Traditional Chinese Medicine Xu Yang

Chapter 495 Shortness of Breath

Zhang Sanqian was really dumbfounded this time.

Song Qiang, who was standing aside to take the medicine, also stopped his movements and clapped his hands together.Awesome, awesome, it was the first time he found out that his boss was so awesome.

There should be no one braver than his boss in the field of Chinese medicine.

Song Qiang was moved, he really fell for the right guy, all the senior Chinese medicine practitioners in the world will be offended by his boss, what will happen to him in the future!

Song Qiang was so moved that tears almost came down.

At this moment Zhang Sanqian wanted to slap himself.

Zhang Ke also nodded to Liu Xuanbo, and said politely, "Mr. Liu is good."

The corners of Liu Xuanbo's mouth twitched a few times, and he said flatly: "You're welcome, call me big brother."

Zhang Ke's expression suddenly brightened.

Zhang 3000 rolled his eyes and almost fainted.

Zhang Hua and other interns who were studying with the teacher over there couldn't help but look back, this is a shocking melon.

Xu Yang was prescribing a prescription for the patient. He said, "Concentrate on the key points and don't get distracted."

These interns quickly turned to look at Xu Yang.

Xu Yang finished the prescription and handed it to the patient. He turned his head and said, "Mr. Liu, the eldest brother is the father, and the master is the teacher, so we will call you Teacher Liu from now on, okay?"

Zhang Sanqian hurriedly nodded as if he had received an amnesty: "Well, well, well, well."

Zhang Ke looked at her father with disgust, and he didn't ask you, what did you promise.

Liu Xuanbo also turned to look at Zhang Sanqian.

Zhang Sanqian's face froze immediately, he panicked just now, but now he finally came to his senses, Zhang Sanqian's face turned green, and then he looked at Zhang Ke with grief and resentment.

If Zhang Ke hadn't talked to him about this last night, he wouldn't have realized it yet.Well, now the consciousness is aware of it, and it turned out to be troublesome, embarrassing.

Liu Xuanbo's eyes only stayed on Zhang Sanqian's face for a while, and then he said lightly: "That's fine."

Zhang Sanqian finally breathed a sigh of relief, and his mind came back. He hurriedly said, "Mr. Liu, please sit down, and I'll make tea for you."

Liu Xuanbo turned his head to look at Zhang Sanqian again, and slightly lowered his gaze, only to see that Zhang Sanqian was still holding the plastic stool in his hand.

Zhang Sanqian also looked down, startled: "Oh, I'll move the chair for you right away."

Liu Xuanbo said: "Don't bother, you go outside to take care of the patient, I'm here to look for Xu Yang, just say a few words and leave."

"Ah?" Zhang Sanqian froze in place, looked at Liu Xuanbo, then turned to look at Xu Yang.

Xu Yang also asked: "Mr. Liu, what do you want from me?"

"I'm here to tell you..." Before Liu Xuanbo finished speaking, the patient came up. Seeing the patient's poor condition, Liu Xuanbo frowned a little, and said, "You should see a doctor first."

"Okay." Xu Yang nodded and said to the patient, "Come on, sit first."

Zhang Sanqian finally had eyesight now, and hurried inside to move a chair, and Liu Xuanbo simply sat down.

Since Liu Xuanbo came in, even though the other party didn't do anything excessive or say anything, he just went there alone.

The clinic room became quiet at a speed visible to the naked eye. Even the hands and feet of the busy people relaxed, and no one even dared to breathe heavily.

The aura of the boss is so terrifying.

It was better for Xu Yang to relax, and Xu Yang asked the patient: "What's the matter, where is it uncomfortable?"

The patient's wife pointed to her right rib and said, "I feel something here, which is very uncomfortable. Then I have no energy to speak, and often before finishing half a sentence, he gets tired and doesn't want to talk."

The patient interrupted and explained: "It's not that I don't want to talk, but..."

Everyone looks at the patient.

The patient closed his mouth, gathered his Qi, and said again: "I don't have the strength to speak."

Zhang Hua and other young interns all showed strange expressions. If they didn't know that this was a real patient, they would have thought that this person was panting on purpose.

After talking about the main symptoms, young practitioners like Zhang Hua began to think about it. They lacked breath in their speech, and they stopped speaking half a sentence.

A few people had a faint guess in their hearts.

But Liu Xuanbo, who was sitting on the side, kept his eyes on the patient's right flank.

Xu Yang asked: "How long have you been sick? How did you become like this?"

The patient has no strength to speak now, so it is his wife who said: "For more than three months, my husband has been working on a construction site. Before moving things, it may be too heavy. At that time, he felt some pain in the right rib side. .”

"But he didn't care that much at the time. The people working on the construction site must have pain here and there. He just put a plaster here. Who knows, it will still hurt after a few days."

"Then I went to see a doctor and prescribed some medicine, but it didn't work. After that, he didn't care about it. After about a month, he gradually felt that he couldn't work on the construction site, and he had no energy."

"Then I went home to see a doctor, and it didn't look good. Fortunately, I made an appointment with Dr. Xu in advance. So I waited for him to come."

Xu Yang nodded, expressing his understanding.

The patient's wife went on to say: "It's been a while, you see, people have lost a lot of weight. Then I feel out of breath, and I don't say anything."

"And now that you have a big temper, you can't provoke him. If he gets angry, it's over, and he won't be able to get angry anymore. I can't afford to provoke him either."

"I've been to the hospital several times, but we haven't found any problems. We have nothing to do, so we can only ask Dr. Xu to show you."

Xu Yang nodded, and also looked at the patient's right flank, he asked, "Does it hurt?"

The patient's wife said: "It doesn't hurt, but it feels like there is something inside. I thought it was liver cancer, and I took him for CT, but nothing was found."

Hearing this, Liu Xuanbo showed playfulness on his face.

Xu Yang also nodded, and said, "Take out your hand, and I'll check the pulse."

The patient stretched out his hand, and after Xu Yang made the diagnosis, a little smile appeared on his face, and he said to the boys next to him, "Come on, you can also make a diagnosis."

The boys came forward to check the pulse.

Each of them frowned, and the other was confused.

Xu Yang said: "Now that you have come to Mingxin Branch, you have to pick up all the diagnostic skills of traditional Chinese medicine, instead of learning a correct pulse posture or pressing the leather tube twice in school. of."

"Learning pulse diagnosis is not that difficult. You should seize every opportunity to practice and study carefully. After a year, you will basically be able to master it, but there is still a long way to go to become proficient."

"As for how to seize the opportunity to exercise, go back and ask Xu Yuan, they have done this before. As for this patient's pulse condition is peaceful."

"Huh?" Everyone was dumbfounded.

Chapter 496

The pulse condition is peaceful, so there is no pulse?

All the trainee doctors in Zhang Hua looked at Xu Yang in a daze. As for the buddy who was diagnosing the patient's pulse, he was even more dazed. Are you alright?But why is he uncomfortable?what's the situation?

Xu Yang said again: "But it seems a little weak, it can't be smooth!"

Harmful!

This big gasp.

This group of young interns held back their speechless expressions. What's wrong with this buddy's illness is still an infectious disease, and maybe the teacher is also infected.

Without turning his head, Xu Yang asked, "Zhang Hua, analyze and analyze the pulse condition."

"Er..." Zhang Hua was stunned: "This... this..."

Zhang Ke, who was sitting by the counter, was looking at the group of people with a smile on her face. She liked to watch such scenes the most, and she also liked watching Xu Yang as a teacher educating students.

Zhang Hua hesitated immediately.

Xu Yang asked, "Don't you know?"

This pulse is not a particularly typical pulse, so Zhang Hua can only speculate based on Xu Yang's answer: "Ah... it should be that the circulation of Qi and blood is not smooth, it may be due to deficiency of Qi..."

Xu Yang was noncommittal, and asked the others: "What about you?"

Others couldn't tell why.

Liu Xuanbo who was sitting on the side still looked at Xu Yang calmly.

Xu Yang said: "This patient's condition is not particularly typical, but relatively rare. You should remember it well. When you ask a doctor, you must listen carefully to the patient's description."

"Did you hear just now? The patient has already emphasized that there is a foreign body obstructing his right flank, and he often has difficulty breathing. He often doesn't finish half a sentence, and he has no breath to continue."

Xu Yang poked his right flank: "Here!"

Several people looked at each other, but they still didn't understand.

Zhang Hua asked: "Mr. Xu, we have heard this point, but isn't this the liver area? What does it have to do with breathing?"

Xu Yang asked him back: "If you were the attending doctor and a patient came to call you and told you that he was not feeling well here, what would you do?"

"Eh..." Zhang Hua hesitated.

Xu Yang encouraged: "It's okay, speak boldly."

Zhang Hua scratched his head: "Let him check his liver function first, and then do... a CT..."

Speaking of the latter, Zhang Hua himself can't go on talking, because it is a common practice for him to do it in other Chinese medicine hospitals, but it is out of date in Mingxin Branch Hospital.

Zhang Hua's face was a little ashamed.

Xu Yang said: "It's okay to do a ct to see if there is a tumor or something in it. For liver function, you can do it or not, because for us, we can't prescribe medicine completely according to this report."

Zhang Hua nodded, and quietly breathed a sigh of relief, fortunately he was not scolded.

Xu Yang explained to them again: "You all heard it just now, just now the patient said that he was working on the construction site and lifted heavy objects, and he didn't know how he hurt here, so he felt pain at that time, and the pain lasted for several days. non-stop."

"It didn't hurt after a few days, but the breathing was not smooth. Since when did the disease start, it started from here, so what happened under his right flank caused this series of problems."

Several people thought about it.

"Injured?" A trainee Chinese medicine practitioner said uncertainly.

Xu Yang looked at him and encouraged him, "Li Ning, keep talking."

This buddy was not very nervous when facing Xu Yang. After all, he has been in touch with Xu Yang for so long, but the key point is that Liu Xuanbo is here now.

This is equivalent to the fact that everyone was having a good time in class, but suddenly the principal came in to observe, and the teacher even clicked to answer the questions by himself, so you can't be nervous.

Li Ning quickly calmed down and said: "The patient said that he was doing heavy work on the construction site, which caused pain in his right flank. It should be traumatic. There may even be bruises left, so there may be a foreign body sensation, but shortness of breath. I think ...I feel short of breath, I should still be."

Xu Yang nodded and said, "But you can't find any other evidence to support the fact that he has qi deficiency, right? The pulse diagnosis can't prompt more information, right?"

Everyone else nodded.

Xu Yang said: "So you have analyzed that his right hypochondriac liver meridian may still have congestion, which is blocked between the meridians, but you can't understand the relationship between the liver and breathing, so it can only be explained as qi deficiency, right? "

The others nodded again.

Xu Yang explained to them: "The breathing we often talk about uses the lungs, especially from the perspective of modern anatomy, it is the heart and lung function."

"However, according to the meridian theory of traditional Chinese medicine, a person's breath can reach both Chong and Ren channels. According to the "Nan Jing", exhale the heart and lungs, and inhale the kidneys and liver."

"So if we compare the lungs to an engine, the upper and lower meridians, one in and one out, so that when you inhale in, it will go down along the meridians. When you exhale out, it will go up through the return blood vessels."

"So no matter whether the inhalation is upward or downward, it will definitely pass through the liver meridian, and if his liver meridian is blocked, it will naturally be blocked, and naturally the qi will not be connected."

"Oh!" Everyone understood, this time even the patient understood.

Xu Yang began to type the prescription on the keyboard: "As for the qi deficiency you are talking about, if the qi deficiency is really to this extent, it is impossible for the pulse to be so indistinct. By the way, Mr. Liu, what do you want from me."

When Liu Xuanbo saw that Xu Yang had started to write prescriptions, he also simply said: "The main thing is to talk to you about your prescription medicine."

Xu Yang continued to type on the keyboard to write the medical records: "Oh?"

Liu Xuanbo said: "I have read some of your medical records, and they are indeed very wonderful. But your prescriptions are often very bold, and you are good at using swift and violent medicines to attack cities and conquer territories. Especially when prescribing single ingredients, the dosage Very big."

"Of course, I'm not denying your style of medication. For a doctor, only the curative effect can prove everything. But since you have joined the high school and the teacher passed away, as a great apprentice, it is necessary for me to pass on the art on behalf of the teacher."

Everyone else looked at Liu Xuanbo in surprise.

Xu Yang has prepared the prescription and is printing it out.

Liu Xuanbo raised his head slightly, and said with a little pride: "Our lineage pays attention to four or two, and pays attention to the simplification of prescriptions. Only a few herbs, only a few grams, are enough to turn the giant wheel and set things right! I think you are very necessary." ..."

Xu Yang took out the typed paper on the printer and handed it to the patient's family, saying, "Go get the medicine. Take 5g of Panax notoginseng powder each time, 9g of raw malt, decoct and take, just these two."

"That's right." Xu Yang turned his head and asked Liu Xuanbo, "Teacher Liu, what did you say I need?"

The others looked at Liu Xuanbo again.