Chapter 608 The youngest patient, the three-person group of broken defenses (momentum tickets are added)
The dialect handed the written note to the patient.
After seeing this, the patient thanked Fang Yan with satisfaction: "Doctor Fang has this trick, so I don't have to be arrested and went to the mental hospital."
This At that time, the patient's demand for the treatment prescription is not as high as this one.
He felt that it would be the same to take medicine today and tomorrow, but if he didn't get this pill earlier, he might be forced to be sent to a mental hospital this afternoon.
Fang Yan waved his hand and said, "It's okay, go back and pick up the medicine."
The patient said, "I have to first start." Take the list to the street office, otherwise they will really ask the people from the mental hospital to arrest me. Thank you Dr. Fang, I'll leave!"
After saying that, he bowed to Fang Yan.
After the patient left, Yang Jingxiang muttered: "The logic is quite clear and it looks quite normal. It is hard to imagine how he is sick."
Psychological Patients with a type of disease are not often encountered. None of them has any experience in this regard, and Fang Yan clearly seems to have such experience just now.
Prepare a prescription to flow smoothly.
It's like having treated many similar patients.
"Next." Fang Yan greeted the patient behind.
At this time, a young couple walked up, holding a little baby in their hands.
After hearing Fang Yan's shouting, he immediately responded and hurriedly walked up.
"Here you come! Dr. Fang, please show this child."
As they said that, the couple had already handed the child in their arms to the front of the dialect clinic.
Fang Yan was stunned. This was the first time he had encountered such a small patient.
It looks like it's only a few months old.
Fang Yan pointed to the chair at them and said, "Just just sit and hold yourself and talk about the symptoms."
After hearing Fang Yan's words, the wife of the young couple sat down again, held the baby in her hand, and told Fang Yan about the situation.
"This child has been born for three months. He was born in the unit's health center. After birth, his skin and eyes turned yellow. The urine he urinated was like strong tea. Our unit's health center He said that it could not be cured, so he asked us to go to the Western Hospital for hospitalization. "
" He went to the hospital for more than a month to be hospitalized for treatment. He had infusion and medicine, but it did not improve. Later, he had to be discharged from the hospital. After being discharged, he looked for it again. I have treated other traditional Chinese medicine and Western medicine, and I have also found some folk remedies that have no obvious effect. "
"I heard that all experts are on the clinic today, so we came here to try our luck." br> Fangyan nodded and stood up from behind the clinic desk.
He walked around the clinic and came to the child's side and began to observe the child's condition in the cradle. "How can he do pediatrics?" Yang Jingxiang whispered in a low voice and asked to the two people beside him.
Zhang Yanchang shook his head and responded: "I don't know."
Xiao Chengzhi was too lazy to answer and walked over directly.
Yang Jingxiang looked at Xiao Chengzhi's back, curled his lips, and then said to Zhang Yanchang: "Go and take a look."
The difficulty of traditional Chinese medicine pediatrics is already very high.
There is a big difference between the difficulty of pediatric treatment between a few months old and a few years old.
A few months old babies have imperfect organ phylogenetics, which further tests the strength of pediatricians.
Some medicines are fine if children who are a few years old take, but they may be fatal when they take them to the baby.
And children who are a few years old can already express their symptoms and feelings in words. Although there are inaccurate or incomplete expressions, it is much better than those who can't speak at all for babies.
So what is tested next is not only the dialectical ability of dialect, but also his ability to prescribe medicine.
At this time, Fang Yan had already observed the child. The child was thin, listless, yellow and rough, with a somewhat dull expression, and a very rare yellow-green white.
And there was a white foam coming out of the corner of his mouth as he breathed. Fang Yan put his hand into the swaddle and touched the child's belly. He found that his abdomen was bloated like a drum, and when he touched it, he looked like a ball.
Then Fang Yan observed the child's mouth again, which contained horse teeth.
Horse teeth are a common physiological phenomenon in the mouth of newborns. They refer to the fact that some small yellow-white particles sometimes appear on the edge of the gums or on the upper palate of newborns, which are very similar to the teeth that have just grown. Commonly known as "horse teeth" or "plate teeth", it is called epithelial beads in Western medicine.
This is during embryonic development, oral mucosal epithelial cells continue to proliferate and keratinize on the tooth plate to form dental germ.
When the tooth germ develops to a certain stage, some epithelial cells will be embedded under the gingival or palate mucosa. After birth, these epithelial cell clumps will gradually proliferate and keratinize, forming horse teeth. Horse teeth are a physiological phenomenon that usually fall off on their own within weeks of birth without special treatment.
But it hasn't fallen off in three months, so it's been a little bit long.
Of course, it is still within the normal range.
Then Fangyan looked at the child's tongue coating again.
The little tongue was yellow and the tongue coating was not sure if it was a problem with the light of the auditorium chandeliers, and it looked golden.
In his previous life, Fangdian did not study Chinese medicine pediatrics much, and he still had no contact with her in this life. Chinese medicine pediatrics should be one of his shortcomings. At present, he is challenging his weaknesses.
Fang Yan quickly thought and analyzed in her mind, and at the same time began to check the child's palms.
Fingerprint purple stagnation.
Fangyan tried to take the pulse, but found that the child's Cunkou pulse was really short.
Even if the "one designated three gates" method of pediatrics in traditional Chinese medicine, that is, press the three parts of the baby's incense, Guan and Celestial pulse at the same time with the index finger or thumb to take the pulse, it is difficult to diagnose.
He immediately gave up this method and asked the child's parents:
No mistakes, one song, one content, one in 6, one book, one bar, one reading! "How is the child's stool?" The child's mother responded: "It's very abnormal. She takes a bubble every five or six days, and the shape is similar to a sheep's poop egg. Grainy."
Fang Yan nodded when he heard this, and basically had figured out the situation of this child now.
He returned to the table where he was in the clinic, picked up his pen and started writing: "According to the "Iron Mirror of Young Children" written by Xia Ding, a famous pediatrician in the Qing Dynasty, the moss is felt by the mother of the gestation. It is passed on to the baby, so the child is born, his face and body are all golden, which is like a lot of heat and constipation. "
When I saw this sentence in the dialect, Xiao Chengzhi finally revealed it. Smile.
This is the first time that Fangdian has captured ancient books to help endorse the treatment. It can be said that it is a statement of no responsibility, or it can be said that it is a courage to give oneself.
But he couldn't laugh immediately because he hadn't read the book, and the dialect could actually remember all the contents of it, and the symptoms were so similar to those of the current child.
This shows that although Fang Yan is not confident in treating the child, he has found a solution in ancient books.
No? How did you have a brain?
Can you remember this?
But Fangyan didn't know that he would quote the content of an ancient book, so he would use it for his apprentice in the future, so some people would break the defense.
He quickly sorted out his thoughts in his mind, and then continued to write:
"The reason why the child is yellow is related to the mother's constitution, fetal heat, dampness and heat. The child is relatively thin and dampness and heat in the body accumulate for a long time. The evil of dampness and heat gradually turns dry, which in turn damages the body fluids and consumes positive energy. . At the same time, blood stasis and coagulation occurred in the body, and dampness and heat continued to accumulate and could not dissipate. Because the positive energy was already weak, it was difficult for the body to return to normal state."
After writing this, the dialect suddenly stopped After a pause, after a look at the child, he continued to write:
"So he decided to use two prescriptions, Yinchenhao Decoction and Wuling San, for treatment. These two prescriptions can remove heat evil in the body. , the effects of diuresis and dampness can also be used to clear the intestines, remove blood stasis, relieve liver depression, relieve mood, strengthen the spleen and stomach, resolve dampness, and ultimately achieve the purpose of helping children's own positive energy and expel disease evils."
Then he began to write down the formula for adding and subtracting Yinchenhao Decoction and Wuling San.
After writing, Fang Yan handed it to the patient's family and asked them to go back and decoct in water to get the juice, and take it slowly for the child to take it.
Then observe the child's stool tonight. If the stool is thin, it means that the feeding is too much. If the stool still does not change much, or the stool does not come out at all, it means that the feeding is not enough and you should continue to add it.
The child is different from a normal adult, and his dosage needs to be tested.
Hearing the words of the dialect, the child's parents nodded repeatedly.
It means you will go to pick up the medicine immediately and go back to feed the child.
They did not doubt the medicine prescribed by Fangdian at all, because they had witnessed the medical skills of Fangdian just now. They immediately took the medicine prescribed by Fangdian, and bowed to thank him. I hurriedly went to pick up the medicine.
On the other hand, Yang Jingxiang looked at the prescription that Fangyan prescribed and brought himself into the role of Fangyan, feeling that he might not be able to drive him so quickly.
For a moment, I fell into self-doubt.
When Zhang Yanchang saw that Fang Yan had passed all the difficult pediatrics level, he felt his head buzzing. In short, he should be the worst medical skills among the three.
The more I read dialect to treat the disease, the more I feel like I am looking up to you.
It's really hard to imagine that this guy is going to be a classmate with him?
And it was still five years.
Xiao Chengzhi broke the defense and then returned to his cold face.
He saw the next patient and decided to speak the dialectical solution in a dialect later, and also show his sense of existence!
PS: The monthly ticket is 100 more, so I owe you 90,000 words after this chapter.
There are additional updates in the afternoon
(This chapter ends)