Chinese medicine doctor Xu Yang
Chapter 639 Cold-Damp Syndrome
"Hubei?" Xu Yang didn't think much and said, "Which doctor in the outpatient clinic is here? Tell him to transfer the patient to me and I'll take a look at her. Oh, take the patient first. A CT scan of the lungs.”
"Okay." Zhang Hua agreed and went out.
Xu Yang looked through the patient's medical records again and found that the fever had been present for several days and had not come down yet. Xu Yang looked a little worried. Generally speaking, mild pneumonia would not cause fever for so long.
Moreover, she had also taken moxifloxacin and oseltamivir before. Logically speaking, the fever would usually be relieved the next day. After all, they are all adults, so their resistance should still be sufficient.
Xu Yang put the medical record on the upper left corner of his desk with some confusion, and then continued to see a few more patients. After almost an hour, Zhang Hua brought the patient in.
These are all people who jump in line directly, and people think they are related households.
Zhang Hua brought someone in and said to Xu Yang, "Teacher Xu, this is the patient."
The female patient was very surprised and said: "Oh, you are Dr. Xu Yang. I always hear my parents mention you."
Xu Yang glanced at the female patient and saw that she was not wearing a mask. He frowned slightly and said, "You have a cold. Remember to wear a mask to be careful of infection."
"Ah?" The female patient was stunned for a moment, then coughed a few more times, and then said: "Do you still need to wear a mask? This is so troublesome. Why didn't I know that I still need to wear a mask when I have a cold?"
Xu Yang said: "You don't need one for a common cold. It's better to wear one for influenza. You are responsible for yourself and others. Zhang Hua, will you go get her a mask later?"
Zhang Hua responded.
Xu Yang asked again: "Have the results of her lung CT come out?"
Zhang Hua said: "I have already urged him. If he comes out, he will call me."
The female patient murmured in a low voice: "Didn't you say that you are a serious traditional Chinese medicine hospital? I wonder if I can save some money, why do I have to do so many examinations. A CT scan costs hundreds more."
Xu Yang said: "You probably have pneumonia. It would be safer to do a CT scan. You don't want to stay sick, right?"
"Pneumonia?" The female patient was suddenly confused. These two words sounded a bit serious.
Xu Yang looked at the patient and said, "Okay, now I'll give you a diagnosis and you can cooperate."
As Xu Yang inquired, the patients answered one by one.
Xu Yang wrote down one by one in the medical record that the patient was conscious, mentally tired, had fever, a little aversion to cold, a little weak, coughed from time to time, no phlegm, no sweating, dry mouth, no headache, and no soreness in muscles and joints throughout the body.
No sore throat, no stuffy nose and runny nose, no chest tightness and chest pain, no palpitations and shortness of breath, no nausea and vomiting, no abdominal pain and diarrhea, no frequent urination and painful urination, loose stools, 1-2 tablets a day, normal sleep.
Xu Yang said: "Come on, stick out your tongue and let me take a look."
The female patient sticks out her tongue.
Xu Yang glanced at the record: "The tongue is light red and fat. The coating is white and slightly greasy."
Normal people naturally open their mouth wide and stick out their tongue. They open it naturally without curling up. The tongue will not touch the sides of the mouth. The standard for a fat tongue is that it fills the mouth. When the tongue is spread out, it can touch both sides of the mouth.
This is a fat tongue.
A fat and enlarged tongue is more common in patients with spleen deficiency. Many people have fat and enlarged tongues and also have teeth marks on the edges of their tongues. This is mostly due to spleen deficiency and lack of water and dampness. As the saying goes, the humidity is too heavy.
"Give me your hand and check your pulse." Xu Yang said.
The patient held out his hand.
Xu Yang felt a very obvious slippery pulse as soon as he took the call. After diagnosing the pulses in both hands, he wrote down the slippery pulse on the medical record.
At this time, Zhang Hua answered the phone and said to Xu Yang, "Teacher Xu, the CT scan of the patient's lungs has been transmitted."
Xu Yang clicked on the computer and found the patient's lung CT report, which showed multiple ground glass lesions in the patient's lungs.
Xu Yang frowned and said, "With your disease, it's best to be hospitalized for observation."
When she heard that she was going to be hospitalized, the female patient was not happy at the time: "Huh? Why should I be admitted to a hospital just for a cold? I can get some medicine and take it. Ahem... why are you just like the county hospital? I'm not saying that your place is not chaotic. Are you asking people to be hospitalized randomly when you conduct examinations? Besides, it’s almost the Chinese New Year, what kind of hospital should I stay in? Ahem..."
Xu Yang just said a word, and people started to panic.
Xu Yang couldn't help but smile bitterly. They really didn't advise patients to be hospitalized. The reason is very simple. It's because Mingxin Branch is too famous. There are too many difficult and complicated diseases coming from outside, so the hospital beds are very tight.
Xu Yang hesitated for a moment and said, "Okay, then I'll prescribe you some medicine first, and you'll check it again after you finish it. As for CT, it's best to do it regularly."
"I know." The patient responded simply.
Xu Yang frowned slightly and went straight to prescribing. He used Huopu Xialing Decoction and Heda Original Drink. Soon, Xu Yang wrote the prescription and said to the patient: "Go and pay, and then go to the pharmacy to ask about the time to pick up the medicine."
"Oh." The patient agreed and stood up to leave.
Xu Yang did not forget to say: "Zhang Hua, get her a mask."
Zhang Hua followed her out, and then went to the nurse station to get her a disposable medical mask. But the sisters took one look at it and showed a look of disgust, probably because they disliked the ugliness, and then they just put it in their arms and left.
The little doormat Zhang Hua wanted to say something, but he didn't know what to say, so he had no choice but to shut his mouth.
Zhang Hua returned to the clinic and saw that Xu Yang had not called the next patient. He asked, "Teacher Xu, is there something wrong?"
Xu Yang shook his head: "No, it's just an ordinary cold-dampness syndrome on the surface, with dampness stagnation inside. It's plagued by dampness evil. It's a relatively typical cold-dampness syndrome, not complicated."
"It belongs to the early stage of the disease, and the evil energy is on the surface, so use pungent and warm medicine to disperse it. Therefore, use ephedra and hyacinth to disperse the cold surface. Dampness is a yin evil, and cold and dampness penetrate the body. It will not pass through the body unless it is warm, it will not disperse unless it is pungent, and it will not penetrate unless it is light."
"So use Dayuan Yin to eliminate the evils inside and outside the skin, and then combine it with Huopu Xialing Decoction to strengthen the spleen and remove dampness. These two prescriptions can jointly achieve the effects of overcoming dampness, reducing dampness, drying dampness, and expelling dampness, and can eliminate dampness evils from multiple angles. ."
"However, dampness evil, such as oil entering the face, is extremely sticky and can easily block Qi movement. Therefore, Qi-moving products such as Magnolia officinalis and Betel nut are also used to promote Qi and remove dampness."
Zhang Hua nodded: "Oh, I made a note of it. I'll think about this case again after get off work."
"Well..." Xu Yang nodded.
Zhang Hua looked at Xu Yang's expression and said hesitantly: "That's right... that's right..."
Xu Yang asked: "What is it?"
Zhang Hua scratched his head and said, "It just feels like you are a little absent-minded, as if you have something on your mind?"
Xu Yang frowned and said, "No, I just feel a little unsure in my heart. I always feel like I'm in trouble."
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