I returned to the office with excitement.

Ji Xiuwen was curious that it was already work time, why Lu Xuan hadn't come back yet, and saw Lu Xuan walking in with joy.

"What's wrong?" Ji Xiuwen subconsciously asked.

"It's nothing, the dean has something to do with me."

Although the matter of going to Liannan for consultation was definitely confirmed, Lu Xuan didn't plan to say it before he officially received the notice, otherwise wouldn't it be embarrassing if things went apostasy at that time?

He didn't think of it now.

Of course, rejoicing in the heart is certain.

The matter of going to Liannan for consultation, not to mention that he is a young TCM physician in his twenties, even those who are a little famous chief TCM physician in Yongcheng, when he hears this news, I am afraid he can't suppress the excitement in his heart.

Being able to do this without being shocked, Lu Xuan felt that he had done well enough.

Seeing that Lu Xuan didn't want to say more, Ji Xiuwen didn't delve into it, thinking that it might be something that needed to be kept secret, otherwise the dean would not have called Lu Xuan alone.

Lu Xuan came to his position and sat down, took a sip of water and said to Su Kenan: "Call the number, don't let the patients wait too long." ”

"Hmm."

Su Kenan was still well-behaved, and he implemented Lu Xuan's orders without any discount at all.

It didn't take long for the first patient of the day to walk in with a child in his arms.

"What's wrong with the kid?"

Lu Xuan glanced at the little boy who was almost four or five years old, and then looked at the woman who was only in her early thirties.

The woman sat down and said with a sad face: "Doctor Lu, my child has been irritable and crying all this time, and he will suddenly wake up in the middle of the night, shouting in his mouth, irritable and crying, sometimes he can scare people to death in the middle of the night, and I want to put him in another room to sleep, but I don't worry, I have been doing this, I am going crazy." ”

After listening to this, Lu Xuan pondered for a while, then raised his head and asked, "What are your behaviors after waking up halfway?" ”

The woman thought for a while and said, "It's just rolling around in bed, crying restlessly, sometimes it seems a little sluggish, but sometimes it can sleep peacefully, by the way, sometimes when I wake up suddenly, my face and lips are red." ”

"How's the pee and poop?"

Lu Xuan put his hand on the child's hand, the child may be a little worried, so he took his hand back, but the woman comforted him twice, and the child stretched his hand back again.

"The urine is more yellow, and the kind that will be more yellow when you drink water, and the stool is dry."

Lu Xuan nodded after hearing this, looked at the child's tongue again, and then took his hand back.

The tongue is red, the tongue coating is white or yellow, and the veins are like strings.

Seeing that Lu Xuan took the pulse back of his hand, the woman hurriedly asked, "Doctor Lu, what's going on with my child?" Why is this happening? ”

Su Kenan and the others also looked over.

Except for yesterday's unexplained fever patient, today's situation of this child should be regarded as one of the strangest cases they have seen.

"Pediatric night terrors!"

When several people were looking at them with curious eyes, Lu Xuan's faint voice sounded at this moment.

"Pediatric night terrors?"

Several people looked puzzled.

Lu Xuan explained with a smile: "Children's night terrors refer to children who suddenly wake up in sleep, stare up, restless, facial expressions of fear, or shouting, hands and feet moving, or wandering regardless of high and low.

Regarding children's night convulsions, in fact, Chinese medicine has long been recorded.

For example, "The Origin and Syndrome of Diseases: Crying": "Children cry suddenly, and they are awakened in sleep. Multiply the heart by the wind, heat, and evil spirits. The heart is hot, the spirit is uncertain, so the lie is restless, and the cry is frightened."

The number of night terrors in children varies, and there are also those who suddenly wake up when they fall asleep during the day, walk in confusion, and talk gibberishly, but the time of the attack is uncertain, and it often occurs once every 10 days.

Modern medical research believes that this kind of panic is often related to the mind, such as watching horror stories, television, and mental stimulation before going to bed.

The clinical manifestations of night terrors in children are generally after falling asleep for a period of time, suddenly sitting up during sleep, screaming, scratching and touching, restlessness, even grasping the adult's clothes, or grasping the adult, the face is fearful, shortness of breath and even a sense of death.

This condition usually lasts for about a few minutes before you wake up, and you can continue to fall asleep after calming down, and there are also people who wander around when you wake up.

However, if this symptom occurs frequently, it can be seen that the spirit is sluggish, the expression is indifferent, and the body is thin and weak. ”

Hearing this, Su Kenan and the others subconsciously glanced at the little boy.

It is true that the little boy's condition is indeed a little sluggish, and it shows an abnormal thinness, not the kind of natural thinness, which is relatively easy to judge.

And the woman obviously didn't care about what a child's night terrors were, she hugged the child tighter, "Doctor Lu, my child is usually quite normal, and he is not very sick, why is this happening, we haven't shown him horror movies, and he rarely scolds, it shouldn't be like this!" ”

Lu Xuan shook his head and said: "Watching horror stories, TV, and mental stimulation before going to bed is just an explanation of modern medicine, and in the eyes of traditional Chinese medicine, this disease is the heart and liver are hot, that is, the heart and liver are hot, and the liver is disturbed by the heart, and the symptoms are mainly upset, annoyance in the chest, inability to sleep, and suffocation in the chest."

For example, there is a saying in the "Pediatric Drug Certificate Straight Tips": "Treat children with heat storage in the middle, body heat and mania", children with lung and stomach heat, symptoms of aphthous sores and red tongue, or swollen and painful gums, dry stools, and red tongue can be combined with bamboo leaf gypsum decoction to achieve better effect. ”

Speaking of this, Lu Xuan also recorded the prescription in the medical record book: "In this way, I will prescribe a pair of gardenia bean soup with light heart for the child, you go home and decoction it with water, 3 times a day, you can also put the medicine here to decoction the medicine, and come over to get the medicine in the afternoon." ”

Lu Xuan put down the pen and handed the medical record book to Su Kenan.

Su Kenan took the prescription and looked at it, stunned for a moment.

It's not because there are too many medicines, but that Lu Xuan prescribes too few Chinese medicines, only four medicines, and they are all extremely common Chinese medicines.

However, this look was only very short-lived, and Su Kenan quickly recovered, carefully printed out the charging slip from the prescription registration record system, and handed it to the woman to scan the code to pay.

After the woman paid the money, Ji Xiuwen picked it up and was about to go to the Chinese medicine pharmacy to grab the medicine, and after taking a look at the prescription, he was also stunned for a moment, and then suddenly understood why Su Kenan wanted to show that look.

The child's situation is so complicated, who knew that there were only four medicines to be prescribed.

The woman paid the money, and when she saw that Ji Xiuwen had already walked into the pharmacy, she said hello to Lu Xuan and went out to wait.

It had wasted a lot of time to find Hu Meiqiao this morning, and Lu Xuan didn't wait for Ji Xiuwen, and directly asked Su Kenan to continue to call the number.

As soon as the number was called, a second patient walked in.

The man is about 30 years old, not from Yongcheng, but came here to work, two days ago in the morning when he got up for morning exercises, suddenly pharyngeal burning, dryness, pain, sore throat shortly after breakfast, headache, fever, chills, thirst and less phlegm, after taking antibacterial drugs and Liushen pills, his symptoms did not decrease, in the afternoon sore throat, difficult to swallow food, headache and chills, high fever of 38.9 °C, so he came to seek treatment.

Lu Xuan took out a flashlight and looked at the man's pharynx, and found that it was already congested and purple, and there was purulent mucosa attached, and the follicles on the posterior pharyngeal wall were swollen.

"Does it hurt here?" Lu Xuan pressed the swollen submandibular lymph nodes.

"Painful ......"

The man shouted in pain and told Lu Xuan the location of the pain, and then Lu Xuan nodded and recorded the situation.

Submandibular lymphadenopathy is swollen and tender, the pain extends to the root of the ear and the jaw, the mouth is dry and the mouth is bitter, the stool is dry, and the urine is red and yellow.

The tongue is red, the moss is yellow and thick, and the pulse is like a large float.

Lu Xuan had encountered a lot, and it was the first time he had seen Hong Mai.

The flood veins are wide, full and powerful, like turbulent waves, coming and going.

The main qi is divided into heat, and the main evil is prosperous and the good is declining.

The internal heat is full, the veins are expanded, the qi is full of blood, so the veins are flooded; If you are sick for a long time, or if you are sick for a long time, or if you see a flood pulse in the symptoms of fatigue, blood loss, and long-term ejaculation, it is mostly a danger of prosperity and decline.

Physiological flood pulses can be seen in summer, and in summer, the yang energy is over, and the pulse is slightly larger.

Cui Yanzhong: "Doctor Lu, what's going on with me?" Is it laryngitis? But I've taken the medicine, but I didn't expect it to get worse and worse. ”

"Acute laryngitis." Lu Xuan nodded.

The throat is the main way of breathing and eating, and the pharynx is in the front and the throat is behind, so it is called the throat.

For example, in the "Lingshu Sutra" and other articles, the pharynx is called spur, pharyngeal devouring, which is the common channel of eating and breathing.

For example, "The Jade Key of the Heavy Building" "The pharyngeal is also, the main Tongli water valley, the system of the stomach, and the channel of stomach qi".

In ancient medical books, it is often called the throat together, such as "Lingshu Sorrow Without Words" cloud "The throat is the way of hydration".

The pharynx referred to in modern medicine is divided into nasopharynx, laryngopharynx, etc.

Therefore, if there is a disease in the throat, it will affect the voice, breathing, eating and drinking first.

Its local redness, swelling, pain or ulceration into pus are mostly related to acute tonsillitis, acute and chronic pharyngitis and throat tumors.

Ancient medical books are often called throat paralysis, such as "Suo Q: Yin and Yang Farewell" cloud: "One yin and one yang knot, called throat paralysis".

Laryngeal paralysis, laryngeal swelling and congestion pain, water slurry can not enter, is due to the wind poison in the throat, qi accumulation and heat, the condition is more urgent, for the harm is also severe, can not be generally treated, as a minor disease, if not diphtheria, but also acute throat edema pain and high fever, there are pus, and wind poison into the heart, boredom to death, should be checked and treated in time, soon can recover local swelling pain and fever.

For example, the syndrome of dry throat and dry mouth was pointed out as early as in "Jinkui Yaolu: Blood Paralysis and Deficiency and Labor Disease Pulse Syndrome and Treatment" that "deficiency and tuberculosis are urgent, palpitations, palpitations, abdominal pain, dream loss of sperm, sore limbs, irritability of hands and feet, dry throat and dry mouth".

Sore throat, such as "Treatise on Typhoid Fever: Distinguishing the Pulse and Syndrome of Sun Disease" points out that "dry throat, dry mouth and rotten throat" are closely related to external evil heat and depression.

The cause of throat disease is mostly related to external wind and cold, and it is more common for people with throat paralysis caused by yin and yang depression, and its pathogenesis is mostly related to the lungs, heart, stomach and kidneys.

"Really!" Cui Yanzhong opened his mouth, he just said casually, after all, when the pharyngitis attack before, he had taken medicine a few times and basically got better, but this time it was good, and after taking the medicine a few times, it was not only not good, but it became more and more serious.

So I guessed casually, but I didn't expect it to be true.

Cui Yanzhong asked, "How can it be so powerful?" I used to have a lot of laryngitis attacks, but I was able to get better in a day or two. ”

Seeing that the patient was curious, Lu Xuan also patiently explained: "Your situation belongs to an acute attack of pharyngitis caused by pulmonary and gastric heat, and the acute pharyngitis has a rapid onset and is ferocious, but if it is treated properly, the effect will generally be obvious."

You are solid and hot, and during the morning exercise, you feel the wind and depression in the pharynx, and the real heat of the stomach is intertwined, so the symptoms are swollen and painful and connected to the root of the ear and jaw, showing a hot lung and stomach.

It is advisable to clear away heat and detoxify, and reduce swelling and relieve the intestines.

I'll prescribe you a side medicine, and you go back and decoction and take it, once or twice or twice. ”

As Lu Xuan spoke, he wrote down the prescription, and Cui Yanzhong seemed to be a little curious about the prescription, so he couldn't help but stretch out his head and take a look.

And Lu Xuan, seeing Cui Yanzhong's curiosity, patiently explained: "Fangzhong ginseng, raw land, cow seeds, honeysuckle clear heat and cool blood, Coptis chinensis, skullcap, cork, rhubarb, raw gypsum clear laxative heat, clear the intestines, angelica, white peony invigorate blood and relieve pain, dry stems carry medicine up, licorice reconciles various medicines, detoxification, swelling and pus."

This recipe has a good effect on the treatment of acute pharyngitis, laryngitis, and acute tonsillitis. However, there are additions and subtractions according to the specific symptoms of the patient, and flexible application is the true method.

If you really want to have a laryngitis attack, you must not use medicine indiscriminately, because if you use it incorrectly, it will not only not be good, but it will make the symptoms more serious. ”

Although Cui Yanzhong didn't understand, he still nodded.

……

In the morning, Lu Xuan saw it very quickly, there were no special cases, and Lu Xuan did not introduce the two of them in detail.

When the last patient left with the medicine in the morning, Lu Xuan and the others thought about going to the cafeteria to eat together, and at this moment, an unfamiliar number called in.

Lu Xuan subconsciously wanted to hang up, but when he saw that this landline belonged to Yongcheng, and Hu Meiqiao said that someone in Liannan would contact him in the past two days, so after thinking about it, he came outside to connect the phone.

Over there, a female voice came: "Is it Dr. Lu Xuan from the Qiushi Street Health Center?" ”

"I am, you are?" Lu Xuan took a deep breath.

"Oh, I am the person in charge of the Liannan Traditional Chinese Medicine Association, my surname is Wu, and I called you today to invite you to come to the Liannan Traditional Chinese Medicine Association for consultation, and I want to ask for your opinion."

"Yes." Although he knew that he was going to Liannan in the morning, Lu Xuan couldn't help but be overjoyed when he heard Liannan's invitation.

"And when are you free here?"

"Weekends are fine."

"Two days?"

"As far as I know, Dr. Lu, you already have to sit in the health center for five days, and if you sit for two days in a row on the weekend, there will be no time to rest, so let's see if you should choose a day."

"Saturday, then."

Originally, Lu Xuan thought that he would be able to sit directly in Liannan for two days on the weekend, but when he heard this, he thought about it, if he sat for the clinic for two days, he really didn't have a day off.

It doesn't matter if he doesn't rest, it's best to accumulate more clinical experience, but I'm also worried that if something happens to me, it will be troublesome.

"By the way, when do you have time to come to the Liannan Traditional Chinese Medicine Center, and we will discuss the situation of the consultation, what do you think?"

Lu Xuan thought for a while and said, "It's just this Saturday, Mr. Wu, what do you think?" ”

"Okay, when the time comes, just call me directly."

"There's one more thing I'd like to ask you."

"Teacher Wu, you say."

"Because we will make an introduction sign for the doctor who sits in here, so I would like to ask, what kind of diseases are you good at, we can write it in, prepare in advance, and then you can start the clinic this Saturday or next Saturday."

Lu Xuan: "What are you good at?" Or just write the whole subject. ”

Wu: "......"

What are you good at?

What a breath!

(End of chapter)