Traditional Chinese Medicine Xu Yang

"We did a laboratory test, and it was written in the medical records that her white blood cells were not high. But shortly after she was hospitalized, we found that her chest X-ray showed large shadows."

"Then the female patient soon developed respiratory distress, and we put her on a ventilator in time. At first, our diagnosis was lobar pneumonia, and then we treated it with stronger antibiotics."

"It took almost a week of treatment, but her condition did not improve significantly. The shadow in the lungs has not been absorbed. The patient still has intermittent fever, chills, dry cough, and chest pain. The strange thing is that her white blood cells have not been high."

"Then we also discussed it carefully here, and felt that the diagnosis of this patient is not clear. It cannot be ruled out that it is a viral infection, and the treatment effect is not good, so please come over and help us to consult."

Xu Yang nodded slightly, and then continued to read the medical records. After reading it, Xu Yang also showed doubts.The low white blood cell count actually indicates a non-bacterial infection, so the use of antibiotics is not effective.But they can't be infected with the virus.

Director Ma asked: "Director Xu, what do you think?"

Xu Yang replied: "It's hard to say now, let's go to the ward first and see the patient."

Director Ma said, "Okay, how about some tea?"

Xu Yang said: "No need, I'm not thirsty, the medical treatment is the most important thing, let's go first."

"This way please." Director Ma led Xu Yang and the others to the ward.

Entering the ward, Xu Yang looked at Shen Yuyan who was facing the sky again, and said in a deep voice, "Put on a mask before going in."

Shen Yuyan stuck out her tongue, and hurried to the nurse's station to get a mask.

Xu Yang looked around, the doctors and nurses in the inpatient building basically didn't wear masks, even Director Ma and Xiao Wu came here with bare faces.

Xu Yang felt upset for no reason and always felt very uncomfortable, but he couldn't tell what was wrong for a while.

"Come on, come in."

Several people entered the ward, Xu Yang diagnosed the elderly female patient, after the four consultations, Xu Yang left the ward.

Director Ma caught up and asked, "Director Xu, what do you think?"

Xu Yang pondered for a while and said: "Bacteria or viruses, such concepts are not in Chinese medicine, and the syndrome differentiation in Chinese medicine is not based on this. First of all, from the perspective of Chinese medicine, this patient belongs to the category of febrile disease."

"Although she has been treated for many days, she still has fever and aversion to cold. From the perspective of Chinese medicine, it is still an unresolved syndrome. The camp is not well guarded."

"That's why there are symptoms such as fever, headache, and body aches. As the saying goes, 'warm pathogens are affected first, and the lungs are attacked first.' The patient is old and has a mild cough."

"It should be due to lung heat volts inside, wind evil and epidemic poison outside, the combination of two yang, internal and external pinching, so there are symptoms such as dry cough, less phlegm, and shortness of breath."

This is a hospital of traditional Chinese medicine. Director Ma has cooperated with Chinese medicine for many years, and he still has a little understanding of the theory of Chinese medicine. He nodded and said, "Well, why don't you draw up a prescription as well."

Xu Yang nodded: "Xiao Shen, write a prescription."

"Okay." Shen Yuyan took out a pen and paper.

Xu Yang said: "I personally suggest that you can actually keep the original antibiotic treatment plan, and additionally use Houttuynia cordata injection 100ml, intravenous drip, twice a day."

"In addition to prescribe traditional Chinese medicine decoction, mainly used to clear away heat and detoxify, relieve muscle and improve the treatment plan, use Yinqiao San and Chaige Jieji Decoction to add and subtract..."

Xu Yang told Shen Yuyan the specific compatibility and dosage, and Shen Yuyan also wrote them down one by one.

Xu Yang said: "Just follow this prescription and take it for two days to see the effect. If there is any other situation, come to me again."

Director Ma hurriedly said: "Okay, thank you, Director Xu, I'll treat you to tea when I'm free."

Xu Yang smiled slightly and said, "No hurry, just owe it first."

"Haha." Director Ma also laughed twice, and then said: "That's fine, then I'll go first."

Xu Yang nodded: "Okay, goodbye."

Xu Yang returned to the office. He took off his coat, crossed his hands and looked out the window with a worried expression.

"Director Xu, what are you thinking?" Shen Yuyan asked from behind.

Xu Yang looked at the sky and asked, "Is the winter in Guangdong this year warmer than previous years?"

Shen Yuyan replied with a smile: "The meteorological station has said that this year is a very warm winter."

For a moment, Xu Yang frowned even tighter.

Three days later, the female patient's symptoms improved significantly. The fever subsided, the symptoms of chest pain disappeared, her cough also decreased, her appetite was much better than before, and she was able to eat normally.

It's just that the chest X-ray shows that her shadow has not been fully absorbed, but this female patient is from out of town, and she doesn't want to live in the provincial hospital anymore, so she has to rush home and prepare for the New Year.

So the hospital agreed and asked her to take the medicine home.

Director Ma came to look for Xu Yang again: "Director Xu, tomorrow is the holiday, shall I invite you to drink tea? Director Xu... Director Xu?"

Director Ma saw that Xu Yang turned a deaf ear, so he came forward curiously, but found a thick stack of weather information on Xu Yang's desk.

Chapter 382 Meeting a Strange Patient Again

Director Ma leaned his head over and asked, "What are you doing?"

Xu Yang turned his head and glanced at him.

Director Ma looked at the stack of meteorological data again, and asked, "Director Xu, do you want to become a meteorological expert?"

Xu Yang rolled his eyes at him and asked, "Director Ma, what do you need from me?"

Director Ma spoke half in Cantonese and half in Mandarin: "Have you eaten yet? Please go eat."

Xu Yang shook his head: "Next time, I still need to read the information."

Director Ma asked a little puzzled: "Why are you looking at this?"

Xu Yang replied: "Winter should be cold and not cold, but against high temperature. This is not the right time but there is aura, and there must be epidemics. So I am observing the weather information, and I must first look at the weather, not the harmony of the sky."

Director Ma was confused, and said, "Are you going to be a fortune teller?"

Xu Yang waved his hands speechlessly: "Let's go, go and eat by yourself, I'm still busy."

Director Ma asked, "You really don't want to go?"

Xu Yang said: "Next time, I owe you first."

Director Ma scratched his head and let himself go.

Director Xu Yang doesn't have many friends in the hospital. Comrade Ma has gotten very close to Xu Yang recently. He often came to find Xu Yang, saying that he wanted to treat Xu Yang to dinner.

It's just that Xu Yang doesn't have time every time. In fact, Xu Yang loses friends by doing this.People come to you with good intentions to eat, make friends, and get closer. If you don’t go every time, how can you still have friends?

But Comrade Ma was determined, as if he would not give up unless he invited Xu Yang to dinner, and then came to Xu Yang every day at noon to make an appointment for a dinner.

This made Xu Yang go crazy. If it weren't for the fact that Lao Ma was married and had children, he would have thought that the other party might have other ideas about him.

Another day, noon.

Xu Yang closed the file, frowned, subconsciously looked up at the door, and found that Comrade Ma was not there.

Xu Yang still felt a little puzzled, what happened to this person today?Why didn't you come? Are you busy with a patient?

Xu Yang went to eat and came back, but he didn't see the old horse back. Xu Yang was a little confused.

Until he was about to get off work, and he didn't see the old horse, Xu Yang couldn't help feeling a strange feeling in his heart, and felt that he was a little lost.

Before leaving get off work, Xu Yang went to see a few patients in the ward, and Shen Yuyan followed him.

On the way, I met a doctor in the respiratory department, who greeted him: "Hello, Director Xu."

Xu Yang also nodded: "Okay."

After finishing speaking, Xu Yang continued to walk forward, and he got used to Director Xu Yang's aloofness.

Xu Yang just missed his body, but stopped again, and asked hesitantly, "Hey, that... Where is your Director Ma?"

The man replied: "Director Ma received help from Foshan No. [-] Hospital. They had a critically ill patient there. Many local experts could not confirm the diagnosis, so they came to our hospital for help. Director Ma went to Foshan in the morning."

Xu Yang nodded, no wonder he didn't see the old horse asking him to eat today.

Shen Yuyan, who was following Xu Yang, looked at Director Xu Yang strangely.

Xu Yang went to see a few hospitalizations, and then came out, only to see a doctor with a small crew cut at the door of the ward. He was clearly a crew cut, and he was still stroking his hair with his hands.

Xu Yang looked at him, and asked Shen Yuyan behind him, "Who is this?"

Shen Yuyan said in a low voice: "The new hospital chief is Xun Wusheng."

Xun Wusheng stroked his flat hair, and said to Xu Yang with a playful smile, "Hello, Director Xu!"

Seeing him smoothing his hair like this, Xu Yang became angry for no reason, and he shouted: "What hairstyle, what kind of appearance!"

After finishing speaking, Shen Yuyan was taken aback for a moment. What's the situation, now it's not okay to cut your hair?

After he finished speaking, Xu Yang turned around and left. After turning around, Xu Yang himself felt a little weird, isn't it normal to have a crew cut?Why do you get angry?

Even Xun Wusheng was stunned for a moment, he rubbed his short flat head vigorously, and suddenly realized: "I mean, these two days I always feel that I am not strong enough, what is wrong, I have been wondering Well. Now that Director Xu pointed it out, I finally know that I just have the wrong hairstyle!"

Xun Wusheng turned his head to look at the background where Xu Yang left, his eyes were full of admiration, and he all exclaimed: "The director is still of a high level!"

Shen Yuyan had a weird face, what's the matter?

……

The next day.

"Director Xu, are you free after get off work? Would you like to have dinner?"

Xu Yang looked up and saw that Comrade Ma had come to check in with him again, so he couldn't help but smile.Xu Yang waved his hand and said grandly, "No time!"

The old horse smiled, and didn't take it seriously, walked in, took some food in his hand, put it on Xu Yang's table, and said: "Foshan brought you food, since you don't go out to eat, I'll give it to you If you bring something to eat, treat it as a treat."

Xu Yang was a little surprised, but also a little confused. He asked, "Why are you so persistent in inviting me to dinner?"

The old horse said: "The main reason, of course, is to thank you. You have also helped us consult a lot of patients in the respiratory department this year. I am sorry not to invite you to dinner."

Xu Yang nodded, but he sensed the hidden information in his words, and asked again: "This is the main reason, isn't that other reasons?"

"Hey, no more, no more." Director Ma rubbed his nose and smiled.

Xu Yang looked suspicious, and he said angrily: "Say it, if you don't tell me, you can take this thing away too."

Director Ma looked around like a thief, then approached Xu Yang, lowered his voice, and said in a low voice: "Actually... there is a gambling table secretly in the hospital, and everyone is betting on who can treat you to dinner privately." .”

Xu Yang suddenly looked strange, what kind of gamble is this?

Director Ma whispered to Xu Yang again: "Didn't you never go out to eat with others in private? Especially the last time the big beauty He Hua didn't invite you, this gambling game started, and now it has accumulated to 3000 yuan."

"However, the people who are going to invite you are stipulated that they can't talk about the gambling game, and they can't use it in the name of business, that is, to get acquainted and make friends in private."

Xu Yang was speechless, are the people of Guangdong so boring?

Director Ma lowered his voice again: "Why don't you pretend you don't know about it, and I'll take the money from the game first, and we'll split the bill fifty-fifty."

"Get out!" Xu Yang let out angrily.

Director Ma hurriedly said: "Let's discuss and discuss, June Fourth is also fine."

Xu Yang gave him a blank look.

Director Ma took a breath of cold air: "You don't mean Sanqi, do you? Wow, are you going too far?"

Xu Yang said angrily, "Are you going? If you don't, I'll tell you about you?"

Director Ma was in a hurry: "Hey, why do you still turn your face and deny people? There is no justice in the failure of business."

Seeing that Xu Yang's eyes were widening again, Director Ma hurried back to ask for help: "I'm looking for you on a serious matter. I met a strange pneumonia patient again in Foshan."

Chapter 383

"Huh? What's the situation?" Seeing that he was talking about business, Xu Yang also put on a serious look.

Director Ma came over and asked with some reluctance: "Why don't we discuss it again, actually Sanqi is not impossible to talk about."

Xu Yang stared: "Are you alright?"

Director Ma hurriedly said, "Yes, yes."

"Yesterday, I went to the ICU of the hospital over there. When I arrived, I realized that this was not a single case. In addition to the patient, four of the patient's family members also had similar symptoms."

"Fever, cough, and shortness of breath are also not ideal for antibiotics. The patient and his aunt were put on a ventilator in the ICU yesterday because of respiratory failure, and the other two family members were also hospitalized."

"Experts from the local hospital said that he didn't treat the patient. He treated the patient for a cold at first. At first, he had a fever and headache. After a period of time, the treatment for a cold didn't work."

"Later he was hospitalized, and the diagnosis was fever pending investigation. The first hospital suspected that it might be typhoid fever and scrub typhus. Shortly after admission, the patient's lungs appeared shadowed, and it became bigger and bigger. He coughed and had difficulty breathing, but the white blood cells were not high. "

Xu Yang interrupted: "Wait, is it because the white blood cells are not high?"

Director Ma nodded: "Yes."

Xu Yang frowned, then remembered the elderly female patient who had been discharged from the hospital: "Go on."