Traditional Chinese Medicine Xu Yang
Page 169
Xu Yang looked around the emergency room, and stopped a passing nurse: "Hey, wait a minute."
The little nurse blushed immediately, and looked at Xu Yang shyly: "Doctor Xu, what's the matter?"
Xu Yang glanced at the back and asked, "What are the diseases of these patients in the emergency room tonight?"
The little nurse couldn't even think about it, so she said shyly, "I have to go to work tonight..."
"Huh?" Xu Yang and Yao Bing were taken aback at the same time.
Yao Bing looked at Xu Yang with lemons all over his face.
Xu Yang said dumbfoundedly: "You heard me wrong, I am asking what diseases are these patients who come to the emergency room?"
"Ah?" The little nurse blushed in an instant. She was so embarrassed that her face became stiff. She said, "Uh...that's...basically it's a cold...there are a lot of people who catch a cold recently, and now we're doing it too. Influenza virus test to see if it is flu!"
Xu Yang glanced at the patient waiting in the emergency room again, and then said to the little nurse, "Okay, thank you!"
After speaking, Xu Yang turned and left.
Yao Bing was left behind. He smiled at the nurse and said, "Don't worry about Xu Yang, he is just a piece of wood with a problem in his mind. By the way, you work overtime tonight? Then tomorrow should be a day off? I don't know if you Are you free..."
Before Yao Bing finished speaking, the nurse lady rolled her eyes and interrupted him: "Greasy!"
After finishing speaking, the young lady left in disgust.
Yao Bing was left alone in the cold wind.
……
"Doctor Cao, Doctor Liu, what's the situation?" Xu Yang came to the inpatient department.
Dr. Liu is the attending doctor of this child.Cao Dehua represents the academic center.
In the past, the county hospital of traditional Chinese medicine used Chinese and Western consultations to treat patients. It was just a name, and it was used to fool the leaders.But since Xu Yang took the lead in setting up the academic center and took the lead, the consultation of Chinese and Western medicine has really started.
Now Xu Yang will not come alone to consult with western medicine. If western medicine encounters a difficult patient, it will invite Chinese medicine practitioners from the academic center to participate in the consultation. When the Chinese medicine practitioners in the academic center see that it is difficult to deal with, they will ask Xu Yang for help. .
Moreover, generally speaking, as long as it is not a critical illness, they will wait until Xu Yang gets off work before inviting him for a consultation, because Xu Yang is also very busy and cannot be free anytime and anywhere!
So Xu Yang usually calls to invite him for a consultation not long after dinner.
And basically it was Cao Dehua who called, and he was the one who accompanied Xu Yang for consultation.Don't think that this is adding to Comrade Cao's workload and making him work overtime inhumanely.But in fact, Lao Cao is happy, and he is very positive every time!Moreover, he firmly grasped the right to call Xu Yang, and refused to let go of it even if he was beaten to death!
why?
Because he represents the academic center, he is the TCM doctor in the hospital, and Xu Yang is an external expert!Just like the patient this time, when the time comes, it will be written in the medical records that the responsible doctors include Liu Haozheng from the Department of Pediatrics, Cao Dehua from the Chinese Medicine Academic Center, and Xu Yang, a specially invited Chinese medicine expert.
For all the consultation cases in their academic center, Dean Du Yueming will pack them up and report to the leaders!
You see, Cao Dehua just got off work and came here to stand for a while, and he got the credit for it!
Do you think he can not be active?
……
Dr. Liu came over to say hello to Xu Yang: "Hello, Dr. Xu, this is the medical record of that little girl."
Dr. Liu handed the medical record to Xu Yang, and said very simply: "This child is only half a year old and has had a fever for three days. Now he has a high fever of 39 degrees, and both lungs are full of blistering sounds. We have diagnosed severe pneumonia, please take a breath." The internal medicine doctor came over for consultation and took medicine, but the effect was mediocre.”
Xu Yang flipped through it, then nodded, and asked, "Doctor Liu, have there been many cold patients in the pediatric department recently?"
Dr. Liu said with some concern: "Many, children have weak resistance. This time of year is the high incidence of colds. There are already quite a few of them now. I just don't know if it will become popular!"
Xu Yang handed the medical records to Yao Bing, and said, "Let's go, go see the patient first."
Several people entered the ward.
Dr. Liu introduced to the patient's parents: "Hello, this is Dr. Xu Yang."
The parents of the patient were very young, and looked younger than Xu Yang.
The young father hurried up to shake hands with Dr. Xu: "Doctor Xu, hello, hello, I've heard of you for a long time, and I really need you to worry about it this time!"
The young mother also looked at Xu Yang expectantly.
Xu Yang said: "Don't worry, I will try my best, first let me go over and make a diagnosis."
The young mother quickly gave up her seat beside the bed.
Xu Yang took Yao Bing over, but Cao Dehua didn't follow, but put his hand in and stood behind.
Xu Yang glanced at the data on the monitor, then looked down at the child's condition, and said, "The face is blue, and the lips are bruised."
Yao Bing recorded it in his notebook.
Pediatric diseases have a set of diagnostic methods and evidence for syndrome differentiation that are suitable for children.Children with blue complexion are mainly caused by wind evil, and bruised lips are mainly caused by cold evil.
Xu Yang continued to diagnose, probed the child, and took the temperature again: "The body temperature is 39 degrees, the body is hot but no sweat, restless, and short of breath."
Yao Bing continued to record.
"Come on, baby, open your mouth." Xu Yang took a tongue depressor, opened the baby's mouth, and observed his tongue: "The tongue is pale, and the coating is white and slightly greasy."
Yao Bing recorded the tongue examination well, he also nodded slightly, the tongue is also mainly cold.
In the end, Xu Yang wanted to do the index finger fingerprint collateral diagnosis for this child, but the child's fist was tightly grasped, so Xu Yang didn't force him to open it.
He then checked the child's Cunkou pulse, and after a while, Xu Yang frowned slightly, turned to Yao Bing and said, "Come on, you also come to check the pulse."
"Oh." Yao Bing didn't think much, and stepped forward according to his words.
Cao Dehua was still standing on the sidelines, as if he felt that he was a little too idle, a little outrageous, and then he started a serious conversation with Dr. Liu.
"Old Liu, do you want to pinch your feet later?"
……
Yao Bing went forward to check the pulse, and his brows were wrinkled all of a sudden.
Xu Yang asked: "What pulse?"
Yao Bing said with some uncertainty: "The pulse of floating numbers?"
Xu Yang nodded and said, "That's right, it's a floating number."
"Huh?" Even Cao Dehua, who was chatting enthusiastically with Dr. Liu, looked over and showed doubts.
Yao Bing was also puzzled.
Dr. Liu asked curiously: "Director Cao, what's the matter, is there something wrong with this pulse?"
In the county hospital of traditional Chinese medicine, the relationship between Chinese medicine and Western medicine is still very harmonious, and Western medicine also respects the theories and diagnostic basis of Chinese medicine. Of course, this situation is all created by Xu Yang with his strength.
Cao Dehua frowned and explained: "Numbering pulses are mainly for heat, floating numbering pulses usually appear in wind-heat and cold, but this child's symptoms are all wind-cold!"
Yao Bing also hurriedly nodded like a chicken pecking rice, he was also puzzled.
Chapter 279 Influenza
The child's parents suddenly became nervous, and the young father asked cautiously: "Doctor Xu, is this disease very troublesome?"
Xu Yang reassured: "Don't be nervous, let's discuss it first!"
After speaking, Xu Yang continued to ask Yao Bing: "Then how to diagnose and treat this disease?"
Yao Bing frowned, and he said doubtfully, "I can't figure it out either. Why is the child's pulse and symptoms inconsistent? If this is the case, shouldn't we give up the symptoms and follow the pulse?"
Xu Yang scolded in dissatisfaction: "Who taught you to judge like this? If the pulse condition is different from the other certificates, then we have to find the reason for the difference, not just follow the pulse condition! Only when there is no evidence to rely on Only then can the pulse diagnosis be relied upon!"
Yao Bing scratched his head: "But I can't find it, why is it like this?"
Xu Yang asked: "What is pulse counting?"
Yao Bing replied: "One breath and six pulses, the speed is extremely fast! The pulse rate is about 1 to 90 per minute!"
After hearing this, several people in the ward looked at the instrument next to it, which showed that the child's heartbeat was 1 beats per minute.
Xu Yang asked again: "How to judge if it is a child with pulse count?"
Yao Bing's eyes lit up immediately: "Oh, I got it! "Pinhu Pulse Science" said that 'Only children can do auspicious reading', so his pulse should be floating pulse."
The others looked at Xu Yang again.
Xu Yang shook his head: "No, this child is just counting his pulse, it is undoubtedly a sick pulse!"
"Ah?" Yao Bing was a little surprised.
Xu Yang looked at him and explained to him: "You must remember one thing, not all counting pulses are caused by heat syndrome. Once the pulse beats per minute is above 100, or even far exceeds 100, there is extreme heat. Cold, especially for some patients who are dying of heart failure, the pulse is even above 200, which means that the Yang Qi in the whole body has begun to dissipate."
"If at this time, you still think that the main syndrome is severe fever and cold medicine is used, the patient's death will be on the spot. There is also a tuberculosis patient, whose basic pulse is 100 beats. If you also treat it according to the heat syndrome , Big things will happen! So this is a clinical point, you must remember it.”
Yao Bing understood: "I understand, so the child's pulse is undoubtedly a floating number, but it is extremely hot and cold, that is the pulse of wind-cold syndrome, which is consistent with other diagnosis."
Xu Yang nodded in approval, and asked again: "Then how to identify the evidence?"
Yao Bing said: "Hey, I can answer this question. The child feels the wind and cold, and the lungs are stagnant and closed. It is the cold and asthma caused by the wind and cold closing the lungs. The treatment method should be to relieve the exterior, dispel the wind and cold, and open and close the lungs!"
Xu Yang nodded, and said to Yao Bing, "That's right."
Yao Bing suddenly became snarky: "Hey, I'm overwhelmed and overwhelmed. This may be easy to confuse other Chinese medicine practitioners. But it's really nothing, it's just a simple foundation!"
After pretending to be aggressive, Yao Bing looked back habitually, but couldn't find Xu Yuan.Yao Bing suddenly felt that he was so aggressive just now, pretending to be a little lonely!
Xu Yang snorted angrily: "Then you come to prescribe?"
Yao Bing's face froze immediately!
Cao Dehua rolled his eyes.
Yao Bing laughed awkwardly, after the dialectical diagnosis was correct, the prescription would be issued.If the patient is an adult, he dares to prescribe it.But this child is only a few months old, and now he is so sick, he can't be sure!
Xu Yang shook his head slightly. In the past, he just thought that Yao Bing was very dishonest, but it was not like this, and he didn't know if he was influenced by Xu Yuan!
Xu Yang said helplessly: "Let's write the prescription, treat with mild pungent and mild temperature to relieve the exterior, ephedra 1g, almond 2.5g, licorice 0.6g..."
After Xu Yang prescribed the prescription and comforted the parents of the child, Xu Yang went out.
Xu Yang instructed: "Doctor Cao, after this child finishes taking the medicine, remember to tell me about his condition tomorrow, and I will come for a second consultation."
Cao Dehua patted his chest and agreed: "Don't worry, this matter is on my old Cao."
Xu Yang nodded and said, "Okay, then let's go first."
Dr. Liu came over to shake hands with Xu Yang, and said gratefully: "Thank you for your hard work, Dr. Xu, I really troubled you this time."
Yao Bing looked at Dr. Liu expectantly, almost jumped up and stretched out his hand, he wanted to shake it too!
But Doctor Liu skipped over Yao Bing and shook hands with Cao Dehua.
"Bah, scumbag!" Yao Bing spat inwardly.
Dr. Liu said to Cao Dehua: "It's hard work for you too, Director Cao, you still have to go out at night."
Cao Dehua said happily: "It's okay, it's all for the sake of the patient. That medical record..."
Dr. Liu said very politely: "I understand, I understand!"
"Haha... Hey, you're being polite, aren't you (??ω??)" Cao Dehua laughed so hard that he couldn't see his eyes.
……
Xu Yang walked back with Yao Bing, Yao Bing still had a resentful expression on his face, muttering all the time, he almost drew a circle for Dr. Liu in his notebook!
Xu Yang seemed a little worried, and Xu Yang seemed to inadvertently ask: "Is it quite hot a while ago?"
Yao Bing turned his head and glanced at Xu Yang: "That's right, it was still hot before, and I thought it was a warm winter, but now the temperature has dropped all of a sudden, the weather changes too fast. Hey, I don't have a mobile phone now, so I don't know what will happen next." How's the weather?"
Xu Yang frowned, and said in a deep voice: "The solar terms of the four seasons, follow the time of the day. When the season is abnormal, people are susceptible to evil and get sick. Winter is the main cold, and the cold is hidden. Wen, it was easy to become an epidemic, and now the wind and cold suddenly dropped..."
Yao Bing said casually, "Hey, there's only one flu, it happens every year, how big it can be!"
Xu Yang did not answer.
……
The next day, the parents of the child with bronchial pneumonia brought the child back to Xu Yang for a second diagnosis. Xu Yang adjusted the prescription to regulate the lungs and reduce phlegm!After another dose, the body temperature completely returned to normal, and all symptoms resolved.
After taking a dose of medicine prescribed by Xu Yang last night, the baby's body temperature dropped a little, and other symptoms also weakened.The tongue is reddish, the greasy coating has subsided, and the pulse condition has become a countdown.
Xu Yang adjusted the medication and added 3g of raw gypsum to the original prescription.
Three times the next day, the body temperature was normal, and all symptoms disappeared.
Only when the lung and stomach are not in harmony, Xu Yang prescribed a prescription for harmonizing the lung and stomach, clearing qi and resolving phlegm.
These two children with pneumonia were cured several times by Xu Yang, and after taking two or three doses, they almost recovered.The effect was very fast. Although the two patients were cured, Xu Yang couldn't be happy!
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