Chinese medicine doctor Xu Yang

Chapter 383 Strange Female Patient

After Xu Yang washed up, he cheered up. He always felt a little tired and his energy was no longer what it was when he was young. He shook his head, smiled, and walked out.

Shen Yuyan also looked at Xu Yang's face and asked, "Director Xu, are you okay?"

Xu Yang took a thermos cup at his seat and took a sip of water, and replied: "It's okay, it's just that people in middle age have to take supplements in the thermos cup."

"Huh?" Shen Yuyan smiled.

"Let's go." Xu Yang took a medical mask from the table and said to Shen Yuyan: "Xiao Shen, you'd better wear a mask when you go to the respiratory department to be careful of infection."

"Oh." Shen Yuyan responded, looking for a mask, but after searching for a while, she found that she didn't have one, so she ignored it and forgot about it.

The two of them went to the respiratory department's territory one after the other.

"Hello, Director Xu." The director of the Department of Respiratory Medicine came over and shook hands with Xu Yang.

"Hello, Director Ma." Xu Yang also smiled, and then said: "There is no need to be polite. Let's talk about the patient's condition first."

Director Ma also nodded quickly. Everyone in the hospital knew Xu Yang's character. Director Xu Yang didn't like to be polite to others, so he didn't have many friends.

But his medical skills are very good and his medical ethics are very good. If other departments asked him for help, he would come over immediately without hesitation.

But everyone knows that Director Xu Yang is serious about his work, so don't be nagging in front of him, just be polite, otherwise he will be angry.

Director Ma immediately said: "Xiao Wu, please bring that medical record over and I will discuss it with Director Xu Yang."

Soon, the medical records were brought over.

Director Ma pointed to the chair next to him and said, "Come, Dr. Xu, sit down. Xiao Wu, give Director Xu a cup of tea."

This time, Xu Yang did not refuse. Xu Yang sat down, but his bulging belly made him feel uncomfortable, making Xu Yang frown.

He felt that his belly was very uncomfortable, and he was not used to it. He felt that this thing should not appear on his body. Why did he feel so uncomfortable?

Xu Yang shook his head in confusion, and then looked through the medical records.

Xiao Wu soon brought tea over, one cup for Xu Yang and one cup for Shen Yuyan.

Director Ma introduced the condition to Xu Yang: "Doctor Xu, this female patient is 67 years old. She was transferred from another hospital. When she was admitted, the main symptoms were fever, cough, headache, body aches, dry cough, and less phlegm."

"We did laboratory tests and it was written in the medical record that her white blood cells were not high. But not long after she was hospitalized, we discovered that her chest X-ray showed a large shadow."

"Then the female patient soon developed respiratory distress, and we put her on a ventilator in time. At first, we diagnosed her with lobar pneumonia, and then treated her with stronger antibiotics."

"It took almost a week of treatment, but her condition did not improve significantly. The lung shadows were not absorbed. The patient still had intermittent fever, chills, dry cough, and chest pain. Strangely, her white blood cells were never high."

"Then we also discussed it carefully here. We feel that the patient's diagnosis is not clear and it cannot be ruled out that it is a viral infection. In addition, the previous treatment was not effective, so I ask you to come and help us consult together."

Xu Yang nodded slightly, and then continued to read the medical records. After reading it, Xu Yang also showed doubts.

Director Ma asked: "Director Xu, what do you think?"

Xu Yang replied: "It's hard to say now. Let's go to the ward first and see the patient first."

Director Ma said: "Okay, how about you drink some tea?"

Xu Yang said: "No, I'm not thirsty. Treatment is important. Let's go first."

"Please come this way." Director Ma led Xu Yang and the others to the ward.

Entering the ward, Xu Yang glanced at Shen Yuyan, who was facing the sky, and said in a deep voice: "Wear a mask before going in."

Shen Yuyan stuck out her tongue and quickly went to the nurse's station to get a mask.

Xu Yang looked around and found that most of the doctors and nurses in the inpatient building did not wear masks. Even Director Ma and Xiao Wu came with bare faces.

Xu Yang felt upset for no reason and always felt very uncomfortable, but he couldn't tell what was wrong for a while.

"Let's go in."

Several people entered the ward, and Xu Yang diagnosed the elderly female patient. After the four diagnoses were combined, Xu Yang left the ward.

Director Ma caught up and asked, "Director Xu, what do you think?"

Xu Yang pondered for a while and said: "Bacteria or viruses are not concepts of traditional Chinese medicine, and the syndrome differentiation of traditional Chinese medicine is not derived from this. First of all, according to traditional Chinese medicine analysis, this patient belongs to the category of febrile disease."

"Although she has been treated for many days, she still has fever and aversion to cold. According to traditional Chinese medicine, this is an unresolved external syndrome. The disease is between the Wei component and the Qi component. It is a wind evil that binds the surface and Wei Yang is suppressed. The camp and security are poor.”

"That's why we have symptoms such as fever, headache, and body aches. As the saying goes, 'warm evil affects the lungs first.' The patient is old and has a history of mild cough."

"It should be due to internal lung heat and wind evil and epidemic poison externally. The two yangs are in harmony, and the internal and external attacks are attacking each other. That's why there are symptoms such as dry cough, less phlegm, and shortness of breath."

This is a hospital of traditional Chinese medicine. Director Ma has been cooperating with traditional Chinese medicine doctors for many years, and he still knows a little bit about the theories of traditional Chinese medicine. He nodded and said, "Okay, how about you make a prescription."

Xu Yang nodded: "Xiao Shen, write the prescription."

"Okay." Shen Yuyan took out a pen and paper.

Xu Yang said: "I personally suggest that you keep the original antibiotic treatment plan and use 100 ml of Houttuynia Cordata injection intravenously twice a day."

"When prescribing traditional Chinese medicine decoction, the main treatment plan is to clear away heat, detoxify, and detoxify the muscles and penetrate the surface. I recommend using Yinqiao Powder and Chaige Jieji Decoction plus or minus..."

Xu Yang told Shen Yuyan the specific compatibility and dosage, and Shen Yuyan also wrote them down one by one.

Xu Yang said: "Just follow this recipe and take it for two days to see the effect. If you have any other problems, come back to me."

Director Ma hurriedly said: "Okay, thank you, Director Xu. I'll treat you to tea when you have time."

Xu Yang smiled slightly and said, "There's no rush, just pay for it first."

"Haha." Director Ma laughed twice, and then said: "Okay, I'll leave first."

Xu Yang nodded: "Okay, goodbye."

Xu Yang returned to the office. He took off his coat, crossed his hands and looked out the window with a worried expression.

"Director Xu, what are you thinking about?" Shen Yuyan asked from behind.

Xu Yang looked at the sky and asked: "Is the winter in Guangdong this year warmer than in previous years?"

Shen Yuyan smiled and replied: "The meteorological station has said that this year will be a warm winter."

For a moment, Xu Yang frowned even more tightly.

Three days later, the female patient's symptoms improved significantly. Her fever subsided, her chest pain disappeared, her coughing decreased, her appetite was much better than before, and she could eat normally.

It was just that the chest X-ray showed that her shadow had not been completely absorbed, but this female patient was from out of town. She no longer wanted to stay in the provincial hospital and had to rush home. She also had to prepare for various things for the New Year.

So the hospital agreed and let her take the medicine home.

Done.

Director Ma came to Xu Yang again: "Director Xu, we have a holiday tomorrow. Can I treat you to tea? Director Xu... Director Xu?"

Director Ma saw that Xu Yang turned a deaf ear, so he stepped forward curiously, only to find that Xu Yang was looking at a thick stack of weather information on his desk.

On the last day of 2020, thank you for your company and wish you good health and happiness~

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