Chapter 609 If the man does not give up, I would like to be my younger brother (more updates to the monthly ticket).
"Next!"
Xiao Chengzhi was already a little impatient, so he took the initiative to shout for Fangyan.
Fang Yan didn't think it was offended. Instead, she felt that Xiao Chengzhi was gradually moving towards Jia Dapeng and took on the role of assistant without hesitating himself.
Soon the patient came up, a young man in his 20s and nearly 30 years old.
"Hello doctor!" After he greeted Fang Yan, Fang Yan nodded and asked him to sit down.
Xiao Chengzhi has now begun to stare at the patient and has begun to use his unique skills to dialectically use his home-born skills.
Dialects are about asking the patient to tell him where he feels uncomfortable.
The patient touched his waist and started to tell: "I am a transportation driver in the unit. I ran a long distance some time ago. That time, because of the delay on the road, I didn't get off. I lived in the car, and later I had symptoms of chills and pain in my waist and back. It was particularly difficult to turn and bend over. As the weather gets colder, the pain will worsen. Now my legs are numb and hunchbacks have occurred. Symptoms of chills in the limbs.”
As Xiao Chengzhi's mind became clearer and clearer as the patient's narrative came to the point of view.
At this moment, Zhang Yanchang suddenly said: "It looks a bit like rheumatoid spondylitis!"
Hearing his words, Xiao Chengzhi and Yang Jingxiang both looked towards him He looked over.
Fang Yan also looked back at him at this moment.
Zhang Yanchang scratched his head embarrassedly and said, "I didn't deliberately interrupt, but mainly because our family is specifically treating this similar disease."
The patient nodded after hearing this. Said:
"Yes, I went to the hospital later and took an x-ray of the lumbar spine, showing four or five sections. The bones of the lumbar spine were deformed and loose, and the rheumatoid factor was positive. Western medicine says this is rheumatoid spine Yan."
Zhang Yanchang was stunned:
"Has it been confirmed?" The patient said: "Yes, it was confirmed that it was rheumatoid spondylitis at that time." Is this just for Zhang Yanchang to cure this? Will.
It turns out that the person has been diagnosed in the hospital, so he seems to be a little hindsighted when he says it.
He was extremely embarrassed.
The one who feels even more uncomfortable than him is Xiao Chengzhi.
He was about to say something just now and Zhang Yanchang took the lead, but he just wanted to get ahead. The patient has been diagnosed.
This made him feel like he had accumulated energy for a long time and punched him on the cotton.
Only Yang Jingxiang felt psychologically balanced at this time. He just rushed to speak and lost someone, but now Zhang Yanchang is also embarrassed.
But at this time, Fang Yan thought about it and asked: "Although it was confirmed, but when you arrived here today, the situation did not improve, that is, their treatment was useless?"
Hearing this, the three people behind immediately reacted and looked at the patient.
The patient nodded and said: "Yes, the hospital gave prednisone, anti-inflammatory and painful Western medicines, and also paired with Chinese medicines to remove wind and dampness. It was done for more than a week. I was discharged from the hospital after the time of the acupuncture cupping, but it didn't work. "
Zhang Yanchang frowned: "Is the treatment useful?" "Yes." The patient responded.
"..." Zhang Yanchang showed an incredible expression.
If the hospital has accurate diagnosis and treatment is still unsuccessful, either there is a problem with the Chinese medicine or the patient's condition has changed.
Of course, there is another possibility, that is, there is no dialectical accuracy at all.
The same idea was Xiao Chengzhi.
Although he didn't say a word, his heart was as intense as Zhang Yanchang.
Is my dialectical mistake?
No, right?
Could it be that the information the patient said was misleading?
It doesn't look like this, right? His situation seems to be the disease?
Is it the doctor who prescribes medicine in the hospital who is a second knife?
Or there is a problem with the origin of Chinese medicine and the efficacy is not enough?
Just when Zhang Yanchang and Xiao Chengzhi were having an inner thought, Fang Yan was like treating others before, without any sorrow or joy, and said to the patient in a calm and unhurried manner:
"Let's ignore the conclusions drawn by the doctor ahead, stick your tongue out and I'll take a look."
"Oh, okay!" The patient nodded and stuck out his tongue obediently. The tongue is pale and the coating is thin and white.
Then Fang Yan gave him his left and right hands and took his pulse.
The pulse is deep and slow.
Then the patient stood up and took two steps, then Fang Yan reached out and started to touch the patient's spine.
He used the palpation method taught by Mrs. Luo, and indeed found that the four or five lumbar spine had deformation, which was the source of the patient's ricket.
Banyan nodded and began to write on his medical case.
The patient's face was pale, thin, cold and painful waist, difficulty in turning and bent over, unable to flex his legs, numbness, sweating, hunched movements, cold limbs, deep pulse, pale red tongue and thin white fur.
Dialectics is: cold numbness.
The patient was accidentally invaded by cold and dampness due to cold and dampness, causing damage to kidney yang, stagnation of tendons and veins, and poor circulation of qi and blood.
The treatment plan is to dispel cold and remove dampness, unblock the meridians and promote numbness.
After seeing the things written in the dialect, Zhang Yanchang and Xiao Chengzhi had different expressions.
No mistakes, one poem, one post, one content, one in 6, one book, one bar, one read!
Zhang Yanchang showed a sudden look of enlightenment.
Xiao Chengzhi looked stunned.
Isn't this dialectic similar to the dialectics of the previous hospital?
Fangyan didn't care what they thought, and had already started writing the prescription.
Ephedra, aconite, geranium, schizophrenia, schizophrenia, papaya, scutellaria baicalensis, rehmannia, astragalus, amomum villosus, licorice, dog spine, mulberry parasitism, Codonopsis pilosula, salvia miltiorrhiza.
There are 15 medicines in total, and they did not follow the prescriptions of 13 flavors. However, the three of them did not pay attention to this. Xiao Chengzhi looked at the prescriptions in the dialect. The first two medicines were poisonous Chinese medicines.
Finally, I discovered some rules of prescription drugs in dialects, that is, I like to use poison.
At this time, Zhang Yanchang on the other side couldn't help but ask Fang Yan: "Doctor Fang, do you have any particularity in this prescription?"
In fact, he Want to know the medicinal ideas of dialects.
The ancestors of his family were used to treat rheumatism. There are many methods, but the dialect prescription is particularly styled.
It gives people a sense of being both heavy and stable.
Zhang Yanchang, a person who was used to learning prescriptions at home, couldn't help but think about learning new ideas.
At this time, he no longer called classmate Fang, but changed to Dr. Fang. This was a thought in his heart that this person's methods were not on the same level as himself.
After hearing this, Fang Yan did not hide it and said to Zhang Yanchang: "The patient's cold and dampness invade the kidneys, which makes the waist and back turn side unfavorable, and the pain is the main thing. Only by using Chinese medicines such as ephedra and aconitum can we eliminate cold and remove dampness. ”
"The root of this disease lies in the kidneys. It is not like the skin and fur are invaded by external evil. It can be cured by a few acupuncture times, and cupping is pulled out. Although I don't know the prescription he treated before, I heard it I guess their treatment ideas for acupuncture and cupping in the hospital, so I use Astragalus and Rehmannia here to nourish the body's vitality and slowly carry out conditioning and treatment. "
"Use Fangji and papaya to remove moisture in the body , clear joints and relieve limb pain and numbness. Geranium and swelling grass can remove dampness and clear meridians. Scutellaria baicalensis and licorice are used to prevent the spicy and heat properties of ephedra and aconite from spreading too much, so as not to damage the body's positive energy. "
"In addition, amomum can dry dampness, restore the spleen and stomach to transport and transform, and prevent the original dampness in the body and the dampness invaded by the outside world from intersecting each other. Then it should be noted that the evil of cold and dampness invades The kidneys will inevitably damage the kidneys, so add dog spine and mulberry parasites to nourish the liver and kidneys, strengthen the spine, and enhance the kidney function. Finally, use Codonopsis and Salvia miltiorrhiza to replenish qi and clear meridians, consolidate the treatment effect, and make the disease less likely to recur."
When hearing the dialect, Zhang Yanchang suddenly realized.
I didn't expect that Fang Yan could guess the previous hospital treatment policy from the patient's description just now.
The key is that I have to admire him, it makes sense.
At this moment, Zhang Yanchang seemed to have made up some determination. He bowed to Fang Yan and said: "Listen to you, it is better than reading for ten years. Brother Fang, I heard you still have a chance. If you don’t dislike me, I will be an assistant for you.”
Fang Yan was stunned and looked at Zhang Yanchang in surprise.
This famous old Chinese medicine expert in the past life, an expert in the inheritance studio, and vice president of the Rheumatology Branch of the Chinese Ethnic Medical Association... Now he takes the initiative to be an assistant to himself?
Xiao Chengzhi and Yang Jingxiang also looked at Zhang Yanchang in a daze.
No... buddy, it's only been less than a long time since we met. Are you going to hug others?
Why do you want to make progress?
PS: After this chapter, I owe you 88,000 words.
No more today, please be early tomorrow.
(This chapter ends)