Chen Nan's words made everyone around look at the woman with curiosity.
Everyone is also curious, why did Director Chen ask this question?
Selling blood?
Is there any impact?
The woman became a little embarrassed at this time: "I...I...I didn't understand at that time..."
"I didn't mean it either."
"At that time, there were a lot of people visiting the village, and I also went there for a while."
You must know that in our country, the buying and selling of blood is absolutely prohibited. Selling blood and receiving blood for sale are both illegal.
Because selling blood is definitely not as simple as imagined!
This blood must enter the blood bank.
Blood selling not only poses a threat to the health of blood sellers and blood recipients, but also affects social blood supply and supervision mechanisms, causing the uncontrolled spread of certain diseases.
The hygienic conditions of most black dens for buying and selling blood are not up to standard, and disposable blood collection tools are not used, which has greatly increased the infection rate of HIV, hepatitis B and other viruses.
After hearing the woman's words, everyone around them couldn't help but become nervous.
You know, there are many infectious diseases caused by selling blood.
The medical staff in the department are very wary of these patients or their families.
During medical treatment, there is inherent risk of exposure.
This kind of danger exists especially when nurses are performing intubation, catheterization, infusion, injection, etc.
Therefore, many infectious disease departments must conduct a systematic infectious disease examination for patients when they are hospitalized.
The purpose is to prevent this from happening.
This is not only to protect medical staff, but also to protect the majority of patients who come to the hospital.
After all... once hospital infection occurs, it is difficult to completely control the number of infected people and the infection situation.
The woman seemed to feel the instant change in the atmosphere around her. She looked a little embarrassed, even became nervous, and began to feel uneasy.
"This... this... it's been three or four years... this... shouldn't have any impact, right?"
"No way?"
At this time, Shi Ke looked at the woman and said seriously:
"In our country, selling blood is illegal, whether you are selling blood or receiving blood!"
"Why……"
"You are too..."
As Shi Ke talked, he shook his head helplessly when he saw the woman looking like this.
In fact, this kind of blood selling situation still exists in some backward villages even today.
Those criminals take advantage of the ignorance and ignorance of the people. There are even some organizations pretending to donate blood, going to some remote mountain villages to sell blood in the name of donating blood!
The price they gave was only a few dozen dollars for blood, but... this amount of money was a big temptation for those in remote and impoverished mountainous areas.
Before Shi Ke finished speaking, he fell silent first.
Because everyone knows it!
Isn't it possible that a woman's ignorance is not due to her failure to do her job properly?
In other words, the medical publicity is not adequate!
However, now is not the time to debate whether selling blood is right or wrong.
The most important thing at the moment is the boy's illness.
Lu Zhilin glanced at Chen Nan: "Director Chen, are you considering it?"
Chen Nan shook his head: "I'm not sure either, I just have doubts."
"After I just looked at all the patient's cases, I found that no infectious disease tests were performed, and the tests for some special fungal and bacterial infections were not done well."
"only……"
"I guess there is a possibility."
“Cryptococcosis!”
As soon as these words came out, everyone around him immediately frowned.
Cryptococcosis is an uncommon disease!
Moreover, the patient does seem to have some characteristics of cryptococcosis.
Cryptococcal infection is the most common fungal infection of the central nervous system. After infection, it directly leads to optic nerve damage, optic neuritis, optic atrophy, chorioretinitis and increased intracranial pressure.
Physical examination may reveal signs of meningeal irritation such as a staggering gait, stiff neck, and Brucella's or Klinefelter's signs.
This includes understanding the characteristics of the skull!
Moreover, after infants and young children are infected with this bacteria, it will damage the central nervous system, causing glandular hormone secretion disorders, thus affecting the child's growth and development!
And most importantly!
Cryptococcosis is a manifestation of AIDS.
In the ward, besides the patients and their families, there were also patients in other beds. Chen Nan didn't want to bluff this matter before finding out the truth.
The doctors at the China-Japan Friendship Hospital are quite good. Chen Nan’s case of cryptococcosis immediately caught the attention of many people.
Shi Ke even asked quickly: "Director Chen, should I modify the medical order now?"
"By the way, should I make one for the patient's family too?"
Chen Nan nodded: "Well, let's check each one."
"You can communicate with the other party in a while."
All of this is inference.
In fact, this also made Chen Nan a little helpless.
Because the patient's pulse condition was extremely weak, and the pulse diagnosis was inaccurate given that the child was relatively young, so... this somewhat limited Chen Nan's diagnosis of the patient.
At this time, the patient is still sleeping, or in a comatose state.
No matter how powerful Chinese medicine is, it still has to pay attention to looking, hearing, asking and feeling. There are too few things that can be diagnosed now.
Chen Nan could only wait for time.
However, as a mature doctor, he cannot be restricted. Although Chen Nan has been working hard in traditional Chinese medicine over the years,... he does not dare to slack off in modern medicine.
Medicine is all about understanding by analogy. As a mature doctor, you must have arduous skills.
Ward rounds continue.
Wait until after eleven o'clock.
Zhao Jianyong couldn't help but ask: "Professor Chen, do you suspect that the patient has AIDS?"
Chen Nan nodded: "Well, after all, cryptococcosis infects the central nervous system, which is very similar to the patient's condition!"
"But...it's just speculation."
"Look at the patient's current symptoms and disease development history."
"The mother of the child had the experience of selling blood three or four years ago. Although the number of times was not many, we cannot rule out this possibility."
"And breast milk transmission can realize the spread of HIV."
"At that time, the child was exactly two years old. Before the age of two, it was basically normal, but... after the age of two, these diseases began to appear. Don't you think it's a coincidence?"
"Sometimes, medical diagnosis requires this. When all the coincidences are explained clearly, the truth will be closer."
Zhao Jianyong couldn't help but smile: "Is it just close? Isn't it out?"
Chen Nan smiled and shook his head: "A slight difference can make a thousand miles."
"Wait for the results!"
Zhao Jianyong heard this and nodded: "Okay, then I'll go and wait inside. I'll report to you if anything happens."
…
…
Infectious disease examinations are slower, but results can be obtained on the same day.
Everyone in the department is waiting for the results.
After lunch, several doctors started chatting in the doctor's office.
"Hey, people are really incomparable. Director Chen is indeed an expert. So many hospitals couldn't find clues, but he found them in just a few words!"
"Yes, cryptococcal infection is a very rare disease. To be honest... I didn't dare to say anything during the ward rounds just now, for fear of being asked by Director Chen. I really don't know that cryptococcal disease has anything to do with the patient.
?
I didn’t even eat lunch, so I quickly checked it out, and it was amazing. Central cryptococcosis turned out to be a complication of AIDS. I was really shocked!”
"I heard that Director Chen only graduated from Jin Provincial University of Traditional Chinese Medicine with a bachelor's degree. Why is he so good?"
"You are just talking about a layman, right? Medicine is about continuous learning, and clinical talent and academic background are two different things. Does Mr. Wu Mengchao have to have graduated with a doctorate in hepatobiliary surgery?" Deputy Director Lou Aicheng said with a smile.
.
His respect for Chen Nan now has reached a level of deep self-confidence.
"Are you right? Lao Xue!"
Xue Zhongqing smiled slightly when he heard the sound: "Yes."
"Otherwise, he could have become the director of our ward in his twenties?"
"To be honest, if it weren't for Director Luo's seniority, I think Director Chen would be able to shoulder the responsibility of the senior director."
Everyone laughed.
And this time!
The patient's mother, Wu Caiping, and her husband, Zhang Guangfu, were sitting in the corridor, facing each other and remaining silent.
"You said... we don't really have AIDS, right?"
"In the morning, Dr. Shi asked my child and I to take an AIDS test."
Hearing this, Zhang Guangfu sighed, his eyes full of pain and worry.
"I don't know either……"
"However, in the village, Lao Wang, the captain of the seventh team, was diagnosed with AIDS and left within a few years..."
"Also, do you know my father-in-law Zhang Guangcheng? Actually... I didn't leave that year because of a car accident. After I went to the hospital, it was said that I left because of bleeding and infection caused by the car accident. The infection couldn't be stopped... The doctor said it might be AIDS.
…”
"Why……"
The couple couldn't help but sigh.
Many people in the village were involved in selling blood, and several people have been found to have left because of AIDS.
This made Wu Caiping and Zhang Guangfu, who were originally worried, even more frightened.
"Have you... borrowed the money?"
"Today's examination and other expenses cost more than a thousand. Doctor Shi has stopped all treatments for us. There are no other expenses... But it still costs more than a thousand..."
Zhang Guangfu scratched his head. He was in his early thirties and now had half a head of gray hair. Although the thick hair was not very clear, the wrinkles between his eyebrows were like ravines. Under his dark skin, it was clear that
Not sure exactly how old he is.
"After raising money, I sold some of my sheep for more than 3,000 yuan."
When Wu Caiping heard this, she was anxious at first: "How can we sell them? They are all ewes, and they will give birth in April..."
When Zhang Guangfu heard this, he said weakly: "My cubs may not survive, so what can I do if they give birth to cubs?"
"Is it possible that it can still be treated without treatment?"
"What if you are diagnosed with AIDS...can we still have a baby?"
"The baby is so old, how can you... not treat it?"
Before he finished speaking, the strong man's nose became sore and tears flowed out. He raised his arms, wiped away the tears with both hands, and sniffed.
"Treat it, it must be treated no matter what."
"If I were really sick, I would have to work hard to save the baby and treat him."
Wu Caiping kept sobbing silently.
The corridor fell into silence again.
"If I... are diagnosed with an illness, don't treat me."
"I heard that this disease cannot be cured..."
"You raise the baby well."
"It's all my fault. At that time, I had to covet the seventy-five yuan and the pot of oil. What did I want?"
The woman cried and blamed herself.
The man remained silent: "Treat it, rule it all."
"With one less person... we are no longer home."
After the man was silent for a while, he took out a package from his pocket and handed it to his wife: "You didn't eat lunch, did you?"
"This is called a hamburger. How many times have I wanted to eat it but I still didn't want to buy it."
"You can eat some."
"When the child is well, I will take you with me."
Wu Caiping took the burger and broke it in half: "You can eat it too."
Zhang Guangcheng: "I had dinner at the construction site."
"You can eat it."
The woman thought about it, didn't eat it, and carefully put the burger into a box, hoping to leave it to her child.
The man took out the money from his pocket: "This is 135 yuan and 60 cents."
"The 100 yuan was for loading and unloading. I happened to come across a job when I went out, so I did it and earned a hundred yuan."
"Thirty-five yuan and six, I picked up scraps today."
"Put it on."
"I also took out three thousand yuan."
The woman nodded when she heard the sound, carefully held the money in her hand, with some saliva on her right hand, and counted it back and forth several times.
After confirming that it was correct, she took out a transparent plastic bag from her pocket, which contained an instant noodles bag. She divided the money into two parts, put one part on her body, and put the other part in the bag, and stuffed it into the seam of her underwear.
In a good bag.
For a while, the corridor became quiet again.
…
Chen Nan was also checking information at this time. Regarding the situation of this little boy, Chen Nan actually had no idea.
It’s past four in the afternoon!
The head nurse Xia Lianping hurried to the doctor's office and shouted:
"It's out, the result is out!"
"It's indeed AIDS!"
"It's really been found out!"
"And this little boy really has cryptococcosis infection!"
As soon as these words came out, the scene was quiet for a while, and then became lively.
Shi Ke was stunned when he heard the head nurse's voice.
Because she didn't know whether she should be happy that she had found the cause of the disease, or...should be sad about the poor fate of this family.
Deputy Director Lou Aicheng stood up excitedly: "Okay!"
"Director Chen is really amazing!"
"Assistant Zhao, please call Director Chen quickly to resolve this..."
While speaking, Lou Aicheng was stunned for a moment.
because……
Is this really good news?
Not only him, but everyone in the room fell silent.
AIDS!
Is this really good news?
Shouldn't this be bad news?
There was silence in the entire office, and everyone didn't know how to express their emotions at this time.
Although they are all doctors, they look down upon the joys and sorrows of life and death.
However, the tragedy of this family makes it difficult for everyone to be happy.
After spending so much money, the family came to the capital to see a doctor. Not only did they spend all their savings, but they also suffered from famine. They had hot water and steamed buns every day. If they were more luxurious, they would buy a pack of mustard. Most of the time.
With the seasoning of instant noodles, it is a bowl of soup...
How can they be happy with such a family?
Zhao Jianyong thought for a long time and quickly got up to call Chen Nan.
After receiving the result, Chen Nan was silent for a moment and then said: "Wait until I get down."
Chen Nan quickly rushed to the doctor's office.
Lou Aicheng said quickly: "Director Chen... the results are out!"
"It is indeed central nervous system cryptococcosis."
"The results are out, you see."
After Chen Nan read the results, he couldn't help but sigh.
"Dr. Shi, give me symptomatic treatment!"
Shi Ke nodded: "Yeah."
Chen Nan hesitated and then asked: "This family is in a special situation. Let's see if the hospital can apply for subsidies."
After hearing Chen Nan's words, everyone around looked at each other in shock.
Lou Aicheng said helplessly: "It's probably quite boring."
"They need to report this situation to the Centers for Disease Control and Prevention and see what they say."
"The hospital handles this situation in accordance with local policies."
Chen Nan was stunned: "Let's treat the disease first."
At this time, Zhao Jianyong walked in and said to Chen Nan: "Director Chen, the patient is awake. Do you want to go and see him?"
Chen Nan nodded: "Let's go."
While talking, Chen Nan led Shi Ke towards the ward.
In the room at this time.
Wu Caiping smiled and fed the burger to the little boy: "Is it delicious?"
"Dad bought it for you."
"Dad said, when you get better... let's go eat KFC."
The little boy took one look at the burger and shook his head: "Mom, I don't like meat."
"I like to eat this bread, you like to eat meat."
"Where's dad?"
Wu Caiping hesitated for a moment: "Dad is out. He will read with you in the evening."
"Okay?"
The little boy whispered to Wu Caiping: "Mom...last night, I saw my father's hands were split..."
"Isn't he working hard?"
"How about... we don't need to see a doctor anymore, okay?"
"Let's go home, okay?"
Wu Caiping's nose felt sore: "Good boy, when you get better, can we go home?"
"You can run and play together like Qiqi, Goudan and the others, okay?"
…
At the door, everyone couldn't help but sigh when they heard the family's words.
Chen Nan pushed the door open and walked in.
After seeing Shi Ke and the others come in, the little boy on the bed actually picked up the meat from the sandwich in his hand and looked at Shi Ke with a smile:
"Aunt Shi, here you go...this is a hamburger, it's delicious."
"Give it to you."
Hearing this, Shi Ke couldn't hold it back and tears burst into his eyes.
"Auntie... why are you crying?"
"I……"
"Did I do something wrong?"
Seeing this, Shi Ke didn't mind that the little boy was diagnosed with AIDS, and hugged him directly: "Good boy, Auntie doesn't want to eat, Auntie has eaten enough."
"Be obedient."
"Your illness will be cured soon."
The little boy heard the sound and asked: "Really?"
"Can I be as tall as dad? That way I can protect mom."
Shi Ke nodded: "Yes, you have to eat well, eat meat... okay?"
The little boy lowered his head and looked at the meat in his hand: "I...I..."
"This is very expensive."
"I ate... wasted..."
"You have to spit it out after eating it..."
Everyone in the room didn't say much.
After calling Wu Caiping out, Shi Ke said: "This is very bad news."
"You and your child have been diagnosed with AIDS."
"But... the cause of the child's condition has also been found. It is caused by cryptococcosis, a complication of AIDS, which infects the central nervous system."
"A cure can also be found."
After hearing Shi Ke's words, Wu Caiping's legs suddenly softened and she fell to the ground limply, her mind going blank.
He kept saying: "AIDS... is really... AIDS..."
"I...I'm sorry...I'm sorry, doll..."
Shi Ke quickly persuaded:
"Don't be nervous yet."
“It doesn’t mean that AIDS can’t be cured at all.”
"Also, the survival period of AIDS will not be affected too much."
“The survival period of AIDS must first consider the stage of the HIV-infected person.
The reason why many people have a high mortality rate is because most infected people only find out that they are infected with AIDS after they develop symptoms of opportunistic infections and have entered the AIDS stage.
At this time, CD4 cells are already relatively low, so the treatment effect is often poor.
However, if you and your child are discovered earlier, or very timely, if you start treatment when CD4 is >500/mm, most people can live a normal lifespan, or their lifespan is <10 years compared to non-AIDS infected people.
, the impact is less than 10 years.”
"The situation between you and your child is good!"
"And... some HIV medications are free, so you don't have to worry!"
Shi Ke kept comforting Wu Caiping, and then began to notify Zhang Guangfu, the family member.
After Zhang Guangfu arrived, everyone was dumbfounded.
Wife and children...all of them!
So... can he survive?
On the same day, Zhang Guangfu did a free examination. To everyone's surprise...he was not infected?
You must know that sexual transmission can lead to HIV infection, which is a matter of probability.
But...Zhang Guangfu really didn’t!
This does not seem to be a devastating blow to this family.
The patient's diagnosis once again proved Chen Nan's power to all the medical staff in the department!
Treatment work has also begun.
Regarding cryptococcosis infection in children, anti-infective treatment is still required.
At the same time, intracranial pressure should be reduced.
After the treatment cycle started, the Centers for Disease Control and Prevention also contacted me and sent antiviral drugs.
Just when everyone thought that this little boy's condition would improve!
After a week of treatment, the effect was minimal!
At this moment, everyone in the department was dumbfounded.
It has obviously been symptomatic treatment, but... why are the symptoms not relieved now?
Chen Nan also started to get confused.
What exactly went wrong.
Therefore, Chen Nan began to contact experts from the Department of Neurology at the China-Japan Friendship Hospital, and was considering whether to conduct a detailed examination tomorrow to further diagnose the child's brain.
After all, now that the cause has been found, the treatment has no effect!
This is a very rare existence.
It is obviously symptomatic treatment, but the symptoms are not relieved... What is going on?
Not only Chen Nan, but also the people in the department became a little nervous and anxious.
…
On this day, after Chen Nan got off work, Zhao Jianyong sent Chen Nan home.
When he was about to get off the car, Zhao Jianyong suddenly said:
"Director Chen..."
"I...I have something to say, I don't know whether I should say it or not."
Chen Nan laughed: "Is there anything you can't say? What's wrong?"
Zhao Jianyong couldn't help but said: "I feel... our treatment seems to have overlooked something."
Chen Nan was stunned immediately.
"What was overlooked?"
Zhao Jianyong coughed and said a little embarrassedly:
"You have always taught me that diagnosis and treatment should not be partial or partial."
"I feel that your diagnosis of the little boy was not complete."
"Moreover, after the child woke up, you... did not conduct detailed consultation, including eating habits, etc."
"I know that my pulse diagnosis and inspection are far different from yours."
"But... I think that any patient, even after we discover the cause of the disease, must follow the diagnosis and treatment plan of traditional Chinese medicine."
"You can't say that if you find AIDS, you must follow the other party's guidelines."
"After all...symptomatic treatment also has limitations, doesn't it?"
"Just like what you said, a slight difference can lead to a loss of a thousand miles. Until the truth emerges, everything is unknown."
"I think...should we...go back and conduct diagnosis and treatment again from the perspective of traditional Chinese medicine?"
As soon as these words came out, Chen Nan was stunned.
He took a deep breath and reviewed this diagnosis and treatment.
For a moment, I actually felt a trace of cold sweat oozing out from my back.
indeed!
I was the first to discover that the patient may have cryptococcal infection of the central nervous system, which may be AIDS.
The patient and his mother were also diagnosed and cured of AIDS.
It seems that all this has come naturally.
Even everyone in the department is praising me, saying that I have learned both Chinese and Western knowledge!
This patient's special case was even featured in the hospital's special case discussion on difficult and complicated diseases.
At the meeting, the experts and professors were full of praise for his sudden idea!
Even, for a while, I fell into this trap!
But……
But I overlooked the most important point.
Are all the patient's diseases really caused by this condition?
Chen Nan began to reflect!
As Zhao Jianyong said, have you overlooked a very important point?
That is the most primitive respect for patients and diseases.
I trust too much in a certain ability of my own, whether it is diagnosis or pulse diagnosis, but I neglect that any use requires a combination of the four diagnostic methods. It cannot be used exclusively, let alone neglected.
And what about yourself?
Did you do it?
In an instant, Chen Nan woke up with a start.
In fact, Chen Nan also felt changes in himself.
With the changes in his identity, status, and influence, as well as the improvement in his strength, it seems to have expanded a bit.
I forgot the original intention of a doctor!
Hua Tuo didn't have to go to Cao Cao, but he still had to go back to the neighboring areas to treat the people.
This doctor’s heart is extremely precious!
And what about yourself?
It seems that along with his status and the adulation from people around him, he is somewhat addicted to it.
Chen Nan took a deep breath, looked at Zhao Jianyong and said, "You are right!"
"Remind me in time for this kind of thing in the future!"
"Fortunately, it didn't lead to a big mistake now!"
"Hurry up and call the doctor on duty and ask if the little patient is awake now."
"I'll go see him!"
Zhao Jianyong was relieved after hearing what Chen Nan said. He was also worried that Chen Nan would be angry.
He doesn't worry about being a liar.
Now it seems that Director Chen... has taken advantage of it.
Zhao Jianyong quickly called and learned that the little boy was awake now, and quickly drove back to the hospital.
On the way, Chen Nan smiled and said: "Old Zhao, thank you!"
Zhao Jianyong smiled slightly: "Director Chen, I have to play a role by your side."
After returning to the department, Chen Nan quickly returned to the room.
At this time, the little boy was eating. His meal was very rich, including beef, milk, and chicken soup.
After all, the little boy was too thin, and Wu Caiping tried every means to make the boy eat more and eat better.
Seeing this scene, Chen Nan suddenly thought of something and asked quickly:
"What did the children eat when they were young?"
Wu Caiping was stunned for a moment: "Director Chen, actually... the child has been eating well since he was a child."
"Although we are in a village,...the children have never lacked eggs, meat, goat milk, and milk since they were young."
"This child has been a little thin since he was a child, and I don't have enough milk, so I try to feed him as much good food as possible."
"This child likes to eat fat meat. As for us, let's give the child more food."
"I'm afraid that my child will be thin."
"But... after the age of two, it is rare for a child to not gain weight no matter how much he eats. Moreover, he does not grow taller. We are all worried."
"So, in terms of food and drink, we really haven't treated our children badly."
After Chen Nan heard this, he suddenly woke up.
Zhao Jianyong is really a talented person by his side!
Director Zhao is my lucky general!
I almost missed so much useful information.
Traditional Chinese medicine doctors look, smell, ask, and diagnose. They have indeed looked, smelled, and incised, but the only thing missing is consultation!
Since I learned that the patient had cryptococcosis, I relied too much on the patient's medical records for consultation.
And neglected to communicate and consult with patients and families.
It almost led to a big mistake!
He looked at the little boy again, his eyes a little more thoughtful.
He said: "Kid, let your uncle take your pulse, okay?"
The little boy nodded: "Okay..."
"Uncle, can I be a doctor when I grow up?"
Chen Nan nodded: "Okay!"
At this time, Chen Nan still couldn't get much useful information from the pulse diagnosis, but... this time, he had a direction.
Chen Nan asked Wu Caiping: "Did your children like to eat fat, sweet, and greasy things when they were young?"
"For example, some fat meat, candy cakes, fats, ice cream, etc.?"
"And... you have a good appetite!"
Wu Caiping nodded: "Well, yes!"
"The key is...this kid can't get fat no matter how much he eats."
"When I reached the age of three or four, I started to lose weight!"
"At that time, we were afraid. It wasn't until last year that the child became thinner and thinner, and we started taking him around to see the doctor!"
When Chen Nan heard this, his heart trembled.
He suddenly thought of a disease.
Cranic disease!
Infantile malnutrition, this disease may be relatively common.
It is a pediatric disease characterized by mental atrophy, sallow complexion, emaciated skin, withered hair, enlarged belly, and loose stools.
It is more common in children aged 1 to 5 years. Malnutrition is mostly caused by improper diet, improper milk feeding, damage to the spleen and stomach, failure of transportation and transformation, lack of nutrition, and the inability of the qi and blood to nourish the internal organs.
However, this little patient is obviously not simply suffering from malnutrition.
Records from the Medical Sect’s Golden Mirror!
"Adults work too hard while children suffer from malnutrition. Breastfeeding damages the spleen and is the cause of the disease. Loss of sweetness and fat produces accumulated heat. Qi, blood and body fluids are tortured. At first, you suffer from urination and hot flashes. As time goes by, the veins and belly will become strong, the complexion will be yellow, the muscles will be thin, and the skin will become haggard.
Eyes dim."
What does it mean?
Sir, in ancient times, it generally refers to those over fifteen years old. For such people, illness is caused by fatigue.
Anyone under the age of fifteen is called rickets.
The reason is that the Qi and blood due to hesitation are weak, the Tibet is delicate and easy to be injured, or due to overeating with milk, or due to excessive fat and sweetness, stagnation of the middle intestine, sluggish transmission of transformation, and gradual damage to the intestines and stomach, resulting in accumulation of heat and excessive heat.
In case of rickets, qi and blood are consumed and body fluids are burnt.
At the beginning of the disease, the urine is like rice water, hot flashes in the afternoon, and if it is not treated for a long time, the veins will be exposed, the belly will be hard, the complexion will be yellow, the muscles will be thin, the fur will be haggard, and the eyes will be sunk, and the disease will become a disease.
.
Chen Nan quickly asked: "When the child was three or four years old, did his urine often become very turbid? His stools were shapeless?"
Wu Caiping nodded quickly: "Yes, yes, yes!"
"During that time, the doctor said it was gonorrhea and asked the child to take some medicine."
Chen Nan couldn't help but pat his head at this time!
It's really...
So silly!
So stupid!
Too careless!
How could I have forgotten so many useful clues?
Chen Nan quickly began to make a detailed diagnosis at this time. At this moment, he had new clues in his mind.
After having clues, pulse diagnosis will also have ideas!
Bleeding gums, bad breath in the mouth, feet as cold as ice, abdominal pain and diarrhea, and crying...
Chen Nan suddenly had a flash of inspiration.
He got it!
"Kanitis!"
The so-called renal malnutrition means that the malnutrition has developed to a certain extent, resulting in serious loss of kidney essence.
The kidney stores essence, governs growth and development!
The kidney belongs to water in the five elements, is the yin among the yin, connects the winter qi, connects the bones in the body, opens the ears and the two yin, its flower is hair, the liquid is saliva, the kidney contains the will, and the emotion is fear.
seem……
This all really makes sense.
The child's skull cracking, crotch knees, delayed teeth, and delayed walking are obviously manifestations of insufficient kidney qi.
A dark complexion, bleeding gums, bad breath in the mouth, feet as cold as ice, abdominal pain and diarrhea, and endless crying are signs of kidney qi failure!
Chen Nan became excited instantly.
I see!
That’s so!
How could such a simple disease cause such a troublesome situation?
Chen Nan quickly said to Zhao Jianyong:
"Get ready to prescribe medicine!"
Zhao Jianyong nodded quickly: "Received!"
At this moment, Zhao Jianyong looked at the expression on Chen Nan's face, and it seemed that he had returned to the past.
He knows!
This time, the patient may actually be saved.
Because Director Chen is back!
That's right, it's that Director Chen.
Zhao Jianyong was extremely happy inside.
At this time, Chen Nan closed his eyes and thought for a while before saying.
g) Nutmeg (simmered), Neem root, white skin and thunder pills, aloe vera (raw), turnip root (10g each!)"
"For this medicine, you go to the Chinese medicine pharmacy yourself and let them make it overnight!"
"Remember, to make pills, crush the medicine. The batter is the pill, the mung beans are big, and the realgar is the coating. Take fifteen pills each time, and use millet porridge to take it."
"You are personally responsible!"
Zhao Jianyong nodded quickly.
"What kind of recipe is this?"
After Chen Nan thought for a while, he said: "Wu Ming, you can call it Jin Chan Wan."
"Every day after taking the Golden Toad Pill, add another dose of medicine an hour later!"
"Jiuwei Dihuang Pills!"
"Rehmannia glutinosa meat (15g each), red poria, Alisma, peony bark, yam (fried), angelica and toochean root, Junzi meat (9g each)."
Chen Nan nodded: "No need to go back, I will stay on duty tonight."
"Let's take a look at the patient's condition."
Zhao Jianyong smiled: "Okay!"
…
The patient's condition actually caused quite a stir in the hospital.
After all, Wu Caiping had seen doctors in many places in the capital with her children.
And the key is that the cause of the disease has not been found. After coming here, Professor Chen Nanchen suddenly diagnosed it.
Because of the particularity of the case, it was viewed and displayed as a special medical record in the hospital. Shi Ke even needed to take this medical record to participate in the hospital's medical record competition.
And as a result, this patient will inevitably attract everyone's attention.
But……
Up to now, the patients have not had very good results, so many people are full of jokes.
Regarding Chen Nan's sudden rise, there were naturally many voices in the China-Japan Friendship Hospital.
that's all!
Ten days later.
The hospital medical record competition was held as scheduled.
After Shi Ke walked onto the stage with his medical records, he bowed slightly to everyone and said:
"First of all, I want to apologize to everyone!"
"Because we are going to change the topic for the report."
As soon as these words came out, the judges in the audience immediately became curious.
"Okay, why do you want to change the topic?"
"Yes, temporary replacement of medical records does not meet the requirements?"
…
"Director Chen, this is not in compliance with the regulations in your ward!"
Director He from the Western Medicine Ward looked at Chen Nan with a smile, pointed at Shi Ke on the stage, and smiled.
Chen Nan smiled slightly and said nothing.
He knew very well that this time, many people wanted to see a joke.
At this time, Shi Ke continued: "I didn't change the case, I just need to change the title!"
"Before, what we were doing was research on AIDS, but now... we have to change it to traditional Chinese medicine, which involves looking, smelling, asking, and feeling, the four diagnostic methods combined with ginseng, and medical record analysis, which is indispensable..."
As soon as these words came out, everyone suddenly became curious.
This time!
Shi Ke stood on the stage and said: "Next, first of all, I will show you the patient's medical records."
"This is a photo. This is what the patient looked like when he was hospitalized!"
"And after our twenty-day treatment!"
"Now, the patient's photo looks like this!"
As he spoke, the PPT on the stage changed, and a child who had become noticeably rounder appeared on the screen.
Is this a person?
The previous photo looked like a skeleton, so terrifying!
And what about now?
Although he is still very thin, but... there has been a significant change compared to before!
This change is like a complete transformation.
Shi Ke looked at the dumbfounded expressions of many experts in the audience and couldn't help but become excited.
The patient's improvement is definitely great news for her!
…
ps: More than 10,000 words have been delivered. Thank you everyone for your long wait!