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第44章 陈(1 / 2)

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热证?

这两个字如同一道落雷,打在陈露身上,顿时整个人都麻了。

她诊断患者为“五更泻”,主要依据患者症状以及舌诊、脉诊、面诊出来的结果。

所谓五更泻,就是每日清晨鸡鸣时,肠鸣辘辘,腹脐疼痛,泻后痛减。

患者症状完美符合。

这个病一般多发于中老年人,尤其是中老年男人。大多数情况的病因都是肾气不固,肾阳虚,所以也叫做肾泻。

再严重一点,会影响到脾阳虚,最终导致脾肾皆阳虚。

四神丸治疗肾阳虚引起的五更泻效果很好,陈露自认开的方对证啊,可看患者的反应,似乎已经服过方药了,没起作用。

那么只有一种解释,自己和患者曾经求诊过的大夫都诊断错了。

患者证机不是肾阳虚,而是别的什么。

如果是热证,患者为什么会是热证?

陈露连忙抓起刚才记录的医案,逐字逐句地看,大脑飞快运转着。

从热证开始反推,脸渐霜白,双眸熠熠放光,片刻后,她放下医案,惭愧地对高希芋说道:“高老师,我可能诊断错了……”

高希芋淡淡地说道:“不要耽误后面的患者,开方。”

“好的。”

“患者左脉弦滑,数而有力;右脉濡滑,按之亦数。舌质红,舌苔白腻干苔……”

虽然想明白了其中关节,可听到高希芋的话,陈露还是有些无地自容,都快把头低埋进胸脯里了。

弦脉被自己诊为细脉,错的太离谱了,怪不得高老师说自己的脉诊是弹棉花的教的。

弹棉花的都不想背这口锅。

患者丈夫接过方子,刚要说话,患者先一步质疑道:“医生,你开的方子有用吗?别和前几次一样,吃了反而更严重。”

高希芋回道:“方子对证,当效如桴鼓,立起沉疴。”

平淡的声音传入陈昊、陈露、司思、患者、患者丈夫耳中,他们都是心神大震,瞬间被高希芋表现出来的强烈自信镇住了。

高希芋看了患者一眼,说道:“你要是不信,可以去药房请人帮忙煎药,当场服药,一两个小时后应该就有明显效果了。

当然,具体效果还要明天早上看,由于你病情拖得比较长,需要多次服药才能痊愈。

去开药吧。”

“谢谢!”

患者和丈夫起身走了。

目送他们离开接诊室,高希芋扭头看向陈昊和司思,陈露也反应过来,顺着投去感谢的目光。

欸,这眉毛,这眼睛,怎么这么像我那个不学无术的臭弟弟啊?

不可能!

肯定不是他!

我眼花了,他懂个屁的医术啊!

“能一眼看出患者的病机,不简单啊,你是国医大学的学生?几年级的?”

高希芋打量陈昊几眼,以她的眼力和阅历自然看得出陈昊年纪不大,估计二十来岁,眉眼陌生,戴着口罩,白大褂上没有工作牌,肯定不是苍生堂的人。

司思张了张红唇,正要介绍,陈昊开口说道:“我不是国医大学的学生。”

这个声音……

陈露面露狐疑。

“不是国医大学的学生,那是哪位国医大夫的徒弟?”

陈昊摇头道:“我不懂医术,就跟着一个化把看了几本医书。”

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