novel for you Chapter 747 Heart Disease
Chapter 747 Heart Disease
Wu Mengmeng smiled and responded: "It's okay, just keep talking. The more details you know, the more we can help you."
Seeing Wu Mengmeng's attitude, the woman felt even more grateful. It was not easy for someone to listen to her chatter like this, even if it was just a stranger, let alone a doctor.
In fact, the woman couldn't control herself just now and accidentally said too much. She also knew that the doctor was busy.
"Thank you, that's all." The woman thanked him.
"My insomnia started two years ago. Did something happen then?" Wu Mengmeng asked.
"I was sick at that time and had a tumor, but it was benign. It healed after the operation and I have been fine since then," said the woman.
Wu Mengmeng has heard this and almost understood that women’s insomnia is caused by anxiety.
Although the tumor is benign, people will have all kinds of thoughts, wondering if it was not removed completely, or if it will become malignant, or if it will recur, etc.
Everyone's situation is different. Some people get sick and the condition goes away after they recover. Some people get seriously ill and become cautious after they recover. Being cautious is a good thing, but we should be careful not to think too much and worry too much.
Wu Mengmeng nodded and continued to ask: "Did you have regular checkups after the surgery? What did the doctor say?"
The woman sighed and said, "I've had several checkups, and the doctors said I'm recovering well and there's nothing wrong. But I'm still worried, and I always feel like something's wrong with my body. When I lie in bed at night, I start to think about all sorts of things, and the more I think about it, the more I can't sleep."
Wu Mengmeng had already made a rough judgment in her mind after hearing this. She looked at Chen Yang, who nodded slightly, motioning her to continue.
Wu Mengmeng then asked: "Do you usually feel chest tightness, shortness of breath, or get angry easily?"
The woman thought for a moment and replied, "Indeed, I have, especially in the last few months. I always feel a tightness in my chest, and sometimes my heartbeat suddenly speeds up. My mood is also unstable, and I get angry easily."
Wu Mengmeng continued to ask: "How are your diet and bowel movements?"
The woman sighed, "I don't have much appetite for food, and I often feel dry mouth, and drinking water doesn't quench my thirst. My stool is sometimes dry, sometimes watery, and it's not very regular."
Wu Mengmeng listened and recorded it in the medical record book, then looked at Chen Yang. Chen Yang nodded slightly, indicating that she could start the diagnosis.
Wu Mengmeng sorted out her thoughts and said, "Based on your symptoms, you have insomnia, chest tightness, emotional instability, dry mouth, irregular bowel movements, a red tongue, a thin yellow coating, and a stringy and thin pulse. This should be a syndrome of liver depression turning into fire and deficiency of both the heart and spleen."
Chen Yang added: "Liver depression and fire can cause emotional instability, chest tightness, and dry mouth, while deficiency of both the heart and spleen can cause insomnia, loss of appetite, and irregular bowel movements. In terms of treatment, we need to soothe the liver and relieve depression, clear the heart and calm the mind, and at the same time strengthen the spleen and replenish qi."
Wu Mengmeng nodded and quickly wrote out a prescription on the computer, which mainly used Danzhi Xiaoyao Powder with modifications, and added raw rehmannia, ophiopogon japonicus, and spina jujuba seeds, etc., which are drugs that nourish yin and reduce fire, and calm the nerves and help sleep.
Chen Yang looked at the prescription and confirmed it was correct. He then said to the woman, "Take this prescription for a week to see how it works. In addition, I suggest you pay more attention to regulating your mood, exercise properly, and keep a good mood."
The woman took the prescription and said gratefully, "Thank you, doctor."
Watching the woman get up, Chen Yang said again: "You need to continue taking the medicine for a few days, at least a week. You have been suffering from insomnia for a long time, and it will take some time to adjust."
"Okay, I'll remember that, thank you." The woman nodded.
After the woman left the consulting room, Xia Hongliang whispered to Lin Yi: "Chen Yang's diagnosis and treatment ideas are indeed clear, but this patient's condition is not complicated."
Women’s insomnia is actually very simple. It is caused by anxiety. As long as the cause is found, it is not difficult to treat.
Lin Yi smiled and whispered: "The most difficult thing about this disease is not the dialectic, but giving the patient confidence."
"Anxious patients are the least likely to trust others. They will be anxious about the tumor that has been cured, and they will also doubt the doctor's ability. If the prescribed medicine does not work after taking it for two days, they will doubt it and start to have wild thoughts."
Xia Hongliang nodded: "I didn't even think of that just now, thank you Director Lin."
Lin Yi shook his head and continued: "Also, didn't you find that the female doctor that Chen Yang brought is also very capable?"
Xia Hongliang didn't say anything. Lin Yi said it well, and Wu Mengmeng was also very capable.
Just now, Xia Hongliang was a little confused and didn't notice Wu Mengmeng. It was only after Lin Yi reminded him that Xia Hongliang came to his senses.
Wu Mengmeng is at most a recent graduate, but it is not easy for her to have such a level at such an age.
Not to mention Shanzhou, even in Shen City, young doctors of Wu Mengmeng's level are talents valued by the department.
"Also, Chen Yang just reminded us to be patient. The patient recognized the doctor and then cooperated. This shows that Chen Yang saw the patient's condition from the beginning. This alone is not easy."
"That's right." Xia Hongliang nodded.
Although he is proud, he is not conceited.
"Master, how did you see the patient's condition just now and remind me so early?"
Wu Mengmeng was also asking Chen Yang.
Chen Yang smiled and said, "Chinese medicine emphasizes 'observation, smell, questioning, and palpation'. Observation is not just about looking at the patient's complexion, but also about observing the patient's demeanor and behavior. Although the lady was wearing makeup, her eyes revealed anxiety and uneasiness, and she spoke anxiously. These details show that her insomnia is related to her emotions. If the doctor doesn't have the patience to listen to her, he may ignore these important information."
"We see the most patients wearing makeup. It is normal and cannot be avoided, so we need to observe them from other aspects, such as their eyes and how they walk..."
Chen Yang explained: "I specifically asked the patient to remove her makeup in order to gain her trust. If you asked her to remove her makeup, it would seem like a hassle, but if it's changed, it means you value her. Doctors value patients, so how can patients not value themselves?"
Wu Mengmeng was stunned: "Master, this... I didn't expect it."
Not to mention that they didn't expect it, Lin Yi and Xia Hongliang also didn't expect that Chen Yang's asking the patient to remove makeup had a deeper meaning.
"TCM is not just about treating illnesses, it's also about healing people. The patient's emotions and mental state will affect the progression of the disease and the effectiveness of treatment. As doctors, we need to do more than just prescribe medicine, we also need to help patients adjust their mentality and restore their health."
Chen Yang smiled and said, "Many patients who see traditional Chinese medicine nowadays are trying their luck. As doctors, we must understand this and make the patients recognize us during treatment so that we can give full play to the advantages of traditional Chinese medicine."
"The key to curing a disease sometimes lies not only in the symptom itself, but also in other aspects. The difference between traditional Chinese medicine and modern medicine is that symptoms cannot be treated as simple symptoms."
Listening to Chen Yang's explanation to Wu Mengmeng, Lin Yi and Xia Hongliang were also thoughtful. Chen Yang really surprised them.