"Doctor Lu, I'm here again."

Lu Xuan was still wondering why no one had come in for so long, when he heard a familiar voice coming from the door.

When I looked up, I found that it was Liu Shao, and I couldn't help but say with some curiosity: "It doesn't seem to be you who just called?" ”

Liu Shao smiled: "The next one is me, I am accompanying a friend today, and by the way, I will ask you to take my pulse and see how I am doing during this time." ”

"Listening to your neutral voice, you know that you are recovering well without looking."

"Dr. Lu can also look at the face, you can see it."

Lu Xuan rolled his eyes, "Your face is so good, do you still need to look at this?" As long as you are not blind, you can see it. ”

"Is it like this? I also feel like this week is getting better. ”

"But the medicine you prescribed is very powerful, I have only been taking it for two or three weeks, and there is only one + in my urine, mainly because my spirit is much better than before."

Liu Shao helped Old Man Li to sit down and said, "Doctor Lu, you can persuade me, my friend and his father are going to give up, we can't make sense of anything, just say don't end up with the money gone, and the people will be gone." ”

Only then did Lu Xuan set his eyes on Old Man Li: "What's wrong with Uncle?" ”

"Chronic renal insufficiency."

"Guange?"

"Huh?"

Thinking that his diabetes was called thirst-quenching in Lu Xuan's mouth, Liu Shao seemed to think of something, and asked tentatively: "What does Chinese medicine say?" ”

"You know a lot." Lu Xuan said with a smile.

"If you haven't eaten pork, can you still see a pig run?"

Liu Shao boasted: "I've seen Dr. Lu a few times, so I naturally know that these terms I don't understand are probably the traditional Chinese medicine term for chronic renal insufficiency, just like my diabetes quenches thirst in your mouth." ”

Lu Xuan didn't say this to Liu Shao again, but asked, "How long has it been?" ”

While Lu Xuan was asking these questions, Liu Shao was familiar with the road and lifted Old Man Li's arm directly onto the pulse pillow.

Liu Shao didn't know much about this, so he had to look at Li Chengyuan and said, "You come." ”

"It's been more than a year."

Lu Xuan nodded, and his right hand was directly placed on Old Man Li's ruler, while Li Chengyuan told about Old Man Li's situation, and took out all the inspection sheets he had done before.

Lu Xuan's result checklist, while checking the pulse of Old Man Li, looked at the checklist that Li Chengyuan took out.

Old man Li was admitted to the hospital a year ago because he felt unwell, and during his hospitalization, his blood creatinine was checked: 596μmol/L, and the color ultrasound of his kidneys showed that both kidneys were shrinking.

He had diabetes in the past, and at first Old Man Li refused dialysis, feeling that the cost of the sneak attack was too high, and he underwent dialysis at least a dozen times a month, and his son's meager salary was not enough to pay for his dialysis, and he did not take Western medicine during the period.

However, later, the disease progressed rapidly, to the extent that he had to undergo dialysis, Li Chengyuan paid the money without telling Old Man Li, saying that the money recharged in could not be refunded, so Old Man Li had to accept the reality.

It's just that Old Man Li's condition is a bit serious, even if he is hospitalized for dialysis and Western medicine treatment, it doesn't have a very good effect, and in the end, Li Chengyuan's money is almost spent, and he can only be discharged.

And Li Chengyuan is a fan of Liu Shao, so he resigned from his local job at Liu Shao's recommendation, took Old Man Li to Yongcheng, and came to Lu Xuan's outpatient clinic to ask for traditional Chinese medicine treatment.

Before coming, I had checked blood creatinine: 672 μmol/L, hemoglobin (HGB) 89 g/L, urinalysis: urine protein (+++), occult blood (+).

It can be said that it is much more serious than when I was first hospitalized.

While looking at the checklist, Lu Xuan asked about some of Old Man Li's physical conditions, and recorded them in detail in the medical record book.

Symptoms: general fatigue, sensitivity to cold, moderate edema of both lower limbs, depression, soreness of waist and knees, poor walking, loss of appetite, poor sleep, dry stool, short urine, pale tongue, thin yellow moss, thin and weak pulse. Western medicine diagnosis: chronic renal insufficiency (renal failure stage); Traditional Chinese Medicine Diagnosis: Guan Ge (Kidney Yang Deficiency Syndrome).

For TCM, medical record recording is a basic skill.

The matter of medical record recording is called writing a medical case in traditional Chinese medicine, and there is a strict element record and pattern.

According to the rhetoric of traditional Chinese medicine, whether it is the current medical record or the ancient medical case, it is collectively referred to as the medical record.

The records of symptoms, prescriptions, medications, etc., are mostly used as book titles in the treatment of diseases, such as Ye Tianshi's "Clinical Guide Medical Case" in the Qing Dynasty, and Qin Bowei's "Famous Doctor Case in the Qing Dynasty".

A medical case is a medical record, which is a continuous record of syndrome differentiation, legislation, and prescription of drugs when doctors treat diseases.

Chun Yuyi, a famous doctor in the Han Dynasty, creatively recorded 25 medical cases he treated, which was called the "Diagnosis Book" at that time.

The medical case is not only the patient's physical condition, but also includes the patient's name, address, occupation, pathology, syndrome differentiation, treatment, prognosis, etc. Later generations of doctors have compiled the records of the medical records they have treated into personal medical records.

There are also those who specially select ancient and modern famous medical cases to compile into a book, such as "Famous Doctor Cases", "Continuing Famous Medical Cases", "Ancient and Modern Medical Cases" and so on.

Modern medicine also has strict requirements for writing medical records.

The medical record is a comprehensive record and summary of medical staff in the diagnosis work, which is not only the basis for determining diagnosis and formulating treatment and preventive measures, but also an important information for summarizing medical experience, enriching teaching content and conducting scientific research. Sometimes it also provides authentic and reliable materials for other work, and a complete medical record can also deeply reflect the quality of medical care and academic standards.

When Lu Xuan was diagnosing Old Man Li, Liu Shao was watching curiously, seeing Lu Xuan write down a lot of situations in Old Man Li in the medical record book, he couldn't help but think of some of the situations he had encountered in the hospital before, and couldn't help but say: "Now Western medicine doesn't write much about cases, although it does save a lot of time, but it also brings a lot of trouble to patients. And patients don't have a good understanding of their own physical condition. ”

"Of course, it's useless to write, those written by Western medicine are like ghost drawings, no one can understand them at all, and they themselves know what is written, unlike traditional Chinese medicine, for fear that patients can't understand what they write, and they can't wait to write cases directly in block letters."

"Western medicine is actually written, but now it is not written in the medical record book, but on the computer."

"What's it like? Write for yourself? Doesn't the patient know what is going on with him? What kind of medicine did you take? What kind of judgment did the doctor make? Liu Shao pouted.

"And, if I remember correctly, Western medicine used to write about it, but I don't know when it started, and suddenly it didn't write it."

"Writing cases has always been passed down in this way, whether it is Western medicine or Chinese medicine, why does Western medicine directly omit this step, and Chinese medicine is still insisting?" It can be heard that Liu Shao has a deep grudge against Western medicine because of some things he has seen about diabetes over the years.

"Traditional Chinese medicine is not insistence, if you have to use one word to describe it, it is better to say inheritance." Lu Xuan explained.

"Legacy?" Liu Shao frowned.

Lu Xuan nodded and said: "The medical record is the result of the evolution of the medical system in the social process, and the purpose is the same, that is, to record the condition and establish a file, which can determine the condition, and can also be used as a summary of experience, or even as a reference for teaching materials, etc."

In fact, it is to make the condition data, model, expressible, and even conventional.

The description of a thing, according to the modern view of physics, is the element of time and space, and the ancient Chinese emphasis on the element of time and space also has its own way of expression.

For example, time and space are introduced into the five elements of the trunk branch, the five luck and six qi, and the meridian flow injection of the twelve hours.

Some schools of medicine only focus on the expression of symptoms and pulses, and the record of age is not very accurate, and they do not record the season of medical treatment, and when the disease is obtained.

And some doctors, who have a deeper understanding of the five luck and six qi, will be accurate to the year, month and day, and even record the cadres and branches.

This is a habit, and it will also be noted when the time of illness is recorded.

"The Yellow Emperor's Neijing" also describes in detail the impact of the nine palaces and eight winds on human health, and the time field and space field have their own effects on the human body.

It's like the same disease, different times, the medication will be different, spring and summer are different, autumn and winter are the same.

These are all the elements that form a disease, and there are many components of a thing, but where is the point? How to simplify the model itself is a reflection of the degree of understanding of the spatiotemporal characteristics of the disease. ”

"It's no wonder that Chinese medicine is still writing cases, while Western medicine has abandoned this work." Liu Shao said suddenly after hearing this.

"Doctor Lu, is it okay for my friend to take Chinese medicine for his father's illness?" Although Liu Shao likes to inquire about these things, fortunately, he has not forgotten the business.

"Of course it's okay to take Chinese medicine."

Lu Xuan thought for a while and said: "But the uncle's condition is relatively serious, and the time required for conditioning will not be short, if it really wants to be effective, I am afraid that it will take ten days and half a month, as for blood creatinine and urine protein, it may take two or three months to come down, or even return to a slightly normal state." ”

"It doesn't matter if it's a long time, as long as you can live like a normal person in the future." Li Chengyuan hurriedly said.

"Doctor Lu, how much does it cost to take medicine for so long?" For Old Man Li, he is more concerned about whether he can be cured, but how much it costs to be cured and whether he can afford it.

However, before Lu Xuan could speak, Liu Shao comforted: "Uncle, don't worry about the cost or anything, how much can it cost to take Chinese medicine, a week's medicine, the self-paid part may be more than 100, or even less than 100, and the medicine money is only a few hundred yuan a month, which is not enough for dialysis twice, you can rest assured that you can see it at Doctor Lu's side with peace of mind."

Dr. Lu said so, that is, it is very certain, he said that in two or three months, I think maybe you can take less than two months of medicine to restore those abnormal indicators to a level close to normal. ”

Lu Xuan smiled, I wanted to say something like you are not afraid that I won't be able to cure you later, but thinking of my uncle's lack of confidence, I still didn't say it after thinking about it.

However, Liu Shao's words still had a little effect, and Old Man Li was a little relieved after hearing it.

"If the cost of medicine is only a few hundred yuan a month, that's okay, that's okay."

Looking at Old Man Li's cautious appearance, Lu Xuan couldn't help but take a deep breath, his heart was very complicated.

Although there are diseases that cannot be cured by traditional Chinese medicine, there are not many cases where diseases like Western medicine are not cured and patients return to poverty, and the treatment costs of Western medicine are often as high as tens of thousands or even hundreds of thousands.

Otherwise, Old Man Li would definitely not say such a thing.

Lu Xuan didn't even have the slightest doubt, but if Liu Shao said that the cost of treatment was higher, the other party might directly choose to give up the treatment and not let himself become a burden to his son.

The cost of treatment of a few hundred yuan a month may be a matter of a meal for many people, but for people like Old Man Li, it is enough for him to give up the right to live.

The cruelty of reality made Lu Xuan feel a little uncomfortable.

"Doctor Lu, if you prescribe some medicine, it is best to prescribe it for more than half a month, my brother and I have just come to Yongcheng, and we haven't found a job yet, and your number is relatively difficult to grab, so it is more convenient to have half a month to buffer."

Liu Shao's words pulled Lu Xuan back to reality.

"Yes, Dr. Lu, can you prescribe medicine for half a month?" Li Chengyuan hurriedly asked.

From the words of several people, Lu Xuan also knew that in order to treat the disease, Old Man Li's family savings were probably already used, otherwise he would not have any intention of giving up treatment, so he nodded and said, "Yes." ”

"Thank you, Dr. Lu." Li Chengyuan hurriedly thanked him.

Lu Xuan shook his head slightly, then immersed himself in writing and drawing, and wrote the prescription below the case.

Prescription: Jinkui Kidney Qi Pill Reduction.

Medication: 50 g of Astragalus membranaceus, 30 g of Atractylodes macrocephala, 20 g of Rehmannia rehmannia, 20 g of yam, Cornus officinalis, 20 g of Rhizome, Rhizome, Radix Radix, Poria Cocos, Peony Peel, Cinnamon, Attached Tablets (fried first), Tangerine peel, Sichuan hyssop, Cicada molt, Skullcap, Glycyrrhiza Root, 10 g of cooked rhubarb. 14 doses, 1 dose per day, decoction in water.

After writing, he gave the medical record book directly to Ji Xiuwen.

Ji Xiuwen glanced at the dialectical process and prescription written by Lu Xuan, frowned slightly, thinking about what he didn't understand, and then asked again, so he planned to register the prescription into the system.

But Liu Shao was more curious about this: "Doctor Lu, can you talk about the medical theory of this medicine you prescribed?" ”

Li Chengyuan was surprised, can you still ask this?

He didn't know, no doctor had ever said it so clearly.

According to his understanding, it is the medicine I prescribe, you can just take it, and as for the medical theory or something, the patient does not need to know so much.

However, Li Chengyuan also knew that Liu Shao was more curious about Chinese medicine, and it was normal for him to ask.

After all, the reason why he pays attention to Liu Shao's live broadcast room is mainly because Liu Shao will tell some stories about traditional Chinese medicine in the live broadcast room, as well as his own medical treatment over the years.

Especially after Liu Shao found Lu Xuan, more and more people are paying attention to Liu Shao, coupled with Liu Shao's physical condition getting better and better, Liu Shao himself is becoming more and more curious about Chinese medicine.

Now that I have such a good opportunity, how can I let it go.

(End of chapter)