Chapter 80: Nosebleed
When he looked up again, he met four pairs of eyes and smiled embarrassedly.
"Apart from the discomfort in your head, you don't feel any other discomfort, right?" Chen Yin continued to ask.
Zhu Xingfeng thought carefully and shook his head.
"So how are your bowel movements lately?"
"My urination is fine, but I've always been constipated." Zhu Xingfeng felt a little embarrassed when he spoke to a female doctor.
But he found that after he finished speaking, Chen Yin still maintained the same look and expression, so he smiled awkwardly and looked away.
"Well, stick out your tongue and let's see."
The next second, Zhu Xingfeng quickly stuck out his tongue, and Chen Yin immediately wrote on the paper: The tongue is pale red, with a thin white coating.
Next, the pulse was taken. Zhu Xingfeng, suppressing the lingering chill, lifted his sleeves to expose his wrists.
When Chen Yin placed her fingertips on it, Zhu Xingfeng couldn't help but tremble.
She could only clench her fingertips tighter and carefully feel the patient's pulse.
After taking Zhu Xingfeng's pulse, he felt so cold that he couldn't help rubbing his hands.
Chen Yin wrote down her diagnosis on paper and prescribed the right medicine. She also said to the patient:
"Your headache and chills this time are caused by washing your hair with cold water. The cold pathogen has penetrated directly into the meridians of the head, causing poor flow of Qi, especially in the Taiyang meridian. This is why you experience headaches and chills. To treat your condition, you need a pungent and warm herb to dispel the cold, unblock the meridians, and relieve the pain. I'll prescribe you a dose of Guizhi Decoction. Take it as directed."
"Also, remember, when the weather is bad in the future, whether you're washing your hair or taking a shower, make sure you stay warm to avoid the cold."
"I'll remember Dr. Chen!"
Zhu Xingfeng took the prescription and nodded heavily. With this lesson learned, he would never dare to take the risk of washing his hair with cold water again.
After the first patient was sent away, the second patient was immediately taken over.
The speed this morning was much slower than yesterday, and the cases we examined were mostly difficult and complicated.
After the morning outpatient clinic ended and before going to eat, Chen Yin glanced at Liu Xianhua and suddenly remembered what he had mentioned in the morning.
"When we go to dinner later, if you meet the doctor who asked you to ask me to consult, please tell him so that we can start after dinner."
"Doctor Chen, I understand."
This matter can only be handled by Liu Xianhua, who is more familiar with the county hospital. Qi Wenzhong can only watch helplessly from the side.
Unfortunately, the four did not meet in the cafeteria or on the road, so they could only go directly to each other's department.
Liu Xianhua brought the three of them to the ENT office, knocked on the door, and asked:
"Excuse me, does anyone know where Dr. Lu Banglu is? I brought Dr. Chen, whom he wanted to see, here."
When they heard the words "Doctor Chen", the people who were still in the office immediately stood up and looked towards the door curiously.
I want to see what kind of person this person who is attracting the attention of the entire hospital is.
Seeing that everyone was only paying attention to him and not to his words, Liu Xianhua was worried that Dr. Chen would have a bad impression of their hospital, so he coughed twice.
"Ahem! Does anyone know where Dr. Lu is?"
Finally, after his reminder, the curious crowd finally remembered that Chen Yin came here for a serious matter, and immediately asked curiously:
"Excuse me, Doctor Chen, are you here to see the patient that Doctor Lu is in charge of?"
"We just had lunch, so we don't know where Dr. Lu is going. But if you want to see the patient he just treated who can't smell, I can show you the way."
Hearing this, Liu Xianhua glanced at Chen Yin and told her that this was the patient that Dr. Lu wanted her help with this morning.
Doctors’ time is racing against life. Chen Yin didn’t want to waste time and immediately said:
"Please help us lead the way."
“No problem, no problem!”
Yan Qi nodded repeatedly in surprise, quickly came out of the office, flashed past the eyes of several people, and quickly led the way for Chen Yin and the others.
Along the way, she looked back frequently, and her eyes always fell on Chen Yin.
Seeing that the other party was just curious, Chen Yin did not say anything to stop him.
In this way, the group successfully arrived at the ward where the patient was staying, but what was unexpected was that Dr. Lu, whom they had not found, had already been waiting in the ward.
Moreover, after hearing the footsteps of several people approaching, Lu Bang quickly turned around and locked his eyes on Chen Yin for a second.
"I've heard that Doctor Chen is a doctor who cares about the urgent needs of his patients. It seems that I was right to wait here early. Doctor Chen, could you please take a look at this patient?"
Hearing this, the pale-faced woman lying on the hospital bed gave Chen Yin a kind smile.
The old man next to him stood up nervously, clutching the hem of his clothes with his hands helplessly, with a flattering smile on his weather-beaten face.
"It is equally rare for Dr. Lu to search for a doctor for his patients."
Chen Yin slowly approached the three people and looked at the patient carefully as she walked.
The patient's face was pale, his expression was listless, sweat was dripping down his forehead, and his eyes were filled with inextricable sadness and pain. It was obvious that he was trying hard to endure the pain.
As soon as he walked in, Lu Bang immediately placed the prepared medical records next to Chen Yin.
"This is the patient's medical record from the past three days. Doctor Chen, please refer to it."
Then, Chen Yin opened the medical record, checked the contents written on it, and selected the useful parts.
When I saw that the patient's loss of sense of smell was caused by excessive grief after hearing the sudden bad news and losing his loved one, I already had a rough idea in my mind.
She quickly closed the medical record and handed it to Dr. Lu. She looked at the patient calmly and asked:
"Excuse me, besides the headache, what else is bothering you right now?"
The patient looked at Dr. Lu, then at his wife, before turning his gaze to Chen Yin.
She raised her hand tremblingly and pointed at her waist, "My waist and legs are a little weak."
Chen Yin nodded and began to check the patient's tongue, confirming that the tongue was pale white and had a smooth white coating.
As for the patient's pulse, it is deep, thin and astringent, all manifestations of deficiency of vital energy.
After a brief thought, Chen Yin found the prescription that was suitable for the patient - Mahuang Decoction.
As she handed the prescription to Dr. Lu, she expressed her judgment.
"The patient's vital energy was already deficient, and the shock caused his qi to become chaotic, his defenses to become broken, and the cold pathogenicity to penetrate deep into the Shaoyin meridian. The deficiency of vital energy prevented the pathogenicity from being expelled. This is why the patient is experiencing a loss of smell. Mahuang Tang induces sweating, relieves the exterior, clears the lungs, and calms asthma, and can treat headaches and body aches. It's exactly what the patient needs at this moment."
Lu Bang knew nothing about Chinese medicine, but after listening to Chen Yin's explanation, he believed from the bottom of his heart that the patient would be cured by using this prescription.
But after getting the prescription, he subconsciously looked for someone around him.
Finally, his eyes locked onto Liu Xianhua, and he waved and called out, "Xiao Liu, please come over here."
Liu Xianhua pointed at himself doubtfully and stepped forward quickly. "Doctor Lu, is there anything I can do for you?"
"Look at the herbs above. Based on the prices at our hospital pharmacy, how much do you think three doses of medicine will cost?"
As soon as these words were spoken, Liu Xianhua immediately noticed two fearful gazes fixed on him.
He subconsciously looked in the direction of the gaze, but only saw two pairs of escaping eyes.
For a moment, Liu Xianhua was a little confused.
He stared at Dr. Lu blankly for a while, then took the prescription with a dazed mind and checked the medicinal materials used in it.
Then he mechanically glanced at the prescription in his hand and told the price of the medicine.
"In Mahuang Decoction, ephedra is the main ingredient. Ten grams is used. Currently, at our hospital's pharmacy, ten grams of ephedra costs twenty cents. Xanthium sibiricum..."
At the end of his speech, Liu Xianhua felt dry in the mouth and subconsciously looked for something to quench his thirst out of the corner of his eye.
With a quick glance, I instantly noticed the happy smiles on the faces of the patients and their families opposite me.
He looked up at Dr. Lu in surprise and found that the other person's face was also showing signs of joy.
At this moment, Liu Xianhua's somewhat stuck brain seemed to have discovered the true intention of Dr. Lu's question just now.
After the consultation, Dr. Lu felt relaxed and led Chen Yin and her group out of the ward.
He casually handed the prescription in his hand to the nurse and asked her to prepare and administer the medicine.
Turning around, he quickly glanced at Chen Yin and the others, focusing most on Liu Xianhua.
"Just now you must have been wondering why I asked Dr. Liu to quote the price of the medicinal materials, right?"
"The patient's clothes were patched, his face was weather-beaten, and he came from a poor family. Dr. Lu was worried that the patient would be afraid to take medication because of the cost and would simply give up treatment."
"Doctor Chen, I knew I couldn't hide it from you." Doctor Lu smiled without saying anything.
On the contrary, Liu Xianhua, whose head was about to turn into paste, said in shock as if he had suddenly discovered a secret:
"No wonder I clearly remember Doctor Chen saying he was going to prescribe Ma Huang Tang for the patient, but the musk in Ma Huang Tang was replaced with a cheaper herb. It turns out he took the patient's family financial situation into consideration."
Upon hearing this, Lu Bang looked at Chen Yin with even more admiration.
Liu Mengxi and Qi Wenzhong were already accustomed to other people looking at Chen Yin in this way.
Especially during the free medical consultation, the villagers who came from poor backgrounds almost expressed respect in their eyes.
After leaving the ENT department, the four continued walking towards the next department to seek help.
In one afternoon, Chen Yin saw two patients in total.
While she was busy, others were busy for her.
Liao Dehua glanced at the rare visitor and couldn't help but laugh. He asked, "How come Dr. Gao has time to visit our department today?"
"Director Liao, you're just insulting me by saying that. I came here specifically to thank you for inviting Dr. Chen to our hospital for a consultation."
As soon as these words were spoken, Liao Dehua instantly understood that Chen Yin must have cured Gao Shangming's daughter's illness.
In fact, he had heard of it a long time ago, but it was obvious that his medical skills were not so trusted by others, so he only heard about it from others.
"Doctor Chen is a kind-hearted doctor. I'm just talking."
"Director Liao, you are really too modest. I came here today because I have something I would like to ask Director Liao for help."
To be honest, they rarely met and their relationship was not very strong. Gao Shangming was a little embarrassed to say that he asked for help as soon as he came to the other party.
But thinking of his daughter's condition this morning, he suppressed his shame and directly told her the purpose of his visit.
Liao Dehua had anticipated this rare visitor and his expression did not change.
"We are all colleagues in the same hospital. If you have any questions, just tell me directly, Doctor Gao."
"I see that Director Liao is the person in our hospital who has the closest relationship with Dr. Chen. Dr. Chen cured my daughter's illness. I wanted to ask you what Dr. Chen likes. My husband and I would like to give Dr. Chen a thoughtful thank-you gift."
After hearing the first half of Gao Shangming's words, Liao Dehua couldn't help but reveal a hint of pride on his face, and the look he gave Gao Shangming was no longer as unfamiliar as before.
But for Chen Yin, if she gave the wrong thank-you gift, it would be an embarrassing situation.
Therefore, Liao Dehua is willing to give Gao Shangming some advice.
"Dr. Chen is a man of high moral character, indifferent to fame and fortune, and dislikes accepting gifts. Especially expensive thank-you gifts. She will even calmly refuse excessive consultation fees offered by patients."
When Gao Shangming heard this, he was a little dumbfounded. He didn't expect that after asking so many times, he still had no idea.
How should he explain to his wife when he gets home?
On the other side, Chen Yin seamlessly transitioned to start the afternoon outpatient clinic.
Because the conditions of the patients today were generally more complicated, the four did not come out of the clinic until eight o'clock in the evening.
At this time, the cafeteria no longer serves meals.
Listening to the rumbling sounds of their stomachs, Chen Yin and the other two turned their eyes to Liu Xianhua at the same time.
Liu Mengxi said directly: "Doctor Liu, you have been in the county for so many years, you must be very familiar with the county's evening delicacies. You will lead the way tonight."
At this moment, Liu Xianhua finally understood what the looks of those people meant, and immediately started thinking about where to find good food in the county.
After a while, he seemed to suddenly remember something and his eyes lit up.
"There's a dry pot beef restaurant in our county town that's only open at night at the night market. The taste is incredible."
"Go, go, go! I'm starting to drool just listening to you."
Liu Mengxi raised his hands, pushed Qi Wenzhong's back and was about to move forward.
Liu Xianhua looked at the two of them in surprise and pointed in opposite directions. "The beef restaurant is this way."
"Oh," Liu Mengxi responded awkwardly and walked back quickly.
After walking for about a quarter of an hour, the four arrived at the beef restaurant introduced by Liu Xianhua.
As soon as we entered the store, a rich aroma of beef hit us in the face, and coupled with the warm air in the store, everyone's body couldn't help but relax.
Liu Xianhua was obviously very familiar with the store and shouted directly to the boss behind the counter:
"Boss, give me four servings of dry pot beef, spicy."
"Okay! Right away."
As they met a big customer at this time, the boss excitedly poured tea for the four of them and brought them a bowl of fried broad beans to entertain them while they were waiting.
In addition to the four people, there was another table of guests dining next to them. They were drinking and eating meat with big gulps, throwing peanuts into their mouths from time to time, and the sound of laughter and conversation could be heard. They looked very comfortable.
Soon, the dry pot beef for Chen Yin and the other three was served on the table.
The fresh, fragrant and spicy aroma went straight into my nose. The sudden attack made me unable to react and I sneezed twice.
"It smells so good!" Liu Mengxi couldn't help but exclaim.
"Eat quickly, you've been hungry for most of the day." As he said that, Qi Wenzhong naturally served Liu Mengxi the food and pushed it towards her.
Chen Yin and Liu Xianhua's eyes met for a second, then quickly separated and began to enjoy the food in front of them.
Just when a group of people were enjoying their meal, the noisy noises from the guests at another table suddenly turned into an argument.
Chen Yin subconsciously stopped eating with her chopsticks and looked in the direction of the quarrel.
I saw a fat man swearing at the person opposite him, holding a bottle of wine in his hand, as if he wanted to hit someone.
The next second, something unexpected happened.
The man who was about to hit someone suddenly had blood spurting out of his nose, instantly scaring the people at the same table so much that they screamed.
"ah!"
"What happened to Lao Zhang?"
"Hurry, hurry, hurry! Go call an ambulance."
The three of them were so frantic trying to find a phone to call an ambulance that they completely forgot to ask anyone else for help.
As a doctor, Chen Yin couldn't just watch someone lose his life. He immediately put down the dishes in his hands, took out the backpack behind him, and prepared to take out the silver needles for treatment.
Naturally, the other three people couldn't just stand by and watch, so they all followed Chen Yin and took action.
"Make way! We are doctors from the county hospital. Let us see the patient."
Liu Xianhua's voice broke through the deathly silence of the shop, instantly attracting everyone's attention.
The three people who were having dinner with the man all breathed a sigh of relief, and the boss even regained the ability to breathe.
"Doctor, come and take a look. What happened to Lao Zhang?"
At this time, Zhang Dashu, the person involved, was even more at a loss. He looked at the palm full of blood in his hand and almost fainted.
In an instant, all kinds of possibilities of death emerged in my mind, and I was completely unaware of what was happening in the outside world.
Liu Xianhua and Qi Wenzhong worked together to restore the patient from a standing position to a sitting position.
Zhang Dashu had just sat down when he heard someone say, "If I remember correctly, when you have a nosebleed you usually have to tilt your head back, or lie flat on your back, right?"
Perhaps he regained some of his senses in the panic, and his tone was filled with distrust towards Liu Xianhua, who claimed to be a doctor at the county hospital.
Liu Xianhua immediately locked his sight on the person who was speaking and reminded:
"You have all these wrong ideas. Generally, when you have a nosebleed, lying down or tilting your head back will cause the blood to flow back into your mouth or throat, potentially causing choking and discomfort. The correct way to stop the bleeding is to gently press the base of the nose, every ten minutes."
"But your friend is suffering from a severe nosebleed, so the above method is obviously not applicable. Our Doctor Chen is a famous doctor in Dongyu City and will use acupuncture to stop the bleeding."
As soon as these words were spoken, everyone in the store quickly passed by Liu Xianhua and Qi Wenzhong and looked in the direction of Chen Yin and Liu Mengxi.
When he found that Chen Yin was holding a silver needle in her hand, his eyes widened in surprise.
Because Chen Yin looks so young, she is completely different from everyone's impression of Chinese medicine practitioners.
Another thing is that she is a girl, and in the field of traditional Chinese medicine, people pay more attention to the words "old" and "male".
Chen Yin didn't care what others thought. She only knew that stopping the bleeding was the most urgent thing at the moment.
After taking out the silver needle and disinfecting it, she quickly walked towards the patient.
Before inserting the needle, she looked at the patient with clear eyes and reminded:
"Right now, I'll insert a silver needle into your Fengchi acupoint. After the needle is used, your nose will feel blocked and uncomfortable. If this happens, remember to remind me."
At this moment, Zhang Dashu was extremely panicked. He had no other choice but to blink his eyes to show his agreement except Chen Yin in front of him.
Because his mind was being held down by Qi Wenzhong, he was worried that the patient's panic or some subconscious reaction would affect the treatment process.
Then, Chen Yin aimed at the location of Fengchixue, and in almost the blink of an eye, the silver needle in her hand quickly moved to Zhang Dashu's Fengchixue.
The onlookers could clearly see Chen Yin inserting the needle continuously and couldn't help but gasp in fear.
As the person being pierced with the needle, Zhang Dashu didn't feel any foreign body sensation at all.
It wasn't until the needle pierced the key part that he spoke tremblingly, "I... feel a little bit."
Upon hearing this, Chen Yin immediately stopped what she was doing and stopped inserting the needle. Instead, she continued to use the twisting technique for one minute.
The same acupuncture technique is used on the other side, and the needle is placed steadily on the Fengchi point.
As time passed, everyone could clearly see that the blood flowing from Zhang Dashu's nose was getting less and less.
In the end, it even stopped completely. For a moment, everyone looked at Chen Yin in surprise.
The boss even praised him on the spot, "I really didn't expect our store to have such a distinguished customer! Doctor, you are amazing! This is the first time I've seen such a large nosebleed, and it was stopped in less than half an hour."
"Doctor, you're awesome!" The other three also praised.
Chen Yin nodded and continued to focus her attention on the patient.
"My name is Chen Yin, and I'm a temporary doctor at the county hospital. Although your nosebleed has stopped today, the cause is unknown. Acupuncture at the Fengchi acupoint is only a temporary solution."
"I suggest you go to the county hospital tomorrow to register and find out the cause of your illness. Only by curing it can similar cases not happen again."
Zhang Dashu nodded and didn't take Chen Yin's words to heart.
It's not like he hasn't had nosebleeds before, it's just that the amount of blood this time was a little more.
Chen Yin never interferes too much with the patients' own thoughts.
After washing my hands in the store’s sink, I continued with dinner.
The other three people looked at the patient who didn't even say a word of thanks, and ate with a belly full of anger. Every bite seemed like they were biting someone.
Zhang Dashu didn't know how to thank him, but the boss was a smart man. After sending the other table of guests away, he immediately brought the dishes he had just cooked to the table.
"If it weren't for Doctor Chen, my restaurant would have been in big trouble today. Consider these side dishes as my old cow's token of gratitude. Doctor Chen, you must not refuse."
Of course, he didn't give Chen Yin a chance to refuse.
As soon as he finished speaking, he hurriedly threw down the dishes and ran to the kitchen.
Only four people were left staring at the pickled pepper beef tenderloin and mapo tofu on the table in a daze.
"These two dishes are the boss's specialties. Today, the three of us are taking advantage of Dr. Chen. Come and try them and see how they compare to the dry pot beef."
Liu Xianhua felt that what the boss said made sense, and immediately invited a few people to eat.
After all, if Chen Yin had not been present today, if someone had bled and gone into shock, or even died, the boss's store probably wouldn't have had any customers.
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The author has something to say: ① "Stepping into the Door of Traditional Chinese Medicine (6): Detailed Explanation of the Ideas for Differentiation and Treatment of Difficult Diseases"
② "Special Album of Experience of Dr. Li Ke, a Veteran Chinese Medicine Practitioner, in Treating Critical and Difficult Diseases"
③ Baidu Encyclopedia
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