第108章 关节痛的妇人
最新网址：m.ltxsdz.com
蒲老汉连声感谢。
三天后。
这天早上，杜文起床之后，先给留院观察的复诊，发现阎妙手的儿子疙瘩，还有周捕快的伤口愈合良好，已经没有传染性了，下医嘱叮嘱注意事项之后，便让他们出院回家调养了。
里只剩下静慈主持和惠师太留院观察治疗。
杜文浩来到堂开始问诊。今天天气寒冷，病人不多，杜文浩便一边看病一边给二女解说医理。
第一个病人是个三十岁的中年妇人，佝偻着身子，在家人搀扶下一大早就来排队等候看病了。第一个拿号的。在家人搀扶下，呻吟着坐在了桌边。
杜浩问：“哪不舒服啊？”
这中年妇人巴张不大，说话含含糊糊的：“关节痛！痛死了……，哎哟……”
“哪个地方节痛？”
“全身都痛！下巴，手，还有膝盖！”
杜文浩伸手摸了摸他的下巴，轻轻动了动，中年妇人呻吟立即加大了：“哎哟……！”
“嘴张不大吗？”
“嗯……”
杜文浩拿过中年妇人的手，只见他右手中指和食指关节粗大得跟小棒槌似的，右腕关节红肿变形，摸了摸，感到灼热，碰了一下，中年妇人痛得嗷嗷叫。撩起裤腿，膝盖也是一样红肿变形了。
“你这关节僵肿变形有多久了？”
“三四个月了。”
“怎么现在才来瞧病？”
“开始还不太厉害啊，以为只是伤风受凉了，吃了药也不见好，痛得厉害了，就去了仁义堂找许大夫瞧，开了些药，疼痛稍微有些好转。可药吃完了，又去看，这才知道许大夫也病了，短时间无法坐堂问诊了。他们堂别的大夫我信不过。就照原来的方子捡了药回去吃，结果没效果了，越来越痛，昨晚上下雪，痛得最厉害了，我听人说，五味堂杜大夫您擅长神医华佗剖腹疗伤神技，而且擅长治疗难杂症，所以一大早就来了。”
“嗯，还有哪不舒服？”
“发热，喉咙痛……，还有嘴巴干。”
杜文浩给他诊脉望舌之后，对旁边的庞雨琴解说道：“舌质红、苔薄黄腻，脉弦细数，这是风寒湿邪袭入经络，流注关节，郁而化热所致热痹。”
一旁的雪)儿道：“不对啊，那么冷的天，就风寒湿邪侵入，应该寒才对，怎么会热？”
杜文浩扑哧笑了：“你当是浇水啊？浇进去时凉的就是凉的？不过，痹证除了热胜型之外，的确还有寒胜型和寒热混合型。类型不同治法也相同。这三种类型的区别就在于是否有发热症状，热型就要清热解毒凉血，寒型则温经散寒，通经活络。”
庞雨琴道：“那赶紧先给她治吧，看她痛得这样。”
痹证也就是类风湿性关节炎，是一种自身免疫性疾病，西医角度看，该病的病因一直不明，在治疗方面，无论中医西医都属于难病症，至今没有特效治疗方法，治疗也只限于缓解关节疼痛和晨僵等症状，控制缓解病情发展，保持和恢复关节功能。由于西药会引起严重胃肠道症状和肝、肾、神经等方面损伤，在这方面中医比西医疗效要显著得多，副作用也小得多。
杜文浩对那中年妇人道：“我先给你针灸止痛，然后用药慢慢调理，这个病急不得，痛得厉害了，你就来针灸止痛，坚持服药，一段时间后应该可以缓解的。”
“好的！谢谢杜大夫。”
杜文浩让他在小床上躺下，取穴颌关节下关穴，腕关节阳池、阳谷、阳溪穴，指关节八邪穴，膝关节膝眼、曲泉、膝阳关、阳陵泉穴针灸，采用捻转提补泻法，针灸了一炷香功夫收针。
中年妇人活动了一下手腕：“咦，不怎么痛了。哈哈，杜大夫你还真是神耶！——咦，我说话也利索多了。”
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