Chinese medicine doctor Xu Yang
Chapter 240 Gao Huaxin’s Progress
After Comrade Xu Yang, the fire captain, helped them diagnose the patient, he left the ward and went to the other side.
Xu Yang's strength is not much different from that of old experts and comrades, and he even surpasses him in many aspects. After all, the old comrade is too old to endure the hard nights, so Xu Yang is the busiest person.
"What's wrong? What's going on here?" Xu Yang came over and asked, with unconcealable fatigue in his eyes.
There are already two doctors in this ward, one of them is Xu Yang's junior brother, the cute doctor Gao Huaxin.
Xu Yang walked to the bedside and looked at the patient on the bed.
Gao Huaxin said to Xu Yang: "This is a mistreated patient, and now the evidence has changed!"
Xu Yang frowned slightly.
Now the treatment of Japanese encephalitis is on the right track. Generally speaking, as long as it is a newly diagnosed patient admitted to the hospital, their Chinese medicine team will take over the diagnosis. Usually, it can be controlled.
Because they have perfected the relevant dialectical standards and corresponding prescriptions! Some cases that are difficult to identify, or are not included in the treatment program, are just like the patient just now. Although they are a little more difficult, they are rare. And if you invite an experienced expert, it can probably be solved.
Another more difficult condition is that of patients who have been misdiagnosed and mistreated. How do we judge the level of a traditional Chinese medicine doctor? Generally speaking, apprentice-level, or entry-level, traditional Chinese medicine doctors can treat some simple single diseases.
For example, yin deficiency and yang deficiency are not that complicated, and syndrome differentiation is not difficult. There are also ready-made prescriptions available. Therefore, apprentices can treat many simple diseases, and Chinese medicine students can also do some simple nursing or treatment.
But to become a mature Chinese medicine practitioner, you must be able to treat common diseases. For example, Shaoyang and Yangming merge, such as liver and kidney diseases, etc. How to identify syndromes, how to deal with them, and how to consider medication are all very challenging.
The more powerful it is, it will be able to treat some diseases that are more difficult to distinguish, or diseases that have been misdiagnosed and mistreated. In fact, regardless of whether it is traditional Chinese medicine or Western medicine, the probability of misdiagnosis and mistreatment is still a bit high.
So many times when we go to the hospital, Western medicine doctors will prescribe many tests for you. One of the biggest reasons is to reduce misdiagnosis and missed diagnosis!
Why do we always emphasize that traditional Chinese medicine requires the combination of four diagnostic methods to treat diseases? It is also to reduce misdiagnosis. Medicine is not just for showing off skills, but also for reliable curative effects!
We should also remind patients here that some patients seek treatment from traditional Chinese medicine doctors just to test the doctor’s skills. When I got there, the doctor refused to tell the truth when asking questions. He just wanted the doctor to diagnose the disease through pulse diagnosis or inspection and prescribe medicine.
Because they think this is the best Chinese medicine!
Don't do this, don't do this!
Don't use your own health to test the doctor's ability. The purpose of combining the four diagnostic methods is to reduce the misdiagnosis rate. Inspection, hearing, asking and everything is of irreplaceable value! If pulse diagnosis can replace several other diagnoses, then there is no need to look, smell, ask, and feel, just do it!
Don't test the doctor and end up suffering a big loss. Some mistreatments will be more troublesome. More than one-third of the Treatise on Febrile Diseases is about how to remedy mistreatment.
So when he heard that this patient had been mistreated, Xu Yang couldn't help but frown a little.
Gao Huaxin came over and said to Xu Yang: "This patient was misdiagnosed as cold malaria before admission, so he mistakenly took two doses of pungent and warm medicine. After being admitted to the hospital, he mistakenly took pungent and bitter medicine. Now his condition has become serious and the high fever does not go away. !”
Xu Yang frowned a little more. He was misdiagnosed twice in a row!
Xu Yang asked Gao Huaxin: "Can you accurately identify this patient's syndrome?"
Gao Huaxin replied: "Some are not sure, and according to regulations, such patients must be checked by teachers from the expert team. Xu Yang, please help me check!"
The Chinese medicine doctor standing next to him also nodded quickly.
Xu Yang now looks like a ready-made expert in the eyes of others.
"Okay, no problem." Xu Yang agreed happily.
Gao Huaxin looked at the information in his hand and said to Xu Yang: "The patient, male, 28 years old, now has a high fever of 40.2 degrees, headache and no sweat, slightly red eyes, fullness and slightly hard chest and abdomen, and he has not been able to pass stool."
"Stuffy nose, dirty and dry tongue coating with no fluids in the center, dark tongue, no thirst, oliguria, drowsiness but clear mind. Slight irritability, floating pulse, right side bigger than left side."
"So my comprehensive judgment is that his stomach yin has been injured and his internal and external stagnation is closed. But when it comes to medication, I am a little hesitant."
Xu Yang was not in a hurry to look at Gao Huaxin's prescription. He looked at the patient, then stepped forward to diagnose the patient, and found that the situation was indeed the same as Gao Huaxin said.
Xu Yang couldn't help but nod. A national treasure-level master of traditional Chinese medicine is a master. He was so young and had been with Mr. Pu for only half a year, but the diagnosis was so accurate.
Xu Yang stood up and took the two guys out. He asked Gao Huaxin: "What do you think of this patient?"
Gao Huaxin considered his words and replied: "This patient, before being admitted to the hospital, misused Xinwen, which caused the stomach yin to be robbed, so the center of his tongue coating was dirty and dry."
"After he was admitted to the hospital, he misused pungent and bitter cold, so the heat evil was contained and could not come out! Now he has a floating pulse, headache and stuffy nose, high fever but no sweating. This is a symptom of external evil stagnation."
"His chest and abdomen are full and slightly hard, slightly irritated, dry fur, and defecation is not passed, which is a symptom of internal obstruction. So now he has symptoms of external stagnation and internal obstruction. So I plan to use the Qingjie method to first aid the stomach yin and unblock the exterior and interior. .”
"I plan to use Xiaoxianxiong Decoction to relieve the slight knot of heat in the chest, and then use Green Onion Soup to guide the stagnant heat to escape from the surface; and then use Yinqiao, Weistem, Turmeric and other slightly bitter and pungent products to relieve the pain. Jin, so use Scrophulariaceae to generate water. Then use Zixue to penetrate the triple burner! Well, that’s pretty much it!”
After listening, Xu Yang looked at Gao Huaxin with some surprise: "Did you come up with this recipe yourself?"
Gao Huaxin turned to look at the patient in the room and said, "Yes, based on the patient's current condition, I made this prescription after careful consideration."
Xu Yang looked at Gao Huaxin seriously and found that this kid was very tired during this period. His expression was full of fatigue, but the light in his eyes was very excited.
The level of a doctor must be tempered in clinical practice. The greater the epidemic, the more the level of a doctor is tested, but the more it can train a doctor's level.
Gao Huaxin has made rapid progress during this period. No wonder he will become a national treasure expert in future generations!
Xu Yang couldn't help but be a little impressed, my brother Hua Xin has the appearance of a great doctor!
When Gao Huaxin saw that Xu Yang was silent, he suddenly felt worried: "Why, did I drive the car wrong?"
Xu Yang smiled and said: "No, you are right, you are already very mature!"
After receiving Xu Yang's affirmation, Gao Huaxin suddenly smiled.
The traditional Chinese medicine practitioner next to them looked at the two brothers dryly. He really felt like a soy sauce practitioner now.
Gao Huaxin said happily: "Since there is no problem, I will go directly to ask Teacher Wen to sign."
"Okay." Xu Yang nodded and glanced at Gao Huaxin again before leaving.
…
Wen Sanquan was bringing Hao over to show off.
Hao pretended to be unhappy and said: "Master, you can't compare me with Xu Yang, he is not a normal person. Except for Xu Yang, I am much better than others!"
Wen Sanquan glanced at Hao Zangbo angrily and led him into Gao Huaxin's consulting room!
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