Why do experts and directors from various top-tier hospitals frequently appear at a community clinic? Why do nationally renowned experts and professors often visit a township-level health center?
"Doctor Yun!"
As they were talking, Wang Xuemeng came in with two people.
Following Wang Xuemeng in were a man and a woman, both around forty years old.
"The patient that Doctor Liu met asked me to bring him here for you to take a look."
"Liu Yanjun?"
Yun Heng asked.
“Yes, it is!”
Wang Xuemeng nodded.
"Sit down!"
Yun Heng stood up, pulled a chair and greeted politely.
While greeting them, Yun Heng was also observing the two people.
Liu Yanjun's skills are not low, so Yun Heng still doesn't dare to be too careless with the patients Liu Yanjun sent over.
"Liu Yanjun?"
Niu Gensheng and Director Liu didn't say anything, but they both looked at the two people who came in.
They had just been to Liu Yanjun's clinic and stood by to watch Liu Yanjun treat two or three patients. Liu Yanjun's level was not much worse than Jin Shijie and Yue Shaojiang. He was one of the most skilled doctors among the doctors on duty today.
Yun Heng pulled out a chair, the man asked the woman to sit down, and he stood by.
When the two people came in, Yun Heng noticed that the woman had been hiding behind the man. When she sat down just now, the woman was a little timid, holding the man's hand, and seemed a little scared.
"Where do you feel uncomfortable?"
Yun Heng asked the woman with a smile.
"I...I'm mentally ill."
The woman glanced at her husband and spoke slowly, but her words stunned Yun Heng, Niu Gensheng, Ma Tiequan and others beside her.
Yun Heng is young and has met few patients, but Ma Tiequan, Niu Gensheng and others have been practicing medicine for 20 to 30 years and have met all kinds of patients. It is rare to see a patient who directly admits that he has a mental illness.
Generally speaking, the more mentally ill a person is, the less likely they are to think they are sick. They are either crazy and don't know what they are doing, or they don't remember anything when they are awake, or their self-awareness is confused and they are immersed in their own perceptions. They will not admit that they are sick.
It is really rare to find a patient who can directly say that he or she has a mental illness.
Moreover, judging from the patient's condition, apart from looking a little timid, his mental state is normal in all aspects.
"Why do you think you have a mental illness? What are the symptoms?"
Yun Heng asked with a smile.
The woman said nothing and subconsciously looked at her husband.
The man sighed and said, "She feels that someone is trying to harm her all day long. She is always terrified when she is alone at home. I dare not go out. She panics at the slightest movement. Even the slightest breeze or noise at night can wake her up..."
"How long has this been going on?"
Yun Heng asked.
"It's been more than half a year."
The patient's husband said, "At first I said she had a psychological problem. When she calmed down, she realized she was a little ridiculous. I tried to persuade her a few times, and she could still make sense when she was rational, but she would act the same way again the next moment. We went to the hospital for a checkup. Some doctors prescribed medication, but it didn't work. Some doctors said it was a psychological problem and told us to see a psychologist..."
"Come on, put your arms up."
Yun Heng called out, asked the patient to put his arm up, and while reaching out to feel the patient's pulse, he asked, "How is your diet?"
"I don't have much appetite and can't eat much."
"Dream, do you dream when you sleep at night?"
"Um."
The patient nodded: "I always have nightmares."
When the patient's husband was telling the story just now, Niu Gensheng, Director Liu and Ma Tiequan were also listening on the side.
At this moment, Yun Heng was taking the patient's pulse, while Niu Gensheng and Director Liu were also talking in low voices.
"What is this, paranoia?"
Director Liu said softly.
"It does sound like a psychological problem."
Niu Gensheng also nodded, chuckled softly and said, "Just like what people on the Internet say, there are always villains who want to harm me."
"It's not a psychological problem, it's probably hysteria."
Ma Tiequan said slowly.
"Director Ma noticed it?"
Niu Gensheng asked in a low voice.
"The patient's complexion was normal, his spirit was depressed, and he was plagued by nightmares. He himself was aware that his behavior was somewhat absurd. It did not seem to be a psychological problem, but it did meet some characteristics of hysteria."
Ma Tiequan analyzed.
Hysteria is also called hysterical disease, and is also called depression in traditional Chinese medicine. In "Jinkui Yaolue", it is also called lily disease and visceral agitation. Clinically, it is generally believed that hysteria is caused by stagnation of liver qi and obstruction of phlegm and qi.
Modern medicine classifies hysteria as dissociative conversion disorder, which is generally considered to be some extreme mental disorders and physical dysfunctions caused by major adverse events. The clinical manifestations are abnormal behavior, cognitive impairment, etc.
"Director Ma believes the patient suffers from phobic hysteria?"
Niu Gensheng asked.
"It should be."
Ma Tiequan nodded: "Let's wait and see what Yun Heng thinks."
"The pulse is slow and tense!"
Yun Heng knew that Ma Tiequan and the other two were listening nearby. After taking the patient's pulse, he described the pulse condition and then stood up to check the patient's tongue coating.
"The tongue is pale and fat, with a white coating."
After checking the tongue coating, Yun Heng sat back and typed the patient's condition on the computer.
"Did anything happen before this happened?"
Yun Heng was typing while thinking, then stopped and asked about the patient's condition.
"Nothing happened, everything has been fine."
The patient's husband said: "My wife is not very courageous, but she is a nice person and doesn't cause trouble. She has a good temper."
"No?"
This chapter is not finished yet, please click on the next page to continue reading the exciting content!