Chapter 186 The study asks right, the preschool class is completed
Zhang's hometown, in the study.
There are still three people sitting across from each other. Mr. Chen is a pretty good companion. Although he doesn't speak most of the time in the study, his presence is very effective in setting the atmosphere in the study. How exactly?
It’s hard to say this, but it’s very important anyway.
Mr. Zhang did not talk about anything new today, but said to Xu Guangling: "I would like to say that I have already told you about some basic conditions of the human body, as well as common pathologies, etc., and this is the end for the time being.
, I’m going to test you today.”
Xu Guangling said with a bit of expectation and a bit of nervousness: "Teacher, please tell me!"
"Patient A, male, 28 years old, has no medical history or family history. He developed arrhythmia at the age of 26. The condition has become more and more serious in the past two years. He often feels dull pain and tingling in the heart area, and he has cardiac arrhythmias at noon every day.
Quick. I have been seeking treatment in many ways for a year or two, but with little effect."
Mr. Zhang said without any nonsense, "Please give an overview of this patient."
Xu Guangling pondered.
There is no personal medical history or family medical history, but arrhythmia and tachycardia occur, and the duration is as long as two years. Excluding temporary neurological and stress reactions, there is actually only one situation.
After sorting out his thoughts and words for about two minutes, Xu Guangling said slowly:
"The patient seems to be obese. The disease is initially determined to be fat accumulation. It is the proliferation of fat in the heart area, which leads to irregular heartbeats. It is the accumulation of fat in the blood and the deposition of blood vessels, which leads to tachycardia. It is the body that is overweight.
, the metabolism of the internal organs is imbalanced, causing the heart to be overloaded, resulting in dull pain and tingling in the heart area."
"If this situation continues, the patient will develop secondary hypertension, arthritis and other symptoms, lack of energy, and be afraid of the cold. However, at noon, the palms of the hands will become wet, and at night, the body will feel hot and other reactions."
"If this situation continues, the patient will have symptoms of low energy and restlessness throughout the day. It will not be until the body becomes hot at night that he can gain a short period of calm."
This is the basic analysis, and the next step is the response methods:
"Male, 28 years old, with no medical history or family history, you can consider fasting and dieting for rapid and forced weight loss."
"Get up before seven o'clock in the morning, drink a large glass of honey water or ginseng water on an empty stomach, based on 500ml, and then do exercise for half an hour or an hour, which can be walking, brisk walking, or
Wait on the spot with your legs raised high."
"Half an hour or an hour after exercise, have breakfast. Instead of eating staple food, eat a lot of vegetables to induce the decomposition of protein and fat in the body and remove impurities at the same time."
"Drink a cup of milk for lunch, based on 200ml. After drinking the milk, rest in bed for one to two hours. On the one hand, it allows the body to metabolize and replenish. On the other hand, it reduces the burden on the heart and avoids rapid heartbeat during this time."
"Continue to eat a lot of vegetables for dinner. If you feel hungry at first, you can use yam porridge, potato soup, etc. instead."
"Dinner time should be at least two hours before going to bed. When falling asleep, continue to drink a large glass of honey water or ginseng tablet water on an empty stomach. If you feel weak and tired, you can also take American ginseng lozenges or the like to sleep."
"In this way, after one to two months, the patient's physical burden will be significantly reduced, and problems such as arrhythmia and tachycardia are expected to be relieved and cured."
After Xu Guangling finished speaking, he waited for Mr. Zhang's judgment.
Mr. Zhang did not judge, but just nodded. In fact, he was not sure but noncommittal, and then continued to ask:
"Patient B, male, 34 years old, 174m tall, 62kg in weight, suffers from migraine, most of which occurs in the afternoon. Please give an overview of this patient."
Xu Guangling thought.
This second case is a little more difficult than the first case just now.
The first one just now, to use the parlance in the school, is a divided question. Anyone who has a little understanding of the operation of the body will not answer it wrong. The only difference is whether the answer is good or excellent. There is no problem if you pass the question.
. And this second one is not a problem, but it has already been comprehensively judged by the school.
There are many conditions for migraine.
But "Male, 34 years old, height 174m, weight 62kg" and "The time of onset of symptoms is mostly in the afternoon" are both filtering conditions. The former means that he is not obese, and the latter means that he is not neuralgia, so if there is no other reason
In severe cases, the patient most likely suffers from headaches caused by insufficient blood supply to the brain.
In addition, the fact that it is a migraine rather than a headache indicates that the patient's Qi and blood are both deficient and stagnant.
The patient's weight is within the standard range, neither thin nor obese, but Qi and blood are deficient and stagnant, which means that on the one hand, he lacks exercise, on the other hand, his diet and sleep may not be up to standard, or he may work too frequently, leading to
The energy dissipation is more severe.
If Qi and blood are both deficient, nourishment should be the main treatment; if Qi and blood are blocked, exercise should be supplemented.
Xu Guangling thought for a while and expressed this judgment and the treatment plan derived from it.
After listening to this, Mr. Zhang was still noncommittal, and then brought up the third case: "Patient C, male, 40 years old, suffering from frozen shoulder, lumbar disc herniation, and arthritis in his right leg. Please tell me about this patient."
The patient gives a review.”
After hearing this, Xu Guangling thought deeply for the first time.
This third case is a little more difficult than the second case just now, because the conditions it provides are more hidden. If you put it in the school examination paper, this is already an easy thing to lose.
It’s a divided question.
However, it cannot be called a problem yet.
Frozen shoulder, lumbar disc herniation, arthritis in the right leg, joint problems in the middle and lower parts of the body, then it is not a joint problem, but a systemic problem.
Frozen shoulder and lumbar disc herniation can be considered to be caused by long-term compression of the upper body.
But it is only arthritis in the right leg and not both legs, which rules out the previous judgment, so in the final analysis, this is still a symptom of Qi and blood stagnation, and it is stagnation due to deficiency, and on this basis there is a long-term lack of activity.
, causing "traffic jam" phenomenon throughout the body.
There are problems in the upper, middle and lower positions, which means that this situation is no longer temporary. When it develops into this situation, there should be no severe pain during the process. The symptoms are of a slow accumulation type. It is a long-term deficiency of qi and blood.
Stagnation will lead to organ imbalance, and organ imbalance will lead to further qi and blood stagnation.
Therefore, when frozen shoulder, lumbar disc herniation, and arthritis in the right leg all appear, it means that the patient's body is already in a very worrying situation. What is manifested is joint inflammation, and what is not manifested is joint inflammation.
It may be a hidden disease of the internal organs, and it is recommended to conduct a systemic examination of the body.
After Xu Guangling answered, without any pause, Mr. Zhang continued to ask the fourth question: "Patient D,..."
So, one after another.
The conditions provided were not getting less and less, but the symptoms of the patients were becoming more and more complex, with many bizarre cases that Xu Guangling had never seen or heard of before, and of course Mr. Zhang had never talked about it before.
But looking at the way Mr. Zhang asked questions so fluently, Xu Guangling felt that most of these cases should be real. They were probably cases that Mr. Zhang had actually encountered before!
Moreover, Mr. Zhang must have diagnosed it!
In other words, Xu Guangling felt that he was now comparing himself with the "number one miracle doctor in a thousand years".
Of course, there is no comparison. A big defeat is his only outcome, but Xu Guangling doesn't want to lose too badly, so he spends all his time answering every case, especially the ones he's not sure about.
All thoughts.
From patient a to patient g, from patient h to patient n, we were only halfway through the alphabet. Xu Guangling was already sweating on his forehead, and there was some hidden sweat on his back, although it was not as good as before after practicing Tai Chi in the morning.
His whole body was dripping with sweat, but in fact, Xu Guangling felt even more tired at this time.
Practicing Tai Chi only works the body but not the mind, and at this time, I was simply exhausted both physically and mentally.
Just when Xu Guangling was secretly worried about whether he had enough energy to deal with more cases in the future, he saw Mr. Zhang smile slightly, and there seemed to be a hint of cunning in that smile. Well, Xu Guangling didn't either.
I know if I saw it wrong.
Then he heard the old man say: "Okay, I'll stop here today."