Traditional Chinese Medicine Xu Yang

"Yes, that's him." Leading the team.

Team leader Qin glanced at Mr. Pu again. As a team leader like him, he naturally knew the situation of these experts in the expert group very well, and his understanding of Mr. Pu was certainly not limited to gynecologists.

In fact, Pu Lao and his dean had already submitted Pu Laoxin's information, including those pediatric and internal medicine patients that Pu Lao had treated in the past half a year.

Otherwise, a single gynecologist would not be able to join such an expert group, after all, the profession is not the right one!

……

Pu Lao and the other doctors are also looking at the medical records.

The little girl was admitted to the Children's Hospital three days ago because of a two-day fever, dizziness, and convulsions.

Inpatient examination.

Body temperature 39.7 degrees, pulse 140, respiration 30/min, blood pressure 100/60. Development is normal, nutrition is moderate, lips are cyanotic, and there are three or four pinpoint-sized bleeding points in the lower abdomen and buttocks.

There is a 2cm by 3cm green mass on the forehead, increased muscle tension, convulsions, twitching of limbs, and white film at the mouth.Auscultation: Grade 2 blowing murmur at the apex of the heart.lung(-).

Nervous system examination: semi-consciousness, neck stiffness, Brooke's sign (+), Klinefelter's sign (+), Bartholin's sign (+), knee (bilateral) hyperreflexia, and pupillary light reaction.

Cerebrospinal fluid examination showed hairy appearance, trace protein, sugar 1-5 tubes (+), cell count 12400/mm97, neutral 3%, mononuclear 22000%.Blood test: 96 white blood cells, 4% neutral, [-]% mononuclear.Complement fixation test results (-).

Clinical diagnosis: Japanese encephalitis (severe).

Course of disease and treatment: Two days before admission, I felt dizzy, had a fever of 39.2, accompanied by chills, and was in good spirits.After giving antipyretic drugs, the fever subsided.The next day, the body temperature rose to 39 degrees again, and he still felt dizzy, so he was given antipyretics.

But he played normally, and suddenly fainted at noon, unable to answer questions, no convulsions, and it took 10 minutes to wake up.Four hours before admission, he suffered from convulsions twice and spit at the mouth, which lasted for 10 minutes to relieve.His mind was still clear, but he was unwilling to answer questions, so he came to the hospital for treatment and was admitted.

He was treated with penicillin and chloramphenicol, but he was still lethargic and had persistent high fever.On the third day, she became unconscious and her condition gradually worsened.

That's all the cases.

Xu Yang also looked at the little girl lying on the hospital bed. She was already unconscious, but her neck was straight and her limbs twitched from time to time.

This is only a five and a half-year-old girl, at a lively and lovely age, but now she is sick like this.Xu Yang also couldn't bear it.

Sitting next to the hospital bed, the little girl's parents and family kept wiping away tears, very worried.

Their new doctor read all the medical records here, and then stepped forward to make a diagnosis.

Xu Yang followed behind Pu Lao.

The little girl had had a high fever for five days. Xu Yang reached out and touched her forehead, limbs and body. There was no sweat, high fever but no sweat.

"Xiaoying, Xiaoying." Xu Yang patted the little girl's shoulder with his hand and called her name at the same time.

But at this time the little girl was already in a semi-conscious state and would not answer any questions at all.But she opened her eyes for a moment, but without looking at anyone, she just opened them, and then closed them again quickly.

Xu Yang frowned a little.

Xu Yang touched the girl's limbs again. Although the fever was high now, the little girl's limbs were cold.

Xu Yang talked with the doctor in charge and learned that the little girl hadn't had a bowel movement for four days, and she didn't want to drink anything, and she had convulsions three times.Xu Yang pressed her abdomen, which was dissatisfied.

Mr. Pu opened the little girl's mouth and looked at her tongue. It was pale with a greasy coating.

After examining the pulse, Mr. Pu said: "The pulse is floating and stringy."

This little girl has not been treated by traditional Chinese medicine, and Western medicine is only for testing. The medicines are only penicillin and chloramphenicol.It can be said that it is a first-time patient.

Seeing that the diagnosis has been completed here, Team Leader Qin took the initiative to name Pu Lao: "Doctor Pu, what do you think of this patient's condition? How should dialectical treatment be done?"

Upon hearing this, Mr. Pu looked at Team Leader Qin, and said, "Oh, Team Leader Qin. This patient is indeed in a serious condition. It is more obvious that dampness causes yang depression, so Qingyang is blocked, so he is in a coma don't wake up."

"At this time, the patient's triple energizer is blinded by dampness, dampness is better than heat, high fever persists, coma, the situation is more dangerous, so it is urgent to establish the method of unblocking yang and dampness, unblocking the triple energizer, the disease can be cured!"

As soon as these words came out, the doctors nearby all whispered, and all of them showed surprise.

Even Team Leader Qin was obviously surprised. The reason is very simple. The previous experience in treating JE was all based on the heat and temperature, and all the medicines used were cold and cool.

Why was Dr. Pu overthrown as soon as he arrived here, without any hesitation!

Chapter 232 I will bear all the honor and disgrace

Team Leader Qin looked at Elder Pu in surprise: "Doctor Pu, do you disapprove of the previous plans such as Baihu Tang?"

Mr. Pu shook his head: "There is no such term as Japanese encephalitis in traditional Chinese medicine, but last year the doctor in Shijiazhuang treated it according to the heat and temperature, and the effect was good."

"However, the Baihu Decoction syndrome applies to Yangming heat in typhoid fever. In febrile disease, it applies to heat in qi syndrome. Fever is not aversion to cold, but aversion to fever, profuse sweating, excessive thirst, flushed face, headache, and vomiting .”

"The pulse is floating and fast, and the tongue is red and yellow, so you can use Baihu Decoction, which is a heavy dose of Xinliang! This patient has a pale tongue with dirty and greasy fur, which is obviously due to excessive dampness and yang stagnation."

"It's not that when you see the high fever, you must take a heavy dose of pungent coolness! In the treatment of summer heat disease in traditional Chinese medicine, it is necessary to differentiate the syndromes one by one, and we should not stick to one treatment method. How can we only use one method for the treatment of Japanese encephalitis and copy it all?" ?”

The Chinese doctors who said this were stunned.

In fact, Chinese medicine practitioners made an empirical mistake this time. Last year, Chinese medicine practitioners were too successful in treating Japanese encephalitis according to heat.Therefore, in everyone's consciousness, JE is equivalent to summer heat.

So treating it according to the heat is definitely the right direction.

That's right, if it's summer heat, it's no problem to use different pungent or cold medicines according to the patient's condition according to the syndrome differentiation of Wei Qi Ying Xue.

But now, it's not that simple!

Team leader Qin asked suspiciously: "You mean that Japanese encephalitis is not summer heat, or that this time Japanese encephalitis cannot be treated according to summer heat?"

Mr. Pu replied: "I don't know what JE is. I only know how to treat it based on syndrome differentiation. I must not have any preconceived notions in my mind."

"And I doubt that Japanese encephalitis is not just the summer heat we are talking about. The name of the disease, Japanese encephalitis, should not be exactly the same as the syndromes mentioned by our Chinese medicine practitioners!"

The audience who said this were startled again.

Xu Yang was also taken aback for a moment, what Elder Pu said was a problem repeatedly emphasized by many famous Chinese medicine experts in later generations.The names of diseases in Western medicine are not exactly the same as those in Chinese medicine.It is absolutely impossible to treat a disease according to the name of the disease in Western medicine, otherwise there will be problems in all likelihood.

This conclusion is also drawn after Chinese medicine has suffered a lot.

But in this era, even the idea of ​​combining traditional Chinese and Western medicine has not been raised yet.It was also in Shijiazhuang that the first large-scale cooperative treatment of traditional Chinese and Western medicines took place.

Their plan is also very successful, so these old Chinese doctors took it for granted that the names of diseases in Western medicine were equated with the names of diseases in Chinese medicine.

Even the reason why the doctor mistreated just now was that he simply equated the name of the disease in Western medicine with the syndrome in Chinese medicine, and he didn't even differentiate the syndrome.

Based on previous experience, when you see a fever, throw something cold.If the fever does not subside, continue to take it, and use all the medicines in the previous treatment plan.

As a result, instead of being cured, it became more and more serious.

Many Chinese medicine practitioners in later generations are also prone to overturning on this, and are easily misled.Even many Chinese medicine practitioners don’t differentiate syndromes, and just ask you to go for an examination. He directly prescribes medicine according to the name of the disease in Western medicine.

Not to mention this age when all Chinese medicine practitioners know nothing about it!

Since they do not understand, it is easy for people to judge according to their own inherent experience, and it is even easier to equate the two.

So Pu Lao's words are very earth-shattering.

To put it more seriously, he wants to overturn the previous treatment experience in Shijiazhuang!

The complexions of everyone at the scene changed, and the way they looked at Mr. Pu changed.

Because it takes a lot of courage and courage to say such a thing.The results of Guo Keming's team's treatment before are the great glory of traditional Chinese medicine. How dare this old doctor say such a thing?

Wen Sanquan and Dr. Li, who came with Mr. Pu, couldn't help but wry smiles. They already knew that this old doctor was crazy, but they didn't expect him to be so crazy!

Even Team Leader Qin was taken aback, and he asked very seriously: "Doctor Pu, are you responsible for saying this?"

Mr. Pu looked at Team Leader Qin and nodded slightly: "That's right, I'm very responsible. I don't have much information now, but as far as these two patients are concerned, their pathogenesis is different, but Western medicine They were all diagnosed with JE."

"Besides, the key points of syndrome differentiation are also different from the materials I read earlier. So my suggestion is that we should completely forget the name JE, and first forget all the names of TCM diseases such as summer heat disease! Re-diagnose the syndrome and use new prescriptions again. On governance!"

As soon as these words came out, everyone in the audience was stunned.

He really wants to overthrow all the previous conclusions, one is useless?

Group leader Qin was also obviously stunned for a moment, this old doctor has so much courage!

Both Wen Sanquan and Dr. Li were convinced.

Wen Sanquan's apprentice Hao pretended to open his mouth wide open.

Even Gao Huaxin was stunned.

And Xu Yang looked at Elder Pu with admiring eyes. It's really remarkable to be able to make such a statement in this age!It is even more remarkable to be able to say such words in such a background!

Many old doctors in the expert group also looked at each other with a little shame on their faces.Everyone is a master, in fact, they can see that this little girl is not a sign of heat, but damp and yang.

But she has been diagnosed with Japanese encephalitis, and they have concerns in their hearts.

Since modern times, the situation of Chinese medicine has been really miserable, and it has been completely abolished three or four times.

He was also slandered as a witch doctor for decades by those so-called enlightened people and learned talents, and was beaten as a street mouse for decades.Even forced acupuncture and moxibustion had to be westernized in order to survive.

Now, I can finally catch my breath.Guo Keming and the others have made great contributions again. In fact, treating JE in Shijiazhuang is the greatest glory of Chinese medicine at present!It is also the first time that Western medicine has publicly recognized Chinese medicine!

Although I have doubts in my heart now, who dares to publicly overturn the previous treatment experience?What if I miss it?That's not a joke, and I can't even do it here.

Even if he didn't miss, what happened to the previous experience?Is it due to Western medicine or Chinese medicine?Why did the recipe work before but not now?

As a result, if you change the prescription and it works again, doesn't that mean that it was wrong before?What about the greatest glory of Chinese medicine?Who will bear this responsibility?

And many people have always said that traditional Chinese medicine can't explain how they treat diseases. Isn't it even more unclear now?

These old doctors had concerns in their hearts. If they didn't have this background, they would have spoken long ago.

But under such a background, this doctor dared to speak like this, so violently!Whether it is wrong or right, it is a very troublesome thing!

Team leader Qin asked Mr. Pu again in surprise: "You mean you need to re-diagnose JE? Come up with a new plan?"

Mr. Pu said with certainty: "That's right, let me treat this patient. Only the curative effect is the best answer. In any case, the patient's condition is always the doctor's biggest concern. All consequences, regardless of honor or disgrace, I personally bear!"

Everyone looked at each other in blank dismay.

Two words suddenly appeared in Xu Yang's mind: "Great doctor!"

Chapter 233 I Will Cure Three

Now that the matter has come to this point, Team Leader Qin can't persuade him any more. In fact, everyone already has an answer in their hearts.If the previous treatment experience in Shijiazhuang worked, this time it won't be cured.

But no one dared to talk about it.

Now that a strong leader has stepped forward, he is naturally allowed to go.

And now there is no other way, and then consider other things, what should the patient do?The patient is still lying down, and JE is still spreading, so we must find a way to control it!

When the syndrome differentiation is clear, Pu Lao's treatment plan is also clear. Now it is to unblock yang and dampness, and unblock the triple burner.

Pu Lao is still explaining the main points to Xu Yang and Gao Huaxin: "To treat all exogenous diseases, you must first rely on the qi of the year, and never cut down the harmony of the sky. If it occurs before autumn, it will be more hot and less humid. If it occurs after autumn, it will be more humid and less hot. This is Generally normal."

"However, if the weather is hot and dry after autumn, dryness should be used to treat it. It is better than heat. Different types of diseases have different ways to cure dampness."

"Dampness is not pungent, it's not suffering, it's not warming, it's not good for light oozing. Therefore, this patient is suitable for light oozing to unblock his yang, and the yang is not to warm, but to facilitate urination. This is the so-called Tongyang Li Wet method. Remember?"

Both Xu Yang and Gao Huaxin nodded.

Gao Huaxin, however, still seemed worried. Now they are really in the spotlight, and everyone is staring at them.If this misses, it is really embarrassing.

Elder Pu smiled at Gao Huaxin, and comforted him: "Don't be nervous, the doctor treats the illness, just focus on the illness, don't think about other problems, you can see that Xu Yang is doing very well."

Gao Huaxin looked at Xu Yang.

Xu Yang was a little more stable than him.

Gao Huaxin also sighed, shook his head, and forcibly stabilized his mind.

Pu Laodao: "Let's prescribe the prescription. This patient belongs to summer-damp stagnation, dampness is better than heat, yang stagnation is not manifested, and Sanjiao fails. The method uses pungent, bitter, aromatized and light-damp. The prescription is Sanren decoction."

Gao Huaxin wrote down the compatibility and dosage one by one.

After finishing writing, Mr. Pu said to Group Leader Qin: "Doctor Qin, do you want to discuss the prescription?"

The expressions of the other doctors became strange. This is still a discussion, and you performed it all by yourself.

Group leader Qin took Fang Zi over and looked at it twice, then asked: "Doctors, do you want to have a look?"

Thank you all for not being sensitive.

Then Team Leader Qin asked the doctor in charge to prescribe the prescription.In addition to the addition and subtraction of Sanren Decoction, Mr. Pu also prescribed Zixue Dan for [-] qian, which was divided into five doses.

Zixue Dan is a medicine for clearing away heat, detoxifying, and rejuvenating the mind. Now the patient has high fever and is semi-comatose.But because the patient is dampness prevalent, and Zixuedan is a medicine for severe cold, Pu Lao prescribes a very small dose, and takes it in five divided doses.

The medicine had already been prescribed, and the atmosphere at the scene became a little awkward after being treated like this.

Team leader Qin said: "Then let's go see the next patient."

Everyone changed the ward in silence, not saying much, but their expressions were different.