"Ah?" The young western doctor was dumbfounded: "Isn't appendicitis a pain in the lower right abdomen? How could it be the upper right abdomen? Besides, the appendix doesn't belong to the large intestine!"
"Heh!" He Juejue's face became even colder after hearing this.
Chapter 82 Who Says TCM Can't Treat Acute Abdomen
Don't talk about them, Chinese medicine practitioners themselves are stupid.
Not because of Xu Yang's judgment, but because of Xu Yang's pulse diagnosis.
The pulse travels through the hand-yangming large intestine meridian, and when it descends into the large intestine, it is found that there is a disease, what the hell is this?
Xu Yuan was also dumbfounded, he asked in a low voice: "Director, what kind of pulse diagnosis method is this?"
Zhong Hua also showed doubts on his face, he was not sure: "Could it be the pulse diagnosis method recorded in "Nan Jing"? When you breathe in and out, the pulse travels six inches. Wherever the pulse travels, there will be symptoms of illness. But, still Does anyone know this?"
Xu Yuan was still confused.
Cao Dehua was also confused.
Because no one knows this kind of diagnosis method now, what is the current pulse diagnosis method like?They all diagnose the pulse condition first, and then make one-to-one correspondence according to the classics of the predecessors.
For example, the Xian pulse, Zuo Cun Xian: palpitations, headaches, night sweats; Zuo Guan Xian: hypochondriac pain, cold and heat syndrome.Left Chixian: lower abdomen, waist and knee pain...
Even many doctors don't carefully diagnose the three parts of Cun Guan Chi, just make a rough diagnosis and press, the pulse is straight and long, like a bow string, and it is the string pulse.Measure the pulse again, more than 90 times, and count the pulse.Oh, the pulse of strings.
The number of pulses is mainly for heat syndrome, and the string pulse can be used for liver disease, that is, the liver fire is too strong. After reading the patient's examination report, he prescribed medicine, so he took a very short time to diagnose the pulse.
For example, this stubborn old man has stringy and slippery pulses, which will appear in every disease and depletion.And it can also control excess heat, phlegm retention, and phlegm heat, which are more common in liver disease or stroke, but you can't judge the exact syndrome, and you have to rely on other diagnoses.
In addition, the diagnosis of Western medicine is acute cholecystitis, and the patient has Shaoyang syndrome, and the stringy and slippery pulse can control liver disease. The liver and gallbladder are the exterior and interior of each other, so it must be correct.
But the most orthodox and most effective is the "Nan Jing" pulse diagnosis method, Liang's pulse diagnosis method is born out of the "Nan Jing" pulse diagnosis method.Xu Yang laid the foundation of Four Seasons Pingmai, and only after consulting with Four Seasons Pingmai can he diagnose the disease pulse.
In addition, he has learned the method of breathing and pulse, and can judge the position of the pulse in the sky. Where there is a disease, he can naturally judge from the pulse.
But he is not quite sure what he learned is the basics.Because intestinal carbuncle is pain in the lower abdomen, not the upper abdomen.
Zhong Hua thought for a while and reminded: "Doctor Xu, the patient has pain in the upper right abdomen."
Xu Yang frowned, and said, "So this is what I'm confused about."
He Juejue said coldly: "As a medical layman, I know that the place where appendicitis hurts is the lower right abdomen, not the upper abdomen. What about Chinese medicine? I don't have any medical knowledge at all."
As soon as these words came out, the faces of several Chinese medicine practitioners became ugly.
Xu Yang stood up, and he said: "Although I am confused, when I checked the pulse and found that the pulse goes to the gallbladder, the symptoms were not obvious, so it should not be cholecystitis."
Everyone's expressions froze.
He Juejue taunted: "The B-ultrasound showed cholecystitis, your hands are stronger than the B-ultrasound?"
Chinese medicine practitioners are embarrassed.
Xu Yuan didn't know how to refute it, indeed, how can a person have an accurate instrument!
Zhong Hua's face was also ugly.
Director Qi didn't know what to say, you see Lao Zhong insisted on fighting, you see this fighting.
"Could it be ectopic appendicitis?" A young female doctor following Director Qi said weakly.
Everyone turned to look at her. She was just a resident doctor. With so many directors staring at her, her face turned red immediately, and she covered her mouth subconsciously, wondering if she had said something wrong.
Cao Dehua clapped his hands, and immediately said: "Yes, it may also be ectopic appendicitis. The probability of misdiagnosis of appendicitis is still very high!"
Another young Western doctor whispered, "But...the appendix doesn't belong to the large intestine. Didn't he say that the patient's large intestine is sick?"
Cao Dehua explained: "The heart, liver, spleen, lung, and kidney in Chinese medicine are not the same concept as your anatomical heart, liver, spleen, and lung. Acute appendicitis belongs to the category of intestinal abscess in TCM dialectics. It is not the same as your classification. Treating appendicitis, We also treat it according to intestinal carbuncle.”
Several western doctors frowned.
The probability of misdiagnosis of appendicitis is indeed quite high, so usually when the family members are asked to sign, a sentence is added if it is found that it is not appendicitis, the doctor has the right to change the surgical plan during the operation.
Director Qi frowned and thought for a while: "There is indeed an inflammatory mass in the gallbladder area. The possibility of appendicitis cannot be completely ruled out, but the probability of an ectopic appendix has always been very low."
The young western doctor who was following Director Qi said, "Surgical incision and laparotomy will tell you."
Many misdiagnosed appendicitis, especially ectopic appendicitis, are basically discovered during surgery, and it is difficult to find out through prior examination.
Just like this patient, after the incision, it was found that if it was not cholecystitis but appendicitis, then it would be fine to cut off the appendix.
But these words sounded harsh to the ears of the patient's family members. He Juejue asked, "Is this how your doctors try to perform surgery?"
The young western doctor quickly explained: "No, if it is an ectopic appendix, it is also in this position, and it is appropriate to operate on it. Moreover, ectopic appendicitis is always discovered during the operation, and it will not affect the treatment."
He Juejue said: "Then do an operation, what's the trouble with a Chinese medicine doctor?"
"I don't do surgery, I use traditional Chinese medicine." The old man on the bed was extremely stubborn.
Everyone was speechless, well, the question came back again.
He Juejue was so angry that he had nothing to say.
But Xu Yang said: "I also think I can try it."
Everyone was stunned.
"You also agree to the operation?" Director Qi was a little surprised.
"He still has brains." He Juejue commented on Xu Yang.
"Traitor!" The stubborn old man on the bed was very angry.
Xu Yang didn't know whether to laugh or cry: "I mean try it with the method of Chinese medicine."
Chinese medicine method?
Everyone was stunned. What can Chinese medicine do? Even if appendicitis is an acute abdomen, it still depends on the diagnosis of Western medicine. What can Chinese medicine do?
Not to mention them, even the few Chinese medicine practitioners standing there were taken aback.
But Xu Yang moved to the side of the patient's foot, stretched out his hand to press on the patient's calf, and asked, "Does it hurt here?"
"It hurts." The stubborn old man said uncomfortably.
Western doctors were stunned, what do you mean?
Zhong Hua clapped his hands and said angrily, "Oh, appendix point, why did you forget this!"
Xu Yuan and Cao Dehua also understood immediately.
Cao Dehua also said pleasantly: "Yes, the appendix point is mainly for appendicitis or enteritis. If the patient is suffering from acute appendicitis, pressing this point will cause tenderness!"
A look of surprise appeared on He Juejue's face.
"Is it really an ectopic appendix?" the female resident doctor murmured.
Everyone was shocked, could this man really be able to diagnose diseases that modern scientific instruments cannot determine with his three fingers?
Director Qi frowned. Although these Chinese medicine practitioners all thought it was appendicitis, he didn't agree with it. Why, because Western medicine did not recognize the scientific nature of acupuncture points and pulse conditions in Chinese medicine.
You said that he had appendicitis diagnosed by your pulse, but we don't think the pulse is scientific.You said that the appendix acupoint hurts when you press it, maybe he touched it or got hurt here.
Besides, even if it is acute appendicitis, an operation must be performed, otherwise it will be fatal when the appendicitis becomes serious!
But Xu Yang didn't care so much, he took out an acupuncture box from his bag.
He Juejue stared at Xu Yang and asked, "What do you want to do?"
"Cure." Xu Yang answered simply, opened the acupuncture box, and took out the needles.
"You..." He Juejue became angry, and she asked Director Qi: "If something goes wrong, who will be responsible?"
The stubborn old man on the bed shouted: "I am responsible for it myself, I let him treat me, it has nothing to do with anyone!"
Director Qi said nothing.
He Juejue was so angry that he waved his hands and said angrily: "Okay, you cure, you cure. It's not enough to kill one, okay, then you will be killed by your Chinese medicine too!"
The stubborn old man said angrily: "I'm not wrong! I want Chinese medicine to treat me! I want to prove that I am right."
"You... stupid, feudal, and superstitious!" He Juejue became more and more angry as he said, "I think you are seriously ill with the brain. Even if it is appendicitis, it is also an acute abdomen. Can Chinese medicine treat acute abdomen? You also want to Are you dragging yourself into a serious illness?"
The stubborn old man said nothing.
Other young western doctors also nodded, they also felt the same way.It's just that their boss, Director Qi, didn't speak, so they didn't dare to say it clearly.
Zhong Hua and Cao Dehua's faces were also a little ugly, but they had nothing to refute!
Xu Yang glanced at He Juejue, and replied flatly: "Who told you that Chinese medicine can't cure acute abdomen?"
He Jujue was startled.
Everyone was startled.
This is an acute abdomen. For many years, it has been handed over to Western medicine for surgery. When will it be the turn of Chinese medicine?
Xu Yang got a small stool and sat at the stubborn old man's feet, and then he took out the box containing alcohol cotton from the bag.
"I'll get it."
Xu Yang looked up, it was Xu Yuan.
Chapter 83 Shaoyang and Yangming Combination Disease
"Okay." Xu Yang agreed, and handed the alcohol box to Xu Yuan, who took it in his hand and squatted beside Xu Yang.
Xu Yang took an alcohol cotton pad to disinfect the patient's legs, and he said to Xu Yuan, "Acute appendicitis belongs to the category of intestinal ulcer in traditional Chinese medicine. Improperness, sudden running and other factors lead to the onset of the disease."
"In the early stage, good and evil compete in the intestines, coupled with stagnant heat, the qi and blood cannot accumulate smoothly, agglomerating and forming carbuncles; if the accumulated heat cannot be released, the flesh and blood will rot and turn into pus. This is the transmission of the disease."
"To treat acute appendicitis, we treat it according to intestinal abscess. Chinese medicine can use acupuncture, medication, external application and other treatment methods. Acupuncture is the fastest way to rescue emergencies. Acupuncture at the appendix, Zusanli, and Youtianshu can be used."
"At the appendix point, there is often tenderness. We must insert needles on the painful point, because the patient has excess heat syndrome, so we need to use the purging method, and it is best to use strong stimulation."
Xu Yang went in with the needle. After the needle was inserted, he jumped immediately, which is because he was so angry.Xu Yang's acupuncture and moxibustion skills are now at the level of provincial experts, so it is easy to deal with this disease.
After entering, the stubborn old man hummed in a low voice, saying that he felt pain.
Xu Yang said to Xu Yuan again: "For strong stimulation, it depends on the patient's condition and physique. If the condition is mild or the patient's constitution is very weak, then don't use strong stimulation. But this patient has a good constitution, so he can directly use Toutianliang method."
"What?" Xu Yuan was stunned.
"Too cool?" Zhong Hua and Cao Dehua were also dumbfounded, how could he know this?
The Western doctors were stunned, what the hell?A martial arts novel?
"Chi..." He Juejue sneered, showing disdain, Chinese medicine just likes to play tricks!
Xu Yang directly used Toutianliang's technique, the patient felt a strong needling sensation, and he succeeded.
The stubborn old man has been enduring the pain, the pain and numbness caused by strong stimulation is still uncomfortable, he has been humming uncomfortably.
He Juejue wanted to speak out several times, but when the words came to his lips, he swallowed them again. This was chosen by the stubborn old man himself, and he made it himself!
The young Western doctors also looked at Director Qi, but they found that Director Qi was looking vigorously, so they didn't have much to say.
After Xu Yang took the needle, the stubborn old man let out a long breath on the bed.
Different from the current standard of acupuncture and moxibustion, the needles of Shaoshanhuo and Toutianliang are taken out immediately after the treatment, while the current standard is to keep the needles for three to 10 minutes.
Xu Yang didn't stop, and after disinfection, he used this technique again on Zusanli.
The stubborn old man continued to hum.
Xu Yang instructed Xu Yuan again: "As for appendicitis, it is usually pain in the lower right abdomen. Usually, we can choose the symmetrical position of the lower left abdomen to give the needle. This is called Miao acupuncture, you know?"
Xu Yuan replied: "Yes, "Su Wen·Miao Ci Lun": "Miao Ci, take the left to take the right, and use the right to take the left. "
"Yes, but this patient is a little bit special. He has pain in the upper right abdomen, so it's the same for us to choose You Tianshu." Xu Yang practiced acupuncture and went on with another set of techniques.
"If you have fever, nausea, or vomiting, you can add Quchi, Hegu, and Neiting." After Xu Yang finished speaking, he performed acupuncture again.
It turned out that the stubborn old man was still lying on the bed humming all the time, because of the pain, he hummed for two days.When Xu Yanggang performed acupuncture, the patient still felt very uncomfortable because the stimulation intensity was relatively strong.
But as Xu Yang's needles went down, the stubborn old man's humming became smaller and smaller, until finally there was no sound.
He Juejue became nervous, fearing that something might happen to the stubborn old man, but when she saw that the pain on the stubborn old man's face didn't seem too heavy, she stopped talking.
After applying all the acupuncture points, Xu Yang asked the patient, "How is it, is it better?"
The stubborn old man let out a long breath of comfort, his brows stretched out: "Ah...it's much better, it's much better, I haven't felt so comfortable in the past two days, it doesn't hurt, it doesn't hurt at all. "
Everyone else looked dumbfounded.
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