Lao Liangtou's business is very reliable. Through communication with Director Yang, Director Yang communicated with Chu Yunlong, and finally decided that Zhang Yan would go to Xicheng Hospital for treatment every Monday, Wednesday and Friday.

That day, Zhang Yan had just arrived at Xicheng Hospital, sat down in the outpatient department, picked up the tea made by his apprentice and took a sip of it.

"Yanzi!" The second uncle's daughter-in-law Zhao Yunli quickly walked to the clinic.

"Sister-in-law!" Zhang Yan quickly stood up and talked.

"There is a patient in our department who has postpartum urinary retention. Many methods have been used but failed. Our director asked me to come to you for consultation."

"Postpartum urinary retention?" Zhang Yan was stunned for a moment. This was a very common disease, but it was not a difficult and complicated disease.

"Sister-in-law, do the patient have other symptoms besides urinary retention, such as urinary tract infection or other acute and chronic inflammation? Are there any underlying diseases?"

"Not even exist, it's just urinary retention. It's been a week since I've used anti-infection drugs, diuretic powder and other drugs, but they have no effect. Now I rely on the catheter for catheters."

After hearing Zhao Yunli's words, Zhang Yan had already made a judgment and said with a smile: "Sister-in-law, there is no need for consultation. After you go back, use Suye to soak water and drink it as tea for the patient. It will be effective in at most two days."

"That's so simple? Can you cure postpartum urinary retention by making tea with Suye?" Zhao Yunli looked at Zhang Yan with some disbelief.

"Yes, it's that simple. If you are anxious, use three cents of Fangfeng, Suye, and almonds each. Decoct and take it, and you will see the effect on the same day." Zhang Yan added with a smile.

"Okay, I'll go back and try it now!" Seeing Zhang Yan so confident, Zhao Yunli nodded, turned around and left in a hurry.

Looking at the sister-in-law walking with wind, Zhang Yan couldn't help but sigh that his sister-in-law was born with a surgeon.

As I said before, even goddesses in the surgical operating room will evolve into tomboys, the kind of soft and delicate female doctor who can't stay in the surgery department.

I can't do a surgeon either.

"Postpartum urinary retention, urinary occlusion, is a clinically common symptom.

Can anyone tell me what causes postpartum urinary retention or urinary stasis?" Zhang Yan looked at the apprentices standing against the wall.

Because there were too many people, all the apprentices could only take turns to help Zhang Yan write medical records. The others took a small notebook and stood against the wall, recording what Zhang Yan said at any time.

For example: what diseases, pathogenesis, treatment methods, etc.

Then correspond to what you learned in class before.

"Teacher, there are many causes of urinary abscess, including impaired lung qi, poor triple burner, obstruction of dampness and stagnation of deficiency and fire, all may lead to poor urine output." Sun Lijun answered first.

"Well! Can anyone tell me which kind of urinary abstinence the prescription I just gave is mainly targeted?" Zhang Yan nodded and then asked.

"Teacher, Su Ye is a wind medicine, and the meaning of obtaining the upper Jiao is like Yu, mainly treating urinary abscess caused by unreliable lung qi.

You can make recipes with schizonepeta, banfeng, Suye, Duhuo, Angelica dahurica, duckweed, almond, loquat leaves, and Qianhu." Zhang Tongxu answered.

"Yeah, it's not bad!" Zhang Yan nodded with satisfaction.

Zhang Tongxu learned to debate medicine with his grandfather since he was a child. In terms of medicine, he was much more than other apprentices.

At this time, a patient came in outside, and Zhang Yan ended this small assessment.

Such assessments basically happen every day. Generally, after Zhang Yan's medical treatment, as long as there are no patients waiting later, Zhang Yan will give the apprentice questions and take the exam.

"Doctor!" The patient was an old man in his fifties. After coming in, he was startled to see so many people in the room. After screaming, he forgot what he said later.

"Hello, old comrade! Where is it uncomfortable?" Zhang Yan asked gently.

"That..." The old man looked at the person in the room, hesitated and did not tell the condition.

"Old comrades, they are all apprentices in traditional Chinese medicine. They come to learn experiences, so you don't have to worry about them.

Tell me where you feel uncomfortable?

Or, if you are inconvenient to say, please let me give you a pulse first, and then I will tell you if it is right." Zhang Yan knew that the old man might be a bit indescribable, so he saw so many people in the room, including men and women

, so I'm embarrassed to say it.

"Uh! This is good!" The old man was immediately delighted and cooperated to put his wrist on the pulse pillow.

Zhang Yan rubbed his hands and pressed them on the old man's cun ruler.

Floating pulse.

"Old comrade, let me look at your tongue coating."

The old man opened his mouth as he said.

The tongue coating is yellow and thick.

"Old comrade, are you urinating hard?" Zhang Yan asked softly for a while.

"Yes, yes! I have been having difficulty urinating recently, and I feel pain. I always feel defecating, but it is rare every time, and it is ticking." Zhang Yan said the symptoms correctly, and the old man didn't care about being shy.

, quickly speak out your symptoms.

Zhang Yan thought to himself, it was a coincidence.

I just explained the autism to the apprentice, and then another autistic patient came.

Autism is a symptoms of prostate hyperplasia, hypertrophy and other symptoms mentioned in Western medicine.

However, this does not belong to the syndrome of the unrestrained lung qi, so you cannot use wind medicine.

"Old comrade, do you have any difficulty in stool besides urinating?

"Nothing is this." The old man shook his head.

"Old comrade, your disease is caused by the disadvantage of bladder gasification. I will prescribe a prescription for you. After you go back, mash the medicine into powder, then divide it evenly, divide it into nine portions, take it with rice soup or boiled water, take it three times a day.

After three days of service, Zhang Yan first explained to the old man.

Then he said to the apprentice who was waiting to write the prescription: "Poria cocos 18 zhu [4 qian] peeled, one or six plants of Alisma [7 qian], Atractylodes 18 zhu [4 qian], Poria cocos 18 zhu [4 qian], Poria cocos 18 zhu

[Four qian], half a liang of cinnamon twigs [Three qian] peeled.

Grind it into powder and take it in nine white dishes."

After saying that, Zhang Yan looked at the apprentice standing against the wall again, "Whoever followed this old comrade to the pharmacy to see if the pharmacy can help grind the medicine into powder."

"Teacher, I'll go!" Zhang Tongxu raised his hand and said.

"Okay! Go!" Zhang Yan nodded.

"Thank you, Doctor!" The old man took the prescription with thanks and followed Zhang Tongxu to the pharmacy to get medicine.

"You think about it, why did I use Wuling San just now, instead of using Taoren Chengqi Decoction to add and subtract or Tonglin Prescription to add and subtract." Zhang Yan gave the apprentice another test question.

It’s not that I don’t want to ask questions and assessments on the spot, but that another patient came in behind me.

Compared with Red Star Hospital, Xicheng Hospital has many more patients, not the same level.

At Xicheng Hospital, the patients will basically not be cut off. If Zhang Yan is willing to see them, there will be 100 patients a day.
Chapter completed!