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第45章 问诊4(1 / 2)

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很快的又进来一个年轻的女士,30岁左右,一看就是公司白领。今天这些病人大部分都看上去经济条件大都不错,然而却一直得不到有效的调理,这让婉儿又多了一丝认知。一个好的医者是多么稀缺和难得。需要更多的懂得中医并愿意认真付出的人来服务更多的患者。

问诊开始

李女士(稍微皱着眉,语气有些急切):

“老先生,我的身体最近一直不好,特别是下腹总是感觉不舒服,尤其是尿频尿急,尿的时候还会痛,尿道像有火烧一样,感觉特别不舒服。我平时也有便秘的毛病,食欲也不太好,最近精神也有些差。”

文老(神色凝重,缓缓问道):

“这种症状持续了多长时间?你有没有觉得小腹隐痛,或是有发热的症状?”

李女士(面露焦虑,低下头):

“已经有一个多月了,最开始只是偶尔不舒服,可是这两周,症状越来越严重。特别是每次上厕所的时候,尿痛得让我觉得难以忍受,尿频得厉害,整个人都觉得很累。下腹隐隐作痛,有时候也觉得发热。”

林婉儿(快速记录症状,思考分析,低声道):

“从症状来看,李女士很可能是患有膀胱湿热,这种情况多与生活不规律、饮食辛辣、久坐等因素有关。湿热下注膀胱,导致尿急、尿频、尿痛的症状,同时下腹疼痛。”

文老(点点头,补充道):

“这种湿热下注的情况,如果不及时处理,容易导致尿路感染加重,甚至形成慢性膀胱炎。李女士,你平时的饮食怎么样?”

李女士(轻轻叹气,点头):

“平时我不太注意饮食,喜欢吃一些辣的和油腻的东西,喝的水也很少,基本上是茶和咖啡。因为工作忙,也没有时间运动。”

文老(沉思片刻,语气渐趋沉稳):

“饮食辛辣,久坐少动,容易导致体内湿气积聚,久而久之就会形成湿热,这也是你出现这些症状的主要原因。”

林婉儿(看向文老,心中思考,接着说道):

“根据李女士的情况,可以推测是湿热下注膀胱,膀胱为水道,湿热困阻其中,导致尿频、尿急、尿痛等表现。调理的重点是清热祛湿,利尿通淋。”

文老(点头,言简意赅):

“正确。李女士,我们需要对症下药,清热利湿,解毒通淋,配合调理膀胱的功能。”

林婉儿(自信地开口,问诊过程中她逐渐掌握了更多的临床思维):

“我们可以用龙胆泻肝汤加减,龙胆泻肝汤以清泻肝胆湿热为主,龙胆草、黄芩、栀子清热解毒,柴胡、薄荷疏肝解郁,适用于湿热下注引起的尿道不适。”

文老(默默点头,似乎对林婉儿的理解感到满意):

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