The next morning, Zhang Bandong arrived at the clinic almost immediately with Li Jiagen and the others, and assigned the driver Xiaobai to clean up the clinic with Li Jiagen and the others. This made Li Jiagen feel that this guy seemed to be more attentive to him.

It's just that Li Jiagan couldn't figure out why this guy was more attentive to him.

After cleaning up the clinic, Li Jiagen and the others held a simple morning meeting, and then Li Jiagen went upstairs to face the patient Zhang Bandong alone.

First, Zhang Bandong was examined in detail again, and then he started to give him massage. During the massage, he sorted out his magnetic field, and then started to give Zhang Bandong acupuncture. After inserting the needle, he observed carefully and asked Zhang Bandong

Feeling the same, I started to give him Chinese medicine.

Zhang Bandong really wanted to talk to Li Jiagan about what the problem of heart failure was (the doctor from the big hospital gave him a casual explanation, but he didn't quite understand), but he didn't dare to disturb Li Jiagan. Whether Li Jiagan was acupuncture or

While preparing the medicine, apart from asking him how he felt, he seemed to be meditating on something the rest of the time, probably thinking hard about his condition.

In fact, it is very easy to understand the problem of heart failure using Western medicine. It means that the heartbeat of the patient has weakened, and it is divided into left heart failure and right heart failure.

Left ventricular heart failure cannot pump enough blood back from the veins back to the right ventricle, through the lungs, and then to the left ventricle, which can easily lead to pulmonary congestion (patients will naturally have difficulty breathing), and then the left ventricle cannot pump enough blood.

Pumping out blood means that the body's tissues cannot be fully irrigated by blood, and the patient will naturally become weak and oliguric due to reduced blood flow to the kidneys (so it is easy to cause edema in the patient).

Right ventricular heart failure cannot fully withdraw the blood that flows through the liver and returns to the liver, which will cause blood stasis in the liver and blood stasis in the systemic circulation (which will also cause edema in the patient).

Medical students will memorize the phrase "left lung and right body", which refers to this situation.

Heart failure of the left and right ventricles often affects each other. Over time, both the left and right ventricles will fail, causing more systemic complications and symptoms. The main symptoms of early-stage patients are palpitations, difficulty breathing, general fatigue and

Edema of the lower legs.

(These symptoms have actually appeared in Zhang Bandong, but in local terms, Zhang Bandong is so big-hearted and stubborn that he doesn’t notice it at all, or sometimes he doesn’t pay attention to it at all when he notices it.

.)

Well, heart failure is just like this according to Western medicine theory, and it’s easy to understand.

But it is not easy for people to understand if we use the theory of traditional Chinese medicine to talk about heart failure.

Traditional Chinese medicine believes that heart failure is caused by heart yang deficiency, heart yin deficiency, or heart qi deficiency.

Except for heart-qi deficiency, which is relatively easy to understand, heart-yang deficiency and heart-yin deficiency are really hard to understand.

According to book theory, yin deficiency simply means insufficient yin. Yin deficiency usually refers to a series of pathological changes and syndromes caused by insufficient yin fluid, which cannot moisturize and control yang. Clinically, it can be seen that yin does not control yang, leading to deficiency heat.

, such as low-grade fever, heat in the palms and soles, afternoon hot flashes, and night sweats. With the loss of Yin fluid nourishment, symptoms such as dry mouth, dry throat, irritability, insomnia, dizziness, tinnitus, etc. will appear. The tongue and pulse will be red with less coating and a thready pulse.

Count etc.

In simple terms, Yang deficiency refers to Yang deficiency, which refers to the pathological phenomenon of deficiency of Yang Qi in the body, reduced function or weakness, decreased metabolic activity, low body response, and insufficient Yang heat. Yang Qi has the effect of warming the body's internal organs. If Yang deficiency, then

Decreased body functions are prone to pulse syndromes of deficiency and cold, common ones include spleen yang deficiency, kidney yang deficiency, etc. The main syndrome of yang deficiency is symptoms of deficiency and cold, such as aversion to cold, cold limbs, pale complexion, rotten stool, long clear urine, and weak pulse

Shen Weiwei waits.

The vast majority of heart failure is caused by heart yang deficiency.

That is to say, due to insufficient heart yang, the heart function is reduced or weakened, metabolic activity is reduced, and the body's response is low.

This is the basic interpretation of yang deficiency and yin deficiency and heart failure in traditional Chinese medicine, but it is only a "basic" interpretation.

Most people can understand it to this extent, but if a traditional Chinese medicine doctor only understands heart yang deficiency and heart yin deficiency to this point, and wants to treat heart failure with such superficial knowledge, it will delay the patient's treatment.

I'm sick!

When facing a patient with heart failure, his yang deficiency and yin deficiency are often not as simple as either/or. Many times his body has both yang deficiency and yin deficiency, often mixed with qi deficiency and yin deficiency.

Blood deficiency requires careful identification of which parts of the patient have Yang deficiency, which parts have Yin deficiency, which systems have Qi deficiency, and which systems have blood deficiency, and then treat the causes and symptoms respectively.

This undoubtedly brings great challenges to medication, acupuncture and massage. It not only requires you to coordinate the treatment of each part from the perspective of the patient as a whole, but also requires you to take care of the patient's overall condition during local treatment.

This requires the use of the core idea of ​​dialectical treatment of traditional Chinese medicine. The theory of internal organs and five elements of traditional Chinese medicine is actually the most important thing to provide you with the internal connection rules of the entire body.

If you just roughly determine whether the patient has Yang or Yin deficiency and then treat it, the curative effect will naturally be greatly reduced, and it may even seriously delay the patient's condition and lead to catastrophe.

Although Li Jiagan can directly sense and distinguish the yin and yang qi and blood in the patient's body with his special magnetic field ability, which provides great convenience for his subsequent treatment, when formulating the specific treatment plan and carrying out the treatment, he

He still had to be cautious, especially since medication was his shortcoming. Although he had already consulted Professor Tang in this regard, Professor Tang was not around after all and did not make a timely diagnosis for Zhang Bandong at this moment, so he

Professor Tang's suggestions could only be taken by Li Jiagan as suggestions, and he mainly relied on his own judgment.

Therefore, when Li Jiagan was dispensing medicine for Zhang Bandong, he was extremely cautious and used his brain. He kept thinking deeply and was not in the mood to chat with Zhang Bandong.

That morning, Li Jiagan gave Zhang Bandong massage, acupuncture, and took a total of one and a half hours to prepare medicine. Before Zhang Bandong left, he checked him again and told him to call him if he felt anything, and then let him go.

After leaving, this was the first heart failure patient he had treated, and Li Jiagan did not dare to be careless.

After sending Zhang Bandong away, Li Jiagan listened to Chen Yuqiao tell him the information he had "spyed" from the clothing store next door, saying that the neighbor really didn't want to work anymore, and no one wanted to sublet it yet, so Li Jiagan looked at the patients who didn't need his help.

During my free time, I went to the Yanggou Village Committee Office on the fourth floor.

The lease of his clinic is expiring next month this year. In addition, he wanted to rent the clothing store next door, so Li Jiagan thought of saying hello to the village committee in advance.

I originally wanted to take two cigarettes, but I felt that it was inappropriate to hold two cigarettes in broad daylight. Besides, it was just a matter of renting a house. As a fellow villager, this seemed a bit too much.

.

The Party Secretary is not here, and the only village leader is Wu Xize, the village chief. He is about fifty years old, of medium height. He tends to tilt his head and squint his eyes when looking at people, but depending on who he is facing, he seems not to be facing important people.

This habit.

Li Jiagen saw that the old guy was looking at him with a sideways look, so he greeted Uncle Wu and responded with a soft voice. He handed him a piece of Huazi and helped him light the fire, but he refused.

I just put it aside for the time being. Well, looking at this situation, it seems a bit difficult to handle?

Li Jiagen didn't want to talk to this old guy for the time being. He planned to talk to the party secretary first before looking at the situation. Although it was just renting a house, it would probably be a bit difficult to deal with if someone was unhappy and acted mischievously for you.

.

Unexpectedly, he didn't want to talk anymore, but Wu Xize asked first.

"Xiao Li, sit down, what's going on? Is it about renting a house?"

Li Jiagan had no choice but to smile and said: "That's it. Isn't the lease term of my clinic coming up soon? I want to renew the lease contract."

"It's okay to renew the lease, but starting from this year the rent will all go up. For a clinic like yours, the rent will have to go up by half." Wu Xize said seriously.

After hearing this, Li Jiagan became angry. Now the rent is already high enough, but it has to be increased by half? Then his current store will cost more than 200,000 yuan in rent? This appetite is too big

Already?

After suppressing his anger, Li Jiagan didn't say anything. He stood up and said with a smile, "Uncle Wu, you're busy, I'll leave first."

Then he walked out of the office in a very clean manner, without saying another word to Wu Xize.

Wu Xi was stunned, looking at Li Jiagan striding away with a gloomy face.

After leaving the village chief's office, Li Jiagen called Party Secretary Guo Gang, who was also in his fifties, to inquire about the renewal of the rental contract. Guo Gang said that the village committee would have to study this year's rent before making a decision.

Listening to this voice, it seems that he also wants to raise the rent.

Haha, it’s so fucking interesting that the villagers are given so little of the rental income, but the rent for the tenants keeps increasing.

Li Jiagan didn't want to talk to them about this anymore. Some time ago, a patient recommended to him a row of newly built buildings on Shengli Street near Dongshan. The rent for the same area of ​​​​houses was only one-third of that here, and the contract was still there.

It can be signed for twenty years, but because it is a bit remote there, it is far away from his new house, his parents' home and Chen Yuqiao's home (it is closer to Zhou Fangqin's home), and Li Jiagan doesn't want to lose his life here for many years.

customers, so I didn’t consider moving there.

In this situation, where should we move?

As soon as he moved there, his business would definitely drop again, but in the long run, as long as he, Li Jiagan, made a name for himself in his medical skills and the clinic ran well, he wouldn't have to worry about not being able to recruit patients, and no one would be able to treat minor illnesses.

I am willing to travel so far to see a doctor, but the condition is a little more complicated. As long as I can trust their clinic, I will go even more if I go two more steps. People are still willing to travel a little further to a restaurant with good food and a barber shop with good haircuts.

Well, let alone seeing a doctor?

When he went there, he rented a house six or seven times the size of his own, and signed a twenty-year contract. This would be enough to build a small private hospital in the future. If it is not used for the time being, he could sublet a few rooms for a short period of time, and it would not be financially difficult.

How much loss.

It's just that Chen Yujiao went to the clinic. Taking care of her little son is a problem, but there won't be many patients for the time being. If we build a staff dormitory there, the sisters and Zhou Fangqin can live there normally, and the child can also live there.

Take care of yourself nearby.

After thinking about it for a while, Li Jiagen returned to the clinic and talked to Zhou Fangqin and Chen Yuqiao. Both of them fell silent. The rent was too high to continue renting here, but moving to Dongshan Shengli Street would obviously have a great impact on the business. How?
Chapter completed!