tkworld Chapter 643 "Fudged" again
Chapter 643 "Fudged" again
Chapter 643 "Fudged" again
Li Maoyang went back to the consulting room and sat down, and began to examine the patient Ji Chunmei's pulse, smell, face and tongue.
Of course, because Ji Chunmei's condition seemed extremely strange to him, he also turned on the system perspective function.
These diagnostic methods, for him now, can be skillfully carried out simultaneously.
As a result of the diagnosis, he confirmed that Ji Chunmei must indeed be suffering from endometriosis, which has reached her lungs.
Some parts of her lungs look lumpy, and it is easy to be misdiagnosed as pulmonary tuberculosis if only a CT scan is used for diagnosis.
It's just that the doctor at Liuyuan County Hospital probably didn't pay attention to Ji Chunmei's monthly periodic hemoptysis and her menstrual amenorrhea, two extremely important details that are closely related to each other.
For many ordinary western medicine doctors suffering from device dependence, their subjective ability to judge diseases is indeed gradually degrading. In a county-level hospital, such misdiagnosis is not uncommon.
Thinking of this, Li Maoyang felt a little ashamed.
Today, if Ge Gen hadn't boldly speculated that Ji Chunmei might be suffering from endometriosis in the lungs, Li Maoyang would be even more blind!
He glanced at Ge Gen, who was seeing another patient, and reminded himself again to be humble, to learn all kinds of medical knowledge from everyone around him!
Of course, we should try our best to study quietly and quietly.
Since it took 30 points to turn on the system fluoroscopy, Li Maoyang would not waste this opportunity to see patients. He took an average of three or four times the time to see a patient for Ji Chunmei.
Of course, there was also the factor that it took him a long time to formulate a treatment plan when he encountered Ji Chunmei's condition for the first time.
There are also factors to be more responsible to the patient Ji Chunmei.
It should be known that although endometriosis generally belongs to the range of benign nodules and tumors, it also has the probability of transforming into malignant tumors.
But the probability is low. According to the judgment of Western medicine, the overall malignant transformation rate is less than 1%.
He carefully examined Ji Chunmei's lungs, and found that the overall condition of her son's endometriosis cyst was relatively smooth, with obvious borders, normal blood supply around the cyst, and no signs of malignant transformation.
Moreover, the space occupied by the cyst is not too large, and there is no need for surgery, just medication.
In traditional Chinese medicine, the treatment of endometriosis is based on the basic principle of promoting blood circulation and removing blood stasis.
Specifically, methods such as invigorating the kidney, replenishing qi, promoting qi, promoting blood circulation, and resolving phlegm must be performed in parallel.
Patients with chronic stasis syndrome (cysts) like Ji Chunmei have to be supplemented with Sanjie Xiaozheng.
"Doctor Li, um, my husband still wants a daughter, but I haven't been able to get pregnant these past few years, can you cure me of this problem by the way?"
Li Maoyang was thinking about the treatment plan, Ji Chunmei asked eagerly in a low voice.
"Yes. Your infertility, monthly periodic hemoptysis, chest tightness and cough are different symptoms of the same disease, and they can be treated together."
Li Maoyang said briefly.
Special grandma, the menstrual blood didn't go to the uterus below, but to the lungs, can you get pregnant in eight lifetimes?
Therefore, endometriosis belongs to the category of dysmenorrhea and infertility in traditional Chinese medicine.
After treating this endometriosis, the menstrual blood does not go to the lungs, but flows smoothly to the uterus where it should go.
In this way, while the symptoms of chest tightness and hemoptysis can be cured, the microenvironment of the pelvic cavity can be improved, endocrine can be well adjusted, thereby promoting ovarian function, and pregnancy can naturally occur.
"Thank you, Doctor Li!" Ji Chunmei hurriedly thanked her.
Then she didn't dare to say anything more, she could see that the young but miraculous Doctor Li in front of her was nervously thinking about how to treat her illness.
After deep thinking, Li Maoyang felt that it was very difficult to cure all of Ji Chunmei's symptoms at once.
It also needs to nourish the liver and kidneys, activate blood circulation and remove blood stasis, regulate Chong Ren, straighten qi and blood, clear lungs and cool blood, and soften hard masses, such a one-step comprehensive treatment will not be effective enough. , or step by step treatment is good.
He decided that there were ten things to do at home, starting with the tight ones.
First clear the lungs and cool the blood for Ji Chunmei, adjust the Chongren, straighten out the Qi and blood, let the menstrual blood flow down, stop going to the lungs, and let the menstrual blood go to the uterus where it should go.
In this way, Ji Chunmei's lung symptoms can be greatly relieved first, and menstruation can return to normal.
The next step is to increase the strength of promoting blood circulation and removing blood stasis, and to soften and resolve hard masses, so as to further solve the problem of cysts in Ji Chunmei's lungs caused by endometriosis.
This cyst, so that it can slowly shrink away.
According to this step-by-step treatment plan, he added and subtracted the prescriptions based on Chaihu Shugan Pills, and passed a systematic deduction of drug effects.
After some doctor's orders, Ji Chunmei, a patient with a "common" strange disease, was dismissed, and Li Maoyang secretly let out a long sigh of relief. Grandma Te, she "passed through" once again in complete ignorance!
If it weren't for the help of Ge Gen, who is much more knowledgeable than him in medical knowledge, the help of Baidu who can solve a hundred thousand whys, and the big endorsement of the system that can make the final decision, Li Maoyang would probably make a fool of himself this time!
In any case, passing a test is a test, every time he passes a test, Li Maoyang's medical knowledge will be greatly enriched, and his syndrome differentiation level will be quietly improved once!
Until Li Maoyang has reached the intermediate level of proficiency in the differentiation of all common diseases, he should not be as nervous and scratching his head as he is today.
In other words, during this period of time, he has reached the intermediate level of proficiency in syndrome differentiation of two common diseases.
One was exchanged by him with 1000 points, and the other was improved by himself through continuous accumulation of experience and understanding.
He never thought before that it would take 1000 points to exchange for an intermediate level of proficiency in syndrome differentiation of a disease!
And accumulating these 1000 points is really not easy!
It seems that in the future, he will mainly rely on continuous accumulation of experience and continuous comprehension to improve his dialectical level!
difficult...
……
At the end of the consultation in the afternoon, Li Maoyang saw Ge Gen's eyes looking towards him faintly, so he quickly found an excuse to hide in the bedroom for a while, and was busy with the "common disease" of endometriosis. After re-learning and consolidating, I thought about it again, and then I returned to the consulting room boldly.
Sure enough, this guy Pueraria Genus asked him about the specific medical principles and medication guidelines for the disease of endometriosis.
It turned out that Ge Gen only knew a little about this disease.
"This disease is actually very common, you see, it's like this..."
Then, piece by piece, piece by piece, he talked to Ge Gen for more than ten minutes about the pathology and medication guidelines of endometriosis, until Ge Gen admired him so much that he almost fell into admiration before ending his session. lecture.
Those who are masters are teachers, and in this case of endometriosis, Ge Gen once again felt that Li Maoyang, the boss, far surpassed him, Ge Gen.
I really don't know how the boss's knowledge system is so profound at such a young age!
Today's second change, 39 chapters are owed plus changes, the remaining 81.88 meters are rewarded, and 151 monthly tickets.
(End of this chapter)