Chapter 4 The First Patient (Part 2)



"Hello!"

Yun Heng stood up and greeted him.

Although Xihua City is an inland city, it is also a nationally famous tourist city. It is not uncommon to see foreigners in a large city with a population of over ten million. However, it is still relatively rare to meet foreigners in such a small community hospital.

After the foreign white man walked in, he also looked at Yun Heng, but did not leave. At Yun Heng's invitation, he sat down opposite Yun Heng.

"Are you feeling unwell?" Yun Heng held the note paper in front of him and handed the registration form to the person, asking him to fill it out.

The man filled out the registration form, looked at Yun Heng again, and then asked, "Are you a Chinese medicine practitioner?"

He spoke Chinese, which was relatively pure, with a slight foreign accent.

"yes."

Yun Heng nodded and asked, "Tell me where you feel uncomfortable."

"My name is Kahn. I'm an English teacher at a nearby middle school. I came to Huaxia when I was in my twenties and started a family here. I now live in the neighborhood next door."

As he spoke, Kahn pointed in the direction.

Well, the white patient who came in was the one instigated by He Haipeng just now.

He Haipeng is quite familiar with Kahn's situation. This disease is actually mainly caused by acclimatization and long-term dietary unfamiliarity. It is a chronic disease and is difficult to cure.

The most important thing is that although Kahn is easy to talk to and has a good temper, his wife is very difficult to deal with. It would be fine if Yun Heng was incompetent and asked Kahn to go to a big hospital for examination. He would not have much responsibility and would at most appear incompetent. But if Yun Heng pretended to be capable, Kahn's wife might cause trouble.

He Haipeng didn't intend to drive Yun Heng away with this little thing. He would be happy if he could make Yun Heng look bad and embarrass himself in front of several doctors and nurses in the community hospital.

Yun Heng did not interrupt Kahn and continued listening.

Kahn continued, "After about four or five years, I often experienced stomach bloating and dull pain, and I couldn't eat. After forcing myself to eat, the bloating became even worse. This situation has lasted for more than ten years, and I have been to many hospitals..."

"Here are some of my checklists, by the way."

As he spoke, Kahn handed Yun Heng several checklists.

Yun Heng took the medical report and took a look. It was from Xihua City Second Hospital, taken two weeks ago. The diagnosis was: atrophic gastritis with intestinal metaplasia and Helicobacter pylori (positive).

Kahn continued, "I've tried a lot of Western medicine, including triple therapy, but it didn't help. Instead, my stomach pain got worse and my appetite got worse. I felt really uncomfortable today and was planning to get some medicine. There were too many people over there, so I saw no one here, so I came over to check on me..."

This was also what He Haipeng reminded him not to say that he introduced the person, and that there is competition among colleagues. Kahn believed it, so he did not mention He Yunpeng.

Kahn's condition has been going on for a long time and is a chronic disease that has never been cured. He relies on medication to maintain and alleviate the symptoms. He actually came here today to get a prescription for medicine, but was instigated by He Haipeng to come here.

Kahn was actually a little hesitant when he entered the room just now, but his disease was really torturous. He Haipeng suggested seeing a Chinese doctor, and Kahn thought it was a good idea, so he decided to give it a try.

After all, I am a foreigner, and I don't have the idea that the older you get, the better your Chinese medicine skills will be.

"Put your arm up so I can take your pulse."

Yun Heng smiled, motioned for Kahn to stretch out his arm, and then took Kahn's pulse.

In terms of clinical experience, Yun Heng was a complete newcomer, so he was very serious when making the diagnosis. He took the patient's pulse, asked questions, and observed, combining the standard four examinations.

Look, smell, ask, and feel. When Kahn came in just now, Yun Heng looked at his complexion. His face was pale and pale. This is looking at the complexion, then asking about the condition, and then taking the pulse for diagnosis...

To be honest, this was Yun Heng's first time to see patients independently. When he was interning at Xihua Hospital, although he had the medical qualifications, the senior doctors would never allow them, as interns, to do so.

After studying in medical school for eight years, Yun Heng can still handle some simple illnesses, but more complicated ones become difficult.

Therefore, Yun Heng was a little nervous when Kahn came in. However, after listening to Kahn's story and observing Kahn's expression, Yun Heng was surprised to find that this man's condition was very similar to that of the patient he had just met in the simulation space. After taking his pulse, he found that even the pulse condition was exactly the same.

It is said that handsome men are lucky. The first patient at the Malaysian Community Hospital happened to have the symptoms I was just reviewing. Well, a good start.

After listening for about three minutes, Yun Heng released Kahn's wrist and motioned for him to use his other hand to feel his pulse. Yun Heng then stood up and looked at Kahn's tongue coating before sitting back down.

"Do you get hungry when it's time to eat? How's your appetite?"

"I don't have much of an appetite at mealtimes, but I'll force myself to eat a little. But after that, I feel even worse."

"How's your bowel movement?"

"I have trouble with bowel movements, often only once every four or five days."

"What's the shape of the stool? Is it soft or hard? Or something else?"

"The stool is soft and thin, not hard."

Yun Heng asked a few more questions and became more certain that the patient's condition was no different from what he had just encountered in the simulation space, and he felt more confident.

"Your condition is likely due to long-term spleen deficiency and dampness obstruction, impaired transportation and transformation, dampness blocking the middle burner, and the stomach yang being suppressed and not released."

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