Sent to the countryside, I turned the health center into a top-tier hospital.
Chapter 264 Traffic Generation
"Hey..." Zhou Jie and Sun Xiaoyan went up and helped the young woman down.
Upon arriving at the consultation room, Chen Ping asked the woman to take the child.
"Sit on the examination bed..." Chen Ping said to the young woman.
The young woman simply nodded slightly, then carefully sat down on the examination bed, keeping her head down the whole time.
One hand was held across his chest for protection, his body slightly turned to the side, as if he were hiding from a fist that no one could see.
"Where do you feel unwell?" Chen Ping asked.
The woman didn't speak, but the woman holding the child spoke up.
"My daughter-in-law has a hard lump on her right breast. It hurts when you touch it, and it hurts even more when she suckles. She doesn't dare to let the baby nurse from that side, so she can only feed from one breast."
"But there isn't enough milk on one side, so the baby isn't getting enough to eat. He cries during the day and at night, and the whole family hasn't had a full night's sleep in the past two days."
After the woman finished speaking, the young woman's face instantly turned red.
Chen Ping already had a general idea in mind, so he turned to the woman and said, "Sister, you take the child out first, and I'll let your daughter-in-law take a look."
"Huh? You're showing it to her yourself? My wife's shy, I'd better..."
"Sister, it's not me. Both nurses are here, so don't worry!" Chen Ping quickly explained before the woman could finish speaking, afraid that she might misunderstand.
"Okay, that's fine!"
The woman carried the baby out, and the baby's cries gradually faded into the distance in the corridor.
"Don't be nervous, take off your clothes..."
Chen Ping gestured for the young woman to take off her clothes.
The young woman hesitated for a moment, looked up at Zhou Jie and Sun Xiaoyan beside her, and then slowly unbuttoned her clothes.
After taking off her clothes, Chen Ping noticed that her right breast was significantly more swollen and red than her left, with a shiny skin.
It feels hot to the touch, and there is a hard lump the size of an egg above the areola. When pressed, it has a noticeable undulating feel, and it has already become infected with pus.
"When did it start to hurt?" Chen Ping asked as he touched her.
"It's been almost a week."
The young woman's voice was very soft, as if it were squeezed out from between her teeth, "At first it was just a little swollen, I thought it was because my milk was blocked, so I applied a hot towel, but it just got more and more painful."
"Later I went to the village clinic and got some anti-inflammatory medicine, but it didn't work."
"I've been in so much pain these past few days that I can't sleep at night, and my baby has no milk to drink. Today I couldn't take it anymore, so I discussed with my mother-in-law about coming here for a checkup."
After the woman finished speaking, her face turned as red as if it had been dyed with color. After all, she couldn't fully accept being touched by a strange man.
Wearing gloves, Chen Ping gently pressed around the edge of the hardened nodule with his fingers. The fluctuation was very obvious, and the abscess cavity was about the size of a pigeon egg.
Several of the surrounding mammary ducts were also blocked, and the skin of the entire breast was taut and much warmer than normal skin.
The tongue is red with a yellow, greasy coating, and the pulse is slippery and rapid, which is a typical case of liver stagnation and stomach heat, with milk stasis turning into heat and pus formation.
In traditional Chinese medicine, this disease is called "mastitis" and in Western medicine, it is called "acute suppurative mastitis". The treatment principle is to drain the pus, remove the accumulated milk and heat toxins, and then clear the heat, disperse the nodules, promote lactation, and reduce swelling.
"Zhou Jie, bring the treatment tray, sterile gauze, iodine, scalpel blade, drainage strip, and a pair of sterile gloves."
"Xiao Yan, push the shadowless lamp over here, then go find Li Fang and ask for the anesthetic."
Zhou Jie responded and ran out to get the instrument tray. Sun Xiaoyan pushed the shadowless lamp from the corner of the wall and turned it on with a snap, the white light shining on the examination bed.
When Zhou Jie brought the instrument tray over and placed it on the treatment cart, the young woman saw the gleaming scalpel on the tray, her body stiffened noticeably, and her hand unconsciously clenched the hem of her clothes.
Chen Ping did not rush to take action, but instead had the woman bring the child in first.
Before treatment, breastfeed on the healthy side once to empty the breast and reduce the pressure of milk stasis.
The woman brought the baby in, and the young woman took it, letting the child nurse on her left side until it stopped crying. The baby suckled and smacked its lips, making loud smacking noises.
Chen Ping had the woman lie down and disinfected the surgical area with iodine.
"Local anesthesia will be administered when draining the pus, so it won't hurt too much, but there will be a slight soreness and swelling when the needle is inserted."
"Once the pus has drained, the swelling and pain will be greatly relieved. With the help of acupuncture and traditional Chinese medicine, you can recover in a few days."
Chen Ping spoke in a very calm tone, trying to minimize the psychological pressure on the young woman.
He could tell that this woman was very conservative; otherwise, her illness wouldn't have dragged on for so long.
I'm afraid to go to the hospital because of this location, and I'm worried about being touched by a male doctor.
But there was no other way. The entire Siping Township Health Center was staffed with male doctors, and Chen Ping didn't want to put psychological pressure on the patients, so he spoke as softly as possible.
Chen Ping first inserted needles into several acupoints around the nodule.
Ru Gen, Ying Chuang, Jian Jing, Shao Ze.
Rugen and Yingchuang are located directly below and to the side of the breast. They are key local acupoints for clearing the mammary glands. Insert the needle obliquely towards the direction of the nodules, and after obtaining the Qi sensation, use the twisting and dispersing method to help clear the blocked mammary ducts.
Jianjing (GB21) is located directly above the shoulder. The needle should not be inserted too deeply. This acupoint is specifically for treating early-stage mastitis and insufficient milk production.
Shaoze is located at the tip of the little finger and is the well point of the Small Intestine Meridian of Hand-Taiyang. The Small Intestine Meridian runs through the outer side of the breast. Needling Shaoze can clear heat and detoxify, promote lactation and relieve pain.
After these acupuncture points were needled, the young woman's brows visibly relaxed, and she finally lowered the arm that had been across her chest.
After leaving the needle in for a short while, the local anesthesia took effect. Chen Ping picked up the scalpel and made a small radial incision at the lowest point of the nodule.
As soon as the blade cut open the skin, a stream of yellowish-white pus gushed out, flowing down the cut. It was thick and had a distinctive fishy smell.
He gently pressed around the hardened lump with sterile gauze, pushing the pus out little by little until the flowing fluid changed from pus to a light red, bloody exudate.
They switched to another pair of tweezers and gently probed into the abscess cavity.
Only after confirming that there are no partitions or residual dead spaces inside was the drainage strip inserted, leaving a small section of the outer end outside the incision, and then securing it with tape.
Throughout the entire drainage process, the young woman bit her lip and didn't utter a sound, only her fingers gripping the edge of her clothes tightly.
After Chen Ping straightened up and withdrew the last silver needle, the woman visibly let out a long breath.
Chen Ping put away the needles and wrote another prescription.
The modified Trichosanthes and Burdock Decoction uses Trichosanthes seed to clear heat and dissipate nodules, Burdock seed to detoxify and reduce swelling, Dandelion combined with Viola yedoensis to clear heat and detoxify, Vaccaria segetalis to promote menstruation and lactation, Bupleurum chinense to regulate liver qi, and Glycyrrhiza uralensis to harmonize the other herbs.
"Take your medication on time after you get home, and come back every day to change the drainage tube."
"Don't breastfeed the baby here for the next few days. You can express the milk by hand and discard it. Wait until the redness and swelling subside and the incision begins to heal before resuming breastfeeding."
"Eat a light diet, avoid foods that may trigger allergies or other adverse reactions, and don't hold grudges."
Chen Ping took off his gloves and turned to the woman, adding, "If your fever exceeds 38.5 degrees Celsius tonight, call me and I'll come over anytime."
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