The patient with severe acute myocardial infarction in front had cold hands and feet, but this one was cold beyond the elbows and knees, and even the breath from the mouth and nose was extremely cold, and there was almost no breathing in and out.

Mr. Li poked the patient's leg, and his fingers sank deeply, but the patient's leg muscles could not recover, as if his fingers had been stuck in the mud. He said: "The patient's lower limbs are swollen like mud."

When Xu Yang looked at the patient again, he also pulled out his urine and feces, which meant that he was already incontinent.

There was also a western doctor standing next to him, and he said, "Director Li, the patient's blood pressure can no longer be measured."

Xu Yang's expression was very serious.

The Western doctor said: "Director Li, this patient suffers from obstructive emphysema, and the compensatory period of cor pulmonale has been ten years. This time, he was ill for a week, and he was rescued in the city hospital for 6 days before, but it was invalid. The city hospital issued a critical illness notice. .”

"The patient's family members took him back to his hometown to prepare for his funeral. At around 12 o'clock in the morning today, the patient suddenly suffered from wheezing, phlegm blocked his throat, and fell into a coma. The family members thought that the old man would die quickly, but the old man survived for four hours. "

"The family couldn't bear the old man's suffering, so they held on to the last ray of hope. At four o'clock in the morning, he was sent to our hospital for emergency treatment. Our initial diagnosis determined that the patient had pulmonary heart disease, heart failure, respiratory failure combined with cerebral crisis."

Generally speaking, there is no need to go into such details, but this doctor has been cooperating with Mr. Li for several years. He knows that some information is not important to them, but it is very important to Mr. Li, so he will try to say as much as possible. Be more specific.

The family members of the patient sat aside very quietly and did not urge Mr. Li.In fact, they had already given up, but they couldn't bear to see the old man suffering in such a miserable state, so they were sent to the hospital for final rescue.

They don't expect to save the person anymore, and they send it to the hospital just to make themselves feel at ease, so that they will regret it later when they think about it.

Xu Yang's heart sank when he heard that. After six days of emergency treatment in the city hospital, he was still critically ill. His family had no choice but to carry him home and wait for his death. This is a patient that modern medicine has given up on!

And this moment is the real dying moment of the patient, the last breath left.

But this patient was sent to Mr. Li.

If the previous patient with severe acute myocardial infarction stepped into the gate of hell with one foot, then the old man in front of him has entered the gate of hell with his whole body, leaving his last foot outside.

Chapter 88 I dare to teach, do you dare to use it?

Almost at the same time, Xu Yang and Mr. Li grabbed a hand and felt the pulse.

Mr. Li glanced at Xu Yang in a little astonishment, and then quickly checked his pulse quietly.

Xu Yang's current pulse diagnosis is also quite good, but this time he started to frown, this pulse is different from his previous diagnosis.

The pulse was like a sparrow pecking rice. After beating three or five times, the pulse suddenly stopped again, and it didn't stop beating for a long time!

This is the sparrow pecking pulse!

Xu Yang's heart sank, it was the bird pecking vein, one of the seven strange veins.

This is the first time Xu Yang has come into contact with this kind of pulse. When he learned pulse diagnosis from Mr. Liang in the medical practice room, he only learned Sijiping pulse, and he never diagnosed disease pulse.

This is the first time he has diagnosed this kind of near death.

The main syndrome of sparrow pecking pulse is spleen qi stagnation, which is more common in severe heart organic diseases.

Xu Yang checked again and found that besides the Que Peng pulse there was also the Wu Leu pulse.

Another seven strange veins.

Like a house leaking water, only one drop for a long time, the intermittent time is uneven, and the pulse comes very slowly.

Xu Yang thought in his heart that it was bad, the bird was pecking at the leak in the house, the patient must have lost his stomach qi, people who have stomach qi will live, and people who have no stomach qi will die.

It's just that the patient's pulse was extremely slow and scattered, so it was difficult for Xu Yang to judge for a short time.

At this time, Mr. Li's voice suddenly sounded, and he seemed to be talking to himself: "If the Cunkou pulse is difficult to rely on, we should respect the experience of the predecessors and diagnose the three pulses of Fuyang, Taixi, and Taichong according to the following three parts. .”

Xu Yang was taken aback when he heard this, is he pointing himself?

Mr. Li went to the patient's feet, began to diagnose, and said to himself: "Diagnose the Fuyang channel to wait for the stomach qi, diagnose the Taixi channel to wait for the kidney qi, and diagnose the Taichong pulse to wait for the liver qi."

"The kidney is the foundation of the innate, and the spleen and stomach are the foundation of the acquired. At the critical moment of life and death, saving yang is the first priority. If there is a trace of yang, there is a chance of life. The three declines are severe, surrounded by yin and cold, and the urgency is to save yang at the moment of life and death."

Mr. Li stood up with a solemn expression: "At the moment of life and death, you should use a large dose of heart-breaking soup to break through the door, break the yin and return to the yang, and save the dying life! Prescribe!"

Xu Yang was shocked, and immediately got up to write the prescription with a pen and paper.

Li Laodao: "Use a large dose of Poge Jiuxin Decoction to save the dying Yang and solidify it, add Sanshengyin to eliminate phlegm, musk musk to ward off filth, rejuvenate the brain and save respiratory failure. Aconite 150g, dried ginger and roasted licorice 60g each , Korean ginseng 30g (steamed thick juice and serve), raw pinellia 30g..."

As soon as the prescription was finished, the gossip doctor arrived with the director.

Well, the dean signed without saying a word.

The pharmacy immediately took the medicine and decocted it.

Mr. Li instructed: "Add 1.5 kilograms of boiling water, decoct with strong fire, and take it as you decoct, day and night, non-stop."

The gossip doctor went to operate immediately.

But Xu Yang squatted at the patient's feet, and diagnosed the three pulses mentioned by Mr. Li.

Mr. Li glanced at Xu Yang, but didn't say anything.

Generally speaking, when decocting traditional Chinese medicine, you need to add cold water, boil it and decoct it over low heat.And according to the different properties of the medicinal materials, decocting for different times.

For example, aconite, after decocting for an hour, its toxicity will be greatly decomposed.But within an hour, it is the most toxic period.

However, Mr. Li directly prescribed 150g of aconite, which was fried directly with Wuhuo, and he took it as he decocted. He did not fry for an hour at all. The aconite at this time is the most poisonous!

The prescription has already been fried, and while it is being boiled, the little gossip doctor brings medicine and feeds it to the patient non-stop.

After looking at it for a while, Mr. Li walked out of the consulting room, went to the dark yard outside, leaned against the wall of the hospital gate, lit a cigarette, and began to puff.

"Director, is this... the patient sure?" Xu Yang also came out and asked standing behind Mr. Li.

Mr. Li didn't turn around, but said indifferently: "You have also checked the pulse, let's talk about the pulse condition."

Xu Yang replied: "The patient's pulse is that of a sparrow pecking at the leaky house. It is a seven-monster pulse. It is a near-death pulse, and the Cunkou pulse is difficult to rely on. Therefore, the three pulses of Fuyang, Taixi, and Taichong were diagnosed. Although they are very weak, But still recognizable. Therefore, there will be no death without life!"

Mr. Li still didn't look back, but just slowly exhaled a puff of smoke, the corner of his mouth curled up in the darkness, and he asked, "Then do you think the patient is still alive?"

"I..." Xu Yang didn't know how to answer for a moment, he had never treated this kind of disease.

Seeing that Xu Yang had lost his voice, Mr. Li raised his head and looked at the stars, as if he was talking to himself: "In two hours, it will be dawn."

Xu Yang was startled when he heard the words, and then suddenly realized: "I understand!"

Elder Li asked, "What do you understand?"

Xu Yang replied: "The patient is suffering from three severe diseases, and his body is trapped by heavy yin and cold. Zishi is the time when the yin qi is the most serious in a day, so the patient fell ill during Zishi and was on the verge of death."

"Although Zishi is the time when Yin Qi is at its peak, it is also a time when Yang comes and goes. After Zishi, Yang Qi becomes more and more intense, but the patient did not die, but survived until now! This is the patient's first chance of life." !"

Mr. Li still didn't look back. In the darkness, the smile on the corner of his mouth widened a bit: "It's four o'clock in the morning!"

Xu Yang's eyes lit up immediately, and he said: "Four o'clock in the morning is the time for the twelve management guards to run the lung meridian, and it is the time when this meridian is flourishing. Although the patient is in crisis, since the patient can last If he has not deteriorated and died now, then this is the last chance to save his life!"

"Hehe..." Mr. Li laughed twice, threw down the cigarette butt in his hand, and crushed it with his feet. He said, "It's rare that you still know some knowledge of ancient Chinese medicine."

Xu Yang said seriously: "Because this is the root of Chinese medicine!"

Mr. Li was noncommittal, but turned around and walked over, saying, "Let's go, let's see the patient."

"Director." Xu Yang called to stop Mr. Li.

Mr. Li stopped in his tracks and turned to look at him.

Xu Yang said: "Director, I want to learn medicine from you."

Mr. Li was slightly taken aback, he shook his head and smiled, and asked, "Like me?"

Xu Yang nodded seriously.

Mr. Li said: "My things are all deviant things, learn from me? I can teach you without reservation, but if I dare to teach, do you dare to use it?"

Xu Yang was taken aback.

Mr. Li said again: "The Pharmacopoeia stipulates that aconite should not exceed 9 grams. I used 150 grams as soon as I got started, and I often used more than 500 grams a day. After decocting for an hour, the toxicity began to decompose, but I took it as I decocted it. When it's most toxic."

"And the patient lying on the bed has only his last breath left. I use a highly poisonous decoction that even healthy people can't resist, and use it on such dying patients. I will teach you, do you dare to use it?"

Xu Yang was taken aback again, and his breathing suddenly became heavy.

Mr. Li smiled again, and he said again: "This patient has only the last chance of life left. Zhang Zhongjing doesn't dare to say that he will survive, and I am not completely sure of my actions."

"If I don't save my life, if my family members use my prescription to cause trouble and sue me. The pharmacopoeia is the law code. If I use such illegal medicines, waiting for me may be a prison sentence!"

Xu Yang was completely stunned, and his breathing stopped for a few seconds at this moment.

Mr. Li looked into Xu Yang's eyes, and he asked again: "I dare to teach, do you dare to use it? To treat such critically ill patients, if you save them, maybe your license will be revoked; if you don't save them, maybe you will be jailed." Prison. At this time, do you still dare to use it?"

Mr. Li looked at Xu Yang's dull expression, he shook his head and smiled, he didn't show any disappointment, he was used to it all these years, he turned around and was about to leave.

But Xu Yang was behind Mr. Li, and said with a solemn expression: "Whenever a great doctor cures a disease, he should not look forward and backward, think about good or bad, and cherish his life. Seeing the other's distress, if you have it yourself, it is deeply sad. Don't avoid danger, day and night, Cold and heat, hunger and thirst, and fatigue, I went to rescue with all my heart, without the heart of doing kung fu."

With his back to Xu Yang, Mr. Li chuckled twice: "Say, everyone can talk."

After speaking, Mr. Li wanted to leave again.

Xu Yang said again: "I have used your prescription, I have cured dying patients!"

Only then did Mr. Li turn to look at Xu Yang.

Xu Yang looked miserable, he smiled and said: "Although I have 1 reasons not to save him, even though no one would blame me then, I went anyway! So... I lost everything..."

Chapter 89

dawn.

The patient did not die.

The state is similar to before, and the medicine has not been finished. After all, the patient is in a dying state, and it is difficult to drink so much medicine soup in a short time.So Tianliang has been feeding the patients.

The family members of the patient were also a little confused. They didn't come here with the intention of saving their lives.Sending people to the hospital is just for peace of mind.

Who knew, it was broad daylight, and people were still there.

The family members were all surprised.

So they waited and waited, and in the evening, the person was still there.

It has been more than ten hours since it was delivered at 4 o'clock in the morning, and the person is still there.

The family members stayed.

It was not until late at night that the patient took all the doses of medicine one after another.

Mr. Li also came to see it a few times.

In the early hours of this morning, Xu Yang told Mr. Li that he wanted to be a teacher, but Mr. Li didn't agree, which made Xu Yang a little depressed.

Mr. Li came over to see the patient's condition.

Xu Yang and the gossip little Chinese doctor stood opposite Mr. Li.

Mr. Li said to the two: "Continue to pay attention to the patient's condition. Whether the patient can really escape depends on whether he can survive the time."

Both nodded.

Mr. Li's eyes lingered on Xu Yang for a while, then turned around and left.

Xu Yang sighed slightly.

And the gossip little Chinese doctor winked at Xu Yang and said, "Hey, Xu Yang, I found that the director's attitude towards you is different."

Xu Yang asked: "What?"

The little gossip doctor said: "Just now, the director gave us two instructions, he just glanced at me, but he glanced at you twice."

Xu Yang rolled his eyes: "You are so boring!"

The gossip doctor said: "I'm serious, I'm absolutely right, I have the confidence."

Xu Yang said speechlessly: "Can your self-confidence be used in other places, gossip like this every day, you can change your career to be a paparazzi, gossip about celebrities every day."

The gossip little Chinese doctor looked confused: "What dog? What is a star? Why do you want me to be a son of a bitch?"

Xu Yang rolled his eyes again and ignored this guy.

Then the guy came up to ask again.

Xu Yang continued to observe the patient's condition until twelve o'clock, and the patient's condition not only did not deteriorate, but stabilized.

After the sub-hour passed, when the sun returned, the patient's oily cold sweat gradually subsided, and his breathing gradually calmed down.The extreme coldness of the hands and feet also gradually receded. They used to go above the elbows and knees, but now they have all receded below the elbows and knees.

Xu Yang was also very excited. It took the patient more than 20 hours to use up this heavy dose of medicine, and the patient finally stabilized his dying condition. It seemed that his life was hopeful.

And the family members of the patients were even more confused, surprised and delighted.

At 6 o'clock in the morning, Mr. Li came to the second consultation. At this time, the patient's complexion turned from gray to sallow, the purple malaria faded slightly, and the original phlegm in the throat also eased a lot.

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