MTL - Doctor Chen, Don’t Be a Coward!-Chapter 288 Myocardial infarction? Do not! no!

  Chapter 288 Myocardial infarction? Do not! no!

  The reason why Chen Nan guessed like this is actually not without reason.

  Actually, as early as a few years ago, there was a very famous person named Liu Feng, the painter of hearts.

  It is said that it is difficult to paint the height of a mountain when it is painted, it is difficult to paint the tops of a tree when it is painted, it is difficult to paint a portrait of a person, and it is difficult to paint the bones when it is painted.

  So painting a heart is a portrait of criminal psychology.

   Based on the clues, make some rough guesses about the suspect.

  The reason why Liu Feng, the painter of hearts, became famous and appeared on CCTV is because he made a series of guesses about the criminal suspect based on some clues.

The most famous one is a diagnosis in which he said that the patient was very sexually active, lived by the water, and there was a bridge by the water, and the patient's ankle was wounded by an iron object, which may damage the Sanyinjiao. Sanyinjiao on the right leg is the extreme yin point of a person, if it is damaged here, the yin energy will be damaged...

  Of course, these inferences inevitably sound a bit fanciful, but it is undeniable that the work of inferring criminal suspects based on known clues still needs to be developed.

  Chen Nan just speculated based on the existing clues.

  Judging a case is like diagnosing it. It needs to be peeled off, it needs to be read and heard, and it needs to analyze the known clues to draw a conclusion.

  There is generally no DNA in the urine, unless the cells of the urethra or the kidney are encountered first, or the murderer himself has a urinary tract disease, and some clues can be obtained.

   Obviously, there is no murderer!

   Otherwise, modern instruments will not fail to detect it.

  The reason why Chen Nan speculated that the patient was an incompetent patient was because of some clues.

  First, the victim's lower body was obviously damaged.

  Second, it was because the murderer's urine smelled fishy, ​​and there was yellow sweat on his underwear, which smelled fishy.

  Analyzed from the perspective of traditional Chinese medicine.

  The smell of urine is not easy to produce a fishy smell in such a cold winter season. The main reason may be the murderer himself.

  According to traditional Chinese medicine, in the auscultation, urine is the turbid liquid after the metabolism of human body water.

The smell of normal urine should come from the volatile acids in the urine. If the urine is kept for a long time, the smell of ammonia may appear due to the decomposition of urea. Under pathological conditions, the smell of fresh urine may appear fishy, ​​foul, and foul. Even smelling like rotten apples is pathological.

  But in cold weather, it is clear that urea decomposes very slowly, so there will not be a very serious stench.

  The smell of the murderer, according to Chinese medicine speculation, is mostly caused by weak kidney qi and failure of bladder qi transformation.

  It is mostly caused by insufficient endowment of the body, combined with overwork, or old age and infirmity, and insufficient kidney yang cannot transform qi.

   Next!

The murderer's method, although he committed the crime viciously, severely injured the head with a hammer, and hammered a position several times, the key is... the accuracy of the opponent's grasp is very unusual. Under normal circumstances, without professional training or related work experience, there are very few such an operation.

   Also, if the patient's underwear is in pieces, and it is not caused by not washing it for a long time, then there is only one reason, that is, the body is weak, and it is not caused randomly.

   It is recorded in "Synopsis of the Golden Chamber" that the clothes stained with sweat, and the color is like cork juice, mainly because the cause of the disease is caused by wind and fire, dampness, and heat.

  Patients suffer from an imbalance of yin and yang due to long-term consumption of true yin.

   People with deficiency of kidney yin, deficiency of yin and hyperactivity of fire may feel agitated in their hearts, like to watch those indecent webpage videos in the browser, or have desires in their hearts.

  However, due to the lack of yang energy, the yin fluid is consumed over time, resulting in incompetence despite desire.

   Can only be done in a grumpy way.

  Murderers like to find beautiful women for this reason.

  At the same time, the reason why the yellow sweat is obvious in the cold winter and the twelfth lunar month must be the invasion of wind, fire, heat and poison, and...the patient's Yin fluid consumption also needs a reason.

   May be in a hot environment for a long time.

  Chen Nan actually guessed it was a boiler room at first, but after thinking about his age...it doesn't look like a boiler room.

  Not far from that park, there is a steel factory, thinking of its modus operandi...

  Chen Nan had such a guess.

   As for age...

  Chen Nan also speculated through urine. Some very good Chinese medicine masters can get the patient's information through some clues.

  Urine is also a very normal thing.

  Through the analysis of color and some taste, it can be done.

  Chen Nan checked the relevant information and learned the reason.

In a study he previously published in the journal Frontiers in Aging Neuroscience, researchers identified a natural chemical in urine that increases in concentration with age and is a true reflection of aging Biomarkers of speed.

  However, the current forensic investigation clues obviously lag behind conventional medicine.

  At this time, Shang Chaoyan couldn't help but ask:

   "How did you guess?"

   "The veteran detectives and criminal experts who investigated the patient speculated that the age of the patient was around 40 years old."

   Chen Nan said with a smile: "This is a unique skill of Chinese medicine."

"but…"

   "You can go back and measure an indicator. The name of this chemical is 8-oxo-7, 8-dihydroguanosine, or 8-oxoGsn for short. It is a by-product of slow, long-term damage to RNA."

   "This substance changes with age."

   "And 8-oxoGsn is such a marker, which is a well-known by-product of the oxidation of guanine (one of the four base pairs found in DNA and RNA), which can be judged by color in experienced Chinese medicine."

   "As for why you work in a steel factory, apart from the fact that murderers usually choose to commit crimes where they are good at."

   "Another reason is the patient's constitution."

   "The patient's physique is due to weak kidney qi, bladder gasification failure, and accompanied by the invasion of wind, fire, heat and poison, which leads to the smelly urine."

   "Also, do you think a normal murderer would choose to urinate in the opponent's head when committing a crime?"

   "This just happens to show that the other party's bladder is not gasified, resulting in excessive urination, frequent urination, urgency, and endless urination."

   "You can check it out, and you can also analyze the urine trace samples outside the other party's head."

   Speaking of this, Chen Nan smiled slightly at Shang Chaoyan: "But..."

   "This knowledge is my speculation as a layman."

"for reference only."

   "I hope it will be helpful to you."

   "After all, I don't want to see the killer get away with it."

   After finishing speaking, Chen Nan shook the car key and said to Shang Chaoyan:

   "By the way, thanks for washing my car."

   After finishing speaking, Chen Nan was about to turn around and leave.

   And this time...

  Shang Chaoyan stood at the same spot, pondering for a long time, what Chen Nan said shocked people.

  After thinking about it, Shang Chaoyan said directly to Chen Nan: "Give me back the key!"

   "I have something to do!"

   After finishing speaking, she snatched Chen Nan's key, got into the car in a hurry, and rushed towards the Yuancheng Public Security Bureau.

   Chen Nan was stunned in place!

  I rely on...

   "Can't you make a phone call?"

  Chen Nan was speechless, and said to Shang Chaoyan: "Come on!"

  Shang Chaoyan turned around and nodded, clenched his fists at Chen Nan: "Come on!"

  Chen Nan was dumbfounded.

   Add oil to your sister!

  I said fill me up.

  Oil is very expensive!

  Chen Nan was speechless...

  Watching the car step on the accelerator and leave, Chen Nan shook his head helplessly.

  This idiot...

   Still like this.

   Chen Nan shook his head and went home.

  But...he was thinking about a question, after Shang Chaoyan left, would he be scolded?

  After all... the conjecture given by a Chinese medicine doctor can be counted?

  That night, as expected...

   After Shang Chaoyan came back, he was somewhat disappointed. After returning the key to Chen Nan, he kept muttering:

   "I think your analysis makes sense!"

   "But why don't they believe it?"

   "Who said doctors can't solve cases?"

   "A lot of forensic doctors in ancient times all came from Chinese medicine!"

  Shang Chaoyan still defends Chen Nan in her heart.

   "By the way, fill up the gas."

   "You are dead!"

   "Your family is so rich, you still need a little gas money."

  Chen Nan smiled sheepishly and remained silent.

   "Is there really no one to believe?"

  Shang Chaoyan shook his head: "It's not..."

   "After Captain Gu heard your name, he asked the team members to increase the search area and include the reference you said."

  Chen Nan asked curiously, "Gu Jun?"

  Shang Chaoyan's eyes widened suddenly: "How do you know?"

   "I also accidentally mentioned your name. I didn't expect... Captain Gu ignored it at first, but after hearing your name, he made a decision uncharacteristically."

   "Do you know each other?"

  Chen Nan couldn't laugh or cry: "I've seen it a few times."

  Gu Jun even gave Chen Nan a medal, after he helped catch those expensive traditional Chinese medicine dealers who committed crimes.

  Shang Chaoyan nodded: "Oh, no wonder..."

   "Hey, catch this pervert early..."

   "You said that I am so beautiful, what if the other party catches me?"

  Chen Nan couldn't help but glanced at Shang Chaoyan and smiled.

  Shang Chaoyan was immediately annoyed: "Why, look down on people!"

   "I am in our bureau, and there are many people chasing me."

"cut!"

   "I don't know the goods."

  Chen Nan smiled and left: "If they see you, the little fat girl with a kitchen knife in your left hand and pork belly in your right, they won't think so!"

   After finishing speaking, Chen Nan knew that a good man would not fight a woman, so he left in a hurry.

   During the Chinese New Year, drinking is very frequent.

   There are not as many recreational activities in the village as in the city.

  Everyone just gets together to drink.

   In the past few nights, Chen Nan occasionally drank and chatted with his friends, which was lively.

   Years go by so fast.

   In a blink of an eye, it's almost time to go to work again.

  The Department of Traditional Chinese Medicine is not an intensive care department after all, and there are not many patients during the Chinese New Year.

  Chen Nan, the second-line duty officer, just had a good year.

   In the past few days, Chen Nan went to the capital by car. After all...he still has a bunch of teachers who need to pay New Year's greetings.

   And Chen An is not idle, this New Year is not easy for him, he is busy looking up information every day.

  I also started to go to Shanghai today to discuss the establishment of a cooperative unit with Professor Guo Dean.

  Although Annan Pharmaceutical is now supported by Chengyuan Chinese Herbal Pieces Company and can produce traditional Chinese medicine, the standard of Chinese medicine still needs to be done.

  No matter how you say it, this matter is not only a matter of the company's development, but even a matter related to the standards of Chinese medicine and the right to speak of Chinese medicine.

  Chen Nan first went to Master Lu Lu Pingren's house to pay New Year's greetings. This time, Chen Nan did not come empty-handed, and brought some valuable Chinese medicinal materials and homemade patent medicines.

   These are rewarded by the system, and it is a waste of space to put them in.

  Chen Nan simply made some Chinese medicinal materials into pills and ointments for health care.

   These things are not only convenient to take, but also convenient to store.

   However, to Chen Nan's regret, after a year, Master Lu's health became worse and worse.

   I don't know... How long can I last?

  Lu Pingren was calm. He poured tea for Chen Nan with a smile and said:

   "Hehe, birth, old age, sickness and death are human nature. As a doctor, you have to get used to it."

  Chen Nan couldn't laugh, and didn't answer the conversation.

  Looking at Chen Nan, Lu Pingren said solemnly:

   "Chen Nan, your rapid progress has exceeded my expectations, and your talent has also amazed me."

   "But, you have to understand something."

   "Doctor, the ones to be cured are those who can be cured."

   "No one can stop birth, old age, sickness and death. In this world, no one can cure all diseases."

   "No one can stop the pace of life and death."

   "As a doctor, you should learn this even more."

  Lu Pingren said with a smile: "It's been about half a year for me."

   "After half a year, you come to the capital again."

   "You personally feel the pulse of some dying people."

  Chen Nan opened his mouth, hesitant to speak, but his heart was very complicated.

  Seeing this, Lu Pingren looked at Chen Nan seriously: "Don't make such a delicate appearance."

   "You are a doctor, you should learn to make decisions."

   "In the future, you will encounter many similar patients. Instead of wasting the money and experience of the family members of the patients, it is better to persuade them."

  Chen Nan nodded silently in answer.

  Farewell to Teacher Lu, Chen Nan went to Teacher Gu Siming, Shen Yuyuan, Yu Mei and other teachers in turn...

  Compared to everyone's house full of guests and friends, Yu Mei's house is quite deserted.

  Although they live in a huge courtyard, there are only three or two chickens and ducks in the courtyard.

   Even if someone came to visit the old man, Yu Mei refused.

   Just like that, after accompanying Master Yu to feed the chickens and ducks, Chen Nan cooked himself, made a dinner, and ate it with the old man.

   Even had a few drinks with the old man.

   This made Master Yu very pleased.

  After drinking for three rounds, Yu Mei said with a smile:

   "I didn't expect to hear from you after a year."

  Chen Nan suddenly became curious: "Huh? I... What did I do?"

  Yu Mei smiled and said, "You cured Mu Chengyuan, right?"

  Chen Nan finally realized: "Yes."

  Yu Mei said: "This time, you slapped many people in Xinglin Garden hard and resoundingly."

   "This Mu Chengyuan was targeted by Yuhua Yaoye and the others before, and some experts in Xinglin Garden were even prevented from making a move."

   "I didn't expect that once you took a shot, you were really cured!"

   "You don't know, it's not that Mu Chengyuan didn't look for them at the beginning, but... either he declined politely, or he couldn't be cured at all."

   "This time, you made the other party lose face!"

  Chen Nan smiled: "Isn't this teacher taking care of you!"

  Yu Mei nodded: "Well, let's grow up quickly."

   "We old guys can see you for a few years, but we can't protect you for life after all."

   "When your wings are full, I hope I can still see it."

   After chatting for a while, Chen Nan left slowly.

  He learned something other than medicine from every teacher.

  …

  …

   After returning, Chen Nan went to Yang Fei's house for a drink with everyone, and he was going back to work the next day.

  However, when it was past nine o'clock after drinking, I suddenly heard the chaos outside.

  He hurried out of the room.

  Suddenly, I saw a group of people surrounding a man on the ground, and everyone around was a little anxious.

   "Quickly hit 120!"

   "It must be a heart attack."

   "Who has nitroglycerin, hurry up!"

   "Stop the ink."

   "It's killing me!"

  Hearing everyone's calls, Chen Nan and Shang Chaoyan hurried over.

   After walking in, it was Yang Kuangsheng, a small boss in a village.

  Yang Kuangsheng was originally a contractor. A few years ago, his uncle became the mine manager of the coal mine. He had a good vision and decided to do the logistics contracting work of the coal mine, specializing in the outsourcing of some spare parts.

  The business looks inconspicuous, but the earning is really a lot.

  The past few years have also been impressive, driving a Cruiser.

  During the Chinese New Year, drink with the leaders of the village, after all... the village itself is on the outskirts of Yuancheng City.

  In the past few years, the city has the intention to develop abroad. Yang Kuangsheng has money in his hands, so he has some other ideas.

  After drinking wine today, I suddenly felt uncomfortable in my heart, and the sudden pain caused me to drink too much. Yang Kuangsheng fell to the ground directly, and his breathing became a little short.

   At this time, the friend who followed Yang Kuangsheng was so scared that he panicked and quickly grew 120.

   It was past 9 o'clock in the evening.

  Even the nearest hospital was less than talked about for a while.

   Soon, many people gathered around.

  Everyone chattered and was very anxious.

  But... no one dared to touch him.

  Yang Kuangsheng seemed to be sober at this time, lying on the ground with a grim expression on his face, and kept saying, "Help me..."

"please…"

"help me!"

  The companion quickly said: "Quick, whoever has the phone number of Dr. Hu in the village, let him come over."

  Hearing this, someone quickly said: "I have, wait a minute, I will fight now!"

   At this time, Chen Nan was also a little panicked.

   Could it be myocardial infarction?

   During the Chinese New Year every year, there will be patients with sudden myocardial infarction.

   And this Yang Kuangsheng has a typical abdominal obesity. He is in his forties and is less than 1.7 meters tall, but he weighs more than 200 kilograms and has a big belly.

  This kind of people who have been drinking for a long time have atherosclerosis and plaques themselves, and they are very likely to induce myocardial infarction.

  Chen Nan walked over quickly, and said to everyone: "Everyone, let's move!"

"I am a doctor!"

  When everyone saw that it was Chen Nan, their eyes lit up immediately, and Yang Kuangsheng's companion even pulled Chen Nan directly.

   "Doctor Chen, save Lao Yang!"

  Chen Nan nodded and walked straight inside: "Everyone, get out of the way first, don't gather, don't make noise."

   Yang Fei couldn't help pulling Chen Nan at this moment, and whispered something in his ear.

   "Old Chen, don't mess around..."

   "This Yang Kuangsheng...is a ruthless person."

   "If there is something wrong with him, don't let people deceive you..."

   At this time, Shang Chaoyan said: "It's okay, I'm here."

  In the village, there is generally no case of extortion.

  A few years ago, an old man sprained his ankle, but he didn’t want to go to the hospital, so he asked a former sheep herder in the village to set his bone.

  The sheep herder is not a doctor, he just pinches too many sheep and knows a few tricks.

But…

  The old sheep-herding man didn't dare either!

  I couldn’t stand the old man’s repeated invitations, so I thought about it... I can’t kill people even if I set my bones, so I should be fine...

  However, who would have thought that this move would kill the old man.

  It is said that pain induced myocardial infarction.

   This incident made such a fuss that the village couldn't laugh or cry.

  Finally, the two families didn't bother with this matter, and they were dismissed by the old man.

  However... In recent years, the overall atmosphere has been rather chaotic.

   Besides... Yang Kuangsheng has a heart attack, and Yang Fei is also afraid that something will happen to Chen Nan, so he kindly reminds him.

  Chen Nan waved his hand to express his reassurance, and walked over.

  Yang Fei was also clever, picked up his mobile phone, stood aside and started recording, fearing that the Yang family would not admit it.

   Something went wrong and people were blackmailed.

  Chen Nan walked over, squatted down, put his hand on Yang Kuangsheng's wrist and began to touch it.

  The other party's pulse is loud and slow, which is a typical pulse after drinking.

  After drinking alcohol, Qi and blood are vigorous and flow quickly, and the pulse condition can easily cover up symptoms.

but!

  Chen Nan's pulse diagnosis is by no means an ordinary person, he can naturally see the clues through some clues.

  Unfortunately, Chen Nan continued to touch, but did not feel the symptoms of chest pain.

   In traditional Chinese medicine, coronary heart disease is called chest obstruction.

  The key to the pathogenesis lies in the blockage of the blood vessels. The main reasons for the blockage are firstly that the Yang Qi of the heart is weak and unable to push the blood to run;

  So, under normal circumstances, the pulse condition of this kind of patients is mainly weak and weak.

  Because of myocardial infarction, the heart is blocked, and the flow of Qi and blood is unfavorable. This kind of pulse knot and replacement will definitely happen.

  But on the other hand, Yang Kuangsheng...

   But this is not the case at all.

   This made Chen Nan feel a little more suspicious.

   Is it really a heart attack?

  Chen Nan said quickly: "Come on, give me a hand, and carry him to the room first."

   "It's too cold outside."

   Several people around saw this and nodded quickly.

   I have to say that this Yang Kuangsheng is really fat, and five or six young men are young and strong, and they can lift him up.

   After a lot of effort, he was carried into Yang Fei's bed.

  Lying on the bed, Yang Kuangsheng was still out of breath, his face was pale, and beads of sweat oozed out.

   A group of people suddenly became anxious.

  What should I do?

  Chen Nan quickly asked, "Why do you feel uncomfortable?"

  Yang Kuangsheng's voice was a little weak:

   "I...I feel flustered."

   "And the heart hurts here."

   "Could I have a heart attack?"

"help me!"

  Chen Nan frowned. Obviously, the patient's condition was not a myocardial infarction, but now the conditions are limited, and an electrocardiogram cannot be done.

What should I do?

  Chen Nan quickly asked, "Do you have high blood pressure?"

"Have!"

   "Do you have diabetes?"

"Have!"

   "Have a heart attack?"

   "I...I don't know..."

   "But...is it specified?"

  Yang Kuangsheng was terrified at this time, tears were about to flow out.

  After all...according to the TV, in my own situation, it is specified that I am going to die...

  This is the beginning of my bright future...

   Can’t die!

  Thinking of this, he felt a burst of despair.

  At this time, Yang Kuangsheng changed his posture: "Oh... I don't want to die..."

   "Woooooooooooo..."

   Seeing such a big man cry, everyone around him felt a little helpless.

  Chen Nan was also a little confused.

after all…

  The tongue and pulse do not match the symptoms of chest pain. Could it be that the pulse and syndrome do not match?

This…

its not right.

  Chen Nan suddenly thought of something, he made Yang Kuangsheng lie on the bed with strong hands, and then pressed a few times on the spine behind his back.

   "Does it hurt?"

   "Boy...it hurts!"

  Yang Kuangsheng bared his teeth and complained endlessly.

   And Chen Nan gently put his hands on the spine, and massaged down along the Du Meridian.

   This is a diagnostic method of massage.

  After some diagnosis, Chen Nan breathed a sigh of relief.

  This is not a heart attack!

  It is a kind of thoracic small joint disorder that not only compresses the sympathetic nerves that control the heart and lungs, but also affects the biomechanical balance of the spine.

   There are many nerves on the spine, and the abnormality of the spinal joints will lead to abnormalities in cardiopulmonary function.

   There are even diseases similar to myocardial infarction.

  Thinking of this, Chen Nan finally relaxed.

At this moment…

  The door was opened.

   Several people hurried in.

   It was Hu Kaiwen and Hu Banxian who came in.

"quick!"

   "Get out of the way."

   "It's all spread out..."

   Hu Kaiwen looked anxious and said to everyone.

  Hu Kaiwen opened a clinic in the village, and the business is good, and those who give injections and infusions on weekdays also make a lot of money.

  At this time, he saw the patient lying on the bed, and Chen Nan was beside him.

  Hu Kaiwen frowned quickly and said, "How can you let the patient lie on his stomach!"

   "Get up quickly."

   "Chen Nan, aren't you a doctor? Why don't you have such common sense!"

   "The coronary heart disease made him lie on his stomach, which restricted the beating of the heart, which was more prone to accidents."

"hurry up!"

"flip over…"

  …

  ps: Say one thing.

  In the first few chapters, I saw someone say that I wrote fantasy, but actually... is it fantasy?

   It's not fantasy at all.

  Psychological hints can cure diseases, and psychological counseling can cure diseases. Is it true that Chinese medicine cannot treat mental illnesses?

  Medicine itself is always comforting for a lot of time, and the cases in the book are all true.

  I am not good enough to make up such a case...

  It is really hard to search for information. The veterans themselves are professionals in the industry, so they want to select as much as possible the real, interesting ones, which can open everyone’s eyes, or add some medical cases that cannot be seen in other places.

  So... I wrote it.

  Finally... ask for a monthly pass by the way.

  It's the end of the month!

friends…

  (end of this chapter)