"Main complaints: dry retching, abdominal pain, bloating, diarrhea, pale complexion, red and dry lips, no fever, general fatigue, loss of appetite, dry mouth but no desire to drink water... Deep, fine and slippery pulse..."
Yun Heng was typing on the computer when he asked Sun Shuang beside him, "Did you figure out what the problem is?"
"It must be heatstroke."
It was Sun Shuang's first time following Yun Heng, and he was a little nervous standing by.
Before, Sun Shuang had always followed Qin Dajiang. Qin Dajiang had no habit of asking questions to people around him when he was diagnosing patients. Yun Heng asked questions all the time, which made Sun Shuang nervous and excited.
Yun Heng's question was not a test, but an opportunity to teach him something.
"It's late June now, and Xihua City is indeed very hot. Summer heat attacks are very common. The patient's complexion is dull and his lips are red and dry, which are all signs of summer heat. But the patient has a dry mouth but little desire to drink water. Have you noticed this?"
Yun Heng asked.
"?"
Sun Shuang racked his brains, thinking: "Doctor Yun, is it summer heat?"
"Um."
Yun Heng nodded and began to write a prescription while saying, "Heat is the third of the six qi. When it is dominated by the Shaoyang Xianghuo and the Shaoyin Junhuo, the heart qi is connected to summer, and the Jun and Xiang fires together control the summer heat. Therefore, when the weather is extremely hot, people feel or absorb the summer heat and dampness from the spleen and stomach, which may cause injury or symptoms of heat evil and dampness. The patient will have a dry mouth but no desire to drink water. This is particularly important and is the key to judging heat and dampness."
The six qi of heaven and earth and the six qi of the five elements and six qi are the same, namely wind, fire, heat, humidity, dryness and cold. The theory of luck is the main basis for traditional Chinese medicine to study climate change and its relationship with human health and disease.
Patients may not understand these things, but Sun Shuang can understand them.
"Doctor Yun, I've got that."
"Um."
Yun Heng glanced at Sun Shuang and said nothing more. He just gave a few suggestions when he had time during the consultation. As for whether the other party took it seriously and how much he really remembered, that was not Yun Heng's concern.
After coming to the community hospital, Yun Heng has led many people. The one he cares about the most is Ren Xuedong, followed by Tian Zengming. Ren Xuedong and Tian Zengming took notes when they followed him, but Sun Shuang did not.
After you leave school, learning is different from when you were in school. When you were in school, teachers paid attention to the rate of admission or overall performance, and would supervise some students. After you leave school, learning is entirely voluntary. No one supervises you, and the capable ones will advance while the mediocre ones will fall behind.
Hospitals are actually places with quite fierce competition. Most department heads in major hospitals have worked their way up through their careers based on their real abilities. Even Hong Shuangmin's level in the Department of Integrated Traditional Chinese and Western Medicine is quite good.
Ren Xuedong and Tian Zengming took notes proactively and paid attention when studying, so they made faster progress than others. Sun Shuang didn't take notes, and Yun Heng didn't bother to care how much he could remember.
As for Xu Bo, it is naturally different.
"Your condition is caused by summer heat and spleen dampness combining to form damp heat. Have you been exposed to heat during the afternoon these past two days?"
Yun Heng ignored Sun Shuang and asked about the patient.
"The day before yesterday at noon, I went shopping with my sisters. We went to many places and it was really hot." The woman nodded hurriedly.
"Well, this prescription is Xiangru Drink and Huoxiang Zhengqi Decoction. You can take them for two days and then come back for a follow-up consultation. I only see patients every other day, so you can come the day after tomorrow morning or afternoon."
Yun Heng printed out the prescription, signed and stamped it, and then handed it to the patient.
Some patients would ask about the reason, and Yun Heng would explain it as much as possible. Some patients would not ask, and Yun Heng would not explain in detail, but would just give a brief account. After all, there were many patients in the outpatient clinic, and it would be impossible for Yun Heng to make every patient understand what was going on, as that would waste too much time.
"Thank you, Dr. Yun."
Fortunately, Yun Heng had a very good reputation in the community hospital. The patient didn't ask any questions, took the prescription, thanked him, got up and left, and Yun Heng continued to call out numbers.
"Don't have so many people at the door. Whoever is called can come in."
While the patient was leaving, Yun Heng saw that there were a lot of people at the door of the clinic, so he shouted towards the door.
Generally speaking, each patient is admitted to a clinic in one room, and the door is closed after the patient enters. However, some patients do not close the door on their own initiative after entering, and some patients peek from outside. Yun Heng will not say anything when it does not affect them, but will remind them when there are a few more people.
"Dad, let's sit over there and wait for a while."
After being called by Yun Heng, Mi Shiwei pulled Mi Tianhong to the side.
"He looks okay, quite serious, and good-looking."
Mi Tianhong found an empty chair and sat down, then whispered to Mi Shiwei.
"To be able to receive such praise from Qiao Haicheng, his skills must be quite good."
Mi Shiwei smiled and nodded, reminding him, "Dad, you need to understand the situation. Linlin is pursuing you now."
Mi Tianhong: “…”
"Go, buy me a bottle of water. I'm thirsty."
Mi Tianhong glared at his son unhappily.
What I don't know?
Keep reminding me.
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