As soon as Liu Baizhe left, Lu Xuan was a little irritable for no reason.

He knew that there were some things that he couldn't change.

It is expensive to see a doctor, like a wide river that does not know the geometry, the river is turbulent, and he is just a small stone.

Throw it in, let alone block the surging flood, I'm afraid it won't even make a splash.

It sounds cruel, but the reality is perhaps even more brutal.

He is still just a little doctor in the health center, even if he is a little famous now, what he can see is the suffering in front of him.

Being able to understand a little bit of the darkness that ordinary people can also know.

But is this the darkest?

Lu Xuan put a big question mark in his heart.

If this is the biggest darkness, then this world is relatively happy.

But he knows that it is absolutely not.

If you stand taller, you will see more, and there will be no more light, only less and less.

Thinking of this, Lu Xuan felt a deep sense of powerlessness.

But soon, as the next patient came in, Lu Xuan's face returned to normal.

A woman of about thirty walked in, holding a yellow-skinned little boy in her hand.

After walking into the consultation room, the woman let go of the hand holding the child, put the registration slip and the child's medical record book in her hand directly in front of Lu Xuan, and greeted softly: "Hello, Doctor Lu." ”

"Hello." Lu Xuan nodded towards the other party and said with a smile.

"Is it the child's discomfort, or is it ......"

"Kid."

"What's wrong with the kids?"

Wu Xiaoyan hugged her son on her lap and sat down, and then showed a helpless look on her face: "The children now are too difficult to raise, and they get sick at both ends in three days, and we didn't have this at that time." ”

Lu Xuan smiled noncommittally.

This is not unreasonable, the previous children were indeed not so easy to get sick, after all, there are many free-rangers, and now, most of the family conditions are good, and there is only one child in the family, so they are naturally cared for as a baby.

Holding it in your hand for fear of getting hot, and holding it in your mouth for fear of melting.

Not hot, not cold.

Every winter, the Women's and Children's Hospital is the busiest.

Of course, it's not idle.

The improvement of material conditions not only makes the children's physique better, but also makes their resistance much worse.

Wu Xiaoyan pointed to the child on her lap and continued: "Especially my family, I feel that he grew up taking medicine since he was a child, either sick or on the way to illness, sometimes I think, why am I giving birth to such a thing!" It's just asking for trouble for yourself, and now that I'm born, I can't bear to ignore it. ”

After speaking, there was another wave of helplessness.

After a little complaint, Wu Xiaoyan talked about the child's situation.

Lu Xuan was diagnosing the pulse and looking at the tongue while quietly listening to Wu Xiaoyan tell about the child's recent situation.

Wu Xiaoyan's child is three years old this year, and recently, he has a fever at about 3 o'clock in the afternoon, sweating profusely, and his mental state is also very poor, as if he hasn't stayed up for a few days and nights.

I don't have much desire to eat every day, and I don't even want to eat.

I have a stool every day, but every time it is very dry and hard like a stone.

Lu Xuan set his eyes on the child.

The child may be relatively timid, and when he was stared at by Lu Xuan, he shrank into Wu Xiaoyan's arms with some fear.

Wu Xiaoyan comforted: "It's okay, don't be afraid of Tangyuan, Uncle Lu is not a bad person." ”

Not to mention the yellow muscles and thin face of the rice balls, the hair is even more dry and sparse, even on Wu Xiaoyan's body, she is restless, moving around.

"Doctor Lu, what's going on with my dumplings?"

Although Lu Xuan already had some judgments in his heart, he still said with a smile:

"Pick up the child's clothes, and I'll look at the belly."

"Oh, okay."

Wu Xiaoyan cooperated with the short sleeves of the rice balls, and the rice balls looked thin, but the abdomen was swollen and the green tendons were exposed.

Lu Xuan lightly pressed his stomach, then withdrew his hand, frowning slightly.

Accumulation?

Lu Xuan felt the pulse of the rice balls again, and the pulse was counted.

Thin veins, the veins come like threads, thin straight and soft. The main deficiency is strained, especially the main yin deficiency and blood deficiency.

Or seen in the internal resistance of water and dampness, under normal circumstances, the weakness is blood deficiency, and the fine number is yin deficiency.

These causes may be due to volume depletion, decreased vascular filling, resulting in vasoconstriction and thin pulses.

And the damp evil suppresses the veins, and the veins can also be seen, but they must be thin and powerful.

Thin veins may also be seen in anemia, late febrile venereal disease, or chronic wasting disease.

And the number of pulses, the pulses come quickly, one breath five to more. It is mainly seen in the heat syndrome, including the whole process of some fever venereal diseases.

However, the number of children's pulses is already fast, and Tang Yuan is only three years old, so counting the pulses does not explain too many problems.

The only thing that can know something is the fine vein.

Coupled with the results obtained from the consultation, Lu Xuan already had an accurate judgment in his heart.

However, even so, Lu Xuan still asked: "When did this situation start when tangyuan appeared?" ”

Wu Xiaoyan thought for a while and said: "It seems to be the Mid-Autumn Festival last year, yes, after the Mid-Autumn Festival last year, Tang Yuan suddenly said that his stomach was swollen, and Tang Yuan ate a lot of moon cakes at that time, thinking that it was just a little too much, so we didn't care, but I didn't expect that later, the situation was getting more and more serious."

I went to the hospital for an examination, but I couldn't find a reason, during this time, watching the child lose weight day by day, and sleep unsteadily at night, adults were about to be boiled to death by him.

The point is that the resistance is getting worse and worse, and I get sick at every turn, last winter, I either coughed or was on the way to cough, and I had a fever as soon as I coughed, and I could only be pressed down by injections, but it didn't take long for me to cough with bronchitis.

In desperation, I heard that you were sitting in the health center, and I thought I would take him over to have a look.

Dr. Lu, what is the disease of my glutinous rice balls? ”

Hearing this, Lu Xuan felt that his judgment was not wrong, so he looked at Wu Xiaoyan and said, "The child should have eaten too many mooncakes in the Mid-Autumn Festival last year, and there was a serious accumulation. ”

"Accumulation?" Wu Xiaoyan frowned lightly.

"It's what we often call food accumulation." Lu Xuan explained.

Wu Xiaoyan then understood, but then asked with doubts: "Doctor Lu, is the food accumulation so serious?" ”

"Pediatric chancre accumulation is a situation that many children will have, some children have milder symptoms, harmless, and some symptoms are more serious, like the current situation of Tangyuan, which is undoubtedly very serious."

"Don't give your child too much to eat, there is an old saying that if you want your child to be well, you must be cold and full."

Speaking of this, Lu Xuan also became serious: "The child is only three years old, how big can he have a stomach?" Eating so many moon cakes at once, in other words, adults have to eat it, children are not sensible, are adults not sensible? Let the children come to the nonsense? ”

"Doctor Lu, I didn't know that eating more mooncakes would be so serious, if I knew, I would definitely not eat so many rice balls." Wu Xiaoyan patted her thigh and said with a look of regret.

"Doctor Lu, don't worry, I will remember it in the future."

Lu Xuan patiently explained: "The child's physical development is not complete, and eating a little more will easily cause spleen and stomach deficiency, and the loss of luck. ”

In the concept of traditional Chinese medicine, there are two different solutions to the word "chancre", one is the meaning of "chancre", which usually refers to children's appetite for fat and sweetness, damage to the spleen and stomach, and gradually become "chancre" over time, and the other is to say that there is the meaning of "dry", and most of the spleen and stomach fluid are dry.

The former is the cause, the latter is the pathology.

Therefore, the syndrome of chancre in traditional Chinese medicine refers to the child's spleen and stomach deficiency, and the fluid is dry, resulting in haggard fur, thin muscles, thinning hair, twisted hair, and hot flashes in the afternoon; At the same time, it also has many symptoms such as muddy urine such as rice swill, large abdominal green tendons, umbilical protrusion and tooth dew, shrinking cheeks and dry nose, erosion of both eyes, rubbing nose and picking ears, rubbing teeth and biting nails.

In the view of traditional Chinese medicine, chancre accumulation is a chronic debilitating disease, and it is also the result of the transformation and transformation of various diseases.

Therefore, the ancients had a saying that "over fifteen years old is tuberculosis, and under fifteen years old is chancre".

Therefore, chancre syndrome also includes food accumulation, insect accumulation, injury and food, tuberculosis, calcium deficiency, anemia, liver disease, etc.

In short, pediatric chancre accumulation is related to spleen and stomach deficiency and fluid dissipation.

However, there is an essential difference between adult tuberculosis and pediatric scrofula, and the mechanism of the two is different, and the treatment is different.

There are many reasons for the accumulation of chancre syndrome, but in general, it can be summarized into two points:

One is the craving for fatty and sweet food, the food is too miscellaneous, not easy to digest, or the diet is unclean, born of insects, so as to damage the spleen and stomach, accumulate for a long time and generate internal heat, the internal heat is full of yin, the spleen and stomach fluid is damaged, the muscles are becoming more and more emaciated, the abdomen is increasingly distended, and then it becomes a chancre.

The second is that the use of drugs is too much, the spleen and yin are damaged, the internal heat is generated due to the injury, the medium coke gas machine is unlucky, and the worms accumulate turbidity, gradually causing the body to be emaciated, the abdomen is swollen, and the green tendons are exposed.

All in all, chancre accumulation is a disease of the spleen and stomach, and its pathology lies in "dead fluid" and "internal heat".

The case of glutinous rice balls is a typical accumulation of spleen damage.

"Chronic disease?"

When Wu Xiaoyan heard this, she was also a little nervous: "Then what should I do?" ”

"It's not difficult to cure the chancre accumulation, it's just ......"

Speaking of this, Lu Xuan paused, and then continued: "It's just that after you go back, you must not give your child something too difficult to digest, and you can't eat too much at every meal, just moderate amounts, children don't eat too much to grow, if they eat too much, they will not grow, not only will they not grow, but they will be malnourished and even stop growing." ”

"I'll prescribe you a side medicine, take it for a week, and then focus on diet and recuperation, and take some Four Gentlemen soup appropriately."

"Ah, thank you, Dr. Lu, thank you so much." Wu Xiaoyan hurriedly thanked her.

Lu Xuan buried his head in writing down the prescription, and then raised his head and said: "Fangzhong Sanleng, Curcuma, Qingpi, Jade Tablets, Jiao Hawthorn, and Chicken Inner Gold have the ability to eliminate food and stagnation, and Coptis chinensis, Coptis chinensis, Aloe vera, and soap alum clear heat and remove annoyance, so that Jun meat kills insects, incense is attached to qi, and grass and stomach are wide.

The combination of various medicines makes the accumulation of the stomach and intestines clear, and the function of the spleen can be healthy, and the movement is normal, and the rise and fall are free. ”

After speaking, he instructed: "Three doses of medicine, decoction with water, three times a day, after the medicine is eaten, the problem should not be big, but you still need to pay attention to your diet when taking medicine, you should not be too full, and you will come back for a follow-up visit." ”

"Okay, I remember."

Wu Xiaoyan nodded heavily.

Lu Xuan didn't say much, and gave the medical record to Su Kenan: "Enter it into the system, I'll grab the medicine." ”

"Doctor Lu, why don't I go grab the medicine, this foot can walk." Su Kenan got up and was about to go to the Chinese medicine pharmacy.

However, he was pressed back by Lu Xuan: "Let's do it, it will take you at least half a month to walk, and I am familiar with the Chinese medicine pharmacy, so the efficiency of catching medicine is higher." ”

Unable to resist Lu Xuan, Su Kenan could only sit down again, carefully took the medical record book of the rice balls, entered the prescription into the system, and then generated a paid list and handed it to Wu Xiaoyan.

Click, next.

Before Wu Xiaoyan left, the patients in line behind her walked in.

Seeing that there were still people inside, I couldn't help but be stunned for a moment.

Wu Xiaoyan pulled the rice balls to get up and waited on the side.

Su Kenan whispered: "Doctor Lu went to grab the medicine, and it will be fine immediately." ”

"It's okay, I'm not in a hurry." The new patient responded with a smile, and then nodded to Wu Xiaoyan before sitting down.

It didn't take long for Lu Xuan to walk out of the Chinese medicine pharmacy with the medicine.

Wu Xiaoyan took the medicine and thanked her before leaving the consultation room.

Lu Xuan looked at the patients outside and began to speed up.

For the next patient, he didn't let Su Kenan try again.

On the one hand, there is not so much time, and there are still many patients waiting outside, if every patient asks Su Kenan to try it too, he may not be able to finish it in two or three days.

On the other hand, if you talk too much, Su Kenan may not remember it, and it may be counterproductive when the time comes.

Rather than being disorganized, it might be better to say that one, and it might work better.

Since he didn't have to explain too much pathology to Su Kenan, the speed was much faster.

However, at noon, it was still a meal brought by the uncle.

Seeing a doctor while eating is probably the only one in the entire Yongcheng medical community.

But this is also something that can't be helped, there are too many patients in the morning, and you will definitely not be able to finish it without working overtime.

However, for Lu Xuan, it is pain and happiness.

For now, he is full of motivation, if it weren't for the fact that there weren't enough people, he even wanted Hu Meiqiao to let go of the registration, see him hundreds of people a day, accumulate experience as quickly as possible, and get out of the school as soon as possible, so that most of the diseases do not need to rely on their hearts, but they can accurately distinguish the syndrome and prescribe prescriptions.

He didn't know when his magical ability to gain a voice would disappear, and the only thing he could do now was to accumulate clinical experience as much as possible while his ability was still there.

Generally, the attending TCM physician basically sits in for three days a week, and it is not necessarily all day, sometimes it is just a morning or an afternoon.

When you count it up, it could be a full two days.

Chief TCM physician may spend less time in the clinic.

According to this conversion, when Lu Xuan finishes a week, it is at least more than 2 times that of the general attending TCM physician, plus Lu Xuan's overtime at noon, that is three times.

It can be said that if he sits in the clinic for one year according to this situation, he is equivalent to accumulating three times more clinical experience than ordinary TCM practitioners.

Coupled with the precise guidance of a group of teachers, this time has to be multiplied several times.

In three or five years, he may not be worse than any famous doctor, or even stronger.