MTL - Doctor Chen, Don’t Be a Coward!-Chapter 361 lesson!

  Chapter 361 Lesson!

  Chen Nan's words made everyone around look at the woman curiously.

   Everyone is also very curious, why did Director Chen ask this question?

   Selling blood?

Does it have any effect?

  The woman was a little awkward at this moment: "I...I didn't understand at that time..."

   "I didn't mean to either."

   "A lot of people went to the village at that time, and I also went there for a while."

  You should know that in our country, the buying and selling of blood is absolutely prohibited. Both selling blood and accepting blood selling are illegal.

  Because selling blood is definitely not as simple as imagined!

  The blood is going into the blood bank.

  Blood selling not only poses a threat to the health of blood sellers and blood recipients, but also affects social blood supply and regulatory mechanisms, causing some diseases to spread out of control.

  The sanitation conditions of most black dens for buying and selling blood are not up to standard, and disposable blood collection tools are not used, which has greatly increased the infection rate of AIDS, hepatitis B and other viruses.

  Hearing the woman's words, everyone around couldn't help becoming nervous.

   You must know that there are many infectious diseases caused by selling blood.

  The medical staff in the department are very wary of these patients or their family members.

  During medical treatment, there is inherent risk of exposure.

  Especially when nurses perform intubation, catheterization, infusion, injection, etc., there is such a danger.

  So, many departments of infectious diseases, when patients are hospitalized, must also conduct a systematic infectious disease examination for patients.

   is to prevent this from happening.

   This is not only to protect medical staff, but also to protect the patients who come to hospital.

  After all... Once nosocomial infection occurs, it is difficult to completely control the number of infected people and the infection situation.

  The woman also seemed to feel the sudden change in the atmosphere around her, her face was a little embarrassed, she even became nervous, and began to feel uncomfortable.

   "This... this... it's been three or four years... this... shouldn't have any impact, right?"

"No way?"

  At this time, Shi Ke on the side looked at the woman and said seriously:

  “In our country, selling blood is illegal, whether it is selling blood or accepting it!”

"Why…"

   "You are too..."

  As Shi Ke talked, he shook his head helplessly seeing the woman like this.

  Actually, this kind of blood selling still exists in some backward villages even today.

  Those criminals took advantage of the ignorance and ignorance of the common people, and even some organizations pretending to donate blood, went to some remote mountain villages, and sold blood in the name of donating blood!

  The price they gave was only a few tens of dollars for blood, but... this amount of money was quite a temptation for those remote and impoverished mountainous areas.

  Shi Ke didn't finish speaking, and she was the first to fall silent.

  Because everyone knows it very well!

  Women's ignorance is not due to their own work not in place?

   Or in other words, the medical publicity is not in place!

  However, now is not the time to entangle the right and wrong of selling blood.

  The most important thing at the moment is the boy's disease.

  Lu Zhilin glanced at Chen Nan: "Director Chen, what do you think?"

  Chen Nan shook his head: "I'm not sure, I just suspect."

   "After looking at all the patient's cases just now, I didn't find any infectious disease inspection, and for some special fungal and bacterial infections, the inspection was not very good."

"only…"

   "I guess there is a possibility."

   "Cryptococcosis!"

  As soon as these words came out, everyone around immediately raised eyebrows.

   Cryptococcosis, this disease is not common!

   Moreover, the patient does seem to fit the profile of cryptococcosis somewhat.

  Cryptococcal infection is the most common fungal infection of the central nervous system. After infection, it directly leads to optic nerve damage, optic neuritis, optic atrophy, chorioretinitis, and increased intracranial pressure.

  Physical examination may reveal signs of meningeal irritation such as staggering gait, stiff neck, Brooke's sign or Klinefelter's sign.

   Which includes understanding the characteristics of the cranium!

   Moreover, after infants and young children are infected with this germ, they will destroy the central nervous system, causing the glands to disturb the secretion of hormones, thus affecting the growth and development of children!

   And most importantly!

  This cryptococcal disease is a manifestation of AIDS.

  In the ward, apart from the patients and their family members, there were patients in other beds. Chen Nan didn't want to bluff before finding out the truth about such things.

   The doctors at the China-Japan Friendship Hospital are pretty good. Chen Nan's cryptococcosis caught many people's attention.

  Shi Ke even asked hastily: "Director Chen, shall I revise the doctor's order now?"

   "By the way, should I make one for the patient's family?"

  Chen Nan nodded: "Well, let's check one of them."

   "You can communicate with the other party in a while."

   All of this is inference.

  Actually, this also made Chen Nan a little helpless.

  Because the patient's pulse condition was extremely weak, and the pulse diagnosis was not accurate when the child was too young, so... this somewhat limited Chen Nan's diagnosis of the patient.

   At this time, the patient is still in a state of sleep, or in a state of lethargy.

   No matter how good Chinese medicine is, you still have to pay attention to what you see, hear and ask. There are too few things that can be diagnosed now.

  Chen Nan can only wait for time.

  However, as a mature doctor, he cannot be restrained. Although Chen Nan has been working hard in Chinese medicine these years, he dare not slack off in modern medicine.

  Medicine is about understanding by analogy. As a mature doctor, you must have arduous skills.

   Ward rounds continue.

   Waited until after eleven o'clock.

  Zhao Jianyong couldn't help but asked: "Professor Chen, do you suspect that the patient is AIDS?"

  Chen Nan nodded: "Well, after all, cryptococcosis is used to infect the central nervous system, which is very similar to the patient's condition!"

   "But... it's just speculation."

   "Combined with the patient's current symptoms and the history of disease development."

   "The child's mother had the experience of selling blood three or four years ago. Although the frequency was not many, but... this possibility cannot be ruled out."

   "Breast milk transmission can achieve the transmission of HIV."

   "At that time, the child was just two years old. Before the age of two, it was basically normal, but... after the age of two, these diseases began to appear. Don't you think it's a bit of a coincidence?"

   "Sometimes, medical diagnosis needs to be like this. When all the coincidences are explained clearly, the truth is near."

  Zhao Jianyong couldn't help but smiled: "Is it just close? Isn't it coming out?"

  Chen Nan shook his head with a smile: "A slight difference is a thousand miles away."

   "Wait for the result!"

  Zhao Jianyong nodded when he heard the sound: "Okay, then I'll go but stay inside, and report to you in time if there is anything."

  …

  …

  Infectious disease inspection takes a long time, but results can be issued on the same day.

  People in the whole department are waiting for this result.

   After lunch at noon, several doctors started chatting in the doctor's office.

   "Hey, people really can't be compared with each other. Director Chen is indeed an expert. So many hospitals can't find clues, so he found it in a few words!"

   "Yes, cryptococcal infection is very rare. To be honest... I didn't dare to say anything during the ward round just now, for fear of being asked by Director Chen. I really don't know if this cryptococcal disease is related to the patient?

  I didn’t even eat lunch, so I checked it out quickly, and it turned out that the central cryptococcosis was a complication of AIDS. I was really shocked! "

   "I heard that Director Chen just graduated from Jin Province University of Traditional Chinese Medicine. Why is he so powerful?"

"Are you talking about a layman? Medicine emphasizes continuous learning, and clinical talent and professional background are two different things. Does Mr. Wu Mengchao have to be a doctor of hepatobiliary surgery?" Deputy Director Lou Aicheng said with a smile .

  His respect for Chen Nan has reached a level of self-confidence.

   "Are you right? Old Xue!"

   Xue Zhongqing smiled slightly when he heard the sound: "Yes."

   "Otherwise, he can become the director of our ward in his twenties?"

   "To be honest, if it weren't for Director Luo's deep qualifications, I think Director Chen can shoulder the responsibility of the chief director."

  Everyone laughed.

   And at this time!

  The patient's mother, Wu Caiping, and her husband, Zhang Guangfu, sat in the corridor, facing each other in silence.

   "You said... We don't really have AIDS, do we?"

   "In the morning, Doctor Shi asked me and my child to be tested for AIDS."

  Hearing this, Zhang Guangfu sighed, his eyes full of pain and worry.

"I don't know either…"

   "However, in the village, Lao Wang, the captain of Team Seven, was found to have AIDS and left within a few years..."

   "Also, do you know my family member Zhang Guangcheng? Actually... that year he didn't die because of a car accident. It is said that after going to the hospital, he died because of a bleeding infection caused by a car accident. The infection couldn't be stopped... The doctor said it might be AIDS..."

"Why…"

   Both the husband and wife couldn't help sighing.

  Many people in the village participated in the blood sale, and it has been found out that several of them died because of AIDS.

  This made Wu Caiping and Zhang Guangfu, who were originally worried, even more frightened.

   "Did you... borrow money?"

   "Today's examination and other expenses cost more than one thousand. Dr. Shi has stopped all the treatments for us. There is no other cost...but it will cost more than one thousand..."

Zhang Guangfu scratched his head. In his early thirties, he already had half his head of gray hair. Although the square-inch hair was not very clear, the forehead lines between his eyebrows were like ravines. Under his dark skin, he could see It is not clear how old he is.

   "I have raised it. I sold a few sheep at home for more than 3,000 yuan."

  Wu Caiping was anxious when she heard it: "How can I sell it? They are all ewes, and they will give birth in April..."

  When Zhang Guangfu heard it, he suddenly said weakly: "My cubs may not survive, so what can they do if they give birth?"

   "Could it be possible, can it still be cured?"

   "If you find out about AIDS... can we have a baby?"

   "The baby is so old, can you... die?"

  Before he finished speaking, the strong man had a sore nose and tears flowed out. He raised his arms, wiped his tears with both hands, and sucked his nose.

   "Governance, no matter what."

   "If I'm really sick, I'll go to work and have to return my baby for treatment."

  Wu Caiping sobbed silently.

   The corridor fell into silence again.

   "If I... find out that I am sick, don't treat me."

   "I heard that this disease cannot be cured..."

   "You raise the doll well."

   "It's all my fault. At that time, I insisted on coveting the seventy-five yuan and the pot of oil. What did I want?"

  The woman blamed herself while crying.

  The man kept silent: "Jie, Duzhi."

   "One less...it's not a home anymore."

   After a little silence, the man took out a package from his pocket and handed it to his wife: "Did you not eat at noon?"

   "This is called a hamburger, how many times I want to eat it but I am not willing to buy it."

   "Eat something."

   "When the child is well, I will take you with me."

  Wu Caiping took the hamburger and broke it in half: "You eat too."

  Zhang Guangcheng: "I ate at the construction site."

"you eat."

  The woman thought about it, didn't eat it, and carefully put the hamburger into a box, wanting to keep it for the children.

  The man took out money from his pocket: "This is 135 yuan and 6 cents."

   "100 yuan is for loading and unloading. I happened to meet a job when I went out, so I did it and earned a hundred dollars."

   "Thirty-five six yuan, it's for picking up waste today."

   "You put it on."

   "I also took out the three thousand yuan."

  The woman nodded when she heard the sound, and carefully held the money in her hand. With a little saliva on her right hand, she counted back and forth several times.

After confirming that she was right, she took out a transparent plastic bag from her pocket, which contained a bag of instant noodles. She divided the money into two parts, one on her body, and the other in the bag, and stuffed it into the seam of her underwear. nice bag.

   For a while, the corridor became quiet again.

  …

   And Chen Nan was also looking up information at this time, and Chen Nan was actually not sure about the situation of the little boy.

   It's past four in the afternoon!

  The head nurse Xia Lianping hurried to the doctor's office and shouted:

   "It's out, the result is out!"

   "It really is AIDS!"

   "Really found out!"

   "And this little boy is really infected with cryptococcosis!"

  As soon as these words came out, the scene was quiet for a while, and then it became lively.

  Shi Ke was stunned when he heard the head nurse's voice.

  Because she didn't know whether she should be happy to have found the cause, or...should be sad about the poor fate of the family.

  Deputy director Lou Aicheng stood up excitedly: "Good!"

   "Director Chen is really amazing!"

   "Assistant Zhao, hurry up and call Director Chen to get this... good news..."

  While speaking, Lou Aicheng froze for a moment.

because…

   Is this really good news?

   Not only him, everyone in the room fell silent.

  AIDS!

   Is this really good news?

   Shouldn't this be bad news?

  The entire office was silent, and everyone didn't know how to express their emotions at this time.

  Although they are all doctors, they look down on the joys and sorrows of life and death.

  However, the tragedy of this family can hardly make everyone happy.

After spending so much money, the family came to the capital to see a doctor. Not only did they spend all their savings, but they also owed a lot of famine. They had steamed buns with hot water every day, and if they were extravagant, they would buy a pack of mustard. Most of the time With the seasoning of instant noodles, it is a bowl of soup...

   Such a family, how happy are they?

  Zhao Jianyong pondered for a long time, and quickly got up to call Chen Nan.

   After getting the result, Chen Nan was also silent for a while, and then said: "Wait for me to go down."

  Chen Nan hurried to the doctor's office.

  Lou Aicheng quickly said: "Director Chen...the result is out!"

   "It really is central nervous system cryptococcosis."

   "The result is out, you see."

  After reading the results, Chen Nan couldn't help but sighed.

   "Doctor Shi, treat the symptoms!"

  Shi Ke nodded: "Yes."

  Chen Nan hesitated for a while and asked, "This family is in a special situation. Let's see if the hospital can apply for subsidies."

  After hearing Chen Nan's words, everyone around looked at each other in blank dismay.

  Lou Aicheng said helplessly, "It's probably enough."

   "They have to report this situation to the CDC and see what they say."

   “The hospital is doing this in accordance with local policy.”

  Chen Nan was stunned: "Treat the illness first."

  At this time, Zhao Jianyong walked in and said to Chen Nan: "Director Chen, the patient is awake, do you want to go see it?"

  Chen Nan nodded: "Let's go."

   While speaking, Chen Nan led Shi Ke towards the ward.

  In the room at this time.

  Wu Caiping smiled and fed the burger to the little boy: "Is it delicious?"

   "Daddy bought it for you."

   "Dad said, wait until you are well... let's go eat KFC."

  The little boy glanced at the burger and shook his head: "Mom, I don't like meat."

   "I like to eat this bread, you eat meat."

   "Where's Dad?"

  Wu Caiping hesitated for a moment: "Dad is out, he will accompany you to read at night."

   "OK?"

  The little boy whispered to Wu Caiping: "Mom...I saw my father's hand cracked last night..."

   "Is he working hard?"

   "How about...we won't see a doctor, okay?"

   "Let's go home, shall we?"

  Wu Caiping had a sore nose: "Good boy, when you get better, let's go home, shall we?"

   "You can also run and play together with Kiki and Goudan, okay?"

  …

  At the door, everyone couldn't help sighing when they heard what the family said.

  Chen Nan still pushed the door and walked in.

  After seeing Shi Ke and the others come in, the little boy on the bed actually picked up the hamburger meat in his hand, and looked at Shi Ke with a smile:

   "Aunt Shi, here you are... This is a hamburger, it's delicious."

   "For you."

  Hearing this, Shi Ke couldn't hold back all of a sudden, tears welled up in his eyes.

   "Auntie...why are you crying?"

"I…"

   "Did I do something wrong?"

   Seeing this, Shi Ke didn't mind the little boy's diagnosis of AIDS, so he hugged him directly: "Good boy, auntie won't eat, auntie is full."

   "You are obedient."

   "Your illness will be cured soon."

  The little boy heard the sound and asked, "Really?"

   "Can I be as tall as Dad? Then I can protect Mom."

  Shi Ke nodded: "Yes, you have to eat well, eat meat... okay?"

  The little boy lowered his head and looked at the meat in his hand: "I...I..."

   "It's expensive."

   "I ate...wasted..."

   "I have to spit it out after eating..."

   Everyone in the room didn't say much.

  After calling Wu Caiping out, Shi Ke said: "This is very bad news."

   "You and the child were diagnosed with AIDS."

   "But... the cause of the child's condition has also been found, which is caused by the infection of the central nervous system by cryptococcosis, a complication of AIDS."

   "The cure can also be found."

  Hearing Shi Ke's words, Wu Caiping's legs suddenly went limp, and she fell to the ground limply, her mind blank.

   kept saying: "AIDS...really...AIDS..."

   "I...I'm sorry...I'm sorry baby..."

  Shi Ke quickly persuaded:

   "Don't be nervous."

  “It’s not like saying that AIDS will never get better.”

   “Also, AIDS survival doesn’t affect much.”

  “The survival period of AIDS should first consider the stage of the HIV-infected person.

  The reason why many people have a high mortality rate is because most of the infected people only found out that they were infected with AIDS after they developed symptoms of opportunistic infections, and they had already entered the AIDS stage.

   At this time, CD4 cells are relatively low, so the treatment effect will often be poor.

However, you and your child discovered it earlier, or in a very timely manner. If you start treatment when CD4>500/mm, most people can obtain a normal life span, or life expectancy is less than 10 years compared with non-AIDS infected people , the impact is less than 10 years. "

   "The situation between you and the child is good!"

   "And... some AIDS medicines are free, so you don't have to worry!"

  Shi Ke kept comforting Wu Caiping, and then began to notify the family member Zhang Guangfu.

  After Zhang Guangfu arrived, he was dumbfounded.

  Wife and children...all of them!

  Then...will he survive?

   On the same day, Zhang Guangfu had a free inspection. To everyone's surprise... he was not infected?

  You must know that sexual transmission can lead to AIDS infection, which is a matter of probability.

  But...Zhang Guangfu really didn't!

   This does not seem to be a devastating blow to this family.

  The patient's diagnosis, for the medical staff in the department, once again proved Chen Nan's power!

  Therapeutic work has also begun.

   Regarding the cryptococcal infection formed by children, it is still anti-infective treatment.

   At the same time to reduce intracranial pressure.

  After the treatment cycle started, the CDC also contacted and sent antiviral drugs.

   Just when everyone thought that the little boy's situation would get better!

  After a week of treatment, the effect is minimal!

   All of a sudden, everyone in the department was dumbfounded.

  Obviously the symptomatic treatment has already been given, but...why the symptoms are not relieved now?

  Chen Nan also began to struggle.

   What went wrong.

  Therefore, Chen Nan began to contact the experts in the neurology department of the China-Japan Friendship Hospital, and considered whether to do a detailed examination tomorrow to further diagnose the child's brain.

   After all, now that the cause has been found, the treatment has no effect!

   This is a very rare existence.

  It is obvious that it is symptomatic treatment, but the symptoms are not relieved... What is going on?

   Not only Chen Nan, but also the people in the department became a little nervous and anxious.

  …

   On this day, after Chen Nan got off work, Zhao Jianyong sent Chen Nan home.

  When he was about to get off the car, Zhao Jianyong suddenly said:

   "Director Chen..."

   "I... I have something to say, I don't know if I should say it or not."

  Chen Nan laughed: "Is there anything you can't say, what's wrong?"

  Zhao Jianyong couldn't help but said: "I feel... our treatment seems to have neglected something."

  Chen Nan was stunned.

   "Ignored something?"

  Zhao Jianyong coughed and said a little embarrassedly:

   "You have always taught me that when it comes to diagnosis and treatment, one should neither ignore nor use one."

   "I don't feel quite complete in your diagnosis of the little boy."

   "Besides, after the child woke up, you...did not conduct a detailed consultation, including eating habits, etc."

   "I know, my pulse diagnosis and inspection are far from yours."

   "But... I think that any patient, even after we find out the cause, must go through the diagnosis and treatment plan of traditional Chinese medicine."

  “You can’t say that you have found AIDS, you must follow the other party’s guidelines.”

   "After all... symptomatic treatment has limitations, doesn't it?"

   "Just like what you said, there is a slight difference, and a thousand miles away. Before the truth emerges, everything is unknown."

   "I think... should we... look back and use the perspective of traditional Chinese medicine to conduct a diagnosis and treatment again?"

  As soon as these words came out, Chen Nan was stunned.

  He took a deep breath and reviewed the diagnosis and treatment this time.

  In an instant, I felt cold sweat oozing from my back.

indeed!

  I took the lead in discovering that the patient may be infected with the central nervous system due to cryptococcosis, and may be AIDS.

  The patient and his mother were also diagnosed with AIDS.

   It seems that all of this is going with the flow.

   Even everyone in the department is praising him, saying that he has learned both Chinese and Western!

  This patient's special case even made it to the hospital's seminar on special cases of intractable diseases.

  At the meeting, the experts and professors were full of praise for his whim!

   Even, for a while, I fell into this kind of trap!

But…

  I have overlooked the most important point.

  Are all the diseases of the patient really caused by this situation?

  Chen Nan began to reflect!

  As Zhao Jianyong said, I have overlooked a very important point.

   That is the most primitive respect for patients and diseases.

  I have too much trust in a certain ability of my own, or diagnosis, or pulse diagnosis, but I ignore any use, and all four diagnosis must be used together.

   And what about myself?

   Did you do it?

  In an instant, Chen Nan woke up with a start.

  Actually, Chen Nan also felt the change in himself.

  With the changes in his identity, status, and influence, as well as the improvement of his strength, it seems a little inflated.

   Forgot to bring a doctor's original intention!

  Hua Tuo doesn't need to go to Cao Cao's side, but he has to go back to the neighbors to see a doctor for the people.

   This heart of a doctor is precious!

   And what about myself?

   It seems that accompanied by the status and the adulation of people around me, I am a little addicted to it.

  Chen Nan took a deep breath, looked at Zhao Jianyong and said, "You're right!"

   "In the future, remind me of such things in time!"

   "Fortunately, there is no big mistake now!"

   "Hurry up and call the doctor on duty and ask if the little patient is awake now."

   "I'll go see him!"

   Zhao Jianyong was relieved after hearing Chen Nan's words, and he was also worried that Chen Nan would be angry.

   It's a lie that he doesn't worry.

  Now it seems that Director Chen...has paid off.

  Zhao Jianyong quickly called and learned that the little boy was awake, so he drove back to the hospital.

  On the way, Chen Nan smiled and said, "Old Zhao, thank you!"

  Zhao Jianyong smiled slightly: "Director Chen, I must play a role by your side."

  After returning to the department, Chen Nan hurried back to the room.

  At this time, the little boy was eating, and his meal was very rich, including beef, milk, and chicken soup.

   After all, the little boy was too thin, so Wu Caiping tried every means to make him eat more and eat better.

   Seeing this scene, Chen Nan suddenly thought of something, and quickly asked:

   "When the child was young, what did he eat?"

  Wu Caiping was stunned for a moment: "Director Chen, actually... the child has been eating very well since childhood."

   "Although we are in the village,...the children have never been short of eggs, meat, goat milk, or milk since childhood."

   "This child has been a little skinny since he was a child, and I don't have enough milk, so it's good to feed him as much as possible."

   "This child likes to eat fatty meat, as for us, let the child eat more."

   "I am afraid that the child will be thin."

   "But... after the age of two, it is rare for a child to not gain weight no matter how much he eats, and he will not grow tall either. We are all worried."

   "So, in terms of eating and drinking, I really didn't treat my children badly."

  After hearing this, Chen Nan woke up suddenly.

  Zhao Jianyong is really a good talent beside him!

  Director Zhao is his lucky general!

  I almost missed so much useful news.

  Traditional Chinese medicine examines, smells, and inquires. I have indeed inspected, smelled, and examined, but the only thing left behind is the inquiry!

  Since I knew that the patient had cryptococcosis, I relied too much on the patient's medical records for consultation.

   while ignoring the communication and consultation with patients and family members.

   Almost made a big mistake!

  He looked at the little boy again, with a little more thought in his eyes.

  He said: "Little friend, let uncle take your pulse, okay?"

  The little boy nodded: "Okay..."

   "Uncle, can I be a doctor when I grow up?"

  Chen Nan nodded: "Yes!"

   At this time, Chen Nan still couldn't get much useful information from the pulse diagnosis, but... this time, he had a direction.

  Chen Nan asked Wu Caiping: "When the child was young, did he like to eat fatty, sweet and greasy food?"

   "Such as some fatty meat, sugar cakes, grease, ice cream?"

   "And... a good appetite!"

  Wu Caiping nodded: "Well, yes!"

   "The key is... this kid won't get fat no matter how much he eats."

   "When I reached the age of three or four, I became thinner and thinner!"

   "At that time, we were afraid. Until last year, the child became thinner and thinner, and we started to take it around to see a doctor!"

  When Chen Nan heard the sound, his heart froze.

  He suddenly thought of a disease.

   Malnutrition!

   Infantile malnutrition, this disease, may be more common.

   It is a pediatric syndrome characterized by wilting, sallow complexion, scorched hair, glutinous belly, and loose stools.

   More common in children aged 1 to 5. Malnutrition is mostly caused by improper diet, improper breastfeeding, damage to the spleen and stomach, failure of transportation and transformation, insufficient nutrition, and inability to nourish the viscera with the essence of qi and blood.

  However, this little patient is obviously not simply malnutrition.

  Records of the Golden Mirror of Medicine School!

"Adults work hard and children suffer malnutrition. Breastfeeding hurts the spleen is the cause of the disease. Insufficiency of sweets and fats produces heat accumulation, qi, blood and body fluid are tormented. The first episode of urinary slop is hot flashes in the afternoon. After a long time, the muscles and belly are firm, the complexion is blue and yellow, and the muscles are thin and the skin is haggard. The eyes are dark."

What does that mean?

  My lord, in ancient times, it generally refers to people over the age of fifteen. For this kind of people, illness is labor.

   Those under the age of fifteen are all called rickets.

The reason is that Qi and blood are weak due to hesitation, the Tibetan house is delicate and easy to be injured, or because of too much milk and food, or because of obesity and sweetness, stagnation in the central cavity, slow transmission and transformation, and gradual injury of the intestines and stomach, resulting in accumulated heat, and the heat becomes full. Malnutrition consumes qi and blood and burns body fluid before.

At the beginning of malnutrition, the urine is like rice slop, hot flashes in the afternoon, and if it is not cured for a long time, the blue tendons will be exposed, the belly will be big and hard, the complexion will be blue and yellow, the muscles will be thin, the fur will be haggard, and the eyes will become dizzy. .

  Chen Nan quickly asked: "When the child was three or four years old, did he often have very cloudy urine? Does the stool not form?"

  Wu Caiping nodded quickly: "Yes, yes, yes!"

   "During that time, the doctor said it was gonorrhea, and asked the child to take some medicine."

  Chen Nan couldn't help but patted himself on the head at this moment!

Really are…

Too stupid!

   So stupid!

   is too careless!

  Why did I forget so many useful clues?

  Chen Nan hurriedly began to make a detailed diagnosis. At this moment, there was a new clue in his mind.

  After having clues, the pulse diagnosis also has an idea!

   Bleeding gums, bad breath, cold feet, abdominal pain and diarrhea, crying endlessly...

  Chen Nan suddenly had a flash of inspiration.

  He got it!

   "Kidney malnutrition!"

  The so-called kidney malnutrition refers to the development of malnutrition to a certain extent, leading to a serious loss of kidney essence.

  Kidney stores essence, governs growth and development!

  Kidney belongs to water in the five elements, is the yin in the yin, communicates with the winter qi, fits the bones in the body, opens to the ear and the two yin, its flower is in the hair, in the fluid is saliva, the kidney is a will, and in the emotion is fear.

   it seems...

   All of this really makes sense.

  Children have decapitation, crane knees, delayed teeth, and delayed walking. This is obviously a manifestation of insufficient kidney qi.

  The complexion is dark, the gums are bleeding, the breath is foul, the feet are cold as ice, abdominal pain and diarrhea, and the symptoms of crying are even signs of kidney qi failure!

  Chen Nan became excited instantly.

I see!

   So it is!

  How can such a simple disease cause such a troublesome situation?

  Chen Nan hurriedly said to Zhao Jianyong:

   "Ready to prescribe!"

  Zhao Jianyong nodded quickly: "Got it!"

  At this moment, Zhao Jianyong looked at the expression on Chen Nan's face, as if he had returned to the past.

he knows!

  This time, the patient may really be saved.

  Because Director Chen is back!

   That's right, it's Director Chen.

  Zhao Jianyong is also extremely happy in his heart.

   At this time, Chen Nan closed his eyes and thought for a while, then said.

   "Dried Toad (5), Huhuanglian Coptis (10g each), Crane Lice (6

  g) Nutmeg (steamed) Neem root Baipi Leiwan Aloe Vera (raw) Turnip (10g each!)”

   "For this medicine, you go to the Chinese pharmacy yourself and ask them to make it overnight!"

   "Remember, make pills, crush the medicine, batter for pills, mung beans big, realgar for clothing, 15 pills per serving, take with millet porridge."

   "You are in charge!"

  Zhao Jianyong nodded quickly.

   "What kind of recipe is this?"

   After pondering for a while, Chen Nan said, "No name, it can be called Jinchan Wan."

   "After taking the Jinchan pill every day, add another medicine an hour later!"

   "Jiuwei Dihuang Wan!"

   "Rehmannia glutinosa meat (15g each), red poria cocos, Alisma peony bark and yam (stir-fried), angelica toosendan meat (9g each)."

  Zhao Jianyong nodded quickly: "Okay, I'm going to prepare now!"

   "Director Chen, go back by yourself."

  Chen Nan nodded: "No need to go back, tonight, I will stay on duty."

   "Let's see how the patient is doing."

  Zhao Jianyong smiled: "Good!"

  …

  As for the patient's situation, there was actually quite a disturbance in the hospital.

   After all, this Wu Caiping took her child and has seen a doctor in many places in the capital.

   And the key is that the cause of the disease was not found. After coming here, Professor Chen Nanchen diagnosed it all at once.

  Because of the particularity of the case, it was viewed and displayed as a special medical record in the hospital. Shi Ke even needed to take this medical record to participate in the hospital's medical record competition.

   As a result, this patient inevitably attracted everyone's attention.

But…

  Up to now, the patients have not had a good curative effect, so many people are full of joking voices.

   Regarding Chen Nan's sudden rise, there are naturally many voices in the China-Japan Friendship Hospital.

that's all!

   Ten days later.

  The hospital medical record contest was held as scheduled.

  After Shi Ke took the medical records onto the stage, he bowed slightly to the crowd and said:

   "First of all, let me apologize to everyone!"

   "Because we are going to report on a different topic."

  As soon as these words came out, the judges in the audience immediately became curious.

   "Alright, why change the topic?"

   "Yes, temporary replacement of medical records does not meet the requirements?"

  …

   "Director Chen, this does not comply with the regulations in your ward!"

  Director He of the western medicine ward looked at Chen Nan with a smile, pointed at Shi Ke on the stage, and smiled.

  Chen Nan smiled slightly, but did not make a sound.

  He knew very well that this time, many people wanted to see a joke.

   At this time, Shi Ke continued: "I didn't change the case, I just need to change the title!"

   "Before, what we did was research on AIDS. Now...we want to change it to Chinese medicine, which is based on observation, hearing, questioning, combination of four diagnosis methods, and medical record analysis..."

  As soon as these words came out, everyone became curious.

at this time!

  Shi Ke stood on the stage and said, "Next, first, let me show you the patient's medical records."

   "This is a photo. When the patient was hospitalized, the photo looked like this!"

   "And after our twenty-day treatment!"

   "Now, the picture of the patient, this is it!"

   While speaking, the PPT on the stage changed, and an obviously round child appeared on the screen.

   Is this a person?

  The previous photo looks like a skeleton, terrifying!

   And what about now?

  Although she is still very thin and thin, but...Compared to the beginning, there have been obvious changes!

   This change is completely reborn.

  Shi Ke looked at the stunned looks of many experts in the audience, and couldn't help but also became excited.

  The improvement of the patient is definitely great news for her!

  …

  ps: More than 10,000 words have been sent, thank you everyone, I have been waiting for a long time!

  (end of this chapter)