Chapter 154: Follow-up
They didn't think anything strange when they were studying in college, but when they came out, they were completely confused. Especially these people, who were originally mediocre in their qualifications, could only return to the county hospital.
Now there are few people looking for Chinese medicine to see a doctor, and even if they come, they will not come to see them as young people, and they are all here to recuperate. They are also very confused, they don't know where the road lies ahead, and they don't know where the future lies.
Like Cao Dehua, who can mix, he has already started to mix relationships, titles, and futures. Like Liu Jingning, he engaged in the combination of traditional Chinese and Western medicine to confuse himself and engage in autism.
Even Director Zhong Hua, the first person in the county hospital of traditional Chinese medicine, is just a director. But in fact, to be honest, he is not as popular as the director of other departments, and the Chinese medicine department is the poorest department.
So everyone is very confused.
But now Xu Yang has pointed out a path for them, it turns out that Chinese medicine can still do this! It turns out that Chinese medicine can still do so many things!
When this little guy was most confused, Xu Yang appeared, how could they not be excited! How could they not be enthusiastic, because Xu Yang was their direction, and Xu Yang was so willing to teach them skills!
Not to mention coming over after work, let them sleep here, they are willing to do it.
"Teacher Xu. ”
"Hello Mr. Xu. ”
The little Chinese medicine doctors were all greeting Xu Yang.
Xu Yang also nodded to them: "Hello, let's go, go and see how the patient is." ”
The group went to the ward again.
At this time, the patient had completely stopped vomiting blood, his expression was much calmer, and he had slept beforehand, and finally knew that he was hungry and had farted.
Xu Yang said to the Chinese medicine doctor behind him: "This is the beginning of the recovery of gastrointestinal function, the stomach qi is reduced to smooth, if the upward reversal is light, it will become a hiccups, and if it is serious, it will vomit." If the stomach gas goes down, it will turn into fart, which is starting to recover, a good thing. ”
Several little Chinese medicine doctors nodded one after another.
Xu Yang looked at the tongue again, and he said: "The tongue is the same as in the morning, the tongue is also light and without moss. ”
Little Chinese medicine doctors have recorded medical records.
Xu Yang began to diagnose the pulse, and after a while, he said: "The pulse is two inches small, and the ruler is weak. The main vein is the death of the yang or the weakness of qi and blood, and the "Pulse Sutra" says that "the pulse is the blood and qi, and the qi and blood are small, and the pulse is also slight." ’”
"The left inch is slight, the main evidence is that the heart qi is insufficient, and the lungs are weak and weak. The right inch is slight, and the main evidence is chest cold and pain, and cold phlegm condensation. You must be meticulous when diagnosing the pulse, and you must diagnose the three parts of the inch and the ruler one by one. ”
"Don't be greedy for trouble, it's good to diagnose the whole body pulse image roughly, so it will be easy to misdiagnose, I still say that, how detailed the pulse diagnosis is is not too much, because you can see a lot of things from the pulse diagnosis. ”
"For example, the micro pulse is the main qi and blood deficiency, and the eight methods of internal treatment of traditional Chinese medicine need to prohibit sweating, vomiting, and the three methods, which cannot be careless, and it will be easy to change if it is misused. There is also a weak ruler, and a weak pulse is also the main sign of lack of qi and blood. In general, the patient is a sign of weakness of the spleen and stomach. ”
"The patient's symptoms are consistent with the pulse syndrome, vomiting blood for two days, excessive blood loss, natural qi weakness and blood deficiency, his tongue and pulse are proving this. The pulse pattern is consistent, which is auspicious, which proves that there is no change in the condition. ”
"If suddenly there is a sign of the opposite pulse, you have to be careful, it is likely that there is a new change in the condition. At this time, you must be careful, be cautious, and don't get into trouble. ”
Several little Chinese medicine doctors have carefully written it down, this is the clinical experience, Mr. Xu will tell them so unreservedly every time, and they naturally dare not slack off.
Xu Yang continued: "Now that the pulse pattern is very clear and clear, our treatment method should be to warm the spleen and yang, and nourish the Rong blood, accompanied by the elimination of stasis, so as to rationalize the soup master. Then add gui and peony to replenish blood, and continue to use Panax notoginseng to eliminate stasis. Let's make a prescription. ”
After Xu Yang prescribed them a prescription, he went home.
Other small Chinese medicine doctors came over and lined up to check the patient's pulse......
The couple is used to this treatment.
The next day, Xu Yang went to work.
At lunchtime, Xu Yang went to the Chinese medicine hospital to take a look. Zhang Ke also stayed at home all morning, and did not come to Mingxin Hall.
When Xu Yang arrived at the Chinese Medicine Hospital, the little Chinese medicine doctors hurriedly pulled two mouthfuls of rice, and they all hurriedly followed, which was about to become a landscape.
Xu Yuan said to Xu Yang: "Teacher Xu, after the patient took the medicine, he said that his head was a little dizzy and there was a little tinnitus today. ”
Xu Yang asked, "Then have you diagnosed the patient?"
Xu Yuan replied: "The diagnosis has been made, but we are a little unsure. ”
Xu Yang took people and walked to the inpatient department.
The patient's wife is still eating, and she didn't expect Xu Yang to come again with a meal, yes, people squeeze out meal time to treat you, you can't be unhappy.
Xu Yang diagnosed the patient again.
The patient's wife also asked, "Dr. Xu, has this condition changed again? My stomach is not uncomfortable, why is my head uncomfortable again?"
The patient also looked at Xu Yang curiously.
Xu Yang didn't answer their questions, but instead asked the group of little Chinese medicine doctors: "Have you diagnosed the pulse before, let's talk about it, what is the pulse?"
Xu Yuan said: "We just discussed it, it should be the pulse of the detailed number. ”
Xu Yang bowed slightly, and asked again: "Then tell me why the patient is dizzy and tinnitus." ”
The strong man who pinched Xu Yuan's neck before replied in a loud voice: "Teacher Xu, the fine veins are mostly due to the weakness of qi and blood, yang deficiency and cold stomach. The number of pulses is the main heat syndrome, but I think the patient's number of pulses should be the number of pulses and weakness, which is hypothermia. ”
"I think it should be because of heavy bleeding, the patient's qi and blood are too weak, and the spleen and stomach are also extremely weak, and they have lost their ability to control. After the use of the pro-drug, it leads to a hypothermia, which will make the patient feel tinnitus and dizziness. ”
Xu Yang nodded: "That's good, it's good." It is precisely because of this that TCM treatment of diseases, especially when treating serious diseases, especially acute and severe diseases, can rarely be implemented in a prescription to the end. ”
"Because the patient's condition will change, whether it is getting better or worsening. Including after the use of medicine, there will be new changes. Especially these inpatients, you must always pay attention. ”
"And we must not forget to look at the pulse syndrome, you have seen it in the past two days, the patient's pulse has changed three times, so our medication must also change accordingly. ”
"Since it is determined that it is caused by the uprush of the virtual heat, then we will keep the front unchanged, but we must add the earth bone skin and lotus root, the earth bone skin can cool the blood without stagnation, the lotus root can be cleared and desilted, and then add a taste of medicine to reduce the fire of salty cold and fire......
After speaking, Xu Yang was ready to take people away.
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