第260章 冠心病
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老太太听到刚刚陆峰的解释,随即抬头看了一眼尚文德,仿佛有这个老中医在,她心里安心不少。
“我的胸部经常感觉到沉闷,有一种压迫窒息感、闷涨感、剧烈的烧灼样疼痛,而且这种疼痛啊,一般都会持续好几分钟,有的时候长了,得了十五分钟左右。甚至有时候心脏还会疼痛。在疼痛的时候,还有虚脱、出汗、呼吸短促、恶心头晕的感觉。医生,你说我这是什么情况啊?”
陆峰眉头微微皱起,这种所表现出的病症情况有不少,随即他伸出手,笑道:“老人家,您伸出手来,我给您老把把脉,看看您的脉象如何?”
老太太这次倒是很配合,眼中也没有露出疑惑之色,更没有再看向他的子女儿孙,直接伸出手腕,递给陆峰把脉。
陆峰轻轻动了下老太太的手前臂,把它放在与其心脏近于同一水平的高度,手掌向上,前臂平方,以保证血液的流通顺畅。而他的手指,则永三指定位,寸口脉分寸、关、尺三部,先用中指按在高呈弓型斜按在同一水平,以指腹出按触脉搏。
在尚文德给陆峰的几本把脉医书中,包括《濒湖脉诀》里,总共把常见的病脉分为十种,它们分别是:浮脉、沉脉、迟脉、数脉、虚脉、实脉、滑脉、洪脉、细脉和弦脉。可是陆峰曾经记得,师父尚文德在教给你把脉的时候,还有两种脉象,分别是结脉和代脉。
而经过一两分钟的把脉,陆峰使用的是数脉的方法:脉搏急促(每分钟脉搏在90次以上),特点是较正常脉搏至数快。因为脉搏跳动有力,从而可以诊断出是实热。外感热病初起,脏腑热盛,邪热鼓动,血液运行速度加快。
一瞬间,陆峰心中跳出一个病症名称:冠状动脉性心脏病,简称:冠心病。
冠心病指于脂质代谢不正常,血液中的脂质沉着在原本光滑的动脉内膜上,在动脉内膜一些类似粥样的脂类物质堆积而成白色斑块,称为动脉粥样硬化病变,这些斑块渐渐增多造成动脉腔狭窄,使血流受阻,导致心脏缺血,产生心绞痛。
轻轻松开老太太的脉搏,陆峰并没有急于下结论,而是眼神微眯,视线从老太太的脸庞上扫过:皮肤湿冷、灰白、很明显是重病病容。
“医生,我奶奶这是得了什么病啊?你到底能不能诊断的出来?”那名二十六七岁模样的青年,脸上带着着急神色,急切的问道,当然,如果陆峰抬头看向他的目光,就能够发现他眼中流露的不相信神色。
沉默片刻,陆峰在脑海里再次回忆了一番自己学过的关于冠心病的知识,以及师父教导过自己的病症情况,随后开口说道:“如果我没有诊断错,这位老人家得的是冠状动脉性心脏病,也就是咱们常说的冠心病。”
冠心病?
陪着老太太的四五亲眷,一个个面面相觑。
一位医学门外汉,四五十岁模样的只男人,语气急促的问道:“医生,你确定你诊断的是冠心病?这种病没有遗传情况吧?我们家的祖祖辈辈,可从来没有人得过冠心病啊?”
陆峰露出一丝笑意,开口笑道:“这冠心病,只有一定的几率遗传,但是这种几率是很少一部分的。一般得这种冠心病的人,男性年龄一般都在45岁以上,女性一般都在55岁以上,或者提前绝-经的女性。其他方面引起冠心病的也有不少种情况,比如:高血压,糖尿病,吸烟,超重,肥胖,痛风,不运动等等。冠心病是动脉粥样硬化导致器官病变的最常见类型疾病,也是严重危害人民健康的常见病。”
“那这种病好治吗?”这一次异口同声开口的,竟然有好几个人。
看来,病人家属和病人,最关心的也是这个问题了!
陆峰犹豫了一下,视线看向一旁微笑不语的师父尚文德。
这时,尚文德眼中露出满意的神色,点头,说道:“不错,虽然我没有为病人把脉,但是从她的面相,呼吸气息的急促,以及她的症状表现,都能够确定她得的是冠状动脉性心脏病,也就是冠心病。”
听到师父这样说,陆峰如同十五个吊桶打水的——七上八下的心终于平复下来,既然自己诊断的没错,那就证明自己记住的治疗方法,同样是正确的!
“我给你们开一个药方,你们按照药方上的药材抓了,然后水煎口服。先开三个疗程的药物,每个疗程是一个礼拜的时间,三个礼拜后,你们再来检查一下。”快速麻利的把记忆中治疗冠心病的药方开好,递给病人家属,陆峰才在对方不断道谢中离开。
原本那些不相信陆峰的家属,在听到尚文德得到肯定的回答后,便产生了信任心理。因为他们看出来,在陆峰身边的那位老中医,是在指点他的弟子或者学生,有这双重保险,诊断的时候出错的几率就不会太高了!
第一位前来问诊的病人刚刚离开,随后又一位病人,走了进来。
这是一位四十岁左右的中年人,从他的面色上看,面色红润,一切都很健康,只是他的眉头,不时的微微皱起,偶尔眼中才会闪过一丝痛苦之色。
陆峰客气的让他坐下,才开口问道:“您身体哪里不舒服?”
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