Chapter 115 Special diagnosis and treatment for drivers(1/2)
When Zhang Yan and his friends were reading and studying hard, another patient came.
"Doctor!" A middle-aged man in work clothes covered his waist and pushed the door open.
"Hello, where is it uncomfortable?" Zhang Yan nodded and said with a smile.
"My back pain has been in pain for a long time. I feel very serious recently. It is so serious that when I stand up now, I need to take a while to straighten my waist." The middle-aged man sat down slowly, straightened his waist to Zhang Yan.
Said.
, "The master is the driver of the driver's class?" Zhang Yan looked at the middle-aged man and asked with a smile.
"Yes, I'm the driver of the bus. Doctor knows me?" the middle-aged man smiled proudly.
"I don't know you, it just depends on your clothes and a smell of diesel on your body. I feel like you should be the driver.
You lie on the examination bed first, and I'll check it out for you. Your driver is good, but this job is too tiring." Zhang Yan explained with a smile.
"Doctor, you are right. In our bus shift, nine out of ten people have back pain, but it is light and severe. This is our fate. What is the word called? Yes! Occupational disease! Back pain
It's our occupational disease." The middle-aged man said with a wry smile.
When the middle-aged man lay on the bed, Zhang Yan checked his waist muscles and lumbar spine.
There are relatively serious lumbar muscle strains and slight protrusions of the lumbar disc.
Seeing that the middle-aged man had severe back pain, Zhang Yan finished the examination and did not let him get up directly, so he directly pressed him a few times.
"You lie down, don't move, just relax!" Zhang Yan said as he grabbed the middle-aged ankle, lifted it up gently, and swayed left and right a few times.
Only a few slight sounds of middle-aged man's lumbar spine were heard, and the middle-aged man couldn't help but let out a comfortable moan.
"Isn't it very comfortable?" Zhang Yan asked with a smile.
"It feels so comfortable! Doctor, you just grabbed my feet and raised your waist. My old waist became much lighter in an instant. It feels so comfortable." The middle-aged man said with joy on his face.
Zhang Yan walked to the front of the washing rack and washed his hands carefully.
Then I went back to the back of my desk.
"Master, don't get me wrong. I didn't wash my hands because I thought you were dirty, because I'm going to take my pulse for you next." After sitting down, Zhang Yan explained to the middle-aged man with a smile.
"Uh! It's okay, it's okay! You guys are more careful when you are doctors. We rude men don't care about this." The middle-aged man felt a little more comfortable and said with a hurried smile.
In later generations, doctors in hospitals basically cleaned and disinfected their hands every time they diagnosed a patient, especially when they needed to have a physical examination.
Zhang Yan heard from the old doctor that when there was no disposable disinfectant in the past, he would wash his hands with water to disinfect.
There have been many doctors who were complained by patients because of this.
After checking my body for the front foot, I continued to wash my hands later. What does it mean?
Do you think I'm dirty?
If you encounter a irritable patient, complain directly to you!
That's why Zhang Yan explained it specifically.
It was indeed a bit dirty just now, so Zhang Yan had high psychological quality, otherwise he would have almost ran out with his mouth covered.
The smell on the middle-aged man's feet was so irritating.
"Master, give me your hand and I'll take your pulse!" Zhang Yan felt that middle-aged people are not just caused by lumbar muscle strain and lumbar disc herniation.
"I'll look at your tongue."
The moss is white and greasy and moist, and the pulse is deep and tight, so Zhang Yan made a judgment in his heart.
"Master, does your back pain hurt more severely when it is cold or cloudy or rainy? Put your waist against a warm bag or a warm place and the pain will be relieved and it will be more comfortable?" Zhang Yan asked.
"Yes, yes! That's it. What I like most is that lying on the hot kang, the comfort is so comfortable." The middle-aged man nodded quickly and agreed with Zhang Yan's words.
"Your dampness and cold waist pain is caused by dampness and cold energy invades the back waist, causing kidney yang and kidney yang deficiency to cause back pain.
In addition, you have relatively severe lumbar muscle strain and mild lumbar disc herniation.
Just as you said before, it is a common occupational disease for you big car drivers." Zhang Yan smiled and told the middle-aged man about his condition.
"Our drivers look glorious and everyone envies.
But who knows how hard we have worked?
I often sit in the car for seven or eight hours, and when I get off the car, my back hurts like a needle.
Sometimes, when I catch a long distance, I drive for about ten hours. I go to the toilet in the middle, eat something and cushion it, and continue driving.
In summer, you will be sweaty, especially on the waist and back. No matter how thick the clothes you wear, you will be wet.
It’s okay to say in summer, but in winter, when the clothes on your back are wet, the feeling is the same as wearing an ice vest.” The middle-aged man shook his head and told the driver’s bitterness.
Trucks in the 1950s were not so easy to drive. Without hydraulic power, the steering wheel was mechanical powered by it. Just turning the steering wheel could make you sweat all over.
The ventilation effect in the car is not good, and it is often sweaty, especially when you are on the back, you are more susceptible to sweat soaking when leaning against the back of the chair.
In summer, in order to cool down, open the car window and soak the clothes with sweat. When the wind blows, it means that the dampness and coldness enters the body.
When I was young, fortunately, I had strong firepower and could withstand it.
As I was older, the damp and cold evil that had been lurking before began to make trouble in my body.
The first thing that is eroded by the evil of dampness and cold is the waist, that is, the kidneys.
"I will prescribe two prescriptions for you, one for internal use and the other for external use!" Zhang Yan said as he prescribed a prescription for middle-aged people.
Add and subtract from Ganjiang Lingshu Decoction: 4 qian dried ginger, 3 qian roasted licorice, 5 qian Atractylodes macrocephala, 6 qian Poria cocos, Eucommia ulmoides, 4 qian each of Duhuo, 6 qian 5 qian dog spine, and 5 qian Achyranthes scalp.
Prescription for Kanli Sand: 13 qian angelica, 17 qian chuanxiong, 17 qian syrup, 17 qian syrup of bone grass, 17 qian of windproofing, and 20 jin of iron filings.
First add vinegar to decoct the Chinese medicine twice, then burn the iron chips red, pour the above decoction liquid into iron chips, dry, crush them into coarse powder, add vinegar and stir evenly when used, wrap and apply gauze to the affected area.
"If you feel that it is troublesome to make Kanli sand, you can just fry it with salt and wrap it in gauze and put it on your waist and iron it." Zhang Yan added another sentence after handing the prescription to the middle-aged man.
Hot salt ironing is effective, but it is definitely not as good as Kanli Sand.
However, the production of Kanli sand is a little more troublesome, and some people are reluctant to use it because of the trouble.
"Thank you, Doctor!"
"You're welcome! Do you remember the move I stretched you just now?"
"It's the movement of you lifting my feet and shaking it?"
"Yes! That's the move. When you go home, you will ask your lover to stretch it like this once a day. It will have a good recovery effect on your lumbar muscle strain and lumbar disc herniation." Zhang Yan explained with a smile.
The middle-aged man thought for a while and nodded solemnly, "Thank you, doctor, I remember!"
"Brother Zhang, can your stretching just now belong to the contents of traditional Chinese medicine massage?"
"Yes! That moment just now is called lumbar spine stretching! Don't underestimate this, it can greatly relieve the pressure on the lumbar spine and lumbar muscles.
Doing it regularly and stretching is very helpful in protecting joints in various parts of the body.” Zhang Yan explained with a smile.
Stretching cannot directly cure diseases, but frequent stretching can relieve the occurrence of diseases and relieve the pain.
In fact, massage itself contains many stretching movements.
Later, Zhang Yan will teach Zhao Shengli and the others one by one.
After a while, three middle-aged people came, and they all came to see them for back pain.
I only found out after asking,
These three people are also drivers of the bus shift.
After listening to Wei Zhonghua's introduction, I came to see the doctor.
Wei Zhonghua is the middle-aged man who had a back pain just now.
"Doctor, we are here just to ask, can we use the prescription you prescribed for Brother Wei?
Also, the stretching that raises the foot, can you give us some advice?” As soon as the three drivers came in, they asked Zhang Yan.
"There are many reasons for back pain. In the same profession, the causes of back pain may not be the same.
I have to check what kind of prescription to use first.
Who of you comes first?
Lean on the examination bed and I'll check it for you." Zhang Yan explained with a smile.
In fact, there are many such situations in life.
Some people see that neighbors or friends have similar diseases to their own, so they take a certain medicine and take it as well after they are cured.
Also, after taking some medicine myself, I felt that it was very effective. I enthusiastically recommended it to my neighbors, relatives and friends, "This is the recipe I took before, and the effect is very good.
You can also try to grab some medicines!"
This kind of thing seems to be helping others, but in fact it is all harming others.
Whether it is traditional Chinese medicine or Western medicine, if it is really that simple, why do you need a doctor?
Doctors still need to study hard for seven or eight years before graduation, and they still need to intern and exercise for several years before they can prescribe medicine?
These three people are quite rational and know how to come and ask.
To be continued...