Great doctor starts with adding points

Chapter 63 Inheritance Dialogue (for collection, for further reading)

Last time, Xiong Yao also insinuated about the possible soft tissue damage caused by joint dislocation. Could it be that Xiong Yao was still dissatisfied with the results of Zhu Fagen's diagnosis and treatment before?

Wu Xie's expression was a little solemn, and he organized his speech for half a minute before he opened his mouth and said, "Biao Gonggong, in fact, I haven't had a deep understanding of Zhu Fagen's condition, and Zhu Fagen's time in our hospital is quite limited. His past medical history, as well as some of his encounters after he went to the county hospital, are speculated."

"It may not be true, it just means that there is such a possibility."

"Biao Gonggong is right to treat it as me, can I talk about it casually?"

Wu Xie was not sure if Xiong Yao was going to hear something beneficial to him from here, and then target Zhu Fagen or something.

Although the possibility of this is extremely small, because if Xiong Yao is really determined to get Zhu Fagen, Xiong Guiqi has many ways, and there is no need to use this.

"Of course we are only discussing and communicating, and have no other effect. Doctor Wu, feel free to say it."

"Our Chinese medicine emphasizes that the law should not be passed on to the six ears." Xiong Yao replied quite formally.

After hearing this, Wu Xie opened his mouth. He believed in Xiong Yao's character: "Biao Gonggong, I don't know much about the whole course of Zhu Fagen's disease, but according to his current two diseases, in our orthopedics specialty , with such an understanding—”

"Epilepsy, we often call it epilepsy, swine wind, etc."

"In fact, it is a chronic disease caused by abnormal discharge of brain neurons. During an epileptic seizure, brain neurons discharge suddenly, resulting in abnormal transmission of nerve signals, which causes transient neurological dysfunction."

"This neurological dysfunction can cause symptoms such as muscle spasms and muscle twitches, while also throwing the body out of balance and coordination."

"During a seizure, the patient's muscles are under high tension due to the effects of neurological dysfunction, which increases muscle contraction and causes excessive stretching and twisting of the muscles around the shoulder joint, causing stretching and damage to the surrounding soft tissues .”

"And our understanding of the shoulder joint in modern medicine is that the stability of the shoulder joint is mainly composed of the rotator cuff, which contains four groups of muscles and tendon tissues."

"During a seizure, muscle spasms and twitches can cause excessive stretching and squeezing of the muscles around the rotator cuff, which can lead to rupture of muscle fibers and tendon tears. Additionally, muscle twitches can cause tension between the rotator cuff muscles. It is like a tug-of-war, when one side suddenly unloads its force, which further increases the damage of muscles and tendons."

"Tissues such as the joint capsule, bursa and cartilage around the rotator cuff are also vulnerable to damage during seizures."

"The rotator cuff, joint capsule, bursa, etc. are the tissues that balance the shoulder joint. Once damaged, the shoulder joint will lose stability to a certain extent. Under the condition of minimal or no violence, it will spontaneously dislocate many times, so It can be diagnosed as habitual dislocation, spontaneous recurrent dislocation..."

"Of course, improper reset may lead to rotator cuff injury, but at this time, it may be a harmful injury, not a primary one." Wu Xie didn't know much about the foundation, so he could only explain it clearly to Xiong Yao from a theoretical level.

When Xiong Yao heard this, his eyes and expressions were complicated and he said to himself: ""Lingshu" said: "The five viscera and six internal organs all send qi to the liver, and the liver governs the tendons, and the tendons belong to the liver. They run through the meridians respectively and are connected with the bones. . "

""Treatise on Febrile Diseases" contains: All rheumatism and cold and heat diseases, which become swollen and painful in joints, painful like needles, unable to turn, and weak pulse, this is joint dislocation."

""Danxi Heart Method" stated: the pathogenesis is five, the weather is bad, the liver is compressed, and the liver is compressed, the tendons and collaterals are restrained, and the joints are not free. It is called liver wind."

""Surgery Authentic": Dislocation of the calcaneal bone in the calf, and the tendons are not stretched...so it is said that the calcaneal dislocation, the spirit is absolutely amazing."

"Weak liver, invasion of wind-cold, abnormal liver-wind, lack of energy are the pathogenesis..."

""Synopsis of the Golden Chamber": Those who suffer from joint prolapse, flaccidity, and pain reaching the knee and thigh should use Da Chengqi Decoction."

""Surgery Orthodox" says: Detachment, damage, fall, and bruise can all be pressed."

""Acupuncture and Moxibustion Classics": "Joint dislocation, convulsions and acute pain, and pulse floating in the inch of the mouth, should be pricked. It is also said: the thigh joints are dislocated, pulled down and suspended, fertilized with leek juice. "

""Medical Heart Prescription" notes: When the joints are dislodged, take one or two mulberry branches within five days and decoct them in wine. It is very convenient, and the joints will return to their original positions."

""Treatise on Febrile and Miscellaneous Diseases" discusses: If you get rid of it, you can push it away. It also discusses: if you get rid of it, press it."

""Thousands of Gold Prescriptions" says: For joint dislocation, one person holds it up, and the other person holds it down, and turn it upwards with force..."

When Wu Xie heard this, his expression was instantly solemn.

If it is said that in modern medicine, some advanced papers, pathogenesis, disease classification and classification, and targeted treatment are the guides of modern medicine, then what Xiong Yao said now is the papers and gist of traditional Chinese medicine, which directly refers to the diagnosis and treatment of traditional Chinese medicine. The origin, and the principle of treatment.

It's a pity that Wu Xie couldn't understand these things, so he could only make the same expression as Xiong Yao had heard Wu Xie said before.

After Xiong Yao stopped, Wu Xie replied with a voice full of respect: "Doctor Xiong is very knowledgeable."

There are not a few people who can memorize classics of traditional Chinese medicine, but being able to extract the records of the same disease from so many different classics in such a short period of time is definitely not something that can be done by ordinary familiarization and memorization.

Therefore, Wu Xie no longer uses the title of Biao Gonggong, but changes to the doctor's theory.

"Mysterious and mysterious, mysterious and impermanent. It's not as straightforward, popular, and easy to understand as you said." Xiong Yao returned, with complicated eyes and a bleak tone.

With his decades of accumulation, Wu Xie is only a young man in his twenties, and he can also form his own system of diagnosis and treatment. In comparison, it is easier and clear at a glance who gets started.

Moreover, the reason why modern medicine can exist so well and develop so well has its own utility.

"But as long as it works, it's all the same, Grandpa Biao." Wu Xie didn't know what Xiong Yao was feeling, so he could only say so.

"The treatment is effective, and the pursuit of the same relationship is the same."

Xiong Yao immediately changed the topic and asked Wu Xie, "Doctor Wu, what do you think of Jinping's current illness?"

Hearing this, Wu Xie said almost without hesitation: "Doctor Xiong, in my opinion. Jinping's current condition should not be caused by infection, but that he was exhausted from running around and walking for a long time, which led to localized self-limited ischemic necrosis of local soft tissues. .”

"My guess is this. Father-in-law Jin Ping, when he was in Qianjiang City People's Hospital, most of the infection has been controlled. Although the antibiotics may not be right after the drug is changed, the result of bacterial culture is negative."

"And I repeated it three times and it was still the same. At that time, I found out that Jin Ping thought his symptoms had improved a lot, and his cousin Jinyinshan had no time to take care of him. It was Jin Ping's father-in-law who picked up the meal by himself and walked on the ground. "

"Every step you take will cause pressure and closure on the newly grown capillaries and granulation tissue, resulting in poor blood flow and local necrosis."

"He is slightly different from Dong Lianghe in our department. Dong Lianghe has local bacteria and the blood supply is not smooth, so the antibiotics cannot reach the place where the bacteria are. Jinping is, the blood supply cannot reach the affected area, so he has been ill for a long time."

"It was not caused by a bacterial infection. The treatment I am trying now is to change the dressing and disinfect it to prevent the bacteria from re-invading. I will strictly brake and only move around on the hospital bed. The affected limb will definitely not be stressed!"

"Nutritional training will be given, and no medicine will be added. If there is too much exudate, and it is suspected to carry airborne germs into the body, antibiotics can be used prophylactically."

"In the absence of external force to cause the death of new capillaries and granulation tissue, it shouldn't take long for him to heal without treatment!" This is Wu Xie's treatment plan for Jinping.

Although it is not medication, it is also a treatment plan given after careful analysis.

Otherwise, conventionally speaking, it must be antibiotics and nutritional training injections, which is a waste of money.

After careful analysis, it may be that Jin Ping brakes, self-supplementing nutrition, occasional anti-infection treatment to prevent infection, and frequent dressing changes are the best treatment options.

Listening to Wu Xie's analysis, Xiong Yao nodded slowly and spoke.

"There is no wind and cold evil in the body, nourishing enough to nourish it."

"Xiao Wu, are you interested in learning some traditional Chinese medicine techniques to reset and compare them with what you have learned?" Xiong Yao said very formally.

When Wu Xie heard this, she couldn't help being astonished, and stood up——

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