My daily work as a doctor: My treatment value is increasing.
Chapter 80 Acupuncture Techniques
In the end, the photo of Lu Renxin and Tang Yue was placed in the most prominent position on the photo wall opposite the nurses' station.
Within the square frame, at the very center of a group of photos, surrounded by a dozen other photos, it was undoubtedly the center of attention.
The blue and black pen bouquet wasn't meant for him alone; after the photos were taken, it was quickly divided up by everyone and became the department's backup energy source.
"Ouch, I almost got scammed! That old man is so stubborn." Liu Yichen, his forehead covered in sweat, sat down next to Lu Renxin.
"What's wrong? What could possibly get my brother Liu into trouble?" Lu Renxin raised his eyelids and asked curiously.
Liu Yichen had probably just wasted a lot of breath and was feeling parched. He first grabbed his water glass and gulped down two mouthfuls to suppress his thirst before replying:
"It's Mr. Li, whom I just admitted. He was fine during the routine medical history interview and was very cooperative, telling me everything. But when it came to his past medical history, problems started to arise."
"Oh?" Lu Renxin's voice rose at the end. "A medical history is just asking the patient about their past illnesses and what medications they've been taking recently. How could it possibly be something they could use to scam you?"
Liu Yichen rested his chin on his left hand, sighed, and began to describe the scene to Lu Renxin.
Forty minutes earlier, Liu Yichen, holding a notebook bound with scrap paper in one hand and a pen in the other, asked, "Do you usually have any health problems?"
Grandpa Li patted his chest proudly and said firmly, "No, no, I'm in great health. I have a good appetite and can work in the fields all the time."
As people age, they will inevitably develop some minor problems, much like the difference between a new car and an old car. No matter how well an old car is maintained, it will still have some minor issues. It won't make it unusable, but it will be very inconvenient to drive.
Liu Yichen glanced at the old man in surprise. It was quite rare for someone so old to have no chronic illnesses.
He had originally planned to simply write: "Previously healthy, no history of chronic illness..." but then, almost inexplicably, he asked, "Uncle Li, do you usually take any medication?"
He regretted it as soon as he said it. The old man had already said there was nothing wrong with him, so why would he take medicine if he wasn't sick? It was pure nonsense.
To his surprise, Grandpa Li slapped his forehead and exclaimed, "Oh, the medicine I took? There's so much, I can't remember it all. Let me show you!"
As he spoke, he squatted down and took out a tightly wrapped white plastic bag from the bottom shelf of the bedside table.
With trembling hands, Grandpa Li slowly opened the boxes one by one, and Liu Yichen could then see that they were all medicine boxes of various sizes and types.
The old man was a meticulous person; his medicine box was folded neatly, and when he took it out, it unfolded like a fan.
He spat on his fingertips, squinted, and laid the sheets on the bed one by one, saying as he did so:
"Take one of these a day; take four of these with each meal, three times a day..."
"Sanjin tablets, aspirin, statins, thrombolytic agents..."
Liu Yichen opened his mouth wide in surprise: "Aren't we supposed to be in great health? Then what... what are all these?"
A full range of medications are available, from those for the cardiovascular system to those for the kidneys and prostate.
Grandpa Li argued vehemently, "Yes, after taking these medicines, my health is very good. My blood pressure and blood sugar are no longer high."
Liu Yichen: ...He touched his chest with lingering fear and took a deep breath: "Luckily I asked a few more questions, otherwise I would have been finished."
Lu Renxin nodded in agreement: "Luckily, Brother Liu acted cautiously!"
If nothing goes wrong, that's fine. But if problems arise during the surgery because the medical history wasn't clearly understood, then Liu Yichen could be ruining his career.
……
Lu Renxin has completed his research project. Through his hard work, he has finally accumulated 1,000 healing points.
In the system store interface, he pressed the "Confirm Redemption" button.
Just like the "precision stitching," Lu Renxin's body instantly went limp and he collapsed to the ground. His consciousness was pulled into the learning space after he left.
However, this time the space that was opened was no longer the previous modern metal-style space, nor were there any stitching instruments or forging mannequins.
Instead, we arrived at an antique-style place surrounded by mahogany railings, where the most eye-catching feature was the heavy, bronze-colored, Song-style acupuncture figure in the center.
Lu Renxin had seen its introduction and pictures in the textbook.
The Song Dynasty acupuncture bronze figure, also known as the Tiansheng acupuncture bronze figure, is the world's earliest acupuncture teaching and assessment model cast during the Northern Song Dynasty.
During the Tiansheng era of the Northern Song Dynasty, due to inconsistencies in the names and locations of acupoints in acupuncture texts passed down through the ages, Wang Weiyi, by imperial decree, not only presided over the compilation of an acupuncture textbook, "Illustrated Classic of Acupuncture Points on the Bronze Man," but also cast two life-size bronze acupuncture figures.
The bronze human body is engraved with the pathways of the 14 meridians and 354 acupoints. Most amazingly, it can "remove mercury from the needle."
During the acupuncture exam, the examiner would first fill a bronze figure with mercury and then cover the acupoints with beeswax.
If a candidate accurately punctures the acupoint after demonstrating genuine skill, mercury will flow out of the hole; if there is even a slight deviation, the needle will not be able to penetrate.
While listening to the teacher's lecture, Lu Renxin was impressed by the wisdom of the ancients.
The bronze figure in front of us not only embodies the wisdom of ancient times, but also benefits from modern technology. After system upgrades, it can switch between teaching and assessment modes.
Lu Renxin first selected the learning mode, and a deep male voice came from inside the bronze figure:
"Shaoshang, belonging to the Lung Meridian of Hand-Taiyin, is located on the radial side of the distal phalanx of the thumb, about 0.1 cun from the corner of the nail. It can be used for emergency treatment to revive consciousness, quickly reduce swelling and relieve pain..."
As the narrative unfolds, a small, constantly flashing red dot appears on the bronze figure's finger.
Lu Renxin silently memorized the location, picked up the acupuncture needles, held his breath and concentrated before inserting the needles, then twisted them back and forth, repeatedly practicing the tonifying and reducing techniques.
As he gently pressed the needle handle, a fine line of water slowly seeped out along the needle, the needle entering and the water exiting with perfect precision.
This is only the first acupoint, and Lu Renxin is full of energy!
……
The project is ready, the technology has been upgraded, and the admission of patients can be put on the agenda.
In the afternoon, Lu Renxin closed the completed plan and got up to see if there were any suitable patients.
As he passed the third ward, he heard Liu Yichen's anxious voice from inside: "Uncle Li, you can't be so stubborn anymore!"
Grandpa Li? Isn't that the patient who almost caused trouble for Brother Liu yesterday? What kind of trouble has he caused today?
His steps faltered, and instead of going to the ward he had originally planned to visit, he involuntarily turned into this ward.
Liu Yichen has been a great help to him since he came here, and Lu Renxin always consults him first when he has something he doesn't understand or can't handle.
Now that he's in trouble, Lu Renxin naturally wants to go and see what's going on and if he can help.
As soon as Lu Renxin entered, he saw the two facing off. Liu Yichen's face was full of helplessness, but he still had to dutifully try to persuade them:
"It's been eight hours since your surgery, and you haven't urinated a single drop. Your lower abdomen is swollen and hard, and you still refuse catheterization. You're just making yourself suffer!"
Grandpa Li lay on the hospital bed, his brow furrowed, his forehead covered in cold sweat. He pressed his hands tightly against his lower abdomen, curled up in a ball, but still clenched his teeth and wouldn't let go.
"I can manage on my own. I refuse to believe that a living person can be killed by holding in their pee!"
Lu Renxin stepped forward and gently pressed on his lower abdomen. It felt as tight as a drum skin, and his bladder was very full.
"Sir, your health is the most important thing. How can you get better if you don't listen to Dr. Liu? We're all doing this for your own good," he also advised from the side.
Seeing that someone was agreeing with him, Liu Yichen seized the opportunity to explain the necessity of catheterization.
As the explanations softened Mr. Li's attitude, he stammered out why he opposed it:
"Doctor, I understand what you're saying, but I had it inserted during my last surgery too."
"It was painful not only when it was inserted, but it was also very painful when it was pulled out. I had some adhesions, and it was forcibly torn apart, and it burned with pain."
Mr. Li closed his eyes, fear showing on his face. He recalled intermittently, "And even after it was pulled out, I still couldn't urinate... I'm old, I really can't bear that suffering, I really can't bear it."
Lu Renxin suddenly realized why he was so resistant; there must be a reason.
First of all, Mr. Li already has prostate problems, especially if there is hyperplasia, which can squeeze the urethra like a flattened water pipe, or even make it crooked.
A urinary catheter is a rigid tube, and squeezing through this narrow and deformed passage will generate strong frictional resistance.
The channel has high resistance, and the tube can easily get stuck inside and not go in. Improper operation may puncture the mucosa, causing bleeding and pain.
Secondly, adhesions between the urethra and the catheter can cause discomfort to the patient during separation.
Finally, the catheter is a foreign object to the urethra. During its indwelling period, it will constantly rub against the urethral mucosa, causing congestion and edema, leading to difficulty in urination.
The bladder muscles do not need to be squeezed by the patient. The catheter directly drains the urine from the bladder. As the saying goes, "use it or lose it," the bladder muscles become temporarily paralyzed. Therefore, Mr. Li was still unable to urinate normally after the catheter was removed.
These reasons deepened Mr. Li's fear.
Liu Yichen paused for a moment, put down the catheterization kit in his hand, patted Grandpa Li's tense body reassuringly, and softened his tone:
"Sir, I understand your concerns. We won't force you. I'll think of another way to help you so you won't suffer anymore."
"However," he changed the subject, "if there really is no other way, for the sake of your health, I will still have to insert it into you."
Grandpa Li naturally agreed. Liu Yichen was at a loss. He had already had the injection and listened to the sound of running water. What other options were there?
"Isn't this patient perfect for my research?" Lu Renxin, whose eyes lit up, suggested, "Why don't I give him a couple of acupuncture treatments and see?"
Acupuncture? Liu Yichen knew about Lu Renxin's research topic. He nodded. There was no other way now, so letting Lu Renxin try it would be fine.
Mr. Li's face showed distrust: Acupuncture?
"Don't lie to me, acupuncture can have this effect? I was hospitalized in the acupuncture department before, and I've had all kinds of acupuncture, massage, and moxibustion."
"But that was because my shoulder was bad. After staying there for a while, it really helped. Can it be used for this purpose too?"
"Of course, sir. I'll give you a couple of acupuncture needles to try, and you'll see the effect." Lu Renxin helped him relax and directed him to assume a suitable posture.
"Alright, alright, there's no other way." Grandpa Li was still not quite convinced, but he had no other choice at the moment, so he could only try anything as a last resort.
The old man lay flat on his back, lifted the blanket and hospital gown, exposing his lower abdomen and lower limbs.
Lu Renxin took out disposable sterile acupuncture needles from the treatment tray, precisely positioned and disinfected them before starting the acupuncture treatment.
With the system's enhancement, his finger strength became steady, and he quickly inserted the needle before the patient could even feel it.
Then, gently twist your fingers, using a balanced tonifying and purging technique to patiently stimulate the meridian energy.
Several needles were inserted into acupoints on the legs to regulate the liver, spleen, and kidney meridians, thereby assisting in the opening and closing of the bladder.
During the time the needles were left in, he stayed by the old man's side, gently inserting the needles every few minutes and guiding the old man to take deep breaths.
The ward was very quiet, and the old man's breathing could be heard gradually becoming steady.
"Grandpa, do you feel your lower abdomen relax a little?" Lu Renxin asked softly.
Grandpa Li's tightly furrowed brows slowly relaxed, and he blinked in surprise:
"Huh? It seems...it really doesn't feel as bloated anymore, I feel a little like I need to pee!"
"If you can feel it, that's good. Try arranging them." Lu Renxin encouraged with a smile, and then removed the needles.
With his help, Grandpa Li had just stood by the toilet when a clear sound of running water rang out.
As the urine flowed smoothly, the old man's previously hard abdomen visibly softened.
"It's open! It's finally open!" He breathed a long sigh of relief, a long-lost relaxed smile appearing on his face. He turned to Lu Renxin excitedly and gave him a thumbs up. "Dr. Lu, your acupuncture is amazing! I was almost passing out from holding my breath just now, but after this acupuncture, my stomach stopped bloating immediately!"
Lu Renxin's anxiety subsided. While recording the treatment process in the medical record, he gently advised, "Your bladder muscles are still quite tense after urinating. You'll feel better if you lie down in bed for a while longer."
Liu Yichen also came over and praised, "Xiao Lu, you're really good at this. If my patients don't respond well, I'll come to you first."
Lu Renxin was short of patients, so he quickly agreed, "No problem, I'll take care of it."
……
In the evening, Lu Renxin and Qiang Ge found a barbecue stall. The folding table was piled high with lamb skewers, grilled chicken wings, grilled kidneys, grilled chives, and a combination of peanuts and edamame... There was also a pitcher of beer next to it.
Their collaboration is gradually getting on track, and they are now drinking and discussing further plans.
Because Lu Renxin is usually very busy with work at the hospital, he handed over the account to Qiang Ge to manage.
Qiang seemed to suddenly remember something, swallowed the roasted meat in his mouth, and told Lu Renxin, "I recently received a private message in the background, an invitation to a surgical conference, which said it was about the integration of intelligent technology, social media, and medicine."
He shook his head: "I know nothing about this stuff, and I don't remember it very clearly. I'll send it to you later, and you can see if it's necessary for you to participate."
Lu Renxin picked up a edamame: "Okay!"
After their conversation ended, he saw the invitation sent by Brother Qiang.
The title at the top is: The First China Hospital Information Network Conference and Medical Information Technology and Product Exhibition.
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