Chinese medicine doctor Xu Yang

There were already several doctors inside, and some of them were a little surprised. These doctors in the hospital basically know each other, but they only know their names, looks and departments.

So everyone was a little surprised to see Mr. Pu come in.

Mr. Pu chuckled and said, "I heard that the patient inside is in some trouble. I'll come in and take a look."

Several people inside frowned. Why are you, a gynecologist, coming in to see this patient?

Although several of the doctors there were a little bit slanderous, they didn't say anything explicitly. After all, they all worked together in the same hospital, so it wouldn't be good if the relationship became tense.

"hehe……"

"hehe……"

The doctors inside laughed dryly.

Doctor Bai inside was more easy-going. He was a traditional Chinese medicine doctor. He said, "Then let's come over and take a look at it, Doctor Pu."

Mr. Pu nodded and led the people forward.

The Western doctor looked at the patient, then at Mr. Pu, and couldn't help but ask in a low voice: "Is that family member outside your relative or friend?"

"What?" Mr. Pu was startled.

"It's okay, just ask." The Western doctor smiled and waved his hand. He thought Mr. Pu had no choice but to come in because he couldn't get in the way of the patient's relationship.

Mr. Pu chuckled and asked, "When did the patient become ill?"

Doctor Bai said: "I had a fever yesterday and was hospitalized today. This is the case book. Doctor Pu, please take a look."

Pu Lao took it and looked at it for a few times. It was basically the diagnosis and treatment process of Western medicine. Then after reading it, he handed the medical record to Xu Yang.

The two doctors over there were slightly startled. They were even bringing their disciples with them.

Xu Yang also looked at the medical records. The patient was three years old and a little boy. The fever started last night and did not subside until this morning. The fever was getting worse and worse, so they rushed the child to the hospital.

Xu Yang looked at the relevant information of the hospitalization records. The boy was of moderate development and nutrition, with a body temperature of 39.7 degrees, a dullness behind the left lung, low breath sounds, a lot of stridor throughout the lungs, scattered medium and small vesicular sounds, a heartbeat of 160-170 beats/min, and the liver was 4 cm below the right rib.

Because the little boy was uncooperative, a neuroreflex examination was not performed. All that's left is the blood test information, white blood cell, neutrophil and lymphoid data!

The child had a fever last night, and today he is wheezing and irritable, having difficulty breathing, his face is blue, and his consciousness is no longer clear. He keeps mumbling nonsense, breathing rapidly, and his nose is inflamed rapidly.

Western medicine immediately gave him oxygen inhalation, intramuscular injection of digitoxin, and streptomycin.

But the effect is not good.

Now this doctor Bai has just performed bloodletting on the child's Shixuan point.

It doesn't seem to have any effect.

This is all the previous diagnosis and treatment information.

Pu Lao also stepped forward to check on the patient.

The Western medicine doctor and Dr. Bai went to the side to discuss. The Western medicine doctor was from the Department of Internal Medicine, and Dr. Bai was from the Department of Traditional Chinese Medicine and Pediatrics of the hospital.

After reading the case, Xu Yang handed it to Gao Huaxin, and then stepped forward to check on the child.

At this time, the child had a high fever and was irritable. He kept talking nonsense, looked restless, and had shortness of breath. His face was red and there was sweat on his forehead, but there was no sweat on his body.

Xu Yang pressed the child's abdomen again, but it was full but not solid.

Pu Lao opened the child's mouth and observed his tongue. Xu Yang also leaned over to observe.

The tongue coating is white, greasy and slightly yellow.

Check his pulse again.

The patient's pulse is a floating pulse.

Xu Yang began to think. The floating pulse governs surface diseases and is where the fu-organ diseases reside. Power is wind, powerlessness is blood deficiency. Floating pulse can control wind heat.

"Treatise on Febrile Diseases" also says: If the pulse is floating and rapid, it will be cured by sweating. If it is low, the body is heavy and the heart is palpitating, it should not be sweated. It will be cured by sweating.

A major principle of TCM treatment is that no matter what the situation, as long as there are superficial symptoms, the superficial symptoms must be resolved first, and all symptoms must be resolved first! Mistaken attacks, misplacements, and mistakes will cause trouble!

Then "Treatise on Febrile Diseases" says: If the pulse is floating and rapid, it may lead to sweating, so Mahuang Decoction is suitable...

Xu Yang frowned, this patient seemed a little different. The child is irritable and has a severe fever. It seems that he should be treated with bitter cold and ice. However, his symptoms are not clear. If he really uses it, he is afraid that things will change immediately. Especially since he has severe pneumonia now, he is afraid that something will happen soon.

Treatise on Febrile Diseases once said: The pulse of Taiyang disease is floating and moving; if it is floating, it is wind; if it is counting, it is heat; if it is moving, it is pain; if it is counting, it is deficiency. If you have headache, fever, slight night sweats, and aversion to cold, the symptoms are unresolved!

But if you use ephedra soup...it doesn't seem right, and the child is not simply suffering from wind and cold. The child has a floating pulse and wind and heat...

The child has obvious lung qi stagnation, which is why he has such shortness of breath. And there is no sweating due to severe heat, only slight sweating on the forehead. In fact, it is internal heat and external cold, and the lung qi is blocked, which is why it is so serious!

I see!

Xu Yang suddenly understood, but then he frowned again, but why did he get so sick?

Mr. Pu nodded slightly and said to Xu Yang: "Xu Yang, go out and ask Yiha's mother-in-law, that is, grandma, how did the child get sick?"

"Okay." Xu Yang agreed and went out immediately.

Gao Huaxin still looks cute in this.

After Xu Yang went out to inquire, he came back and talked to Mr. Pu.

Over there, Dr. Bai and the Western doctors were still discussing. Dr. Bai wanted to write a prescription, but when he finally started writing, he wrote a few, but hesitated.

Pu Lao said: "How about you let me come and have a consultation together?"

The Western doctor turned to look at Doctor Bai. Both of them were slightly surprised. Do you really want to treat me?

Doctor Bai nodded: "Okay, Doctor Pu, you can also give me some advice."

Pu Lao said: "Just now, the patient's grandmother said that the child fell ill while taking the train to Beijing yesterday. The journey was long and the car was very stuffy. The child suffered from heat first and then wind and cold, which is similar to winter temperature..."

Doctor Bai couldn't help but interrupt: "Febrile disease school?"

Mr. Pu was startled when he was asked: "Well... it doesn't count... mainly because of this condition, you can never use the simple pungent and warm method."

Doctor Bai frowned and asked, "Then what prescription are you going to use?"

Pu Lao replied: "Maxing Shigan Decoction with added flavor."

Doctor Bai was stunned for a moment: "Your febrile disease school also uses prescriptions for typhoid fever?"

Pu Lao was speechless for a moment.

Xu Yang also smiled helplessly. This was a dispute between schools. The two sides had been fighting for hundreds of years and disliked each other. The winter warmth mentioned by Pu Lao is the formulation of febrile disease school, which is a seasonal disease.

What does it probably mean? It is that Japan should be cold in winter, but it feels warm. People feel the qi and get sick, which is called winter temperature.

Traditional Chinese medicine pays attention to the heaven, earth and human beings. Harvest in autumn and store in winter. In winter, food should be kept cold and stored. In winter, when it is not cold but warm, it is actually easier to get sick. Just like some mild winter years, the winter is very warm, but it is easy for epidemics to occur.

This is a seasonal disease, and the prescriptions used by the febrile disease school to treat winter warmth are basically Sangju Yin and Yinqiao Powder.