Traditional Chinese Medicine Xu Yang
Page 222
Even the children's grandparents were stunned.
Xun Wusheng squatted next to the child, took the child's hands, and touched them. Sure enough, his hands were cold, and he touched the child's feet, and the same was true.
Xun Wusheng took the child over and prepared to check the pulse, before asking: "How is the child's stool? Is it formed? Is there any diarrhea or something that is not digested cleanly?"
The aunt said: "Yes, I haven't digested it in the past few days."
Teacher Chen was startled for a moment.
Xun Wusheng asked again: "How is the color of the urine, more or less, short or long?"
The aunt thought for a while and said: "The color... is about the same as usual, a little yellowish, and the urine is less and shorter, because I don't drink water very much. Sometimes I say I am thirsty, and I really give him water, but I don't drink anymore. .”
Xun Wusheng nodded to express his understanding, and then grabbed both hands of the child to diagnose the pulse.
Teacher Chen and Xu Yuan were stunned at the same time. Since ancient times, pulse diagnosis has always been performed on one hand, but Peng Zi Yimai method can diagnose both hands at the same time.Diagnose and observe at the same time, and if there is a lesion in that place, it can be distinguished.
This kid still knows this?
The others did not show any surprise.
After a while, Xun Wusheng let go of his hand and said: "The pulse condition is slippery, the right is greater than the left."
Xu Yuan was still thinking about it, but the little guy Gao Ke interrupted first: "I know, I have a fever due to food accumulation."
Teacher Chen also showed a look of surprise for a moment, but then he frowned again, how to use medicine, now.
Xu Yuan was still a little confused: "Food accumulation?"
The young man Gao Ke was very excited, and immediately replied: "Yes, yes, there are many kinds of fever in children, and both internal and external infections are possible. You see, this child has a fever but does not cough or wheeze. He sweated and the fever did not go away before. I knew there was no external evidence.”
"In addition, if you look at his sallow complexion and bad jokes, poor appetite and greasy center of the tongue coating, you will know that he has food accumulation. The slippery pulse can also control phlegm and food. It is said in the "pulse classics" that a slippery pulse is also a disease. Therefore, it can be seen comprehensively that it is fever due to food accumulation.”
The clinic room suddenly fell into silence.
The grandparents of the child look at this and that, and they are still a little confused. They don't understand. Indigestion and fever?
Teacher Chen also nodded. Now it seems that it is really a fever from food accumulation: "Yes, it should be a fever from food accumulation. Let's use the prescription to dissipate the food accumulation."
Xun Wusheng gave Mr. Chen a strange look, then shook his head: "No."
"Ah?" Teacher Chen was stunned for a moment, and Xu Yuan was also stunned. I have accumulated food, so there is nothing wrong with dissipating the accumulated food.
Xun Wusheng said: "If it is an ordinary food accumulation and fever, it is naturally possible to use the method of dissipating, and it is natural not to leave the method of dissipating now. But we must notice that this kid is often alarmed at the beginning of the disease, and he has repeatedly used sweating in the follow-up. Law."
"At this time, his liver and spleen qi is out of balance, so the pulse condition appears to be more right than left, and the sweating method is misused, which only hurts his appearance and his yin. Yang qi cannot be transferred to the four ends, so the limbs go against Not warm."
"At this time, use Sini powder to harmonize the liver and spleen, use peony and licorice to restore the yin, Bupleurum to promote the true yang and return to the Sini, and Citrus aurantium breaks the knot qi to help dissipate the power of conduction. Add burnt hawthorn, hawthorn, Malt is used to eliminate accumulated food, which is called harmony and elimination. If you only care about digestion and ignore reconciliation, it will hurt your health and it will be difficult to heal your disease."
After finishing speaking, both Xu Yuan and Teacher Chen were stunned.
Xun Wusheng scratched his hair, and muttered in a low voice: "Didn't you say you are amazing, that's it?"
Chapter 372 Visiting the Academic Center
Xu Yuan came out almost in a daze, what happened, who am I, where is this place, what am I doing?
Xu Yuan looked at Xun Wu Sheng with fluttering long hair with very suspicious and strange eyes.
Teacher Chen in the consulting room in front was also looking for Wu Sheng with strange eyes.
There is an old saying that the longer the hair, the shorter the knowledge.There is also the old saying, the bald I get, the stronger I get.
But the long-haired demon in front of him seems to have something!
Xu Yuan also looked at Wu Sheng with suspicious eyes, and he asked, "You... Which hospital did you go to before?"
Xun Wusheng smiled and said, "It's a small hospital, nothing to worry about."
Xu Yuan looked suspicious, and asked again: "Then who is your master?"
Xun Wusheng chuckled, but didn't answer.
Xu Yuan scratched his head, a little confused, but after thinking about it, he didn't find it strange. If he was really good, how could he come here with them?
Is it because I happened to see the same case?
Xu Yuan walked up full of doubts, and directly led them to the site of the Department of Traditional Chinese Medicine. There were many waiting patients crowded outside the clinics.
Xu Yuan said: "Director Zhong should be in the clinic, I will take you to find him."
Xu Yuan walked to the consultation room, opened the door of the consultation room but found that Zhong Hua was not there: "Hey, where is he?"
Xu Yuan went to the door to find a nurse and asked, "Where did Director Zhong go?"
The nurse replied: "I went to the hospital for consultation. There is a patient who is in trouble."
Xu Yuan nodded, and then said to several people with a little color: "See, this is the Chinese medicine doctor in our hospital. We are all very busy. We not only have to treat outpatients, but also have emergency medical treatment with Western medicine. We also have to take care of severe consultation."
Liu Hejun said: "I have long heard that the Wen County Academic Center of Traditional Chinese Medicine is doing a great job, and we really want to see it. Why don't we take this opportunity and let us go and have a look?"
Xu Yuan thought about it for a while, they are all coming here to work, and sooner or later they will have to contact the academic center, it’s okay to let them go and have a look now, it just happens to show their strength in asking the county’s Chinese medicine practitioners, and it’s a good idea to let these big cities come here The doctor felt contemptuous.
"Okay, then you all come with me." Xu Yuan led the way with his head held high.
The others followed, and they were also looking at the environment of the hospital. The grassroots hospitals in the county are really small and a bit old and shabby, but the atmosphere is not bad, especially the sense of trust in the expressions of these patients is hard to see .
The whole process of treating a disease not only tests the doctor's medical skills, but also the degree of trust between the doctor and the patient.Some patients have been vigilant and mistrustful since registration, thinking that your level is not good, you are irresponsible, you are black-hearted, and you want to cheat him of money.
I prescribed medicine for him, but it didn’t work all at once, so I yelled that the doctor’s level is not good enough, and I need to change the doctor. The taboo you told him, he thought you were farting, and thought you were scaring him!
While you are convincing him about the medicine, you can’t eat cold, fat, sweet and spicy food. He thinks you are scaring him, but hot pot with cold beer and butter is still enjoyable.
You told him to press certain acupoints for 10 minutes every day, and he would forget it after hearing it.
Nowadays, patients often feel that they are more professional than doctors. After checking on the Internet, they say that this is wrong, that is wrong, this is not good, and that is not good.
Well, the few minutes you search online is better than others who have studied hard for more than ten years.
How can you let the doctor treat you like this?
Therefore, the trust between doctors and patients is very important, and in this small county hospital of traditional Chinese medicine, they rarely feel such an atmosphere.
From this point of view, they are still very satisfied, after all, they came here for their ideals this time.
Xu Yuan took them to the inpatient department.
This patient was admitted to Western medicine, and now the academic center is invited to consult together.
When we arrived at the ward, Zhong Hua and Cao Dehua were there, as well as a few doctors from the gynecology department of western medicine, but everyone looked a little dignified.
Xu Yuan put his index finger to his mouth, and whispered "shh", signaling them to keep their voices low and not to disturb the diagnosis and treatment of these big brothers.
Several people entered the ward, which was not big, and they were quickly noticed by several big shots.
Zhong Hua looked over with a serious face, he looked at a few people, and asked: "Xu Yuan, these are the young Chinese medicine doctors introduced by Dr. Xu Yang from Beijing, right?"
Xu Yuan said: "Yes, I have received them."
Zhong Hua also nodded: "I also saw the circle of friends you posted, not bad, keep working hard!"
Xu Yuan scratched his head and smiled, the three circles of friends really did not have gray hair, and then he introduced to several people: "This is our Director Zhong Hua."
Zhong Hua said to several people: "It's been hard work for you who have come from afar. Doctor Xu Yang asked me to entertain you well. I will treat you to dinner tonight. Have you found a place to live? Do you want to go and have a rest first?"
Liu Hejun said: "It's not busy. Let's observe the treatment in the academic center first. I don't know if we have this opportunity."
Zhong Hua frowned slightly.
As a social butterfly, Cao Dehua still has the enthusiasm. He immediately said: "Okay, anyway, you are going to start working soon, so let's start working today. Now, here is the medical record, take a look."
Cao Dehua handed over the medical records directly.
Liu Hejun took over and nodded at Cao Dehua with a smile, full of affection for this enthusiastic middle-aged man in his heart.
This group of people also gathered together to look at the medical records.
Zhong Hua and Cao Dehua kept looking at Wu Sheng's face. Is this man or woman?
Those people immediately looked at the medical records carefully.
A 30-year-old female patient, four and a half months pregnant, accidentally fell down, resulting in vaginal bleeding, and was admitted to the hospital for treatment.Check out.The yin is normal, the external opening of the neck is loose, the internal opening is closed, the fundus of the uterus is a horizontal finger below the navel, the fetal sound is not good, and there is blood in the yin, so conservative treatment is given.
The next day, the bleeding increased, like menstruation, and finally decided to induce an abortion. The operation went well, but after the operation, he developed a high fever, which persisted for four days, high fever and chills, and his body temperature was 39.6.Then the following are the various inspection and inspection reports.
The diagnosis at that time was advanced infectious abortion and sepsis. Western medicine used antibiotics, but traditional Chinese medicine prescribed Bupleurum Guizhi Decoction plus and minus doses.
The body temperature had returned to normal five days ago, but the patient felt that only the abdominal pain was relieved, and other symptoms did not improve.
Two days later, they had a fever again, with chills and fever, body aches, and were not sensitive to antibiotics, and their body temperature returned to 39.7 degrees, and they came back for consultation today.
Cao Dehua told them: "The examination here found that the inflammation was not limited to the endometrium, but also entered the muscle layer and connective tissue, and the placenta remained. The doctor suggested a hysterectomy, but the family members disagreed, so they invited our academic center for consultation again. .”
Liu Hejun and the others nodded, understanding the process.
Chapter 373 Pretending to be a Son
After figuring it out, the hearts of the few people who came here suddenly sank. The patient's condition is really serious.But at the same time, they are also very exciting.
As Dr. Xu Yang said, the academic center was set up to overcome critical illnesses. They just came across a difficult patient.
The patient's husband looked anxious, and said anxiously: "Anyway, we will not agree to hysterectomy. This is not negotiable. We chose your hospital for treatment because of your medical level."
"Didn't it mean that there were many patients who could not be cured in the provincial hospitals, and they were all cured by you here? There are not only one or two, but many? No, you...you can't do this now!"
Those people from the traditional Chinese medicine hospital all had bitter looks on their faces, while those from the western medicine doctor sighed helplessly.
Everyone knew in their hearts that Xu Yang was the only one in their Chinese medicine hospital who could hold up the scene, but now, isn't Xu Yang not here?
The patient's husband asked anxiously again: "Dr. Xu Yang hasn't come back yet? Didn't you say he's coming back today?"
Zhong Hua also said with some embarrassment: "Dr. Xu Yang has something to delay. I called Dr. Xu earlier, but I couldn't get through. Let's discuss it first. We will find Xu Yang for a remote consultation later, okay? Let’s make a plan, don’t be in a hurry.”
Liu Hejun and the others also looked at each other, yes, the hospital couldn't get in touch with Xu Yang, it seemed that the situation with Mr. Gao was very difficult, and they didn't know what was going on, and they looked a little worried.
Liu Hejun asked: "Director Zhong, can we have a diagnosis too?"
"Okay." Zhong Hua agreed.
This group of people stepped forward, but the patient's husband did not refuse.
Liu Hejun and Shen Yuyan came to the front. These two are gynecologists, one is Liu Mingda's only son, and the other is the descendant of Shen's gynecology department.
In terms of level, Liu Hejun is better. After all, at this age, Liu Hejun is almost forty, and Shen Yuyan is not yet thirty.
Liu Hejun began to inquire, and knew that the patient had several times of cold and heat in a day. When he was cold, his limbs felt cold, and when he was hot, he sweated profusely.
Chest tightness, abdominal fullness, abdominal pain when pressed, headache and dizziness, body aches, no desire to eat, bitter mouth, dry mouth, no desire to drink, nausea and vomiting once, spit out food, stool dry first and then loose, no Smooth, yellow urine, there is still a small amount of lochia, which is thin pus.
Tongue examination is dark red tongue, yellowish white dirty thick tongue.
The pulse diagnosis showed that the pulse condition was fuzzy, and the ups and downs were all weak.
After the diagnosis, Liu Hejun said a little strangely: "The patient's expression is not fading, and his voice is clear, why is the pulse condition but a virtual image, and the opposite situation of the syndrome of solid pulse and deficiency of pulse appeared?"
Shen Yuyan also nodded: "That's true, but in fact the patient's pulse condition is not particularly clear. I personally suggest that the current syndrome differentiation should first ignore the pulse and focus on the syndrome. If it is limited to the pulse deficiency, it will not be effective."
Liu Hejun nodded: "I agree."
Then Liu Hejun began to ask about the patient's life and medical history.
Zhong Hua is also discussing here.
After a while, Liu Hejun and the others came back.
Zhong Hua glanced at them and said, "Okay, let's go to the office to discuss."
Several people went to the office next to them, and this group of people followed.
Zhong Hua also looked at them, but he didn't pay attention. In fact, it was all because Xu Yang didn't make it clear to him. He also thought that this group of people came to them because they couldn't get along.
Zhong Hua said to Cao Dehua: "I personally think that the patient's condition is that postpartum heat enters the blood chamber, causing fever. You can see that the various symptoms of the patient show this. Xiao Chaihu Decoction Syndrome, so I personally recommend using Xiao Chai Hu Decoction for treatment.”
Cao Dehua also nodded and said, "Yes, I think so too."
Xu Yuan watched from the side without saying a word.
On the contrary, Liu Hejun shook his head and said: "I don't think it's right. The patient does not have heat entering the blood chamber, but damp-heat stagnation in the triple energizer. The treatment method should be to reconcile the triple energizer, relieve the external and internal, and let the evil go out."
As soon as these words came out, everyone in the room was stunned.
Xu Yuan looked at him amusedly, and said, "Isn't this an obvious proof of Xiao Chai Hu Tang?"
But Liu Hejun shook his head: "The patient's pulse is weak, and the threat is not satisfied."
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