Chapter 156 Discovering the Cause of the Patient's Headache
Chapter 156 Discovering the Cause of the Patient's Headache
There were only four people in the ward at that time, in addition to Dr. Chen Wenhao and Wu Yanzi, there were Qin Jianye and his daughter Qin Yixuan.
Qin Yixuan stood beside the bed and looked at her old father silently. Doctor Chen Wenhao wanted to ask Wu Yanzi to leave the ward so that he could observe the old leader's infusion. But he changed his mind and thought that Wu Yanzi was a health worker, so he decided to let Wu Yanzi give the old leader a head massage.
"Xiao Wu, do you know how to give massage?" asked Doctor Chen Wenhao.
"Yes! I learned massage when I was studying at the Nanjing University College of Traditional Chinese Medicine." Wu Yanzi answered truthfully.
"Ah! So you graduated from the Nanjing University College of Traditional Chinese Medicine!"
Doctor Chen Wenhao couldn't believe it. He originally thought that Wu Yanzi had studied massage at an ordinary technical school, but he never thought that she had studied at the School of Traditional Chinese Medicine of Nanjing University. This made him misjudge her. After all, he reached the level of chief physician at a young age, so he was arrogant and even thought that he was the best doctor in Nanshi, without a doubt.
"Nurse Xiao Wu, please give the old leader a head massage. This will promote blood circulation in the head and allow the infused drugs to enter the blood vessels in the head, thus quickly relieving the pain."
"Okay! Doctor Chen."
Under the arrangement of Dr. Chen Wenhao, Wu Yanzi began to give head massage to her old leader Qin Jianye.
Wu Yanzi started from the Baihui point on the head of her old leader Qin Jianye, and slowly moved to the Fengchi point and the temple. Her unique massage technique did work, and it seemed that Qin Jianye's headache was relieved a little.
While Wu Yanzi is treating patients through massage techniques, she is also exploring the patients' reactions, thereby obtaining useful information.
The acupuncture points of the human body are related to the meridians, and the discomfort or comfort of the human body will be manifested through nerve reactions. Wu Yanzi can instantly sense this subtle change, and then by exploring the patient's comfort and discomfort reactions, she can determine that the root cause of the patient's headache is not in the head.
"Uncle, let me give you another neck massage." Wu Yanzi leaned close to Qin Jianye's ear and whispered.
Qin Jianye felt comfortable during Wu Yanzi's head massage. After hearing Wu Yanzi's words, he immediately turned his body sideways so that Wu Yanzi could massage his cervical vertebrae.
Just when Qin Jianye turned his head, a small incident occurred. Just now, when Wu Yanzi was leaning over to talk to Qin Jianye, because the distance was very close, Wu Yanzi did not feel the tears in her eyes dripping into the left corner of Qin Jianye's eye. The subtle changes were captured by Qin Jianye. Although Qin Jianye had a headache at the moment, he was clear-headed and saw the tears in Wu Yanzi's eyes.
As Qin Jianye turned his head, the tear that dripped into the left corner of his eye was hidden under the corner of his eye.
Wu Yanzi discovered the source of Qin Jianye's headache after massaging his cervical spine for less than two minutes. When she pressed and massaged the patient's cervical spine, she found that the patient's reaction to the massage of the second cervical vertebra was the strongest. Therefore, she concluded that the patient's headache was caused by a problem with the cervical spine based on the previous pulse diagnosis and the current massage.
Once the cause of the disease is identified, treatment can be targeted, and the patient will get better quickly.
Qin Jianye's headaches mainly come from occipital neuralgia caused by cervical spondylosis, and also include neurovascular pain caused by vascular spasm caused by hypertension. Since he has suffered from hypertension for a long time and had dizzy headaches in the past, Dr. Chen Wenhao made a habitual diagnosis. In fact, Dr. Chen Wenhao also considered the cervical spine and did a cervical spine CT scan. However, since Qin Jianye had no symptoms of cervical spondylosis, the cervical spine CT scan showed that only the second and third cervical vertebrae had a slight disc herniation, so Dr. Chen Wenhao ignored this problem.
Dr. Chen Wenhao specializes in cardiovascular and cerebrovascular diseases. He does not have much experience in orthopedics. This is also a limitation of Western medicine. Therefore, Western medicine diagnosis requires joint consultation among multiple doctors to finally diagnose complex conditions.
Traditional Chinese medicine studies a person as a whole. Pulse diagnosis can determine the pathological changes of internal organs, and the different manifestations of acupoint pressing in the meridians can reflect the pathological changes in a certain part. Take the human cervical vertebrae as an example. The cervical vertebrae are divided into 7 sections, and the shape of each vertebra is not exactly the same. Among them, the 1st cervical vertebra, the 2nd cervical vertebra and the 7th cervical vertebra are three vertebrae with more characteristics. The 1st cervical vertebra is also called the atlas. The atlas has no vertebral body and is similar to a ring. It is responsible for connecting with the skull. This special structure is conducive to movements such as turning the head. The 2nd cervical vertebra is called the axis. Together with the atlas, it forms the atlas-axis, which is mainly responsible for movements such as turning the head. The 7th cervical vertebra is the largest of all cervical vertebrae. When you lower your head, you can see an obvious protrusion behind the neck. This protruding vertebra is the 7th cervical vertebra.
When the cervical vertebrae are diseased, the symptoms will vary depending on the location. If there is a problem with the second cervical vertebra, there will be discomfort in the head. If there is a problem with the third or fourth cervical vertebrae, there will be numbness in the neck and shoulders. If there is a problem with the fifth or sixth cervical vertebrae, the arms will also become numb. However, there are rarely any problems with the first or seventh cervical vertebrae.
As Wu Yanzi's massage ended, Qin Jianye's headache was slightly relieved, which could be heard from his conversation with his daughter.
When the infusion was over, Dr. Chen Wenhao monitored Qin Jianye's blood pressure and electrocardiogram again, and found that Qin Jianye's blood pressure and electrocardiogram had returned to normal.
"Old leader, has your headache disappeared now?" Chen Wenhao asked tentatively.
The last time he treated Qin Jianye, Qin Jianye's headache symptoms disappeared after the infusion, and he felt that it would be the same now.
"I... I feel a little better. My head doesn't hurt as much as before." Qin Jianye was a little weak, so he spoke weakly.
Doctor Chen Wenhao couldn't believe that the headache was still there, so he mustered up the courage to ask again, "Ah, old leader, is your headache still there?"
Qin Jianye nodded this time, but as he nodded, his face twitched and then he covered his head with his hands, and it was obvious that he was still in pain.
"Dad! Does your head still hurt?" Qin Yixuan asked Qin Jianye with concern, holding his hand.
Qin Jianye relaxed for a moment, closing his eyes and saying easily, "It's okay! I just took the medicine, I'll be fine in a while."
At this time, Doctor Chen Wenhao echoed, "Yes, the old leader's vascular spasm cannot quickly return to normal after taking the medicine. It will be fine in a while!"
Wu Yanzi saw that Dr. Chen Wenhao still hadn't noticed the cause of Qin Jianye's headache, and since she had already diagnosed the condition, she felt obligated to remind Dr. Chen Wenhao and let the patient receive appropriate treatment so that he could get better quickly.
Doctors are kindhearted. Driven by her sense of responsibility, Wu Yanzi whispered to Dr. Chen Wenhao, "Doctor Chen, cervical spine problems can also cause headaches. Can we do an MRI to check it out?"
"What? Xiao Wu, are you reminding me, or are you doubting my diagnosis?"
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