"I sweat when I'm awake, and I still sweat when I wake up. I just keep sweating."
the mother said.
"Star!"
Fang Le called out to Cheng Yunxing, and Cheng Yunxing hurriedly came to Fang Le's side.
"Here, it's your turn."
Fang Le stood up and gave up his seat to Cheng Yunxing.
First it was Gao Dawei, then Fang Le, and now Fang Le was replaced by Cheng Yunxing. The patient's mother-in-law was a little unhappy: "I said doctor, you just treat the doctor. Can you not use my daughter-in-law for experiments? My daughter-in-law still
I'm sick."
When Cheng Yunxing was told by the patient's mother-in-law, she felt a little embarrassed and turned back to look at Fang Le.
"This is not an experiment, but a consultation."
Before Fang Le could say anything, Gao Dawei smiled and said, "It's not often that we three doctors discuss with each other."
"You think I don't know?"
The patient's mother-in-law pointed at Fang Le and Cheng Yunxing: "Those two are obviously your students, and they are practicing with my daughter-in-law."
"One is fair and clean, like a pretty boy, and the other is dull and silly, like..."
The patient's husband hurriedly gave his mother a hand.
Cheng Yunxing almost became depressed on the spot.
You said it’s enough that both of them are apprentices. What’s the point of the subsequent evaluation?
Fang Le does look like a pretty boy, why is he so stupid?
"Doctor, don't mind me. My mother just talks a lot and has no other meaning."
The patient's husband hurriedly explained politely.
"fine."
Gao Dawei smiled and said: "Actually, whether they are students or apprentices, it is always a good thing to have more people. Even apprentices can sometimes find some problems. With more people, the observation will be more detailed, and the probability of making mistakes will be lower."
It’s just low, what do you think?”
"You're right."
The patient's husband smiled and nodded.
Gao Dawei is a veteran and has a good way of dealing with patients and their families.
And for words like this, only Gao Dawei said it was effective, and everything Fang Le said was not valid. Gao Dawei's forty-year-old age, coupled with an old face that is far beyond his own age, is more likely to arouse the trust of patients and their families.
.
It is almost common sense for most people to drink old wine and to see a doctor based on your age.
"Check it."
Fang Le stood next to Cheng Yunxing.
"Besides sweating, is there anything else that makes you feel uncomfortable?"
Cheng Yunxing sat down and asked while registering in the prescription book.
After all, he is a child from a family of traditional Chinese medicine. Xingxing still has experience in sitting in clinics, so he did not panic after going into battle.
"I'm just afraid of being cold, I have a headache, and I feel like my limbs and joints are cold, and they hurt a little, like they're cramping..."
The mother said seriously.
Fang Le stood on the side and watched Cheng Yunxing register in the prescription book: "Sweating, aversion to cold, headache, spasm of joints in limbs."
"Having aversion to cold and headache means that the symptoms have not been resolved..."
Cheng Yunxing said something to the mother, then checked her pulse and then checked her tongue coating.
"The pulse is deep and thready, the tongue is light red, and the coating is thin and white."
After the examination, Cheng Yunxing recorded his examination results again and asked, "Are you sure you haven't taken any medicine?"
"Definitely not. My wife is still feeding the child."
The mother-in-law of the mother-in-law said immediately.
It’s just that the mother’s eyes were obviously a little evasive.
"I felt so uncomfortable at the time that I drank two packets of cold medicine."
The mother said weakly.
"You kid..."
When the mother-in-law of the mother-in-law heard this, she was immediately shocked: "Why are you still secretly drinking medicine?"
"You don't let me drink it, it makes me feel uncomfortable."
The mother felt a little aggrieved.
After all, the mother-in-law is only 23 or 24 years old. She is not very old, so she should be a little afraid of her mother-in-law, but young people always have their own ideas.
"Then why do you still drink two packs? One pack is enough."
The mother-in-law of the mother-in-law was almost jumping up and down.
"You guys always look at me. I drink secretly, just thinking about drinking one more pack, so it will be better soon."
The mother whispered.
"You kid."
The mother-in-law of the mother-in-law did not know what to say.
It can be seen that the mother-in-law of the mother-in-law should have a high status in the family and be strict in control, but she is still very good to her daughter-in-law. Although the daughter-in-law is a little wronged, she does not complain much.
"This is because the body is weak after childbirth. After taking a cold, you take too much diaphoretic medicine. You should replenish fluids in time, otherwise it will easily cause water and electrolyte disorders..."
Gao Dawei couldn't help but interrupt, but before he finished speaking, he thought that Fang Le was nearby and it was not suitable for him to interrupt.
"What do you think of Xingxing?"
Fang Le asked Cheng Yunxing.
"I think the most important thing right now is to stop sweating first. Only in this way can we avoid further damage to the vaginal fluid."
Cheng Yunxing observed the patient while talking: "Judging from the patient's condition, although the patient is sweating a lot, he is in pretty good condition. There is no need to rush to replenish fluids."
Fang Le didn't say anything, but gave Cheng Yunxing a thumbs up in his heart.
Xingxing’s classmate’s level and knowledge are still acceptable.
In this case, it is very good that Cheng Yunxing can catch the patient's main symptom of excessive sweating.
This disease may be said to be complex, but in fact it is not that complicated. However, it may be said to be simple, but in fact it is not that simple.
In fact, the most troublesome thing is that the patient is a mother, only half a month after giving birth, and she is still breastfeeding. If this is excluded, many people these days do not see a doctor for this kind of cold, and just take medicine by themselves.
Going to a clinic or hospital is the next best option.
After all, no matter how minor the illness is, the cost of going to the hospital is at least several times or even ten times higher than what it costs outside.
Cheng Yunxing glanced at Fang Le and started writing the prescription when he saw that Fang Le didn't say anything.
After writing the prescription, Cheng Yunxing then looked at Fang Le.
"Guizhi soup?"
Fang Le stood aside, looking at the prescription written by Cheng Yunxing, and asked: "Why are you considering using Guizhi Decoction? Guizhi Decoction is a diaphoretic agent."
"If the external syndrome of Taiyang Disease is not resolved and the body is weak, you can use Guizhi Decoction to induce sweating, but the medicinal sweating effect of Guizhi Decoction itself can stop sick sweating."
Cheng Yunxing explained angrily.
Fang Le really thought he didn't understand anything.
"It is recorded in the "Huangdi Neijing" that when a person has heat and eats and drinks in a low position, the qi is not stable, and sweat comes out, either from the face or from the back... In addition, due to wind injuries, the internal joints are opened,
When hair steam is released and Wei Qi is released, it must not follow its path..."
"Well, that's a good point."
Fang Le smiled and nodded: "Then I took the prescription written by Cheng Yunxing and added some medicine at the end."
"aconite?"
Cheng Yunxing looked at Fang Lejia's medicine and opened his mouth slightly.
"The person with Taiyang disease suffers from sweating and continuous leakage. The person is averse to cold and has difficulty urinating. The limbs are slightly anxious and difficult to bend and extend. Guizhi plus Fuzi Decoction can treat this."
Fang Le placed the prescription in front of Cheng Yunxing.
"But the patient..."
Cheng Yunxing spoke halfway and did not continue.
He actually wanted to say, but the patient is a breastfeeding mother, so can this aconite be used casually?
But thinking of Fang Le's level and the experiment Fang Le did that day, Cheng Yunxing couldn't continue talking.
"The patient is a pregnant woman?"
Fang Le asked with a smile.
"Um."
Cheng Yunxing nodded.
Fang Le took the prescription over again, took the pen and added a few medicines to it.
"Astragalus, Angelica?"
Cheng Yunxing looked at Fang Lejia's medicine, thoughtfully.
“Considering that the patient suffers from severe loss of Qi and blood after childbirth, some medicines that can replenish Qi and nourish blood can be added.”
Fang Le explained it to Cheng Yunxing and said, "Let's make a new prescription according to the prescription. Pay attention to the dosage."
Cheng Yunxing took a new prescription form, copied one side according to Fang Le's modification, and then considered the dosage.
"Take the medicine and go back and take it according to the prescription."
Fang Le took the prescription, checked it, confirmed it was correct, and then handed the prescription to the patient.
"Thanks."
The patient thanked her, and her husband helped the patient up.
The patient's mother-in-law was still hesitant to speak, but in the end she didn't say much.
Gao Dawei didn't say anything, but Fang Le and the two young men still made the patient's mother-in-law a little worried.
After the patient's family of three left, Cheng Yunxing was still sitting behind the treatment table in a daze.
Fang Le ignored Cheng Yunxing and left the consulting room directly. Gao Dawei hurriedly chased after him.
"Doctor Fang, don't care about him?"
Gao Dawei caught up and asked.
"Let him think for himself. It's best if he can understand. Even if he can't figure it out, it's a good thing to think about it for a while."
Fang Le said as he walked.
"Um."
Gao Dawei nodded: "Doctor Fang is really well-intentioned. When I first entered the hospital, if someone had guided me like this, I would definitely not be so stupid."
"Director Cheng's son, Mr. Cheng's grandson, has been carried hand in hand since he was a child."
Fang Le said with a smile: "People are still stupid, and there is nothing you can do if you are stupid."
"Fang Le."
Later, Cheng Yunxing shouted angrily.
"Haha, have you figured it out?"
Fang Le asked with a smile. In fact, Fang Le said that deliberately because he noticed that Cheng Yunxing was catching up.
"I figured it out."
Cheng Yunxing said: "Although the patient's symptom is incessant sweating, the patient's sweating is not only caused by excessive intake of diaphoretic drugs. Excessive sweating damages Wei Yang, so at this time it is not only necessary to stop sweating, but also to warm and replenish Yang Qi.
, only when the Wei Yang is abundant can the external body be strengthened, and Aconite is the most suitable for restoring the Yang to relieve the adverse effects, assisting the fire and replenishing the Yang.”
"Not bad."
Fang Le said with a smile: "It seems that he is not too stupid. The patient's sweating has a yin factor, so we must understand the cause and start from the root cause. If it is urgent, it will save life, and if it is slow, it will treat the root cause. If the patient's condition is not critical, we must consider treating both the symptoms and the root cause."
, if you don’t warm and replenish the yang energy, but simply replenish the yin, no matter how you replenish it, it will be water without roots, and it will eventually be consumed.”
"As for Aconite."
Fang Ledao: "Traditional Chinese medicine relies on the bias of medicinal materials to treat diseases. As long as the syndrome differentiation is accurate, the medication is correct, and there are no side effects, you have to understand this."
"Um."
Cheng Yunxing nodded.
"Is there still Fuzi in Fangzhong?"
Gao Dawei realized later.
He didn't understand Chinese medicine and believed in Fang Le's skills. He didn't read the prescription at all just now. He didn't expect that there was aconite in the prescription. No wonder Cheng Yunxing was stunned for so long.
"Every great doctor must use Aconite. Anyone who cannot use Aconite is a quack."