Chapter 77 Intestinal Obstruction and Ocular Malnutrition
Liu Mengxi stretched his neck to take a look in disbelief, then turned to look at Chen Yin and said hesitantly:
“Isn’t the county hospital a bit too exaggerated?”
Chen Yin and Qi Wenzhong nodded affirmatively, indicating that Liu Mengxi was absolutely right.
The county hospital's display of pomp and circumstance was truly extraordinary. A red banner hung at the main entrance, proclaiming, "Welcome Dr. Chen Yin, the renowned doctor from Dongyu City, to our hospital!"
Display racks were erected on both sides, with the cases that Chen Yin had shared when she came to the county hospital before written on them, explaining the diseases that Chen Yin was good at treating.
The red scene shocked Chen Yin. If she had known yesterday that these were the preparations Director Liao mentioned, she would definitely not agree.
Liao Dehua and the hospital leaders looked at Chen Yin and the other two standing motionless opposite them, and were confused.
Dean Yang was the first to ask, "What's wrong with Doctor Chen and the others? Why haven't they come yet? There are no cars blocking the road."
Hearing this, Lu Wei rolled her eyes standing behind him, thinking: Who wouldn't feel uneasy seeing the current state of the hospital?
Liao Dehua wiped the non-existent beads of sweat from his forehead and took the initiative to propose.
"Director Yang, I don't know either. I'll go get Doctor Chen right now. Wait a moment, just a moment."
After saying that, Liao Dehua trotted towards Chen Yin and the other two.
Chen Yin hurriedly walked towards the hospital. It had come to this point. If she still wanted to sneak in through the back door, it would definitely not work. She had no choice but to go ahead.
The two met on the side of the road near the county hospital. Liao Dehua immediately asked curiously:
"Doctor Chen, why didn't you leave just now?"
"You guys are just being too exaggerated. You've scared all three of us. Who came up with this idea? It's really challenging my patience."
Liu Mengxi immediately expressed the shock he felt at the scene before him.
Hearing this, Liao Dehua could only smile awkwardly. These were the arrangements made by his superiors, and he had no choice but to follow them.
In his opinion, the banner on the gate was enough, and the rest was just superfluous.
"Hahaha! Isn't this meant to express our hospital's warm welcome to Dr. Chen?"
"Doctor Chen, this way please!"
"Okay! Director Liao, there's really no need to be so formal. Just take the things down later."
Chen Yin couldn't bear to look at the contents on the display racks on both sides and said helplessly.
Liao Dehua agreed immediately.
Soon, the four of them walked up to Dean Yang. Chen Yin was not unfamiliar with Dean Yang and greeted him immediately.
"Dean Yang, why are you still bothering me to wait outside?"
"Doctor Chen, you are a treasure to our Yunchuan County. You came to our county hospital specially to guide our work. I can't be absent."
Dean Yang was smiling and looked very approachable.
Chen Yin didn't want to continue such a meaningless conversation, so she said directly:
"I wonder where the prepared clinic is? It's getting late, and I hope to start my outpatient clinic at a normal time so that I can resolve my patients' illnesses as soon as possible."
Chen Yin's decisive and efficient approach caused the smile on Dean Yang's face to freeze for a moment.
Soon, he continued to praise as if nothing had happened:
"Dr. Chen truly has a heart dedicated to curing illnesses and saving lives, so I won't waste any more of your time. During your time at the county hospital, please let me know if you have any needs. We will definitely work hard to make Dr. Chen feel at home here."
"Thank you for your concern."
The welcome ceremony ended, and the medical staff from each department returned to their posts, leaving only the people from the Traditional Chinese Medicine Department and Chen Yin and the others together.
Liao Dehua took the initiative to introduce: "We will upgrade your clinic, Doctor Chen, to a specialist clinic. We will clearly mark this at the registration desk so that only those with truly difficult and complicated diseases can register and avoid medical waste."
"Your clinic is on the second floor. I'll let Xiao Liu follow you. If you need anything, just tell him directly."
Before he finished speaking, Liu Xianhua immediately stood out from the crowd.
Chen Yin had some impression of Liu Xianhua and nodded in agreement, "Please lead the way."
Liu Xianhua glanced at the director and led Chen Yin to the prepared clinic, with Liu Mengxi and Qi Wenzhong following closely behind.
Others also had shifts today, so they left and started their own work.
"Doctor Chen, please come this way. Your office is at the back of our department, so it's a little quiet..."
Liu Xianhua led people forward and introduced the situation of the clinic.
When he opened the door of the clinic, Chen Yin couldn't help but show a surprised expression.
Because the clinic in front of him looked about the same size as the one directed by Director Yang Guohua at the Municipal Hospital of Traditional Chinese Medicine, it could be said that few people in the entire county hospital had such treatment.
But this also made things convenient for Liu Mengxi and the other two.
Liu Mengxi patted the examination bed in the room curiously. "Yinyin, you know what, the hospital is quite well prepared. If you need acupuncture suddenly, you can do it directly in the clinic."
At the same time, Qi Wenzhong stood aside and whispered to Liu Xianhua:
"Doctor Liu, there seem to be a shortage of chairs in the clinic. Where can I get some?"
"Yes, yes, yes, I'll be there right away." Liu Xianhua subconsciously walked out the door alone.
Qi Wenzhong immediately followed, saying that three chairs were too much for one person to carry.
Inside the clinic, Chen Yin looked around the room and confirmed that there was nothing else that needed to be added. She then put down her backpack and took out everything she would need for the consultation.
After a while, Qi Wenzhong and Liu Xianhua came back with chairs.
Qi Wenzhong and Liu Mengxi put down the chairs next to Chen Yin familiarly and sat down calmly.
Liu Xianhua held the chair and stood there blankly, without any movement.
Chen Yin glanced at him doubtfully and reminded him, "Doctor Liu, please sit down together."
"By the way, the outpatient clinic is now open. Please go outside and tell them to come in one by one."
Hearing this, Liu Xianhua subconsciously glanced at the clock on the wall and had a new understanding of Chen Yin.
He quickly put down the chair in his hand and said, "I'll go get someone."
Just as Chen Yin was waiting for her first patient of the day and preparing to see him, the first patient who came in surprised her and made her stop what she was doing.
"Excuse me, who are you?"
"Doctor Chen, I'm Xu Yong from the General Surgery Department of the County Hospital. We have a patient that we'd like you to take a look at."
Xu Yong felt a little embarrassed when he talked about it. After all, Chen Yin was in the outpatient clinic today and was open to the public. It seemed a bit excessive for their department to pry her away right at the beginning.
Chen Yin raised her hand to check the time and stood up. "Next time there are similar patients, you can register in advance, or come back when I'm on break, so as not to delay other patients' consultation time."
"Let's go, where is the patient?"
Xu Yong didn't expect Chen Yin to be so easy to talk to, and his face turned red with excitement.
He hurriedly made room for the door and said with some shame, "The patient is in our general surgery ward."
"After our examination, we confirmed that the old man had senile intestinal obstruction. Our department has tried its best to relieve the patient's gastrointestinal tract and performed a colonoscopy, but it still has no effect. As for surgery, you should be aware of the level of our county hospital."
"The family knew that the chances of the patient recovering from surgery were very low, so they had no choice but to ask us for conservative treatment. However, conservative treatment is too painful for patients with intestinal obstruction. So, when we heard that you were opening an outpatient clinic at our hospital, we had no choice but to come to you with a gloomy face."
Along the way, Xu Yong introduced the patient's condition in detail.
As the group approached the patient's ward he mentioned, they heard the old man's wailing outside the door, as well as the voices of his children comforting him.
As soon as Xu Yong opened the door, the other doctors waiting inside all looked towards the door.
When everyone saw Chen Yin's face clearly, they subconsciously breathed a sigh of relief.
At this moment, the patient's family could not bear to see their old father continue to suffer, and did not notice that the ward door was opened. They just knelt on the ground and grabbed the trouser legs of Dr. Yang from the general surgery department with both hands.
"Doctor Yang, Doctor Yang, I beg you, no matter what medicine it is, as long as it can make my dad feel better, please give him all of it. For example, any painkilling injections, any painkillers, use them all."
Yang Yang didn't expect that when his savior arrived, he would be begging from the patient's family.
He quickly bent down and tried to help the man up from the ground.
"Comrade, please don't be like this. Hurry up and get up. The doctor we called for your father is here and can start treatment right away."
Hearing this, Zheng Xing raised his tear-filled eyes and vaguely saw a strange figure standing at the door.
He quickly stood up, wiped the tears from his eyes with his sleeve, and tried to open his eyes wide to see Chen Yin clearly.
When Zheng Xing saw clearly that the person leading the group was a young girl, he was dumbfounded.
His puzzled gaze quickly turned to Dr. Yang, wanting to know Chen Yin's identity.
At a glance, Yang Yang knew that the patient's family had misunderstood, and quickly explained:
"Doctor Chen is a famous Chinese medicine practitioner in Dongyu City, and he's also very well-known in the city. Due to some issues, Doctor Chen will be temporarily working as an outpatient in our county hospital. Today is Doctor Chen's first day as an outpatient, and we invited him in mid-sentence for your father's sake."
Although Zheng Xing couldn't see Chen Yin's medical skills, he still trusted Dr. Yang.
With an urgent expression, he begged, "Please, Doctor Chen, help my dad."
"Don't worry, let me check on the patient first."
Chen Yin understood the family members' psychology and quickly came to the patient's bedside in a few steps.
The patient had a pale complexion and protruding facial features. It was obvious that he was too thin due to not being able to eat for a long time.
Looking down, you can see its bulging belly.
At this time, the patient was holding his swollen belly tightly and rolling around on the bed, trying to vent the pain in his abdomen.
Chen Yin had already learned about the patient's basic condition on the way, so after asking a few simple questions to the family, she quickly began to examine the patient's tongue.
As soon as I opened my mouth, a strong stench instantly filled the air.
Others who were standing far away couldn't help but take a step back, trying to avoid the attack of the stench.
But when I saw Chen Yin maintaining her original position without changing her expression, I couldn't help but sigh in my heart: Is this the cultivation of a famous doctor?
Chen Yin took a quick look and saw that the patient's tongue coating was yellow and greasy.
The next step was to take the patient's pulse, but the patient's current condition was obviously not enough for her to take the pulse normally.
Chen Yin turned and looked at Xu Yong behind her. "Doctor Xu, please ask a few people to temporarily control the patient's condition. I need to take his pulse."
At first, Xu Yong didn't understand what Chen Yin meant.
He stared blankly at the patient's condition, nodded quickly, and called several other doctors in the department to subdue the patient together.
Seeing his father's painful expression, Zheng Xing turned his head to the other side helplessly, not daring to meet his eyes, otherwise he was worried that he would be too soft-hearted and cause his father to lose the opportunity for treatment.
Only then did Chen Yin clasp her hands around the patient's wrists.
After a long pulse diagnosis, the people who helped hold the patient down were sweating profusely, their hands were numb, and they were eagerly waiting for Chen Yin to give the signal to end.
Amidst the crowd's eager waiting, Chen Yin finally said the words everyone had been waiting for for a long time.
"Okay."
As soon as the words fell, Yang Yang, the patient's attending physician, couldn't wait to ask:
"Doctor Chen, is there still treatment for this patient?"
"It's not too late yet. The patient is elderly, suffering from a severe case of heat-toxin blocking the triple energizer and Yangming bowel fullness. The deficiency and excess, the positive and negative forces, cannot withstand a harsh attack. I'll prescribe a dose of xiaoradish soup with herbs to strengthen the body and dispel stagnation. Please boil it and send it to me as directed."
As soon as she finished speaking, Chen Yin stopped writing with the pen in her hand.
She handed the recipe to Xu Yong and reminded him again:
"After taking the medicine, patients may experience abdominal cramps, bowel sounds, flatulence, and other symptoms. These are normal phenomena, and there is no need to come to my clinic. If you experience other strange symptoms, please call me directly and I will rush over as soon as possible."
Xu Yong and the others had heard of Chen Yin's story a long time ago, so they didn't think there was anything wrong with the prescription and nodded repeatedly.
"We won't delay your outpatient visit, Dr. Chen. We will let you know whatever symptoms the patient has after taking the medicine."
Then, Chen Yin walked back with Liu Mengxi who had accompanied her.
After a while, the two returned to the clinic.
As soon as she entered the room, Chen Yin's eyes were fixed on Qi Wenzhong and Liu Xianhua. She looked at Qi Wenzhong and asked:
"Wen Zhong, have you told Xiao Liu about what I told you before I left?"
Although the question was clearly directed at Qi Wenzhong, Liu Xianhua responded first, "Don't worry, Doctor Chen. I've already told the registration office that your appointments today will not be affected by what just happened. There will still be 50 appointments. If you can't see all the patients, you will have to work overtime yourself."
"Okay. You can call in the first patient now."
Chen Yin nodded, very satisfied with Liu Xianhua's efficiency.
"Number One—"
"Hey! Here it comes."
Hearing the familiar voice, Chen Yin and the other two quickly looked towards the door. The person who walked in was Liu Lili, who had greeted them yesterday.
"Doctor Chen."
As soon as Liu Lili saw Chen Yin, she immediately smiled respectfully and pushed her daughter forward.
Only then did Chen Yin and the other two realize that what Liu Lili had said yesterday about her daughter being extremely thin was an extremely accurate description.
Because the little girl in front of him was listless, with a pale and thin face, sparse and dry hair, a thin body, and an abnormally bulging belly, as if her body was supported only by a skeleton.
Logically speaking, the other party lives in the staff quarters of the county hospital and would definitely go to see a doctor if he was sick. How could it turn out like this?
"Come, please sit down."
Upon hearing this, Liu Lili immediately sat down with her daughter, a bitter smile on her face.
"Doctor Chen, this is my child who refuses to eat no matter what I say. On weekdays, she only eats white rice with vegetables and never eats meat. Her father and I are really at a loss."
"Don't worry, bring the medical records first, and then we can talk about it in detail."
"Okay." Liu Lili immediately handed over the medical record in her hand.
Chen Yin only realized the child's age at this moment and was shocked.
No one could tell that the girl in front of them was already eight years old. At a glance, she was considered good enough to be able to keep up with the progress of a five-year-old.
Liu Mengxi and Qi Wenzhong stretched their necks to take a look, subconsciously looking at each other, and clearly saw the fear in each other's eyes.
Only Liu Xianhua present knew something about the situation of Dr. Gao's family.
After all, these days civil servants can only have one child at home, so Dr. Gao's family takes care of the child as if he were a treasure. After he fell ill, they went to the county hospital and the city hospital many times, but to no avail.
I don’t know if Dr. Chen can solve it?
Chen Yin opened the medical record and recorded in detail what she had seen.
The little girl in front of me was not only thin but also had cloudy eyes. It was obvious that her spleen and stomach had been damaged to the point of malnutrition, and her qi and blood had been damaged, affecting other organs.
Cloudiness of the eyes will occur only when the spleen and liver are diseased.
The malnutrition condition is already very serious. If no treatment is given, purple spots will appear on the skin, and the yin and yang will be exhausted. Even the immortals will not be able to save the patient.
Thinking of this, Chen Yin's hand speed unconsciously increased, and at the same time asked:
When did your child develop anorexia?
"It seems that when the child was three years old, she suddenly vomited violently for some reason, and after that she could no longer eat much. Her father and I forced her to eat a little, and we had to go to the hospital from time to time to get nutritional injections to keep her alive until now."
"What about before the age of three? How was he fed specifically? What did he eat when he started to show signs of abnormal behavior at the age of three?"
When talking about her daughter before she was three years old, Liu Lili couldn't help but reveal a hint of longing on her face.
My daughter was born when my husband officially became an intern. Our family's financial situation improved, and with the family planning policy, the family was destined to have only one child, a daughter.
Therefore, the family poured almost all their love into their daughter.
The food and clothes are among the best in the county, and the milk powder and other things are what my daughter uses to supplement her nutrition.
The little girl is chubby and everyone who sees my daughter says that she is well raised.
But when Liu Lili caught a glimpse of her daughter's now thin appearance, she changed the subject and began to vent her inner sadness.
How could she have raised such a good daughter to be so pitiful now?
From Liu Lili's confession, Chen Yin could roughly determine that the patient's anorexia was caused by excessive eating, which further worsened into malnutrition.
"I already have a general understanding of the situation. How are your child's bowel movements and urination on a daily basis?"
"The urine is yellow and the stool is dry and loose."
"What about sleep?"
…
After understanding the basic situation clearly, Chen Yin put down the paper and pen in her hand and reminded:
"Could you please open the child's mouth so I can check the condition of his tongue?"
Hearing this, Liu Lili immediately turned around and held the child on her lap, saying softly:
"Come on, Qiaoqiao, stick out your tongue and let your sister see it."
When the child heard her mother's voice, she didn't even move her eyelids, but slowly stuck out her tongue so that everyone could see the condition of her tongue clearly.
The pale tongue and thin, greasy tongue coating are both manifestations of spleen yang deficiency.
Immediately afterwards, Chen Yin took the child's pulse and confirmed that the child's pulse was deep and fine, and that his internal qi and blood were deficient.
Liu Lili noticed Chen Yin's pause and asked anxiously:
"Doctor Chen, I wonder if my daughter's condition can be cured?"
"There's still room for recovery. The child suffers from eye scurvy, and needs to nourish the blood and soften the liver, and nourish the yin and brighten the eyes. I'm planning to use Shihu Yeguang Wan with modifications."
As she spoke, Chen Yin wrote down her prescription on the paper.
While handing the prescription to Liu Lili, she earnestly warned:
"The child is young and has a weak spleen and stomach. He needs to be careful with his diet, but not too particular about it. From what you just said, it's likely that the child's anorexia is caused by long-term excessive eating when he was young."
"So, after taking the medicine this time, the child's appetite has recovered, but the child's diet still needs to be controlled and overeating should be avoided."
When Liu Lili heard that she was the cause of her child's illness, she blamed herself and almost cried out loud.
She was clearly doing it for the good of the child, so how could she have ended up in this state?
But after hearing what she heard later, she quickly realized that as long as the child drank the medicine prescribed by Chen Yin, recovery would be imminent.
Liu Lili immediately swore to Chen Yin, "Doctor Chen, don't worry. I will strictly follow your instructions and will not let the child eat or drink without any scruples. But I wonder if you could tell me what kind of food would be best for the child's current condition?"
"Just pay attention to the balance of meat and vegetables on a daily basis. If you want to strengthen your spleen and stomach, you can eat some yam, coix seed and gorgon fruit."
As soon as she finished speaking, Liu Lili kept repeating the three ingredients that Chen Yin had just mentioned.
After she memorized it, she looked at Chen Yin with joy on her face and said, "Doctor Chen, I'll write it down. When I get home, I will definitely pay attention to my child's diet."
"We live close by, so if you have any questions, you can always come and ask us."
"Hey hey hey! Doctor Chen, thank you for your hard work."
Liu Lili was so excited that she was a little incoherent. She quickly stood up and was excited about Chen Yin's approachable attitude.
Her daughter's illness had been resolved, so she hurried home to make medicine for the child. She no longer wanted to delay Chen Yin's consultation time and quickly took the child to the door.
The moment she opened the door, Xu Yong's face suddenly appeared in front of her, which scared Liu Lili.
As a doctor in the same department as her lover, Liu Lili had an impression of Xu Yong and immediately asked curiously:
"Doctor Xu, what are you doing..."
"Eh? Sister-in-law, are you bringing your child to see a doctor? Doctor Chen is a very skilled doctor and will definitely be able to resolve your and Doctor Gao's concerns."
Xu Yong thought about the patient with intestinal obstruction who had just taken the medicine for only an hour and had already defecated and met the criteria for discharge from the hospital.
Dr. Gao's daughter's anorexia can definitely be cured, and he couldn't help but feel happy for her.
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The author has something to say: ① "Li Ke, a veteran Chinese medicine practitioner, has a special collection of his experience in acute, critical, and difficult diseases"
② Baidu Encyclopedia
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