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Chapter 4 The first patient (Part 2)

"Hello!"

Yun Heng stood up and greeted him.

Although Xihua City is a mainland city, it is also a famous tourist city in the country. It is not uncommon for foreigners to have foreigners in a large city with a population of tens of millions. It is only rare for foreigners to meet in such small community hospitals.

After the foreign white man came in, he also looked at Yun Heng, but he did not leave. He sat down opposite Yun Heng at Yun Heng's greeting.

"Do you feel uncomfortable?" Yun Heng took the sticky note in front of him, and handed the registration form to the place, signaling the other party to fill it in.

The man filled out the registration form, looked at Yun Heng again, and then asked, "Are you a Chinese medicine doctor?"

He speaks Chinese, it is quite pure, with a little foreign accent.

"yes."

Yun Heng nodded and asked again: "Where is uncomfortable, tell me what's going on."

"My name is Kahn. I am a teacher, an English teacher from a nearby middle school. I arrived in China when I was in my twenties and got married here. Now I live in the neighborhood."

As he said that, Kahn also pointed at the location.

Well, the white patient who came in was instigated by He Haipeng just now.

He Haipeng is quite clear about Kahn's situation. This disease is actually mainly caused by the lack of adaptation to the local environment and long-term dietary habits. It is a chronic disease and is difficult to cure.

The most important thing is that although Kahn is a person who is easier to talk to and has a better temper, Kahn's wife is very difficult. It would be fine if Yun Heng was not capable. If Kahn went to a large hospital for examination, he had no responsibility and seemed incompetent at most. But if Yun Heng slapped the swollen face and pretended to be fat, Kahn's wife might come to cause trouble.

He Haipeng didn't think that he could drive Yun Heng away by relying on this little thing, so he would be very happy to throw someone away in front of several doctors and nurses in the community hospital.

Yun Heng did not interrupt Kahn and continued to listen.

Kahn continued: "About four or five years after I came, I often had stomach bloating, faint pain, and couldn't eat. After barely eating, my stomach bloating became even more uncomfortable. This situation has been going on for more than ten years and I have been to many hospitals..."

"By the way, these are some of my checklists."

As he said that, Kahn handed Yun Heng a few checklists.

Yun Heng took the examination form and looked at it. It was the examination form from Xihua Second Hospital. Half a month ago, the diagnosis above was: atrophic gastritis, accompanied by intestinal epithelial metaplasia, Helicobacter pylori hp (positive)...

Kahn continued, "I have taken a lot of Western medicine and used triple therapy, but it did not improve. Instead, my stomachache became worse and my appetite became worse. I felt very uncomfortable today. I was going to come and prescribe some medicine. There were too many people there. Seeing that there was no one here, I came over and take a look..."

This is also what He Haipeng reminded. Don’t say what he introduced, there is competition among all peers. Kahn trusted him, so he didn’t mention He Yunpeng.

Kahn's condition has been a long time and is a chronic disease and cannot be cured. He has been maintained and relieved by taking medicine. He actually prescribed medicine today, but he was instigated by He Haipeng.

Kahn was actually a little hesitant when he entered the door just now, but his disease was really tormenting. He Haipeng suggested seeing a Chinese medicine doctor. Kahn thought it would be a solution, so he just gave it a try.

After all, it is a bad person, and there is no such view that traditional Chinese medicine must be older and higher.

"Put your arm up, I'll take a pulse."

Yun Heng smiled, signaled Kahn to stretch out his arm, and then took Kahn's pulse.

In terms of clinical experience, Yun Heng is a complete newcomer, so he is very serious when diagnosing, taking the pulse, asking and observing the standard four-diagnosis combination.

Looking, smelling, asking, and sniffing. When Kahn came in just now, Yun Heng looked at his complexion, with a yellow face. This is looking at his complexion, then looking at his qi and asking about the condition, then taking a pulse to diagnose...

To be honest, this is Yun Heng’s first independent consultation in the true sense. Although he was intern at Xihua Hospital before, although he had the qualifications to practice medicine, it was impossible for his superior doctor to let their interns get started.

After studying in medical school for eight years, Yun Heng can barely deal with some simple diseases, but it will be difficult to deal with slightly more complicated ones.

Therefore, when Kahn came in, Yun Heng was a little nervous, but after listening to Kahn's story, Yun Heng was surprised to find that the man's condition was very similar to that of the patient he had met in the simulation space just now. After taking the pulse, his pulse was the same as that.

Or they say they are handsome and lucky. The first patient to come to the community hospital in Xiya happened to be the symptoms he was reviewing just now. Well, it was a good start.

After listening for about three minutes, Yun Heng let go of his wrist and signaled Kahn to change his other hand. After taking his pulse, Yun Heng stood up and looked at Kahn's tongue coating, and then sat back.

"Are you hungry when it's time to eat or what's your appetite?"

"I didn't have much appetite when I was at the meal time, but I would barely eat some, but I felt even more uncomfortable after eating it."

“What about the feces?”

"The stool is not good, often once every four or five days."

"What about the shape of the stool, is it soft or hard? Or what else?"

"The stool is soft, thin, and not hard."

Yun Heng asked about a few more situations, and he became more sure that there was no difference between the situation of the patient he had just encountered in the simulation space, and he also felt a little confident in his heart.

"Your condition should be caused by a long-term illness, spleen deficiency and dampness, loss of transportation and transformation, dampness blocks the middle Jiao, and stomach yang is suppressed but not announced."

Yun Heng said to Kahn while writing on the sticky note.

"Um?"

Kahn's face was confused and couldn't understand a single sentence.

Seeing Kahn's face full of confusion, Yun Heng organized a speech and said: "Under normal circumstances, the spleen system has the function of transporting and transforming water and dampness, which can make the body's water and fluid run normally without stagnation and becoming dampness. However, when spleen deficiency, the function of transporting and transforming water and fluid in the spleen and stomach system will weaken, and the water and fluid will easily stagnate and become dampness. In turn, the dampness will affect the recovery of spleen function. This is the so-called spleen deficiency and dampness obstacle."

Although Kahn is a bad guy, he has been in China for many years. Kahn understood Yun Heng's explanation a little and nodded.

Yun Heng continued: "As for the transportation and transformation, the transportation and transformation refers to the human body digesting, decomposing and absorbing water and food, and transporting various nutrients and water into every corner of the body, then recycling metabolites from all parts of the body, and finally expelling them from the body after processing. The transportation and transformation function actually means strike, and the transportation and transformation function has lost its original responsibilities, which means that it has already striked, and at this time, all functions of the human body will naturally not be able to operate normally."

"I understand this, you explained it too bluntly and very clearly."

Compared with spleen deficiency and dampness, Yun Heng's explanation of the Transport and Disease Meaning is more straightforward, and Kahn can understand better.

Yun Heng smiled and said, "In traditional Chinese medicine, the middle Jiao refers to the spleen and stomach. Dampness blocks the middle Jiao, and dampness blocks the spleen and stomach, affects its transportation and transformation function. The stomach yang is suppressed and cannot operate normally, which leads to a series of symptoms."

Yun Heng was studying these things just now, which means that the panel has given the correct answer. He is looking at the answer, so Kahn came with the same question, so Yun Heng explained it very smoothly.

While saying that, Yun Heng prescribed a prescription for Kahn and handed it to Kahn: "You should pay attention to light and easy to digest when eating, and you should pay attention to three meals a day. You must have a sense of hunger before eating. This time and quantity can form the habit of conditional emission, which will help the secretion of the digestive glands. At the same time, you should develop the habit of chewing slowly when eating, and chewing the food thoroughly. The more times the food is, the better. The more times you chew, the more it will help the secretion of saliva, which will protect the gastric mucosa."

In fact, many people know the latter point. When some adults teach children, they will also remind them not to eat voraciously, but to chew slowly. It is precisely because eating voraciously, swallowing whole is more harmful to the stomach.

"Well, thank you, doctor." Kahn nodded.

"Also, remember to develop the habit of urinating regularly, keeping cold and freezing, keeping your stomach warm, and avoid eating meat, fatty and fried foods with milk, pickled foods and irritating foods. These things are not good for the stomach and are harmful. At the same time, do not smoke or drink. This is a chronic disease, so you must pay special attention to many aspects."

Kahn is nothing else, but he is addicted to smoking and asked in confusion: "You can't smoke. I'm not lung disease, can't you smoke?"

Yun Heng explained: "I'll say more about smoking is harmful to health. Everyone who smokes knows that smoking not only affects the respiratory tract, but also can cause the blood vessels in the stomach to contract and affect the blood supply of gastric wall cells, which will lead to a decrease in gastric mucosa resistance and induce stomach disease."

"Well, I'll quit smoking."

Although it is an old smoker, Kahn is still willing to quit smoking due to this stomach problem that has tortured him for so many years.

"Also, it is best to take medicine around 10 am. There are notes on my prescription, so please pay attention."

"Why do you need ten o'clock?"

This bad guy has many questions. Every time Yun Heng says one, he will ask why.

Yun Heng was not impatient and said with a smile: "According to the theory of Ziwu Liuzhu, the human body's qi and blood flow in a certain organ at all times. At 10 o'clock in the morning, the time when qi and blood flow through the stomach, taking medicine at this time will help the absorption of the drug and enhance the effect."

Yun Heng didn't know if the other party could understand it. Anyway, it was a routine answer. I would learn these things when I was in school, but it was not what the panel told Yun Heng.

"Doctor, you are such a responsible doctor."

Kahn stood up and thanked Yunheng. Although he hadn't taken the medicine yet and didn't know the effect, Yunheng's attitude won Kahn's favor.

"You are kind."

Yun Heng watched Kahn walk out of the clinic, his mental power was concentrated, and the panel appeared in front of him.

“Get thanks from patient Kahn, time 4.”

Yun Heng was quite satisfied. After all, the illness was not cured yet. Just now, it was a little grateful because of his good attitude. It was a lot of good time after four minutes. If the other party could recover, I think it would increase a lot of time.
Chapter completed!
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