Rebirth 1977 Great Era

Chapter 635 The old lady breathed a sigh of relief. She finally encountered something he wouldn't do (Happy New Year!)
The patient was overjoyed to hear the dialect saying that he could recover in just one minute.

He praised the dialect:

"I was saying that Doctor Fang, whom my daughter admires so much, must be no ordinary person!"

At this time, Fang Yan glanced at Old Mrs. Luo, and when he saw her nod, he knew that he had done nothing wrong.

Some orthopedic hospitals will make patients take X-rays as soon as they enter the hospital, no matter what the illness is.

This is also a common phenomenon in later generations.

Fortunately, Fangyan knew that the old lady would only ask someone to take an X-ray when she was seeing a patient with a broken bone.

Standing up, Fang Yan pointed to the next door and said to the patient:

"Come on, let's go next door."

The patient nodded and followed.

Old lady Luo and Wang Chengyu also came over. This time there was no need to greet them in dialect. Wang Chengyu was pushed by the old lady and he immediately understood and went over to help.

"Please sit down." Fang Yan pointed to the stool where the young man had just sat and asked the patient to sit on it.

When Fang Yan saw Wang Chengyu coming up, he hesitated for a moment.

This requires the use of Roche's bone setting method: traction and flexion reduction method.

Generally speaking, it requires two people to operate, but if your hands are strong enough, it can be done by one person.

But since Senior Brother Wang has already come, there is no reason for Fang Yan to ask him to go back. Besides, the old lady wants to watch Fang Yan perform and then point out his shortcomings, so he has to follow the standard method in the textbook.

After the patient sat down, Wang Chengyu took the initiative to hold the patient's forearm firmly with his hand to keep it still.

Fang Yan said to the patient:
"Your injury is just a dislocation, not a fracture, so it won't hurt. It will go back in a moment."

The patient nodded doubtfully.

To be honest, Fang Dialect said it wouldn't hurt, but he really didn't believe it.

He was not a child. He had heard that orthopedic hospitals would use some tricks to divert attention when dealing with these matters.

Fangyan didn't care what the patient thought. He turned and came to the patient's fixed right hand. He stretched out his hand and gently stroked the patient's thumb. His movements were gentle and steady, as if he was soothing the injured part. This is a massage finger technique in Luo's bone setting method, which can smooth the local muscles of the thumb.

Immediately afterwards, Fangyan stretched out his right hand, and accurately pinched the patient's dislocated thumb with his thumb and index finger, while the other fingers were naturally bent.

The moment he was pinched, the patient trembled all over.

"Relax!" Fang Yan said to the patient.

Then he pressed his index finger joint tightly against the palm of the patient's metacarpophalangeal joint and made eye contact with Wang Chengyu. The next second, they both exerted force at the same time and began to resist the traction. The patient wanted to pull his hand away in pain, but was held down by Wang Chengyu. At this time, Fangyan had already "loosened" the "short" thumb.

"Ouch!" The patient was now crying out in pain.

It happened in a flash. After feeling the looseness, Fangyan quickly and steadily flexed the patient's metacarpophalangeal joint.

Immediately afterwards, a crisp "click" sound was heard in the quiet clinic, and the patient's dislocated right thumb was firmly restored.

Before the patient could finish his scream, he found that the pain in his hand suddenly went away.

His frown instantly relaxed. He looked at his hands in surprise, did some flexion and extension exercises, and found that he could move them freely. He said in a lost voice:
"Ah? That's it... all right?"

Fang Yan used the Roche palpation method to assess the tendons and muscles on his palm and nodded:
"Yeah, okay, it's okay."

The patient tried again, raised his thumb, which had been unable to move just now, and twisted it, exclaiming:
“Hey, it’s amazing!”

At this time, Mrs. Luo said to Fang Yan:

"He still has a little edema. The work intensity in the factory is very high. I need to prescribe blood circulation and blood stasis medicine for him."

Fangyan thought about it and it made sense. Since they were workers, they really needed to recover to their best condition as soon as possible.

So I agreed immediately.

When prescribing the medicine, Fangyan thought about it and decided to prescribe a traditional Chinese medicine prescription.

The main reason was that he didn't know what prescription the old lady wanted him to prescribe, so it would be safest to just prescribe a traditional Chinese medicine prescription.

So the dialect chose Qilinsan.

The effects are to disperse blood stasis, reduce swelling, relieve pain and stop bleeding.

This recipe comes from the "Liang Fang Ji Xie" from the Qing Dynasty. Most of the prescriptions in the book are collected from ancient medical books, famous doctors of all dynasties and folk prescriptions, and have been carefully selected and verified by the author Xie Yuanqing.

After finishing writing, Fangyan showed it to the old lady.

Mrs. Luo nodded and said to him with a smile:
"You have a good memory and are familiar with the classics, which is great, but I believe you must have a better prescription. In fact, don't worry too much about me, just perform it. If there is any problem, I will remind you."

Fangyan immediately understood what the old lady meant. She saw that he was hesitant when prescribing medicine for treatment, so she nodded:
"Okay! I understand."

However, Fangyan did not change the prescription, but gave it directly to the patient and told him to take the medicine home and make it himself.

The patient was quite satisfied with the treatment. He thanked Fangyan and then pushed the door open and left.

When he left, he did not forget to say in the aisle:

"Doctor Fang is amazing. My hand was healed in less than a minute!"

As soon as these words were spoken, people outside started asking questions at once.

People who knew the dialect and those who didn't were all interested in him.

After writing the medical record in the room, Fangyan asked Wang Chengyu to call the next person in.

Soon the next patient came in.

This time it was a woman in her 50s. As soon as she entered the door, she greeted Fangyan and Mrs. Luo very politely:
"Hello, Doctor Fang, Hello, Doctor Luo!"

Fang Yan and Mrs. Luo both nodded and asked her to sit down. Then Fang Yan turned to her and asked:

"What's your question?"

The patient raised her right hand and spoke in dialect:

"I don't know if this is a bone problem. Half a month ago, I was cutting vegetables and found that the joints of my right hand were a little painful. Then two days later, I found that it was getting worse and worse. I can't do the movements I used to do now..."

She also tried to do a few wrist-rolling movements, but failed. On the contrary, her left hand could do the movements without any problem.

Then she continued:

"Later, the pain in my wrist joint worsened. I applied some medicinal wine at home and applied two plasters. I felt a slight improvement, but my wrist still hurts when I move it. And it's strange. The temperature has dropped in the past few days, and my wrist feels more and more painful. It's been more than ten days now, and the Spring Festival is almost here. I feel something is wrong, so I came to take a look today."

After hearing the patient's description, a word quickly popped up in Fangyan's mind - joint strain.

So I asked the patient:

"What do you do for a living?"

The patient said:
"I'm a grinder in the workshop of the bearing factory here."

Fangyan had never been exposed to these types of work, but he had occasionally read the books written by his father and his colleagues, so he had a rough idea of ​​what the situation was like, so he asked:

"Do you usually need to do repetitive movements all the time?"

The patient nodded and said:
"Yes, we need to repeat the process of loading and unloading workpieces. When we are busy, we load and unload about a hundred workpieces every day, and when we are not busy, we load and unload sixty or seventy workpieces."

Fangyan thought for a moment and asked again:

"How much does a bearing workpiece weigh? How did you get it up and down? I mean, with tools or by hand?"

The patient said in dialect:
"They are different in size. The heavy ones can weigh 100 to 200 kilograms and need tools to lift them. The light ones can weigh 30 to 40 kilograms and can be lifted by hand."

Fang Yan nodded, and then asked:

"How old are you? How long have you been doing this?"

Patients say:

"I'm fifty-four now. I started working in the factory when I was 17 and have been working as a grinder ever since."

While speaking, Fangyan was observing the patient's expression and body posture and found that they were basically normal.

Then Fangyan said to the patient:

"Okay, let me check you out first."

He walked around the table and came to the patient, using the diagnostic method of Roche's osteopathic method.

There are a total of twenty-one diagnostic methods of Roche's bone setting in the internal textbooks. In addition to the palpation method, there are also compression method, percussion method, rotation method, flexion and extension method, single pressure palpation method... and so on.

Although Fangyan had never seen Mrs. Luo use them, he had the support of the system and his ability to understand, so he had mastered all 21 methods.

If the patient is suffering from strain, then several examination methods will be needed to find out the strain of the entire part.

Fangyan then began the diagnosis.

He first squeezed the palm of the patient's right hand to check if there was any pain. If there was any squeezing pain, it meant there was an injury.

Then it was found that the patient felt obvious pain when squeezing the fourth and fifth metacarpal bones of his right hand near the base of his palm.

After noting down this position, Fangyan immediately used the pain-touching method in Luo's bone setting to reconfirm the scope of the entire area. The pain-touching method is a method of distinguishing whether it is a bone injury or a tendon injury based on the location, range and severity of the squeezing pain.

The tender area where sharp objects are placed indicates a fracture. If you feel a deformity when touched and the pain is over a wide area, it suggests an oblique fracture or a comminuted fracture. If the pain is large due to compression but the pain is mild, it is mostly a soft tissue injury.

But this time it was a little different. When I touched it with my fingers, there was a strange feeling like friction.

Fangyan then tried various other diagnostic methods, and when she asked the patient to make a fist, she said the pain would be more obvious.

In addition, the fourth and fifth fingers of her right hand are restricted when bending and straightening, and cannot move freely like normal.

After the diagnosis in dialect, he returned to the examination table and started writing the medical records:

Manual examination revealed tenderness at the base of the 4th and 5th metacarpal bones of the patient's right hand, with a palpable friction sensation. The pain worsened when making a fist, and the flexion of the 4th and 5th fingers of the right hand was limited.

The patient was diagnosed with wrist injury caused by long-term wrist swinging. Although he applied plaster after the injury, the effect was limited.

After finishing writing, Fangyan was stunned because he found that the internal textbooks did not explain how to treat such complex and comprehensive injuries.

Although the old lady's internal textbook recorded many more methods than the public 1975 version, it did not record all the methods.

Just like the third patient, he was immediately stumped by the dialect.

Of course, the difficulty lies in the fact that Roche's bone setting method must be used.

If he were really asked to treat the disease, he could do it, but he would use the bone-setting chapter in "Shiyi Dexiao Fang" or the orthopedic case studies in "Yongleiqian Fang" or the theory of wound treatment in "Taiping Shenghui Fang".

He even had secret manuals, for example, "Secret Prescriptions for Healing Injuries and Broken Bones Granted by Immortals", one of the 35 lost books, was a bone-setting technique used in the army of the prosperous Tang Dynasty. It also contained methods for recovering from the strain caused by training weapons, but the method used medicine instead of techniques.

So, it’s difficult, but not completely overwhelming.

But the problem is that he came here to learn something, not to show off his medical skills.

So he decisively turned his head and looked at Mrs. Luo, and said:

"Master, this...would you like to take a look?"

When Mrs. Luo heard this, although she smiled on the surface, she secretly breathed a sigh of relief and said to herself:
"That's good. He finally met someone who can stump him."

PS: The 6000-word basic chapter has been updated.

There will be additional updates during the day.

Also, considering everyone's sleep, I'll change the update to 7 a.m. tomorrow.
(End of this chapter)