Rural Chinese Medicine Li Maoyang

Chapter 545 This is Weird
"Patient He Xisha County, 43 years old, when he came to see a doctor, he complained of chest tightness, chest and back pain, shortness of breath, fatigue, insomnia, and constipation."

Under Li Maoyang's gentle persuasion, Zhang Yazheng finally began to tell Li Maoyang about the case.

Although he rubbed his head and face from time to time and messed up his hair, his tone was calm.

"After my diagnosis, I felt that He Xi had heart and kidney problems, but the heart problem was more serious.

In accordance with the principle of Chinese medicine that treats symptoms urgently and treats root cause slowly, I mainly treat her heart problems...

……

But this can cure He Xi's grandson into uremia?
But He Xi's grandson insisted that his uremia was cured by me with pinellia!
……

Dr. Li, as a doctor, you should also know that the evolution of chronic glomerulonephritis and uremia takes a long time, and it cannot be caused by a single drug factor in just ten days. Even if the nephritis is caused by drugs, then It should also be acute nephritis.

And what He Xi's grandson found out was chronic nephritis and uremia!

Therefore, He Xi's grandson had uremia in advance!
This should be a matter of common sense, but the first trial didn't think so, and it was judged to have a causal relationship!

After that, who would dare to prescribe more biased medicines like pinellia! "

……

The more Zhang Yazheng talked, the more excited he became, his hair was already messed up, his eyes were wide open, and his voice became hoarse and sharp!
……

"Ban Xia is poison?

But pinellia has always been an important medicinal material used to treat diseases and save lives in the history of Chinese medicine!

"Shen Nong's Materia Medica" records it. In "Treatise on Febrile Diseases and Miscellaneous Diseases", there are 44 prescriptions containing pinellia, and most of them are raw pinellia!
Among them, the Bentun Soup uses Ban Xia Da Si Liang!
Pinellia Poria Decoction and Xiaobanxia Decoction use one liter of Pinellia!
Moreover, Zhang Zhongjing, the first teacher, used crude medicine or even fresh medicine as a basic operation!
Now, as Chinese medicine practitioners, we all know that a large number of medical records have repeatedly proved that processed medicines, especially the over-processed medicines that are prevalent now, are not as effective as fresh medicines!
For many diseases, even only the use of unprocessed fresh medicines can achieve the purpose of treating diseases and saving lives by classic prescriptions!

But now Raw Pinellia has been designated as a poisonous medicinal material!

However, modern pharmacological and toxicological experiments have shown that no toxic reaction was observed one week after the injection of Shengbanxia decoction to mice!
Today's clinical medical records of traditional Chinese medicine have repeatedly proved that the treatment effect of raw pinellia is remarkable, and when used properly, poisoning will not occur!

Some patients even took a decoction containing a large dose of raw pinellia for a month, and there was no abnormality in liver and kidney function tests.

Therefore, whether it is the results of modern pharmacological toxicity experiments, or the statistical results of ancient medical prescriptions and modern Chinese medical records, there is no causal relationship between raw pinellia and uremia syndrome!

Of course, for patients with liver and kidney insufficiency, the dose of raw pinellia should be reduced accordingly.

But I still use ginger pinellia, I dare not use raw pinellia!
Even the law only stipulates that raw pinellia is a toxic drug for medical use, and only implements special management on raw pinellia, but the processed products of pinellia (French pinellia, ginger pinellia, and clear pinellia) are all ordinary Chinese medicine decoction pieces!

But that's it, let me bear the medical responsibility!

I don't agree!I just really want to..."

When Zhang Yazheng said this, his father Zhang Hengchu who came out of the bedroom stopped him: "Don't talk nonsense!"

Zhang Yazheng widened his eyes, and was about to say something, when his father slapped him and shut his mouth shut!
Li Maoyang turned a blind eye to this small conflict between Zhang's father and son. He sat there with his head tilted, with a pensive look on his face.

The identification of liability for medical damages requires two elements: 1. The medical institution or its medical staff is at fault; 2. The patient is harmed during the diagnosis and treatment activities.

To identify element 2, it is necessary to require a causal relationship between the doctor's diagnosis and treatment behavior and the patient's damage consequences.

But in this case, if Zhang Yazheng really used ginger pinellia (the poison of pinellia can be cured by ginger) for patient He Xi, then there would be no toxicity at all. How could it cause patient He Xi's uremia?
Moreover, even if it is raw pinellia, the decoction process will destroy its toxicity, and it is basically impossible to produce any nephrotoxicity if it is combined with other drugs to restrain the poison of raw pinellia.

(From Zhang Yazheng's talk just now, Li Maoyang felt that Zhang Yazheng's basic medical knowledge is solid, and it's impossible that he doesn't even know how to restrain the poison of raw pinellia through prescriptions.)
So why did this patient, He Xi, become uremia after only taking the prescription prescribed by Zhang Yazheng for more than ten days?
This matter is very strange!

At this time, Li Maoyang also tended to think that He Xi had suffered from uremia before coming to Zhang's clinic for treatment!

Well, if this is the case, the crux of the problem is how to prove that He Xi suffered from uremia before coming to the Zhang Family Clinic for treatment!

As for hiring lawyer Gao Ming to defend Zhang Yazheng, it is naturally a way, but it is relatively troublesome.

If the case is affected by some inexplicable factors, I am afraid that the role that lawyers can play is very limited...

……

"Little Doctor Li, we are all very happy that you can come to our house as a guest today, but now the situation in my house..., I'm really sorry, why don't you come back another day, Doctor Li?"

When Zhang Hengchu saw that he slapped his son, Li Maoyang was still sitting still, and he felt depressed that this young man really didn't look at him, so he could only issue an order to chase away Li Maoyang.

"It's okay, it's okay, Doctor Zhang, you don't have to be polite, let me think about your family first." Li Maoyang waved his hand.

Now Zhang Hengchu is even more depressed. Are you okay and we have something to do? Are you so ungrateful?Can't you drive away?
"Little Doctor Li, you'd better take these things away. No one in our family smokes or drinks. If you keep them, it's a waste. You can take them back and return them to the store."

Zhang Hengchu continued to tactfully drive Li Maoyang away.

This made Li Maoyang annoyed: "Hey, you old man! Do you think I, Li Maoyang, are free?

Let me tell you, my time is very tight. This time I am returning to Hetao from Qingcheng with a patient, and I don’t know how many patients are waiting for me at home!
The reason why I took this time to come to your house is because of my comrades and your medical skills, so I want to give you a hand. Why don't you know what's good and what's wrong?
If you can't solve the problem by yourself, it doesn't mean that others can't solve it. You are too underestimating the heroes of the world! "

Seeing that Li Maoyang was annoyed, Zhang Hengchu sighed and smiled bitterly, "No, Doctor Li, you misunderstood me.

This case is really too troublesome. I don’t know how many people have given us advice, but we can’t solve it. You are not from Baoshi, so what can you do? "

"That's not likely!" Li Maoyang patted the coffee table, "Doctor Zhang, let's make a bet, if I can help you solve this matter, I mean, if your family's compensation amount is less than 50 in the end, you can just follow me." I'm going to open a clinic, how about it?

Well, let me add one more condition, I will help you see my aunt's illness!
Don't underestimate me, I am very good at seeing cancer now, I should be better than you!

In addition, your salary, I will give you 40 a year, how about it? "

Li Maoyang learned from the neighbors around Zhang's clinic that the fees of Zhang Hengchu's clinic are low. Excluding various expenses such as renting the clinic, he can earn more than 30 yuan a year.

He offered him an annual salary of 40, which is not a bad treatment for him for the time being.

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