"Come on, put your arms up."
Yun Heng asked the patient to put his arm up, and pondered while feeling the patient's pulse.
Yun Heng had never seen a patient in such a situation before, not even in the simulated space.
After taking the patient's pulse, Yun Heng checked the patient's tongue coating and carefully asked about the patient's pain again.
According to the patient's description, the pain was actually quite severe. Every time he took anti-inflammatory drugs and painkillers, it only relieved the pain. To be precise, he only used painkillers to get through the pain.
But as the pain grew more intense and frequent, and the painkillers became less effective, it became increasingly unbearable.
As the saying goes, blockage causes pain.
In many cases, pain is caused by blockage in the meridians, poor blood flow, etc. Once blocked, it will cause pain.
It's just pain at the tips of fingers and toes, which is really rare, and the pain is so severe.
This is generally considered as neuropathic pain in clinical practice.
"Did you bring your previous medical records?"
Yun Heng asked.
"I brought it."
At this moment, the patient had been led in by Yun Heng involuntarily, and was cooperating with Yun Heng completely, no longer secretly looking at Zhu Senqiang beside him.
Sometimes the trust that a doctor gives to his patients is created inadvertently, not only by his attitude but also by his own aura.
When the patient first entered the clinic, he didn't trust Yun Heng very much. He came for Zhu Senqiang.
He had been to many hospitals for this disease before, and had even made an appointment with a specialist at the Traditional Chinese Medicine Clinic of Ximen Hospital. How could Yun Heng, a young man in his thirties, gain the trust of patients?
But at this moment, the patient no longer has the mind to think about anything else.
Yun Heng took the patient's medical record and read it carefully.
Mainly the examinations and diagnoses done in other hospitals before.
All the tests failed to find any problems, and the diagnoses given by several hospitals were basically the same. Some judged it to be a psychological factor, and some judged it to be a neurological factor, but the real cause was unknown.
The treatment is mainly based on antibacterial and anti-inflammatory treatment. The patient has fever symptoms when in pain, so it is also judged to be a bacterial or viral infection.
Originally, Yun Heng planned to find some breakthrough in the medical records, but after reading them, he still had no clue.
"Where are you from?"
Yun Heng put the medical records aside and asked in a gentle voice.
"My family is from Beihe, a small county town."
The patient forced a smile. He was a young man of about twenty years old.
"At this age, you haven't gone to college?"
Yun Heng continued to ask while typing on the computer.
“I didn’t pass the exam.”
The patient forced a smile and said, "I've been working away from home for two or three years."
"Looking at your hand, it doesn't look like it." Yun Heng said.
"I joined a factory and learned the technology from them, which meant checking out the equipment and so on."
"Then the job should be easy." Yun Heng asked with a smile, "Is the salary okay?"
"The salary is about 7,000 yuan a month."
The young man said, "This little money is enough for living, but it's not enough to afford a wife."
"Isn't it too early for you to get married at this age?" Yun Heng asked with a smile.
"It's not early anymore. I'm already twenty-one."
The young man said, "If you wait a few years, it will be even harder to find it."
"Don't you have a girlfriend?" Yun Heng asked.
"We've talked about it before, and they think I'm not very good at dealing with people."
The young man's personality is indeed a bit introverted, which can be seen from the embarrassed smile on his face when Yun Heng asked him.
Yun Heng stopped typing and pondered for a moment.
When Yun Heng was chatting with the young man just now, he actually wanted to learn something from some details.
According to Chinese medicine, a person's living environment, acquired conditions, mood, family situation, any factor can be the cause of the disease, not just a simple virus, diet, etc.
The patient had used Mufangji Decoction before. This prescription is used to treat arthritis, starting with the spleen.
Taking the limbs as an example, the skin, flesh, meridians, collaterals, tendons, bones, qi, blood, etc., all of these may cause diseases in the patient's fingertips and toes.
The last Chinese medicine practitioner who prescribed Mufangji Decoction was thinking about the spleen governing the limbs, considering that the spleen governs dampness or controls the middle qi and governs the limbs...
But since Mufangji Decoction has no effect, it means that there are not many ideas before. Based on the conversation with the patient, Yun Heng judges whether he can start from the liver?
The liver controls the tendons and meridians.
The patient was twenty years old, and Yun Heng had not considered the issue of liver qi stagnation, and the pulse did not show it.
However, judging from the conversation with the patient just now, the patient's family background should be average.
With this personality and age, he is young and ignorant, and he will find a girlfriend after going out.
Girls don’t like this kind of personality, so do you feel bad when you see others in pairs?
If you often eat a mouthful of dog food, and after a long time you want to find it but can't, will it have any impact over time?
If we consider it from this perspective, is it because of the long-term influence of mentality, which affects the liver wood, thereby affecting the liver's ability to relax muscles and nourish blood, resulting in meridian blockage?
However, Yun Heng had never encountered this kind of disease, so he could only infer it but could not make a complete diagnosis.
The problem is that Yun Heng used up the designated simulation once a day when performing surgery on Mr. Zuo just now, and he can no longer use the designated simulation today.
"Well, I'll prescribe a prescription first. You go back and take it for two days to see the effect."
Yun Heng pondered for a moment and prescribed a prescription that could relax the muscles, nourish the blood, dredge the meridians, activate the blood circulation, and nourish the liver wood at the same time.
After printing out the prescription, Yun Heng handed it to Zhu Senqiang opposite him.
When Yun Heng was communicating with the patient just now, Zhu Senqiang was paying attention. At first he didn't understand it, but gradually he saw the clues.
In recent years, with the increase in the number of patients in the hospital, the pressure on doctors in the outpatient clinic has been great. Few doctors are as patient as Yun Heng. With so many patients, and wasting so much time on one patient, it is possible that they will not be able to see all the patients in the morning, which will delay their get off work.
Moreover, doctors' registration fees are linked to bonuses, so seeing one more patient or one less will make a difference.
As he listened, Zhu Senqiang was filled with sincere admiration.
Then look at the prescription prescribed by Yun Heng. Although the prescription has not been used yet, combined with Yun Heng’s previous conversation, this idea is obviously a clue that Yun Heng found during the conversation with the patient.
"Well, use this recipe when you get back."
Zhu Senqiang signed the prescription, then took the patient's original number and wrote a few words on the back.
"Next time you come, you can call me directly without registering."
"Thank you, thank you Director Zhu."
When the patient heard this, he hurriedly thanked him. It was not easy to get an appointment with these chief physicians in the Department of Traditional Chinese Medicine of Kyoto Hospital.
Sometimes doctors ask for scheduled follow-up visits, but patients cannot get an appointment, so the follow-up visit will be delayed and the treatment will be delayed. Now that Zhu Senqiang has given him the privilege, how can the patients not be happy?
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