Doctor's Life Simulator

Chapter 378 Combination of Traditional Chinese and Western Medicine, Treatment of Arthralgia
Professor Gao praised that the meridian map and acupoint notes drawn by Qin Lang are so accurate that even he can't find any faults.

"Xiao Qin, do you have any idea of ​​coming to the Provincial Hospital of Traditional Chinese Medicine to study Chinese medicine?"

Professor Gao was just looking for a son-in-law for his daughter, but at this time, he really cherished his talents and loved them.

Such a young doctor can understand the basic meridian diagram and acupoints of traditional Chinese medicine so well, even in the Provincial Hospital of Traditional Chinese Medicine.

"what?"

Qin Lang didn't expect Professor Gao to ask such a question, and immediately shook his head to express his refusal. His next main work will be on scientific research, and strive to win the Nobel Prize in Medicine as soon as possible.

"Doctors, please also take a look at the meridian diagram and acupoint analysis drawn by Xiao Qin."

Professor Gao circulated Qin Lang's record book.

"It's amazing. If I didn't know it beforehand, I would have thought that Qin Lang was born in a family of Chinese medicine. He has a lot of research on Chinese medicine."

A chief physician exclaimed.

"It's really powerful, and the future generations are terrifying."

Fei Hua also took Qin Lang's notebook with trembling hands, and after looking at it, he had to express his admiration.

"Since the treatment plan has been made, let's start now."

Professor Gao was overjoyed, Qin Lang was so upbeat, of course he wanted to support him: "Xiao Qin, you cooperate with me, and while I am performing navel acupuncture, you will simultaneously perform one-finger Zen massage for Mr. Zhu."

"Ok."

Qin Lang naturally would not refuse, and agreed with great joy.

The preparations for the health visit were very thorough, and various instruments, tools, and rooms for massage and acupuncture were quickly prepared.

In the treatment room, there were only Professor Gao and Qin Lang, and the rest of the medical team were waiting outside the room.

Fei Hua was drinking tea at the side sullenly, feeling particularly unhappy, co-author Qin Lang can now become the main force in the health rounds.

Instead, he could only drink tea outside the treatment room and wait.

"Ah~"

In the treatment room, Mr. Zhu was lying on his back on the bed, and under the guidance of Qin Lang, he relaxed his limbs.

"Old Zhu, relax, let's start the massage first."

Qin Lang put his thumb on the skin of Mr. Zhu's shoulder, and pushed it for 5 minutes according to the one-finger Zen push method.

"Hu~comfortable~"

Mr. Zhu closed his eyes, and under Qin Lang's massage, his entire shoulder seemed to be reborn, with a numbness and a little warmth.

Qin Lang continued to use his thumb and began to massage Zhu Lao's acupuncture points, first of all Jianzhen and Jianliao.

"Oh~"

The stimulation above the acupoint is the strongest. As soon as Qin Lang pressed it, Mr. Zhu's body shook violently, and a long sound came out from his nasal cavity.

Qin Lang didn't stop at all, and continued to press Tianzong, Jianbiao, Jianjing, Quchi, and Hegu. Under the stimulation of several acupoints, the Qi and blood on Zhu Lao's shoulders were churning, numb, and a little swollen.

After pressing for another 1 minute, Qin Lang began to massage the front of Zhu Lao's shoulder and deltoid muscle.After a set of exercises, tendons and tendons can be adjusted, muscles and collaterals can be relaxed, blood stasis can be removed, local adhesions can be loosened, blood circulation can be promoted, and the range of motion of shoulder joints can be improved.

"Professor Gao, you can start umbilical acupuncture."

When Qin Lang pushed it to about the same time, he talked to Professor Gao.

"it is good."

Professor Gao nodded, his eyes were full of disbelief, Qin Lang's massage skills were so good, even with his eyes, he couldn't find any mistakes.

This level, placed in the Provincial Hospital of Traditional Chinese Medicine, even a doctor at the director level can barely reach this level.

Qin Lang has done so perfectly, of course, Professor Gao doesn't want to be inferior to others.

He took out his silver needle and started acupuncture. While doing acupuncture, he explained and explained to Qin Lang in detail, just like an ancient Chinese teacher who taught his disciples by word of mouth.

"Xiao Qin, take care. The key to the success of umbilical acupuncture is to learn to find the pain point. The direction of needle insertion is extremely important. As long as it can be aimed at the pain point, it will be effective in one shot."

"The second important point is that you have to learn how to find the umbilical points and meridians. I'm not worried about this. Your level is already very good."

Professor Gao explained while performing needles, and he did not forget to praise Qin Lang.

"Looking good, Mr. Zhu's anterior and medial shoulder pain, and the pain aggravated when he stretched back. This is what we call Taiyin disease in traditional Chinese medicine. Take the position of the internal eight trigrams, which corresponds to the lung, the so-called lung attending festival."

An hour later, Qin Lang and Professor Gao jointly completed the first treatment for Mr. Zhu.

[Congratulations to the host for completing the task and jointly completing the treatment of Zhu Yunxia's frozen shoulder with Professor Gao.Obtain rewards: 1.2 life simulation points. 】

Under Professor Gao's oral instruction, Qin Lang also gained a new understanding of this acupuncture method.

Qin Lang was immersed in the review of navel acupuncture.

"Xiao Qin, your massage skills are very good. Mr. Zhu's first treatment was very satisfactory. After that, you and I will cooperate for another week of treatment."

After Professor Gao gave Zhu Lao doctor's advice, he talked to Qin Lang.

Qin Lang was still immersed in his comprehension of acupuncture techniques, and it took him a while to react: "Professor Gao, what did you tell me just now? I was recalling the key points of navel acupuncture just now, so I'm sorry for being distracted."

Qin Lang looked at Professor Gao with some embarrassment.

Professor Gao was a little surprised, but also somewhat reasonable. No wonder the young man was able to achieve such amazing results. He appreciates this dedicated study.

"It's okay, your study status is very good. If you have any questions about umbilical acupuncture in the future, you can come to me for advice. However, you don't have to worry too much. We will continue to treat Mr. Zhu in the next week. There are still many opportunities to practice in the future.”

Professor Gao patted Qin Lang on the shoulder. This young man is humble and has strong learning ability. He really likes him very much.

"Okay, Professor Gao, I have some doubts about umbilical acupuncture after this practice."

Qin Lang nodded, and walked out of the consulting room with Professor Gao.

Seeing Qin Lang and Professor Gao side by side, walking and exchanging medical skills, Professor Gao showed incredible expressions from time to time, nodding and approving from time to time.

The members of the medical team outside were all in a daze. No matter how it looked, Qin Lang seemed to be on the same level as Professor Gao.

"This is too violent."

Before, they watched Mr. Zhu walk out of the treatment room very satisfied, which meant that Qin Lang's massage skills were recognized.

"It's incredible, it's incredible."

The directors and professors of the medical team are naturally very good at observing words and demeanor, and Qin Lang's position in their hearts is no longer the same.

After Qin Lang accompanied Professor Gao to the consultation room, several doctors surrounded him.

"Director Qin, you are really young and promising."

"Director Qin, tell me, where did you learn such a powerful massage technique?"

"Director Qin"

After everyone expressed their goodwill and praise, they started the next round, and the atmosphere obviously changed. In the next round, Professor Gao no longer regarded Qin Lang as an assistant who could only record when he was making a diagnosis. , will habitually discuss the condition of some patients with Qin Lang.

To the surprise of these chief physicians, no matter what the patient is, no matter what the symptoms are, and no matter what the disease is, Qin Lang can always say a thing or two, and every time he hits the point, he can even give them these experienced doctors. ,Filling in the gaps.

Among the medical team, Fei Hua's face became darker and darker as the rounds progressed, and his sense of presence became less and less. It was rare for him to intervene and express some insights. A more precise and thoughtful opinion than his.

When the round was coming to an end in the afternoon, Director Fei Hua simply shut up and drank his tea sullenly.

And Lu Yu fulfilled the task of tea girl very tactfully, pouring tea for Fei Hua non-stop.

It wasn't until Professor Gao announced the end of the afternoon health rounds: "I'm here today. Everyone has done very well, especially Xiao Qin. Go back today and have a good rest, and we will continue tomorrow."

After Professor Gao finished speaking, Fei Hua writhed his stomach full of tea, and immediately left the consultation room, really unable to lift his head in front of Qin Lang.

The rest of the people also left one after another. After all, the intensity of the day's rounds is still very high.

After everyone left, Qin Lang was also about to leave, but just as he walked out of the consultation room, he was stopped by two men in suits and leather shoes.

"You are?"

Before Qin Lang finished asking, the two men pulled Qin Lang away, one on each side.

"Director Qin, you are really too busy. If you don't do this, I'm afraid you will be intercepted again. We, Mr. Zhou, have already made an appointment with you for massage therapy on the atrium terrace at noon. I'm offended."

The two burly men had obviously undergone professional training, their voices were low mechanically, without any trace of emotion, they straddled the Qin corridor, and their strides were fast and large.

After a while, the two brought Qin Lang to the atrium platform, where a soft and spacious massage bed was ready early.As soon as Mr. Zhou saw Qin Lang, he immediately got up, smiled, and glared at the two staff members:
"Didn't you ask Director Qin to come over? Why are you so rude and impolite? Go away quickly."

Elder Zhou waved his hand and scolded the staff a few more words.

He kindly stepped forward and held Qin Lang's hand directly, but when shaking hands, he obviously felt that one of his wrists was a bit stiff, and Qin Lang could obviously touch the big thenar of the old man's right hand. Some shriveled and shriveled.

Under the simulation of the first life, Qin Lang had extraordinary insight, and at the same time used a single case simulation, and quickly clarified Zhou Lao's illness:

[Patient: Zhou Wenbin, male, 66 years old

Symptoms: The patient had cord-like changes in the palmar fascia, paresthesia in the hand, wrist pain, and atrophy of thenar muscle.

Acute and chronic injuries of the wrist lead to increased inflammatory secretions produced by local tissues in the carpal tunnel, slowed blood flow, deposition of metabolites, and pathological hyperplasia of tissues and tendons in the tunnel, which increases the pressure on the median nerve and causes wrist joint paresthesia and dysfunction.

Diagnosis: The patient is typical carpal tunnel syndrome, peripheral neuropathy.It is recommended to use small incision carpal tunnel release combined with one-finger meditation and push method comprehensive therapy, which can be effectively treated. 】

After exchanging pleasantries with Qin Lang, Elder Zhou went straight to the point: "Director Qin, I saw your massage skills at noon, and they are very powerful. Can you give me one too."

Qin Lang smiled slightly: "Old Zhou, don't worry, of course I will help you with massage, but before doing massage, let's make a diagnosis and treatment. I am also a member of the medical team, and massage also pays attention to symptomatic massage, which can be better to treat you."

"Okay, Director Qin, it's amazing to be able to enter the medical team at such a young age, and to have such a good massage technique."

Elder Zhou compared his thumbs, but his fingers were a little difficult. With Academician Zhong's endorsement, of course Elder Zhou trusted Qin Lang very much.

"Old Zhou, when I was shaking hands with you just now, I clearly felt that there is something abnormal in the tissue of your palm and wrist, and"

Qin Lang was well-founded, and analyzed with Mr. Zhou very professionally and calmly.

"That's right, Director Qin, what you said is not bad at all. In fact, my wrist and palm do have these problems. Why, you can also treat this with massage?"

Mr. Zhou was a little surprised. In fact, he had seen a doctor about his wrist symptoms, but the doctor’s suggestion at that time was to have surgery, and the cycle was relatively long, so he chose to go to the academician’s building to recuperate first, and then wait for his physical condition to recuperate. Get better, and then go to the hospital for a comprehensive surgical treatment.

"Massage alone is of course not enough, but I can combine small incision carpal tunnel release with one-finger meditation. Small incision carpal tunnel release is a minimally invasive operation, mainly relying on one-finger massage. The operation is very Fast, and the recovery is also very fast. There is no need for large-scale medical equipment, and I can treat you here."

Qin Lang introduced the entire operation process and the risk and difficulty of the operation to Mr. Zhou in detail.

As for the treatment of carpal tunnel syndrome, Qin Lang was originally a master. However, the treatment used in the past was pure surgery. This time, it combines traditional Chinese medicine with a two-pronged approach.

It can minimize the trauma to the patient and promote the recovery of the patient as quickly as possible.

Mr. Zhou thought for a while: "Yes, as for the anesthetist and surgical instruments you want, I will contact the head of the medical team in a while. We can start the operation in a while."

Soon, Mr. Zhou called the person in charge of the medical team.

The other end of the phone was naturally a little puzzled, and even politely refused.

After all, Mr. Zhou is a veteran cadre full of aura, very assertive, and his style is tough and tough, otherwise it would be impossible to directly tie Qin Lang over.

"Listen well, within 10 minutes, I want you to arrange an operating room, an anesthesiologist, and the corresponding equipment for me. I will ask Director Qin to communicate with your people for specific cooperation matters."

After Mr. Zhou finished speaking, he directly hung up the phone.

The old guy had a rosy complexion, and he gestured an OK gesture to Qin Lang with a very good face, but due to the atrophy of the muscles in his hands, he looked a bit hideous.

Those who can enter the academician's building for recuperation are naturally not easy-going people.

Under Zhou Lao's resolute arrangement, an operating room was soon arranged on the second floor.

For this visit, two operating rooms had been prepared long ago.

Of course, the facilities and equipment are not as comprehensive and advanced as those of the No. [-] hospital in the city. However, what Qin Lang performed on Elder Zhou was a minor auxiliary operation, and the main treatment was still the one-finger Zen massage method.

After Qin Lang and Mr. Zhou entered the operating room, there was already an anesthesiologist waiting. Since it was a very small auxiliary operation, and there was no need for a nurse with equipment, Qin Lang could handle it by himself.

In the operating room.

Qin Lang arranged Mr. Zhou to lie down and ordered the anesthesiologist to use brachial plexus block for anesthesia.

At the same time, he tied a pneumatic tourniquet on Elder Zhou's right upper arm.

Afterwards, a precise 1.5cm transverse incision was made on the ulnar side of Mr. Zhou's palmaris longus muscle, which quickly exposed the flexor tendons and the proximal transverse carpal ligament.

In the operating room, where Qin Lang didn't notice, a camera clearly recorded Qin Lang's operation steps.

After all, the patients undergoing minor surgery here are all big figures with special identities. They are afraid of accidents in the future, and it will be convenient for them to be held accountable later.

However, Qin Lang didn't pay any attention to this at all, nor did he care about it.

Qin Lang put his whole body into the operation, and his movements were skillful.

The anesthetist stood quietly beside him. Apart from anesthesia, he also had a mission to supervise and observe Qin Lang's operation process. If Qin Lang had any problems, he would stop immediately.

However, so far, what he has seen is pleasing to the eye. Although it is only a minor operation, Qin Lang's incision and exposure are still very skillful.

Next, under the attention of the anesthesiologist, Qin Lang began to distinguish the long tendon.

There are no assistants or equipment nurses in this operation Qin Lang, so all the operations are done by one person, but it still gives people a sense of smooth flow.

Qin Lang picks up the scissors from the spare area on one side, and laterally separates the transverse carpal ligament, that is, the LCT, from proximal to distal along the direction of the ring finger.

After that, I picked up the scalpel in a very coherent manner, and began to cut the proximal edge of the LCT longitudinally, and the size was very precisely controlled at 1.5cm.

Afterwards, Qin Lang changed the hemostatic forceps again and began to carefully lift the superficial and deep flexor tendons to remove the edematous tendon synovium.

"Amazing."

Seeing this step, the anesthetist finally couldn't help it anymore. Small incision carpal tunnel relaxation is very common in the field of "arthritis".

Especially for carpal tunnel syndrome, it is often chosen to directly resect the edema of the flexor tendon synovium and loose connective tissue in the patient's carpal tunnel.

However, after all, the field of view of this kind of micro-surgery is limited, and the equipment in the operating room of the academician building is relatively simple, so it is easy to not completely remove the diseased tissue.

However, under Qin Lang's operation, the separation was perfect, the anatomical tissue was clear, and the excess diseased tissue was removed cleanly.

Amid the amazement of the anesthetist, Qin Lang continued to separate the LCT, and at the same time controlled Elder Zhou's wrist dorsiflexion by 30°, with his shrunken palm facing upwards.

Qin Lang's subtle operations are very closely connected. For ordinary doctors, due to the durability of muscles, there must be a rest period between operations to maintain precise movements, so the connection will be a bit problematic.

But Qin Lang didn't have this problem at all. It was faster and smoother for one person to switch operations and change surgical instruments than for two people to cooperate.

Before the anesthesiologist blinked, Qin Lang had already picked up the narrow metal plate, using the first knuckles of the index finger and ring finger to control the metal plate to depress the flexor tendon.

"Damn, his fingers are so powerful?"

Qin Lang's two knuckles controlled the long metal plate along the central axis of the ring, and with the other hand, he completely cut the LCT with scissors.

In the blink of an eye, Qin Lang entered the next process, which was stitching layer by layer.

Looking at Qin Lang's suture, especially the treatment of the flexor tendon, the anesthesiologist sighed inwardly:
"I met a great master. No wonder, you are so bold that you dare to perform surgery on Mr. Zhou in private without going through the treatment team. This surgical level is too good!"

There is an unwritten rule in the health rounds. Physicians can treat academicians and veteran cadres in their own name, in addition to the group diagnosis of the medical team.

However, this requires a very senior and well-known word-of-mouth as a prerequisite, and these bigwigs will rest assured that you will be diagnosed, treated and operated.

And after a few times of this kind of operation, the boss recommends and endorses among the bosses, and more bosses will be diagnosed and treated. It is foreseeable that Qin Lang has already begun to emerge in the upper class of Zhejiang Province. The surgery was a success and, predictably, his future looked bright.

"He's still so young, envy."

The anesthesiologist sighed sourly at the side. In fact, this is also one of the purposes of the health tour, to match these big shots with famous doctors and help each other.

"Mr. Zhou, the assisted surgery was very successful. Next, I'm going to get down to business. I'll give you the one-finger Zen massage."

Qin Lang said to Mr. Zhou.

Since it was only a local anesthesia, Mr. Zhou was of course thinking clearly, and smiled slightly to express his approval.

While performing the operation, Qin Lang continued to explain the principles to Mr. Zhou, which made him feel more at ease and trust him.

During Qin Lang's introduction, the camera flickered on and continued to record.

"Mr. Zhou, from the perspective of histobiology, the pathogenesis of carpal tunnel syndrome: Acute and chronic injuries of the wrist lead to increased inflammatory secretions, slowed blood flow, deposition of metabolites, pathology of tissues and tendons in the carpal tunnel Sexual hyperplasia increases the pressure on the median nerve, which leads to paresthesia and dysfunction of the wrist joint. And we performed a small incision for carpal tunnel relaxation, which is to remove the edema of the flexor tendon synovium and loose connective tissue in the carpal tunnel.”

"Next, I will perform one-finger Zen massage. From the perspective of traditional Chinese medicine, carpal tunnel syndrome belongs to the category of "arthritis". Obstruction of veins, qi stagnation and blood stagnation can lead to numbness and pain in the wrist joints, malnutrition of tendons and arteries can lead to sore hands, and severe cases may even cause hand movement disorders."

"And the one-finger Zen push method I use can strengthen the body and eliminate evil while tonifying the deficiency. It can effectively improve the blood circulation of the patient's wrist, promote the circulation of Qi and blood in the meridian, eliminate the inflammatory reaction of the wrist, and reduce the The pressure inside the carpal tunnel can promote the recovery of the function of the wrist joint and improve the range of motion of the wrist joint.”

Qin Lang's professional explanation not only made Mr. Zhou seem to understand but didn't understand, even the anesthetist beside him nodded frequently.

Qin Lang really feels like an old Chinese doctor with decades of attending experience.

Moreover, while speaking, Tang Lou's hands did not stop. After mastering the whole map of meridians and acupoints, Qin Lang very accurately read the patient's:

Yanggu point, Yangxi point, Shenmen point, Daling point, Yinxie point and Neiguan point are the main points for massage treatment, and acupoints are added according to their different symptoms.

Because Mr. Zhou's palms often hurt, he added the massage of Laogong and Yuji points.

However, Mr. Zhou's thumb would also experience numbness and pain, so Qin Lang massaged Kongzui and Jingqu acupoints after finishing the massage.

Aiming at Mr. Zhou's numbness and pain in his index finger, Qin Lang added Hegu and Erjian points.

For the numbness and pain of the middle finger, the massage of Jianshi point and Erbai point has been added.

During the whole treatment process, Qin Lang always sat upright in front of Mr. Zhou, keeping his shoulders down, elbows down, and wrists hanging. His right hand was half-clenched like an empty fist, with the tip of his thumb as the point of strength.

Press on the above points, and always keep the thumb perpendicular to the surgical site near the wrist.

Qin Lang continued to output steadily, without a single stop in the middle, and sweat continued to flow from his forehead and back, but Qin Lang was not affected at all.

The anesthesiologist at the side was full of admiration in his heart. Although he was young, when Qin Lang really performed massage, he really had the demeanor of a general!

Qin Lang's left hand supported Mr. Zhou's forearm on the affected side, and then swung his forearm on the affected side, and at the same time drove his wrist joint to swing.

Driven by the swing of the wrist joint, assist Mr. Zhou to do the passive extension and flexion of the metacarpophalangeal joint of the thumb or the joint between the phalanges.Each point was treated for 1 min, and the frequency of wrist swing was 160 times/min.

After a full hour, Qin Lang perfectly completed the whole process.

"Mr. Zhou, the whole treatment was very successful, and I will arrange the rehabilitation score for your prognosis. Specifically: the score of the ulnar deviation function of the wrist joint, the score of the radial deviation function of the wrist joint, the score of the dorsiflexion function of the wrist joint, the score of the wrist joint Scoring of volar flexion motor function and total score of wrist joint function."

For the treatment of tendons and wrists, Qin Lang is the top in the country.

[Ding, Tuina master task progress 5/5, reward: 1 life simulation point]

PS: Thank you Linmo YYDS for the 1500 reward, thank you boss~ The boss has a good waist and kidneys, making a fortune!

(End of this chapter)