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913 Five types of insufficient blood supply to the brain(1/2)

 After Cao Binghe's 'enlightenment' from Du Heng yesterday, and after thinking for a long time and a night, he finally understood why Du Heng was angry yesterday, and also understood the problems that he had during this period, so his current mentality has been adjusted.

So when I saw Du Heng was angry, I knew what Du Heng was angry about, so I wanted to turn around and remind the colleagues behind me.

But Du Heng didn't give him this chance and just glared at him to silence him.

Cao Binghe's heart trembled because of Du Heng's eyes. He lowered his head and stopped talking. He began to pray silently for his two colleagues who had no eyes.

Because Du Heng's eyes at this time were much darker than yesterday when he was obviously angry.

This is a look he has never seen before in the long time he and Du Heng have known each other.

As soon as he shut up and remained silent, Du Heng in the front stood up straight and looked calmly and indifferently at the two people behind who were laughing and talking, "Doctor Liu, do you know the condition of this patient?"

?"

Dr. Liu, who was called, pretended to stand facing Du Heng, but said with a relaxed smile on his face, "This patient was hospitalized due to dizziness, headache, palpitation and fatigue. Dr. Cao diagnosed it as insufficient blood supply to the brain."
p>

After saying that, he proudly raised his eyebrows at the colleagues next to him.

It seems to be saying, you see, although I am chatting with you, my ears are not idle.

The colleague next to him actually responded with an expression, as if to say: You are still the best.

Du Heng saw all these small movements, but he pretended not to see them. Instead, he continued to stare at Dr. Liu and asked, "To be more specific, what type of cerebral insufficiency does this patient have?"

Um~~~~~

Doctor Liu was confused now because Cao Binghe didn't say anything just now.

Or should I say, Cao Binghe wanted to say it, but was stopped by Du Heng.

However, Dr. Liu was still not nervous at this time and replied with a smile, "Deputy Director Du, I can't answer this question because he is not my patient, so I don't know the specific situation."

Du Heng said softly, "Oh, I'm not your patient, so you don't need to understand.

Then you should analyze the specific situation based on the symptoms Dr. Cao just mentioned."

Um~~~~~

Dr. Liu was speechless again.

He did listen to Cao Binghe just now, but he listened selectively.

While he was joking with the people next to him, he also had to write down what other people said verbatim. This is impossible.

If he really had that ability, he wouldn't be standing here.

Du Heng glanced at Dr. Liu coldly, his displeasure evident in his expression. This also made Dr. Liu, who was smiling playfully, finally notice something was wrong and hurriedly stood in a more polite manner.

"Since we can't analyze it, let's change the question. It's just an endorsement. What are the conditions of insufficient blood supply to the brain?

Let’s talk about the corresponding treatment methods.”

Dr. Liu was silent for the third time. He even felt that his throat was a little dry. He swallowed hard to moisten it.

But I didn't want my mouth to be dry. There was no fluid in my mouth, and I could only make my Adam's apple move up and down in an exaggerated way.

Just looking at Du Heng's eyes that didn't let him go at all, Dr. Liu could only grit his teeth and said, "I have Qi deficiency, blood stasis, and excessive liver fire.

and many different categories.

Generally speaking, it is caused by cervical spondylosis, carotid artery or cerebral atherosclerosis. In addition, high blood pressure, hyperlipidemia and other diseases can also be caused.

In terms of treatment methods.



Du Heng's eyes suddenly widened when he heard this. He thought that Dr. Liu might not be able to answer any of them, or that his answers would be incomplete like at the beginning.

But he never expected that this person would actually come up with a description of this disease in modern medicine.

In fact, not only Du Heng was surprised, but Cao Binghe and the other ward rounds doctors were also surprised by Dr. Liu's answer.

This is a Department of Traditional Chinese Medicine, so the content of the answer must be related to Traditional Chinese Medicine, and what the patient is looking for must be the treatment method of Traditional Chinese Medicine.

If the patient wants Western-style explanations and treatments, why should he go directly to the Western medicine department? Why must he go to your Chinese medicine department?

Everyone suspected that Dr. Liu might not have expected that Du Heng would ask him questions, so he became nervous, which is why such a huge mistake occurred.

However, some people suspect that Dr. Liu may simply have poor basic skills.

But no matter what the possibility is, if you look for the root, you can actually find it in Director Wu’s head.

Because usually when he organizes ward rounds, he only questions the patient’s attending doctor and not other people.

Sometimes, it’s just to see if there are any problems with the attending doctor’s diagnosis and treatment, but there is no question-and-answer session at all.

Therefore, this allows everyone in the department to relax, and it also gives some people an opportunity to take advantage of it. They only need to understand their patients' symptoms and related connections to cope with Director Wu's ward rounds.

But not all ward rounds are conducted like Director Wu.

In addition to discovering, correcting, and supervising the treatment of the attending doctor, the director's ward rounds also have a teaching function, which is to improve the learning ability and professional ability of the undergraduate department.

Therefore, this question does not have a specific target or specific disease.

Du Heng was originally a little angry, but after hearing this answer, he was surprised and lost his anger.

He became very calm, so calm that he didn't want to talk to this person anymore.

He turned around nonchalantly, looked at Cao Binghe and asked, "How many days have you been admitted to the hospital?"

Cao Binghe cursed Dr. Liu in his heart. He was afraid that his grandson would annoy Du Heng and let Du Heng vent his anger on him.

So the first time he heard Du Heng's question, he quickly said, "It has been five days since the patient was admitted to the hospital."

"Have the symptoms been relieved? When will you be discharged?"

Cao Binghe glanced at Dr. Liu to see if he was going to vent his anger on me.

Although Cao Binghe had begun to complain, he still answered honestly, "Most of the symptoms have improved, but the patient is still dizzy, and will become light-headed and light-headed if he moves a little, so he needs to be observed for a few more days."
p>

Du Heng glanced at Cao Binghe and said softly, "The patient is flustered, fatigued, and has headaches. You diagnosed him with qi deficiency and blood stasis. There is no problem.

There are no problems with the treatment idea of ​​replenishing qi and activating blood circulation, and the selection and use of prescriptions."

He paused, and then said in a more serious tone, "But the patient also has problems with dizziness, dreaminess, and unreliable sleep, which are typical symptoms of liver yang hyperactivity.

Hyperactivity of liver yang is also a typical type of insufficient blood supply to the brain."

Having said this, Du Heng glanced at Cao Binghe, who had a look of understanding on his face, and felt relieved in his heart.

This kid was selected by Lan Changhua. In addition to his excellent learning ability, his adjustment and transformation of mentality is also a major advantage.

As for what I was worried about yesterday, it seems that I am a bit narrow-minded.

Then he smiled softly and said, "I changed the medicine this morning and replaced it with a prescription that nourishes yin and suppresses yang. Let's see the effect tomorrow morning."

Cao Binghe nodded, "Okay, I'll change it right away."

Du Heng hummed softly, then moved to bed No. 7.

Bed No. 7, in just three days, he has become the number one person disliked by everyone in the department.

Judging from the pattern of the past few days, this person is probably more familiar with the working system of medical care than the medical care itself.

Regarding the flaws and shortcomings in these systems, he seemed to be stuck in a bug, and the doctors and nurses who were tossing them dared to get angry but dare not speak out.

Du Heng treats this patient step by step.

Specifically, after the ward check, if the condition is almost recovered, then tough measures will be taken to discharge the patient as soon as possible.

If you can't solve the problem, then solve the people who created the problem.

If the recovery of the condition is not ideal, then use a gentle policy and have a heart-to-heart talk with him and share everyone's difficulties. I hope he can realize it with conscience and stop tormenting everyone.



Bed No. 7 was also hospitalized due to insufficient blood supply to the brain.

It's just that the patient in bed No. 6 has insufficient blood supply to the brain due to excessive liver yang and qi deficiency and blood stasis, while his has insufficient blood supply to the brain due to strong liver fire and kidney deficiency.

Although the former has symptoms of dizziness, palpitation, fatigue, and may appear top-heavy, people can control it and only need to stop or squat down to relieve the symptoms.

But this No. 7 bed is different. Excessive liver fire can easily lead to dizziness, while kidney deficiency and essence deficiency can lead to soreness and weakness in the waist and knees. If you are dizzy, your legs will become weak and you won’t even have time to stop. You will fall down immediately.

To the place.

This would be easier to say if it were at home or somewhere else.

But if this happens when crossing the road or getting on or off the bus, it will cost the driver his life.

Therefore, in his case, hospitalization is really the best option.

And there is another reason, that is, insufficient blood supply to the brain, which is particularly easy to induce stroke.

Stroke is also a stroke in the usual sense, so if you don't pay attention to it, if you really have a stroke and leave sequelae, this will be the most troublesome thing.

So from this point of view, hospitalization is the best option.

On another note, Du Heng has achieved results in treating the sequelae of stroke, so his long-term research and treatment must have a certain say in the pre-existing conditions of stroke.
To be continued...
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