, Seven when Su Xiaozhi was reciting Zhang Xiaocheng's medical records. The files are also in parallel, idle. began to examine Zhang Xiaocheng, who was lying on the hospital bed and was not very clear.

Zhang Wenzhong first diagnosed the pulse of Zhang Xiaocheng's hands. He then carefully examined his eyes, mouth and tongue coating, and finally performed a comprehensive and detailed palpation of his whole body. Seeing Zhang Wenzhong's actions, the medical experts in the ward. There was a sarcastic sneer on their faces. In their opinion, the clinical examination conducted by Zhang Wenzhong at the moment was simply useless, just a weak struggle.

None of these high-tech examination equipment, such as nuclear magnetic resonance or magnetic resonance, have been able to find out the lesions and causes of Zhang Xiaocheng's disease, so how could this most common and basic clinical examination method be found out? If it weren't for the fact that there are medical experts sent by the World Health Organization to serve as notaries and arbiters, I am afraid that they would have already laughed and loudly ridiculed and squeezed Zhang Wenzhong.

Just when Su Xiaomei finished reading this medical record, Zhang Wenzhong also completed the whole body examination of Zhang Xiaocheng. But he didn't rush to say what he had checked out and didn't rush to give a diagnosis, but looked sideways at Su Xiaomei and asked, "Little sister, what kind of disease do you think he is suffering from?"

"Me?. Su Xiaomei was slightly stunned, and understood that Zhang Wenzhong wanted to take this opportunity to teach her the ability to distinguish clinical diseases. Because the symptoms that appear in Zhang Xiaocheng are not single, but very complex. It is not only related to the respiratory system, but also has a great deal of entanglement with the nervous system. A complex disease like this is very difficult to encounter in clinical practice. If it were in normal times, Su Xiaomei would not have liked to have such a learning opportunity. But now, she had to remind Zhang Wenzhong: "Teacher, now I'm testing my medical skills with Koreans."

Zhang Wenzhong said with a smile: "I'm not worried, what are you worried about? ”

Su Xiaomei already had an almost blind trust and admiration for Zhang Wenzhong's medical skills, and when she saw him acting so confidently, she was immediately full of confidence in his victory, and really began to think about Zhang Xiaocheng's illness, and said: "According to Zhang Xiaocheng's symptoms such as headache, nausea and vomiting, as well as the symptoms of sudden coma and epilepsy, his lesion is likely to be in the brain

Zhang Wenzhong nodded with satisfaction: "The analysis is good, the patient's lesion is indeed in the brain." Well, according to you. What is the cause?

Su Xiaomei's expression at this time was very serious, not at all the kind of hip-hop in Pingrì, after she pondered for a few minutes, she took out a series of examination reports from Zhang Xiaocheng, checked them again, shook her head and said: "Although I judged that the lesion was in his brain, what made me very puzzled and puzzled was that whether it was the brain or the MRI, it showed that there was no abnormality in his brain." According to the medical records, the hospital where he was admitted before. They also believe that there is likely to be a tumor or inflammation in his brain that could not be detected by MRI and other diseases, and they have also formulated corresponding treatment plans for these two cases. But it didn't work, and his condition continued to deteriorate day by day. Especially in the last two days, there have been symptoms of visual and hearing deterioration. ”

After expressing his views and doubts. Su Xiaomei put the inspection report back in the information bag, looked up at Zhang Wenzhong, and looked forward to him being able to answer her questions, so that she could figure out what kind of disease Zhang Xiaocheng was suffering from.

Zhang Wenzhong smiled indifferently and motioned to Su Xiaomei to do what she had just done to conduct a clinical examination on the patient, and taught: "As doctors, we can't rely on high-tech diagnostic equipment for the diagnosis of diseases. Otherwise, what else do we doctors do? Wouldn't it be better to let the computer directly show the patient?" He asked again, "How is the little sister?" Is there anything that is present?"

Su Xiaomei frowned and replied, "The patient's pulse is like a string slippery, and the tongue has faint ecchymosis. Moss yellow and greasy" according to the image of the veins and the tongue. The symptoms should be caused by congestion and phlegm, but no matter whether the brain "nuclear sulfur resonance or blood routine tests and laboratory reports" show that everything is normal, and there are no abnormal indicators or images

"You, you still didn't check carefully enough Zhang Wenzhong shook his head and sighed, "You check his left eyelid vault carefully."

It was Su Xiaomei who answered, and hurriedly opened Zhang Xiaocheng's left eyelid and examined it carefully.

The medical experts from all over the world in the ward also came up at this time, stretched their necks, and curiously wanted to see what was hidden in the lower eyelid vault of Zhang Xiaocheng's left eye

Insect things, Huang Ran can make Zhang Wenzhong so obscure, "He guessed from Chuanmenjing." Zhang Wenzhong has diagnosed what kind of disease this patient is suffering from.

Su Xiaomei soon found a white lump on the right side of the lower eyelid vault of her left eye, and the preliminary estimate of the size of this lump should be because the location of the growth was extremely hidden, so without warning. It's really hard to see this little lump of white sè.

The surface of this small white lump is smooth, the edges are blurred, and it seems to have a tendency to move.

"This,, what is this?" Su Xiaomei opened her mouth in surprise, she has followed Zhang Wenzhong for free clinics recently, and she has seen many patients, but she has really never seen such a small white lump growing in anyone's eye.

However, under Zhang Wenzhong's teaching, Su Xiaomei also carefully read a lot of cases and medical records, and after a little deep thought. The answer came to her mind: "Is there a parasite hidden in this little white lump?"

"That's right, this little white lump does have parasites inside. Zhang Wenzhong nodded and replied, "It was this parasite that affected the patient's vision." There is also such a parasite hidden in his head

Su Xiaomei and a group of medical experts were full of emotion, no one thought that this patient was neither a brain tumor nor brain inflammation, but because a parasite had penetrated into the brain, which led to this series of symptoms of difficult etiology.

Zhang Wenzhong ignored the shocked and emotional crowd, but instructed the medical staff of Yongcheng Hospital on the side: "Lixuan will give him local anesthesia, and at the same time bring the necessary surgical instruments, I will perform cyst removal surgery on him." Take out this parasite and see what it is. ”

The necessary surgical instruments were quickly brought to the ward, and a doctor from the anesthesiology department administered a local anesthetic to Zhang Xiaocheng. After the anesthesia effect came out, Zhang Wenzhong instructed Su Xiaomei to fix Zhang Xiaocheng's head for him, don't let him shake his head during the operation, and he opened his lower left eyelid, and the scalpel in his right hand was gently swiped. A small lump in the white sè made an incision on it.

Su Xiaomei, who was Zhang Wenzhong's assistant, and the medical experts who were watching around them, couldn't help but raise their eyebrows after seeing the situation inside the incision, and exclaimed in their hearts: "It's really a parasite!" If it wasn't for the fear that it would affect the progress of Zhang Wenzhong's surgery, I was afraid that they would not exclaim in their hearts, but screamed.

In the small white sè lump on Zhang Xiaocheng's lower left eyelid, a folded white sè body can be faintly seen.

The surgical forceps that Zhang Wenzhong held in his left hand stretched out and took out the white sè worm from the incision of the small lump of the white sè, and after unfolding, it turned out to be ten centimeters long.

Seeing this insect, Su Xiaomei identified it and said, "Teacher, is this a tapeworm?"

That's right, this is the tapeworm Zhang Wenzhong nodded and said: "In the Eastern Han Dynasty's "Golden Hidden Strategy", it was called "inch white worm", and the "Treatise on the Origin and Syndrome of Diseases" in the Sui Dynasty called it "inch white." One of the nine insects is also. It is an inch long and sè white. The shape is small and flat, and it is said that it is "in a continuous string." A few feet long" and also recognized its cause: "If you eat more beef, you will be white." In terms of treatment, the "Shennong's Materia Medica" 2,000 years ago already had anthelmintic drugs recorded in the Song Dynasty, and the varieties of medicine were more and more effective. Most of the patients who suffer from this parasite eat undercooked meat infected with tapeworm larvae. In fact, there were many cases of symptoms like this patient in Xishuangbanna in the sixties and seventies. Because the popularity of medicine in Xishuangbanna was not high at that time, the locals mostly mistook the patients for "pipa ghosts." This is all because the family has the habit of eating raw meat, and some of the raw meat happens to be infected with tapeworms, causing tapeworms to parasitize the human body and burrow into the brain. ”

Speaking of this, Zhang Wenzhong turned his head sideways and asked Zhang Xiaocheng's wife, who was waiting next to the hospital bed: "Eldest sister, before this, your husband should have eaten undercooked raw meat?"

Zhang Xiaocheng's wife nodded again and again, and replied: "Before his illness, he once liked to eat sashimi" That's it, fish also happens to be the carrier and disseminator of tapeworms, and there is a similar record in the "Three Kingdoms 7 Wei Book": Guangling Taishou Chen Deng loves raw fish, and he has a headache for a long time. Hua Shen prescribed a prescription, "Eat it, the leaves will come out of three liters of insects, and the bare head and white body will move" Speaking of this. Zhang Wenzhong grinned and said, "I also know the prescription that Hua Qiao prescribed to Chen Deng at the beginning."