Font
Large
Medium
Small
Night
Prev Index    Favorite NextPage

Chapter 10 Experts(1/2)

Today is Saturday, Liang Wanming does not go to work, but he has to send his son to a training class early in the morning.

Today's children are indeed much happier than those in the past. They eat well and wear well, but they are still under a lot of pressure.

People say that you can live your life before you have children, and you can live your life with children. This is absolutely true.

Although Liang Wanming is the director of the Provincial Hospital of Traditional Chinese Medicine, he does not dare to relax at all when it comes to his children. There is a full schedule of tutoring classes for his children on Sundays.

English is taught in the morning on Saturday, math is taught in the afternoon on Saturday, dance is taught in the morning on Sunday, and piano is taught in the afternoon.

As a doctor, he is usually busy with work. Before becoming a director, Liang Wanming had less time to spend with his children. Now that he is a department director, he can have a little more time. As long as it is convenient for him, he will personally send his children to cram schools as much as possible.

The cram school on Saturday morning is two hours, from 9 to 11 o'clock.

After sending the child off, Liang Wanming was planning to drive back first. After all, the cram school was not far from home. It was perfectly time to set off to pick him up at 10:30. However, when passing by the West Asia Community Hospital, Liang Wanming took a look at the West Asia Community Hospital.

I read the sign, pointed out the direction, parked the car nearby, got out of the car and walked towards West Asia Community Hospital.

He thought of Dr. Yun who prescribed prescriptions to the lover of his child's class teacher Peng Min last week.

Anyway, I have nothing to do. I have to pick up my children from get out of class later. There is no difference between going home and not going home. I just want to go to the community hospital for a visit, and I will be there in about the same time.

Walking into the community hospital, Liang Wanming found that there were quite a few people there.

The reception area does not work on Saturdays, and no children receive vaccinations. In fact, there are a lot fewer people in the community hospital, but in Liang Wanming's view, there are still a lot of people.

This is Liang Wanming's first time visiting a small hospital of this size.

I am a doctor myself, and I am a doctor at the Provincial Traditional Chinese Medicine Hospital. If someone in my family has a headache or fever, they usually go to a big hospital, and rarely go to small clinics and hospitals.

And even if Liang Wanming occasionally goes to some small hospitals for consultation, the lowest standards are county hospitals. He has never been to the town or community level. To be honest, he is really curious.

The community hospital is not big. There is a charging room when you enter the door, and there is a clinic further in. Clinic No. 1 and Clinic No. 2 are connected. They are next to each other. Yun Heng's traditional Chinese medicine clinic is opposite. After all, it is the former complex.

Among things, it is relatively biased.

Liang Wanming walked all the way and looked into the clinic. There were many patients in Clinic No. 1 and Clinic No. 2. There were almost a dozen patients queuing in each clinic. The queue had already reached the door. This phenomenon is no longer true.

It’s so common. Nowadays, even when you go to a county hospital, people still register you. Some clinics implement a registration system when there are too many patients. There are really not many hospitals that don’t register you.

After passing Clinic No. 1 and Clinic No. 2, Liang Wanming looked around and saw another clinic on the opposite side, so he walked over. When he walked in, he saw the words "Traditional Chinese Medicine Clinic" written on the door of the clinic.

The door of the consulting room was open, and Liang Wanming glanced inside. A young man was diagnosing the patient's pulse. There was only one patient in the consulting room. Compared with the other two consulting rooms, it did seem a lot deserted.

Liang Wanming is a Chinese medicine practitioner, so he is interested in Chinese medicine, so he simply walked in.

The doctor who was diagnosing the patient's pulse was very young, looking about twenty-six or seventeen years old. Liang Wanming didn't think this was the Dr. Yun he was looking for, so he stood aside and watched.

Yun Heng was diagnosing the patient's pulse. When he noticed someone coming in, he raised his head and greeted politely: "There is a registration form on the table. Remember to fill it out."

"good."

Liang Wanming nodded and responded, but did not move. He was not here to see a doctor.

"Where do you feel uncomfortable?"

Yunheng asked while feeling the patient's pulse.

When the female patient came in just now, Yun Heng was already observing her.

Look at your complexion, look at your body shape, look at your walking posture...

These are the most basic elements of traditional Chinese medicine consultation.

The female patient is conscious, but her face is red, her lips are dry, and her sclera are slightly yellow.

Yun Heng handed the registration form to the other party, and after gesturing for the other party to fill it out, he began to diagnose the other party's pulse, feeling for the pulse and asking questions at the same time.

The diagnostic techniques of traditional Chinese medicine include looking, smelling, asking, feeling, and feeling for the pulse. Nowadays, most traditional Chinese medicine doctors generally use the Cun Guan pulse diagnosis method, which means pressing the Cun, Guan, and Chi of the patient's wrist with three fingers.

There are three parts, and three different intensity levels of light, medium and heavy are used to feel the patient's pulse.

When diagnosing the pulse, the doctor must ensure a calm mind and steady breathing. He often uses his own breathing to measure the patient's pulse, so there is also a saying that one breath counts.

Yunheng didn't have much clinical experience, but his basic theory was pretty solid, and his posture was standard, but Liang Wanming thought he was a little reserved.

Just like a driver who just got his driver's license, he holds the steering wheel with both hands and looks very stiff when driving. It is natural for an experienced driver to hold the steering wheel with one hand and his body is very relaxed.

"Fever, thirty-nine degrees, headache, limbs sore and weak, nausea."

The woman said: "I have had a fever for several days. I have been seeing Dr. He for the past few days. I have been receiving infusions for three days, but I still haven't recovered."

Yun Heng nodded and said that the female patient looked familiar and that she had been doing emotional infusions for several days. He had been going to the infusion room to help every day these days to earn time. If he was lucky, he could gain about ten minutes a day.

Why does it sound so awkward, but it is also true, the simulation space is just a decoration if there is no time.

Yun Heng let go of the female patient's wrist and stood up: "Open your mouth, let me take a look at the tongue."

After reading it, Yun Heng was writing while subconsciously muttering: "Main complaint: headache, soreness and weakness of limbs, fever... clear consciousness, red face, dry lips, mild scleral jaundice.

, the base of the tongue is white and greasy...the pulse is thready and rapid."

This is also a common problem among doctors who have just entered the profession. In order to avoid making mistakes or remembering incorrectly, they recite quietly silently to strengthen their memory. However, Yun Heng's silent recitation happened to be clearly heard by Liang Wanming next to him.

After writing the patient's main complaints and symptoms, Yunheng pondered slightly.

Yunheng's clinical experience is not rich, but fortunately he has also treated many patients in the simulation space this week. Most of the patients he encountered were wind-cold, wind-heat, etc., which are the so-called cold and fever patients.

.

Coupled with what he had learned in school, Yunheng also had some clues about the female patient's disease, but as a newcomer after all, he still erred on the side of caution.

After writing down the symptoms, Yun Heng took a blank piece of paper and wrote and drew on the side to organize his thoughts. After about three minutes of delay, Yun Heng raised his head and said to the female patient: "Your condition should be due to wind."

Warm-temperature evil brings about dampness and scorch obstruction. Judging from the symptoms, it looks like transforming heat into qi..."

Liang Wanming next to him just saw Yun Heng writing and drawing, and he immediately lost interest. He looked like a newcomer with little experience and little confidence. Is he practicing on patients?

But this was not a provincial hospital, so he couldn't say much, so he planned to see how Yun Heng prescribes medicine. He thought that if this boy dared to prescribe medicine randomly, he would not be able to watch this boy fool the patients again if he made any noise.

Just as he was thinking this, he suddenly heard Yun Heng's words and his mouth suddenly opened slightly.

Liang Wanming heard Yunheng's silent recitation just now. He also observed the patient, and based on the patient's main complaint, he also made a judgment on the patient's condition.

As soon as Yun Heng opened his mouth, Liang Wanming naturally knew whether what Yun Heng said was right.

"This young man has two brushes!"

Liang Wanming looked at Yun Heng. Although Yun Heng had just been writing and drawing, and his posture for diagnosing the pulse was a bit stiff, there was no problem with dialectics. The process was not important. The result was correct, and that was the most important thing.

"Doctor, I don't understand. Just give me some medicine and I'll take it for two days when I go back."

The female patient had just come from He Haipeng's place. She had been there for almost four or five days, taking medicine and getting injections. She was a little impatient. If she hadn't just seen Peng Min and his wife giving Yun Heng a banner, she would have

Why don't you come to Yun Heng's place? To be honest, this person is here to try his luck.

Yun Heng pondered for a moment and said: "I can prescribe this medicine, but I have to make it clear to you first. Your situation is more complicated. You can't take one dose of medicine, and the early symptoms may worsen. If

Sometimes you think there is something wrong with the medicine I prescribe, and you don’t want to

After eating it, it would be quite troublesome to go to another doctor, so I want to make it clear first, you must be willing to cooperate, I will see you through to the end, and ensure that you recover. If you don’t believe it even after half of it, then I can’t give it to you.

If you prescribe this medicine, you can go to another doctor."

Liang Wanming next to him opened his mouth so wide that he could fit a big duck egg into it.

He felt that he had made a mistake. How could this young man be a newcomer? His clinical experience was quite sophisticated. He could predict the patient's condition after taking the medicine without prescribing any medicine. This skill alone was quite remarkable.

Liang Wanming knew very well that the female patient's condition, as the young doctor said, was caused by wind, temperature, and dampness, which was caused by dampness and stagnation. Judging from the symptoms, it looked like transforming heat into qi.

Treatment of this condition should focus on clearing turbidity and releasing heat. However, during the treatment process, patients may experience strong heat, incomprehensible ups and downs, and poor sweating when taking medication in the early stage.

Just like using water to extinguish a fire, when you first pour the water on it, the fire will grow stronger for a short period of time. This is almost the same principle.

However, during the treatment process, this situation will show signs of worsening. At this time, most people's first reaction is that there is something wrong with the medicine prescribed by the doctor, and they either stop taking it and change the doctor, or come to scold them.

Liang Wanming has worked in the Provincial Traditional Chinese Medicine Hospital for more than 20 years. He has encountered all kinds of patients and various situations. He has also encountered patients like this time. Some doctors did not explain clearly and prescribed

Once the medicine is finished, the consequences will be the two mentioned above.

Liang Wanming was still worried about Yun Heng just now, thinking that this patient was difficult to treat and the process was difficult. If the patient didn't buy it well, he would still find trouble. However, he didn't expect that Yun Heng hadn't prescribed the medicine yet, so he explained the situation to the patient first.

Because of the simulation space, Yunheng did come into contact with some patients with various fevers and colds this week, and he gained some experience. In addition, the time in the simulation space is measured by the patient's gratitude, so

Yunheng is as patient as possible during treatment, leaving a good impression on the patient, being as careful as possible, and explaining everything he can think of to avoid misunderstandings by the patient.

It is precisely this being as patient and careful as possible that also allows Yun Heng to think more and consider more.

"Will it still be serious after taking medicine?"

The female patient was stunned.

Yun Heng explained patiently: "This is a process of improvement, but when you first start taking medicine, your condition will definitely relapse. In Chinese medicine, generally speaking, fever is caused by the conflict between righteous energy and evil energy in the body, resulting in yin and yang imbalance."

Pathological reactions, after taking medicine, the situation of conflict between good and evil is broken, and there will definitely be a repeated process."

Liang Wanming became more and more frightened as he listened.

This young man is amazing.

Although Liang Wanming knew what Yun Heng said, after all, the person in front of him was quite young. It was really rare for such a young person to have such knowledge.

The female patient was a little hesitant.

She didn't quite understand what Yun Heng said. She thought her condition was not really a serious illness, just a cold and a fever. She had already been treated for four or five days. If it gets worse with further treatment, when should she be treated?
To be continued...
Prev Index    Favorite NextPage