Chapter 658 The treatment of urinary tract stones in orthopedic hospitals used to be the hospitals that were sent to other places
"Have you ever been to the toilet since you got sick?" Fang Yan asked the patient. "I've been there." The patient nodded.
Fang Yan asked again: "Is it normal?"
After hearing this question, the patient said with some uncertainty:
"It should...it should be normal?" Fang Yan said to him: "You are not sure?" The patient said with his own brows:
br>"You suddenly asked me this question...I...I really didn't have much time to observe at that time, and I feel a little uncomfortable now."
Fang Yan nodded and took out the silver needle he carried with him: "I'll give you a few injections to relieve the pain first, please recall it." "Okay!" The patient heard it Fang Yan wanted to relieve the pain of herself, so she agreed quickly.
The other orthopedic doctors around were curious and looked at Fang Yan with acupuncture now for the patient.
Most of the orthopedic hospitals receive orthopedic trauma. Although other diseases are also received, orthopedic hospitals are mainly orthopedic majors. When receiving other patients, they will be subject to medical equipment, professionals, etc. in the hospital. Limitations in respect.
For some diseases that exceed their own processing capabilities, such as serious cardiovascular diseases, complex internal medicine diseases, etc., orthopedic hospitals will promptly refer patients to general hospitals or related specialized hospitals to ensure that patients can receive more professional and effective treatment .
But the dialects are different, so he started to treat it on the spot.
Then the dialect was followed by acupuncture at the patient's Shenshu, Bladdershu, and Zhongji.
The patient's frowning brows immediately stretched a lot.
Fang Yan asked the patient:
"Does it still hurt now?"
The patient said to Fang Yan: "Dr. Fang, you are so powerful, I didn't feel that pain at once."
Listen Fang Yan: By this point, you will know that the patient should still feel a little painful.
Then Fangdian found the patient's Weizhong point lower needle, which is the He point of the Foot Sun bladder meridian. The bladder meridian passes through the waist and lower limbs. The pain caused by urinary tract stones often involves the waist and lower limbs. Acupuncture of Weizhong acupoint can clear the qi and blood of the bladder meridian and relieve pain caused by qi and blood blockage.
Sure enough, after the injection, the patient's brows immediately stretched out.
He tried to do a few moves on the stretcher, but was surprised to find that it didn't hurt anymore. "I'm fine?" the patient asked Fang Yan in surprise. "Not yet, it's just not hurting now." Fang Yan shook his head and said.
However, judging from the patient's reaction after he was pierced, Fangyan can basically determine that the patient is definitely urinary tract stones.
When the other doctors watching saw Fang Yan's method, they immediately exchanged their eyes one by one.
It looks like a group of poor students suddenly see the top students.
Many of them only studied Chinese medicine orthopedics, but did not learn anything else. Even if they learned some, they would not go deeper.
Today, when I saw a few stitches in the dialect, they immediately felt that they wanted to learn.
At the same time, I was also sighing in my heart that this uncle is indeed amazing.
The rumors in the newspaper are really not exaggerated at all.
Before, they thought that Fangdian had not been studying orthopedics for a long time, so they were not very proficient in this area. As a result, after reading the first few medical cases today, they all knew that they had thought wrong. This person is really a genius.
No wonder people can get full marks in five subjects.
Or it would be better for the old lady to start quickly. It is said that Fangdian was attracted by the old lady before the exam and had to give him a secret book in the sect that his personal disciple could get.
Fang Yan didn't know the mental activities of the nephews around him, and was already thinking about how to cure his urinary tract stones.
He asked the patient: "Can you think clearly about the situation of urination and defecation now?" The patient scratched his head after hearing this, and his expression seemed to be in memory.
The patient's family asked Fang Yan: "Dr. Fang, you just asked if you have something to do with urination and defecation?"
Fang Yan nodded and said: "It's related. I now judge that his symptoms are not just back pain, but pain caused by urinary tract stones. Judging from the reaction after acupuncture just now, I can almost conclude now. It's a urinary tract stone."
"So I want to know if he has hemaed his urine, or he can't urinate or has little urine..."
It's not waiting for the dialect yet After saying that, the patient slapped his forehead and said, "Oh! Dr. Fang! I remember that you are right, there is indeed. I remember that I only urinated a little, but I didn't care at that time, thinking it was caused by the pain."
After saying that, he scratched his head again: "But I really didn't pay attention to the specific bleeding." Fang Yan asked him again: "There is no stool." Are you constipated? "
Does the patient want to say: "There is one thing. After winter, there will be some constipation during this period of year."
After a little thought, Fang Yan said to the patient: "Okay, I'll prescribe the medicine for you. If someone is boiled later, you will drink it in the hospital."
"Oh, OK!" the patient nodded and agreed.
Then Fang Yan turned around and asked to the group of older nephews watching:
"Who was the patient who treated him?"
At this time, someone stood up in the crowd and said hurriedly: "I, Uncle Fang, it's me! I, Chen Hongran!"
Fang Yan looked at the smiling round-faced fat man and said to him:
"I'll tell you the prescription, you can remember it yourself."
"Okay!" Chen Hongran hurriedly picked up the paper and prepared.
Dialect says:
"60 grams of monetary grass, 12 grams of sea gold sand, 6 grams of roasted chicken gold powder, 15 grams of raw rehmannia, 12 grams of Scrophularia ginseng, 9 grams of Asparagus, 12 stone reeds gram, 9 grams of flat storage, 9 grams of nigra, 9 grams of oxalaxia, 9 grams of plantain, 12 grams, 12 grams of talc, 4.5 grams of Mutong, 4.5 grams of licorice, 4 fried walnut kernels. In addition, the patient is suspected to have hematuria. So add. White root, fairy After drinking the first side of the medicine, if the patient's back pain has not yet been relieved, remove the Mutong, add the same number of quartz, add 600 ml of water, boil over low heat for 30 minutes, pour out and set aside, add water for two decoctions Five hundred milliliters, the decoction method is the same as before, and the two medicines are mixed with the juices to the patient for taking. "
This prescription is actually a dialect based on the experience summarized in the medical books I have read, and then I just thought about it. The recipe came out.
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Although urinary tract stones are very painful, they are not particularly difficult to treat.
Monkey grass, sea gold sand, stone reeds, balsamica, pilosula, plantain, talc, mutong and other medicinal materials are the key to the effect of this medicine.
The Compendium of Materia Medica records that mothy grass can clear heat and dampness, relieve swelling and reduce swelling; sea gold sand can clear dampness and heat and relieve pain; stone reeds can also clear lungs and relieve cough; flat and sausage and sausage have outstanding effects on clearing heat; car Plantain can also clear heat; talc can clear heat and relieve heat; wood can help damp heat be excreted from urine.
They work together to effectively remove damp heat in the lower abdomen, improve damp heat symptoms in the urinary system, and relieve discomforts such as frequent urination, urgency, and pain.
Roasted chicken gizzard and fried walnut kernels play an important role in this regard. Roasted chicken gizzard has the effect of unblocking fossils and can help resolve stones; fried walnut kernels can nourish the kidney and consolidate essence, and also have fossil effects.
The two work together to help promote the discharge of stones.
The three medicinal herbs, such as raw rehmannia, Scrophularia and Asparagus, jointly exert the effect of nourishing yin and nourishing the kidneys.
The raw earth clears heat and cools blood, nourishes yin and produces fluid; Scrophularia ginseng clears heat and cools blood, nourishes yin and reduces fire; Asparagus nourishes yin and moistens dryness, clears lungs and produces fluid. They can nourish the kidney yin and prevent the drugs that clear heat and dampness from being too bitter and cold to damage the yin. At the same time, they also target the pathogenesis of "kidney deficiency and bladder heat", and play a role in treating both the symptoms and the root causes.
Huai Achyranthes can lead the medicine downward, guide the medicinal power of other drugs to act on the lower abdomen urinary system, and can also nourish the liver and kidneys, strengthen the muscles and bones; licorice can harmonize various medicines, alleviate the medicinal properties between drugs, and make the medicinal properties of all medicines It is more peaceful, and licorice itself also has a certain effect of clearing heat, detoxifying, and relieving pain.
From originally, Fang Yan thought that the fat little Chen Hongran would ask him about his ideas for prescription medicine, but the other party immediately said:
"Okay! I'll do it right away."
Fang Yan immediately called him:
"Wait, I haven't finished speaking yet."
Chen Hongran was stunned and stopped. , Fang Yan asked him: "Is there any gold walnut paste here?"
Chen Hongran opened his mouth. In fact, he wanted to say that he had never heard of this thing, but the words turned into: "I... I have to ask." However, Fang Yan quickly saw his embarrassment, so he said: "It's okay, it doesn't matter if you don't. Just use 500 grams of steamed walnut kernels and 250 grams of roasted chicken gizzard, press them all into powder, and then use them with Stir the 500 grams of honey that was boiled into a paste. After taking the medicine just now, take a teaspoon with warm water. "
When Chen Hongran heard this, he immediately recorded it.
Halfway through writing, he suddenly saw the previous medicine prescription and asked curiously: "Uncle Master, aren't you already having these two medicines in the previous medicine prescription? What is the effect of this ointment? ”
After saying this, he regretted it a little.
Isn't this a disguised admission that I don't understand?
However, Fang Yan pretended not to know and immediately explained:
"Chicken gizzard has the function of unclogging fossils, which can help resolve stones and promote the excretion of stones; walnuts can nourish the kidneys, enhance kidney function, and assist chicken gizzards to play a role. After the two are made into ointment prescriptions, for patients with urinary tract stones, It helps relieve symptoms and promotes the excretion of stones." Fang Yan resisted and said, "After the drug is processed, the properties of the medicine will change."
But for the fat man in front of him The basics of Chinese medicine are almost done.
It can be seen that Chen Hongran’s master does not seem to be particularly particular about taking disciples.
Fang Yan doesn't know whose apprentice he is, but it seems that these nephews are actually relatively limited in medical skills except orthopedics.
However, it is understandable that when orthopedic hospitals are receiving treatment, as long as they find that the patient is in other situations, most of the time they choose to transfer the patient to other hospitals.
But today I met dialect.
Therefore, the patient will treat urinary stones here. "Next." Fang Yan shouted.
Follow the next patient to enter the house.
Fangyan started the next consultation for difficult and complicated diseases.
(This chapter ends)