Traditional Chinese Medicine Xu Yang

It's over, there will be no salt to eat in the future.

Then there are speculators at the door of the store, saying that there are channels to pour salt and vinegar, but the price is high.

It's messy anyway!

In the era of poor information, it is not easy to even refute rumors.There have been rumors that how many medical staff died in a certain hospital, and that a certain hospital has been closed.

It's a mess, there are all kinds of news, and those who are really sick don't dare to go to the big hospital to see it.But the business of the private pharmacies on the side of the road and some small clinics suddenly improved.

It is true that all beings are in various forms, each with its own appearance.

……

The hospital is also crazy busy.

Because the number of patients is really increasing.

Looking at it from afar, you have no idea how many people have fallen ill.

After putting on his white coat again, Director Ma became the leader of the treatment team as a matter of course. After all, he is one of the most authoritative people who know about the epidemic.

Director Ma also resolutely listened to Xu Yang's insistence, insisting not to open the airway early, and to use less antibiotics and hormones, first to use certain antibiotics and traditional Chinese medicine, and to use large doses of hormones once the condition is out of control.

But for those patients who were in critical condition, Director Ma didn't listen to Xu Yang's advice.

Director Ma shook his head: "I'm sorry, Xu Yang, I really can't listen to you. You have to know that critically ill patients with pneumonia can easily endanger their lives. The situation is very dangerous, and it is necessary to save lives in time."

"Of course, I'm not against Chinese medicine. I personally respect Chinese medicine, and I was cured by you. But Chinese medicine really doesn't have much advantage in treating acute and severe diseases."

Xu Yang frowned suddenly.

Seeing that Xu Yang was a little displeased, Director Ma hurriedly explained: "Don't be angry, I'm just telling the truth. It should perfectly display its strength from other places."

"Just like the participation of traditional Chinese medicine, it can prevent mild patients from becoming seriously ill to a large extent, and the fever and recovery time will be much faster, and it is not easy to leave sequelae. Therefore, there is no need to treat patients in critical and severe cases. Make an article on it."

Xu Yang said displeased: "Who told you that Chinese medicine can't cure critical illness?"

"Ah?" Director Ma was taken aback by Xu Yang's words, but after realizing it, he couldn't help but smiled wryly and said, "Aren't you arguing?"

These days, no one even believes that Chinese medicine can cure diseases, let alone Chinese medicine can treat critical illnesses.

How many Chinese medicine practitioners have been calling on the forums for Chinese medicine to do more research on chronic diseases. This is the strength of Chinese medicine, and this is where Chinese medicine has an advantage over Western medicine.

In the field of emergency and severe diseases, it is called to attack the other's strengths with one's own shortcomings, that is to overestimate one's strength, and to attack a stone with an egg.Really, many first-line Chinese medicine practitioners, and even many famous experts say so.

Not to mention Director Ma.

"Ah!" In the end, Xu Yang himself could only sigh, after all, Director Ma is the leader of the treatment team, and he is the one who has the final say.

Director Ma patted Xu Yang on the shoulder and said apologetically, "I'm sorry, Xu Yang, please understand."

Xu Yang nodded solemnly. Fortunately, the team leader is Director Ma. If you change to another hospital, the other team leader will not be treated like this by Chinese medicine practitioners.

There are more and more patients, rumors are spreading outside, and there are all kinds of social chaos. Xu Yang can't control it. Xu Yang hasn't been out of the hospital at all during this time.

After work, he also set up a rest bed in the office, and slept directly in the hospital, so that he could keep an eye on the unexpected situation at any time.

There are more and more patients, and the medical staff are getting more and more busy.

Medical staff kept falling outside.

Some people have calculated that during the entire SARS fight, one-third of the patients were infected medical staff, and you will know how terrifying this figure is.

Especially in the early stage, when all kinds of experience were lacking, the infection rate was quite high. It was only after various experiences came up that the infection rate of medical staff dropped.

So in the early days, medical staff infected more than patients. There was a very powerful patient who was dubbed the poison king, and he infected more than 50 medical staff by himself.

Later, a super-infectious person also appeared in Beijing, infecting dozens of medical staff in three hospitals.This difficult battle against the epidemic is really a tragic victory for the medical staff who piled up blood, tears and lives!

Xu Yang's hospital is considered good, and very few people are infected.

The most frequent wave is Director Ma and his group.

Some people were infected in the follow-up, but after timely treatment, they did not turn to the direction of severe illness.

So Xu Yang and Director Ma are now even more suspicious. It is very likely that the airway was opened prematurely, which caused many medical staff to become infected.

However, their existing medical measures cannot guarantee that medical staff will not be infected.

Chinese medicine has also come up with corresponding preventive prescriptions. It is the favorite herbal tea of ​​the people in Guangdong. Every day, a large pot is boiled and placed in the tea room. Medical staff can drink it at any time when they are thirsty.

This so-called preventive prescription, of course, cannot completely prevent the disease.At that time, Chinese medicine believed that righteousness existed within, and evil should not be interfered with.If you are strong, you will not be easily infected.Even if infected, it is not easy to become critically ill.

So this herbal tea recipe is still useful, Guangdong also likes to drink it, and medical staff drink a lot.

……

"Director Xu, this is the feedback from the patient on the No. 2 hospital bed, who still has a fever." Shen Yuyan came over with the case.

Xu Yang was thinking while walking towards the ward.This new pneumonia, from the perspective of syndrome differentiation in traditional Chinese medicine, the pathogenesis is characterized by damp heat accumulation of toxins, obstruction of the middle and upper energizers, easy consumption of qi and stasis, and even internal closure and wheezing, and the rest is the disease. , generally do not deviate from this point.

It has been three days since the patient was admitted to the hospital, but he still has a fever.

This female patient, 34 years old, is a salesman.One week before she was hospitalized, she started to cough, which was dry and without sputum.Then a week later, I started to have a fever, accompanied by general fatigue, muscle aches, and headaches, and self-administration of Chinese patent medicines was ineffective.

At night, I measured my body temperature at 38.5 degrees, and there was no obvious aversion to cold, and then I came to the hospital for emergency treatment.The chest X-ray showed pneumonia in the lower right, and he was admitted for treatment due to fever.

After admission, symptoms include fever, headache, body aches, fatigue, cough, no sputum, slight shortness of breath, no sore throat and stuffy nose, normal bowel movements, denies any history of contact with SARS patients, and family members have no fever.

The following is the inspection information.

The patient was conscious, automatic posture, no yellow staining and bleeding spots on the skin of the whole body, no skin lesions, no palpable superficial lymph nodes, pharyngeal congestion (++), and no bilateral tonsil enlargement.

The thorax was normal, the breath sounds of both lungs were clear, no dry and wet rales were heard, the abdomen was soft without tenderness, the liver and spleen were not palpable, the joints of the extremities were not deformed, and the lip and nails were not cyanotic.Body of the tongue is reddish, yellow and greasy fur, and pulse condition is slippery and rapid.

There are also auxiliary inspections.After being hospitalized, [-] items of liver function, [-] items of heart enzymes, and [-] items of rheumatism were checked, all of which were normal.Chest X-ray examination revealed right lower right pneumonia on admission, and re-examination of chest X-rays every one or two days later showed increased inflammatory lesions.

After being hospitalized, he was treated according to the combination of Chinese and Western medicine.

TCM syndrome differentiation is wind-heat epidemic.It is still in the initial stage of onset and belongs to mild disease.

Traditional Chinese medicine roughly divides the transmission of this disease into four stages. The early stage is 1 to 5 days after the onset.The main common ones are that dampness and heat block the lungs, the evil is in the lungs and guards, or the exterior is cold and the interior is hot and damp.

In the middle stage, the pathogenesis is characterized by dampness and heat accumulating toxins, evils subduing membranes, and evils blocking Shaoyang.

The third stage is the extreme stage, and it is a very dangerous time.

Clinically, the main manifestations of the patient are shortness of breath and wheezing, or accompanied by cyanosis. The pathogenesis is mainly characterized by damp heat and poison, gas consumption and Yin damage, and internal resistance of congestion.At this time, the condition is already very serious, and it may even be life-threatening.

There are even some patients with excessive evil and deficiency of righteousness, internal closure and external detachment.Not only did he no longer have a fever, but instead, he was sweating like rain, and his pulse was faint. This is the separation of yin and yang.

Now Xu Yang mainly treats patients in the first stage and the second stage. The patients in the third stage are all critically ill patients, and those are treated by Director Ma.

It was difficult for Xu Yang to seize the opportunity to make a move. Some of them were rescued, and then Xu Yang was asked to make a move, trying to turn the situation light and save lives.

So Xu Yang has been cooperating with them.

Their cooperation is not bad. Several cases of dangerous patients have been saved, and many ordinary patients with mild symptoms have improved, and the cure rate is not bad.

Various hospitals are constantly feeding back data, and Chinese medicine is also proving its unique advantages in treating diseases step by step.

But Xu Yang still felt a little uncomfortable.

Xu Yang finished reading the case in his hand, and he also came to the door of the ward. This patient was mildly ill. Previously, Western medicine used azithromycin combined with amoxicillin intravenous infusion for anti-infection, and then continued low-flow oxygen, and other treatments. .

Traditional Chinese medicine uses meridian infusion of Houttuynia cordata injection and infusion of Qingkailing injection plus glucose. These are the products of the modernization of traditional Chinese medicine.

Then there is Qingyan Mixture orally, 30 milliliters each time.Xiaochaihu tablets were taken orally, 4 tablets each time, three times a day, and then the traditional Chinese medicine decoction was mainly Qingxuan.

After only three days of treatment, the patient is still febrile and febrile, with a body temperature between 38.6 and 38.8, accompanied by cough, sometimes coughing, coughing up a small amount of yellow and white sputum, general fatigue, chest tightness and shortness of breath, and no diarrhea.

After Xu Yang went in, he checked the female patient again. He was not in charge of the patient, but now the fever couldn't subside, so he came to him, the person in charge of traditional Chinese medicine, to have a look.

After Xu Yang checked, it was determined that it was due to damp heat internal resistance, and the lung heat was not vented, so the fever continued.He adjusted the prescription of his former doctor, and used Weigan decoction instead to relieve lung heat.

After giving instructions, Xu Yang left.

But after he came out, Xu Yang's expression was still very serious, with hesitation between his brows.

Shen Yuyan who was following him asked: "Director Xu, what's the matter, is there any other change in the patient's condition?"

Xu Yang shook his head: "That's not true. This is just a mild patient. In a few days, the fever will be gone. If you use aftercare, there should be no serious problems. You can be discharged from the hospital and recover. .”

"Oh." Shen Yuyan nodded, and asked again: "Then why are you thinking so hard?"

"Alas!" Xu Yang sighed, "I was thinking about those critically ill patients."

"Huh?" Shen Yuyan showed doubts.

Xu Yang frowned and said, "If you don't allow me to treat critically ill patients, I feel uncomfortable all over, and the prescriptions we have designated to treat patients with pneumonia in the extreme stage will not be available for a while, I don't know. As a result, I can only do it in a hurry..."

When Xu Yang lost his voice, he heard shouts from outside: "Get out of the way, everyone out of the way. Doctor, help!"

Chapter 397

Xu Yang and Shen Yuyan heard the sound and looked, and a patient was quickly pulled in from the gate on the first floor.

"Doctor, help, help!" The family members yelled in panic.

"What's the matter, what's the matter?" A doctor on duty immediately ran up.

"Doctor, show me quickly, my husband seems to be dying!" the patient yelled anxiously.

After the on-duty doctor checked immediately, he immediately said, "Send it to the emergency department immediately, hurry up!"

The medical staff rushed up immediately, pushed the car and ran to the emergency room.

The doctor on duty took out his notebook and pen, and began to ask about the situation of the patient's family members. He wanted to make records.

The patient's wife was also frightened and stuttered.

Xu Yang and Shen Yuyan, who watched this scene from a distance, couldn't help feeling a little sour in their hearts.

Xu Yang kept watching the patient being sent to the emergency room, and then he looked away, and then said to Shen Yu, "Let's go."

Shen Yuyan followed behind Xu Yang.

Xu Yang also instructed: "Remember to check the room again later, and give feedback on the patient's reaction after medication, as well as changes in the condition. The diagnostic criteria and methods of Chinese medicine are different from theirs. Don't just look at the numbers in the laboratory report. decline."

"Don't be afraid of trouble, you must combine the four diagnostic methods, and then make a diagnosis after taking the medicine to see if there is any change in the tongue and pulse conditions, and whether the symptoms have changed. This is the standard for us to continue to prescribe medicine."

"When we are clinical, there is no definite rule. We have to start from the actual situation of the patient. The treatment plan is only a reference standard, not the only standard answer. You must remember this."

Shen Yuyan replied: "Remember, Director Xu."

"En." Xu Yang responded, and couldn't help but look back at the emergency room.

Shen Yuyan asked: "Director Xu, are you going to give first aid?"

Xu Yang shook his head: "It's okay, let's go back. Uh... hurry up, sort out the relevant reports here and hand them in."

Shen Yuyan said: "Okay."

Xu Yang went back to the office by himself first, and he was not idle, so he sent some cases to see and studied the changes of their conditions.

The treatment plan is still the first version and needs to be updated and improved.

……

After Xu Yang sorted out the relevant information, he put on a fifteen-layer cotton mask for himself. In fact, the irregularity of the masks was also one of the reasons for the high incidence of infections among medical staff. The WHO recommended the use of N95 masks from overseas.

Xu Yang got up and went out. There were still many things he needed to deal with here. Since the designated hospitals were limited to them, they became even busier.

There is no idle time all day long.

As soon as he came out, Xu Yang bumped into Director Ma who was in a hurry and had a heavy face.

Xu Yang nodded to him.

Director Ma also nodded politely to Xu Yang, but he didn't speak politely. He was busy too. He hurriedly said to the doctor next to him: "The patient in the emergency department, don't hesitate, intubate and put on the ventilator immediately, and then call the emergency department immediately." If the group goes over, the people will be gone! Nonsense!"

"Yes." The doctor next to him responded and ran away in a hurry.

Director Ma was also preparing to go down, but Xu Yang called out: "Director Ma, is that the critically ill patient who was sent to the emergency room just now?"

Director Ma was slightly taken aback: "You know?"

Xu Yang said: "I saw it downstairs just now, is the situation serious?"

Director Ma frowned, and he said, "Yes, we have reached the most serious time. The main reason is that the family is too nonsense! They were infected and had a fever for more than a week, but they refused to be sent to the hospital or Tell someone."

"After asking, people gave a reason, saying that the hospitals were all infected with SARS, and they were afraid that good people would be infected if they sent them in, and it would be fatal."

"I'm fucking convinced!" Director Ma cursed, and then said: "It has been delayed from mild to severe, and then to the present. According to our experience, it may be difficult to save this patient. down."

Director Ma quickly waved his hand: "Okay, okay. I won't tell you anymore, no matter whether we can save him or not, we will do our best and let's go!"