"Lu Xuan, I shouted my father-in-law, if you don't teach me, I have to fight with you."

When Lu Xuan had already walked into the TCM clinic, Ji Xiuwen's low shout of "shameless" was faintly heard in his ears.

Shaking his head helplessly, Lu Xuan came to the consultation room and sat down.

I vaguely remember that when they were in school, the two of them still joked, if one day anyone was willing to call them real skills, even if they called their father-in-law, they didn't expect Ji Xiuwen to really shout.

Although it is just a joke between friends, to a certain extent, it can also be seen that Ji Xiuwen is eager for clinical experience.

If he didn't really want to learn, even if it was just a joke, Ji Xiuwen wouldn't have really shouted.

"What's going on out there?"

Su Kenan asked curiously.

The movement from the laboratory just now was not small, but because she ran to grab medicine for the patient, coupled with the inconvenience of her legs and feet, she didn't like to join in the excitement, so she didn't go over to take a look.

But vaguely, hearing many people praising Lu Xuan, she still couldn't help but ask.

Lu Xuan glanced at her in surprise, with Su Kenan's temperament, no matter how curious he was, there was a high probability that he would not ask.

The sun is coming out in the west today?

Lu Xuan subconsciously looked back, it was normal to rise in the east!

"It's not a big deal, it's just a little child who fell off the blood drawing table, caused a concussion and fell into a coma, gave her acupuncture, and now it's better." Lu Xuan said calmly.

A flash of brilliance flashed in Su Kenan's watery eyes, and he was cured of a concussion coma with just acupuncture?

Although she has not had much contact with acupuncture, she also knows that acupuncture is easy to learn and difficult to master.

Ordinary people can learn by themselves at home, anyway, they can not prick the patient can also prick themselves, first start from the simplest and will not cause harm to the human body Those acupuncture points, it is not difficult to learn something.

But if it is said that acupuncture is used to treat some incurable diseases, even emergencies, it is not something that ordinary people can master.

I thought that Lu Xuan was only accomplished in TCM internal medicine and orthopedics, but he didn't expect that he could even do acupuncture.

You must know that this kind of relatively comprehensive TCM practitioner is actually very rare now.

Most TCM practitioners are basically the same.

Either he is good at traditional Chinese medicine internal medicine, that is, he prescribes prescriptions for pulse differentiation and syndrome differentiation, or he is orthopedic or acupuncture and cupping, and there are few all-rounders.

Unlike ancient Chinese medicine, whether it is Chinese medicine internal medicine, orthopedics, or acupuncture, cupping, etc., they are all extremely proficient.

It is conceivable how much Lu Xuan, who is almost omnipotent, shocked her.

"How can he be so casual as he said, in that case, the average Chinese medicine practitioner, even if he knows acupuncture, is afraid that he will not dare to give the needle easily."

At this moment, Ji Xiuwen walked in from the door and said with a smile: "This guy has good skills, but he is also bold, two-year-old children dare to take the needle easily, anyway, I definitely don't dare." ”

After speaking, he gave Lu Xuan a look, don't forget that I have called my father-in-law, don't forget the things I promised.

Lu Xuan rolled his eyes and turned his head to look at Su Kenan: "Kenan, continue to call the number." ”

Su Kenan conscientiously carried out the task assigned by Lu Xuan.

Ji Xiuwen didn't care, anyway, he was entangled with Lu Xuan.

Acupuncture is a skill that he has to learn to do.

Not to mention the rest, if you can learn acupuncture thoroughly, you can eat everywhere.

Even if you don't go to the hospital, you don't have to open a clinic by yourself.

When Ji Xiuwen was thinking about this, it was a very polite patient who was called, knocked on the door, and waited for Lu Xuan to raise his head before walking in.

"Dr. Lu."

Chen Yunyun politely greeted Lu Xuan, and then sat down.

Lu Xuan glanced at the other party, and had already judged the other party's situation in his heart, but he still asked politely: "Ms. Chen, are you uncomfortable?" ”

"Dr. Lu, I have been suffering from vitiligo for many years, I have been to the hospital, I have taken a lot of medicines, I have also applied a lot of medicines, not to mention the money I have spent, but the vitiligo on this body has not been very good, and it is getting more and more serious."

Chen Yunyun took off the sunscreen he was wearing, revealing the white marks on his arms.

Chen Yunyun's skin lesions are local depigmented spots, milky white, ranging in size from 1~2cm to 10 cm. The boundaries of vitiligo are clear, and some of the margins have increased pigment, and some vitiligo shows residual normal skin islets. The hair in the leukoplakia may also be completely white, and the mucosal area may also be affected.

At the onset of this disease, it is mostly one or several patches of hypopigmented spots, and the pigment does not completely disappear, so it can be clearly demarcated from normal skin, and some of them begin to develop and expand as punctate hypopigmented spots, and the skin lesions gradually develop and expand, and the pigment is completely lost, which can be fused with each other, and the boundary with normal skin is gradually clear.

The development of skin lesions alternates with quiescence, with some patients having significant seasonality, some patients confined to certain areas for a longer period of time, and others developing rapidly and quickly affecting the whole body.

Chen Yunyun's condition is not bad, but it is on his face and limbs, and it does not affect his whole body.

But at the current rate of development, it is only a matter of time before it affects the whole body.

This is an absolutely terrifying thing for a woman.

"I can still wear clothes on my limbs to block it, but I really don't know what to do with this face, and people will always look at me strangely when I go out."

Speaking of this, Chen Yunyun couldn't help but sigh.

Although she also knows that the people who look at her don't mean it, she often warns herself not to care about other people's eyes.

But as a woman in her thirties, how can she not care about this?

Moreover, Chen Yunyun actually looks not bad, although the skin is a little darker, but the appearance is very good, and the skin is actually very healthy except for vitiligo, although it is not very beautiful, but it is definitely not ugly, she is the kind of woman who is very attractive.

But now, these white spots have grown on his face, which can be imagined and sad.

Lu Xuan can also understand this situation, let alone a woman, even a man can hardly say that he doesn't care.

There's no one who doesn't love beauty.

Just like Chen Yunyun said, on her arm, she can wear clothes to block it, but how to block it on her face?

Seeing that Lu Xuan didn't speak, Chen Yunyun asked, "Doctor Lu, can I take Chinese medicine to cure this situation?" ”

Lu Xuan groaned: "I'll take a look first." ”

The pathogenesis and etiology of vitiligo are still unclear, but modern medicine generally believes that the onset of vitiligo is an individual with genetic qualities, which is manifested as disorders of immune function, nervous, psychiatric, endocrine, metabolic function and other aspects under the stimulation of a variety of internal and external factors, resulting in the inhibition of the enzyme system or the destruction of melanocytes or the formation of melanosomes or the process of melanosis, and finally depigmentation.

Psychiatric and neurochemical factors may play an important role in the pathogenesis. According to clinical observation, mental factors and trauma are the main predisposing factors of vitiligo, and summer is the most common season for vitiligo.

Chen Yunyun's vitiligo also became more and more serious at this time, and many of the spots were new.

In traditional Chinese medicine, vitiligo is called "vitiligo", "white barge", and "white barge".

In the "Treatise on the Origin and Syndrome of Diseases", there is a record that "vitiligo, the flesh color of the face and neck becomes white, which is different from the flesh color, and it is not itchy and painful, which is called vitiligo". "The Song Dynasty's "Shengji General Record" is also cloudy"...... The mild ones only have white spots, and the heavy ones have white spots after a few months...... The hair also changes, and it is not bad all year round. ”

Traditional Chinese medicine believes that emotional internal injuries can cause stagnation of liver qi, poor qi and qi, and the recurrence of wind and evil pulses on the skin, resulting in disharmony of qi and blood, blood cannot nourish the skin, and over time the liver qi is reversed and the spleen is committed, resulting in liver and spleen disharmony, and rheumatism is blocked in the veins; The liver and kidney are homologous, the liver is deficient and the kidney is deficient, Wei Rong has no chance to reach smoothly, and the skin and fur are not nourished and cause disease.

Lu Xuan doesn't know much about skin diseases, and that's probably all he can remember.

However, fortunately, there are some things that someone points out, otherwise in this case, Lu Xuan is afraid that he will also have a headache.

After listening to it for a while, Lu Xuan suddenly realized.

In the concept of traditional Chinese medicine, vitiligo syndrome types are divided into six types: qi and blood disharmony, dampness and heat accumulation, liver stagnation and qi stagnation, liver and kidney insufficiency, spleen and kidney yang deficiency, and meridian blockage, and the symptoms and characteristics of different syndrome types are also different.

For example, the disharmony of qi and blood, generally white spots are light in color, blurred at the edges, and the development is relatively slow, showing the characteristics of light tongue and thin pulse, etc., and the treatment method is mainly to nourish blood and soothe wind, neutralize qi and blood.

Chen Yunyun's case belongs to acral vitiligo, which mostly occurs on the face and extremities, and according to the positioning of the viscera in traditional Chinese medicine, the disease location should be in the heart and spleen.

Because the main blood of the heart, its bloom in the face, the spleen and the limbs, are the source of qi and blood biochemistry, the weakness of the heart, spleen, qi and blood will inevitably affect the meridians and blood imbalance of the main parts, and then cause changes in local skin color and the formation of skin white spots, which is also the main type of vitiligo lesions, so in the treatment, the heart and spleen should be mainly tonified.

Lu Xuan pondered for a while, and wrote down the prescription in Chen Yunyun's medical record book: raw astragalus 15g, Polygonum multiflorum 30g, nightshade 10g, white peony 20g, ligustrum 10g, angelica sinensis 10g, safflower 10g, ink early lotus 15g, black sesame 20g, parsnip 10g.

Then it was handed over to Su Kenan to register in the system.

After Chen Yunyun went out with the charging slip, while Ji Xiuwen hadn't gotten up for a while, Lu Xuan explained: "There are too many patients, I will let you try it yourself according to the situation, there are some things, you can't remember them if you talk too much." ”

Ji Xiuwen was stunned for a moment, got up and smiled: "You don't have to tell me so clearly, I know." ”

If every patient is really explained to them clearly, let them try, I am afraid that it will be enough to see more than a dozen patients a day, and even if there are some incurable diseases, there may be less than ten.

Lu Xuan naturally couldn't let them try them one by one.

Moreover, one or two Ji Xiuwen a day is very satisfying.

I went to a big hospital and worked as an assistant to other doctors, and on average, I don't know if I can have one a day.

Even if there is, it is impossible for Lu Xuan to speak carefully.

Lu Xuan smiled: "Actually, you can think about it in the past two days, while studying systematically, you can specialize in a certain type of disease, just like Su Kenan, she is more interested in gynecological diseases." ”

When it comes to gynecological diseases, Su Kenan's fair face is visibly red.

Ji Xiuwen didn't pay attention to these, but stood in place and thought about it, then nodded and said, "Okay, I'll think about it for the next two days." ”

He actually wants to learn all the subjects, but he also has self-knowledge, with his talent, he wants to learn all the diseases thoroughly, it takes too long, and because the learning is too complicated, there may be a situation where he knows everything a little, but he is not proficient.

In other respects, this situation is fine, but Chinese medicine is not.

Instead of knowing everything, it's better to specialize a little.

As for why Lu Xuan knew it, and he looked very proficient, Ji Xiuwen could only scold a pervert in his heart, and then walked into the Chinese medicine pharmacy with the charge sheet.

Lu Xuan didn't say much, he knew Ji Xiuwen's character and knew that he would make a choice.

Monday's TCM department was busier than ever.

There were not only new patients, but also patients who needed to come for a follow-up examination last week, and at the end of the day, Lu Xuan's fingers were almost numb.

When he saw off the last patient, Lu Xuan couldn't help but get up and stretch: "Finally finished reading." ”

Ji Xiuwen would really believe what Hu Meiqiao said.

The TCM department of the health center is no longer a question of whether it is busy or not, but that there are too many registered patients.

Moreover, because of his arrival, Lu Xuan deliberately let go of the morning registration, one morning, except for the two times they wasted some time trying to check the pulse and distinguish the syndrome, at other times, Lu Xuan was basically fast, eager to break one minute into two minutes, and worked overtime at noon until the afternoon when he went to work in the afternoon to finish reading the seventy-fifth person registered in the morning.

Thief horror.

Ji Xiuwen thought of the county traditional Chinese medicine hospital where he stayed, how many traditional Chinese medicine practitioners were able to see patient No. 75 in one morning?

No, not a single one.

It's not that he can't see it so quickly, and it's not that he doesn't want to work overtime to see it, but there are few TCM physicians who can get so many patients to take the initiative to register his number.

This situation can only be seen in women's and children's hospitals.

Especially in the Municipal Women's and Children's Hospital, Ji Xiuwen went once, accompanied his relatives to take the children, and on the emergency side, a doctor can see at least 100 patients in the morning, and the speed is fast, 200 is no problem.

However, Western medicine is different from Chinese medicine in that it lacks the process of pulse differentiation.

And these processes have been replaced by modern medical devices.

What the doctor needs to do is to confirm the symptoms through examination, and then prescribe medicine according to the situation.

After packing up his things, Lu Xuan suddenly looked at Ji Xiuwen, who was also packing his things: "Go out for dinner at night?" ”

Ji Xiuwen raised his head, "Okay! ”

"I just have something to ask......

Ji Xiuwen opened his mouth.

Lu Xuan could tell from the shape of his mouth that it seemed to be shouting...... Father-in-law?

Lu Xuan was speechless for a while, but he didn't leave, but waited for Cheng Gaowen and Zhou Liting to come, checked the pulse of the two, and prescribed this week's medicine before leaving the Chinese medicine department with Ji Xiuwen.

As soon as he came out of the clinic, he was stopped by Wang Youqing.

Seeing that Wang Youqing hadn't left yet, Lu Xuan was stunned at first, and then suddenly realized: "Uncle, this is planning to treat you again?" ”

"You can see it."

Wang Youqing bared his teeth: "But I think you two are going out to eat?" ”

Lu Xuan nodded: "Well, Xiuwen just came, and I, as the host, can't I invite him to dinner?" Uncle, let's come along, but I don't need you to treat me today, I'll come. ”

After saying that, he laughed.

Wang Youqing shook his head slightly: "Forget it, you two go, I'll go, I'm afraid Xiao Ji won't be able to let go." ”

After speaking, before Lu Xuan could stay, he walked into the elevator with his bag.

"It's okay, right?"

Ji Xiuwen was a little worried.

Lu Xuan waved his hand: "It's okay, uncle has this temperament, if it weren't for the two of us knowing, he would definitely take you out for a rub today." ”

"Let's go, let's go to the cow opposite to eat grass and eat a little."

"Okay."

Ji Xiuwen is not particular about eating, what he is most anxious about now is to know what has happened to his friend in the past half a year or so, and the changes can be so big.

In one day, the more he learned about Lu Xuan, the doubts in his heart not only did not decrease, but became more and more.

(End of chapter)