufan immediately restrained his thoughts, and then waited for everyone to sit down, and then started a morning meeting.
Xiao Bufan glanced at everyone present lightly, and then said: "Let's make a long story short for today's meeting, you all have to go to work later, and it is best not to affect your work because of some meetings." ”
"First of all, the first point is approaching the end of the year, I know you are all looking forward to the annual leave, but after all, we are doctors, and doctors don't have much vacation, which I hope you all can understand."
"Therefore, this year's annual leave will continue to be held in accordance with the previous practice for the time being, and next year's annual leave will be talked about when the time comes."
"The second thing is about this training, your training has now reached a stage, I will give you an assessment before the annual leave, and the highest score and the greatest improvement can get the 50,000 yuan bonus I said before."
"The last thing is about the future planning and development of our hospital, I plan to upgrade our traditional Chinese medicine hospital to a tertiary hospital in the next two years, and we will have a meeting to study the specific plan at that time."
"Okay, that's all for today's meeting!"
Saying that, Xiao Bufan couldn't help but pause, then glanced at Tang Boqing and the others and asked:
"Do you all have anything to say? If there is one, let's talk about it, and if there is none, then the meeting is adjourned! ”
Obviously, Xiao Bufan is the most reluctant to talk nonsense about things like meetings.
In Xiao Bufan's opinion, if there is something like a meeting, it is not enough to talk about it in one breath, so why waste everyone's time?
The group of attending physicians sitting below, you look at me, I look at you, and they can't help but shake their heads and say that they have nothing to say.
What else can be said about this?
The whole hospital is Dean Xiao, you alone have the final say, are we all the same?
It looks like everyone really has nothing to say!
Xiao Bufan waved his hand at everyone and said, "Okay, since you all have nothing to say, then break up the meeting and go get busy!" ”
"Yes, Dean!"
Everyone responded in unison, and then got up and left the conference room.
Wait until everyone is gone.
Xiao Bufan glanced at the time, then got up and left the conference room.
It's Monday, and he's going to the clinic.
Therefore, after the meeting, Xiao Bufan took the elevator downstairs and came to the outpatient department on the first floor.
Because Xiao Bufan's meeting was too fast, it only took less than 20 minutes before and after, so he had just started working at this point in time.
Squeak!
As soon as Xiao Bufan came to his outpatient room and sat down, a patient pushed the door and walked in.
The person who entered the door was a female patient, who didn't look very old, but she looked a little haggard.
Xiao Bufan glanced at the other party, stretched out his hand and said, "Show me the registration list." ”
"Oh, okay!"
The patient nodded stunnedly, and then handed over the registration slip in his hand.
Xiao Bufan took the registration list handed by the other party and glanced at it.
I saw that the other party's registration list read:
[Name: Yu Xiuqin.] 】
[Gender: Female. 】
[Age: 38.] 】
[Registration: TCM General Practice Clinic.] 】
[Others: Attached medical records.] 】
After Xiao Bufan glanced at the other party's registration list, he reached out on the other party's wrist and started to call the pulse, while asking with a smile: "Yu Xiuqin, right?" Tell me what makes you uncomfortable? ”
Yu Xiuqin hurriedly replied: "I always have pain in my abdomen, half a year ago, the gastroscopy doctor said that I was chronic superficial gastritis, and then I took some morpholine, metoclopramide, Sanjiu stomach Tai and other medicines, but this disease has not been cured." ”
"I may have eaten something unclean in the past few days, and my abdominal pain is worse than before, so I thought I would try to see Chinese medicine."
"Chronic superficial gastritis?"
Xiao Bufan frowned and sensed the other party's pulse, only to feel that his pulse was heavy and thin, his limbs were not warm, and he had a deficiency of spleen yang.
Then, Xiao Bufan looked at the other party's tongue again.
It was seen that the tongue coating was pale and fat, and there were obvious tooth marks on the edges.
This is obviously a symptom caused by a deficiency of spleen yang, a deficiency of cold in the middle of the spleen, and a disharmony of stomach qi.
After thinking about it, Xiao Bufan said to Yu Xiuqin: "Your disease is a bit deep, and it is estimated that it will take a long time to treat, I will give you acupuncture treatment first, and then prescribe some medicine for you." ”
"Oh, okay, it's all up to you, doctor." Yu Xiuqin nodded in response.
Xiao Bufan smiled, took out a set of disposable silver needles for disinfection, and got up to prick the other party.
For symptoms like this deficiency of spleen yang and disharmony of stomach qi, the best treatment is to dispel cold in the middle of the temperature and strengthen the spleen and stomach.
Therefore, Xiao Bufan first took the Zhongguan, Neiguan, Zusanli, Spleen Yu, and Stomach Yu acupuncture to get qi, and then left the needle for 30 minutes with the flat supplement and laxative method, and then had to cooperate with moxa mild acupuncture.
Sou! Sou! Sou!
Xiao Bufan's needle technique was extremely fast, so fast that the patient didn't react, and her body was full of silver needles.
Subsequently, wait until the acupuncture is exhausted.
Xiao Bufan then used the laxative method of acupuncture, but he did not immediately remove the silver needles on the patient's body, because the needles had to be left for more than 30 minutes.
Wait until after the acupuncture is done.
Xiao Bufan smiled and pointed to the rest area on the side, and said to Yu Xiuqin: "Okay, you sit next to you and wait, you have to leave the needle for half an hour before you can proceed to the next step of moxibustion treatment." ”
"Oh, okay, I see, thank you, doctor."
Yu Xiuqin nodded and thanked her, and then sat on a chair on the side and waited with Xiao Bufan's support.
Then, Xiao Bufan returned to his desk and shouted outside the door: "Okay, the next patient will come in first!" ”
Yu Xiuqin still has to stay for half an hour, and Xiao Bufan naturally can't sit in the outpatient room and wait.
Therefore, the latter patients still have to see.
Soon, the next patient pushed the door open and walked in.
This time, the patient who walked in the door was a middle-aged man with a mouth full of stubble, and he looked a little raunchy at first glance!
As soon as the other party walked in, he directly handed over the registration slip in his hand, covered his chest and said to Xiao Bufan: "Hello doctor, I have a stomachache, can you please help me take a look?" ”
"Well, you stretch out your hand, I'll give you the number pulse first!"
Xiao Bufan took the registration list handed by the other party and glanced at it, and said lightly.
"Oh, okay."
The patient, Zhang Weiqi, nodded his head again and again, then rolled up his sleeves and stretched out his wrist and put it on the pulse pillow.
Xiao Bufan stretched out his hand and put it on the other party's wrist, and instantly felt that the other party's pulse was weak and a little weak.
Then he looked at the patient's tongue coating.
The tongue is pale and the patient's complexion is yellow and dull.
This is a typical deficiency of spleen and stomach qi, and it should be mainly used to strengthen the spleen and invigorate qi, help transport and dissipate dampness.
The treatment is also very simple, just like the patient just now, basically there is not much difference in treatment.
Although the two of them have different conditions, the pathogenesis of the dialectic is very consistent.
Dissipating cold in the middle of the temperature is similar to helping to transport and dispel dampness, and strengthening the spleen and invigorating qi is similar to strengthening the spleen and stomach.
This is also the so-called treatment of different diseases.
After thinking about it, Xiao Bufan withdrew his right hand and said, "I'll give you acupuncture treatment first, and then prescribe some medicine for you to take back to eat, maybe the treatment time will be longer, and acupuncture will take at least ten days a course of treatment." ”
"Oh, okay, I'll listen to you, doctor." Zhang Weiqi nodded in response.
Same as Yu Xiuqin before!
As a patient, Zhang Weiqi felt that he was not qualified to talk to the doctor about the conditions, let alone the capital to bargain with the doctor to discuss what treatment options.
Therefore, when faced with the doctor's diagnosis and treatment, as a patient, they can only choose to accept it.
As for saying no.
It is impossible to refuse.
Unless you don't want to cure yourself almost.
Xiao Bufan smiled and took out a set of medical disposable silver needles, and then disinfected them and gave them moxibustion.
Sou! Sou! Sou!
It is still acupuncture points such as Zhongguan, Neiguan, Zusanli, Spleen Yu, and Stomach Yu to get qi, and then the needles are left for 30 minutes with the Pingbu Ping Laxative Method, plus moxa mild acupuncture.
Soon, Xiao Bufan gave the right person moxibustion.
Subsequently, Xiao Bufan also pointed to the rest area on the side and said to the patient Zhang Weiqi: "Okay, you sit next to it and wait for a while, you have to leave the needle for half an hour before you can proceed to the next step of moxibustion treatment." ”
"Oh, okay."
Zhang Weiqi nodded, got up and sat down.
Yu Xiuqin, who was sticking a needle next to her, couldn't help but be stunned for a moment, pointed at Zhang Weiqi and asked Xiao Bufan, "That. Doctor, his illness doesn't seem to be the same as mine, right? Why did you give him the same needle as me? ”
Although Yu Xiuqin didn't know acupuncture, through the conversation between Xiao Bufan and Zhang Weiqi just now, she understood that the other party had to stay for half an hour like herself.
Therefore, Yu Xiuqin's heart was a little confused by Xiao Bufan's treatment method.
After all, she and the other party are not the same disease, how can they be treated in the same way?
Although Yu Xiuqin has no culture, this does not mean that she is stupid!
Xiao Bufan glanced at Yu Xiuqin with a smile, and then explained: "Although the symptoms of the two of you are different, the pathogenesis is similar, so you can use the same method to treat it." ”
"The rules of our TCM treatment are different from those of Western medicine, which only focuses on the different manifestations of diseases, while TCM focuses more on the difference in pathogenesis."
"Different diseases can be treated at the same time, which does not depend on the cause or the symptoms, the key is to identify whether different diseases have a common pathogenesis, as long as the pathogenesis is the same, it is natural that the same method can be used."
Listen to Xiao Bufan's explanation.
Yu Xiuqin felt that she understood every word, but she didn't understand what it meant when she listened to it.
But there seems to be a feeling of uncertainty.
For a while, Yu Xiuqin couldn't help but nod and said, "Okay, although I didn't understand the principle you said by the doctor, I listened to you, the doctor." ”
"I'll go, you still have so much nonsense to listen to the doctor?"
Zhang Weiqi on the side couldn't help but secretly glance at Yu Xiuqin, and immediately felt that this woman had a clear stupidity in his heart.
What treatment do you think a patient is talking to a doctor about?
You know what?
If you know how to see a doctor, do you still need to come to the hospital?
Zhang Weiqi's heart couldn't help but secretly complain a few words, and then closed his eyes and rested.
Originally, he wanted to take out his mobile phone to pass the time, but when he thought that he had so many silver needles on his body and didn't dare to move, he simply closed his eyes and rested, so as not to be upset when he saw the woman next to him.
Yu Xiuqin naturally didn't know that she had been complained about by Zhang Weiqi next to her for a long time, she just stopped talking after asking the doubts in her heart.
Xiao Bufan chuckled and shook his head, returned to his desk and sat down.
You must know that Chinese medicine can look at the relationship between disease and syndrome differentially.
Traditional Chinese medicine not only attaches importance to the fact that the same disease can include several different syndromes, but also attaches importance to the fact that different diseases can have the same syndrome in the process of their development.
Therefore, in clinical treatment, under the guidance of the principle of syndrome differentiation and treatment, it is sometimes possible to adopt the same disease and different treatment, or the method of treating different diseases at the same time.
As the saying goes: "The same treatment is the same, and the different treatment is also different." ”
Of course, in the real clinical treatment process, how and under what circumstances different diseases can be treated at the same time, and under what circumstances the same disease can be treated differently, all depend on the clinical experience of the TCM doctor himself.
"Alright, let's get the next patient in first!"
Xiao Bufan returned to his desk and sat down, and shouted out the door.
Soon, a patient in the back pushed the door and walked in.
Xiao Bufan continued to consult the patients who came later, and did not affect his mentality because of Yu Xiuqin's words.
Half an hour later.
Xiao Bufan had already seen four or five patients, and then he removed the silver needles from Yu Xiuqin's body, and then gave her the next moxibustion treatment.
Moxibustion treatment also takes time.
However, this did not prevent Xiao Bufan from performing moxibustion on another patient, Zhang Weiqi, at the same time.
Wait until the end of the treatment.
Whether it is Yu Xiuqin or Zhang Weiqi, both of them obviously feel that they are much more comfortable, and their abdomen is no longer so painful.
After Xiao Bufan prescribed the prescription for the two of them, he did not forget to instruct: "This acupuncture treatment is a course of treatment for ten days, and in the next ten days, you must come to my side for acupuncture treatment every day in addition to drinking medicine, understand?" ”
"Uh-uh, I see!"
"I get it!"
Zhang Weiqi and Yu Xiuqin couldn't help nodding in response.
Subsequently, Xiao Bufan handed over the prescribed prescription to the two of them, and asked them to go to the registration office to pay for the medicine.
PS: Kneel and beg for a wave of recommendation tickets, monthly passes, and rewards!!
(End of chapter)