Traditional Chinese Medicine Xu Yang

"And what we have to do is to discuss the treatment prescription immediately, and apply it to the treatment of influenza patients as soon as possible. I will leave my words here, and there is not much time left for us, so we must discuss it today. Confirm the prescription!"

Everyone's heart trembled.

Du Yueming turned to Xu Yang and said, "Doctor Xu, it's up to you next."

Everyone looked at Xu Yang. Although they were also curious about why Xu Yang ran out in a hurry yesterday and didn't even have time for the provincial meeting, everyone kept silent tacitly and didn't mention it. !

Xu Yang withdrew his gaze from the window, looked at the crowd, and said: "We have already discussed it before, and it belongs to the winter temperature category of febrile diseases. Its syndrome is characterized by wind and cold external bundles, dryness and heat in the interior, cold stagnation and closed lungs." Wei, the dryness and heat cannot be ventilated, resulting in the loss of Wei Qi and the loss of lung venting and descending."

"So if a patient has fever, aversion to cold, no sweating, headache, and sore limbs, it is a symptom of feeling wind and cold; alternating cold and heat, nausea and vomiting are due to evil in half the surface and half in, conflicting between evil and good, and loss of stomach harmony; sore throat and discomfort, Chest tightness and cough, yellow phlegm, white sticky or no phlegm, dry mouth and thirst are signs of dryness and heat in the lungs."

Xu Yang took out the thick stack of materials in front of him, and said, "According to the difference between the flu and the patient's situation this time, I drafted a few prescriptions last night. Let's take a look first and discuss them."

Xiaotao, who was sitting next to Xu Yang, took the materials and sent them to the experts in the conference room.

Xu Yang went on to say: "This winter, the cold is not cold, and the spring order is in place in winter. The loss of yang energy is one of the luck factors for the epidemic. This year, the wood qi is not strong, the metal is better than the wood, and the lung metal is too weak. In addition, at the end of the year The influence of dryness and heat makes the lungs insufficient, and the righteousness has been lost, which is the second factor for the occurrence of influenza epidemics."

"Before we identified the phenomenon of "cold fire" in this flu syndrome. In previous years, some patients would also have symptoms such as fever, cough, and yellow phlegm after catching a cold in winter. This is also the phenomenon of "cold fire". Addition and subtraction of Shigan Decoction or Daqinglong Decoction are often effective.”

"But this year is different, Director Zhong, the few flu patients you treated the day before yesterday were treated with Maxing Shigan Decoction, and this is the reason why the effect is not good."

Zhong Hua was startled for a moment, and looked up at Xu Yang.

Xu Yang explained to him: "The cold-enveloped fire in the former is the outer muscle surface of the cold evil, and the lung defense is lost in Xuansu, and the fire is stagnant inside. However, this year's cold-enclosed fire must consider the factor of "dryness", otherwise It is not conducive to the recovery of lung function.”

Xu Yang said something.

Zhong Hua immediately showed a look of surprise. Before Xu Yang appeared, he was the best doctor in Chinese medicine in the county, but even the number one doctor in the county could easily get overwhelmed by the flu.

There are many factors that need to be considered for influenza every year, especially in such a diverse and complex situation of external pathogens, if the pathogenesis cannot be accurately grasped, it will easily lead to poor curative effect.

So this is why before this kind of pandemic flu, it must be studied and judged first.

Xu Yuan turned his head and asked, "Teacher Xu, what recipe should we use this time?"

Xu Yang smiled slightly, and said: "Because the current climate is dry, you can refer to the Weirui Decoction used in Zhu Gong's "Living Book" for treatment. Composition of , solitary, almond, Chuanxiong, licorice, gypsum, etc., this prescription can nourish yin, moisten dryness, clear away heat, produce body fluid, and relieve cough. This prescription should be used more for flu this year.”

"In addition, yesterday we also differentiated the various syndrome types of influenza. The overall treatment idea is to dispel cold and clear heat, take into account the dampness and relieve the surface, moisten dryness and nourish yin. If there is external cold syndrome and cold dampness, you can treat it with Jiuwei Qianghuo Decoction .”

"If the sun and Yangming suffer from the same disease, you can choose Jiuwei Qianghuo Decoction combined with Baihu Decoction or Qianglan Shigao Decoction combined with Maxing Shigan Decoction. If you have damp heat, add Sanren Decoction, Scutellaria Talcum Decoction or Coix Bamboo Leaf San, Qianjin Reed Stem Decoction. For yin deficiency and dryness, use Weirui Decoction to add and subtract.”

"If the sun, Yangming, and Shaoyang meridians have the same disease, Chai Ge Jie Ji Decoction can be used. Because there are more dryness and heat in the lung and gold, it can be combined with Sangxing Decoction, Qingzao Jiufei Decoction, Loquat Qingfei Decoction, Chen's Ophiopogon soup treatment."

"The elderly are weak in righteousness and will definitely be the first big head of influenza this winter, and many elderly people have chronic diseases, so there are many combined underlying diseases. We need to pay special attention when diagnosing and treating them."

"Old people tend to show weakness of righteousness. Therefore, after medication treatment, the fever of the elderly subsides. It is necessary to pay attention to strengthening the body, especially pay attention to invigorating the spleen and stomach and nourishing the qi. I recommend using Qingshu Yiqi Decoction."

"If the patient has night sweats and insomnia in the second half of the night after the fever subsides, you can use Huanglian Ejiao Chicken Yellow Soup or Wumei Pills."

"Okay, I've finished speaking, who has anything to add!" Xu Yang looked at everyone.

A needle could be heard in the conference room, and everyone was stunned.

Chapter 293 I'm afraid I'll show my face

This time everyone is really stupid.

Even Du Yueming, who had promised to discuss the prescription today, was stunned.

This……

This……

This is still discussing a ball!

Didn't you get it all done by yourself?

Xu Yuan had little stars in his eyes. He looked at Xu Yang, and a motion picture cut from a movie suddenly popped up in his mind. Xu Yuan had never seen that movie, but he had seen that motion picture many times. .

It was Leung Ka Fai in a black suit who stood up aggressively and said arrogantly: "After I finish speaking, who is for and who is against?"

Although this moving picture is out of date at the moment, Xu Yuan can't hold other things in his head. Xu Yuan looked at Xu Yang in admiration, and then at the stunned crowd.

Teacher Xu was indeed more domineering than Liang Jiahui, at least after Liang Jiahui finished speaking, there was another person who was not afraid of death who jumped out to object, and ended up being punched.Now that Teacher Xu has finished speaking, everyone is dumbfounded!

Xu Yang looked over one by one, everyone lowered their heads and stared blankly at the information Xu Yang sent them.

Du Yueming also stared at the documents for a long time. After a while, he turned his head to look at Xu Yang in astonishment: "Doctor Xu, you sorted this out overnight?"

Xu Yang nodded wearily: "Yes, the time is relatively rushed, there may be imperfections, or discuss it again."

Everyone was speechless at once. What's the difference between this and a student who scored 99 points in the test and then told a group of scumbags who failed that he didn't perform well?

This damn is not a bully, but a bitch!

After all, Du Yueming is the leader, and he is very stable. He nodded: "Well, very good. It's really rare that Dr. Xu sent the party to legislate for this flu in such a short period of time. If you have any ideas, please mention them quickly. This treatment plan must be determined today!"

This time, Du Yueming spoke with full confidence.

He originally thought that he might have to stay up all night again today, but now it seems that there is no need for it, and it can be done at noon.

Everyone also wanted to put forward some suggestions or opinions, but after holding back for a long time, they couldn't even let out a fart. It was impossible for them to formulate a more suitable prescription than Xu Yang's.

In the end, Xu Yangli's flu recipe passed with an undisputed ending.Then there is the need to perfect the key points of dialectics, which is not particularly difficult.

It's not time for lunch, and the guidelines for this winter's flu treatment have been formulated.With a swipe of a pen, Du Yueming added Wen County Traditional Chinese Medicine Hospital in front of the flu treatment guide.

This is the academic achievement they asked the county hospital of traditional Chinese medicine.

Du Yueming also took out a document from his briefcase, and said, "I was not idle even when Dr. Xu was working hard. I have written Dr. Xu's syndrome differentiation results into a paper."

"Add this treatment guide and sort it out together. This is a half-finished report. The remaining half depends on you."

"Starting in the afternoon, you will treat this flu according to the treatment guidelines. Remember, you must collect the patient's medical record information, and try to diagnose as detailed as possible."

"The remaining half is here. I guess other hospitals are definitely not as fast as we are. Even if the superior finds a Chinese medicine expert to designate a treatment plan, it will definitely take time, and it will take time to verify the plan."

"This time, we are probably going ahead of the whole country. Therefore, we must fight well in this battle, but we must not let go of this opportunity to show our faces in front of the people of the whole country!"

The Chinese medicine practitioners in the conference room all showed excitement. Yes, other hospitals haven’t figured out what’s going on with the flu yet, but they’ve already formulated a prescription, and now we’ll see how the prescription works.

As long as the effect is good, they will really show their faces. I am afraid that the whole country should learn from their experience!

You know, they are just a small county-level traditional Chinese medicine hospital!

Just thinking about it makes me tremble!

Everyone was excited.

Xu Yang's mentality is still very stable. He has experienced the Japanese encephalitis war and has been interviewed by Mr. Zhou. There is nothing unstable about this. He cooled down the hot-blooded people in time.

"Everyone, although the prescription has been established by law, the principle of treatment must not be changed. When making a diagnosis, don't have preconceived notions in your mind."

"This is just a sketchy prescription. In the process of treatment, it must be continuously improved. This winter flu has many pathogenic factors, and our treatment guidelines cannot cover all syndrome types. Once new syndrome types appear, Report to me immediately."

Everyone nodded solemnly.

Du Yueming reminded again: "Remember, all patients must do a good job of follow-up and give me feedback as soon as possible. I need to collect the data of the patients after taking the medicine."

"This time, I will write the report myself!" Du Yueming, who loves to type reports, his eyes are shining brightly, bursting out with unprecedented fighting spirit.

……

In the afternoon, Xu Yang sat in the county hospital of traditional Chinese medicine.

Du Yueming also specially asked Xu Yuan and the others to go to the outpatient clinic and emergency department to promote a wave. Xu Yuan even made a cheap sign and put it up in the outpatient clinic. There was a photo of Xu Yang on it, and it was written that Dr. Internal medicine consultation.

Xu Yang's reputation is still very famous in the county. When I heard that Xu Yang had a consultation today.Those patients who originally went to western medicine all went to the department of traditional Chinese medicine.

Originally, there were not many patient numbers registered in the Department of Traditional Chinese Medicine, and it was quite empty, but as soon as the news came out, there were more than 400 more patients at once. You will know how famous Xu Yang is, and at the same time, you can also know how serious the flu is this winter. up.

Du Yueming purposely set up a large consulting room for them. Xu Yang naturally diagnoses and treats diseases, but the most important thing is that he checks these old experts first. With him around, everyone can feel at ease.

Xu Yuan, Yao Bing and other small Chinese medicine practitioners first pre-diagnosed the patients in the queue, and did all the consultations thoroughly. Now that there are too many patients, there may be new patients coming in next. The efficiency will be much higher.

The Chinese medicine department is busy in an orderly manner. The Chinese medicine department has shared so many flu patients, and the other western medicine departments have relaxed a lot.

The patient's symptoms were largely out of Xu Yang's judgment, and these doctors also prescribed prescriptions and medications according to the treatment guide that Xu Yang had prepared, which was equivalent to looking for answers to questions, so the efficiency was very high.

Du Yueming was also at the scene, and kept telling him to do a good job of follow-up work, and he wanted to collect feedback after taking the medicine as soon as possible.Because the real big scene is coming soon.

Du Yueming looked at the dark heads outside the Department of Traditional Chinese Medicine, he let out a breath slowly, his expression was full of excitement!

……

At this time, in the Provincial Hospital of Traditional Chinese Medicine, a group of Chinese medicine practitioners began to argue about the changes in the patient's condition.

Chapter 294

Provincial Hospital of Traditional Chinese Medicine.

There is an inpatient here, after a group of Chinese medicine experts diagnosed him.

Back to discussing in the consulting room.

"Let me just say, the Hanbaohuo this time is different from the previous ones, so the effect of Maxing Shigan Decoction is very ordinary!"

Another little old man immediately said: "Let me just say, in terms of five luck and six qi, this year is obviously dry. If you don't reflect this in the prescription, the effect will definitely not come out."

The others frowned.

Mr. Qi, who had been honorably treated by the JE expert group, pondered: "So our identification work is still not perfect. This winter's flu should undoubtedly belong to Dongwen, but how to continue to deepen the identification in the category of Dongwen is a matter of course. We still need to continue to analyze."

Everyone else nodded.

Professor He also showed worry on his face.

Qi Lao said again: "Then according to the severity of the patient's condition, the flu can be roughly divided into these stages of syndrome types. The first is wind-heat attacking the lungs, the second is heat toxins attacking the lungs, and the third is the syndrome type. Three are poisonous heat obstructing the lungs. According to different degrees, let’s decide the medicines that should be used first.”

The little old man who spoke just now was not happy, he hurriedly said: "Hey, Mr. Qi, what you said is a typical winter temperature, but this year, according to the changes of the five luck and six qi, you are relatively one-sided."

There was an old expert with a long beard in the conference room, who shook his head and said, "Everyone, listen to me, I personally think that this year's flu is not typhoid, but typhoid." It belongs to typhoid."

Professor He's head felt dizzy when he heard it, and he began to talk about typhoid fever again.

The old expert from the Jingfang School said: "Why do I dare to say that? I am not aimless. After collecting and observing the medical records, I found such a feature, such as this time, children are suffering from a lot of diseases."

"They generally have symptoms such as dizziness, nausea, and loss of appetite. What is this? This is a typical symptom of Shaoyang disease." The old expert sent by Jingfang looked at the table, and his eyes widened a little, as if he had discovered a blind spot again.

He looked at the people with different expressions, and said again: "And this time the patient's high fever is more serious in the afternoon and evening. What is this? This is the combined disease of Shaoyang and Yangming! Isn't this typhoid fever?"

"Of course, there are still some patients who also have symptoms of headache, nasal congestion, and runny nose. This is the same disease of the three meridians of the sun, Shaoyang, and Yangming. At this time, Xiao Chaihu Decoction should be used for treatment. Chengqi Soup or White Tiger Soup."

"If you still have Taiyang Syndrome, then choose Gegen Decoction or Ephedra Decoction. If you treat it like this, you will definitely be able to deal with this flu." After speaking, the old expert Jing Fang muttered again: "The six meridians and eight principles of typhoid fever are enough to treat the flu." To rule the world's diseases, what febrile disease is not febrile disease, superfluous."

As soon as this remark came out, Mr. Qi immediately became unhappy: "Mr. Chen, you are wrong to refute it when you say that. Febrile diseases are originally a supplement to Zhongjing's theory, especially when it comes to influenza over the years. It can be said that you have repeatedly made extraordinary achievements, what have you done by the Jingfang faction?"

Jingfang old expert Chen pouted and said: "That's a problem with the leadership. If the Jingfang faction's proposal had been adopted earlier, these flus would have been brought under control! And to add to Zhongjing, you are a betrayal of Zhongjing! "

Qi Lao said angrily: "I still have a problem with the leadership? I'm not good enough, blame the leader? You can do it. Why didn't you use your prescriptions during SARS? Why didn't you use your prescriptions during JE?"

The old expert of Jingfang Chen sneered: "With you, an expert who is lying down and being treated, how can you use Jingfang?"

"Hey!" Qi Lao became even angrier when he heard it.

The old expert who studied the Five Lucks and Six Qis hurriedly advised: "Stop arguing, stop arguing. Whether it is classic prescriptions or febrile diseases, we must still carry out syndrome differentiation under the guidance of the theory of luck."

Qi Lao pointed to the old expert: "Then do you think this year should be cured with febrile disease or typhoid fever?"

Jingfang Chen's old expert also immediately stared at the five luck and six qi old experts, and the old expert suddenly felt lonely, weak and helpless.

Professor He also rolled his eyes when he heard this, and there was such a quarrel again. The two factions of typhoid fever and febrile disease have been fighting each other for hundreds of years, and it hasn't stopped until now.

Usually everyone is separate, and they can all live in peace, but once this kind of flu is involved, when everyone's ideas are put together, there will definitely be conflicts of opinion. For these two factions, it is natural It hit even harder.

We've been talking for two full days, and now we can't go any further. Diagnosis is really a headache.

Professor He is also an old expert. He has experienced many situations. He knows that it is very normal to quarrel in the face of this kind of flu.

Another situation is that everyone's opinions are absolutely unified. If it is such a simple disease, they still need such a big fanfare. Do so many old experts chat here for a long time?

So quarreling is normal, and quarreling and arguing will make it clear.

According to past experience, generally speaking, it takes four to five days at the fastest to complete the diagnosis of the pandemic, because the quarrel has been going on for a long time, and this does not include the time for collecting and analyzing various data.

It's just the beginning!

Professor He shook his head helplessly, he thought of Xu Yang again.He couldn't help laughing bitterly, he was really impulsive yesterday.It's too high-level, and Xu Yang's conclusion will be brought up for discussion immediately.

It's all my fault that I believed in Xu Yang's level too much before, but the syndrome differentiation of this kind of influenza is not as simple as a single case, what you have to analyze is the whole, they have been arguing for so long and have not come to a conclusion.

Now it seems that Xu Yang's so-called conclusion should be Xu Yang's words. A person's conclusion will always be biased.Are they even arguing about typhoid fever or febrile disease on their expert team?

"Hey? By the way, which faction does Xu Yang belong to? Are he prone to typhoid fever or febrile disease?" Professor He began to think about this question again.