第168章 女子不孕
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说到细节，庄迥谋老于世故，说道：“稳婆培训不能操之过急，这些老太婆多年已经养成习惯，若一下强求，只怕这些稳婆要私底下乱说一气，也会阳奉阴违。而且接生出了事还要赖你们培训有问题。所以，我的意思是，先培训四十岁以下的年轻稳婆，这些人接生习惯还没稳定，容易纠正，而且也比较听话。等到这些稳婆接生死亡率降低了，有了明显效果，别的稳婆自然心生羡慕，便会主动要求参加培训的。我们到时候再大力宣传新法接生的效果，家喻户晓。产妇们自然也会要求新法接生的。”
杜文浩点头道：“这办法好，稳步推进，以点带面，避免反弹。就这么办！”
庄迥谋这才介绍一直陪着谐在一旁的那对年轻夫妇：“这两位是衙门户曹参军魏大人。他们夫妻也是成亲多年一直怀不上孩子，听说我经先生医治，终于怀了孩子之后，很是仰慕，特来求医的。”
户曹参军是管户籍的小官，从八品。
魏曹军忙起身拱手陪笑道：“杜先生，请帮帮我夫妻吧。若能续上香火，感激不尽！“他妻子程氏也羞红着脸起身福了一礼。
杜文浩急忙起身还礼。
庄迥谋道：“那好，你们看病，我们就先告辞了！”说好培训班筹备好之后就通知他们，随后庄迥谋一家告辞走了。
杜文浩一问之下得知，这夫妻成亲六七年了，一直没孩子，家人夫妻两都很着急，多方求医，没有任何效果。
杜文浩望了一眼程氏，见她身体比较壮硕，面色红润，上嘴唇有隐隐的黑绒毛，望舌后，舌红。不由心中一动，道：“我先给两位诊脉看看。”
魏参军脉象正常，程氏脉弦数。
借着诊脉，杜文浩发现程氏手臂上汗毛也比较多而且黑。杜文浩心中已经有了计较。
他让庞雨琴把程氏领到隔壁厢房做妇科检查和问诊。检查的手法要领杜文浩早已经传授给她了。去之前又低声叮嘱了一下重点检查的事项和问诊要了解的内容。
这边杜文浩询问魏参军的房事情况，得知他们房事一直很和谐，男方勃起、持续时间v精和精ye量等都很正常，初步判断是女方的问题导致不孕。
不一会，两人回来了，庞雨琴对杜文浩低声道：“她下肢、乳周和下腹中线多毛，还有几根比较长。手能触及双侧卵巢。”
“月事情况怎么样？”
“问了，月事周期很短，一般二十天左右，月事有时持续时间比较长，十多天都结束不了。经血鲜红量多。”
“别的还有什么症状？”
“嗯，经前两肋胀痛，头部经常胀痛，心中烦躁，梦多，口苦口干。”
杜文浩点点头，冉程氏道：“你平时饮食如何？喜欢吃甜的还是辣的？”
“饮食还行，喜欢吃辛辣的。”
“以前用过什么补品吗？”
“用过，服用过一些温补品。”
从诊察情况看，程氏的激素分泌不正常导致多毛症，加上双侧卵巢有明显增大，初步判断为西医的多囊卵泡综合症，这种病很多是内分泌失调导致的，比较难治，必须从多囊卵巢根本上治疗，使卵巢恢复其正常功能。杜文浩没有更多的现代检查治疗手段，决定先从常规治疗着手，先纠正月经先期。
在宋代当然不能从西医角度寻找治疗办法，只能用中医辨证论治，杜文浩对程氏道：“你素体阳盛，喜食辛辣和温补之品，情志失调，肝郁化火，冲任伏热，迫血妄行，血海不宁，经血先期而下，热邪破血，故血量多，面色红润，舌红，脉弦数，乃系肝淤血热之象，辨证为肝郁血热证。我准备用龙胆泻肝汤加减帮你治疗，目的是清热凉血，疏肝调经。你先服一段时间看看效果，再来复诊。”
魏曹军夫妻谢过之后，拣了药付了诊金走了。
一下午，杜文浩又给韦小姐施针类治疗几次。
天黑关门之后，杜文浩来到韦小姐病房复诊。还没进门，就听到里面韦小姐骂声不绝：“什么狗屁神医！哎哟……，治了半天一点痛都不止，还说什么剖腹疗伤，比华佗还厉害……，哎哟……，有这么烂的华佗吗？他是不是在故意消遣我啊……？哎哟，娘！我肚子好痛啊……哎哟……”
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