As the patient walked in, Gao Shan's face also showed a smile. When he was an intern at the Second Affiliated Hospital, Gao Shan had also seen teachers working in outpatient clinics, and even more powerful professor accounts, expert accounts, special expert accounts, etc.
. When I see those experts and professors sitting in the clinic, all of them are very impressive. They speak as fast as possible. Their speaking attitude is also blunt and straightforward. If the patient is a bit verbose, he will even show an expression of impatience.
Before this, Gao Shan always felt that there was no need to do this. But now, looking at the dark crowd outside the door. The hospital was opened, and a total of 120 outpatient clinic numbers were arranged for him every day. Gao Shan felt that he was a little confused at this time.
I can understand what those experts are thinking. It’s not that they don’t want to be amiable, it’s just that time doesn’t allow for it.
However, Gao Shan is still prepared to be different from others. Not only can he talk like a friend, but at least he can't go to the doctor with a cold face. The "Huangdi Neijing" said that everything in the world is ready, and nothing is precious.
To people.
But today, Gao Shan found that he had just smiled when the patient greeted him eagerly. Sometimes, the patient really regarded the doctor as a relative. Why is the relationship between doctors and patients tense today? The flashy changes in society are a
The reason, many people still blame the patient. But is that really the case? I’m afraid not necessarily.
Gao Shan also chuckled and said: "Aunt, you're welcome. Sit down. What's wrong with you?"
While talking, Gao Shan also motioned to Auntie to place her wrist on the pulse counting pillow. In terms of pulse diagnosis, Gao Shan now has Zhen Qi as a basis. It can be said that he has reached the absolute top level in pulse diagnosis. Auntie soon understood.
The pulse condition is a bit floating and the inside is weak.
The aunt also said at this moment: "Doctor Gao, I have been diabetic for many years. I have to get up about four or five times a day, and I drink more water when I am thirsty. My blood sugar can't be controlled now. I have been to many hospitals.
.I’ve spent all my time in the hospital.”
At first glance, this is a person who has been ill for a long time. Maybe he doesn’t know much about other diseases. But for diabetes, the aunt is very familiar with it. He continued: "Usually fasting blood sugar is usually around 19.2, and two days after a meal
The hourly blood sugar is basically at 21, and sometimes it’s as high as 23.”
Blood sugar level is a basic testing method of Western medicine. It is generally expressed in the unit of mmol/L. The normal fasting blood sugar value is 3.9-6.1 mmol/L, and the blood sugar value two hours after a meal is less than or equal to 7.8
mmol/L, and the emergence of portable blood glucose meters, including the emergence of insulin needles, is actually good news for diabetics.
Being able to objectively and numerically feel the changes in the condition. This is the biggest difference between Western medicine and Chinese medicine. Traditional Chinese medicine does not have things like blood sugar levels.
However, whether the standard of blood sugar level is beneficial to treatment, it certainly is. To be fair, it is estimated based on experience, pulse, etc., but it is not as good as direct measurement.
Gao Shan's current thinking has also changed. It is not just about promoting Chinese medicine. In fact, if we simply promote Chinese medicine and completely abandon Western medicine, it will not work at all. Only by integrating some of the essence of Western medicine can it be useful.
East and West, and then integrate the diagnosis, treatment and medication principles of traditional Chinese medicine. The derived modern medicine is the best way to promote traditional Chinese medicine.
Gao Shan's brows suddenly wrinkled. There was something wrong with the situation of the aunt in front of him. Not to mention such high blood sugar. Judging from the pulse, there were also some abnormalities in the aunt's liver and kidney meridians, which meant that her liver
The kidneys have already been damaged to a certain extent.
Of course, if this part is simply measured by Western medicine liver and kidney function tests, there may be no problem. In fact, this is also the strength of traditional Chinese medicine. Although traditional Chinese medicine does not have intuitive and clear data, people are a whole. Sometimes, testing
If there is no problem, it does not mean that there is no problem with the pulse condition.
Gao Shan was also thinking deeply at this moment. Judging from the aunt's condition, it was definitely diabetes. Western medicine divides type 1 diabetes, type 2 diabetes and gestational diabetes into three types. But in traditional Chinese medicine, diabetes is generally called diabetes.
.There is a very famous Chinese patent medicine Xiaoke Pill, which is a medicine for treating diabetes.
It’s a bit tricky. The development of traditional Chinese medicine and Western medicine are completely different. Diabetes is not a separately listed disease in traditional Chinese medicine, and there is no specialized endocrinology department. Moreover, there is no exclusive name for the pancreas in traditional Chinese medicine.
Gao Shan's brain is running fast. He wants to start treating diabetes. With Western medicine, this is easy. Control diet, increase exercise, pay attention to liver and kidney function, and control blood sugar. In addition to Western medicine, there is also insulin. Now there is an insulin pump.
There are even built-in insulin pumps and so on. But Chinese medicine...
Meridian tropism, if you want to treat a certain disease, you must first meridian tropism. This is the principle of traditional Chinese medicine treatment. Traditional Chinese medicine has never been scattered. Only when meridian tropism is done well can we prescribe the right medicine according to the different meridians and acupoints. Pancreas,
According to Gao Shan, it should be attributed to the spleen and kidney meridians.
The Difficult Classic says: The spleen weighs two kilograms and three liang, is three inches wide and five inches long, and has half a kilogram of loose paste. The so-called loose paste here refers to the pancreas.
According to this view, the pancreas should be part of the spleen. It should belong to the spleen meridian. However, Li Shizhen also said that the pancreas is one of the life gates of a person and is the origin of the triple burner. It belongs to the kidney, because the kidney belongs to water. If there is a problem with the pancreas
, diabetes caused by insulin deficiency is called thirst syndrome in traditional Chinese medicine.
According to the theory of Western medicine, the most direct way to cure diabetes is to restore the function of the pancreas. The reason why diabetes occurs. In addition to gestational diabetes, whether it is type 1 or type 2, the final analysis is insulin deficiency. However, type 1
Diabetes is an absolute deficiency of insulin, while type 2 diabetes starts with insulin resistance and eventually leads to insulin deficiency.
In terms of traditional Chinese medicine, acupuncture is no longer a rare thing in the treatment of diabetes. In terms of acupoint selection, the main acupoints are generally spleen acupoints, diaphragm acupuncture points, and pancreatic acupoints. In addition, Zusanli and Sanyinjiao are used.
Guanyuan, Shenmen and other acupoints are selected according to different dialectics. According to previous data, the symptoms of Sanduo are significantly relieved, and blood sugar and urine sugar are also significantly reduced.
However, acupuncture only stays at the level of treating the symptoms. The conditioning of traditional Chinese medicine also stays at the level of treating both the main symptoms and the underlying causes. If... we can really find a way out of this aspect, we can use acupuncture, moxibustion,
Methods such as cupping and physical therapy, supplemented by traditional Chinese medicine prescriptions, can stimulate the pancreas to work again.
Even though he was thinking so much, it actually happened in a blink of an eye. Looking at the aunt waiting and expecting, Gao Shan smiled and said: "Aunt, do you think this will work? I have a method here.
, it is considered to be experimental in nature. I can’t say the specific effect will definitely work. However, I can be sure that it will not be harmful to your current situation. Do you want to give it a try?"