"Doctor, what disease am I doing?" The old man took the medicine as Zhang Yan told him, took another sip of water before asking.

"You are suffering from phlegm and blood stasis. The Western medicine says it is coronary heart disease.

When the disease occurs, not only does the heart hurt, but the shoulders and back will also hurt. There is a lot of phlegm and you will also feel nauseous." Zhang Yan said with a smile.

"Yes, doctor, you're right!"

"Don't be nervous. You are not acute coronary heart disease. I will prescribe some medicines for you. You can take them first, and then come for a follow-up visit after three days." Zhang Yan said as he prescribed a prescription for the old man.

Xuefu Zhuyu Decoction is added and subtracted.

4 cents of peach kernel, 3 cents of 5 cents of safflower, angelica, raw Rehmannia, and Achyranthes sapwood, 1 cents of 5 cents of Chuanxiong, 1 cents of 5 cents of red peony, citrus aurantium, 2 cents of 5 cents of licorice, and 1 cents of Bupleurum.

"Thank you, doctor, thank you!" After taking nitroglycerin, the symptoms of coronary heart disease had been relieved a lot, and his face returned to normal color. I thanked Zhang Yan repeatedly.

I don’t know anything else, but after taking a pill, his heart pain immediately healed much more immediately. This is a fact.

The old man left politely, and then another old man sat in front of Zhang Yan.

"Doctor, I'm also feeling chest tightness, I can't breathe, and I'm coughing. As soon as I cough, my whole back hurts."

The old man sat in front of Zhang Yan, without having to ask Zhang Yan, he directly told his symptoms.

Zhang Yan murmured in his heart, did he have a fucking of chest tightness and shortness of breath today?

Three people have the same symptom, chest tightness, shortness of breath and breathlessness.

"Well, I'll take your pulse." Zhang Yan reached out and pressed the old man's wrist, then observed the old man's face.

"Do you have a back pain when you cough or you have always had a back pain?" Zhang Yan asked with a smile.

In fact, Zhang Yan had basically determined the old man's condition through observation, but he saw that Zhao Shengli and Qian Hongying had completed the diagnosis of the old man just now and were staring at him.

Only then did the elderly ask questions according to the consultation standards.

"This...it seems to be painful all the time, and it hurts a lot when you cough." The old man thought for a while before hesitating.

"Is there any phlegm?" Zhang Yan asked then.

“There is phlegm.”

"I often experience palpitations inexplicably and then sweat all over?"

"Yes, yes, that's right!" the old man nodded quickly.

"Your is also coronary heart disease.

In traditional Chinese medicine, it means that the heart yang is weak, the heart qi is deficient, the deficiency and cold are produced internally, and the yang energy is insufficient...

Don’t be nervous, I will prescribe side medicine for you, and it will be three days later to come to me for a follow-up visit.”

Zhang Yan prescribed Baoyuan Tang with and subtracting the old man.

"A pair of medicine has been boiled and taken in two doses. After three days, come to me for a follow-up visit." Zhang Yan gave the prescription to the old man and explained.

This is the last patient, and no patient came in behind him. Zhang Yan looked at Zhao Shengli and Qian Hongying, "Take me your diagnosis and treatment plan just now."

"Okay Brother Zhang!" Zhao Shengli and Qian Hongying quickly gave Zhang Yan the diagnosis and treatment plan they wrote.

Zhao Shengli wrote about chronic obstructive pneumonia.

Qian Hongying wrote about chronic asthma.

Both of them were considering lung diseases, and were not affected by the two patients Zhang Yan later diagnosed and treated, which is very good.

"Xiao Qian, how could you consider it because of asthma?" Zhang Yan looked at Qian Hongying and asked.

"The patient has a long-term cough, phlegm, and has difficulty breathing. According to the patient's self-report, working in the boiler room for a long time and considering the impact of the working environment should be asthma."

"There is another symptom of asthma, that is, the cough will worsen in the morning at night. Did you ask?

In addition, asthma is a respiratory disease. When you auscultally, do you confirm that it is a respiratory problem?”

With Zhang Yan's series of inquiries, Qian Hongying lowered her head and stopped talking.

"The patient's problem is in the lungs. It is obvious that there is rales in the lungs. In addition, the patient has been working in the boiler room for a long time, so why can't it be considered that it is dust pollution, which causes COPD?" Zhang Yan continued to ask.

After hearing Zhang Yan's words, Zhao Shengli obviously felt happy, and his diagnosis was correct.

"It's OK. Although Xiao Qian diagnosed COPD as asthma, it was not too outrageous.

Remember in the future that when the disease is vague and cannot make accurate judgments, you must conduct more detailed examinations, such as consultation, but more detailed.

Xiao Qian, you ignore some of the more critical symptoms of asthma when you are in consultation, and then you will make a misjudgment.

Also, when you auscultivate, you only listen to the front chest, back? Have you listened to the side chest?

However, one thing is worthy of praise. You were not affected by the latter two patients and were directly diagnosed with coronary heart disease." Zhang Yan finally praised with a smile.

Coronary heart disease and chronic pulmonary obstruction are similar in some symptoms.

Doctors often regard coronary heart disease as chronic pulmonary obstruction or other lung diseases.

Some people also regard lung diseases as coronary heart disease and myocarditis.

Because the two are very similar in many symptoms.

If you are careless, misdiagnosis may occur.

"Brother Zhang, I see that you just treated the two people behind. They were all coronary heart disease. Why did the prescriptions be different?"

"Correciation heart disease, in Western medicine, is a series of diseases caused by coronary artery disease, leading to myocardial ischemia, and thus causing.www.bǐqυgetν.℃ǒm

In Western medicine, it is nothing more than early, middle and late stages, acute and chronic.

However, traditional Chinese medicine has many different symptoms of coronary heart disease, including different symptoms such as heart qi deficiency, heart blood deficiency, heart yin deficiency, heart qi and blood deficiency.

Qi deficiency and blood deficiency are in traditional Chinese medicine, so different medicines are naturally needed.

This is also the charm of traditional Chinese medicine, which has more different causes and characteristics of different drug treatments.

Western medicine treats all of them as a disease. The treatment methods are currently scarce."

In this era, Western medicine really did not have very good methods for coronary heart disease, that is, to use drugs like nitroglycerin to relieve it, and to use antibiotics to prevent inflammation.

In later generations, Western medicine mainly relied on surgical methods to treat coronary heart disease and conducted interventional treatment.

For example, adding brackets, making bridges, etc.

"The weather has become colder recently, which is a period of frequent respiratory diseases, lung diseases, cardiovascular and cerebrovascular diseases. When you diagnose, you must be careful and careful not to miss any tiny clues.

In fact, you have learned the representation of many diseases in school. Whether you can accurately diagnose it depends on whether you are careful.

The rest is the accumulation of experience. There is no way to do this, so I can only take it slowly.”

After Zhang Yan took the opportunity to teach, he continued to read.

Today I gave my uncle two thousand yuan, and the bonus he accumulated over the past period was cleared again.

I don't have money, and I always feel uncomfortable.

Zhang Yan studied hard, looking forward to the reward given by the system after completing the "Treatise on Febrile Diseases and Miscellaneous Diseases".

He is not for money and supplies, but for medical skills rewarded by the system.

Only with medical skills can we better serve the people.

Um!

That's it.

Zhang Yan is a good doctor and comrade who serves the people wholeheartedly.

Cash, material rewards, etc. are not important.

In the evening, when he returned home, Zhang Yan handed over the pig's trotters that were destroyed by Zhao Shengli and Qian Hongying to Tong Mei.

"Why is it pig's trotter again? I'm talking now, and I have a smell of pig's trotter in my mouth!" Tong Mei said with a distressed look at the pig's trotters with happiness.

"Are you sure it's the smell of pig's trotters, not pork?" Zhang Yan said with a smile.

"Where is not the same?" Tong Mei gave Zhang Yan a blank look.

Zhang Yan smiled, took the pig's trotters to the water pipe outside, and cleaned the pig's trotters.

"Doctor Zhang, you are washing pig's trotters again!" said the eldest sister-in-law of the Li family enviously.

"Yes! This is not. The two interns in our infirmary practice stitching, which consume a lot of pig's trotters every day.

It can't be wasted, right?

Sister Li, why don’t you take two pig trotters and go home to satisfy your child’s cravings?" Zhang Yan said with a smile.

"Forget it, this pig's trotter doesn't have much meat, it costs materials." The sister-in-law of the Li family was a little moved, but when she thought that the braised pig's trotters needed a lot of oil and a lot of materials, she politely declined Zhang Yan's kindness.

Pig trotters are not valuable, but oil and materials are valuable.

She saw that the ingredients used by Zhang Yan’s braised pig trotters were enough to buy a pound of high-quality pork belly.

She was reluctant to give her pig's trotters.

Of course, if Zhang Yan gave her the braised pig trotters, she would definitely not refuse.

Unfortunately, Zhang Yan would definitely not braised her with pig's trotters.
To be continued...