Tao Le stopped the husband from giving medicine and asked, "When did your wife get coronary heart disease and how was she diagnosed?"
"She has had coronary heart disease and angina pectoris for more than three years. She was diagnosed at the hospital in her hometown. She has been taking aspirin, nitroglycerin and Bioxinxuekang."
When he said this, he glanced at his wife worriedly: "Doctor, let me give her some medicine first, and we'll talk later."
Tao Le shook his head and rang the bell to call the nurse in to perform a bedside electrocardiogram on the patient.
This is the advantage of large private hospitals. Even the expert clinics of traditional Chinese medicine are equipped with bedside electrocardiograms and other equipment to facilitate more accurate diagnosis.
Sure enough, there was no accident. The patient's electrocardiogram was extremely normal. Myocardial infarction, heart failure, and angina pectoris were not visible at all.
Tao Le almost thought that the patient was suffering from hysteria. How about just giving her ten milliliters of diazepam, which should relieve all the symptoms. This is of course a joke.
It is still necessary to get a clear medical history and then feel the pulse.
"Have you had a coronary angiogram?" Tao Le asked.
Coronary angiography is the gold standard for confirming coronary heart disease.
"No, I didn't do that." The patient was able to speak now.
"Did you do coronary CTA?"
Coronary CTA is also called coronary multi-spiral CT. It is not an invasive examination like coronary angiography and is more acceptable to most patients.
"I didn't just go to the cardiology department and tell my symptoms and get the medicine."
In other words, there is actually no absolute evidence to support the diagnosis of coronary heart disease.
The patient's husband also chimed in: "Actually, the attacks have occurred many times before, all at night, but we always waited until the symptoms stabilized before going to the hospital during the day."
Therefore, I did not go to the hospital for treatment during the illness. I don’t know what kind of hospital their hometown is, and how they can diagnose it so easily.
Tao Le put a question mark on "coronary heart disease" in his mind, and then continued taking the pulse where it had been interrupted.
The patient pushed up his sleeves, exposing half of his forearm. Tao Le felt moved when he saw it.
The skin on both her hands and forearms was very rough, dull, black, lichen-like, with psoriasis, and accompanied by a large number of scratch marks.
There are a few papules and blisters between the fingers and the back of the hands.
Although it was cold outside, the air conditioning was on and the room temperature was not low, but the patient's wrist was cold.
Tao Le took all this in his eyes and took his pulse seriously.
The patient's pulse is thin and weak, which is generally seen in patients with Qi and blood deficiency.
The tongue is light and fat, with tooth marks on the edges.
"Are you usually afraid of cold and cold limbs?" Tao Le asked.
"I'm afraid of the cold and can't see a breath of wind." The patient said feebly.
"Even my hands and feet are cold in summer," the husband added.
"Have you had this eczema for a long time? It must have been more than ten years?" Tao Le asked.
The couple looked at each other at this moment, exuding a burst of joy, which made her a little confused.
"Doctor, in fact, today we mainly come to see this wet diagnosis." The patient said: "You can tell at a glance that you have been suffering from this disease for twelve years, which shows that you have real talent and knowledge, and you are worthy of being an expert."
Tao Le understood what kind of patient this was.
She had seen many similar patients in her previous life. They were thinking of taking exams and didn't mention any symptoms. They were just waiting for the doctor to take their pulse and see if the other party could detect such things. She didn't care about it for a long time.
"I have had eczema for twelve years, so I must have seen many people treat it, right?"
The husband nodded, took out several thick medical records, and handed them over.
Tao Le already had a preliminary idea in mind, and he still needed to verify it with past medical records.
Sure enough, there are all the commonly used methods to treat eczema, such as clearing heat and drying dampness, dispelling wind and dampness, nourishing blood and dispelling wind, drying dampness and relieving itching. Among them are prescriptions prescribed by famous doctors that Tao Le is familiar with.
It's just that there are so many recipes, but there is no one that Tao Le wants.
That's why today, they found her head.
Tao Le reviewed it carefully and felt that the identification was correct, so he opened the golden finger.
As expected, it was Yang deficiency, cold-dampness, and the same diagnosis she had.
Now she also understands that the patient's chest tightness and palpitations just now are really uncomfortable and are not pretended.
Because this disease persists for a long time, it will damage the heart energy.
She briefly explained the disease to the patient and his wife.
"All kinds of pain, itchiness and sores belong to the heart. Moisture has been in the body for many years. It enters the blood vessels and returns to the heart, causing damage to the heart yang. Therefore, there are palpitations and chest tightness. This is not coronary heart disease."
"No? But we have been treating eczema and removing dampness." The patient's husband asked doubtfully.
"Eczema needs to be treated, but the direction of treatment needs to be adjusted." Tao Le's voice was calm:
"Your wife is afraid of cold and has cold skin. She has insufficient kidney qi and is deficient in both qi and blood. She is suffering from yang deficiency and cold-dampness. She should warm yang and dispel cold, harmonize blood and dispel wind, dry dampness and relieve itching."
She didn't say any more, and just wrote down a prescription to control the aconite to warm the yang, cinnamon twig and asarum to open the heart and dispel cold, astragalus and dangshen to benefit the heart, angelica to harmonize the blood, atractylodes, saposhnikovia, poria, and soil. Poria cocos, white fresh bark, kochia bark, and cicada slough can dispel wind and dampness and relieve itching.
"Take ten pairs first, then call me for follow-up consultation." Tao Le wrote his phone number on the back of the prescription and handed it over, and then said:
"I'm here for a free clinic. You can choose: either go to an outside pharmacy to buy medicines, or get them here. But the prescriptions I prescribe will be discounted by 50% off the cost."
She had seen it a long time ago. The clothes of the couple were a bit old and they did not look like rich people.
Today's traditional Chinese medicine doctors rarely give prescriptions to patients. They always grab the medicine in their own pharmacy and then put it away.
There are several reasons for this: first, the quality of medicinal materials in external pharmacies may not be as good as the one you can get at home; second, the price difference between the two is indeed not small; third, it is to protect yourself.
Tao Le is a free clinic, so there is no need to worry about so much. And she was very sure that there would be no problems with this recipe.
"Thank you, doctor!" The husband said with a smile on his face: "To tell you the truth, just to treat her eczema, we traveled to many places across the country and spent a lot of money, but it just didn't look good."
He looked at Tao Le, his eyes full of trust and expectation: "You are a disciple of Zhou Guoshou, and the prescription you prescribe will definitely work. I believe in you!"
The couple got up and left, and the next patient came in.
Tao Le looked at this girl of the same age as him, with her unfocused eyes and the obvious butterfly-shaped red spots on her face, and sighed deeply.
Jian Yuying was stunned as soon as she entered the door. I stayed up until midnight to get the expert account. Why is the doctor so young?
"Excuse me, who is the pottery expert?" She looked left and right and asked this sentence.
Tao Le sighed again. Being young is a hurdle she can't overcome.
"The number you called is my number." Tao Le said, "The patient's lupus erythematosus has been around for a long time, right?"
(End of chapter)
