Xiao Jiping looked to be in his sixties or seventies, with gray hair, a slim figure, and an elegant face. Although he was smiling, he gave people a very majestic feeling.
Zhang Zhen said politely: "Dr. Xiao, I'm really sorry that I have to delay your rest so late at night. Our child's condition is actually a bit serious, and the family is particularly worried. I need you to take a good look at it!"
Xiao Jiping nodded and said a few polite words, "Mr. Zhang, I have carefully looked at the photos you sent. However, I still need to communicate with the patient about the specific situation before I can further confirm it. So, Let’s start the consultation now.”
Xiao Jiping is an expert in the field of traditional Chinese medicine and is well-known throughout the country, and the dermatology department of the Third Provincial Hospital can be said to be famous.
After he received the photo of the patient Zhang Xueyao in the afternoon, he already made a preliminary judgment in his mind.
The patient's acne was classified as moderate grade three, with acne plus inflammatory papules and even pustules.
Acne is a very common disease in adolescence. It can be cured but is easy to relapse. The treatment process is slow and requires the patient's conscious cooperation.
The treatment drugs currently on the market that are quick-acting and have significant effects generally contain large amounts of hormones, which are very harmful to the body.
The patient is in the period of puberty, so even if he was not introduced by an acquaintance, he would not suggest the patient to try it.
However, conventional conservative treatment methods are slow to produce results, and the medication period is too long, which can easily affect the child's mental state.
Xiao Jiping has been practicing medicine for decades and knows the patient's mentality very well, so when he learned that the patient's personality has changed due to acne, he knew that this matter was a bit difficult to handle.
If he were in this city, he would still be able to find ways to persuade and enlighten him when he usually sees a doctor, but now through his mobile phone, even if he sincerely persuades, it will sound somewhat compromised.
Even Xiao Jiping, who is quite good at this, feels a little tricky at this time.
Zhang Zhen held up his mobile phone and pointed it at Zhang Xueyao's face.
The little girl cooperated and tucked her bangs behind her ears, but her eyes only glanced at the phone screen quickly and then immediately avoided it, her eyes wandering.
Xiao Jiping tried his best to say in a calm and gentle voice: "Yao Yao, right? Hello, now I need to know about your situation, I hope you can cooperate."
Zhang Xueyao quickly glanced at the screen and nodded.
Xiao Jiping said: "Acne is whelk, which is a disease that occurs frequently in adolescence. In fact, as long as you pay attention to diet and hygiene, it can heal on its own and does not require immediate medical treatment."
Zhang Xueyao was stunned when he heard this, and looked at the old Chinese doctor with a kind face on the screen in surprise.
"So you don't need to be nervous. Acne is not a big problem. As long as the symptoms are treated, it can be completely cured."
Zhang Xueyao nodded.
She didn't know if it was because she heard the old Chinese medicine doctor's words again through the phone screen, and she felt obviously relaxed. She raised her head and looked at the old Chinese medicine doctor on the screen.
Xiao Jiping asked a few questions in a routine manner.
For example, how long have acne been present?
Do you have a regular routine?
Do you often stay up late?
Zhang Xueyao answered each one very cooperatively.
Xiao Jiping is an experienced doctor. After a simple inquiry, he asked Zhang Zhen to send him all the results of dermoscopy, Visia skin test, and hormone test that Zhang Xueyao had done before.
After reading them all, Xiao Jiping quickly made several relatively stable and reliable treatment plans.
Xiao Jiping first talked about the first option.
"The most conventional treatment is to use topical antibacterial drugs to kill Propionibacterium acnes and fight inflammation. And retinoic acid drugs can improve keratinization of pilosebaceous gland ducts, dissolve acne, and can also improve and prevent acne scars and pigmentation. .”
"At the same time, oral medications, antibiotics, B vitamins, etc. must also be used to control oil secretion."
Having said this, Xiao Jiping leaned forward to get himself closer to the screen.
"In addition, surgical treatment can also be performed, such as cyst incision and drainage, which drains the cyst contents and promotes cyst recovery. There is also ion cyst fenestration, which has good results. The surgical incision is smaller and recovery is faster. ....."
Zhang Zhen had heard of similar treatment methods before. The director of the dermatology department of the Second Hospital also suggested the same at that time, and also gave two plans, one was drug treatment and the other was surgery.
However, although the two treatment methods are simple to operate and cause little pain to the patient, their shortcomings are also very obvious.
They are easy to relapse and take effect slowly.
Xiao Jiping then introduced physical and chemical treatments, using photodynamic therapy to inhibit sebum secretion.
However, this treatment method will be somewhat painful.
Although it is bearable, it can easily cause psychological stress and harm to the patient.
Finally, the most conservative and safest treatment method, traditional Chinese medicine conditioning, was explained in detail.
There are a total of four treatment methods, all of which are the most suitable for Zhang Xueyao's own situation, the most reasonable, and the safest treatment plan.
When he heard the final Chinese medicine conditioning plan, Zhang Zhen's eyes lit up.
Xiao Jiping is an expert in the field of traditional Chinese medicine. He is a leader in this field. If he can help prescribe the medicine, he will definitely be able to treat acne with twice the result with half the effort!
After Xiao Jiping finished the introduction, he asked Zhang Zhen for his opinion: "Mr. Zhang, which option do you think is more acceptable?"
Zhang Zhen said without hesitation: "The fourth type is conditioning with traditional Chinese medicine. Doctor Xiao, is it compared to the other three types, conditioning with traditional Chinese medicine has the best effect?"
Xiao Jiping said truthfully: "The effects are actually the same. Acne itself can be cured, but it often relapses. Compared with the other three, the treatment method of traditional Chinese medicine conditioning is the mildest."
Zhang Zhen nodded, and he recognized the traditional Chinese medicine treatment method more and more in his heart.
At this time, Zhang Xueyao, who had been sitting quietly next to him, suddenly whispered: "Uncle Zhang, can you not take Chinese medicine?"
Zhang Zhen once took Zhang Xueyao to see a traditional Chinese medicine doctor, and he also prescribed a course of decoction.
All good medicinal materials are used in the prescription, but the taste is really hard to describe.
Zhang Xueyao had to vomit half of the bowl after drinking it, and the little girl was troubled.
Xiao Jiping was also slightly stunned and asked: "What's wrong? Is there any problem?"
Zhang Xueyao hurriedly shook his head and said calmly: "No, no, it's just..."
Zhang Zhen hurriedly explained: "I took her to see a traditional Chinese medicine doctor before and prescribed decoction. She couldn't drink the taste and felt like vomiting when she smelled it. It was quite painful at the time, and the child was a little scared."
Xiao Jiping nodded understandingly: "In fact, if you want to treat acne, you don't have to take Chinese medicine. Many fruits and vegetables actually have a very significant effect on regulating acne symptoms. If the medicinal materials can be integrated into the food and eaten together, the effect will be better. .”
Zhang Zhen: "!"
. Lewen
