Seeing the patient come in, Qin Fan smiled politely and said, "Old man, please take a seat!"
Shen Xiaoduo pulled out a chair for the old man early, and the old man sat down slowly.
When the old man came in, Qin Fan looked at him with inspection.
I know a lot about the old man's illness.
"Mr. Qin, I have gallstones and it hurts a lot," the old man said.
Precisely because gallstones would swell and hurt from time to time, he walked very slowly, with small steps and a slight bow.
Qin Fan was about to ask questions when the old man's son asked first.
"Mr. Qin, can Chinese medicine treat it well? My dad is so old and he doesn't want surgery."
The old man frowned slightly, as if he disliked his son for being nosy.
"I told you to leave it alone!"
Qin Fan smiled and waved his hand.
"Old man, don't get angry or angry." He raised his head and said to the middle-aged man: "Traditional Chinese medicine can cure it, but it requires your cooperation."
"Ah, what do you want me to cooperate with?" The middle-aged man was confused.
He was very surprised that Qin Fan asked him to cooperate even though his father was sick, and he refused to take medicine.
Shen Xiaoduo had been at the medical clinic for a long time, and he had a vague guess.
"Don't make the old man angry. Treating his disease will be easier with half the effort."
When the middle-aged man heard this, he immediately had a wry smile on his face.
"I didn't make him angry, I just persuaded him to have surgery to solve the problem once and for all."
Qin Fan glanced at the middle-aged man.
"Do you think removing the gallbladder will end it once and for all?"
The middle-aged man said: "Yes, if there is no gallbladder, wouldn't there be no gallstones?"
"Who told you that?"
"That's what the doctor at the hospital said."
Qin Fan was almost dumbfounded.
It can also be seen that middle-aged people do not understand the structure of the human gallbladder.
The so-called once and for all solution is more like wishful thinking.
Qin Fan drew a simple structural diagram of a gallbladder.
Pointing to the pattern, he said: "This is like the gallbladder. Connected to the gallbladder is the cystic duct, and the cystic duct is connected to the common gallbladder duct."
"Stones that appear in the gallbladder are generally called gallstones, stones that appear in the cystic duct are called cystic duct stones, and common gallbladder duct stones."
"Ah, how could this happen?"
The middle-aged man did not expect that the structure of the gallbladder is connected by links.
He suddenly slapped himself on the forehead.
"Oh my god, the explanations given by those doctors are so terrible. They said that if the gallbladder is removed, there will be no recurrence. Since the gallbladder is gone, there must be no gallstones."
"If stones appear in the cystic duct or common gallbladder duct, it doesn't mean recurrence, it's just called differently."
"Wouldn't it be necessary to cut it off again and again?"
Qin Fan laughed dumbly and waved his hand, "It's not as serious as you said."
"I tell you this because I want you to understand that if you want to solve the problem once and for all, you must solve the problem from the root."
The middle-aged man nodded, he also sat down, and the topic returned to the topic.
Asked sincerely: "Mr. Qin, is there any relationship between gallstones and mood?"
"There must be a certain relationship. If we are unhappy for a long time, it will cause abnormal liver and gallbladder drainage, leading to gallbladder qi stagnation and condensation into stones over time."
"Of course, this is only part of it, and it also has something to do with eating habits."
The middle-aged man smiled coquettishly.
"We didn't make him angry, we just wanted him to live a better life, but my dad wouldn't let me control it."
"Who wants you to take care of it? Just take care of yourself!" the old man said.
"Okay, okay, I don't care, and don't get angry. Let's see the head office first." The middle-aged man quickly laughed.
In fact, the so-called old is still young.
Many elderly people are very old, and sometimes their personalities are like those of children.
The best way is to follow the old man's wishes.
Qin Fan smiled and began to ask.
"Old man, what's your name? How old are you?"
The middle-aged man quickly answered: "My father's name is Chai Mao, he is 78 years old. Oh, my name is Chai Wei."
Shen Xiaoduo on the side acted as an assistant, filling in the old man's information on the prescription.
"Well, old man, let me take your pulse." Qin Fan said to the old man.
"good!"
Chai Mao stretched out his left hand, and Qin Fan skillfully placed his fingers on it and began to feel his pulse.
"How long have you been having this problem?"
"Ah...oh, it's been a few months." Chai Mao said.
Chai Wei added on the side, "It didn't hurt much at first, but it started to hurt recently."
"I went to a Western doctor to take a X-ray to confirm that it was gallstones."
"Where else does it hurt?" Qin Fan asked again.
Chai Mao touched his back with his backhand, "Every time I get colic, it involves pain in my back."
"Also, my mouth feels bitter, my mood is irritable, I always feel that my body is full, and my appetite is not very good."
Qin Fan nodded, and then he changed his hand to feel his pulse. Judging from the pulse condition, it was Xian pulse.
This is a typical syndrome of liver stagnation and qi stagnation.
The old man was very irritable because of his illness. After Chai Wei tried to persuade him, he became very angry, which was a sign of irritability.
Due to the fullness of the abdomen, the appetite is poor.
While Qin Fan was conducting the fourth diagnosis, Shen Xiaoduo quickly wrote down the situation.
"Let me take a look at your tongue."
Chai Mao stuck out his tongue. His tongue was dark red and its coating was thin and white.
"Xiaoduo, please try to feel the old man's pulse." Qin Fan said.
"OK."
Shen Xiaoduo began to help Chai Mao feel his pulse.
"Old man, your disease will take a little longer to treat, but you should pay attention to a few things."
"Okay, you say." Chai Mao replied.
Qin Fan nodded and said to Chai Wei: "Mr. Chai, you must remember this."
"For your father's gallstones, in addition to pain relief and stone removal, the most important thing is to improve his living and eating habits."
"Okay! I'll write it down." Chai Wei said.
He took out his mobile phone and prepared to record it in the mobile phone memo.
"Eat more fresh fruits and vegetables that are rich in vitamin C and vitamin A."
"For example, fresh oranges, carrots, tomatoes, cabbage, and you can also eat more lean meat, chicken, fish, kelp, seaweed, walnuts, black fungus, etc."
"Use more vegetable oil for cooking, mainly stewing, braising, and steaming."
"This can prevent and reduce the recurrence of gallstones."
"Also, as I just said, maintaining a good mood will get twice the result with half the effort."
"Well, I understand." Chai Wei said.
At this time, Shen Xiaoduo also completed the diagnosis. He combined Qin Fan's four diagnoses.
Summarize Chaimao’s clinical manifestations on paper.
Colic involves back pain, bitter mouth and dry throat, upset and irritable, distended epigastrium, no desire to eat, dark red tongue with thin white coating, and stringy pulse.
"Xiaoduo, how do you think we should treat it?" Qin Fan asked.
"Mr. Qin, this old man suffers from liver stagnation and qi stagnation. The treatment method should be mainly soothing the liver and regulating qi, removing stones and relieving pain."
"Yeah~" Qin Fan nodded approvingly.
Shen Xiaoduo's diagnosis was correct. Because the old man had a special constitution, Qin Fan directly prescribed it.
Only two kinds of medicine were used. One was Xiaoshi Powder, a prescription composed of turmeric powder, alum powder, fire salt powder, talcum powder, etc.
The second is Gallus gallus gallus, which is powdered and taken separately.
Qin Fan handed the prescription to Chai Wei.
He warned: "Mr. Chai, this is a day's dosage, swallow it twice a day, and come back for a follow-up visit in half a month."
"Okay." Chai Wei took the prescription and looked at it, "Mr. Qin, is this chicken gizzard the chicken's gizzard?"
"Yes, it's the spleen and stomach of the chicken, which is the yellow membrane inside the gizzard."
"Oh, this is still Chinese medicine." Chai Wei was surprised.
Qin Fan looked at Shen Xiaoduo and said with a smile: "Xiaoduo, do you know what the ancients said about chicken gizzard?"
"One tael of chicken contains one tael of gold!" Shen Xiaoduo said with a smile.
"Ah... so expensive?" Chai Wei immediately opened his mouth.
Qin Fan burst out laughing.
"This is just a metaphor, not a price. This is not a black shop."
"You don't know any common sense." Chai Mao blamed Chai Wei again.
"Dad, I'm not a doctor, so I don't understand what's normal." Chai Wei defended embarrassedly.
"Listen to Mr. Qin, you must be right."
"Okay, it's all up to you."
"Well, that's pretty much it." Chai Mao stood up and thanked Qin Fan, "Mr. Qin, thank you."
"You're welcome, remember to be in a good mood."
"OK, all right."
Chai Wei helped Chai Mao out of the office to grab medicine.
"Mr. Qin, why did you only prescribe Xiaoshisan and Chicken Neijin?" Shen Xiaoduo said.
Qin Fan said: "We must prioritize treatment."
"Just talking about Chai Mao's symptoms, he has a poor appetite, a distended abdomen, and labor pains from time to time."
"The top priority is to relieve pain and remove stones first."
He paused and asked, "You should know the main functions of Gallus gallus gallus L., right?"
"You know, chicken gizzard has the effects of strengthening the stomach and digesting food, astringing semen and relieving spermatorrhea, and relieving stranguria."
"Mainly used to treat dietary stagnation, malnutrition in children, vomiting and diarrhea, stranguria, gallstones, gallbladder and hypochondriac pain, astringent and painful urination, spermatorrhea, enuresis, etc."
"Well, you're absolutely right."
"Gallus gallus gallus L. is the spleen and stomach of the chicken. The spleen governs transportation and transformation, and the spleen and stomach itself has the function of transporting, transforming, and eliminating food. Therefore, Gallus gallus gallinae can digest food and resolve accumulation."
Qin Fan smiled and continued to ask: "Have you ever eaten chicken, have you found that chicken has teeth?"
Shen Xiaoduo thought about it for a moment, "Without teeth, chickens just swallow food directly."