Zhang Xiali went to the second floor still wearing sunglasses and had no expression on his face.

But at this time, Li Jiagan put aside his preconceptions about her, because he noticed that under the surface, this woman looked calm and even indifferent, but she was actually suffering from tremendous pain. Her facial muscles were stiff, but she still

You can see the twitching of muscles, and even the eyes behind the sunglasses are shrinking and dilating from time to time. Looking at it like this, it is obvious that the pain is really not small.

Seeing her like this, Li Jiagen guessed that she was either suffering from a headache or a toothache. The toothache was more likely because Li Jiagen saw that her right cheek was slightly swollen.

signs.

As the saying goes, toothache is not a disease, but the pain can be fatal. Toothache is really painful, and some extremely serious toothaches can even be remembered for a lifetime!

Li Jiagen himself had an experience of severe toothache. The feeling still makes Li Jiagen shudder when he thinks about it. The kind of heart-breaking pain that involves the nerves in his head rushes straight into his forehead, as if it is going to lift the Tianling Cap directly, or even burst the Tianling Cap.

The terrible pain is so severe that one almost faints from the pain!

It seems that Zhang Xiali is holding on hard at this time. She can walk up quietly wearing sunglasses, stand there quietly, and try not to make too many expressions. She is already a woman with some restraint.

"Are you Dr. Li Jiagan?"

The young woman who looked like Zhang Xiali's secretary or assistant took a step forward and immediately recognized Li Jiagan sitting there and asked.

"I am." Li Jiagan stood up and said gently.

"Well, can we let you do a separate diagnosis?"

The young woman glanced at Jiang Manfu and Ji Qingcheng and said.

After listening to this, Li Jiagan looked at Jiang Manfu and Ji Qingcheng, and the two went downstairs a little resentfully.

Some people value privacy more and should still respect it appropriately.

Watching Jiang Manfu and Ji Qingcheng walk downstairs, the young woman was about to talk to Li Jiagen, but Li Jiagen looked at Zhang Xiali and said to the young woman, "Is this a toothache?"

"It's a toothache." The young woman answered Li Jiagan in surprise, thinking that although Dr. Li was young, he seemed to be very observant. He should really have two toothbrushes, right?

"Do you know what kind of toothache it is? I'll give her acupuncture first to cure the toothache and then do a detailed examination." Li Jiagan said.

According to Western medicine, the main causes of toothache are inflammation and tooth decay. Inflammation is divided into acute pulpitis, gingivitis and periodontitis.

Traditional Chinese medicine has dug deeper and more complicated into the causes of toothache. There are three main causes.

First, the evil toxins of wind and fire invade and damage the teeth and gums. The evil accumulation persists, qi and blood are retained, and blood stasis blocks the veins, resulting in disease.

Volume 4 of "Surgery Zhengzong" says: For patients with dental disease, wind, fire, and Yangming dampness and heat can all cause it. For patients with wind pain, edema will occur when encountering wind, followed by pain, which can be treated with Xiaofeng Powder.

The second is that the stomach fire is steaming, causing toothache.

People who usually have a strong stomach fire, if they are addicted to spicy food, or if the wind-heat evil poison is invaded, the stomach fire will be caused to steam up the gums along the meridians, injuring the gum flesh and damaging the veins, and the disease will result.

Volume 3 of "Syndrome Dialectical Record" says: If a person has unbearable tooth pain and tears come out from his eyes, this is because the fire in the internal organs is strong and travels up to the teeth, causing pain.

It is also said: People have toothache for a long time, and the upper and lower gums are completely decayed, and they can no longer eat or drink, and they scream day and night. This is because the stomach fire is only strong, rising but not falling.

The third is caused by rising kidney deficiency fire.

The kidney governs the bones, and the teeth are other than the bones. If the kidney yin is deficient, the deficiency of fire will lead to inflammation, the gums will be shiny, the bone marrow will be empty, and the teeth will lose their vitality, resulting in floating and painful teeth.

Volume 3 of "Syndrome Dialectical Record" says: If a person has tooth pain that is worse at night and moans and cannot lie down, it is because of the rising kidney fire. However, rising kidney fire is not a real fire.

In addition to the three types mentioned above, there are other causes such as heart fire. For example, people often say that getting angry in a hurry and then having toothache are mainly caused by strong heart fire.

"It should mainly be tooth decay, with fire teeth also mixed in." The young woman said a little uncertainly.

Seeing that the young woman couldn't explain clearly, Li Jiagen waved to Zhang Xiali to sit down, took the pulse pillow and began to check her pulse. Then he asked Zhang Xiali to open her mouth to see the condition of her painful teeth, and did a tongue test by the way, and asked some questions.

Then I checked the situation on my computer and thought about it.

Stringy and rapid pulse; red tongue with thin yellow coating; swollen and painful gums on the right side, signs of loose teeth, endless pain, and swollen cheeks; accompanied by aversion to cold and fever, difficulty in eating and drinking, and constipation.

Damn it, Zhang Xiali didn’t have a pleasant trip home this time, and the health doctor didn’t accompany him?

Of course, Li Jiagen just smiled a little in his heart. Even if his family was rich, could he take everyone with him wherever he went?

What's more, Zhang Xiali's rank probably hasn't reached this level yet, right?

Smiling inwardly, Li Jiagan immediately gave Zhang Xiali acupuncture to treat the toothache.

Zhang Xiali suffered from stomach fire and toothache.

There is accumulated heat in the stomach, which is caused by the heat attacking along the Foot Yangming Meridian.

The stomach meridian of Foot Yangming passes through the nose and enters the upper teeth (the large intestine meridian of Hand Yangming enters the lower teeth). Toothache, headache, fever in the cheeks, swelling and pain in the lips, tongue, cheeks, and gums, etc., are all caused by the attack of fire.

The stomach is an organ with lots of qi and blood. When the stomach heats up, the blood will also heat up, so it is easy to suffer from toothache and other diseases.

At present, Li Jiagan chooses Hegu, Jieche, and Xiaguan as the main points, along with Neiting, Erjian, Side Sanli, Side Xiasanli and other points for acupuncture. There are main points, traction points, upper hook and lower connection, mainly for diarrhea, closed

During acupuncture on the eyes, when the energy reaches the impulse point, the skin at the acupuncture site will tremble slightly.

Zhang Xiali closed his eyes and secretly prayed for a miracle. The young woman stood aside and watched the skin where the needle was inserted trembling slightly, but she felt very magical.

After acupuncture for about twenty minutes, Li Jiagan opened his eyes and asked Zhang Xiali how he felt. Zhang Xiali closed his eyes and his eyelids trembled slightly for a while, then opened his eyes and said with a smile: "Hey, the tooth doesn't hurt anymore! It doesn't hurt at all!"

This smile made Li Jiagan slightly stunned. Well, this woman is quite beautiful. It seems that a woman's straight face is different from her smile.

Nodding, Li Jiagan put away the needle, looked at the content he typed on the computer screen, and thought about the prescription.

"Hey, I just don't know how long it will last? Yesterday I asked a doctor to give me acupuncture, which only relieved the pain for less than ten minutes, and then the pain became worse than before!" Zhang Xiali said with some anxiety again.

"You can persist for a day and a half, and then I will prepare a prescription to stop your toothache before it starts." Li Jiagen comforted you.

"One and a half days? Can you persist for such a long time?" Zhang Xiali asked with some disbelief.

"At least a day and a half." Li Jiagan said as he started to write the prescription. He stopped after writing, "By the way, don't you still have leg cramps in the middle of the night? Apart from these two problems, are there any other problems?"

"I heard that Dr. Li's disease diagnosis is not very accurate. Did you find any other diseases?" The young woman on the side interjected.

"Then we need a physical examination." Li Jiagen said calmly, "I usually rarely perform physical examinations on women. It is inconvenient, unless the pulse shows that the female patient has an emergency or severe illness."

"How do you usually do a physical examination?" Zhang Xiali asked.

"You need to touch the whole body." Li Jiagan said without raising his head or showing any expression.

Zhang Xiali blushed and said, "I don't have any other illnesses."

Li Jiagan then continued to prescribe medicine.

He prescribed Qingwei Powder plus or minus for Zhang Xiali.

Qingwei Powder is a heat-clearing agent, which has the effect of clearing away heat in the internal organs, clearing the stomach and cooling the blood.

The main treatment is stomach fire and toothache.

The song says: Qingwei Powder combined with Cimicifuga, Radix Angelicae Radix Rehmanniae, or adding gypsum to purge stomach fire can relieve toothache and toothache.

This recipe uses Coptis chinensis, which is bitter and cold, to purge the fire in the stomach.

Cimicifuga clears away heat and detoxifies, rises and can be dispersed, so it is a ministerial drug, which can express the pent-up fire caused by stagnation, which means "the fire is suppressed". When combined with Coptis chinensis, it can purge fire without the disadvantage of cooling. Cimicifuga

If Coptis chinensis is obtained, the fire will be dispersed without the risk of rising flames.

If the stomach is hot, the yin blood will also be damaged, so raw rehmannia root is used to cool the blood and nourish the yin; paeonol bark is used to cool the blood and the blood is hot, which are all ministerial drugs.

Angelica sinensis nourishes the blood and acts as an auxiliary medicine.

Cimicifuga also acts as a guide for meridians.

All medicines are used together to clear the stomach and cool the blood.

In addition, because Zhang Xiali had dry intestines and constipation, Li Jiagen added rhubarb to conduct heat downwards; for toothache, he added 6 grams each of fanfeng and schizonepeta; for patients with fever, he added 40 grams of silver flower, 20 grams of forsythia, and 15 grams of scrophulariaceae.

Decoction in water and take one dose per day.

After prescribing the medicine, Li Jiagan checked the prescription carefully. The young woman on the side asked: "Doctor Li, do you think my Mr. Zhang should go to the dentist to have a thorough treatment when he has a toothache again?"

Li Jiagen paused. The main method for dentists to treat toothache is to cut the nerve, then extract the tooth, fill the tooth, and use root canal technology to turn the living tooth into a dead tooth.

This treatment is certainly effective for toothache, but it does not necessarily cure toothache. Some people still have toothache after root canal surgery.

Therefore, you are likely to spend money to do it more than twice in tears and suffer twice.

Zhang Xiali often suffers from toothache, so it is impossible for the young woman not to know about this, so what is the purpose of asking Li Jiagen like this?

Li Jiagen smiled and said: "There should be a dentist in Yumu City. Are there more in big places?"

It is self-evident what this means.

The young woman blushed a little.

"Personally, I prefer to take medication to control toothache, develop good hygiene habits, and do regular tooth tapping exercises." Li Jiagan said, then looked at Zhang Xiali and changed the topic, "When does Mr. Zhang usually get leg cramps at night?"

"Usually between one o'clock and three o'clock in the middle of the night, it's really strange. I always get leg cramps during this time. I was suddenly woken up by severe pain while I was sleeping. It hurt for so long that it made me nervous.

There is a shadow." Zhang Xiali said, "What does Doctor Li think is the reason for this?"

"You must have seen many doctors, what did they say?" Li Jiagan asked.

"They said it was gastrocnemius spasm. There are many reasons for gastrocnemius spasm, such as excessive fatigue, cold stimulation, hypocalcemia, blood flow blockage, etc. It sounds reasonable, and medicines can be prescribed.

There is nothing that works quickly. I asked them and said they would try it again, but I have been taking it for a long time and it still doesn’t work. I still get leg cramps when I should have leg cramps in the middle of the night." Zhang Xiali said.
Chapter completed!