Lin Yuan had a wonderful sleep. It was already past eight o'clock the next morning when he woke up. Since he got up late, he did not go up to the roof to practice boxing. Instead, he went directly downstairs to have breakfast and then arrived at Zhengqi Hall.
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Liang Haiwei had already arrived. When Lin Yuan arrived, he was receiving a patient. The patient was a middle-aged man in his fifties. Judging from his attire, he should be the leader of a certain company.
Lin Yuan was still very relieved about Liang Haiwei. When he entered the Zhengqi Hall, he didn't interfere and just sat on the side. Wang Zhanjun made a cup of tea for Lin Yuan and took a medical record for Lin Yuan. This took a long time.
Wang Zhanjun was already very familiar with Lin Yuan's habits. In his spare time, Lin Yuan liked to drink tea and read.
"Your western medicine diagnosis is acute cholecystitis and gallstones, which are symptoms of qi stagnation in Chinese medicine." Liang Haiwei carefully examined the patient and took notes while saying: "I will prescribe you two doses of Dabuihu decoction. First,
Try it and see the effect.”
While talking, Liang Haiwei prescribed a prescription for the patient and asked Wang Zhanjun to grab the medicine. The patient took the good medicine and paid the consultation fee. He was about to leave, but Lin Yuan accidentally raised his head and glanced at the patient, saying hurriedly: "Wait a minute.
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The patient turned back to look at Lin Yuan with some confusion in his eyes: "Is something wrong?"
"Please wait a moment, I will take a look at your situation." Lin Yuan smiled politely, and then said to Liang Haiwei: "Brother Liang, let me take a look at the patient's diagnosis and medical records."
Liang Haiwei was also a little confused. Could it be that his diagnosis was wrong? Although he was confused, he came to Lin Yuan with the diagnosis and medical records he just recorded and handed the medical records to Lin Yuan.
Lin Yuan carefully looked at the medical records. It was recorded that the patient had pain in the right upper abdomen, which worsened in paroxysms and radiated to the right shoulder and back, accompanied by nausea and vomiting. He vomited residue first, then vomited thin saliva, had chills, and had to wear clothes.
Symptoms can be slightly relieved by wearing thicker clothes, but there was still fever that night, and the next day, a large lump of egg appeared under the right costal margin.
The patient came to see a doctor yesterday. After Liang Haiwei's examination, in order to confirm more, he asked the patient to go to the hospital for examination. This morning the patient came with the hospital's examination results. The hospital's examination results were acute cholecystitis and gallstones. Liang Haiwei
Based on the hospital's examination results and my own diagnosis, I was finally diagnosed with qi stagnation and excess heat, and was prescribed Dabuihu Decoction.
After reading the medical records and diagnosis, Lin Yuan raised his head and smiled politely at the middle-aged man: "Please sit down, if you don't mind, I will check again."
The middle-aged man looked at Liang Haiwei, and Liang Haiwei said with a smile: "This is Dr. Lin Yuanlin, the attending doctor of Zhengqitang."
"Are you Dr. Lin?" The middle-aged man was surprised and hurriedly smiled: "I came here just for you, Dr. Lin. I have long heard that you have superb medical skills and have cured many difficult and complicated diseases. But...
I didn’t expect you to be so young.”
The middle-aged man is not from Mingwei District, but from another district. His home is quite far from Zhengqitang. It is precisely because he has heard of Lin Yuan's reputation, but he has never met Lin Yuan. Just now
I thought Liang Haiwei was Lin Yuan. After all, Liang Haiwei looked more credible than Lin Yuan based on his age.
In fact, it is not just middle-aged men. The reputation of Zhengqitang has slowly spread. Except for those from around Mingwei District, most of the patients who come to Zhengqitang for medical treatment do not actually know Lin Yuan. This time, Liang Haiwei is taking charge of Zhengqi.
Tang, many people mistakenly think that Liang Haiwei is Lin Yuan.
In addition, Liang Haiwei's medical skills are not bad. As long as it is not too troublesome, he can basically deal with it and the treatment effect is good. This way no one will doubt it.
If Lin Yuan and Liang Haiwei are in the clinic at the same time, if there are no familiar patients or no one deliberately asks, most patients will choose Liang Haiwei for treatment, thinking that Liang Haiwei is Dr. Lin from Zhengqitang.
"You're welcome, Brother Liang's medical skills are actually not inferior to mine." Lin Yuan chuckled and said, "It's just that I just saw your complexion and felt a little itchy, so I wanted to confirm it again."
The middle-aged man nodded hurriedly and walked behind the consultation table to sit down. Lin Yuan also stood up and went to sit down. He checked the middle-aged man's pulse again, then checked it in detail and asked about some symptoms.
The patient had a pale tongue with a slippery coating and a stringy and thin pulse. At the same time, Lin Yuan asked Wang Zhanjun to take a hot water bottle and apply it on the middle-aged man's abdomen. He asked about the middle-aged man's condition, and he said he felt very comfortable.
"What did you eat or drink heavily before you got sick?" Lin Yuan asked again.
"I ate a lot of iced watermelon and cold dishes the night before, and drank a lot of white wine," the middle-aged man said.
Lin Yuan nodded when he heard this, confirmed his guess, and said with a smile: "Doctor Liang's diagnosis is basically fine, but I can see that the eldest brother is probably more busy with work, and Dr. Liang's prescription is milder and takes a slower effect.
, let me change the recipe, and if you go back and take a few doses, you should be able to recover faster."
"Then thank you Dr. Lin." The middle-aged man was overjoyed when he heard this. No matter who he was, he naturally hoped that he would recover faster. Moreover, Lin Yuan's reputation is now quite famous. Lin Yuan personally helped him see a doctor.
He even felt that it was his luck today.
Lin Yuan asked for the Dabupleurum decoction that Liang Haiwei had prescribed before, and then prescribed a new Linggui Zhugan decoction with Fu tablets and black medicine. He took two doses. He asked Wang Zhanjun to take the medicine again, and then he got up and personally sent the middle-aged patient away.
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After the middle-aged patient left, Liang Haiwei stepped forward and said, "Dr. Lin, thank you. If it weren't for you, I would have made a joke today."
Liang Haiwei's skill was not bad. Lin Yuan re-diagnosed and changed his prescription. He instantly understood that he had just been misdiagnosed. Moreover, in front of the patient, Lin Yuan even saved him face. He did not say that he had misdiagnosed, but said
Change to a recipe that recovers faster.
"Brother Liang, you're welcome." Lin Yuan said with a smile: "Who hasn't made a mistake? This patient's condition is indeed easy for people to misunderstand. If I hadn't discovered that there was a dark color in his complexion, I suspected that he had something in his body.
I won’t re-diagnose the cold.”
"However." Lin Yuan said with a change of tone: "But this disease is not difficult to diagnose if you are careful. Brother Liang, your mistake this time was mainly because you relied too much on the hospital's test results. You relied entirely on the hospital's examination and diagnosis.
Judgment based on this, although acute cholecystitis is more common in people with qi stagnation and excessive heat, there are other cases. For example, today’s patient is a cold drinker. If you combine the four diagnostic methods and make a comprehensive analysis, it is not difficult.
The identification is clear."
The so-called Four Diagnostics and Combined Ginseng are the four diagnostic methods commonly used in traditional Chinese medicine: inspection, smelling, questioning, and incision. To some extent, any of these four methods can be used to diagnose diseases, and at the same time they complement each other.
In the eyes of many people, TCM treatment and pulse diagnosis are the main means of diagnosis. In fact, this is incorrect. In the eyes of some real TCM people, there are four methods of looking, smelling, asking, and cutting. Sometimes one method can make a diagnosis.
illness.
Just like Lin Yuan, in many cases he can actually tell most of a person's condition just by looking at him, and then asking for some details can basically confirm the diagnosis. Diagnosing the pulse is just to be more certain.
It is precisely because of this misunderstanding that many Chinese medicine practitioners actually regard pulse diagnosis as the main diagnostic method. They rely entirely on pulse conditions for some diseases. In fact, this is wrong. You must know that although pulse conditions are ever-changing, in some diseases,
It is not impossible to have the same pulse condition, especially if the symptoms are relatively similar, one is hot and the other is cold, one is deficient and the other is excess. The pulse conditions are the same, but the treatment is very different. At this time, additional diagnostic assistance is needed.
, such as asking the patient how he or she feels, observing the patient's complexion, understanding the patient's condition before and after the illness, and then making detailed comparisons and combining the four diagnoses, which can reduce many mistakes.
Liang Haiwei's mistake this time was actually not understanding the cause of the patient's illness. The patient ate a lot of iced watermelon and drank a lot of alcohol at the same time. In this case, cold qi stasis must be considered.
At the same time, Liang Haiwei did not pay attention to the patient's complexion, and relied more on Western medicine diagnosis, misdiagnosing cold drinks as internal qi stagnation and excessive heat.
"What Dr. Lin said was that I also asked him to go to the hospital for an examination first for more confirmation. I didn't expect that it would lead to a misdiagnosis for this reason." Liang Haiwei nodded. Although he is older, he is more advanced than Lin in terms of medical skills.
Yuan was indeed convinced, not to mention that Lin Yuan helped him avoid a misdiagnosis this time.
"Examinations from Western medicine can be used for reference, but they cannot be relied upon completely. You can refer to some data to make judgments, but when thinking, you must first abandon the diagnosis of Western medicine and use the thinking of traditional Chinese medicine to analyze. After all, traditional Chinese medicine and Western medicine are completely different.
Two systems." Lin Yuandao.
"Haha, Xiao Lin is right." After Lin Yuan's words fell, a hearty laughter came from the door of the clinic. Then Gu Senquan accompanied an old man about seventy years old and walked in. As he walked in,
The old man also said: "Syndrome differentiation and treatment are the characteristics of traditional Chinese medicine, and it is also the advantage of traditional Chinese medicine. If you are first confused by the diagnostic results of Western medicine when treating a disease, and blindly apply Chinese medicine based on the disease results of Western medicine, ignoring dialectics, it will inevitably lead to misdiagnosis and misunderstanding."
Treatment, but sometimes people tend to be stereotyped in things. When diagnosing a disease, you should pay special attention to get rid of stereotyped thinking."
PS: Something happened, the update is late, I will update it today and make up for it tomorrow!