Professor He waved his hand and smiled slightly: "It's okay, I understand. It's just this patient, I can't make a promise, and I can't guarantee that the condition will not get worse. I can only say that I will do my best."
Everyone's heart sank.
The group of little Chinese doctors at the door sighed one after another. Every time when they are helpless in the face of the disease, it is the time when the doctors feel the most sad and regretful.
The director of the ICU, Shi Rentong, spread his hands at Zhong Hua, look, he said it was useless.So many provincial experts can't cure it, so it will be useful to change to another provincial expert?
Zhong Hua also sighed helplessly, he had seen this patient before, and he couldn't cure it with his ability.It's really too serious, and there is no way to recover.
"Qingyan, hey, don't cry." Cao Dehua immediately persuaded the patient's wife, he has a wide range of contacts and knows everyone.
Everyone looked at the patient's wife.
The patient's wife was leaning on the chair, tears streaming down her face, but her face wasn't distorted, just so calm and numb, she didn't even have any expression.
It's like a puppet that keeps crying.
There was no expression on his face.
There was no sound from my mouth.
This is the cry of despair.
The patient developed the disease ten years ago, and has not recovered from the treatment for ten years.This year, she stayed in the hospital for another seven months in the provincial capital. She also accompanied her for seven months, reminded her of fear for seven months, and despaired for seven months...
For a moment, everyone's heart seemed to be blocked by a big rock, and they were holding back quite severely for a while.
Cao Dahua even slammed his fist against the wall. He said in grief and indignation: "My master is obviously a hero, and he did this to save people! Damn it, why are good people not rewarded!"
Director Qi sighed, and said, "Why don't you accept the hospital's suggestion and amputate..."
Cao Dahua's lips moved, and he sighed heavily again, he thought of his master's temper again, his master would rather die than do this, who can persuade him!
"Actually, this is not an incurable disease, but there is still hope."
As soon as these words came out, everyone present was shocked and looked over.
Even the wife of the patient who was like a puppet raised her eyes slightly.
"Xu Yang, don't talk nonsense." Professor He quickly reminded.
Seeing that it was the young doctor who was speaking, Cao Dahua was immediately a little angry.
Director Shi Rentong of the ICU also frowned and looked over.
Xu Yang said: "I didn't talk nonsense, although the patient's condition is serious, the cold has been chronically cold for more than [-] years, and the cold evil is deep in the blood, but it is not an incurable disease."
"It's true that the patient is seriously ill, but he has not reached the critical moment of life and death. At this time, using the medicine of great pungent and great heat, opening the ice to thaw, replenishing qi and breaking the stasis, will definitely be effective."
Professor He frowned and reminded: "Xu Yang, take a good look at the diagnosis and treatment of the former doctor."
Xu Yang said: "I read it, the former doctor's diagnosis and treatment ideas are the same as mine, and the prescription is also correct."
Professor He is even more confused. Didn't the former doctor try it, but it didn't work? What are you still doing?
Others also looked puzzled.
Xu Yang flipped through the documents in his hand, he shook his head slightly, his brows were tightly frowned, dissatisfaction gradually appeared on his face, and his tone sank.
He said: "The previous doctor's diagnosis and treatment were correct, but the dose was too low. The patient suffered from severe cold for 35 years, just like an old iceberg that has been frozen for 35 years."
"If you throw three or five pieces of red charcoal on it, it can't be melted. You can see that the maximum amount of aconite used by former doctors is only 30g, and the maximum amount of Chuanwu is only 9g."
"To treat this kind of deep cold and stubborn disease, it is not the big Xin and the big heat. The fierce generals of aconitum and aconite, which pass through the twelve meridians inside and outside, can't defeat the enemy, and the former doctor's use is too low, so naturally it can't be iced and thawed."
As soon as these words came out, the Western doctors and family members were dumbfounded.
Chinese medicine practitioners are all speechless.
Professor He's complexion suddenly sank, and he asked, "Do you know the dosage prescribed by the Pharmacopoeia?"
Xu Yang said: "I know that Fuzi should not exceed 15g, and Chuanwu should not exceed 3g. The previous doctor actually used the dosage several times over."
Professor He scolded in a deep voice: "You still say it after knowing it!"
Xu Yang shook his head: "Not enough."
Professor He was stunned: "Then how many grams do you want to use?"
Xu Yang said: "The weight of Chuanwu needs 30g."
As soon as this remark came out, the audience was in an uproar. You suddenly had to overdose by ten times!
Professor He's face was also gloomy for an instant, and he scolded: "Don't forget what happened to you before!"
Xu Yang lowered his head and exhaled slightly, then looked at Professor He calmly, and said, "I haven't forgotten, but I haven't forgotten that I'm a doctor."
Chapter 109 The Fault of Chinese Medicine
"What's wrong? Can't this medicine be used?" Cao Dahua asked nervously.
Everyone didn't know how to answer.
Cao Dahua called his name directly: "Brother, tell me."
"Eh..." Cao Dehua didn't know what to say anymore, he could only say: "You...don't worry, listen first before you speak."
Professor He's face was gloomy, and he reprimanded: "Nonsense!"
After finishing speaking, Professor He stopped talking, and if he said anything else, Xu Yang would make a fool of himself.
But obviously Xu Yang didn't intend to let it go, he frowned and said: "Teacher, at such a critical moment, the priority should be to save the patient's life!"
Professor He glared over.
"Wait a minute, wait a moment, what's going on, can it be cured or not?" Cao Dahua was a little anxious.
Professor He remained silent.
Zhong Hua pondered for a while, and explained: "Well... Dr. Xu's thinking is not wrong. It is the same as those experts in the province before, but his idea is to increase the dose."
"How about this? Your family members go outside and wait for a while. We need to discuss and consider carefully here. We will give you the treatment plan later, okay?"
Cao Dahua was taken aback for a moment: "Why, you can't let us listen?"
Cao Dehua said angrily: "You don't understand, it's useless here."
When Cao Dahua heard this, he was not happy at the time.
"I'm not going anywhere, I'm here." The patient's wife gently wiped the corners of her eyes and said this very calmly with a blank expression.
Everyone didn't know how to answer for a while.
The patient's wife raised her head slightly, looked at Xu Yang, and said calmly, "It's been so long, there's nothing I can't bear. This doctor, if you have anything to say, just say it."
Xu Yang nodded slightly, and said: "Actually, I have just made it clear that your lover's body is like an iceberg that has been frozen for 35 years, and that's why he became so ill. The current treatment plan must be based on the principle of great xin and great heat. For heavy medicines, it can be effective only by opening the ice and thawing.”
"Can it be cured?" Cao Dahua asked nervously.
Xu Yang said: "Now that it has become such a serious illness, no one can guarantee that it will be cured. What I can guarantee is that after taking the medicine, the situation will definitely not get worse."
"Xu Yang!" Professor He yelled angrily and slapped the table. He was really angry.
Cao Dahua looked puzzled, and asked, "Since it works, why don't you let him use it?"
Everyone looked different.
"Brother." Cao Dahua called his elder brother's name again.
Cao Dehua frowned tightly and asked, "Do you know why the Pharmacopoeia stipulates that the dosage of Chuanwu should not exceed 3g?"
"Why?"
Cao Dehua frowned even tighter: "Because Chuanwu is poisonous."
"Ah?" Cao Dahua was startled, only then did he realize that the young doctor planned to use more than ten times the dose: "You... how dare you do this?"
Xu Yang frowned even tighter, and glanced at the stack of diagnosis and treatment reports in his hand, his face became even more unhappy, he said: "That's not the case, to treat this kind of severe cold and chronic disease, a small dose The Wu Fu is not enough to work, let alone save lives."
"It's true that Chuanwu is poisonous, but Zhongjing dared to use Chuanwu in this way more than 800 years ago. In the aconite soup in the Golden Chamber, the amount of Chuanwu used reached five pieces, which is about 25g now."
Xu Yang stared at the crowd and asked, "Zhongjing can use it, but you can't?"
Everyone was left speechless by Xu Yang's question.
Cao Dahua looked at this and that, and asked, "No, can this be used?"
Cao Dehua bit the bullet and explained: "The ancients used it in this way, but now... now pharmacological research shows that it cannot be used in such a large dose... and the pharmacopoeia has already stipulated the dosage. It is actually not appropriate to use too much dosage."
Don't wait for Cao Dahua to speak.
Xu Yang stared at Cao Dehua and asked, "What's wrong? You said that the dosage is too high and it's not appropriate. Have you ever used it?"
Cao Dehua choked suddenly.
Xu Yang's tone was a bit aggressive: "Are you afraid to use it just because you read the pharmacology report? Have you tried it yourself?"
Cao Dehua looked at both sides, he licked his lips, and said, "Er...it's said to be poisonous, how dare I overdose it to patients."
Xu Yang raised his voice a little more: "Don't dare to give it to patients, so have you tried it yourself?"
Cao Dehua was startled for a moment, he really wanted to say something.I'm so sick, why am I drinking this poisonous stuff?
Xu Yang said: "I drank it."
Cao Dehua was taken aback again, I'll go, there really is a sick person.
When everyone heard this, they were stunned.
Even Professor He looked at Xu Yang with surprise on his face.
The patient's wife also looked at Xu Yang in a daze.
Xu Yang looked at the people present, and said: "It is precisely because I have drunk it that I know it well. Why Zhongjing uses such a dose of Wutou decoction without poisoning people, the secret lies in the compatibility, processing and decoction. method."
"Zhong Jing used Chuanwu, and fried Chuanwu with honey first. Why? Because honey is the essence of hundreds of flowers, and it is good at detoxifying all kinds of poisons, especially the nemesis of Chuanwu."
"Furthermore, using sticky honey to decoct Chuanwu at a slow fire will definitely affect its toxic decomposition, and Chuanwu's aggressive and dry nature can no longer cause harm."
"Secondly, there are two or three taels of roasted licorice in the Wutou soup. One or two in the Han Dynasty is 15.625g today. If calculated as 16g, it is exactly 48g, which is exactly twice the dosage of Chuanwutou."
"Glycyrrhiza is good at detoxifying all kinds of poisons. It has twice the toxicity of licorice supervising Chuanwu, so it can delay its dryness. Why worry about its harm? In cooking, Zhongjing first fried Chuanwu with 2 liters of honey, which is now 200 Milliliters."
"After decocting to 1 liter of honey, take out Chuanwu. Add 3 liters of water to boil the five herbs in the aconitou soup to 1 liter, then remove the medicinal residues, put in the previous 7 liter of honey and cook until 140 Together, it is about [-] milliliters, which is two-thirds of the original dose."
"Neutralizing its toxicity so many times and decocting for a longer time, the poison of Chuanwu can no longer cause harm, but the efficacy of Daxin Daxin remains unchanged. This is the secret of Chinese medicine to control such poisonous drugs."
"You read a two or three page test report, can you control it? Do you know how to use it? How can Chinese medicine treat diseases only by looking at the toxicity of a single drug, regardless of the method of processing, compatibility and decoction?"
Xu Yang questioned everyone again.
There was embarrassment on everyone's face.
Cao Dahua looked at this, looked at that, why did he feel that so many people at the scene were questioned by this young doctor.
As he was talking, Xu Yang felt annoyed. He glanced at the stack of diagnosis and treatment records in his hand again, and said, ""Treatise on Febrile Diseases" is a clinical emergency rescue book that can save lives and deaths in an instant. Typhoid fever and epidemic diseases The characteristic is that the onset is sudden, the transmission speed changes, and it will turn into a critical illness at every turn."
"Treatise on Febrile Diseases was tempered in the rescue of typhoid fever epidemics, so Zhongjing Cubes are all formulated with large doses, simple medicines, specific strength, and great effects, so that the disease can be blocked in time and the lives of patients can be saved."
"The previous doctor's treatment of this patient was ineffective. It was because the dose was too light, and the ice could not be thawed. I am used to using light doses. Although everything is stable, the doctor does not have to take risks and responsibilities."
"But what about the patients?" Xu Yang said more and more angry in his heart: "Only if you have tried it, you will know that Zhongjing's prescription is never wrong. You dare not use it for patients, why don't you dare to try it yourself first?"
"Have you ever tasted the poison of Chuanwu? Don't dare to learn from Shennong to taste all kinds of herbs, why do you need to be a Chinese medicine practitioner?" Xu Yang stared at the crowd, his tone became more and more serious.
"If you don't know how to control this kind of poisonous drug, how can you save the patient's life in an instant? The patient's pain has not healed for ten years. It's the doctor's fault! The Chinese medicine doctor's fault!"
Xu Yang yelled angrily, smashed the diagnosis and treatment records on the table, and got angry.
Chapter 110 Doctors and Pharmacopoeia
The audience was completely silent, and everyone was stunned by Xu Yang.
Even Professor He was speechless for a while. At this moment, he seemed to feel that the young man beside him was no longer the humble student he had known before.
Xu Yang was young and his qualifications were not deep.
There are only a few people in the room who are younger than him, and the others are all older than him.
In particular, there are so many directors of departments. These people are the mainstay and leading cadres in the hospital of traditional Chinese medicine.
Not to mention Professor He, a provincial expert university professor.
But with so many people in the audience, they were overwhelmed by Xu Yang's aura alone.
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