Chinese medicine: from rural hospitals to top three hospitals in Kyoto

"The patient was admitted to the hospital a week ago. He was in a coma for four days and nights due to gas poisoning. At that time, his reflexes disappeared. He was discharged after rescue and rescue. This afternoon, he suddenly became confused and did not recognize his family members. He accidentally got lost... ."

Zheng Longgang talked about the patient's condition: "The family found the patient in a pit. He lost consciousness, sometimes yelling wildly, sometimes dumbfounded, and his lower limbs were stiff and unable to stand..."

"This is a severe disorder of consciousness and mental retardation."

Niu Huamin said.

"Ah."

Zheng Longgang nodded: "So I suggest the patient be sent to your hospital for treatment."

"Let's go and see the patient first."

As Gan Xinping spoke, he called Chen Yang and the three directors to walk to the emergency room, while Zheng Longgang hurriedly followed behind.

Normally, Zheng Longgang should leave after sending the patient to him, but after seeing Chen Yang, Zheng Longgang was not in a hurry to leave.

Generally speaking, when a patient is transferred to another hospital, depending on the patient's condition, some hospitals will arrange for a doctor to follow the car to prevent accidents. If the patient is in danger on the way to the hospital, the hospital will also be held responsible.

Therefore, when transferring to a hospital, the hospital will generally ask the patient's family to sign an agreement to confirm the transfer. For some patients that the hospital is not capable of treating, the hospital will also ask doctors to follow them to ensure that the patients can reach the hospital they are going to.

But when you get to the hospital, you can go back with the doctor in the car.

Following behind, Zheng Longgang became more and more confused.

Chen Yang and Gan Xinping were walking side by side, talking to each other as they walked.

Chen Yang was only a resident doctor when he was in the county hospital, and now he is here for further study. How can he be able to work with the experts from Fenghai Central Hospital?

There were three other people beside him, Yang Haijun, each of whom was the chief physician of Fenghai Central Hospital.

If the chief physician of Fenghai Central Hospital comes to their Jialin County Hospital, even their director will pay attention to it.

In the emergency room, the patient was in a sluggish state, lying motionless on the bed, staring at the ceiling.

"doctor."

Next to him are the patient's family members, the patient's wife and parents.

The patient looked about thirty years old, about the same age as Chen Yang, and the patient's wife looked about twenty-six or seventeen years old.

It's just that the patient's wife just stood on the side indifferently, holding a mobile phone in her hand, playing with her mobile phone as if she was just watching the fun, but the patient's mother's face was full of tears.

"Doctor, my son..."

"Don't worry, let's check the situation first."

Gan Xinping comforted him and asked the doctor next to him: "What's going on?"

"The patient has no reaction to the outside world at all. He is just like this. His blood pressure and body temperature are normal."

One of the attending doctors asked: "Should we do a brain CT scan, or do an EEG MRI or something like that?"

This is also a normal examination process. When a patient arrives at the hospital, the doctor will first conduct an examination based on the patient's symptoms and eliminate the most likely aspects first. If the problem can be found, that is the best. If the problem cannot be found, then it is best. Further investigation.

This is the gap between high-level Western medicine and low-level Western medicine. Doctors with rich experience and high level can basically determine the scope and find the problem quickly. If the level is not good enough, then it depends on luck. They may have done a lot of examinations. , haven’t found the right direction yet.

Gan Xinping checked the patient's condition and then asked Chen Yang: "Xiao Chen, what do you think?"

Chen Yang was sitting on the side, diagnosing the patient's pulse. While diagnosing the patient's pulse, he asked: "How did you get gas poisoning at that time?"

Upon hearing this, the patient's wife just glanced this way, and then turned her head away. The patient's mother also glanced at her daughter-in-law, with hatred in her eyes.

"The couple had a quarrel at that time..." the patient's father said.

"Suicide?" Chen Yang guessed, but didn't ask any more questions.

When Chen Yang asked, he mainly asked about the patient's situation before he was poisoned by gas, why he was poisoned by gas, and whether there were any emotional factors.

Clinically, gas poisoning often has serious sequelae, and memory loss is the most common sequelae.

The patient was in a coma and was rescued for four days and nights. Later, he developed consciousness disorder and memory loss, which are very serious sequelae.

"Slippery pulse and big fingers..."

Chen Yang let go of the patient's wrist and checked the patient's tongue coating.

The tip of the tongue is red and the coating is yellow and thick.

Judging from the patient's pulse syndrome, it should be phlegm clouding the heart orifices.

"I'll make a prescription and try it first."

As he said this, Chen Yang opened a Zhenshi Guntan Pill with added flavor and handed it to Gan Xinping.

"Dr. Chen, do you have any explanation for this medicine?" Niu Huamin asked.

"Go get the medicine first."

Gan Xinping handed the prescription to the doctor next to him and looked at Chen Yang at the same time.

Gan Xinping didn't question Chen Yang's prescription, but he also wanted to hear the views of traditional Chinese medicine doctors.

In Western medicine, carbon monoxide poisoning is a disease with central nervous system manifestations as the main symptoms, which can cause dizziness, limb weakness, convulsions, respiratory depression, etc.

The mechanism of poisoning is that the affinity between carbon monoxide and hemoglobin is 200 to 300 times higher than the affinity between oxygen and hemoglobin. Therefore, carbon monoxide can easily combine with hemoglobin to form carboxyhemoglobin, causing hemoglobin to lose its oxygen-carrying ability and role, causing tissue suffocation. It has toxic effects on tissue cells throughout the body, especially the cerebral cortex.

This is why the most common sequelae of carbon monoxide poisoning is memory loss.

In a situation like this, the means of modern medicine are quite limited. If the patient is in such a serious condition, let alone Fenghai Central Hospital, even if he is sent to a large hospital in Jinjiang City or Shen City, there may not be a good solution. .

Not to mention such serious cases, there are some mild cases, many of which have long-lasting effects. After being poisoned by gas, I felt that my memory was not as good as before.

"In traditional Chinese medicine, no matter what kind of poison it is, whether it is carbon monoxide poisoning or other poisons, they are all external evils."

Chen Yang said: "Carbon monoxide is an external evil, and it is poisonous. The evil nature is fire. Fire poison can easily enter the brain and disturb the gods. 'The brain is the sea of ​​marrow.' If the sea of ​​marrow is unstable, you will feel dizzy, and in severe cases, you will be unconscious." personnel."

"If the evil of fire poison stagnates in the body, it will damage the yin and consume fluids, resulting in insufficient liver yin, loss of nourishment of the muscles and veins, and internal movement of wind due to deficiency; or if the wind is caused by extreme heat, twitching of the limbs and muscle tremors will occur."

"Yin fluid is damaged, and if yin is deficient, yang will not be able to rely on it, which will lead to loss of qi and yang. The clinical manifestations are flaccidity of the limbs, excessive sweating, irritability, shortness of breath, etc."

Chen Yang explained all the situations and said: "The patient's symptoms are confusion, confusion, memory loss, stiffness of the lower limbs... It is phlegm that clouds the heart orifices. The prescription I just prescribed is Zhen Shiguntan Pills......"