Traditional Chinese Medicine Xu Yang

Elder Pu nodded and led others forward.

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

"What?" Elder Pu was taken aback.

"It's all right, just ask." The Western doctor smiled and waved his hands, thinking that Mr. Pu had no choice but to come in because he couldn't get in the way of the patient's relationship.

Old Pu smiled and asked, "When did the patient get sick?"

Doctor Bai said: "I had a fever yesterday, and I was hospitalized today. This is the case book. Please read it, Doctor Pu."

Mr. Pu took a few glances over it, and it was basically the diagnosis and treatment process of Western medicine.After reading it, he handed the medical record to Xu Yang.

The two doctors over there were slightly taken aback, and they were teaching their apprentices.

Xu Yang also looked at the medical records. The patient was a three-year-old boy.He started to have a fever last night, and it didn't subside until this morning, and he became more and more ill, so they rushed the child to the hospital.

Xu Yang looked at the relevant information of the hospitalization records.The boy's growth and nutrition were moderate, his body temperature was 39.7 degrees, his left lung was dull, his breathing sound was low, his whole lung was full of wheezing sounds, and there were scattered medium and small vesicle sounds, his heart rate was 160-170 beats per minute, and his liver was 4 cm below his right rib.

Because the young boy was uncooperative, a neuroreflex test was not done.The rest is the information of the blood test, the data of white blood cells, neutral and lymph!

The child had a fever last night, and today he is wheezing and irritable, has difficulty breathing, his face is blue, and his consciousness is already unconscious.

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

But it doesn't work well.

Now this doctor Bai has just performed bloodletting on the Shixuan acupoint of the child.

It seems to have no effect.

This is all the previous medical information.

Elder Pu also stepped forward to check on the patient.

The western medicine doctor and Dr. Bai went to the side to discuss. This western medicine doctor is in internal medicine, and Dr. Bai is in the hospital's traditional Chinese medicine pediatrics department.

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

At this time, the child had a high fever and was irritated, talking nonsense all the time, looking restless and short of breath.His face was flushed and there was sweat on his forehead, but there was no sweat on his body.

Xu Yang pressed the child's abdomen again, the abdomen 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 greasy and yellowish.

Diagnose his pulse again.

The child's pulse condition is a floating pulse.

Xu Yang thought about it.Floating pulse governs surface diseases, and internal organs diseases reside.Powerful for wind, weak for blood deficiency.Floating pulse can control wind-heat.

"Treatise on Febrile Diseases" also said: If the pulse is floating and rapid, the method should be cured by sweating. If it is lower, the body is heavy, and the heart palpitations, do not sweat, and it will be relieved when sweating.

One of the big principles of TCM treatment is that no matter what the situation is, as long as there is an exterior syndrome, the exterior syndrome must be resolved first, and the exterior syndrome must be resolved first!Other mis-attacks, mis-fills, and mis-downs will cause accidents!

Then "Treatise on Febrile Diseases" also said: If the pulse is floating and counts, you can sweat, and Mahuang Decoction is suitable...

Xu Yang frowned, this patient seemed a little different.The child is irritable and frenzied, and his body is very hot. It seems that he should use the bitter cold to lie down, but his symptoms are not clear. If he really uses it, he may change immediately, especially since he is currently suffering from severe pneumonia, he may have an accident immediately.

Treatise on Febrile Diseases once said: The pulse of Taiyang disease is floating and moving to count; floating is wind, counting is heat, moving is pain, and counting is deficiency.Headache and fever, slight night sweats, but anti-aversion to cold, the expression is unresolved!

But if you use Mahuang Decoction...it doesn't seem right, and the child is not simply a syndrome of wind and cold.The child's pulse condition is floating and there is wind and heat...

The child's lungs are obviously closed, which is why he is so short of breath.And it was very hot but no sweat, only a little sweat on the forehead.In fact, it is hot inside and cold outside, and the lung qi is stagnant, which leads to such a serious illness!

I understand!

Xu Yang suddenly understood, but suddenly he frowned again, why did he get sick like this?

Elder Pu nodded slightly, and said to Xu Yang: "Xu Yang, go out and ask the mother-in-law of the child, that is grandma, why did the child get sick?"

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

Gao Huaxin still has a cute face inside.

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

Over there, Dr. Bai and the western doctor were still discussing. Dr. Bai wanted to write prescriptions, but he really waited for the pen to be written. After writing a few, he hesitated.

Pu Lao said: "Why don't you let me come for a consultation together?"

The western doctor turned to look at Doctor Bai, both of them were slightly taken aback, do you really want to come for treatment?

Doctor Bai nodded: "That's fine, Doctor Pu, you are also a staff officer."

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

Doctor Bai couldn't help but interrupted: "The febrile disease school?"

Mr. Pu was startled when asked: "Then...it's not...it's mainly because of this illness. You must not use the simple Xin Wen method."

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

Pu Lao replied: "Ma Xing Shi Gan Decoction is more flavorful."

On the contrary, Doctor Bai was stunned for a moment: "Your school of febrile disease also uses the prescription for typhoid fever?"

Elder Pu was speechless for a while.

Xu Yang also smiled helplessly. This is the dispute between schools. The two sides have been fighting for hundreds of years, and they don't like each other.The winter temperature mentioned by Mr. Pu is the formulation of the febrile disease school, which belongs to seasonal diseases.

What does it roughly mean, that is, Japan should be cold in winter, but it feels warm, and people feel sick due to the qi, which is called winter temperature.

Traditional Chinese medicine pays attention to the harmony between heaven, earth and people. Harvesting in autumn and storing in winter, Japan should be cold and stored in winter.It is not cold but warm in winter, but it is actually easy to get sick.Just like in some warm winter years, the winter is very warm, but it is prone to epidemics.

This is a seasonal disease, and the prescriptions for the febrile disease school to treat winter temperature are basically Sangjuyin and Yinqiaosan.

Chapter 221 You must first be young, don't cut Tianhe

It's just that Pu always combines the cold and warm schools in one furnace, he doesn't belong to any school, he treats diseases based on clinical symptoms, and only uses prescriptions according to prescriptions, without bias.

Mr. Pu explained helplessly: "I've said it all, I'm not a febrile disease school! I can use any prescription, as long as it is confirmed."

"The School of Febrile Diseases does have the Xinliang method to relieve the exterior, and is good at using Sangju Drink and Yinqiaosan, but there is also the Xinliang method of Maxing Shigan Decoction in typhoid fever, which are not mutually exclusive."

"The two have their own strengths and must coexist. Choose according to the situation. Just like the cold evil closed the exterior, you can use Sanao Decoction to add flavor; if the warm evil is stagnant, you should use Sangju Drink to add flavor."

"Like a patient, he is not warm and evil and stagnant on the outside. He has internal heat and external cold, lung heat and external cold, so the lung heat is not vented. So, use Maxing Shigan Decoction, the method of pungent coolness penetrating the external surface, Quickly open and close the lungs, naturally this syndrome can be solved!"

The western doctor next to me was taken aback by the words.

Doctor Bai was also taken aback by Pu Lao's words. He thought about it carefully, and felt that what he said was reasonable, but he said again: "But this child's symptoms are very fast, and the symptoms are dangerous."

Pu Lao said: "It is precisely because of this that the medication must be correct at this time, and the disease must be blocked in time. As long as the medication is correct and the dialectics is appropriate, this child will naturally be cured quickly."

"Let me prescribe the prescription." Elder Pu smiled gently and said, "Since we have met, it's not easy to stand by and watch!"

The two people on the opposite side were stunned for a moment. A famous doctor naturally has the bearing of a famous doctor. It is not the first time Pu Lao treats these dangerous diseases, so he is naturally sure.

He definitely wouldn't be as nervous as Doctor Bai, who was a little hesitant.

"Then you have a try..." Dr. Bai was also intimidated by Pu Lao's demeanor, and even used honorifics.

Mr. Pu stepped forward with a smile, and began to write.

His writing is neat, simple and clear, and very easy to read.

Doctors have a bad habit. They always like to write medicines in a specific style. Whether it is Chinese medicine or Western medicine, when writing by hand, holding the prescription in hand is like reading a bible.

But Pulao is particularly opposed to this approach, and his prescription list is full of very clear words and dosages.Why, one is that comrades who don't give prescriptions and take medicine bring obstacles to reading.

What if someone gets it wrong?You spent a long time on syndrome differentiation and deliberation on prescription and medication, but finally fell at this level, how sad it is!

Why are doctors unwilling to write clearly? The main reason is that they are afraid of being seen by patients.

Mr. Pu has always written the prescriptions in a generous way. He just wants to let the patients and their families see them, so that they can feel relieved.But this also shows that Mr. Pu's medical ethics and skills are very good, and ordinary doctors don't have the confidence.

Mr. Pu finished drawing up the prescription, and added the scallion that Mr. Pu is very good at. He handed over the prescription and said: "Decoct 120ml, take it hot in three divided doses, once every four hours."

Doctor Bai took it subconsciously.

Western medicine asked: "Doctor Bai, do you use this prescription?"

Doctor Bai took over the prescription, and the expert will know if he has it.Looking at this prescription, Dr. Bai was a little bit surprised, the prescription was very strict and the combination was very appropriate.

But he was still a little hesitant, because the medication was a little mild, and the child had severe pneumonia, so he was afraid that the effect might not be very good.

Elder Pu said from the side: "Use thiophene, according to my experience, take this dose of medicine. After midnight, the fever should start to subside, and there should be no serious problems tomorrow morning."

"Ah!" The sound came from the Western medicine doctor.

"Ah!" The voice came from Doctor Bai.

"Ah!" The voice came from the little apprentice Gao Huaxin.

So Xu Yang calmed down a bit, because he knew that Mr. Pu was very powerful.The characteristics of Pu Lao's prescriptions are very similar to Ye Tianshi's, they are all good at lightness.

Pu Lao's medication is characterized by lightness and purity.Basically, he seldom uses particularly large doses of medicines, and usually sees the magic in the ordinary. It seems that a small dose of the prescription, but even if it can set up a serious illness, some critical illnesses, his prescription will continue. Can save people.

This is a realm of medicine. Pu Lao has always advocated that medicine is like using soldiers, and the essence is not expensive.So he usually uses six or seven flavors of medicine, as few as one or two, and at most no more than twelve.

He can cure serious illnesses with light doses, and serious illnesses with small prescriptions.And he is very good at substituting cheap drugs for expensive drugs, while keeping the potency of the drugs unchanged, because it can help patients save money.This is not only medical ethics, but also the realm of medication!

Doctor Bai didn't believe it, but this prescription should be the best, and it's relatively safe!

Finally, after discussing it, I chose Pu Lao's prescription. As for the effect, we still have to wait for the results after taking the medicine.

Mr. Pu came out with his people, comforted the patient's grandma a little, and they walked out.

After going out, Mr. Pu was still frowning, and he reminded the two of them again: "You two, you must not engage in school disputes."

Xu Yang and Gao Huaxin were startled at the same time.

Pu Lao went on to say: "Whether it is the 'six meridians', 'three burners' or 'wei qi ying xue' syndrome differentiation, it all shows the body and function of the province and the changes of pathology. for use."

"Especially 'typhoid fever', 'febrile disease' and 'plague' are actually three branches of one source, not a dispute between schools, but treatment methods produced in different periods, different regions, different climatic conditions, and different pathogenic causes .”

"Typhoid fever is more detailed than cold, but less than warm. This is the reason for that climatic condition! The theory of febrile disease also develops febrile disease on the basis of typhoid fever. It is inseparable from the source of the treatment of typhoid fever."

"So, you have to master these well, so that you won't make mistakes when treating these exogenous febrile diseases in the future. Even if it is a severe acute febrile disease, your curative effect will be very good!"

Xu Yang nodded slightly.

Gao Huaxin asked with some doubts: "Master, just now you said that the patient felt the winter temperature, did you judge it from this?"

Mr. Pu walked out of the hospital gate, looked up at the Beijing city which was already in the cold winter, he laughed and said: "It is said in the Internal Classics that 'the Qi of the year must be first, and the harmony of the sky must not be cut'. Timely."

"All exogenous diseases are naturally caused by the heaven and the earth. People in the heaven and the earth are born to conform to the heaven and the earth. If you are sick, you should naturally follow the laws of the heaven and the earth."

"So we must master the theory of five movements and six qi, as well as changes in seasonal climate and weather. Just like last summer, before I came to Beijing, measles was prevalent in Chengdu, and many children fell ill."

"Most doctors have used Xinliang's Xuantou method for treatment, but it didn't work. All of you are helpless. After thinking about it, I found that last summer, there was heavy rain in Chengdu."

"The street has been flooded for many days, and the old and weak children sit on the bed day and night, not daring to go to the ground. Adults can bear it, but children are weak, how can they withstand the invasion of heat, rain and humidity."

"So once the summer vacation was over, it was close to Ryukyu, and the heat and humidity evaporated. The child really had a fever, and the measles lurked under the skin. This is because the summer is rainy, and the humidity suppresses the heat. I then used the method of promoting yang and dampness, and the disease was quickly controlled. It worked out great."

"Then, my colleagues in Chengdu used my prescription and treatment experience, and followed suit. Then the measles epidemic was brought under control by us."

Although what Pu Lao said was plain.

But Xu Yang and Gao Huaxin felt a little passionate.

To control the epidemic, what is an epidemic, and what is difficult to treat is called an epidemic.If it can be controlled as soon as it comes up, and it can be cured immediately, then there is nothing good about the epidemic.

So many people are sick at the same time, hospitals and clinics are full of patients, colleagues are helpless, and patients are in danger.At this time, a great doctor was born to control the epidemic and save lives. This sense of accomplishment is incomparable.

Gao Huaxin looked at Elder Pu in astonishment, and said, "Master, so you can also cure the epidemic!"

Chapter 222

The next day, come to the doctor.

As Mr. Pu said, after midnight, the child's shortness of breath gradually eased, and the fever began to subside. The original unconsciousness and nonsense stopped, and the child's consciousness was fully awake.

After dawn, the child has returned to normal, and the fever has completely subsided.However, Pu Lao only used one dose of medicine, which was taken in three divided doses.

Mrs. Pu came to see the child for a follow-up visit. At this time, the fever had completely subsided and the abdomen was not full.Examine the tongue again, and the tongue coating has also decreased.The pulse is calm, but there is still a slight cough.

After this dose of medicine, all the symptoms of the child have indeed subsided.You know, the diagnosis yesterday was still severe pneumonia!The doctors here are helpless, and they are afraid that something serious will happen.

As a result, after one night, the illness was almost healed.