Yun Heng observed carefully and found that there was no redness or swelling around the thin line.
Yun Heng stretched out his fingers and touched it gently, but did not feel any unusual warmth. However, when Yun Heng applied a little force, the woman subconsciously gasped and frowned in pain.
"Does it hurt a lot when you press it?" Yun Heng asked.
"Yeah, it hurts."
The woman nodded with a blush on her face. Although doctors are like caring parents, she was still a little embarrassed to be looked at by such a handsome male doctor.
"Okay, get your clothes ready and come out."
Yun Heng straightened up and walked out of the curtain first. After waiting for about a minute, the woman and her husband came out from behind together.
"Doctor Yun, what happened to my wife?" the man asked first.
"How long has this been going on?"
Yun Heng was typing on the computer, making the final confirmation.
"It's been almost a month. I've been to several hospitals. They said I had abdominal wall inflammation and intercostal nerve pain. I took medicine and had IV drips, but it hasn't gotten better."
Yun Heng nodded and continued to ask, "Is the pain more severe in the middle of the night? To be more precise, between one and three o'clock?"
The woman nodded hurriedly. "Yes, the pain is worse at night and it makes it hard for me to sleep."
"Um!"
Yun Heng was now able to diagnose the condition: "Your condition is one of stagnation. I just took a look, and the pain starts at the Qimen acupoint and goes all the way to the young woman. This is the Liver Meridian of Foot Jueyin, where the meridian passes, which is the straight line you just saw. To be more precise, it should be a case of stasis in the Liver Meridian. According to the meridian flow of the meridians, the Chou hour is the liver meridian's season, so the pain at this time is often more severe than usual."
Yun Heng glanced at the woman's husband and asked, "How is your relationship?"
"Why does Doctor Yun ask this?"
The man asked with some surprise.
"This disease is generally caused by liver depression and qi stagnation or liver and gallbladder damp-heat, which, if left untreated for a long time, gradually leads to poor blood circulation. When I examined your wife just now, I found that she didn't have any symptoms of liver and gallbladder damp-heat, so it's probably liver depression and qi stagnation. Liver depression and qi stagnation syndrome refers to the stagnation of qi due to abnormal liver function and insufficient drainage. This condition is often caused by long-term depression and emotional distress."
Yun Heng explained patiently.
"To be honest with you, Doctor Yun, we actually have a pretty good relationship."
The man hurriedly explained, "It's just that we've been married for almost four years and have no children. We got pregnant once last year, but had a miscarriage at six months. Since then, my wife has been in a bad mood and has a bad temper..."
It is obvious that men are still more afraid of women. When they say that a woman has a bad temper, they secretly glance at her.
"Well, you still have to make sure you're in a good mood."
As he spoke, Yun Heng had already printed out the prescription, stamped it, and signed it, then handed it to the woman: "This is Xuefu Zhuyu Decoction. Go home and take it for a week, then come back for a follow-up consultation. As for what you just said about being married for three or four years without having children, and having a miscarriage six months ago, you can come and see me after you've recovered from that. I'll give you a detailed examination."
"Thank you, Dr. Yun."
The woman hurriedly thanked him.
"Dr. Yun, thank you."
The man also hurriedly thanked him: "We have heard of you, Dr. Yun, for a long time. We actually came here once before just to see if we could have infertility, but you were not here at the time, and then we got this disease again..."
"Go back and recuperate first, take medicine, and come back when the situation improves."
Yun Heng smiled politely.
According to the man, when they first came, Yun Heng should have just gone to Tang Hua. Later, the woman got this disease, and the couple probably chose Western medicine at the first time. They went to several hospitals, which is why it has been delayed until now.
After seeing the couple off, Yun Heng continued to call the next patient.
The Department of Traditional Chinese Medicine did not see any patients yesterday, nor did it this morning. It started seeing patients this afternoon, but there were fewer patients than usual. Yun Heng saw fifteen or sixteen patients in the afternoon, and there were no more patients left by a little after four o'clock.
Tian Zengming added water to Yun Heng's glass and sat beside him to ask Yun Heng for advice.
"Boss, I see you seem to have a pretty good idea when you're seeing patients. Specifically speaking, where should we start with the symptoms?"
Tian Zengming has been following Yun Heng for some time, watching him every day. As Xu Bo has started to see patients independently, Tian Zengming is naturally quite envious.
"Traditional Chinese medicine treatment is based on a holistic approach. As doctors, we must not let certain thoughts limit us from the very beginning when we face patients."
Yun Heng patiently explained to Tian Zengming: "First of all, from the moment the patient enters the room, we must observe and judge from all aspects. You must know that sometimes when the patient tells us, he or she may overlook something."
"Some patients are extroverts, some are introverts, and some are careless. There are all kinds of patients. Furthermore, those involved may be confused, while those on the sidelines may see things more clearly. Sometimes patients think well before seeing a doctor, but may become nervous or careless in person. All these factors can cause patients to overlook some details, and these details need to be discovered by us."
Tian Zengming listened carefully and took notes in his notebook.
What Yun Heng said was really based on his experience. Generally, few senior doctors would say such things to people with such patience.
Whether in school or in the hospital, academic things are relatively easy to learn, but the hardest thing to learn is thinking.
"When we see a patient, we first need to determine the location of the disease. Based on our own observations, diagnosis, and the patient's description, we gradually determine a range. Once the range is determined, we still need to verify it."
As he spoke, Yun Heng took the first patient as an example.
"The first patient had liver meridian stasis. When I examined her, I found a straight line below her right nipple, right down to the Qimen acupoint. This allowed us to first determine the location of the disease. The local swelling and hardness remained fixed, and the pain was like a thorn. This was definitely a case of stasis. However, we had to be careful to verify the diagnosis at this point. I asked her if she had severe pain at night, just to confirm whether it was liver meridian stasis..."
"No matter what strange symptoms we encounter, we must first not find them strange or be frightened by the superficial symptoms. Theoretically, as long as the diagnosis is clear, there is no disease that cannot be cured. When you encounter a symptom, you must carefully verify the diagnosis, observe carefully, and apply and apply what you have learned as much as possible. Only in this way can you minimize mistakes."
"Um!"
Tian Zengming took notes seriously, just like a primary school student taking notes seriously, trying his best to remember every word the teacher said.
Yun Heng kept talking to Tian Zengming until after five o'clock. During this period, Tian Zengming first followed Yun Heng and then followed Xu Bo, and he accumulated a lot of knowledge. After listening to Yun Heng's explanation, his internal medicine skills improved a lot, which added a hundred minutes of Yun Heng's endurance.
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