Chapter 11
There is no reason to die, and there is no death (please collect, comment, recommend, monthly vote, invest)
After receiving a patient with heat asthma.
During today's ward rounds, Huang Su became the busiest doctor in the obstetrics and gynecology department, and also became the first doctor in the history of a city hospital to have a transfer doctor busier than a department doctor.
Huang Su was sitting by the bed, diagnosing the pulse of the first patient he transferred to another department. It was not much different from yesterday's reexamination. The tongue coating was thin and yellow, and the pulse was heavy and thready.
Symptoms of symptoms of tongue coating can be divided into white, yellow, gray, and black. White coating is mostly caused by external cold-dampness syndrome, yellow coating is mostly caused by internal heat syndrome, and gray coating is mainly caused by internal syndrome. Gray coating is thin and smooth, mostly due to internal cold-dampness syndrome.
, or phlegm and fluids stop in the body. The coating is gray and dry, which is a sign of fever or yin deficiency and excessive fire. The black coating is mostly transformed from yellow or gray coating, indicating that the condition is extremely serious.
From the thin, thick, greasy, and rotten tongue coating, you can judge the severity of the surface and interior.
If Chen Ping's tongue coating becomes thin and yellow, it can be judged that the syndrome of internal heat has improved. As for the pulse condition that is heavy and thin, it is mostly a sign of Qi and blood deficiency. It is normal to have Qi and blood deficiency in the early recovery from a serious illness.
Seeing Huang Su's pulse diagnosis finished, Chen Ping's husband quickly asked: "Director Huang, how is my wife's condition?"
"The heat syndrome has been greatly improved." Huang Su explained to the family members and said: "He Hui, take the patient's temperature."
Yan Bing got ahead of He Hui and took a thermometer to measure the patient's temperature.
When he noticed that the person standing in front of him was Yan Bing, Huang Su asked in confusion. "Dr. Yan, why are you taking the patient's temperature instead of you?"
Yan Bing explained: "As the first patient with acute suppurative mastitis treated by traditional Chinese medicine, a course of treatment has ended. As a former doctor, of course I want to see the effect."
After a while, Yan Bing took out the thermometer and checked it.
Huang Su asked: "What's the body temperature?"
Yan Bing handed the thermometer to Huang Su for him to look at. The thermometer showed thirty-six degrees seven.
Passing the thermometer to the patient's family, Huang Su said: "The body temperature has returned to normal. Now let's check the recovery of the lesion."
After the curtains were closed, the patient exposed the lesion, and Huang Su carefully removed the medical gauze used to apply the medicine.
Most of the redness and swelling of the lesion has disappeared, and the red-purple area has completely disappeared.
Huang Su asked: "Is the lesion still hurting now?"
Chen Ping replied: "Although it still hurts a little, it's not like the pain that made me unable to sleep at night like the past few days."
Huang Su nodded and waited for Chen Ping to put on the hospital clothes and said: "I will prescribe four more decoctions for you to consolidate. He Huiji's prescription, 10g of Bupleurum, 10g of Dandelion, 10g of Angelicae, 10g of each milk and root, 10g of Qingpi, and Luolu
10g, hive 10g.”
In this recipe, the cold and cooling medicines of scutellaria baicalensis and red peony root are removed, and green bark with warm medicinal properties is replaced to avoid blood coagulation, which may cause lumps to be difficult to eliminate, and Angelica sinensis is used to warm and replenish both Qi and blood loss after the disease.
Traditional Chinese medicine uses five medicinal properties of cold, hot, warming, and cooling to regulate the balance of yin and yang in the body. Cold and cool medicines are used for fever diseases, and hot and warming medicines are used for cold diseases. It depends on the doctor to control the balance of yin and yang at any time. Therefore, most visits to traditional Chinese medicine require multiple visits.
During the follow-up visit, the doctor will adjust the medicinal properties of the prescription according to the patient's physical changes.
Handing the prescription to Chen Ping's husband, Huang Su walked to the next bed.
Yan Bing then ordered the following resident doctor: "Do a blood routine for Chen Ping and check the number of white blood cells."
Seeing Huang Su coming, Bao Lige's husband got up and greeted him warmly: "Hello, Director Huang."
Huang Su asked: "Did the patient feel any discomfort after taking the medicine yesterday?"
Baolige's husband replied: "There is no discomfort. She said that after applying the ointment you prescribed, the swelling in the affected area was reduced."
Huang Su nodded and said, "Then I'll come back for a follow-up consultation after you finish taking the medicine I prescribed."
After walking out of the ward, Huang Su and his party walked directly to the intensive care unit.
Entering the ward, the patient's husband stood up with a tired look on his face and said, "Director Huang, you are here!"
Huang Su asked: "Family members, how was the patient's condition after taking the medicine last night?"
The patient's husband replied: "I took the medicine you prescribed yesterday, and I didn't breathe so much at night. It was rare for me to sleep soundly for two hours. Director Huang, you don't know, since my wife got pregnant, she got asthma.
The torture made it difficult to sleep day and night, and the pain was excruciating."
Huang Su nodded and asked: "Have you caught the new prescription?"
"It's been taken care of, and the traditional Chinese medicine pharmacy is waiting for it." The patient's husband said worriedly: "Director Huang, since excessive dosage of rhubarb and thenardite may lead to the risk of miscarriage, look, didn't the prescription you prescribed at the beginning have an effect?
, it’s better for us to use the previous prescription to treat it more slowly and steadily.”
Huang Su explained: "Family members don't have to worry. As long as the medicine is used properly, there is no risk of miscarriage. If the treatment is slow and the evil heat remains for a long time, it will damage the innate vitality of the fetus and there is a risk of miscarriage. Even for adults,
After being cured, the fetus is fine, but it will inevitably become frail and sickly after birth."
While the patient's husband was hesitating, the nurse had already brought over the Chinese medicine.
Looking at the brownish-yellow and slightly black Chinese medicine liquid, the patient finally agreed.
About a quarter of an hour after the patient drank the Chinese medicine, he suddenly felt the urge to defecate.
The patient's husband carefully supported the weak woman and slowly moved her to the bathroom.
Huang Su instructed: "Don't flush the feces away yet. Come out and tell me what the feces looks like."
After a while, the patient walked out of the bathroom with the support of her husband.
Everyone clearly found that the rise and fall of the patient's chest and abdomen had slowed down, there was almost no noise during breathing, and his asthma symptoms had greatly improved. Although his face was still green and purple, his spirit was slightly better.
The purgative method emphasizes speed and is a method often used in first aid in traditional Chinese medicine. It has the effect of relieving and subsidence of diseases caused by obstruction of evil qi.
After the patient was settled on the hospital bed, the patient's husband said with joy: "Director Huang, my wife has passed a lot of stools that were like jelly, and finally she has passed stools after so many days."
Friends from the south may not know what jelly is, but you can imagine it looks like jelly.
Just when the family members were happy, the patient on the bed whispered: "I'm hungry."
As soon as he heard that his wife wanted to eat, the patient's husband showed a smile on his face. This was the first time that his wife had taken the initiative to ask for food in half a month of hospitalization.
Huang Su smiled and said, "Hurry up and buy food for your wife."
After the patient's husband thanked her repeatedly, he happily walked out of the ward and never mentioned the dosage of rhubarb and thenardite again.
Looking at the backs of the happy patients' family members, Huang Su frowned and couldn't be happy.
I am still restricted by the pharmacopoeia. Using too little will cause the patient to suffer another day of torture. If life is at stake, do I still dare to prescribe it?
The Pharmacopoeia stipulates that the dosage of rhubarb is between five and fifteen grams, and that of Glauber's salt is between six and twelve grams. It is stipulated that pregnant women should use it with caution.
Many medicinal materials in traditional Chinese medicine have taboos. If you are taking medicine for a disease, why are there any taboos?
Ignoring thousands of years of medication experience, imposing one-size-fits-all rigid regulations on traditional Chinese medicine, while leaving modern synthetic drugs that have many sequelae and adverse effects unchecked, is it too harsh on traditional Chinese medicine?
As a result, whenever Chinese medicine formulates a treatment, it always seeks careful planning, not seeking success, but seeking no faults.
Especially for special patients such as pregnant women, no matter what the disease is, they often think of preserving the fetus first.
Although he knows that the disease should be treated with attack, and attack will eliminate the fetus, he still looks forward and backward, and prescribes safe medicine. He does not care whether the prescription is effective, but only cares about whether it complies with the pharmacopoeia regulations.
As everyone knows, the disease should be attacked but not attacked. If the disease is not attacked, the disease will progress, and if the disease progresses, the fetus will be miscarried. When the disease is attacked, it should be attacked. Only by attacking properly can the disease be cured and the fetus preserved.
A special patient group has so many concerns, not to mention the toxic medicinal materials in traditional Chinese medicine, which have long been taboo. They are often used by Chinese medicine practitioners with ulterior motives to attack traditional Chinese medicine, but they never mention that traditional Chinese medicine has been used for thousands of years.
The method of neutralization has long been found in experience.
Taking Aconitum as an example, we can often see that in most prescriptions where Aconitum appears, licorice or licorice will appear.
Licorice can neutralize the toxicity of many toxic traditional Chinese medicines. In addition, its medicinal properties are sweet and flat, which will not offset the properties of other drugs. Licorice has become the most commonly used medicinal material to neutralize the toxicity of drugs.
And every time I mentioned the side effects of Western medicine to them, they would selectively forget them.
Huang Su knew that if he were in a hospital with a well-established Chinese medicine department, such a prescription would never be prescribed. Even if it were prescribed, it would be rejected, and he would also be invited to drink tea twice by the department and the hospital office.
Traditional Chinese medicine in ancient times emphasized that there is no death for a reason, and there is no death either.
Nowadays, Chinese medicine practitioners pay attention to prescribing according to the pharmacopoeia. Regardless of whether the dosage of medicine is sufficient or not, there is nothing wrong with prescribing accurately according to the pharmacopoeia, so as not to cause trouble for oneself, causing Chinese medicine to treat diseases slowly and not at all.
There has long been no one-person approach, and the characteristics of treatment that vary from person to person have been completely constrained by the discourse system of Western medicine.
In addition, we train batches of traditional Chinese medicine doctors who do not know how to treat diseases, or who use the name of traditional Chinese medicine to practice Western medicine.
If this continues, the inheritance will be lost...
Chapter completed!