Yun Heng reached out and touched it. He found obvious nodules around the patient's knee joint. It was indeed not smooth when flexing and extending, and it was painful.
After checking the knee joint, Yun Heng checked the child's arms, shoulders and other parts before sitting back.
"Put your arms up."
Yun Heng asked the child to place his arm on the pulse pillow on the examination table and felt his pulse. He asked, "Have you ever had similar symptoms before, such as occasional joint pain or knee pain?"
"No."
The child's father said: "My child does have a weak constitution, but he has never had joint pain or knee pain before."
"hiss!"
Yun Heng felt the patient's pulse and pondered for a moment. After about a minute, he asked, "Before the body aches began, were you ill? Or were you caught in the rain, had a cold shower, or swam?"
“Yes, I got caught in the rain.”
The child's father hurriedly said, "It was just after winter break, and the child went to play basketball with some classmates. It rained when they came back, and they were soaked. When they woke up the next day, they were in pain all over."
"How's your appetite?"
Yun Heng asked again.
"I have no appetite. I have a very poor appetite."
"Do you sweat when you sleep at night?" Yun Heng asked again.
"Sweating, sweating." The child's father nodded hurriedly.
The more Yun Heng asked, the more hopeful the child's father felt. No wonder people on the Internet said that Dr. Yun Heng was very skilled. When he went to other hospitals before, the doctors were not like Yun Heng, who could always hit the nail on the head.
A doctor's consultation is often a good medicine for patients to boost their confidence.
There are also some tricks to medical questioning. First, choose a range based on your own judgment, and then ask about some possible symptoms within this range for verification. The more skilled the doctor is, the smaller the range of confirmation will be. Therefore, the questions asked are often those that the patient is very likely to have had. This creates an illusion for the patient and his family that the doctor is really amazing.
I asked a few questions and checked the child's tongue coating. The tongue was red, with a white and slightly greasy coating, and the pulse was floating, tight and rapid.
Now Yun Heng knew what was going on.
"This is a solar syndrome with rheumatism, caused by excessive sweating during exercise, which allows wind, cold, and dampness to settle in the joints."
As he spoke, Yun Heng began typing on the computer.
Taiyang disease and Lijie disease, which is what modern medicine calls rheumatoid arthritis, can only be said to be somewhat equivalent, but cannot be completely applied.
Hu Xuezhong watched Yun Heng diagnose the disease and analyzed the patient's symptoms and Yun Heng's questions in his mind.
Then Hu Xuezhong saw the diagnosis on Yunheng's computer: solar eczema. The treatment is to dispel wind and heat, eliminate dampness and dissipate cold. The main treatment is Guizhi Shaoyao Zhimu Decoction...
Cinnamon twig, red peony root, Anemarrhena asphodeloides......
Looking at the prescription written by Yun Heng, Hu Xuezhong became a little confused again.
Guizhi Shaoyao Zhimu Decoction is indeed very effective for rheumatic and rheumatoid arthritis. There is a rhyme saying: Guizhi Shaoyao Zhimu Decoction, licorice, ginger and ephedra, white atractylodes, fangfeng and aconite, this prescription is good for mixed cold and heat.
The main ingredient of this prescription is aconite. If there is no aconite, this prescription is almost ineffective. Even if there is aconite, it is often ineffective if the dosage is insufficient. Many famous experts have summarized this point.
Taiyang syndrome is one of the six meridian syndromes, which originated from "Treatise on Febrile Diseases". There are six specific types: Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, and Jueyin. Clinically, Taiyang syndrome can be divided into two types: meridian syndrome and visceral syndrome.
The main symptoms of Taiyang meridian syndrome include Taiyang stroke syndrome, such as headache, fever, sweating, aversion to wind, and a floating and slow pulse. There are also Taiyang typhoid syndrome, such as aversion to cold and fever, headache and body pain, joint pain, low back pain, no sweating or cough and asthma, and a floating and tight pulse.
The main symptoms of Taiyang Fu syndrome include water retention, such as fever, sweating, thirst or thirst for water, vomiting after drinking water, urinary obstruction, and a floating pulse. There are also blood retention symptoms, such as a hard and full lower abdomen or a sudden onset of hardness, a restless mood as if about to go crazy, and unobstructed urination.
"Treatise on Febrile Diseases" states that solar disease is a superficial disease, which means that the pathogenic factors have just invaded the human body, and the pathological changes that occur at this time are classified as solar disease.
Lijie disease is a term mentioned in the Traditional Chinese Medicine's "Golden Chamber" and belongs to the category of Bi syndrome. In Western medicine, it is classified as a disease related to rheumatoid arthritis and knee osteoarthritis.
Taiyanglijie disease means that the patient falls into the category of arthritis, but the disease is on the surface.
Yun Heng used Guizhi Shaoyao Zhimu Decoction, which Hu Xuezhong thought was suitable for the condition. However, Yun Heng did not use Fuzi, which made Hu Xuezhong a little confused.
After watching Yun Heng finish writing the prescription, Hu Xuezhong asked, "Doctor Yun, the key ingredient in Guizhi Shaoyao Zhimu Decoction is the aconite root. Why did you omit it from this prescription?"
This was not a consultation scene, so Hu Xuezhong didn't have to worry about anything. Given Yun Heng's cautiousness, Hu Xuezhong felt that the possibility of Yun Heng being negligent was very small, and there must be some deeper meaning behind it.
Yun Heng smiled and said, "Pain in all limbs, weakness, swollen feet, dizziness, shortness of breath, and nausea. Guizhi Shaoyao Zhimu Decoction is the right treatment."
This is from the "Treatise on Febrile Diseases".
"Guizhi Shaoyao Zhimu Decoction is used to treat solar limbic disease. The key to this is the use of aconite. Although the patient's condition is solar limbic disease, there are already signs of wind turning into heat. Aconite is very hot and should not be used at this time. Therefore, coix seed is added to enhance the effect of dispelling dampness and relieving pain and cramps."
Yun Heng explained to Hu Xuezhong.
"Wind from heat?"
Hu Xuezhong looked at Yun Heng's diagnosis again, and then suddenly realized it.
"Doctor Yun's prescriptions are indeed meticulous."
Hu Xuezhong was completely convinced.
If Hu Xuezhong himself had this disease, he would be able to diagnose it clearly and would also use Guizhi Shaoyao Zhimu Decoction, a famous prescription for rheumatoid arthritis.
However, aconite is a must because this prescription mainly relies on this herb.
Hu Xuezhong felt that it was not just him, but most doctors would use aconite. After all, most people knew the importance of aconite in this prescription, and it was almost a habit of thinking.
But Yunheng noticed that the patient's wind was turning into heat, so he removed the aconite and added coix seed.
From this point, it can be seen that it is no coincidence that Yun Heng has treated many patients before and is famous in free medical consultation activities. Whether in terms of meticulousness or the use of prescriptions, Yun Heng's level is indeed higher than those of them.
"Professor Hu, you are too kind."
Yun Heng smiled and said, "The patient has been ill for a while. I just overthink it and give a little more consideration when using the medicine."
As he spoke, Yun Heng stamped and signed the prescription, then handed it to the patient.
"A little more thought, a little more consideration?"
Hu Xuezhong smiled and said, "It is precisely this point that many people cannot achieve."
Looking at Yun Heng's young face, Hu Xuezhong was a little dazed. It was really embarrassing for them that a young man could have such thoughts.
In theory, the younger you are, the more nervous you are and the more likely you are to be careless.
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