Lumbar process fortune telling

In contact with patients, I found that many patients don't understand the question of "what is the treatment method". And some specious statements confuse their understanding. So sometimes the wrong understanding affects our team's understanding of treating diseases and encourages bad medical behavior. Treatment seems to be a doctor's business, but it is actually determined by the patient's behavior.

Regarding the treatment of western medicine, everyone may have heard of such a popular saying: "Treating headaches and treating feet hurts." Because of such an easy-to-understand generalization, it is easy for people to understand the "essence" of western medicine. In detail, it is a kind of unjust case with the causal logic of "treating the headache, treating the foot pain and treating the foot" and "treating the symptoms rather than the root cause".

A patient went to the hospital and told the doctor that he had a headache. Then, the doctor will never prescribe painkillers for him immediately, but he must ask what kind of pain his headache is, how long it has been, and what other uncomfortable symptoms are accompanied ... Then, the doctor will ask the patient to do relevant tests according to his own judgment to determine whether the headache is neurological or cerebrovascular; Is it caused by a cold, fever or heatstroke? Whether it is functional (no obvious organ lesions) or organic (organ failure); Is it a simple headache or an obvious symptom of the disease? ......

Because I am not a doctor myself, I am not good at the diagnosis of headache, so I can only describe it in general. However, I know that headache is only a clinical symptom, which can be related to many diseases of related organs and tissues. For "headache", western medicine will not treat it until the cause is diagnosed.

Assuming that the doctor diagnosed that the patient's blood flow was reduced due to cerebral arteriosclerosis, and headache symptoms occurred due to ischemia, then his treatment focus was to treat cerebral arteriosclerosis. Similarly, a headache caused by a cold can cure a cold, and a headache caused by heatstroke can cure heatstroke ... In these treatments, whether to use painkillers depends on the doctor's judgment, and it is definitely not to treat a headache but only to relieve pain. However, treating headaches will not cure "feet".

This is the treatment idea of western medicine, based on the understanding of the nature of the disease. So, under what circumstances will doctors only give painkillers? Generally speaking, it is possible to take painkillers to relieve symptoms when there is no obvious cause, no evidence of organic lesions and only functional pain. The general doctor will tell the patient: "Take some medicine first, and if it doesn't work or change, go to the hospital for a follow-up visit in time." This is an "observation" therapy. The real purpose is not just "no headache", but to observe "the nature and progress of headache symptoms" to further determine.