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Chapter 207: To complete the pretense calmly

Upstairs of Li Jiagen Clinic in Liuta Town.

Of course, Niu Yige, Guo Meiru, Wang Erping and others came here mainly to see a doctor, and the gift of the banner was just incidental.

Once he started to look sick, Li Jiagen calmed down. This made Wang Erping and others who saw Li Jiagen for the first time finally have the impression of Li Jiagen as a doctor. Otherwise, he had a slight knife mark on his lower jaw.

Scar, the whole person was laughing and joking when talking to them, making them feel that Brother Niu Yi and Guo Meiru had exaggerated Li Jiagen's medical skills?

Such a person is actually a little miracle doctor? They really don't believe it. It's more like a little ruffian.

But now that Li Jiagan had calmed down, he was in a completely different state. How should I put it? He seemed to have the unique temperament and manner of a doctor all of a sudden, which finally made them look forward to Li Jiagan again.

Li Jiagan first diagnosed Niu Yige.

Brother Niu Yi was suspected to have pulmonary embolism by the Provincial Hospital again. As soon as he went upstairs, Brother Niu Yi put away his usual smiling face and became a little worried. His wife who accompanied him was even more frightened.

color.

Pulmonary embolism is a disease with a high risk and recurrence rate. If an embolus breaks off and enters the pulmonary artery in the veins of the pelvis or lower limbs, a second embolus may break off and enter the pulmonary artery.

For pulmonary embolism, Western medicine treatments are divided into reperfusion therapy and anticoagulation therapy.

Because the risk of bleeding is very high, reperfusion therapy is only used when the patient is in a critical stage such as shock. It is divided into three treatment methods: thrombolysis, interventional and surgery.

Patients in critical stages generally use anticoagulant therapy. Anticoagulant therapy uses anticoagulant drugs to stimulate the body's own anti-thrombotic mechanism. To put it bluntly, it actually dilutes the patient's blood and makes the patient's blood very thin.

But in this way, patients are actually very prone to bleeding, but the risk of bleeding is less than that of thrombolytic treatment. However, during the anticoagulation period of at least three months, the patient's body must be closely monitored to prevent bleeding. Generally,

Monitoring is required every three or four days, which is extremely troublesome and dangerous. An accidental fall may cause massive bleeding!

Therefore, Brother Niu Yi, who was suspected of having a recurrence of pulmonary embolism, was really depressed at this time. With this disease, he felt like he was like a glass vessel that might be broken at any time.

Moreover, the key three-month anticoagulation treatment is not a permanent cure, but only a temporary treatment. After the anticoagulation period is over, it does not mean that you are absolutely safe. There is still a possibility of recurrence of pulmonary embolism. It feels like this

There's no end to this!

So after going around the provincial hospital, Brother Niu Yi decided to come to see Li Jiagen.

People are like this, as long as you help him once, you will become his hope. What's more, Li Jiagan single-handedly pulled Brother Niu Yi back from the edge of death last time in the county hospital, and Li Jiagan

The performance during that rescue process can no longer be described as perfect, it is simply a miracle! So Brother Niu Yi has great hopes for Li Jiagan this time, hoping that he can keep him away from the dangerous disease of pulmonary embolism.

disease!

And Niu Yige's wife looked at Li Jiagan with longing eyes. In the eyes of this ordinary rural woman, Li Jiagan had become a savior of her family's Lao Niu. She hoped that Li Jiagan could truly save her man from the dangerous and abominable lung disease.

Pull out from the shadow of embolism!

"Dr. Li, you don't know. The experts in the provincial hospital heard that Dr. Li massaged away the embolus in my old cow's lungs with just one hand. They stared and said it was impossible! They also said

Or the blind cat has met a dead mouse..."

As soon as Mrs. Niu said this, Brother Niu Yi coughed vigorously, which made Li Jiagen laugh: "Haha, they can say whatever they want. As long as Teacher Niu is healthy, it doesn't matter."

."

"That's right," Sister Niu rolled her eyes at Brother Niu Yi, "I think Doctor Li is a real miracle doctor and he will definitely cure my old Niu!"

Li Jiagan hurriedly waved his hand and said: "No one dares to guarantee medical matters. I will check it with Teacher Niu first."

After inspection, tongue examination and pulse examination, Li Jiagan looked at some examination records brought by Brother Niu Yi from the provincial hospital and asked about Brother Niu Yi's current situation and feelings.

"Is Teacher Niu still taking Xuefu Zhuyu Decoction and Dingchuan Decoction?" Li Jiagan asked.

This was the prescription he gave Brother Niu Yi when he was rescuing him at the county hospital, and it was approved by Dean Wang Zhongshan.

Brother Niu Yi waved his hand in embarrassment and said: "The doctor at the provincial hospital asked me to take anticoagulation and said I couldn't take other medicines, so I had to stop."

Li Jiagan pondered for a moment and then asked: "How does Teacher Niu feel now?"

"I still feel chest tightness, shortness of breath, lack of energy, and not much strength." Brother Niu Yi replied seriously.

Li Jiagan nodded. Niu Yige had a pale tongue with thick white coating and a stringy and thin pulse. This was still a symptom of Qi deficiency and internal stagnation of phlegm and heat.

However, for him, the more reliable means of diagnosis is naturally physical examination.

Then Li Jiagen performed a physical examination on Brother Niu Yi. Except for Guo Meiru, everyone else was surprised again. The doctor's way of examining people was so strange.

After giving Brother Niu Yi a physical examination, Li Jiagan pondered for a while and said: "Teacher Niu, let me put it bluntly, if you want anticoagulation, it will probably take more than a year in your case, and no one can guarantee what complications will occur.

Will it cause severe bleeding?

If you want me to treat you, you can no longer continue anticoagulation, because my treatment will definitely focus on replenishing qi and blood and removing stasis, and qi is the leader of blood, and qi will promote blood flow faster.

This is likely to conflict with anticoagulation and easily cause bleeding.

Moreover, anticoagulation will damage Qi and blood.

Therefore, my treatment based on traditional Chinese medicine is contradictory to your Western medicine anticoagulation. You can only choose one. You should consider it first."

After Li Jiagan finished speaking, Brother Niu Yi and others were silent for a while. Brother Niu Yi asked: "Doctor Li, if I ask you to treat me, how long will it take? What issues need to be paid attention to during the treatment?"

"It should take more than two months, but it is divided into four courses of treatment, each time about ten days apart. During these ten days, you must let me check you in person at least once to ensure that I know your situation clearly.

Ensure your safety." Li Jiagan said.

Brother Niu Yi and others fell silent after hearing this, and Li Jiagan stopped talking. For Brother Niu Yi, this is indeed an issue that needs to be seriously considered. On the one hand, the Western Medicine Department of the Provincial Hospital has naturally formed an authoritative impression in people's minds.

The treatment method included a young Chinese medicine doctor whom he had just come into contact with but who miraculously saved his life.

It is indeed difficult to decide whose advice to listen to.

Most people will naturally choose provincial hospitals.

The room felt a little cold for a while.

Guo Meiru said: "Teacher Niu, please think about it first. Doctor Li, can you check it for me first?"

Li Jiagen then examined Guo Meiru. A quick glance at Guo Meiru revealed that she was thinner. With her good-looking appearance, Li Jiagen could see that her complexion did not have much luster under her foundation.

In addition, the tongue is pale with tooth marks on the edges, the coating is yellow and thick, and the pulse is stringy and heavy.

Well, what a pity for a beautiful woman.

"Shall I give Teacher Guo a physical examination?" Li Jiagen said to Guo Meiru after checking the pulse.

Several other people were a little dazed after hearing this. They all now know that Li Jiagan's physical examination is a bit special. If Li Jiagan is asked to perform a physical examination on Guo Meiru, then... touch everywhere?

"A doctor has the heart of a parent, and besides, there is no male or female in the heart of a doctor." Guo Meiru said these two sentences with a faint smile, then lay down on a hospital bed and closed her eyes.

Li Jiagen still closed his eyes and gave her a physical examination. After the physical examination, Li Jiagen looked at Guo Meiru and said, "Mr. Guo has chronic congestive and erosive gastritis?"

"Ah?" Guo Meiru was stunned upon hearing this, "Doctor Li can even detect this?"

Isn't this just a matter of going to the hospital and doing a lot of tests with instruments and equipment? Li Jiagen could check it out just by looking at his tongue, taking his pulse, and then closing his eyes and touching his body.

Was it diagnosed without even a consultation?

This is so amazing, isn’t it?!

Others were stunned when they heard what Guo Meiru said. They knew that Guo Meiru had this problem. She told them about it on the way here, but no one told the doctor at the clinic when they came here.

What's this?

How did he check it out?

It's horrifying to think about it, the doctor at this clinic can even detect such specific conditions in the patient's body? What kind of medical skill is this?

Seeing that everyone was stunned, Li Jiagan's expression remained calm. He had deliberately used this hand to shock these people, but now he had to use a calm and calm face to complete his appearance.

"These are all the basic skills of a doctor." He said calmly, and then began to seriously examine Guo Meiru.

Guo Meiru now respected Li Jiagen. After Li Jiagen asked her, she told Li Jiagen her situation very seriously.

Li Jiagen listened and made some notes on the computer. He had epigastric fullness, pain, aversion to cold, and a preference for warmth. It had been on and off for several years. Now it was caused by drinking. He had epigastric pain, fullness, desire to vomit, poor appetite, and poor appetite.

Dry mouth and bitter taste, dry and hard stools, severe pain when exposed to cold (cold).

I have tried other traditional Chinese and Western medicine doctors, but they have no effect.

After Li Jiagen finished recording on the computer, she asked other doctors about their diagnosis and treatment. Most of them were caused by wrong medicines, and two of them were correct, but the dosage should not be in place.

"From the perspective of traditional Chinese medicine, Teacher Guo's disease should be caused by yang deficiency and heat, combined with cold and heat." Li Jiagan pondered for a while and said, "I will give Teacher Guo a massage, then acupuncture three times, and then just take medicine."
Chapter completed!
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