Chapter 918 Ten Questions Song
The next patient is a baby girl about seven months old, and she was also held by the child's parents.
When he entered the door, the child's mother looked surprised when she saw Fang Han.
"Doctor Fang, I didn't expect it was you."
Fang Han was stunned. This person actually knew him. He had seen twenty-seven or eight patients since he started attending the clinic yesterday to today. This person was the first family member to recognize him.
Otherwise, the reputation of a doctor is really weak, and it is very difficult to become famous, but it is a moment to destroy the reputation.
Fang Han is now a celebrity in the medical circle in Jiangzhou Province. He is also a doctor who can compare with deputy senior or above in Jiangjunyuan, but in terms of patient recognition, there are really not many people who can recognize him.
After all, medical care is a niche, and even a well-known doctor cannot compare with other third-tier stars.
"Sit down, do you know our Dr. Fang?" Lin Guangliang greeted with a smile.
"I know, how can I not know Dr. Fang? Dr. Fang is a famous doctor in our Jiang Intermediate People's Hospital." The child's mother said, "I forgot to say that I am a reporter from Jiang Daily. Our Hualing reporter also conducted an exclusive interview with Dr. Fang."
It turns out that it is from the news media circle, no wonder.
Fang Han was not worried about this. While looking at the child, he asked, "What's the situation with the child?"
"Diarrhea, diarrhea, dry retching, belching."
The child’s mother said in detail: “My milk is not enough, I give my child milk powder and I have never changed the brand, but the child has diarrhea, three to five times a day, and his stool is thin and yellow…”
"All feces..."
Lin Guangliang interrupted, Fang Han glanced at Lin Guangliang and signaled to continue: "Speak slowly, don't worry, tell me everything you know."
"Yes." The other party nodded and continued to talk about the child's situation, such as sleep, not smelly stool, and urination that is small and yellow, etc. Fang Han listened very seriously.
After hearing this, Fang Han looked at the child's tongue coating, and then looked at the child's fingerprints.
The tongue coating is white and greasy, and the fingerprint is light red.
Then Fang Han used the thumb diagnosis method to take the child's pulse.
"From the analysis of symptoms, there may be two reasons for children to suffer from diarrhea. One is the improper grasp of the temperature, cold and heat of feeding, or the dissonance of the milk powder and spleen and stomach, and the other may be caused by the child's spleen and stomach transportation and transformation function or poor hand washing dysfunction." Fang Han analyzed.
"Doctor Fang, if it's the first reason, should he change the milk powder?" asked the child's mother.
"I said two reasons, but it was actually caused by one factor."
Fang Han said: "The child must have just changed his milk powder for not too long."
"Well, the other party nodded. It took less than a month to change the milk powder. It was fine in the first few days, but I started to get diarrhea in the recent times."
"Children used to eat breast milk, but now when they change milk powder, the spleen and stomach have an adaptation process. Just like us adults, people who often eat vegetarian food occasionally feel uncomfortable when eating meat. This is because food is not in harmony with the stomach. People's stomach also has their own habits. Long-term eating habits often lead to a synchronized stomach function. If they suddenly change food, the stomach may be 'overloaded'."
"If we use a more scientific explanation, it is that milk is different from human milk. Milk contains some substances that should not be absorbed by the human body. At this time, it will increase the burden on the stomach, causing poor spleen and stomach transportation and transformation functions and absorption disorders, resulting in diarrhea."
As he said that, Fang Han said to Lin Guangliang: "Treat it to strengthen the spleen and replenish qi, eliminate dampness and dampness, and divide it into urination and strengthen stool, increase clearness and reduce turbidity to harmonize qi. Prescribe the formula, Pingwei San, Shenling Baizhu San and Shengma Pueraria Potato Populus to add, subtract, and treat it, Da Codonopsis pilosula..."
Lin Guangliang quickly printed the prescription. Fang Han took the signature and handed it to the child's mother and said, "Decoct twice in water, half an hour each time, mix well, twice in the morning and evening, one dose a day, and come to me for a follow-up visit after taking it."
The child's parents carried the child out, and Lin Guangliang was about to call the next patient, but Fang Han said, "Wait a minute."
Lin Guangliang stopped calling, thinking Fang Han was going to the bathroom. Who knew that Fang Han did not get up, but said to him: "You must be patient and understand observation when treating children. The children's parents talk about symptoms and some trivial matters, and do not interrupt them casually."
Lin Guangliang hurriedly sat down, knowing that Fang Han was teaching him experience.
"Pediatrics, children either cannot speak or have poor language expression skills. They cannot express themselves where they are uncomfortable. At this time, we can only analyze and judge from details through careful observation and some descriptions of the children's parents. Sometimes the words children's parents often hide something in their verbose words. They care about their children the most and contact them all day long."
"Doctor Fang, I understand." Lin Guangliang nodded hurriedly. He knew that Fang Han thought he had interrupted just now.
"The patient's family does not understand medicine. Sometimes they answer questions in the club. Don't worry at this time. We may neglect when asking. Sometimes this neglect is made up for in some long-term words."
"Yes." Lin Guangliang nodded again.
"Call the patient."
Fang Han said, continuing: "The Chinese medicine's vision, hearing, and questioning are all about it. Even if it is a consultation, there are many knowledges. I will say a song and you can remember it."
Lin Guangliang hurriedly listened carefully. This was a rare opportunity.
During the internal medicine training rotation, he also gave some doctors a trial, but no one taught things like Fang Han.
"One question about cold and heat, two questions about sweat, three questions about head and body, four questions about bowel movements, five questions about diet and six questions about chest, seven questions about deafness and eight questions about thirst, nine questions about old diseases and ten questions about causes, and then taking medicine and ginseng to change the mechanism. Women must ask about menstrual periods, and they can all be seen with delayed closure and collapse. They will add a tablet to the pediatrics, and smallpox and measles are all in danger."
This song was read by Fang Han when he was reading a book in Guo Wenyuan's study. It was called "Ten Questions Songs."
This "Ten Questions Song" is concise and includes almost all the contents of the consultation. When Fang Han read it, he thought it was very good, so he read it on both sides and wrote it down.
"Dr. Fang, I've recorded it, thank you."
Lin Guangliang hurriedly thanked him. Although this song is simple, there are many things inside, almost telling the essence of the consultation.
Since ancient times, in addition to the grace of parents, the teacher’s grace of teaching and learning the truth and solving doubts is the most important thing. Parents have given us life, and the grace is greater than that of heaven. They raise us and have a lot of room for grace. The teacher teaches us abilities, teaches us knowledge, and gives us the ability to survive in the future. This kind of grace is also heavier than the mountains and deeper than the sea.
If a person is willing to teach you skills, such a person is worth cherishing and respecting.
Lin Guangliang has been in Jiang Intermediate People's Hospital for a year and a half. From his internship to his current standard training in hospital, he is no longer a senior student who has just entered the hospital for the first day of internship.
In the past year and a half in the hospital, Lin Guangliang knew very well how difficult it was to learn skills.
The hospital is definitely a place with extremely strict hierarchy, and most doctors hide it.
Especially for newcomers, doctors who can contact or frequently contact are hospitalized and attending, while for most hospitalizations and attending, they are still in the rising period.
Hospitalization and treatment, even if you get a professional title, the hospital will be stuck. The same is true for the treatment and treatment. The promotion channels are narrow, and several carrots are competing for a trap. At this time, a little talented newcomers are under pressure for senior hospitalization and even new recruits to treat them.
Teach students to starve the master to death, so doctors naturally have to hide it.
Fang Han was willing to tell him so much, and Lin Guangliang was grateful to Fang Han from the bottom of his heart.
If we really think about it, there were some small conflicts on the first day of his internship with Fang Han, but he stayed in the hospital because of Fang Han.
"The song sounds simple and contains a lot of things. It should be used in practice, and it should also be conducted with purposeful inquiries and practice more according to the characteristics of the disease and the differences between the patients."
Fang Han said, and the next patient had already entered.
This time, a girl of eight or nine years old came in. The child's mother accompanied her. After sitting down, Fang Han looked at Lin Guangliang. Lin Guangliang instructed him and hurriedly looked at the child seriously and asked, "Where are you feeling uncomfortable?"
"Dirty, weak, fever, and runny nose."
"How about eating?"
"I don't have a good appetite, I even stomp on the quilt when I sleep."
"Doctor Fang, is this a wind-heat cold?" Lin Guangliang asked some more things, then looked at Fang Han.
"Well, there is heat in the body, and the heat evil invades..."
Fang Han nodded and said, "Come on, I, take my pulse."
.........
In Penghua Village, Fang's Medical Center will be closed for one day.
There are not many relatives in the Fang family. Fang Yuenian is the only son and the old man has no daughter. Today, Ms. Tian Ling and Comrade Fang took Fang Tian to greet her parents' home. The old man was alone at home and sat at the door basking in the sun.
There are many guests in the Peng family next door today. The Peng family has three children, two daughters and one son. Peng Donghai is the youngest. Today, Peng Donghai's two sisters and husbands have come to the Peng family to pay New Year's greetings. The old man was sitting at the door, which was somewhat envious.
"Grandpa Fang, are we going to visit relatives today?" Peng Donghai came out to pick up the person, saw the old man, and greeted him with a smile.
"Yes, I've been going to pay New Year's greetings, but I'm still quiet alone."
"Fang Han hasn't had a holiday this year?"
"No, Jiang Intermediate People's Court is busy, Xiaohan is the main backbone of the department, so how can I go? The little doctor can still have a fake. Xiaohan is really busy. It's okay, but the more I go on holidays, the more I can't go on."
Speaking of his grandson Fang Han, the old man is very proud. He has no daughter, but his grandson is amazing. Many people envied him. Don’t look at Haizi driving a BMW next door and his grandson driving a Wuling, but so what?
"Our Uncle Fang and Aunt Tian are not here, so no one will cook. I will ask you to eat later, so you can come together." Peng Donghai said with a smile.
"No, I'll leave me some food." The old man said with a smile.
Peng Donghai didn't say much, and carried his own thing into the door with his sister and brother-in-law. After entering the door, Peng Donghai's second brother-in-law said: "Who is next door? Is the grandson from Jiang Intermediate People's Court? It's not too old, and the grandson is at most 20 years old. A young doctor is so excited that he is still busy and can't leave. Those who don't know think they are the director of the department."
Chapter completed!