Traditional Chinese Medicine Xu Yang
Page 399
It was very different from the pressure mountain last time, this time shaking people, Du Yueming was always smiling, chattering with the comrades in the courtyard for a long time.
The last time he really didn't know if he was alive or dead, Du Yueming didn't even dare to say a serious word, for fear that he might not come back after he left.
It's different now, with so many medical staff who went to support, none of them were infected.Although tiring is really tiring, safety issues can still be guaranteed.
Most of the family members of these medical staff also expressed their understanding, and even asked if they could get a promotion and a salary increase after returning from the trip.
It was completely different from the gloomy family members at the beginning.
……
The same goes for Xu's father and Xu's mother. It has been a long time, and Xu Yang is still alive and kicking, so they are finally relieved.
As a well-known person in the village and the only village doctor, Dad Xu has opened his clinic since the beginning of the epidemic and has been serving the villagers.
It also includes contributing a few masks of his own. Because of this matter, Dad Xu was also reported as a typical person by the official WeChat account of Wenxian County.
It is said that there will be promotions and salary increases later on, and the village doctors in other villages look confused, because they have done these things too.
Obviously everyone is a village doctor, why should you be rewarded with one!
On the contrary, Dad Xu was very calm about this, he was used to it.Although everyone is a village doctor, who told your son not to be called Xu Yang?
My son is on the front line, is your son on the front line?Oh, it's on too.Then your son's name is not Xu Yang... Xu Yuan at most.
Now Dad Xu enjoys the glory of his son, who is called a righteous, imposing Changhong, awesome.
There is also the official account article that promoted him. Dad Xu also transferred it to his circle of friends and various groups every three days.
It's really super embarrassing!
Although the others did not dare to say it clearly, they also slandered them one after another.After the slander, everyone couldn't help feeling jealous, why didn't they give birth to such a good son?
Those people in the group became more and more angry, and then they all went back to scolding their sons.
Anyway, everyone is locked at home now, and it happens that their son is not pleasing to the eye.
Tonight, I don't know how many sons shed tears until dawn!
In fact, it's not Xu Yang's fault, but Zhang Ke's.Why, these new media propaganda work in the county are outsourced now, and the outsourced company belongs to Zhang Ke and the others.
This article was written by Zhang Ke and Li Qing, what do you think!
So those people scolded their sons wrongly, no, not wrongly, who made their sons unable to find such a good daughter-in-law!
As for Mr. Xu's in-law, Comrade Zhang Sanqian, he is still researching his internet celebrity delicacies at home, and now he has advanced to the production of cat ears.
It's just that what Comrade Zhang Sanqian produced is the death version, but this does not hinder his enthusiasm.
The epidemic is gradually stabilizing, and everyone is not as panicked as they were at first.It’s time to eat and drink, even though there are still many stores outside that have not opened, and there are still many people working at home.
There are also hard-working students who are looking forward to the start of school, but are looking forward to it for longer.Of course, at a time when many physical industries are in deep trouble, the online industry is extremely prosperous.
Especially the online course industry has shown a blowout growth.Even in the Internet industry, subscriptions to professional medical texts skyrocketed during this period.
The changes in the outside world, in fact, the medical staff in the center of the storm do not have a deep understanding.
They are still very nervous, and only have patients and conditions in their eyes.It's just that now they also breathed a sigh of relief in their hearts.
There are a lot of newly recruited medical staff, and Xu Yang no longer has to work around the clock like when he first came. He can finally get off work at 08:30 in the evening.
When Xu Yang returned to his residence, he could still make a video call to Zhang Ke and call his parents.
It wasn't that Xu Yang didn't want to video his parents, but that Zhang Ke refused to let him.Because seeing Xu Yang's skinny appearance, Zhang Ke really didn't dare to let Xu's father and Xu's mother see it.
Xu Yang has only been on the front line for how long, and Xu's father and Xu's mother should be so worried and distressed when they see it.And this kind of worry, Zhang didn't want Xu's father and Xu's mother to bear it so early.
Chapter 698
Xu Yang didn't think it mattered, after all, he didn't rely on his appearance for a living.Besides, he was not the only one who was tired and skinny.
Professor He is also skinny, how old is he!
And Xun Wusheng, oh my god, the bald head of Xun Wusheng was finally found.During the war at such a tense time, the comrades of the Mingxin Branch laughed for half an hour.
Xu Yang told Zhang Keyi about this, and Zhang Ke also fell down on the bed laughing.She insisted on asking Xu Yang to take some bald photos for Xun Wusheng, and she wanted to give Xun Wusheng a positive publicity.
Xu Yang's expression brightened immediately, this damn is not a positive propaganda, if Xun Wusheng sees this, he probably wants to pretend to be dead, this buddy will definitely be autistic.
How could Xu Yang do such a thing?
But... from a medical point of view, Xu Yang also wants to study whether traditional Chinese medicine is effective in the treatment of autism, so... it's dangerous to find Wu Sheng!
……
Because the Mingxin Branch has recruited a group of people and performed very well before, when they were transferred to Leishenshan this time, their team was assigned to manage [-] beds.
This is already the treatment that only top hospitals can have.
It is indeed very rare for Mingxin Branch to do so in the name of a small county-level branch.
This time, most of the team from Mingxin Branch were mature doctors, generally in the category of county-level experts and city-level experts.
Comrade Zhong Hua, who was the No.1 TCM doctor in Wen County, was also included in this batch of support, and Comrade Liu Jingning, who was fooled into going to Beijing and then came back, lost his position as deputy director.
And... Cao Dehua?
Xu Yang was speechless, this guy is really good at messing around!Can you join this kind of team?
However, Cao Dehua did not come to participate in the first-line rescue work, he was still responsible for the communication and coordination of the Mingxin branch team, as well as logistics work, which was his strong point.
Although this was the job he was doing, when he went back, he could confidently say that he had also been on the battlefield.
You see, the level of this guy is really getting better and better.
Even Xu Yang didn't say anything to drive him away, because they really need such a person here.Don't think that Cao Dehua can mess around, but he's good at messing around, not annoying, and you really need him.
Also talent!
The most correct thing Cao Dehua has ever done in his life is to get close to Xu Yang's golden thigh, otherwise the level of gangsters would not be so high at all.
After all, Cao Dehua has always regarded himself as the discoverer of Xu Yang's old Chinese medicine doctor.
……
And Xu Yang's former little follower, Zhang Hua, the little pawn, also came to the front line.An immature doctor like him is unable to perform the task of independently diagnosing and treating patients.
However, he is capable of daily inspections and routine ward rounds. He was also a resident doctor before, and there is also a need for a resident doctor here.
If you ask national players to do these delicate tasks, it will really bombard the mosquitoes, and they are too busy.I did it for a while when the situation was difficult to understand, but now there is really no need for it.
When Zhang Hua came, besides keeping an eye on the patient's situation, Xu Yang also liked to take him with him.In fact, strictly speaking, Zhang Hua is Xu Yang's real apprentice.
It was true that people like Xu Yuan, Zhuang Zhuang, and Xiao Tao were studying with Xu Yang, but they were still a temporary team. There were only a few young Chinese medicine practitioners in Wen County Traditional Chinese Medicine Hospital at that time.
Xu Yang didn't have to choose, so he agreed to them all.
After the establishment of Mingxin Branch, Zhang Hua attracted a large number of interns, doctor trainees, and resident physicians, and Zhang Hua was selected by Xu Yang among so many people.
You know how high Xu Yang expects from him.
What Xu Yang likes is Zhang Hua's personality. In fact, Xu Yang doesn't like Xu Yuan and Yao Bing's jumping off like that. He is strong and stable enough, but sometimes his mentality is not stable enough, and he is easy to be influenced by the outside world.
Don't look at Zhang Huarou as weak and weak, and he still gets angry every day, but he is very resilient. No matter what you say about him, his state will not be affected in any way, and his mentality is quite stable. He is more stable than Zhuangzhuang.
And the foundation is very solid, and the people are very smart.Many times, outsiders will ignore Zhang Hua's talent because of his appearance.
But Xu Yang knew it. Back then, this kid wanted to go to Guangdong to attend the Zhongjing Theory Seminar, and to see the world.
The task Xu Yang gave him was to memorize "Zhang's Medical Manual", this kid could finish it in one day, who can have this kind of brainpower!
It's just that Xu Yang didn't say anything.
Just judging from the fact that Xu Yang still wanted to pull Zhang Hua to the first battle scene for training at this time, one could tell how much Xu Yang valued him.
Every time Xu Yang came over, Zhang Hua would get up and follow Xu Yang's ass, very cute.
Now Xu Yang went to check the ward again, and Zhang Hua was holding a stack of documents in his hand.
In front of a patient who had just been admitted.
Without Xu Yang opening his mouth, Zhang Hua introduced his condition habitually: "The patient, female, 79 years old, retired. He has had arrhythmia for more than 12 years, high blood pressure for 2 years, and type 12 diabetes for [-] years."
"The patient began to experience dizziness 17 days ago, aggravated when the body position was changed, accompanied by fatigue, and vomiting. The vomiting was stomach contents, not projectile vomiting."
"There was no hematemesis or melena. At that time, there was no abdominal pain and fever. She went to a community hospital and received drug treatment. The symptoms were not relieved."
"Cough 5 days ago, mostly dry cough, no obvious shortness of breath. 2 days ago, fever, the highest body temperature was 38 degrees, accompanied by chills. Chest CT in an outer hospital showed scattered ground-glass density shadows in both lungs, and some consolidation More consideration should be given to the possibility of infectious lesions, interstitial lesions, and viral pneumonia."
"The white blood cell count is 9.5, the absolute value of lymphocytes is 0.6, the percentage of lymphocytes is 6.3%, the absolute value of neutrophils is 8.4, and the C-reactive protein is 108.57."
"In the emergency department, she was given moxifloxacin, ganciclovir and other drugs. After further diagnosis and treatment, she was admitted with a lung infection. Her son is also a patient with new pneumonia."
After Xu Yang listened, he nodded slightly, and went over to diagnose the patient. He asked, "Have you made a diagnosis after the patient came in?"
"I did." Zhang Hua replied, and then took out the notebook under the medical record.
While diagnosing the patient, Xu Yang said to Zhang Hua, "Tell me."
Zhang Hua stood obediently, opened his notebook and said: "The patient is refreshed, mentally tired, has a headache, feels tired all over, coughs occasionally, and has a little white phlegm."
"Shortness of breath and shortness of breath after a little activity, dry mouth and bitter mouth, thirst, not drinking much water. Fullness in the abdomen, nausea and vomiting, loss of appetite, insomnia, difficulty falling asleep, constipation."
"The tongue is dull, the tongue is a little fat, and the fur is yellow and white, thick and greasy. The left pulse is deep and thin, and the right pulse is thin and stringy. The new virus test is positive!"
After speaking, Zhang Hua looked at Teacher Xu expectantly.
"Yeah." Xu Yang responded lightly, this means that there are livestock to work, and he can save the consultation.
Chapter 699
Zhang Hua, who is an animal, has no awareness of being an animal at all, and is still waiting for boasting with his head up.
Xu Yang also nodded to him, and praised: "Not bad."
Zhang Animal immediately showed a bright smile.
Xu Yang also wanted to test his teachings, so he said, "How to differentiate?"
Zhang Hua immediately suppressed his smile, frowned and muttered: "Patient... the patient's damp and heat are trapped on the outside and inside, and the spleen and stomach qi in the middle burner are stagnant, and the clear and turbid can't be distinguished."
"So I have the symptoms mentioned above, nausea and vomiting, loss of appetite, fullness in the abdomen, and constipation. So my idea is to promote qi and unblock the internal organs, and also to clear heat and dampness, promote clearness and reduce turbidity."
Xu Yang was noncommittal: "Then how should I treat it?"
Without thinking too much, Zhang Hua said, "Great Bupleurum Soup!"
Xu Yang asked: "Don't you even have to think?"
Zhang Hua said with some embarrassment: "Actually, I have been thinking about it since I diagnosed it a while ago."
Xu Yang smiled, this kid is quite discerning, and then he asked: "What is the basis for you to use Da Bupleurum Decoction?"
Zhang Hua said as a matter of course: "Based on your previous treatment experience!"
Xu Yang was speechless for a while, and said angrily: "Speak seriously!"
Zhang Hua analyzed the condition seriously: "The patient is very old and has many underlying diseases. Internally, he lacks the original qi, and externally, he feels the disease due to the ravages of the epidemic."
"The dizziness, cough, fever, aversion to cold, headache, and general fatigue seen in the early stage of the disease are all normal. In fact, it can be considered that these plague qi are mainly cold and damp."
"But the exterior evil quickly enters the interior and turns into heat, forming symptoms such as cold and damp outside, headaches, and severe sleepiness all over the body."
"There is also damp-heat cementation inside, the spleen and stomach in the middle burner are trapped by damp-heat, the spleen does not produce clear, and the stomach does not descend to turbidity, so symptoms such as abdominal fullness, nausea and vomiting, dry mouth and bitter mouth, and loss of appetite can be seen."
"The patient's tongue is dark red and stagnant, and the tongue coating is yellow and white, thick and greasy. In fact, it also shows a combination of damp and heat. Therefore, the treatment idea I chose is to clear away heat and dampness, promote qi and unblock the internal organs, generate clear and reduce turbidity."
After finishing speaking, Zhang Hua smiled and looked at Xu Yang.
Xu Yang said angrily: "I asked you to talk about the idea of medication, but I didn't ask you to differentiate the symptoms."
"Oh." After being splashed with cold water, Zhang Zhuangou said honestly, "The spleen should be invigorated, and the stomach should be harmonized. The main purpose of this disease is to restore the spleen and stomach's function of generating clearness and reducing turbidity."
"Da Chaihu Decoction comes from Zhongjing's Treatise on Febrile Diseases. It is mainly used to treat diseases such as Shaoyang Yangming combined disease, water and heat intertwining, and stagnation of viscera."
"Patients are now mainly suffering from symptomatic symptoms such as intermingled dampness and heat. In terms of treatment, it is necessary to treat the symptoms as soon as possible. Use Da Bupleurum Decoction to clear away heat and dampness, so that the dampness and heat can go away from the stool."
"Once the dampness and heat are gone, all the symptoms will naturally be alleviated, and the functions of the spleen and stomach to generate clearness and reduce turbidity will also be restored accordingly. This is the treatment plan that I think is more suitable for patients at present."
Xu Yang looked at Zhang Hua and said to him, "Then you come to draw up the prescription."
"Ah?" Zhang Hua was suddenly dumbfounded. This is equivalent to a kid doing odd jobs in a restaurant who is suddenly dragged by the executive chef to let him cook for important guests.
That's about it.
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