Chinese medicine doctor Xu Yang
Chapter 398 Chapter 300 is Chapter 6 Doctors save lives (two in one)
"Huh... I can finally stand up!" Director Ma stood by the window of the ward, and let out a long breath at the seemingly deserted hospital entrance.
After this period of treatment, his fever finally subsided, and other symptoms also subsided a lot, but the shadows on his lungs were still not absorbed, and it would take a long time for these shadows to be absorbed.
But Director Ma couldn't wait any longer.
Director Ma got up to change clothes and wanted to return to treatment. This incident alerted even Dean Gao, who hurriedly ran down from above to find Director Ma.
"What's wrong? Why are you so anxious?"
Director Ma smiled and said, "We have to be anxious. There are more and more patients and their conditions are getting more serious. Now is the time when we are short of doctors. How can I lie down again?"
Dean Gao said, "There's no need to rush it, just take care of it first!"
Director Ma shook his head: "Let's take care of myself while working. I'll ask Director Xu Yang to prescribe some medicine for me to take care of my health later. The situation is urgent now and I don't have much time to recuperate."
Dean Gao also smiled bitterly, not knowing how to persuade him.
Director Ma also sighed with emotion and said: "I was lucky this time. I thought I would die before I left the battlefield. As one of the first experts to investigate and study SARS, it would be a bit embarrassing for me. I just went to the battlefield this time." Woolen cloth."
"I didn't expect to escape death this time. Fortunately, it happened so quickly. How could I have the nerve to let these medical staff fight alone? Why should I be a deserter myself? Haha, this time I can't die before I leave. I want to strangle Shi Yanran, and then return her body wrapped in horse leather!"
Dean Gao looked awkward: "Can't you come back alive? Why are you always dead when you come and go?"
"Huh?" Director Ma himself was stunned for a moment, right!
…
Director Ma's team did not rest. After the condition recovered a little, they hurriedly put into treatment work. In fact, the disease broke out just a few days after the Spring Festival.
The media continues to discuss this matter.
All of a sudden, all kinds of news exploded.
All the vinegar in Guangdong is being robbed, as well as garlic, and even sugared garlic. The price has increased several times, but there is still no way to stop it.
Also, Isatis root, hell, it’s out of stock too!
There is also table salt. I don’t know who is spreading rumors that there will be no healthy salt to eat in the future. The people were forced to go out to collect salt, and all the cheap salt was sold out in a few minutes.
The common people who arrived a little later took a look and said, oh my gosh, there really isn’t enough salt to eat. Didn’t you notice that you can’t even buy cheap salt in the store? Then they started to rush to buy high-priced salt.
I went a little later, and when I saw it, even the high-priced salt was gone, and the store was out of stock. Look, just say it's not a rumor, otherwise it would be out of stock.
It’s over, no more salt to eat from now on.
Then there are those speculative traders in front of the store. They say there are channels where they can sell salt and vinegar, but the prices are higher.
It’s a mess anyway!
In an era when information is not flowing smoothly, it is not easy to even refute rumors. There have also been rumors about how many medical staff died in a certain hospital, and that a certain hospital has been closed down.
It's such a mess and there's all kinds of news, so those who are really sick don't dare to go to big hospitals for treatment. But the business of private pharmacies and some small clinics on the roadside suddenly picked up.
It’s true that all living beings have different expressions.
…
The hospital is also crazy busy.
Because there are really more and more patients.
Looking from afar, you have no idea how many people have fallen ill.
After Director Ma put on his white coat again, he naturally became the leader of the treatment team. After all, he is one of the most authoritative people with knowledge of this epidemic.
Director Ma also decisively listened to Xu Yang's insistence, insisting not to open the airway early, and to use less antibiotics and hormones. Instead, use certain antibiotics and Chinese medicine first, and then use large doses of hormones once the condition cannot be controlled.
But for those patients who were brought in critical condition, Director Ma did not listen to Xu Yang's advice.
Director Ma shook his head: "I'm sorry, Xu Yang, I really can't listen to you on this. You have to know that critically ill patients with pneumonia can easily endanger their lives. The situation is very dangerous, and lives must be saved in time."
"Of course, I am not against traditional Chinese medicine. I personally respect traditional Chinese medicine, and I was cured by you. But when it comes to treating acute and severe cases, traditional Chinese medicine really doesn't have many advantages."
Xu Yang frowned immediately.
Seeing that Xu Yang was a little displeased, Director Ma quickly explained: "Don't be angry, I'm just telling the truth. It should be able to fully utilize its strength from other places."
"Just like the participation of traditional Chinese medicine, it can prevent mild patients from becoming serious to a large extent, and the fever and recovery time will be much faster, and it is not easy to leave sequelae. So there is no need to treat patients with severe symptoms in critical conditions Make a fuss about it.”
Xu Yang said displeased: "Who told you that traditional Chinese medicine can't cure critical and severe cases?"
"Ah?" Director Ma was stunned by what Xu Yang said, but after he realized what he said, he couldn't help but smile bitterly and said, "Aren't you trying to make excuses?"
These days, no one even believes that Chinese medicine can cure diseases, let alone that Chinese medicine can treat critical and serious diseases.
How many Chinese medicine practitioners have been calling on Chinese medicine practitioners on forums to do more research in the field of chronic diseases. This is the strength of Chinese medicine and it is where Chinese medicine has advantages over Western medicine.
In the field of critical illness and Western medicine, it is called using one's own shortcomings to attack the other's strengths. This is called overestimating one's own capabilities. This is called using an egg to attack a stone. Really, many front-line Chinese medicine doctors and even many famous experts say this.
Not to mention Director Ma.
"Alas!" Xu Yang himself could only sigh in the end. After all, Director Ma was the leader of the treatment team, and he was the one who had 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 was Director Ma. If you had moved to another hospital and had another team leader, the Chinese medicine doctors would not have received this treatment.
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 has never left the hospital during this period.
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 emergencies at any time.
There are more and more patients, and medical staff are getting busier and busier.
Medical staff kept falling outside.
Someone has calculated that during the entire SARS fight, one-third of the patients were infected medical staff. You will know how terrifying this number is.
Especially in the early stage, when all kinds of experience were lacking, the infection rate was quite high. It was only after all kinds of experience gained that the infection rate among medical staff dropped.
Therefore, in the early days, more medical staff were infected than patients. Previously, there was a very powerful patient, nicknamed the Poison King, who infected more than fifty medical staff alone.
Later, a super-infectious person also appeared in Beijing, infecting dozens of medical staff in three hospitals. This difficult battle against the epidemic is truly a tragic victory for the medical staff, which was made up of blood, tears and lives!
Xu Yang's hospital is considered to be in good condition, and very few people are infected.
The group with the largest number was Director Ma and his group.
Some people were infected later, but after timely treatment, they did not become seriously ill.
So Xu Yang and Director Ma are now even more suspicious. It is very likely that the airway was opened prematurely, causing many medical staff to become infected.
And their existing medical measures cannot guarantee that medical staff will not be infected.
Traditional Chinese medicine has also come up with corresponding preventive prescriptions, which is the herbal tea that is most loved by the people of Guangdong. A large pot of herbal tea is cooked every day and placed in the tea room, so that medical staff can drink it at any time when they are thirsty.
Of course, this so-called preventive formula cannot completely prevent diseases. At that time, Chinese medicine believed that righteousness existed within the body and that evil could not interfere with it. When you are strong, you will not be easily infected. Even if you are infected, it is not likely to become severe or critical.
Therefore, this herbal tea recipe is still somewhat useful. Guangdong also likes to drink it, and medical staff drink a lot of it.
…
"Director Xu, this is the feedback from the patient in bed No. 2. He still has a fever." Shen Yuyan came over with the case.
Xu Yang was thinking as he walked to the ward. According to the syndrome differentiation of traditional Chinese medicine, the pathogenesis of this new pneumonia is characterized by dampness and heat accumulating toxins, blocking the middle and upper burners, and easy consumption of Qi and siltation, and even internal obstruction, asthma and prolapse. The rest is that the condition has changed. , generally not far from this point.
It has been three days since this patient was admitted to the hospital, but he still has a fever.
This female patient is 34 years old and works as a saleswoman. One week before hospitalization, she started to have a dry cough without sputum. Then a week later, I started to have fever, accompanied by general fatigue, muscle aches, and headache. Self-administered Chinese patent medicines were ineffective.
In the evening, I measured my body temperature at 38.5 degrees Celsius, and there was no obvious aversion to cold. Then I came to the hospital for emergency treatment. The chest X-ray showed pneumonia in the lower right side, and the patient was admitted for investigation and treatment due to fever.
After admission, the symptoms included fever, headache, body aches, fatigue, cough without phlegm, slight shortness of breath, no sore throat and nasal congestion, normal stools, and denied any history of contact with SARS patients. Family members had no fever.
Below is the inspection information.
The patient was conscious and in an automatic position. There was no jaundice or bleeding spots on the skin all over the body. No skin lesions were seen. Superficial lymph nodes were not palpable. Pharyngeal congestion (++) was observed. There was no enlargement of the tonsils on both sides.
The chest was normal, the breath sounds in both lungs were clear, and no wet or dry rales were heard. The abdomen was soft without tenderness, the liver and spleen were not palpable, there were no deformities in the limbs and joints, and there was no cyanosis in the lip nails. The tongue is reddish, the fur is yellow and greasy, and the pulse is slippery and rapid.
There are also various auxiliary inspections. After hospitalization, twelve items of liver function, five items of cardiac enzymes, and three items of rheumatism were checked, all of which were normal. Chest X-ray examination revealed right lower right pneumonia upon admission, and subsequent chest X-ray examinations every one or two days showed an increase in inflammatory lesions.
After being hospitalized, I was treated with a combination of Chinese and Western medicine.
TCM syndrome differentiation is wind-heat epidemic. It is still in the early stages of the disease and is considered mild.
Traditional Chinese medicine roughly divides the progression of the disease into four stages. The early stage is 1 to 5 days after the onset. The pathogenesis is blocked by dampness and heat, and the characteristics of the disease are the same as the defending qi. The treatment emphasizes the clearing and clearing. The main common ones are dampness and heat blocking the lungs, evil in the lungs, or cold outside and heat inside.
In the middle stage, the pathogenesis is characterized by dampness and heat accumulating toxins, evil factors hiding in the membrane, and evil factors blocking Shaoyang. Treatment is mainly to clear away dampness and heat and unblock qi.
The third stage is the extreme period, which is a very dangerous time.
Clinically, patients mainly present with obvious shortness of breath and suffocation, or accompanied by cyanosis. The main pathogenesis is characterized by excessive dampness, heat and poison, consumption of Qi and damage to yin, and congestion and internal obstruction. At this time, the condition is already very serious and may even be life-threatening.
Some patients may even experience excess evil and deficiency of righteousness, internal obstruction and external prolapse. Not only did he no longer have a fever, but he also suffered from four reverses, sweating like rain, and a weak pulse. This was the separation of yin and yang, and his life was at stake!
Xu Yang now mainly treats patients in the first and second stages. Patients in the third stage are all severe patients, and Director Ma leads others to treat them.
It was difficult for Xu Yang to seize the opportunity to take action. Some of them were rescued, and then Xu Yang was allowed to take action in an effort to reduce the severity and save lives.
So Xu Yang has been cooperating with them.
Their cooperation is quite good, and they have saved several dangerous patients. And many ordinary mild patients have improved, and the cure rate is pretty good.
Various hospitals are constantly feeding back data, and Chinese medicine is gradually proving its unique advantages in treating diseases.
But Xu Yang still felt a little unhappy.
After Xu Yang finished reading the cases on his hands, he also came to the door of the ward. This patient had a mild illness. Western medicine used to use azithromycin combined with amoxicillin intravenous drip to fight infection, and then continued low-flow oxygen administration, as well as other treatments. .
Traditional Chinese medicine uses Houttuynia cordata injection for meridian infusion and Qingkailing injection plus glucose infusion. These are products of the modernization of traditional Chinese medicine.
Then take Qingyan mixture orally, 30 ml each time. Xiaobupleurum tablets are taken orally, 4 tablets each time, three times a day, and then the traditional Chinese medicine decoction is mainly Qingxuan.
After only three days of treatment, the patient was still febrile, with a body temperature between 38.6 and 38.8, accompanied by coughing, sometimes choking, a small amount of yellow and white phlegm, general fatigue, chest tightness and shortness of breath, and no diarrhea.
After Xu Yang went in, he re-examined the female patient. He was not responsible for this patient. It was just that the fever could not go down, so she came to see him, the person in charge of traditional Chinese medicine.
After Xu Yang checked it out, he determined that it was internal resistance due to dampness and heat, and the lung heat was not clear, so he kept having fever. He adjusted the previous doctor's prescription and used Wei Jie Decoction to relieve lung heat.
After giving instructions, Xu Yang left.
But after coming out, Xu Yang's expression was still very solemn, and his eyebrows were hesitant.
Shen Yuyan, who was following him, asked: "Director Xu, what's wrong? Is there any other change in this patient's condition?"
Xu Yang shook his head: "That's not the case. This is just a mild patient. In a few days, the fever will be gone. With some follow-up care, there should be no serious problems. He can be discharged from the hospital and recover. .”
"Oh." Shen Yuyan nodded and asked, "Then why are you so worried?"
"Alas!" Xu Yang sighed: "I am thinking about those critically ill patients."
"Huh?" Shen Yuyan showed doubts.
Xu Yang frowned and said, "If you don't allow me to treat critical and severe cases, I will feel sick all over my body. Moreover, the prescriptions we have designated to treat terminal pneumonia patients will not be used for a while. I don't know." As a result, we can only act anxiously..."
After Xu Yang finished speaking, he heard shouting from outside: "Get out of the way, everyone, get out of the way. Doctor, help!"
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