Chapter 51 Coronary Heart Disease
However, she went to the internal medicine department, but she was listening to the people in the internal medicine department that there were no them in the ward of the patient treated by Grandpa Shang and Lu Feng, and even the juvenile patient disappeared.
She was anxious and hurried back to the hospital and Lu Feng's house, but she didn't see anyone, so she returned to the hospital again and secretly regretted that she didn't go to the canteen to look for it before.
Walking out of the outpatient corridor of the outpatient department of the Traditional Chinese Medicine Hospital, Wang Yumeng suddenly stopped in front of the stairs to the canteen, because Shang Wende and Lu Feng were walking down with a faint smile on the stairs.
"Grandpa Shang, where have you... where have you been? I've been looking for you for more than two hours, but I haven't found you!" Wang Yumeng asked with a trace of grievance in his tone.
Shang Wende turned his head to look at Lu Feng, and then looked at Wang Yumeng with a smile and said, "We did a big thing today, so we came out of the ward late!"
Wang Yumeng showed surprise. Did you get out of the ward late? She had been to the patient's ward before, and there was no one in it!
"What's the big thing?" She asked curiously.
Lu Feng went downstairs behind Shang Wende and laughed and said, "The good thing that the master did today is to make a vicious, vicious, arrogant, arrogant, domineering, despicable... In short, he is a very evil person, change his evil, turn back to the shore, put down the butcher knife, and become a Buddha on the spot."
"Puff..."
The grievances in Wang Yumeng's heart dissipated without a trace. Lu Feng couldn't laugh or cry, and said coquettishly, "Isn't you talking too exaggerated? That's not a human. It's just a big demon!"
Lu Feng smiled. He used such an exaggerated tone to tease Wang Yumeng. Seeing her smile, Lu Feng smiled and said, "It's all the same!"
Wang Yu dreamed and said coquettishly again, "Everything is the same. I don't think it's the same at all!" Why did you turn off your phone? I've been worried for more than two hours! Humph, I'll settle accounts for you when I get back!"
Lu Feng was stunned, and then took out his mobile phone from his pocket and looked at it. Then he raised his mobile phone in great depression and said with a wry smile, "It's not my fault! There is no electricity!"
Jiyang Traditional Chinese Medicine Hospital, since the treatment of tuberculosis of teenage patients yesterday, Lu Feng has been smiling with satisfaction. Although he understands that his ability in traditional Chinese medicine is still too poor, how happy and proud it is to have Master, the Buddha, who is constantly saving fresh lives. Things.
Today is the fifth day of coming to the Traditional Chinese Medicine Hospital. Except for the first day of diagnosing a hepatitis B patient and treating her with acupuncture, Lu Feng spent most of the time treating juvenile patients with tuberculosis. Of course, in these three days, Shang Wende will also let him follow the outpatient department when he is free, helping patients with their pulse examinations while pointing out Lu Feng's various diseases.
A day's work officially began after he returned from the internal medicine ward.
Shang Wende did not treat juvenile patients with tuberculosis, because it was no longer necessary in the future. Seeing Lu Feng returning from internal medicine, Shang Wende said with a faint smile on his face, "Today, you will consult all day, and the following days will be the same."
Lu Feng was slightly stunned and then said with a smile, "Master, don't worry! I will be careful to consult the patient according to the pulse situation, but I also need you to check it by my side. If I am myself, I'm afraid there will be a lot of diseases that can't be diagnosed.
Shang Wende nodded, and a trace of satisfaction flashed in his eyes. His apprentice was not arrogant, and his understanding of himself was still very clear. As a doctor, blind self-confidence may have serious consequences, especially in situations where multiple diseases are similar.
Sitting behind the clinic table that originally belonged to Shang Wende, Lu Feng was a little worried. He knew that he was not confident on his own now. Although he did not show uneasiness in front of the master, in his heart, he knew that he was still lacking in heat in medicine.
The first patient was an old lady who came in with the help of her children. She was estimated to be 70 or 80 years old, and she was already old.
"What's wrong with you?" Lu Feng asked softly with a kind smile on his face.
With doubt in her eyes, the old lady turned her head and looked at the children beside her.
A young man who looks about twenty-six or twenty-seven years old, with a strong distrust in his eyes, asked, "I said, this doctor, depending on your age, it seems that he is not as old as me. Can you diagnose what my grandmother has? I heard that the good level of traditional Chinese medicine is all some old traditional Chinese medicine doctors with enough experience. Just like this old traditional Chinese medicine doctor, why doesn't he diagnose the patient and let you diagnose it?
The smile on Lu Feng's face remained unchanged and said, "Can it be diagnosed? This will not be known after diagnosis. This is my master. If I want to diagnose a mistake, he will also point it out on the spot. You can rest assured about this."
After saying that, he stopped explaining and looked at the old lady again and said, "Old man, what's wrong with you? Tell me about your symptoms, and then I'll give you a pulse and a good examination.
The old lady heard Lu Feng's explanation just now, and then looked up at Shang Wende. It seemed that this old Chinese medicine doctor was there, and she felt much more at ease.
"My chest often feels dull, with a feeling of oppression and suffocation, stuffiness, and severe burning pain, and this kind of pain usually lasts for several minutes, sometimes it grows for about 15 minutes. Sometimes even the heart hurts. When you are in pain, you will also feel weak, sweating, shortness of breath, nausea and dizziness. Doctor, what do you think I'm doing?
Lu Feng frowned slightly. There were many symptoms. Then he stretched out his hand and smiled, "Old man, you stretch out your hand. I'll always take your pulse and see how your pulse is?"
The old lady was very cooperative this time, and there was no doubt in her eyes, let alone look at his children and grandchildren. She directly stretched out her wrist and handed Lu Feng the pulse.
Lu Feng gently moved the forearm of the old lady's hand and put it at a height close to the same level as her heart. The palm is up and the forearm is square to ensure the smooth flow of blood. His finger, Yongsan, is designated in the position, and the inch mouth pulse is divided into three parts: inch, close and ruler. First, press the middle finger diagonally at the same level with a high bow, and press the pulse out of the abdomen.
In several pulse medical books given by Shang Wende to Lu Feng, including the Secret of Near the Lake Veins, a total of common diseases are divided into ten kinds, which are: floating veins, sinking veins, late veins, digital veins, virtual veins, real veins, slippery veins, flood veins, fine veins and string veins. However, Lu Feng once remembered that when Master Shang Wende taught you to take the pulse, there were two kinds of pulses, namely, the knot and the generation.
After a minute or two of pulse, Lu Feng uses the method of counting pulses: rapid pulse (more than 90 pulses per minute), which is characterized by faster than normal pulse. Because the pulse is strong, it can be diagnosed as solid heat. At the beginning of exoception fever, the internal organs are hot, the evil heat is encouraged, and the blood running speed is accelerated.
In an instant, the name of a disease jumped out of Lu Feng's heart: coronary heart disease, referred to as coronary heart disease.
Coronary heart disease refers to abnormal lipid metabolism. The lipids in the blood are deposited on the original smooth arterial endometrium. Some atherosclerotic lipids accumulate in the endometrium to form white plaques, which are called atherosclerosis lesions. These plaques gradually increase, causing arterial stenosis, blocking blood flow, leading to heart ischemia. There is angina pectoris.
It was easy to open the old lady's pulse. Lu Feng was not in a hurry to draw a conclusion, but his eyes narrowed slightly, and his eyes swept over the old lady's face: his skin was wet and cold, gray and obviously seriously ill.
"Doctor, what's wrong with my grandma? Can you make a diagnosis? The twenty-six or seven-seven-year-old young man asked eagerly with an anxious look on his face. Of course, if Lu Feng looked up at him, he could find that there was a look of disbelief in his eyes.
After a moment of silence, Lu Feng recalled in his mind what he had learned about coronary heart disease and what his master had taught him. Then he said, "If I don't diagnose it wrong, this old man has coronary heart disease, which is what we often call coronary heart disease."
Coronary heart disease?
Accompanying the old lady's four or five relatives, they all looked at each other in consters.
A medical layman, a man in his 40s and 50s, asked in a hurry, "Doctor, are you sure you have diagnosed coronary heart disease?" There is no genetic condition for this disease, right? Our ancestors have never had coronary heart disease for generations?
Lu Feng showed a smile and said with a smile, "There is only a certain chance that this coronary heart disease is inherited, but this probability is very small. Generally, for people with this coronary heart disease, men are generally over 45 years old, and women are generally over 55 years old, or women with early menopause. There are also many other conditions that cause coronary heart disease, such as high blood pressure, diabetes, smoking, overweight, obesity, gout, inactivity, etc. Coronary heart disease is the most common type of disease caused by atherosclerosis, and it is also a common disease that seriously endangers people's health.
"Is this disease curable?" This time, several people spoke with one voice.
It seems that the patient's family and patients are also most concerned about this problem!
Lu Feng hesitated for a moment and looked at Master Shang Wende, who was smiling and speechless.
At this time, Shang Wende's eyes showed a satisfied look. He nodded and said, "Yes, although I didn't take the patient's pulse, from her face, the rapid breathing, and her symptoms, it was certain that she had coronary heart disease, that is, coronary heart disease."
Hearing what the master said, Lu Feng was like fifteen buckets of water - his heart finally calmed down. Since his diagnosis was correct, he proved that the treatment he remembered was also correct!
"I'll give you a prescription. You grab it according to the medicinal materials on the prescription, and then decoct it and take it orally. First, prescribe three courses of medicine. Each course of treatment is one week. After three weeks, you can check again. He quickly prescribed the prescription for the treatment of coronary heart disease in his memory and handed it to the patient's family, and then Lu Feng left with the other party's continuous thanks.
Originally, the family members who did not believe in Lu Feng developed a sense of trust after hearing Shang Wende's affirmative answer. Because they can see that the old traditional Chinese medicine doctor beside Lu Feng is pointing out his disciples or students. With this double insurance, the probability of making mistakes in the diagnosis will not be too high!
The first patient who came to the consultation had just left, and then another patient came in.
This is a middle-aged man about 40 years old. Judging from his face, his face is ruddy and everything is very healthy. It's just that his eyebrows frown slightly from time to time, and occasionally a trace of pain flashes in his eyes.
Lu Feng politely asked him to sit down before asking, "What's wrong with you?"