After being stunned for a moment, everyone burst out laughing.

This was the first time since Japanese encephalitis plagued the capital, everyone laughed so happily that they were almost out of breath.

Mr. Pu also can't laugh or cry.

Xu Yang looked at Gao Huaxin, and he kept smiling wryly.Gao Huaxin, the national treasure-level master of traditional Chinese medicine, had this incident when he was young, but he refused to keep it a secret from himself. Isn't this just a ready-made dark history!

……

This little episode passed quickly.

The next step is to discuss the plan. Mr. Pu has already set the framework, and everyone can follow his framework.It won't be like yesterday, everyone was arguing non-stop, and after a long time, no serious conclusions came out.

As Pu Lao said, there must be someone who has the final say.

Pu Lao used his strength to win the right to speak, and this time the expert meeting was led by Pu Lao.

Based on Mr. Pu's framework, everyone was refining the dialectical key points and related effective prescriptions, and discussed until evening.For lunch, they also ate in the office, and the chef in the cafeteria delivered the food directly.

In the evening, basically the main points are discussed.

The leaders also sorted out the organizational structure, and carried out treatment according to the model that each old expert brings several mature Chinese medicine practitioners and manages several wards.At the same time, Western medicine will cooperate with the treatment!

That's right, this time the treatment is also a cooperative treatment of Chinese and Western medicine, but it is mainly Chinese medicine!

The mode of matching old with new is mainly to improve the correct rate of syndrome differentiation.They have already discussed the prescription, as long as there is no mistake in the dialectical evidence, then the prescription will definitely be effective.

From the evening of the same day, none of these old experts fell asleep, and all rushed towards the patient.

The same is true of Pu Lao.

The effect of the prescription depends on the situation after use.All discussions are for clinical service, and the specific prescriptions still need to be adjusted after clinical practice!

Another night without sleep.

Everyone is on the front line.

Now there are many JE patients, and the number is still increasing.This disease spreads rapidly and can easily become a critical illness, life-threatening.

So time is life.

None of these old doctors were younger than sixty, but they all stayed up all night for treatment.There are constantly dialectical information feedbacks. As Pu Lao said, this year is really humid and warm.

Most patients with Japanese encephalitis are caused by dampness and temperature, so they used Pu Lao's prescription for promoting yang and promoting dampness.There are different prescriptions for different stages of the disease.There are different prescriptions for different illnesses!

If it is hot and humid.For damp heat and summer heat, both triple energizers are affected, gray tongue, chest fullness and tightness, hot flashes and nausea, polydipsia, self-interest, sweating and shortness of breath, use almond talc soup.

If heat prevails over dampness, use Sanshi soup.

If dampness prevails over heat, use Sanren Decoction.If the sun is damp and the person is short of breath, use Qianjin Reed Stem Decoction and Almond Talc Decoction to add or subtract.If the meridians are stagnant due to dampness, the body is warm and painful, and sweating is self-interested, use Coix Bamboo Leaf Powder.

……

With the differentiation and treatment of syndromes, the feedback of patients after medication has gradually come out.The experts are constantly improving the treatment plan, and according to the changes in the patient's condition after taking the medicine, many detailed prescriptions have been formulated.

Moreover, the experts found that most of the patients this time suffered from both dampness and heat, but in the box of both dampness and heat, not one prescription can be used universally.

Under the leadership of Pu Lao, they continued to perfect the specific prescriptions for damp heat and filling.

If the pulse slows down and the body hurts, the tongue is pale yellow and slippery, the thirst is not drinkable or not, and the sweating is relieved, and then the fever returns, only the dampness does not subside, and the heat is only cleared away, and the heat is more scorching. The treatment should be cleared away heat and dampness at the same time, use Scutellaria baicalensis Talc soup.

If Yangming is humid and warm, and the Qi is stagnant, use the freshly made Tangerine Peel Zhuru Decoction.If dampness gathers heat and steams, accumulates in the meridian, cold station is hot, joints are troubled and painful, the tongue is gray and stagnant, the complexion is sallow, and the name of the disease is dampness, choose Xuanbi Decoction.

If the Sanjiao is stagnant with dampness, loss of ascending and descending, abdominal distension with abdominal distention, and uncomfortable stool, use Yijiaozhengqi San to add and subtract.If dampness is stagnant in the Sanjiao, nausea, loose stools, body pain, white tongue, and blurred pulse, use Erjiaozhengqi San to add or subtract.

and many more.

With the non-stop treatment, the treatment plan is also kept at night.The patient's disease is also being quickly brought under control, which is completely different from the previous dangerous situation that could easily turn into a critical illness.

Guo Keming, an old Chinese doctor, also came from Shijiazhuang soon. He also personally diagnosed a group of JE patients in the Children's Hospital ward, and he also approved the plan issued by Mr. Pu.

During this time, the medical staff are crazy busy.

These old experts have not been able to sleep well for a long time, and Mr. Pu is also running between the Children's Hospital and the Infection Hospital.

Xu Yang and Gao Huaxin also rushed to the front line to treat illnesses and save lives!

Chapter 237 Hot Junction Bypass Flow

The epidemic is a big test for doctors, especially for Chinese medicine.

This time Japanese encephalitis is even more so. Its complex and changeable syndromes and life-threatening crisis situations are all testing the level of all Chinese medicine practitioners.

On this battlefield against Japanese encephalitis, a group of very capable Chinese medicine practitioners really emerged, and Xu Yang is one of them!

……

In the ward.

Facing the patient, several doctors frowned.Then they went outside and talked, but everyone couldn't make an accurate judgment.

"Why don't you invite Mr. Wen to come?"

Comrade Hao pretended to shake his head: "The teacher has not closed his eyes for several days, and he is still busy consulting the patients in ward 137."

"What about the patient?"

Hao pretended to scratch his head in annoyance: "This... hey! Xu Yang, Comrade Xu Yang!"

Hao Zhuangbi's eyes lit up, but he saw Xu Yang coming.

Xu Yang's eyes were also very red, and there were dark circles under his eyes. He was too busy for a while, so he didn't have much time to rest.

These ordinary doctors are often unable to cope with some JE patients who are difficult to distinguish.And those old experts can't treat diseases like this.

So it was Xu Yang who went up to the top more.

He is sleeping in the hospital now, usually in the middle of the night, and not long after closing his eyes, the patient's condition changes again, and he hastened to save others. He is now like a firefighter, and he is the kind who doesn't have to rest.

"What's wrong?" Xu Yang walked over with tired steps.

Hao pretended to be aggressive and said: "Xu Yang, we have encountered a patient who is not sure, please help us take a look!"

The other doctors also looked at Xu Yang with anticipation in their eyes.

Xu Yang has also proved himself with his curative effect. ,

"Okay!" Xu Yang nodded in response.

They brought Xu Yang in.

Lying on the hospital bed was a patient, a young man.

Hao pretended to come over and introduce the condition to Xu Yang: "This patient is 28 years old and has been ill for six days. He was diagnosed with Japanese encephalitis by Western medicine before. After he was hospitalized, he took traditional Chinese medicine for clearing away heat, detoxifying, and nourishing yin. Come on, look at Fangzi."

Hao pretended to hand over the medical records.

Xu Yang took the hand flip and looked.

Hao pretended to continue to say: "After taking the medicine, the patient's condition did not ease, but became more serious. Now it is transferred to our side, and we doctors come here to treat symptoms based on syndrome differentiation."

"But..." Hao pretended to frowned all of a sudden: "But after we diagnosed...the patient didn't seem to belong to a certain category in the treatment outline, but..."

Hao pretended to be a little hesitant to speak: "So we couldn't make a decision, so we wanted to find a teacher to come and have a look, so I invite you to come!"

Xu Yang nodded. After reading the medical records, he stepped forward to diagnose the patient again.Now the patient has a high fever of 40.3 degrees, Xu Yang pressed his abdomen, and the abdomen was full and slightly hard.

The patient hiccups and retches non-stop, and his eyes are red and do not close.There was no sweat on his body, his hands and feet were fidgeting, restless, and he almost wanted to go crazy.

His mind was not clear, and he kept talking nonsense, but his limbs were a little cold.After questioning, Xu Yang learned that the patient had taken Li Chunqing Black Water yesterday.

Xu Yang nodded slightly, and after making a pulse diagnosis for the patient, he then diagnosed the patient's pulse condition.

After a while, Xu Yang said: "The pulse is heavy and strong."

Everyone else nodded.

Shen number is the syndrome of heat in the interior, and strength is the evidence. This is a relatively obvious syndrome of heat in the interior!And it's already hot.

Xu Yang didn't explain it so carefully to them, so he said: "It's not very obvious. Yangming's internal organs are strong, and heat knots flow in the side, so the pure green and black water flow down. And he is restless, comatose and delirium. So we must Next, use Xiaochengqi Soup."

"Huh?" Everyone was taken aback.

The expressions of a few people became a little more exciting.

Xu Yang also looked at them a little strangely, and asked: "This patient is not so difficult to differentiate the syndrome, so you can't differentiate the syndrome, right?"

Everyone looked a little embarrassed.

Comrade Hao Zhuangbi said with some embarrassment: "No, Xu Yang, this... this patient is Japanese encephalitis, and there is no prescription for Chengqi Decoction in the current treatment outline."

Xu Yang said angrily: "They have emphasized a lot of changes. The treatment of JE cannot be treated according to one method. It must be treated based on syndrome differentiation and treatment according to the patient's condition."

Another doctor said: "But... Japanese encephalitis is currently treated according to febrile diseases, and febrile diseases are taboo. I'm afraid it's not appropriate to use it."

The other doctors all nodded, too, so that's where they really hesitated.

Xu Yang said: "The patient's inner surface is stagnant, and it is obvious that the heat is flowing sideways. Only the next method can solve this syndrome. If you have been sticking to the taboos of febrile disease, if you don't do it now, it will delay the disease."

"From here on, the inside will become more knotted, the exterior will be more closed, and the heat will bind the essence. When the time comes, the internal closure and the external detachment may be life-threatening! This is the responsibility of our doctors."

The others were also a little embarrassed by what Xu Yang said.

Hao pretended to lick his lips, looked at the other people, and said in a low voice: "But Yangming's internal organs are strong, and the heat is flowing away, shouldn't we use Dachengqi soup?"

But Xu Yang said: "Although the pathogenic factor resides in Yangming, and the hot knot flows sideways, it is not yet full. You can see that the patient's tongue coating is dirty and greasy, and the color is not old and yellow, so it is not time to use Dachengqi Decoction. To use Dachengqi Decoction, not only must you dare to use it, but you must also know how to use it!"

"At present, the patient's interior is closed and the exterior is depressed. Although the medicines for clearing away heat, detoxification, and nourishing yin have been used repeatedly, the exterior is incomprehensible. This is useless, and the method must be used. The interior is opened. When the interior is opened, the exterior Naturally, it will be reconciled. Use Xiaochengqi soup, and I will prescribe the prescription."

Now that we have talked about this, what else can others say, they can only let Xu Yang take action.

After Xu Yang left the prescription, he left, and he was also very busy.

This group of doctors took Xu Yang's prescription and all looked at Hao pretending to be aggressive.

"Is this recipe useful?"

Hao pretended to be forceful and also had some headaches. Although what Xu Yang said was clear and logical, it is medical theory that febrile diseases are forbidden.Moreover, there is no such prescription in the treatment outline, and there is no such precedent.Although Xu Yang prescribed a prescription, they didn't dare to use it.

Hao pretended to look at the others, and said worriedly: "How about I ask my master?"

The others nodded quickly.

Hao pretended to take the prescription and went over.

After a while, Wen Sanquan also rushed over. Wen Sanquan was the team leader of their group.

After Wen Sanquan carefully diagnosed the patient's condition, he listened to other people's descriptions.

Hao pretended to hand over the prescription in his hand, and said, "That's what Xu Yang told us, and this is the prescription he prescribed."

Wen Sanquan took Fang Zi over, and after looking at it, he couldn't help but shook his head and exclaimed, "It's not easy!"

Hao pretended to be forceful and asked, "Master, so is he right?"

Wen Sanquan nodded slightly: "That's right, don't stick to the existing regulations, and don't have the slightest preconceived notion in your heart. Treat it completely according to the dialectical, and stop when it is right."

"It's not easy. The courage of this kind of heart is not comparable to ordinary people, and the diagnosis and treatment are extremely precise. The prescriptions and medicines are extremely high. He really deserves to be Doctor Pu's apprentice. He is really amazing. Especially when he is so young. , will become a great tool in the future!"

Wen Sanquan couldn't help but praise Xu Yang.

After finishing speaking, he glanced at Hao Zhuangbi and couldn't help sighing.

Chapter 238 Gao Huaxin's Progress

Comrade Xu Yang, the firefighting captain, helped them diagnose the patient, and he left the ward and went to his own side.

The current Xu Yang's strength is not much different from that of the old experts and old comrades, and he has even surpassed him in many aspects.After all, the old comrade is too old to stay up all night, so Xu Yang is the busiest person.

"What's the matter, what's the situation here?" Xu Yang came over and asked, his eyes could not hide the tiredness.

There are already two doctors in this ward, and one of them is Xu Yang's younger brother, the cute doctor Gao Huaxin.

Xu Yang walked to the side of the hospital bed and looked at the patient on the bed.

Gao Huaxin said to Xu Yang: "This is a wrongly treated patient, and now his symptoms have changed!"

Xu Yang nodded slightly.

Now the treatment of Japanese encephalitis is on the right track. Generally speaking, as long as the newly diagnosed patients are admitted to the hospital, the Chinese medicine team on their side will take over the diagnosis.Usually, it's manageable.

Because they have perfected the relevant dialectical points and corresponding prescriptions!Those that are difficult to differentiate or are not included in the treatment plan, like the patient just now, are a little tricky, but this is rare, and most of them can be solved by inviting an old expert.

Another difficult condition is the patient after misdiagnosis and mistreatment.How do we judge the level of a Chinese medicine practitioner? Generally speaking, apprentice-level Chinese medicine practitioners, or entry-level Chinese medicine practitioners, can treat some simple diseases.

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