Chapter 34: Hiccup
drove Xu Wenzhi away, and Lu Xuan felt that his ears were finally a lot clearer.
The patient is in a good mood, which is conducive to treatment.
At this point, Lu Xuan still felt relieved.
Otherwise, in Xu Wenzhi's situation, if he is in a bad mood, it will only make his condition worse.
But when he met such a self-cooked patient with the attributes of a social cow, Lu Xuan also felt a headache.
From the moment Xu Wenzhi entered the consultation room, his ears never stopped.
It's like there's a fly that's buzzing in your ears all the time.
If he hadn't known that this was due to Xu Wenzhi's character, he would have driven people out a long time ago.
glanced at the computer screen again, and the dense registration information behind it gave Lu Xuan a headache.
Who would have thought that two days ago, I was worried about not having a patient, but now I am caught in too many troubles of patients.
The main reason is that he is too inefficient alone, and he does everything by himself, so the speed of seeing a doctor is naturally not fast.
"Ginger is still old and spicy!"
Lu Xuan sighed, a few days ago, Hu Meiqiao said that he would be given an assistant, and he didn't think he needed it, but now he realized that the dean had already thought of today's situation and wanted to take precautions.
However, even if they were prepared, they did not catch up.
The speed of recruiting people is obviously not so fast, and in the short term, he still has to support the Chinese medicine department by himself.
As for the rest of the people in the health center, none of them are from traditional Chinese medicine, not even those who studied traditional Chinese medicine, and they have come to be assistants, so I am afraid that they will not even be able to grasp medicine, and they will be more and more helpful when the time comes.
It's nothing if the amount of medicine is too much or too little, and it's terrifying to catch the wrong medicine.
Not only will it not cure the disease, but it will aggravate it.
It was precisely with these in mind that Lu Xuan didn't dare to think about the idea of letting other people in the courtyard help.
It's better to be busy and tired by yourself than to have an accident.
It may be a little slower to be alone, but it is better to be at ease, and you don't have to worry about catching the wrong medicine.
"Whew!"
Taking a deep breath, Lu Xuan took a short rest, and then began to operate the calling system on the computer again.
"Next."
"Number 18."
β¦β¦
"Number 23."
"Number 27."
It wasn't until half past eleven that Lu Xuan finally finished reading more than half of the registered patients in the morning.
Wang Youqing walked to the door of the Chinese medicine department, and didn't say that Lu Xuan should go to eat first, but shouted inside: "Xiao Lu, what do you say?" β
Lu Xuan was giving people a signal, and when he heard the shouting, he looked up, only to realize that it was time to eat.
The patients who had been waiting at the door all morning, when they saw Wang Youqing running over, they all became nervous, looking at Wang Youqing like a tiger.
If Dr. Lu had gone to dinner, they would have waited in vain this morning.
Even if you come in the afternoon, you have to wait a lot.
When Lu Xuan first went to college, his mother was not in good health, so he took him to the hospital to see a doctor, because the temporary registration number was relatively late, and by the time they arrived, the doctor had already gone to eat after work, saying that he would come back in the afternoon, so that the group of people in the back waited stupidly all morning.
With that experience, even if he knew that everyone might be close to one o'clock in the afternoon after reading the morning, Lu Xuan had to bite the bullet and say: "Uncle, you can help me pack and bring a meal up, I will eat and watch it for a while, without delay, I can't run to eat, let everyone wait here." β
Lu Xuan's words immediately aroused the resonance and infinite goodwill of many people.
As a patient, what are you most afraid of after waiting all morning, especially when it is time to get off work and eat?
Isn't it just that the doctor left them and ran to eat by himself?
Aren't you just worried that your morning time is wasted here?
They can tolerate Lu Xuan's slow watching alone, and the efficiency is not high, but they absolutely can't stand it, and they are abandoned.
But Lu Xuan didn't.
He didn't give up on everyone and ran to eat by himself.
Even, after Lu Xuan asked Wang Youqing to bring a meal, he also reminded the patients in the back: "If the number is at the back, you can go to the opposite side to eat something first, I will definitely not be able to be fast alone, and when you come back after eating, it will almost be you." β
"People are iron, rice is steel, and if you don't eat a meal, you will be hungry."
Hearing this, for a while, the eyes of many patients turned red.
At this moment, Lu Xuan's image in their hearts suddenly became taller.
Several patients who sought medical treatment even turned on their mobile phones, took pictures of Lu Xuan, accompanied them with copywriting, and posted them on the Internet.
"This is the sincerity of the great doctor!"
Wang Youqing glanced at Lu Xuan deeply, his expression complicated.
He didn't expect Lu Xuan to say this.
When it's time to get off work, leave work on time.
When it was time to eat, he went directly to eat, he had seen a lot of this situation when he was in the Ninth Hospital before, and many doctors were scolded by patients, but in the end, it was over.
This situation is common in every hospital.
The law does not blame the public, there are many such black sheep, and the hospital is not easy to say.
But in the end?
It is not only the hospital that is affected, but also the image of the doctor in the minds of the patients.
In recent years, Western medicine has taken the lead, but it has also been criticized.
When he first came to call Lu Xuan, he thought that Lu Xuan would put down his work and abandon the remaining patients to eat directly, but he didn't expect that Lu Xuan made an unexpected and reasonable decision.
"Okay, I'll bring it to you later."
After speaking, Wang Youqing turned around and left.
"We continue to see doctors."
Lu Xuan sat down again, and the others did not surround the door, but consciously walked to the seat next to him and sat down, waiting quietly.
When Lu Xuan sat down, a middle-aged man in his thirties walked in, and the moment he saw Lu Xuan, he sat down, a little excited: "Doctor Lu, you have changed my view of doctors' paranoia. β
Lu Xuan looked at the other party inexplicably.
"My name is Zhou Binghyuk."
Zhou Binghe introduced himself, and then continued: "Actually, I have been sick for more than five years, I have been to many hospitals, and I have seen many doctors, to be honest, I want to give up, not because it is not cured, but because some doctors have an attitude towards patients, so I really lost trust in doctors."
Did you know? Just last week, I went back to my hometown, thinking that I had nothing to do and went to the hospital in my hometown to register for a doctor, because I went temporarily, the number was very late, and the time for dinner came, and the doctor stopped the clinic directly, telling me to come again in the afternoon, but in the afternoon, the hospital held a meeting, and the doctor was not there.
To be honest, tired.
My wife listened to you and asked me to take a look, I didn't want to come, I was really disappointed in the doctor, seeing you, and listening to what you just said, I knew that there are still good doctors in this world, but I was unlucky before, I didn't meet it. β
After speaking, Zhou Binghe looked solemn: "Doctor Lu, thank you, thank you for giving me a new perspective on doctors." β
Lu Xuan listened quietly, and when Zhou Binghe finished speaking, he said with a smile: "Actually, I have had the same experience as you before, just push myself and others." There are rat feces in any industry, and they are all black sheep, don't give up on yourself because some people are irresponsible, and don't torture yourself because of other people's mistakes. β
Zhou Binghe was in awe: "Thank you, Dr. Lu, I understand." β
Lu Xuan nodded, and then asked, "Tell me about your condition first." β
Zhou Binghe did not hesitate and told them one by one.
Even some of the tests that had been done before were taken out.
Lu Xuan looked at it in detail for a while, and he already had the answer in his heart.
Hiccup.
This is what Western medicine often calls reflux esophagitis.
The symptoms of omeprazole and mosapride were relieved a lot, but after stopping the drug, they recurred, and then they went to many hospitals, and there was no improvement, and the condition was sometimes mild and sometimes severe, and it was also accompanied by chronic non-atrophic gastritis.
The main symptoms are heartburn, acid reflux, hiccups, bad taste in the mouth, poor appetite, sleep, and stool once a day.
Knowing the condition, Lu Xuan took the pulse again and glanced at Zhou Binghe's tongue.
"The tongue is red, yellow and greasy, with teeth marks on the edges, and the pulse is slippery."
Lu Xuan muttered in a low voice.
Slippery pulse means that there is both a sinking pulse and a slippery pulse, and the main symptom of the sinking pulse is generally manifested as a disease of the internal organs, and the slippery pulse is generally manifested as phlegm drinking, food accumulation, and real heat.
With his own judgment, Lu Xuan calmed down again and stole his voice.
γReflux esophagitis?γ This is the name of Western medicine, as far as traditional Chinese medicine is concerned, in addition to "spitting acid", it can be classified into the category of "stomach ruffian", "chest paralysis", "stomach pain" and other diseases, and the treatment of this disease is often treated from the liver. γ
Treat from the liver?
Lu Xuan frowned, a little unclear.
Fortunately, the next explanation quickly reminded him of some of the things he had memorized.
["Su Wen Xuanji Original Disease Formula: Spitting Acid" said: "The sour, the taste of liver wood is also, gold is made from fire, and if you can't level wood, then the liver wood is very self-sufficient, so it is sour." Zhu Danxi Yiyun: "Those who swallow acid, the dampness and heat accumulate in the liver, and come out of the lungs and stomach. β
The pathological mechanism of the patient's "vomiting acid" lies in the disharmony of the liver and stomach, the upward disturbance of liver qi, obstruction in the throat and thoracic septum, and depression turns heat from yang to acid.
No depression is not acid, all kinds of stagnation, qi depression is the first, so the first treatment is to soothe the liver, and the second is wide. γ
Hearing this, Lu Xuan's eyes lit up and he suddenly realized.
The magic of Chinese medicine is here, especially for a master's degree in Chinese medicine like him, who often only needs some tips to be able to understand it.
And this point is particularly important.
That's the experience.
When it comes to soothing the liver, Lu Xuan doesn't say that he has memorized it backwards, but he knows a little bit.
To soothe the liver, to regulate qi first, to strengthen the spleen in the wide, always based on the "pass" method.
The liver is mainly drained, and the qi is regulated, which can promote the movement of the spleen and stomach.
Therefore, it is often started from the liver and stomach, and the qi is regulated and depressed to clear the intestines, and the passage is smooth.
When I was in school before, I always heard from my tutor about how important clinical experience in Chinese medicine was, but before I came into contact with it, Lu Xuan didn't feel too much, and always felt that even if he didn't have clinical experience, he could distinguish between syndromes and prescribe prescriptions based on what he had learned.
It was only when he came into contact with patients that Lu Xuan knew the importance of clinical experience.
And at this moment, this remote explanation let Lu Xuan know the importance of having a good teacher.
Why do many students who graduate from the University of Chinese Medicine always want to run to a big hospital?
Isn't it because some powerful Chinese medicine practitioners have been snare by big hospitals?
If you want someone to give you advice, you can only go to a big hospital.
Lu Xuan can be regarded as smoking from the ancestral tomb, and the eighteenth generation of the ancestor has appeared, so he has opened the bug of being able to eavesdrop on the voice of traditional Chinese medicine.
Otherwise, he is a recent graduate, and I am afraid that he will have to mix in the health center for the rest of his life.
[Liver qi stagnation, accumulation of heat, transverse rebellion against the stomach, so heartburn, acid reflux; Stomach loss and decline, stomach qi is reversed, so there is a peculiar smell in the mouth; Dampness traps the spleen, the spleen loses its health, so the appetite is poor. The pathological factors of this disease are mainly qi stagnation, spleen deficiency, and dampness, depression and blood stasis are closely followed.
During treatment, the first thing to do is to relieve the liver and relieve the capital to solve the urgent need. Among them, Bupleurum, citron, bergamot soothes the liver and stomach, and dissipates qi depression.
In addition, the spleen is strengthened and the spleen is widened, which is the foundation of curing diseases.
Perilla strengthens the spleen and dispels dampness, magnolia bark and accumulation reduce stomach qi and lower qi accumulation, Jiao hawthorn, Jiao Shenqu, tangerine peel, chicken inner gold, etc.
Yin Chen, Scutellaria baicalensis, Coptis chinensis clears heat and dampness; Zhejiang fritillary, sea clam, raw gypsum, corrugated powder symptomatic treatment to suppress acid and clear stomach fire. γ
Lu Xuan listened while writing down the prescription in the medical record book provided by Zhou Binghe. (The prescription dosage or something is put in the words of the writer, and it does not account for the number of words)
"Doctor Lu, can I cure this disease?"
Seeing that Lu Xuan finished writing the prescription, Zhou Binghe couldn't help but ask.
"It can be cured."
Lu Xuan nodded, and changed his words: "If it's just simple reflux, it's not difficult, but you still have chronic non-atrophic gastritis, and if you want to be completely cured, it may take a bit long, and if you want to be completely cured, it depends on whether the symptoms exist after taking the medicine." β
Hearing that it could be cured, Zhou Binghe breathed a sigh of relief slightly: "It doesn't matter if it takes a long time, I have also seen a lot of traditional Chinese medicine, and it will take a long time to treat the root cause of traditional Chinese medicine." β
"I'm relieved that you think so."
Lu Xuan said with a smile.
The reason why traditional Chinese medicine is slowly lonely, there are signs of its rise in recent years, it is nothing more than a slow effect, and patients give up when they can't see the curative effect in a short period of time, and turn their heads and throw themselves into the arms of Western medicine.
Over time, there are fewer and fewer people who see Chinese medicine.
"You sit down first, I'll grab the medicine."
Dropping a sentence, Lu Xuan got up and walked into the Chinese medicine pharmacy again.
He didn't know how many times he had come to the pharmacy.
When grabbing the medicine, Lu Xuan was thinking that the reason why Zhou Binghe's condition was much worse during this period of time was that in addition to not taking the right medicine, it also had a great impact on the doctor's paranoia and resentment.
Liver Qi stagnation must be a stomach offense.
This is also the fundamental reason why many diseases are not cured by Western medicine, which can be relieved by taking medicine, and will come back immediately if you don't take medicine.
Zhou Binghe has acid reflux, and he prescribes drugs such as omeprazole and acid production, which can only relieve symptoms and cannot fundamentally solve the problem, so it will naturally occur when the drug is stopped.
Zhou Binghe took the medicine and left, but Lu Xuan didn't have the time to be idle and continued to see a doctor.
In the morning, Lu Xuan was almost so busy that he was overwhelmed, and his lunch was eaten while eating in the consultation room, and the afternoon number was not over until seven o'clock in the evening.
When the last patient left the TCM department with the medicine, Lu Xuan stretched his waist and got up to move his muscles and bones.
After sitting for a day, my ass was already numb.
At this moment, Wang Youqing walked in, "How do you feel?" β
"Tired."
Lu Xuan looked at the other party: "But ...... It's fulfilling. β
It was more fulfilling than ever, and in one day, he felt like he had learned more than he had learned in a year at school.
The point is that the feeling of applying what you have learned is refreshing.
It's so cool that it bursts.