I practiced medicine in ancient times
Chapter 42 Manual Diagnosis of Uterine Fibroids
Mrs. Li was quickly helped to the soft couch in the clinic's cubicle by her personal maid, and Bai Yan was asked to examine Mrs. Li's body.
"Madam Li, the next examination may be a little embarrassing, but this is the normal examination procedure. For the sake of your own health and the incense of your Li family, please cooperate with me." Bai Yan didn't know when she put on a pair of white film gloves. She stood on Madam Li's lower body and said to Madam Li with a serious face.
As for the white film gloves on Bai Yan's hands, they were a pair of surgical disposable gloves specially made by Bai Yan using sheep intestines.
This type of gloves is not made with white smoke much, but fortunately, it can be washed and disinfected and then reused.
"Miss Bai, feel free to check any part of your body you want. I will fully cooperate with you." As long as her strange disease that caused miscarriage could be cured, Mrs. Li could endure anything.
"I need to check your lower body." Bai Yan nodded when she heard that. Without saying a word, she reached out and gently lifted up Mrs. Li's pants. She touched Mrs. Li's belly with one hand and... with the other.
Bai Yan examined Mrs. Li to see if she had uterine fibroids.
Uterine fibroids of the myometrium. If the uterine fibroids of the myometrium are relatively large, some may exceed 5 cm and protrude into the uterine cavity. The shape of the uterine cavity will change, which may also affect the implantation of the fertilized egg, or affect the development of the embryo after implantation, leading to miscarriage or embryo arrest.
Xu Qingyi suspected that Mrs. Li had uterine fibroids, which were quite large, which led to her repeated miscarriages.
Therefore, Xu Qingyi asked Bai Yan to perform a gynecological examination on Mrs. Li to confirm.
Gynecological manual examination is mostly bimanual examination, mainly to check whether there are any abnormalities in the female lower body, cervix, uterine body and its accessory structures. A small number of women need to undergo a triple examination to check for pelvic inflammatory disease, ectopic pregnancy, cervical cancer, endometrial cancer, ovarian tumors, etc.
Bai Yan was seen groping Mrs. Li's lower body, while his other hand was pressing or touching her abdomen.
At first, Mrs. Li's face turned red with shame, but as Bai Yan pressed and touched her with her fingers, Mrs. Li felt unwell.
Sometimes the pain gradually intensified, sometimes it became numb and itchy, and she couldn't help but frowning slightly.
"Madam Li, do you have a lot of secretions from your lower body? And do you have severe abdominal pain?" Bai Yan asked Madam Li while she was examining her by hand.
"None of these."
After a detailed palpation, Bai Yan found that Mrs. Li's uterus was significantly enlarged, hard, and tender. These symptoms pointed to a possible diagnosis - uterine fibroids, and they were not small.
"Okay." After Bai Yan understood what was going on, she nodded to Madam Li.
"It has been confirmed to be a uterine fibroid. It feels quite large when touched. It must be the uterine fibroid that caused Mrs. Li's repeated miscarriages.
Most uterine fibroids are benign. They grow significantly in a short period of time and exert significant pressure on surrounding tissues, leading to increased secretions in the lower body or severe abdominal pain. At this time, the malignancy is relatively high.
During the previous examination, I also asked Mrs. Li some questions. There is an 80% chance that the uterine fibroids are benign.
Next, you prescribe medicine for Madam Li to drink, and then check again in three months. If the size of the uterine fibroids has shrunk, it can be completely confirmed that the uterine fibroids are benign. "After Bai Yan came out of the cubicle after examining Li Wanqiu's body, she walked close to Xu Qingyi's ear and whispered to Xu Qingyi.
Earlier, Xu Qingyi suspected that Mrs. Li's miscarriage was caused by uterine fibroids. Uterine fibroids are divided into benign and malignant. After Bai Yan's examination, she breathed a sigh of relief when she heard Bai Yan say that Mrs. Li's uterine fibroids were 80% benign.
In this way, Mrs. Li can still be cured.
"How is it? Have you confirmed what disease Madam Li has?" After seeing Bai Yan coming out of the compartment after examining Madam Li, Doctor Wen leaned close to Xu Qingyi's ear and whispered.
She was a little far away and couldn't hear clearly what they were saying, so Doctor Wen frowned slightly.
She felt that there seemed to be something wrong with the white smoke, but she couldn't tell what was wrong.
Li Wanqiu also listened to Xu Qingyi's reply with a serious expression and pricked up his ears to listen.
"Madam Li has a tumor in her uterus.
The place where women come to Tiankui is also the place where women conceive and nurture fetuses.
As for stagnation and mass, it is a disease of lumps in the abdomen. If it is hard and does not move, and the pain is in a fixed place, it is a "stagnation"; if it gathers and disperses irregularly and the pain is not in a fixed place, it is a "mass".
There are many types of diseases, which are common and difficult gynecological diseases. This disease is mostly caused by organ disorders, qi and blood stagnation, and blood stasis. Qi accumulation forms masses and blood stasis forms symptoms.
However, Mrs. Li had a mass in her uterus, which, whether big or small, would change the shape of the uterine cavity. If it was too big, it would naturally affect the development of the fetus in the womb and cause miscarriage.
However, when Bai Yan examined Madam Li just now, she found that Madam Li had a large mass in her body, and she thought that the previous miscarriages were caused by the mass. "Xu Qingyi was afraid that Li Wanqiu didn't know what the mass and the female mass were, so she explained it.
"If there is a tumor in the body, it is very likely that the tumor caused the miscarriage." Doctor Wen heard this and nodded thoughtfully.
Originally, Doctor Wen wanted to ask them directly how they knew that Madam Li had a disease in her body, but then she thought that she had been treating Madam Li for many years and had not found the cause of the disease. As a result, after asking Qingyi to take Madam Li's pulse and Baiyan to examine her, she found out the ultimate cause of Madam Li's miscarriage. She felt that there is always someone to replace her.
"Can it be cured?" After Mrs. Li found the cause of her multiple miscarriages, she looked at Xu Qingyi and Bai Yan with bright eyes.
"Of course it can be cured, but the treatment will take a long time." Xu Qingyi nodded affirmatively.
"As long as it can be cured, it doesn't matter if it takes a little longer." Li Wanqiu said hurriedly.
“Then I will prescribe a prescription for you.
Three prescriptions, one for medicine, and two for medicine and food. "After Xu Qingyi nodded to Madam Li, he sat aside and began to prescribe medicine for Madam Li.
The prescription Xu Qingyi prescribed was Guizhi Fuling Decoction.
Guizhi Fuling Decoction is composed of cinnamon twig, peony bark, poria, white peony root and peach kernel. It has the effects of promoting blood circulation, removing blood stasis and eliminating symptoms.
In this prescription, cinnamon twig warms the meridians and dispels cold, activates blood circulation and dredges the collaterals; Poria invigorates Qi and nourishes the heart, and can benefit the blood between the waist and navel; moutan bark, peach kernel, and peony root activate blood circulation and dissolve blood stasis, and peony root can also nourish blood and regulate the circulation. It is used to slowly eliminate the accumulation of symptoms without hurting the body.
However, this prescription needs to be stopped during menstruation. In modern times, this prescription is quite effective in treating abdominal masses.
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