Rural Chinese Medicine Li Maoyang

Chapter 234 Can This Guy Do This Time?

Chapter 234 Can This Guy Do This Time?
After eating, Li Canyang angrily took Qiao Langlang and Yang Qing back to the car, leaving only Li Maoyang, Qiao Guoguo and Qiao Fang in the box.

Qiao Fang cleared her throat with a cough, and said a series of words slowly.

"Doctor Li, if I asked you whether there is a shortage of patients in your clinic, please don't misunderstand Dr. Li."

"I'm the head nurse of our department, and I'm also a small boss in the hospital. I don't know how to serve someone's food and protect whose bowl!"

"However, there are always patients who cannot be cured in the hospital. It is not possible to delay other people's illness if they cannot be cured. This is also a basic professional ethics of medical staff."

"So it's right to quietly show them a way. I don't think I'm guilty of doing such a thing."

"Anyway, even if no one tells them, as long as they don't lose their lives, they will find another place to see a doctor sooner or later. It's just a matter of time."

"If it drags people's illness to a serious level, we won't bear it when we see it."

"If Dr. Li can really accept and digest some of these patients, it can be regarded as our merits. After all, your place is close and the cost is not much."

After hearing Qiao Fang finish speaking so slowly, Li Maoyang glanced at Qiao Guoguo from the corner of his eye. It seems that the relationship between Qiao Guoguo and Qiao Fang was not only because of the matter of Yang Qing and Qiao Langlang.

Hey, this girl is really good!

In terms of Li Maoyang's current medical skills, he sees an average of two or three patients a day on the Internet (when Alia was there, but now Alia is not there, there is not even one patient a day), and the clinic sees an average of two or three patients a day. Seven or eight patients are enough for him to toss about.

But there is a problem here, that is, most of these patients who come to the clinic for treatment have relatively simple conditions, which is not conducive to opening their eyes and gaining experience.

(This is also one of the reasons why he still sees patients remotely, but after all, seeing a doctor through video is not as deep as seeing a doctor in person.)
And there are many types of patients that can be seen in a hospital!
At present, if he can accept some patients from the Liuyuan County Hospital, it will be very cost-effective for him to increase his experience and improve his medical skills.

Therefore, if Qiao Fang could help him with this, he would naturally wish for it.

"Then thank you, Sister Qiao!" Li Maoyang said earnestly, "As long as there are such patients, I will not let Sister Qiao be too busy."

"No, no, no! I'm doing it because I don't want the patient to spend more money to go wrong, not for anything else, Doctor Li, don't think too much about it!" Qiao Fang said hastily.

"I know that Sister Qiao doesn't have such an idea, but good people should be rewarded after all!" Li Maoyang said, "Let's talk about this in detail later, what's wrong with Sister Qiao?"

"It's just that I have had dysmenorrhea in the past year. Has Dr. Li seen this disease?" Qiao Fang looked at Li Maoyang and said.

"I've seen it, but dysmenorrhea is divided into primary dysmenorrhea (functional lesions) and secondary dysmenorrhea (caused by pelvic organic diseases) in Western medicine. Sister Qiao should have checked and ruled out the secondary lesions. Bar."

Li Maoyang said calmly.

From the moment Qiao Fang asked him to take a look at some minor ailments, he guessed several possibilities, among which was the option of dysmenorrhea.

So at this time, it can be regarded as a prepared answer.

If it was dysmenorrhea caused by pelvic organic disease, such as uterine cavity stenosis, cervix stenosis, etc., Qiao Fang probably wouldn't seek him for a Chinese medicine treatment, but to be on the safe side, he still asked.

"The film has been taken, and there is no organic disease." Qiao Fang affirmed.

"Then let me give Miss Qiao a pulse."

Li Maoyang stretched out his hand.

Qiao Fang stretched out her hand, and Li Maoyang caught her pulse, and he gave her a face-to-face diagnosis while taking the pulse.

He can basically do two things at once now.

Qiao Guoguo looked at Li Maoyang calmly diagnosing Qiao Fang, and he was not sure if this guy would do it this time.

A quick diagnosis is needed now, but there is no time left for him to look up information or discuss with them.

Seeing that this guy diagnosed Ren Xiaojing's illness in the morning, he didn't discuss it with her, so the result was fine.

At this time, Qiao Fang didn't know if he could do it or not.

She couldn't judge from this guy's facial expression. Experience told her that Li Maoyang was a big ghost. Don't look at his composure at this time, maybe he might be playing an empty city plan.

Qiao Guoguo had no choice but to quickly recall what she had learned about dysmenorrhea.

From her knowledge point of view, dysmenorrhea can be roughly divided into positive syndrome and deficiency syndrome.

Excessive evidence generally causes pain if it is not clear, and deficiency syndrome generally means that it is painful if you are not proud.

(Pain due to impediment: pain caused by blocked qi and blood in the meridians; pain caused by lack of glory: pain caused by lack of moisture in the uterine cavity caused by insufficient qi and blood.)
Empirical evidence can also be cold syndrome and heat syndrome.

Cold syndrome is pain caused by cold coagulation and blood stasis.

Heat syndrome is pain caused by qi stagnation and blood stasis, qi deficiency and blood stasis, phlegm dampness and blood stasis.

Deficiency syndrome is naturally caused by deficiency of qi and blood, so it is essentially cold syndrome.

……

Qiao Guoguo recalled the relevant knowledge points all the way, while also inspecting Qiao Fang.

But what made her a little nervous and a little frustrated was that because Qiao Fang had applied the powder and it was a little thick, she could hardly make out anything in the face-to-face consultation.

She glanced at Li Maoyang and found that this guy was watching his eyes carefully again.

She doesn't know if this guy can see something from the patient's eyes (she highly doubts that this guy is accumulating experience, but he may not be able to see much), anyway, every time he sees him, he will look at the patient seriously s eyes.

After Li Maoyang's pulse diagnosis, he looked at Qiao Fang's tongue.

To Qiao Guoguo: "The pulse condition is deep and stringy, the tongue is clear red, and there are a few ecchymosis."

Then he turned to Qiao Fang and asked.

"Sister Qiao, do you still have chest and side swelling and discomfort during dysmenorrhea? Besides, it hurts more when you press your hands on your lower abdomen?"

Li Maoyang asked after completing the pulse and tongue diagnosis.

Hearing Li Maoyang's question, Qiao Guoguo's eyes lit up. It seems that this guy is not playing tricks this time?

Deficiency syndrome of dysmenorrhea likes to press, but excess syndrome refuses to press, because it is more painful to press.

In addition, this guy asked Qiao Fang if she had dysmenorrhea accompanied by chest and flank swelling, obviously suspecting that Qiao Fang's dysmenorrhea was caused by qi stagnation and blood stasis.

Stagnation of liver qi can also lead to dysmenorrhea, accompanied by distension and discomfort in the chest and hypochondrium.

"Yes, yes, that's what I am!"

Qiao Fang said in surprise.

It seems that I finally met a Chinese medicine doctor who can distinguish her symptoms. It seems that Li Maoyang's medical skills are really good!

Then Li Maoyang questioned Qiao Fang again, and found out that she had lower abdominal pain before menstruation, and her menstruation was purple-black in color, with blood clots in it, and the amount was small and unsmooth.

"Sister Qiao, you have positive dysmenorrhea caused by qi stagnation and blood stasis, you can just adjust qi and activate blood."

After Li Maoyang finished speaking, he prescribed Qiao Fang's medicine.

Angelica, rehmannia root, red peony root, Chuanqiong, Cyperus cyperi, Qingpi, Yuanhu, Toosendan, Scutellaria baicalensis.

This is actually changing the white peony root in Siwu decoction into red peony root, and then adding Cyperus root, Yuanhu and Qingpi, which promote qi and blood circulation, because Qiao Fang's symptoms are still mixed with some evil fire, and Sichuan herbal medicine is added. Neem and Scutellaria.

Siwu Decoction nourishes and invigorates blood.

Therefore, the whole prescription is nourishing blood, promoting qi, promoting blood circulation, dredging collaterals and removing blood stasis, and clearing away heat.

(In fact, the strength of Qi and blood circulation is great, and it can dredge collaterals and remove blood stasis.)
"Sister Qiao took the medicine according to this prescription, and took fifteen doses in a row, which should be able to get rid of the dysmenorrhea."

Li Maoyang made such a promise after prescribing the medicine.

Naturally, he is full of confidence in the prescription that has been deduced by the system.

 The second update added today.

  
 
(End of this chapter)

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