The new medical treatment process was implemented on the first day. On the first day, Chen Yujiao arranged for Zhou Fangqin to be Li Jiagen's assistant.

Li Jiagen estimated that Chen Yujiao had carefully considered why he chose Zhou Fangqin.

First, probably out of a sense of balance. In this small clinic, she and her sister Chen Yuqiao are his "connections" with Li Jiagan. The only outsiders are Zhou Fangqin and Zhou Zhengkai. They don't want to leave others feeling that they are a little excluded.

impression.

The second is to let Zhou Fangqin set an example for her sister Chen Yuqiao. After all, Zhou Fangqin is more stable and mature than her sister Chen Yuqiao, and because of personal relationships, she will not appear casual to Li Jiagan's words and deeds in the clinic. This is conducive to

He, Li Jiagen, cultivates an impression of authority in front of patients.

Well, Li Jiagan is still very satisfied with Chen Yujiao's arrangement.

After Zhou Fangqin was arranged to be Li Jiagen's assistant on the first day, she immediately began to perform her duties. Because Li Xiaomin was Li Jiagen's patient yesterday, she first arranged for Li Xiaomin to see Li Jiagen.

Li Jiagan briefly checked and asked Li Xiaomin. He found that the medicine was very effective and he would not change the prescription for the time being. Then he called Chen Yujiao to give Li Xiaomin acupuncture. He stood aside and softly guided which parts to acupuncture in a tone of introduction to the condition.

As for acupuncture, Chen Yujia was on the side to give Li Xiaomin acupuncture.

Li Xiaomin's course of treatment will be longer, and she can usually use more common acupuncture techniques. At critical times, Li Jiagan himself will give her acupuncture, which will greatly reduce the cost of treatment, because letting Chen Yujiao give her acupuncture will naturally cost more.

The cost of acupuncture was much lower than that of Li Jiagan himself. Li Jiagan also explained these to Li Xiaomin, and Li Xiaomin agreed.

Then Zhou Fangqin arranged for the second patient to come up, and she also handed the second patient's four diagnosis records to Li Jiagan.

The second patient is also a female patient, surnamed Wen, 33 years old, from the county town. She came here yesterday. She stayed in a hotel overnight because she didn't get any medical treatment, so she came very early this morning.

Li Jiagen lowered his head and looked at Zhou Fangqin's four diagnosis records of Ms. Wen. This female patient had been suffering from low-grade fever for three months, and her body temperature had been hovering around 37.5°C. No substantial lesions were found in the county and city hospitals, and the white blood cell count

6.9×109mol/L, neutrophils 0.72, lymphocytes 0.28. Liver function was normal, and no abnormalities were found in chest X-ray and various examinations.

In other words, Western medicine cannot detect what is wrong with Ms. Wen.

Then Ms. Wen went to several doctors of traditional Chinese medicine for treatment, but no obvious effect was seen, so this time Ms. Wen also heard about Li Jiagen and came here.

Ms. Wen's current condition is: dizziness, shortness of breath, laziness, spontaneous sweating, less sleep and more dreams, fear of wind and cold, dull complexion, and palpitations.

Zhou Fangqin’s diagnosis of Ms. Wen’s tongue was: pale tongue with little coating.

Li Jiagan asked Ms. Wen to stick out her tongue and take a look, which was consistent with Zhou Fangqin's diagnosis.

Zhou Fangqin’s pulse diagnosis of Ms. Wen was: thin pulse.

Li Jiagan checked Ms. Wen's pulse and found that her pulse was stringy and thin.

Due to the short time, Zhou Fangqin did not have time to diagnose Ms. Wen.

Well, I'm afraid she's not very good at identifying syndromes yet.

After taking the pulse examination, Li Jiagan sat quietly and meditated. He looked calm on the outside, but his brain was running very fast.

Since the county and city hospitals have conducted various examinations on Ms. Wen and found nothing wrong, it means that Ms. Wen does not have major organic diseases, so he is not going to give Ms. Wen a physical examination today.

However, although Ms. Wen's disease does not seem serious, it has stumped city and county hospitals and several traditional Chinese medicine doctors. It is obviously a difficult and complicated disease. Doctors are afraid of encountering a critical illness, but they are even more afraid of encountering difficult and complicated diseases.

Symptoms, because once you encounter a difficult and complicated disease, it seems to be a difficult problem for you to sort out your thinking, which is enough for you to scratch your head and scratch your head.

However, Li Jiagen feels very excited every time he encounters such difficult and complicated diseases, as if he has returned to his past school days when he loved solving difficult problems.

Pale tongue and less coating?

A pale tongue with less coating is generally caused by a weak spleen and spleen and stomach yin deficiency, and the spleen and stomach fluids cannot flow up to the tongue. Therefore, this can also be regarded as a symptom caused by a syndrome of qi and yin deficiency.

This syndrome is basically consistent with the stringy and thin pulse.

A stringy pulse is more common in liver disease, pain, and phlegm. A thin pulse is more common in Qi and blood deficiency, and dampness. A stringy and thin pulse is more common in liver and kidney yin deficiency, blood deficiency, liver stagnation, liver stagnation, spleen deficiency, and qi and blood deficiency.

Here the deficiency of spleen and blood coincides with the condition of the tongue.

Combined with the patient's many symptoms, dizziness, less sleep and more dreams, a dull complexion, and long-term low-grade fever that persists can all be caused by Qi and Yin deficiency.

The spleen is responsible for promoting the Qing Dynasty. A weak spleen cannot send the Qing Qi to the upper orifices, which will naturally cause dizziness.

If the liver and kidney yin are deficient and the blood does not flourish in the liver, it will naturally cause less sleep and less sleep. At the same time, the liver stores the soul. If the blood does not flourish in the liver, the soul will naturally be restless and have many dreams.

As for the lack of luster in the complexion and long-term low-grade fever, it can naturally be caused by Qi and Yin deficiency.

If there is little blood due to yin deficiency, how can the face be shiny?

Deficiency of yin will inevitably lead to false exuberance of yang, and the deficient fire will spread outward and become trapped in the skin. Qi deficiency will not be able to send the deficient fire outward, and naturally a low-grade fever will persist for a long time.

As for shortness of breath and laziness, it is a sign of Qi deficiency.

Only fear of wind and cold can be understood as a sign of weak Wei Qi that cannot withstand external wind and cold, or it can also be understood as a sign of Yang deficiency.

Blood is yin, qi is yang, and qi deficiency can naturally be understood as yang deficiency.

…

Damn it, Ms. Wen seems to have a minor illness whose main symptom is long-term low-grade fever, but it is a syndrome that combines yang deficiency, yin deficiency, qi deficiency, and blood deficiency. No wonder it stumps the doctors at the city and county hospitals.

Doctors and several Chinese medicine practitioners!

The diagnosis is quite tricky, but the treatment is an even more delicate and complicated task!

However, the more complicated the disease, the more important it is to grasp the main contradiction and then sort it out step by step.

Now Ms. Wen's disease is characterized by deficiency of both yin and yang, qi and blood. It seems that yin deficiency and blood deficiency are more severe. In fact, yang deficiency and qi deficiency are the main problem!

Why?

First of all, although one of the causes of long-term low-grade fever is yin deficiency, in turn, long-term low-grade fever is also a reason for yin deficiency!

To solve this long-term low-grade fever, we need to replenish yang and qi, and at the same time relieve the superficial fire, so as to get rid of the weak fire trapped in the skin!

Therefore, to treat Ms. Wen’s disease, the first priority is to warm Yang and replenish Qi!

"What? My illness has also troubled Dr. Li, who is known as the little miracle doctor of Liuta Town?" Ms. Wen saw Li Jiagen sitting silently for a while, so she whispered, "It seems that I have to go to the magic city in Kyoto."

It’s a big hospital in a big place, but it’s hard to find famous doctors in this small place.”

Chen Yujiao, who was giving Li Xiaomin acupuncture, glanced at Li Jiagan and said nothing after hearing what Ms. Wen said. However, he felt a little disgusted with Ms. Wen. This woman looked just average. How could she still give people a sense of superiority even though she was sick?

?Where does this sense of superiority come from?

Li Jiagan stood up and said calmly: "Ms. Wen, lie down and I will give you a massage and then give you acupuncture and medicine."

"Then Dr. Li, can you cure my disease? If not..."

"How much do you plan to spend on Ms. Wen's medical treatment in Kyoto?" Li Jiagan said with a smile.

"It must cost a hundred or eighty thousand."

"Well, if I can cure Ms. Wen's disease, I won't charge more for your treatment. How about I pay one-tenth of the cost of going to Kyoto and Magic City as you said? I sometimes give it to the big boss.

A massage is more than 10,000 yuan, so just charge the same as a big boss for your treatment. I think Ms. Wen is also a rich person."

"What if Dr. Li can't cure it?" Ms. Wen asked.

"If you can't cure it, I won't charge you any money. I'll even pay for the medicine myself, okay?"

Being slapped in the face in front of Chen Yujiao made Li Jiagan really angry.

"Okay." Ms. Wen pursed her lips and said.

"Ms. Nawen, lie down first, and I will give you massage and acupuncture first." Li Jiagan made a gesture of invitation.

So Ms. Wen saw Li Jiagan’s signature treatment methods of closed-eye massage and closed-eye acupuncture.

An hour later, when Li Jiagan finished giving Ms. Wen acupuncture, he immediately took Ms. Wen's temperature, which was 36.5 degrees!

"The body temperature may rise again." Ms. Wen said with a pale face and bit her lip.

Li Jiagen smiled and said: "Okay, Ms. Wen, if you are really afraid that I can't cure your disease, please leave. I won't accept this money from you, please!"

"Hey, you two, stop joking..." Chen Yujiao hurriedly tried to smooth things over.

However, her words were interrupted by Li Jiagan: "I'm not kidding, Ms. Wen, you either fulfill the agreement or leave. That's my personality. Anyway, you have a minor illness, and your temperature has dropped now.

You don’t have to pay a penny to leave and you still make money.”

Ms. Wen's face suddenly turned red again, and she whispered: "Doctor Li, I was wrong. I take back what I said before."

"Okay, then I was just joking with you." Li Jiagan said with a calm smile.

There is no point in arguing with a woman. Besides, Ms. Wen is very fashionable in her clothes, but Li Jiagan can tell at a glance that she is not a rich person. It is really difficult for her to pay 10,000 yuan for a treatment.

, Li Jiagan also cured her little problem of showing off.

Of course, she can't get rid of her pretentiousness, Li Jiagan, as long as she doesn't pretend to be pretentious in front of him in the future.

Next, Li Jiagan sat down and prescribed medicine to Ms. Wen. The main symptom of Ms. Wen's disease is that her body has always been weak, and the yang energy cannot be expressed outside and is trapped in the skin, so the low-grade fever cannot subside for a long time. The treatment should be to warm the yang, nourish the qi, and reconcile the interstitium.

He prescribed Guizhi Decoction for her. Guizhi Decoction (cinnamon twig, peony, licorice, jujube, ginger) has the effects of pungent and warming, relieving the skin, relieving muscles, and mediating the nutrition and health. Li Jiagan also added Codonopsis pilosula,

Schisandra chinensis and ginseng are used to replenish qi and reach all the bones, which is suitable for the lady's illness.

After giving Ms. Wen instructions on how to prepare and take the medicine, Li Jiagan added: "I'll be fine if I give you acupuncture three times."

"Doctor Li, I'm sorry." Ms. Wen apologized to Li Jiagan again.

She has come to her senses now. She can't offend anyone like Li Jiagan, a local miracle doctor. She might even have to ask someone else's name in the future.

Alas, this habit of pretending to be realistic is very harmful. She must pay attention to it in the future. At least she must understand the target and the occasion when pretending to be realistic. Ms. Wen thought to herself secretly.
Chapter completed!