Chapter 635 The old lady breathed a sigh of relief. Finally, she met him and didn't know what she didn't know (Happy New Year!)
The patient was also overjoyed when he heard Fangyan say that he could recover in one minute.
Praise to Fang Yan: "I just say that Doctor Fang, who my girl admires so much, must be not an ordinary person!"
Fang Yan faces Luo at this time The old lady glanced at him and nodded when she saw him, she knew that she should have done nothing wrong.
No matter what the problem is in some orthopedic hospitals, they will ask the patient to take an X-ray as soon as they enter the hospital.
This is also a common phenomenon in later generations.
Fortunately, Fang Yan knew that the old lady would only take an X-ray when she saw a fractured patient.
Stand up, Fang Yan pointed to the patient and said, "Let's go, let's go next door."
The patient nodded and followed.
Old Mrs. Luo and Wang Chengyu also came with that. This time, she didn't want to greet him in dialect. Wang Chengyu was pushed by the old lady and immediately understood to go up and help. "Please sit." Fang Yan pointed to the stool that the boy had just sat on, and let the patient sit on this time.
When Fang Yan saw Wang Chengyu coming up, he hesitated for a moment.
This requires the use of Luo's bone correction method: pulling and flexing reduction method.
Generally speaking, it requires two people to operate, but if your hands are strong enough, it can be done by one person.
But since Senior Brother Wang has arrived, Fang Yan has no reason to let others return. Moreover, the old lady wants to watch Fang Yan perform and then point out the shortcomings to him, so she has to follow the textbook Standard method.
When the patient sat down, Wang Chengyu took the initiative to go up and hold the patient's forearm firmly with his hands to keep it fixed.
Fang Yan said to the patient: "You are just misaligned, not a fracture, so it won't hurt. I'll go back later."
The patient nodded suspiciously.
He really doesn't believe it when he says it will not hurt in dialect.
He is not a child. He has long heard that when dealing with these things in orthopedic hospitals, he will do some tricks to divert attention.
Fang Yan didn't care what the patient thought, but turned his head to the patient's fixed right hand. He stretched out his hand and gently stroked the patient's thumb. His movements were gentle and steady, as if he was comforting the injured part. , This is a massage fingering method in Luo's bone correction method, which can smooth out local muscles of the thumb.
Immediately afterwards, Fang Yan stretched out his right hand, and pinched the patient's dislocated thumb accurately with his thumb and his index fingers, and the rest of his fingers were naturally bent.
The patient trembled all over when he was pinched.
"Relax!" Fang Yan said to the patient.
Then his index knuckle was pressed tightly against the palm of the patient's metacarpophalangeal joint, and intersected with Wang Chengyu's eyes. The next second, the two of them exerted force at the same time and began to fight against the pulling. The patient immediately felt pain. Wanting to pull his hand, but Wang Chengyu held it tightly. Fang Yan had already "pulled" his thumb, which had been "short" at this time. "Oh!" The patient was screaming in pain at this moment.
It was said that it was too late. After Fang Yan felt the looseness, he quickly and steadily flexed the patient's metacarpophalangeal joints.
Then a crisp "click" sounded in the quiet clinic, and the patient's dislocated right thumb had been steadily reset.
The patient had not finished screaming, but found that his hands were no longer hurt.
The originally frowning brow stretched out instantly. He looked at his hand in surprise, did some flexion and stretching exercises, and found that he was free to move. He said in a lost voice: "Ah? This is... …It’s good?”
Fang Yan used Luo’s palpation method to judge the muscles and muscles on his palm and nodded:
"Well, okay, it's okay."
The patient tried again, raised his thumb, which he couldn't move just now, and twisted it, exclaimed:
"Hey, it's amazing ! "
At this time, Old Mrs. Luo said to Fang Yan: "There is still a little edema. Their factory work is very intense, so they have to prescribe a medicine to promote blood circulation and remove blood stasis for him." >
Fang Yan is right when he thinks about it. He is a worker and he must return to his best state as soon as possible.
So immediately agreed.
When I was prescribing the medicine, Fang Yan thought about it and still prescribed a meridian prescription.
The main reason is that he doesn't know what prescription the old lady wants him to prescribe, so it's safest to just prescribe a classic prescription.
So the dialect chose Qilisan.
The effect is to disperse blood stasis and reduce swelling, relieve pain and stop bleeding.
This prescription is from "Good Prescriptions Jixing" in the Qing Dynasty. The prescriptions in the book are mostly collected from ancient medical books, famous doctors of all dynasties and single-proven prescriptions. They have been carefully screened and verified by the author Xie Yuanqing.
After writing, Fang Yan gave it to the old lady and took a look.
Old Mrs. Luo nodded and said to him with a smile:
"You have a good memory and remember the classic prescriptions, which is very good, but I believe you will definitely have a better prescription. Zi, don’t care too much about me. Just use it. When you have any questions, I will remind you."
Fang Yan immediately understood the old lady's meaning. He understood that he was worried when prescribing medicine for treatment, so he nodded: "Okay! I understand."
However, Fangyan did not change the prescription, but directly gave it to the patient and asked the patient to take the medicine back and get it himself.
The patient was quite satisfied with the treatment. After thanking Fangyan, he pushed the door and went out.
When I went out, I didn't forget to say in the aisle:
"Doctor Fang is so awesome. It's enough to have less than a minute of my hand!"
As soon as these words were said, the outside world asked again.
Those who know dialects and those who don’t know dialects are very interested in him.
After writing the medical case in the room, Fang Yan then asked Wang Chengyu to call the next person in.
The next patient came in soon.
This time, a woman in her 50s was very polite to greet Mrs. Luo when she entered the door: "Hello Dr. Fang, hello Dr. Luo!"
Fang Yan and Old Mrs. Luo nodded and signaled her to sit down. Then Fang Yan looked at her and asked: "What's your problem?"
The patient raised her right hand and said to Fangyan: "I don't know if this is a bone problem. When I was cutting vegetables half a month ago, I found that the joints on my right hand were a little painful, and then I passed two times. The day found that it was getting worse and worse. The movements that could be done before can no longer be done..."
She tried to do a few wrist-holding movements, but she couldn't do it. Instead, she had another left hand There is no problem doing the movements.
Then she continued: "Later, the pain in the wrist joint worsened. I applied a little bit of the medicinal wine at home and applied two more plasters. It felt a little better. But my wrist still feels pain when moving, and it's strange that it has dropped in temperature these days, and my wrist feels more and more painful. Calculate the time, it's been more than ten days, and it's almost time. It’s the Spring Festival, and I feel something is wrong, so I come here to take a look today.”
After Fang Yan heard the patient's description, a word quickly popped up in his mind - joint strain.
So he asked the patient: "What job do you do?"
The patient said: "I am the bearing factory here." The grinder in the workshop.”
No mistakes, one song, one content, one in 6, one book, one bar, one reading!
The dialect has never been exposed to these jobs, but he occasionally read the books of my father and others. He probably knew what the situation was, so he asked:
"You need to repeat them all the time in normal times. "
The patient nodded and said: "Yes, of course, the upper and lower workpieces need to be repeated. Every day, there are hundreds of workpieces up and down, and when there are fewer workpieces up and down, there are six Seventy workpieces.”
Fang Yan thought about it and asked again: "How much does a bearing workpiece weigh? How do you get up and down? Do I mean using tools or hands?"
The patient said to Fang Yan. :
"The size is different. If it is heavy, there are 100 or 200 pounds. You must use tools to lift it up. There are 30 or 40 pounds light and you can lift it up with your hands."
Fang Yan nodded and asked again:
"How old are you this year? How long have you been in this industry?" The patient said: "I am fifty-four. I entered the factory at the age of 17 and have been working as a grinder."
When Fangyan was talking, she kept observing the patient's expression and body shape, and found that it was basically normal.
Then the dialect said to the patient:
"Okay, I'll check it out for you first."
He bypassed the whole unit and came to the patient's side and used the diagnosis method in Luo's bone correction method.
The diagnosis method of Luo's bone correction is divided into twenty-one in the internal textbooks. In addition to palpation, there are also extrusion methods, protrusion methods, rotation methods, flexion methods, and single-pressure contact methods. Diagnosis method... seven or eight.
Although Fang Yan has never seen Mrs. Luo use it, he has systematic support and his understanding ability, and has learned all these 21 methods thoroughly.
If the patient is in strain, then several inspection methods need to be used to find out all the strain conditions in the entire area.
The dialect then began the diagnosis.
He first squeezed the palm of the patient's right hand with his squeezing method. The squeezing method was to squeeze the patient's affected area up, down, left, left, front and back with his hands. Here is a way to check whether there is pain. If the squeezing pain occurs, it means there is damage here.
Then it was found that the patient's right hand was close to the fourth and fifth metacarpal bones at the base of the palm. When squeezing with his hands, the patient would feel obvious pain.
After writing down this position, Fang Yan immediately used the touch pain method in Luo's bone correction method to re-confirm the range of the entire part. The touch pain method is to identify the range of the part of the squeeze pain based on the severity and severity of the pain. Bone injury or tendon injury.
The tender area with sharp objects indicates a fracture, and the pain is deformed when touched, and the pain range is large, which indicates an oblique fracture or a comminuted fracture. The area of squeezing pain is large, but the pain is lighter, so it is mostly Soft tissue injury.
But this time it is a bit different. When you touch it with your fingers, you feel a strange feeling like friction.
Then Fangyan tried various other diagnostic methods. When the patient was asked to clench his fists, she said that the pain would be more obvious.
In addition, the fourth and fifth fingers of her right hand will be restricted when bending and straightening, and they cannot move freely like they are normally.
After the dialect diagnosis, I returned to the clinic and wrote a medical case:
Modern examination found that the base of the 4th and 5th metacarpal bones of the patient's right hand was tender, which could touch the friction, and the pain worsened when clenching the fist. , the flexion movement of the 4th and 5th fingers of the right hand is limited.
The patient was diagnosed with wrist injury caused by long-term wrist waving work. Although the plaster was used externally after the injury, the effect was limited.
After writing, Fang dialect was stunned because he found that the internal textbooks did not write about how to treat such complex comprehensive damage.
In the old lady's internal textbook, although there are much more ways to record than the 1975 edition published, all the methods were not recorded on it.
Just like this third patient, the dialect was stumped at once.
Of course, this stump is from the need to use Luo's bone correction method.
If he really lets him treat it, he can also treat it, but he uses the bone-based chapter of "Shiyi Dexiao Prescription" or the orthopedic trauma test case in "Yongleiqian Prescription", or the "Taiping Shenghui Prescription" gold-incidence prescription .
He even has secret books, such as the "Secret Recipe for the Immortals and Instructions for the Remaining the Bone-Region" in 35 books, which is a bone-correcting technique in the prosperous Tang Dynasty. It also has methods to recover the strain caused by training weapons. But they don’t use techniques but use medicine.
So, it's stumped, but not completely stumped.
But the problem is that he came here to learn things, not to show his medical skills.
So he turned his head decisively and looked at Old Lady Luo and said:
"Master, this...why do you come and have a look?"
When Mrs. Luo heard this, although she smiled on the surface, she felt relieved in her heart and said to herself:
< br>"Fortunately, I finally met someone who could stump him."
PS: The 6000-word basic chapter has been updated.
There are additional updates during the day.
In addition, I think that for everyone's sleep, it will be updated tomorrow at 7 a.m.
(This chapter is over)