Sun Tzuyi turned his head to look at Xu Yang, and asked, "What ideal?"

Xu Yang didn't answer again.

Sun Ziyi was a little discouraged, feeling a little tired from talking with Xu Yang: "Then you want me to go back to your hometown with you, and it's also for your ideal."

"That's right, but the main reason is... I want to give you a gift as a gift. In the future, your school will be honored by you." Xu Yang turned his head to look at Sun Ziyi, and the meaning in his eyes became more complicated.

Sun Tzuyi immediately frowned and looked at Xu Yang very strangely. He always felt that this person was a little weird and impolite, so he paused and asked, "Which subject will you compare to later?"

Xu Yang said: "You decide, what are you good at?"

Grandson Yi said: "I'm going to Guang'anmen Hospital later, do you dare to go to the ICU?"

Xu Yang shook his head.

Sun Tzuyi asked: "Not good at it?"

Xu Yang smiled and shook his head: "It's nothing."

Sun Ziyi glanced at Xu Yang strangely again.

……

"Old Gao, old Gao."

"Huh?" The old doctor Gao Huaxin opened his sleepy eyes, looked down at the documents on the table, and fell asleep after reading Xu Yang's medical records.

Gao Huaxin pinched his eyebrows, feeling a little emotional, he was really old and lacked energy.

"What's the matter?" Gao Huaxin asked the little assistant.

The little assistant said: "Report over there, Brother Sun and Xu Yang have met, and the two plan to compare the treatment of critical illnesses."

Gao Huaxin looked at the thick stack of medical records on the table, and closed his eyes again without saying a word.

Chapter 335 Subarachnoid Hemorrhage

In fact, Xu Yang had estimated and speculated about his medical skill level, but there is no particularly clear quantitative standard for such things as medical skill level, and can only be judged from the cognition of ordinary people.

Xu Yang's overall level must be higher than that of provincial experts. He must have the strength of a national player, and he must be one of the top players in the national team.

But as for whether he has the level of a big player, Xu Yang is not particularly sure.After all, the big country can only count those people with its fingers.

The original system had a rating system for his medical skills, but since Xu Yang came back from Shanxi with his teacher for the second time, this rating system disappeared, and there was a bug in this shit again, which made Xu Yang unable to figure it out mind.

Although some old Chinese doctors say they have the level of national players, they are only in their own category.For example, Liu Mingda is a national player in gynecology, almost at the level of a big national player, but if it is placed in other subjects, he is not so good.

This is the same as a school exam. You get a full score in math, you rank first in English in the school, and you score [-] in physics. But what about your total score?Can you rank first in the school?

Of course, in the field of medical treatment, the first place in a single subject is already very good, and it is enough.

But if you are No.1 in the total score, it will be even more remarkable. This is a comprehensive big national player.

So this is why Gao Huaxin, an old Chinese doctor, has a high status and is respected as a national treasure-level old Chinese doctor, because he is comprehensive, and this is a man who really has the strength of a great national player.

It is not unreasonable to say that Mr. Gao is the No.1 existing Chinese medicine!

Pu Lao has always been praised as the No.1 of contemporary Chinese medicine.

As for Xu Yang, the overall level should be very close to that of a great national player, but if it is only about treating critical and severe illnesses, then he must have the level of a great national player.

It's not even a boastful thing to say, when it comes to treating critical illnesses, even Gao Huaxin, an old Chinese doctor, is probably not Xu Yang's opponent.

So Xu Yang also laughed a little dumbfounded, this young man is really courageous!

……

Soon, Xu Yang and the others arrived at the hospital.

The attention of this competition is much higher than before, but not only these young Chinese doctors, but also the big doctors of Beijing Chinese medicine are all watching. It turned out that they were eating second-hand melons.Now you have to eat first-hand, and you have to watch the real-time broadcast.

The reason is also very simple. One is that Xu Yang really messed up suddenly, which was stronger than they expected.In addition, it was Sun Ziyi who made the shot this time, and he was also an amazing young man.

The strong duel is quite eye-catching.

So in this way, the pressure on PHS to broadcast is much greater.

……

When I arrived at the hospital, it was still the same old procedure. After giving a speech in class, I had to go to the department.Everyone became excited, and PHS kept poking at the phone.

Lead the teacher to go forward and communicate with the person in charge here.

Both Shen Yuyan and Xun Wusheng looked at Sun Ziyi nervously, and Xun Wu Sheng's hand touching his hair was trembling. Whether he could keep the symbol of a man depended on Sun Ziyi.

The person in charge communicated with the teacher leading the team, and then turned his head to look at Xu Yang and Sun Ziyi from time to time.

In the end, the person in charge went to the director of the TCM internal medicine department of the hospital, and asked the internal medicine director to take them to the hospital, and a group of people followed nervously.

When they arrived at the hospital, they went to the person in charge of the western medicine. The patient was a western doctor, and their Chinese medicine department only participated in the consultation.

After the exchange, the chief of internal medicine took them to the ICU, but not so many people went in. Only Xu Yang and Sun Ziyi really went in, and the others stayed outside to read medical records.

Xu Yang and Sun Ziyi changed their clothes and followed the director of internal medicine inside.

The director of internal medicine introduced as he walked: "This patient's condition is a bit troublesome. He was treated in his hometown in the county for half a month before, but his condition turned serious, and then he was transferred to our side. He has been treated for three months here. God."

Sun Tzuyi asked, "What is the disease?"

The director of internal medicine patted his head: "I forgot to mention the most important thing. The CT diagnosis was subarachnoid hemorrhage. The patient's intracranial pressure was very high, and she was in a semi-comatose state. In addition, she was pregnant with five month's pregnancy."

As soon as these words came out, Xu Yang and Sun Ziyi frowned at the same time, they were still pregnant.

The difficulty was several times higher than before.

The director of the internal medicine department of traditional Chinese medicine turned his head and glanced at the two.This patient is really a big problem. These two people are very angry, and they want to treat such a difficult patient.

When they arrived at the entrance of the ICU, the patient's husband stood at the entrance holding his cell phone nervously.

Seeing the director of the ICU coming, he hurried over and asked nervously, "How, I...my wife...how long will I stay in the ICU? When can I be transferred out?"

The director of the ICU frowned and said: "The patient is still very dangerous and her condition is very unstable. She is pregnant again, so it is best to closely monitor her 24 hours a day."

The patient's husband swallowed anxiously, grabbed his mobile phone tightly, and asked nervously, "Then... how much will it cost..."

Xu Yang looked at the bloodshot eyes of the patient's husband, and his nervous and cowardly expression, he couldn't help but shook his head, if it wasn't for the fact that the family was not well-off, he wouldn't have been treated in the county for fifteen days. It is estimated that it has already been sent to a big hospital.

Xu Yang had seen too many families of patients like this, and his gaze became more serious.As a doctor, he can only say that he is doing his best.

After the director of the ICU comforted the patient's husband a few words, he led these people in.

After entering, the director of the ICU gave them a brief introduction of the condition: "This patient was sent to their county hospital for treatment 18 days ago because of severe headache and then jet-like vomiting."

"After half a month of treatment, she was sent to us when her condition turned serious. She has undergone 4 times of lumbar puncture, the cerebrospinal fluid was bloody, and CT showed subarachnoid hemorrhage..."

The director of internal medicine of traditional Chinese medicine said: "I have already told them, and they have also read the medical records."

"Oh." The director of the ICU responded and led them inside without paying too much attention, as if he had completed the task.Now that the patient's condition is so complicated and dangerous, he doesn't think these traditional Chinese medicine can play a big role.

When they arrived in front of the patient, Xu Yang and his grandson Yi Qiqi frowned.

The female patient was only 27 years old. She was lying on the hospital bed with her eyes closed and nurses took care of her, but she still vomited from time to time.

"Ouch." The female patient vomited again.

Xu Yang went over to check and found that her vomit was sticky phlegm and yellow-green bitter water, with a foul smell.

After vomiting, the female patient fell down on the hospital bed, breathing rapidly, moaning indistinctly in pain, her eyes were weakly opened, and her eyeballs could be vaguely seen, but her eyeballs were frozen. of.

The director of Internal Medicine of Traditional Chinese Medicine said in a deep voice: "Her intracranial pressure is still high, so she kept vomiting non-stop. During the three days in the hospital, she also had many short-term convulsions, her eyes were crooked and her mouth was slanted, and she had a severe headache. The situation is still very serious, so please take a look.”

When they got here, the two of them had no intention of comparing.The patient's condition is critical, and the hearts of the two are also very heavy.

Sun Ziyi frowned tightly and said, "Let's diagnose the patient first."

After speaking, grandson Yi walked up first, and Xu Yang followed.

Chapter 336 Are You Crazy?

Both of them leaned forward to make a diagnosis.

Xu Yang carefully observed the patient's expression. Her breathing was very short, and there was only a slit in her eyes. She was almost in a coma, and she basically didn't respond to it, except that her eyeballs moved a little.

Xu Yang came up to stretch her eyelids, and found that her eyeballs were red.As soon as Xu Yang let go, her eyelids retracted again.

Now the patient's tongue is contaminated by filthy vomit, and her mind is like this again, and there is no way to clean it up, so she can't see the tongue.

Ask her a question now, and she can't answer it.

After the two of them inspected him, they agreed to diagnose his pulse condition.

The two held each hand and began to diagnose.

After a while, the two exchanged hands each, and after a while, the two frowned and thought.

The director of the ICU stood beside him a little bored.

The director of the Department of Internal Medicine of Traditional Chinese Medicine asked: "How is it? Do you want to continue the diagnosis? If the diagnosis is over, let's go out."

Sun Ziyi and Xu Yang glanced at each other and nodded.

Several people went out again, and everyone came to the small conference room. The patient's husband wanted to follow in, but he was not allowed in, so he could only worry outside.

The small conference room is basically full of young Chinese medicine practitioners, and then several Chinese medicine practitioners from the hospital came, as well as two western doctors, and the director of the ICU.

The director of the internal medicine department of traditional Chinese medicine stepped forward and asked, "Have you read the patient's condition?"

Everyone in the meeting room looked dignified and nodded.

The director of internal medicine continued: "Then everyone talk about their own opinions?"

No one spoke, everyone looked at Xu Yang and Sun Ziyi.

The director of internal medicine also asked directly: "You two, tell me."

Sun Tzuyi also forgot whether it was a competition at this moment, and he carefully analyzed the condition: "The patient is vomiting endlessly, has multiple short-term convulsions, crooked eyes and slanted mouth, headache like a piercing, red eyes and rough breath. I have diagnosed his pulse as stringy and smooth. strength."

"So judging from the patient's pulse and syndrome, she has liver and stomach phlegm fire attacking upwards, so the qi movement is in disorder, rising but not falling, so the stomach qi rises and vomits endlessly, and the liver wind carries the fire upwards against the top, so she has a headache as broken."

"At this moment, the internal wind has moved, and these days there have been convulsions and crooked eyes and mouth. If it is not controlled, it will deceive the gods. At that time, it will be even more dangerous. The patient's cause of disease is what we call internal stroke. "

Everyone else nodded.

Xu Yang also nodded slightly. Sun Tzu Yi's analysis is very good. It is rare that he is not trapped by the diagnosis of subarachnoid hemorrhage in Western medicine. .

But from this point, it is enough to see that Sun Ziyi's level is not bad.

But how to use the medicine is the key. The patient's condition is already very serious. To put it bluntly, if he can't control it today, he will pass out completely tomorrow. At that time, the liver wind will be violent, and it will be even more dangerous.

But the key patient is a pregnant woman who is five months pregnant, and many medication methods cannot be used on her. The most difficult point is here.

When Sun Tzuyi was in the ICU, he was already thinking about it. At this time, he nodded slightly, and then said: "No matter what, the condition is critical. If it is urgent, treat the symptoms first. My personal suggestion is to treat the stomach first."

"Her current qi mechanism is in disorder, rising but not falling. As long as her stomach qi is lowered, the symptoms of vomiting will be cured, and the intracranial pressure can also be reduced to a certain extent. Afterwards, use liver suppressant Dispelling the wind and reducing the adverse effects of the stomach is the cure."

Sun Tzuyi frowned and said, "I personally suggest using Xiaobanxia plus Poria Decoction as a treatment first, so as to quickly stop the nausea and clear the phlegm at the same time. This prescription can not only stop the nausea, but also relieve the dizziness and palpitations, so that the mind can be clear. "

He didn't care about Xu Yang anymore, so he turned to the director of internal medicine and said, "Director Wang, what do you think?"

The director of internal medicine also frowned, he said: "We also used the method of subduing Ni before, but after using two doses of medicine, the effect was mediocre. After subduing Ni, he vomited again soon."

Sun Tzuyi frowned, and said: "I read the medical records, one is to add ocher to reduce adverse conditions, and in addition, increase the dose of ginger pinellia to 10g, in addition to adding ginger, add 10ml of ginger juice to increase Its downturning effect."

As soon as this remark came out, the people around were all surprised.

The director of internal medicine was also a little surprised: "This dosage is a little high, Pinellia is harmful to the fetus. This is a five-month pregnant woman. We only dared to use 3g of Jiang Pinellia before."

Sun Tzu Yi said in a deep voice: "Although pinellia is a forbidden drug in pregnancy, the phlegm and fluid block the central cavity, and the yin and yang are reversed. It cannot be ruled out. The situation is critical, and 10g will not harm the fetus. Let me write the prescription."

"Okay." The internal medicine department nodded in agreement, and Sun Ziyi sat down to write.

Xu Yang, who was standing aside, stared at his grandson Yi who was writing a prescription, and said, "Your prescription can't cure her."

Hearing this, Sun Tzu Yi looked up in astonishment.

The others also frowned at Xu Yang.

"Why?" Sun Tzu asked suspiciously.

Xu Yang said: "The patient's condition is extremely critical. If it is out of control today, it will be really dangerous tomorrow. The idea of ​​reducing stomach qi is not wrong, and the choice of prescription is not a big problem, but there is a problem with the dosage. "

Grandson Yi frowned and said: "I have treated patients with pregnancy obstruction before, and the obstruction was very serious. I used ginger pinellia to reach 10g, and the fetus did not have any problems."

But Xu Yang said, "I'm not saying that you use too much, but that you use too little."

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