Chapter 17 Five Late and Five Soft (please collect, comment, recommend, monthly vote, invest)

After three days of acupuncture treatment and traditional Chinese medicine conditioning, Lu Yan.

B-ultrasound showed that the fetus that had stopped growing was showing signs of development again, and Lu Yan's condition had entered a stable period. The next step was to continue taking the traditional Chinese medicine prescribed by Flavin and cooperate with acupuncture.

The obstetrics and gynecology department will also conduct regular B-ultrasound examinations to continuously observe the development of the fetus and provide the most intuitive situation for the adjustment of traditional Chinese medicine treatment plans.

After a week's delay, Huang Su took Narisong and He Huicai to the pediatric department to report.

As soon as the three of them entered the office of the director of pediatrics, Agudamu warmly received the three of them, which was completely different from the cold, indifferent and shady attitude of the obstetrics and gynecology department.

"Welcome colleagues from the Department of Traditional Chinese Medicine to transfer to the Department of Pediatrics." Agudamu enthusiastically shook hands with the three Huang Sus one by one, and then asked: "How is Lu Yan's condition now?"

Huang Su briefly told Agudamu about the changes in Lu Yan's condition and treatment plan these days. After all, she may need to use pediatrics in the future.

Agudamu listened quietly and nodded occasionally.

"It's good that the condition is developing in a good direction. This is the first case of multi-disciplinary comprehensive consultation and combined treatment of traditional Chinese and Western medicine in our hospital. Now the whole hospital is watching this case. Huang Su, you have to be more cautious."

Agudamu saw that Huang Su had just entered the hospital, and he deliberately mentioned a few words. If this kind of thing is done, it will bring fame and fortune. I don't know how many pairs of red eyes are watching behind the scenes.

"Thank you, Director Agudamu." Huang Su could hear the other person's suggestion and was very grateful. Then he asked, "Director Agudamu, you see we are led by that pediatrician."

Agudamu said: "Director Huang's medical skills are well-known in the obstetrics and gynecology department. I will take care of the three of them myself."

"My idea is that during this month, patients with difficult problems in pediatrics will be invited to the Department of Traditional Chinese Medicine for consultation."

Huang Su said modestly: "Then I'll have to trouble Director Agudamu from now on."

Agudamu waved his hand and said: "In the future, the pediatric department will have to trouble Director Huang. There are two difficult patients today, and Director Huang is invited to consult together."

Huang Su didn't expect it to happen so suddenly and didn't give him any time to react.

With that said, Agudamu took Huang Su and the others straight to the outpatient building, introducing the basic situation of pediatrics while walking.

In the past, the pediatric department of the city hospital was only divided into pediatric internal medicine, neonatology and pediatric internal medicine.

Isn’t this going to be upgraded to a tertiary hospital next year? Pediatrics will be divided into more detailed categories, and seven or eight departments will be added, including respiratory medicine, gastroenterology, neurology, urology, and brain medicine, and a group of key doctors will be transferred from the internal medicine department.

, many of the newly recruited doctors today have to be added to the Department of Internal Medicine.

Agudamu introduced: "The first patient we consulted today is named Zhang Tao. He is three years old this year. Due to underdevelopment of the brain, he has symptoms such as mental retardation and difficulty moving."

"The patient used to be in the Department of Neurology, but now that the Department of Neurology has been added to the Department of Pediatrics, the patient was transferred to us. We still don't have a good treatment for this disease, so I would like to ask Director Huang to take a look at it from the perspective of the Department of Traditional Chinese Medicine.

"

Arriving at the Children's Brain Department, Agudamu knocked on the door and walked into the clinic with Huang Su and the others.

In the clinic, there was a fifty-year-old doctor and a woman holding a little boy in her arms.

The little boy lay quietly in his mother's arms, his head seemed to be slumped on her chest without support, drooling from the corners of his mouth, and his eyes looking ahead without focus. He was the most curious and active age about the outside world, but

The little boy didn't react at all.

Agudamu introduced to the middle-aged doctor: "Doctor Qin, this is Director Huang of the Department of Traditional Chinese Medicine who came for consultation."

Doctor Qin came out from behind the table, held Huang Su's hand enthusiastically and said, "I have heard about Director Huang's medical skills for a long time, and today I finally got to see him in person."

Huang Su said modestly: "Dr. Qin is too polite. Let's communicate with each other. I still have a lot to learn."

Dr. Qin introduced to the patient's family: "Mother Zhang Tao, this is Director Huang of the Department of Traditional Chinese Medicine. Let's try to see how to treat your son's disease from the perspective of Traditional Chinese Medicine."

Glancing at Zhang Tao's mother, Huang Su saw the shadow of Lu Yan's husband, who was equally numb. The disease devastated not only the patient himself, but also the patient's family members.

Huang Su sat down face to face with Zhang Tao's mother and said, "Zhang Tao's mother, can you tell me about the child's condition?"

Zhang Tao’s mother was crying and recounted:

"My son developed a high fever on the fourth day after he was born. When he went to the hospital, the doctor said he had jaundice and fever. Not long after the fever and jaundice subsided, the child began to nod and shake his head involuntarily. We didn't pay attention at first, thinking it was because the child was curious.

While observing outside, when he was half a year old, the child had frequent convulsions again. He went to many hospitals and was told that the brain was underdeveloped, but there was no cure. Until the convulsions disappeared after one year old, we thought the child was cured.

But the problem of nodding and shaking the head has become more serious, and drooling has also occurred."

"Last year, my hands turned inward and swayed again. My walking became unbalanced. My neck seemed to have no support, and my head drooped every day. At the beginning of this year, I suddenly lost the ability to speak, and other problems also worsened. Now I have become dull.

He was stupid and unresponsive to the outside world. For the sake of our child, we visited hospitals in all big cities and spent all our savings. This time we went home as a last-ditch effort."

Based on the preliminary observation of basic flavin and combined with Zhang Tao's mother's narration, flavin roughly judged that the child's syndrome was the "Five Chi" and "Five Softness" of traditional Chinese medicine.

Huang Su took out the pulse pillow and put it on the table and said: "Mother Zhang Tao, put the child's arm on the pulse pillow, and I will diagnose the child's pulse."

Huang Su stretched out a finger and pressed it on the third part of the child's Cun Guan Chi.

This diagnostic method is called the one-specified three-pass method, which is a pulse-cutting technique for children with short cunkou pulse.

Pediatrics is very difficult for traditional Chinese medicine. For ordinary doctors, children aged one to three years old are not suitable for pulse diagnosis. The four diagnostic methods of traditional Chinese medicine combined with ginseng are missing one, and the condition can often only be identified by tongue coating.

Those who can grasp the pulse of young children are experienced traditional Chinese medicine doctors, because the pulse of infants and young children is different from the pulse of adults.

Normally, the pulse of children is gentle, softer and faster than that of adults. The younger the age, the faster the pulse. If calculated based on the normal breathing of adults, the breath of a newborn baby is 7-8 to, that of a 1-3 year old is about 7 to, and that of a 4-7 year old is about 6 to

, about 5 to 8-13 years old. If the pulse is accelerated due to activity, crying, etc., it should not be considered to be pathological.

For a three-year-old child, Huang Sude was particularly attentive in diagnosing the pulse this time, and spent half an hour checking the pulse with two hands and feet.

Pressing the ruler on Zhang Tao Cun Guan is like pressing on the strings of a piano, but the pulse beats thin and weak. This is a stringy pulse condition, which is more common in liver and kidney yin deficiency, blood deficiency and liver stagnation, liver stagnation and spleen deficiency, etc.

Huang Su looked at Zhang Tao's mother and said, "Mother Zhang Tao, let the child open his mouth, and I will take a look at the tongue coating."

Zhang Tao's mother took out a lollipop from her bag and shook it in front of her child for half an hour. The child was attracted by the candy and slowly opened his mouth, but only for a short time.

After many times, it's still the same.

Huang Su had no choice but to take out the tongue depressor and stick it into Zhang Tao's throat.

When Zhang Tao retched and stuck out his tongue, Huang Su quickly checked the condition of his tongue.

A red tongue with no coating is a sign of yin deficiency. The three parts of the tongue represent the heart, lungs, spleen and stomach, kidneys and lower burner intestines. This is a sign of yin deficiency in the internal organs.

Huang Su turned to look at He Hui and asked: "I just told you about the 'Five Chi' and 'Five Softness' a few days ago. He Hui, please tell me about the 'Five Chi' and 'Five Softness'. How are they caused?"

How to treat.”

Five Chi refers to delayed standing, walking, speech, speech, and teeth; Wu Chi refers to soft head, soft mouth, soft hands, soft feet, and soft muscles, all of which are growth and development disorders in children.

In Western medicine, the symptoms of brain hypoplasia, mental retardation, cerebral palsy, rickets, etc. can all be seen in the symptoms of five chi and five soft. Five Chi is characterized by developmental delay, and five soft is characterized by flaccidity and weakness. Both of them are

They can appear alone or together with each other.

He Hui replied: "The five delays and five softness are caused by congenital deficiencies. We should nourish the kidneys and strengthen the foundation to strengthen the congenital."

Huang Su explained the child's disease syndrome to Zhang Tao's mother from the perspective of traditional Chinese medicine: "Mother Zhang Tao, the child is born with insufficient kidney qi, resulting in insufficient brain and marrow. I will prescribe a prescription for the child to nourish yin, liver and kidney, calm the liver and calm wind. First,

Take it for a month and then come back for a follow-up visit.”

The liver stores blood, and the kidneys store essence. The liver blood relies on kidney essence for nourishment; the kidneys receive liver blood and are replenished with essence. When treating the syndromes of "five delays" and "five softness" with traditional Chinese medicine, while nourishing kidney qi, it is also necessary to nourish the liver.

,Indispensable.

"He Huiji Prescription: 60g of raw purple calabash, 60g of raw purple quartz, 30g of raw cassia, 30g of mother of pearl, 30g of Eclipta, 15g of Albizia, 25g of Tribulus terrestris, 25g of Ligustrum lucidum, 12g of snail shell, 12g of Tianzhu Huang,

12g of Dannanxing, 18g of Gastrodia elata, and 1g of musk.”

Ligustrum lucidum and Eclipta can nourish the essence and blood of the liver and kidneys, make the essence and blood sufficient and the brain marrow strong, and promote the growth and development of children. Albizia lucidum can calm the nerves, and can be used with musk to refresh the mind. It can also be used with Tianzhu Huang and Dannanxing.

It is used to relieve phlegm and help resuscitation. Purpurea, amethyst, quartz, cassia, mother-of-pearl, and white tribulus are used to calm the liver and relieve wind. The compatibility of these medicines can promote intellectual development.

Ligustrum lucidum and Eclipta can also be replaced by Eucommia ulmoides, Polygonum multiflorum and other medicines, and Albizia Julibrissin can also be replaced by calamus, Polygala, and Pleurotus chinensis.

Huang Su handed the prescription to Zhang Tao's mother and said: "Grind the medicine on the prescription into fine powder, mix it with honey to make honey pills, each pill is 6g, take 1 pill in the morning and evening every day, take it for a month and then come back for a follow-up consultation."

After sending away Zhang Tao's mother and son.

Agudamu said sheepishly: "Today, I would like to trouble Director Huang and I to go to the inpatient department to see a child with hemiplegia.
Chapter completed!