Chapter 134 Knee Joint Effusion...
This also made the hesitant heart firm in an instant.
Yang Yunxiang bit her lip, took a deep breath, and mustered up the courage to ask the question again.
"Doctor Chen, when you were treating this patient just now, I heard you initially mention issues with the heart, liver, and other internal organs. But why did you end up prescribing treatments focused solely on problems with the circulation of qi and blood and the sinking of vital energy?"
Chen Yin looked at Yang Yunxiang in surprise. She didn't expect that she, a nurse trained with Western methods, had already started learning how to cure patients using traditional Chinese medicine after only five months of working in the clinic.
Yang Yunxiang noticed Chen Yin's expression and thought she had said something wrong, and her heart was filled with anxiety.
"Doctor Chen, did I say something wrong?"
"No, I'm just surprised that the nurses in our clinic are so eager to learn. This is a great gesture."
Chen Yin gave a thumbs-up without hesitation, which made Yang Yunxiang feel hot and excited all over.
"However, the problem you raised must have been influenced by Western medical treatment."
Yang Yunxiang did not feel sad about her own shortcomings, but continued to open her big eyes and listen to Chen Yin's teachings.
"We believe that a person is a well-functioning system and cannot be viewed in a single, one-sided way."
As soon as Chen Yin spoke, Yang Yunxiang kept nodding.
Chen Yin looked at the other person's confused eyes and directly used the patient he had just mentioned as an example.
"Take the patient who just suffered from hysteria as an example. She does have symptoms of the liver losing its vital energy, the heart losing its nourishment, and the qi failing to circulate blood. However, upon careful diagnosis, we can see that the root cause of all this is the qi sinking into the lower part of the body, unable to rise."
"The key to success lies in the patient's lower abdomen bulging. As long as we grasp this key point, we can find the main cause. Once we grasp the main cause, all other problems will be solved easily."
"Just like the other abnormalities you just mentioned, they are all caused by Qi sinking into the lower part of the body and failing to rise. The liver is the most affected, as the liver governs internal wind, and the patient will experience constant tremors."
After hearing the last sentence, Yang Yunxiang sighed in sudden enlightenment.
The scene I saw when I first saw the patient today emerged in my mind. The patient was indeed lying on the hospital bed, trembling all over. It turned out that it was all caused by the liver.
Chen Yin saw through Yang Yunxiang's current knowledge of traditional Chinese medicine, which was relatively superficial, and just said something superficial.
"As for the relationship between the liver and the heart, according to the Five Elements Theory, the liver governs wood, the heart governs fire, and wood generates fire. Therefore, if there is a problem with the liver, the heart will also be affected."
After these words were spoken, traditional Chinese medicine became even more mysterious in Yang Yunxiang's world.
"Doctor Chen, thank you for sharing so much with me. I'll go back and digest it."
"We at Huimin Hall are so lucky to have a nurse like you who loves to learn."
At this moment, Chen Yin was shining in Yang Yunxiang's world.
Her face turned red with shame, and she felt ashamed of her intermittent studies recently.
Yang Yunxiang bowed repeatedly in embarrassment, turned around and walked quickly towards the cafeteria window, leaving only one sentence for Chen Yin.
"Doctor Chen, I'm going to tell Auntie to deliver food to 3015."
Chen Yin watched Yang Yunxiang walk faster and faster, until she even jogged, and stood there at a loss.
In the end, it was Liu Xianhua's sudden greeting that woke her up from her confusion.
"Doctor Chen?"
"Doctor Liu."
"Doctor Chen, I've already asked the pharmacy to prepare the medicine for patient 3015. After dinner, I'll go watch them take the medicine so I can observe any changes in their condition."
"Thank you for your hard work. Let's eat first."
Chen Yin knew that this was Liu Xianhua's self-blame after he was unable to do anything about the patients he admitted to the hospital.
At such times, there was no greater comfort than seeing the patient recover with his own eyes.
Not long after the two of them sat down to eat in the cafeteria, other people arrived.
At the dinner table, Liu Xianhua was still thinking about patient 3015. While eating, with the help of Chen Yin, he unraveled the cause of the patient's illness, and the others also listened.
Zhou Xuewen saw that Chen Yin's fatigue from days of running around had disappeared, and immediately told her about another strange patient she had admitted.
When Chen Yin heard that the patient was having difficulty moving and crying all night, she quickened her eating pace.
"I'll go see him after dinner. Next time you have a patient like this, tell me the first thing you do when you get back."
As for why I didn’t hear any wailing when I came back last night, it must be because he took painkillers.
When Zhou Xue heard this, the food in her mouth instantly lost its taste and she immediately admitted her mistake.
"I'm sorry, Doctor Chen. I saw that you were too tired. There won't be a next time."
"I didn't explain it clearly in advance. Next time I come back, I will check on the room as soon as possible. If I don't remember, please remind me."
"yes."
Everyone at the table lowered their heads in unison.
Liu Mengxi was thinking about the patients she had admitted, and suddenly she remembered that the patients who came to see her were not hospitalized at all.
During this period, she has been taking care of the patients who were admitted by Chen Yin before she left. She only needs to remind them to take their medicine on time and record the changes in their pulse on time.
After lunch, Liu Xianhua went to see the patient in room 3015 taking his medication.
Chen Yin and the other two walked towards the ward where Zhou Xuewen was treating the patient.
On the way, Zhou Xuewen handed the patient's medical records to Chen Yin, and told her all the abnormalities of the patient.
"This patient is very similar to a patient with arthritis you admitted before you left, Doctor Chen. He also has rheumatoid arthritis, and both cases are on the knees."
"It's just that I examined the patient according to the pulse conditions you recorded after the consultation, and found that her illness was somewhat different. I did not use the Yanghe Decoction plus Raw Astragalus and Five Poria as used by the previous doctors."
"Since you will be returning from Xishu soon, I have consulted the patient and decided to temporarily place him in the same ward with the previously admitted patient."
"I see."
Chen Yin nodded, pressed the button for the fourth floor, and walked towards Ward 4006.
As soon as I got off the elevator, a burst of intermittent wailing immediately pierced my ears.
The cry of pain was not loud, but it made one's scalp tingle and feel like something was drilling at the soles of the feet.
Li Weimin walked back and forth anxiously between the door and the corridor. Seeing the figure walking in front of Zhou Xuewen, he rushed over without thinking.
"Doctor Chen, right? Could you please take a look at my mother and see if there's any way to treat her leg?"
"Don't worry, family members. We will treat the patient right away."
Chen Yinhui held the other person's arm, exerted force, and gave him strength.
At this moment, Zhou Xuewen also realized how big a trouble he had caused, and hurriedly leaned over to Chen Yin's ear, "This is the family of the arthritis patient who was admitted to the hospital yesterday."
Chen Yin nodded and followed the family into the ward.
The patient was placed in a bed near the window and was rolling back and forth restlessly on the bed.
However, this rolling is limited to the area above the knees, and the area below the knees is completely immobile.
It seemed that the patient's family member was comforting him softly, but beneath his calm face was an irritation that was about to explode.
At this moment, Chen Yin's voice rang out in the noisy ward, suppressing all the restlessness with her calm voice.
"I'll give the patient an injection first to calm him down. Please hold him down firmly."
As soon as these words were spoken, everyone rushed towards the patient's bed and pinned him down in an instant.
Grandma Li's daughter-in-law slowly loosened her hand, and her emotions that were about to explode were immediately relieved.
Chen Yin took out the silver needle, disinfected it, and inserted the needle. The series of actions were smooth and flowing.
Li Weimin and his wife were still a little overwhelmed as they looked at their old mother who had suddenly calmed down.
Until Chen Yin took back the silver needle, her old mother was still lying peacefully on the hospital bed, and her heart slowly calmed down.
As Li Weimin spoke, there was a hint of dissatisfaction in his tone.
"Doctor Chen, I'm not asking my mother to be normal. I just want you to give me the medicine from the bed next to mine, so that my mother doesn't feel so much pain."
In his opinion, his mother's illness was obviously the same as the one in the neighboring bed, so why could the other person use the medicine while their families had to live next to each other?
Not only him, but even the patient in the next bed and his family didn't understand.
As patients and family members of the same disease, they understand too well the pain that knee rheumatoid arthritis brings to patients and their families. Otherwise, they would not be able to endure having a patient whimpering all day and all night beside them.
Their condition has been greatly alleviated by taking medicine, so why should the newly admitted patients suffer?
"Yes, Doctor Chen. The rheumatoid arthritis has reached the point where there's fluid in the knee. It's really painful. Please give some medicine to the girl next to you."
The demands of both parties made Zhou Xuewen so ashamed that he was speechless.
I cursed myself in my heart, why couldn't I learn more? Otherwise, I wouldn't have to wait for Doctor Chen to come back to deal with it.
Chen Yin looked at Zhou Xuewen who was blaming herself, and kept in mind the behavior of the two families she had never met before.
"Since I come to the ward specifically to see patients, I naturally need to prescribe medication. However, the specific method of medication should be determined based on each patient's condition."
"Don't worry, your family members."
After saying that, Chen Yin sat down directly beside the patient's bed, lifted the patient's quilt and trouser legs, and saw the condition of both legs and knees clearly.
I saw that his knee was swollen like a bucket, with an unusual red color on the surface. I could feel a heat before I touched it.
She continued to reach forward, and just as her hand touched the swollen skin, a muffled wail came out of the patient's mouth.
The onlookers were startled and quickly turned their attention to the patient's face.
When they realized that the other party had not woken up, everyone present breathed a sigh of relief.
Chen Yin didn't dare to touch her again. She quickly withdrew her hand and turned her gaze to the patient's face.
She wiped her hands with alcohol, opened the patient's mouth, and revealed the red and yellow tongue hidden inside.
Next, the pulse was checked, which was deep, slippery, rapid and strong, indicating obvious fever.
Then, Chen Yin wrote down a prescription on the paper for clearing away heat, detoxifying, removing blood stasis and removing dampness.
She just handed the prescription to Zhou Xuewen, wanting to ask him to arrange for the pharmacy to boil the medicine.
Unexpectedly, a hand suddenly appeared and snatched the prescription from Chen Yin's hand before Zhou Xuewen could reach it.
When I looked up, it was the patient's family member - Li Weimin.
Before Chen Yin came, Li Weimin had no idea how many times he had read the prescription for the patient in the next bed, and he had almost memorized every ingredient and dosage on it.
When he looked carefully, he found that the prescription in his hand was not the same as the one in the next bed. A nameless anger erupted in his chest, and he urgently needed to find a way to vent it.
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