Chapter 3 Rhubarb for Hyperthermia in Pregnancy Review Month(1/2)
Chapter 3: Rhubarb treats high fever in pregnancy (please collect, comment, recommend, monthly vote, invest)
Seeing President Burgeud and Director Liu of the Department of Obstetrics and Gynecology leaving, Dr. Liang reluctantly walked out of his clinic.
The patient's condition was urgent, and Huang Su didn't care about Dr. Liang's feelings. He looked at He Hui and said, "He Hui, go to our department and get the prescription form."
Not long after, He Hui came over with a prescription sheet and handed it to Huang Su.
Considering that the patient is pregnant, the neutralizing effect of bitter cold medicine is slightly slower, and the persistent high fever will damage the vitality of the fetus, so Huang Su can only choose a faster-acting purgative treatment.
The purgative method, also known as the purgative method, is one of the eight methods of traditional Chinese medicine. It uses drugs with purgative effects to relieve stool and expel evil spirits. It is mostly used to eliminate gastrointestinal stagnation, cleanse excess heat, and drink water.
Soothe cold accumulation and remove blood stasis.
Huang Su did not take the prescription form, but ordered: "I said, you write. Codonopsis pilosula 13g, gypsum 60g, anemarrhena 20g, bamboo leaves 13g, Chuanpu 7g, Citrus aurantium 7g, white peony root 13g, Ophiopogon japonicus 17g, Lian
13g of licorice, 3g of licorice, and 10g of rhubarb.”
After waiting for a moment, Huang Su looked back to see if the prescription had been written, and watched He Hui stop writing and look at him in confusion.
"Is there anything wrong with the prescription I prescribed?"
He Hui said doubtfully: "Brother, the patient is a pregnant woman. I'm afraid it's inappropriate to prescribe such a large dose of rhubarb. Moreover, she also has a history of habitual abortion. I'm afraid that the fetus may not be saved."
Handing the medical record to Huang Su, He Hui stretched out three fingers to indicate that the patient had a history of three miscarriages.
In traditional Chinese medicine, many drugs are contraindicated for pregnant women.
Medicines for diarrhea, such as rhubarb, sodium salt, etc.
Drugs that activate blood circulation and remove blood stasis, such as peach kernels, paeonol bark, etc.
Improper use of medication may lead to miscarriage in pregnant women, so many traditional Chinese medicine practitioners are afraid to use this type of medication in their prescriptions when dealing with pregnant women.
When Hu Bin's husband heard that Huang Su's prescription might cause his wife to miscarry, he hurriedly asked: "Director Huang, will there be any problem with the medicine you prescribed?"
After the previous doctor's ineffective treatment, the man no longer trusts doctors very much.
Huang Su said with relief: "Family members, don't be nervous, she is just a second-hand knife who has just graduated. I have guaranteed it with my career, so what are you worried about? Putting aside the medical ethics of saving lives and healing the wounded, I will do my best even for myself."
Heal your wife."
Looking back at He Hui, she still praised: "You can realize that rhubarb is taboo for pregnant women, which proves that you have studied hard."
"However, the most taboo thing about learning Chinese medicine is to apply it mechanically without knowing how to adapt it. After studying Chinese medicine for five years, you will never die if you have a reason, and you will never die. Do you still need me to remind you?"
"Old Huang, what do you mean when you say there is no death for a reason, and there is no death either." Narisong next to him asked with an ignorant look.
I thought that only Narisong didn't know. Huang Su thought that it was understandable that a playboy like Narisong didn't study seriously in school. But when he saw that He Hui also looked confused and ignorant, he couldn't help but frown.
Even He Hui, who has always studied seriously, didn't know. It seemed that there must be a reason. Huang Su patiently explained: "This sentence means that as long as the disease is recognized, the medicine used will have the disease to resist it and put it away."
In patients, rhubarb has the effect of purging and clearing away heat. Its medicinal properties naturally resist heat and toxins in the body and will not hinder the fetus. You are not even familiar with the Huangdi Nei Jing, so what kind of traditional Chinese medicine are you studying?"
This time, Narisong, who always liked to show off his power of words, did not open his mouth to refute, and both of them lowered their heads in silence.
Huang Su didn't think much about their strangeness and asked: "He Hui, have you written the prescription?"
"It's written." He Hui handed the prescription to Huang Su.
Huang Su checked it and made sure it was correct. He handed the prescription to the man and explained: "The patient has a high fever because heat poison accumulates in the body. He needs to cleanse the intestines to detoxify and expel evil spirits. When the heat poison is purged from the body, the high fever will naturally subside. So this
The dose of medicine must be taken day and night, once every six hours, for a total of four doses. After taking it, the patient will have frequent bowel movements. Your patient's family members must be accompanied day and night, and I will stay in the hospital tonight."
The man hurriedly bowed his thanks and went to grab the medicine, while other family members pushed the patient to the hospital area.
Although the Department of Traditional Chinese Medicine is newly added, the hospital is fully equipped with Chinese pharmacists who can prepare Chinese medicine and prepare Chinese medicine.
Huang Su has also met these people, and they are all qualified Chinese herbalists.
"Senior Brother Huang, I want to stay in the hospital tonight." He Hui stared at Huang Su and said firmly.
Today's case had a huge impact on He Hui and broke her previous concepts.
She used to think that as long as she studied hard enough, she would be able to become a good Chinese medicine practitioner, and she wanted to observe with her own eyes the patient's subsequent illness.
Huang Suneng saw determination and curiosity about the unknown in He Hui's eyes, and silently nodded in agreement.
"Old Huang, then I want to stay too." Seeing that his girlfriend was staying, Risong was also very curious about the patient's condition and Huang Su's medical skills.
Seeing that both of them wanted to stay, Huang Su encouraged: "Okay, it just so happens that I can let you experience how the Chinese medicine purgative method treats diseases."
Huang Su, the three of them and the nurse pushed the transfer bed to the hospitalization area as quickly as possible.
Inpatient department, obstetrics and gynecology inpatient area on the second floor.
I heard that the Traditional Chinese Medicine Department, which had had no patients for a month and a half, was prescribing prescriptions for treatment today. Some of the idle medical staff on this floor came over curiously to watch the excitement and surrounded the area.
Hu Bin has been admitted to the ward for an hour.
Huang Su sat calmly and calmly on a chair outside the ward, leaning on the back of the chair with his eyes closed to rest. He had to stay up late tonight to regain his energy first.
Na Risong and He Hui beside them were not as calm as Huang Su. They stared anxiously at the ward, and their fists on their legs were already clenched green and white.
In the ward, Hu Bin had been drinking the decoction for a quarter of an hour, and everyone was waiting for the patient's reaction.
In the ward, Hu Bin, who was lying on the hospital bed, twisted his body slightly and said in a weak voice to his husband who was guarding the bedside: "Old Li, I need to go to the toilet."
Hearing his wife's subtle voice, the husband happily helped his wife up and carefully helped Hu Bin into the bathroom.
Not long after, the violent sound of excretion came from the bathroom.
Hu Bin's husband happily ran out of the ward and said excitedly to Huang Su: "Director Huang, it's passed! It's been passed! I haven't had a bowel movement for four or five days, and I finally passed it."
After hearing this, Huang Su took Narisong and He Hui into the ward.
Although the bathroom door has been closed, a foul smell can still be smelled in the room.
That day, He Hui couldn't help but block his mouth and nose.
Huang Su walked to the hospital bed and raised Hu Bin's arm to feel his pulse. The pulse condition did not change much. His face was still red, but his breathing had become much slower.
Hu Bin's husband calmed down his excitement and carefully observed that his wife's breathing was not as difficult as before, and she was much more relaxed when lying down than before. A grown man couldn't help but shed tears. It worked, it really worked.
After placing Hu Bin's arm, Huang Su told his family: "Continue to follow the doctor's instructions."
One afternoon, Hu Bin drank two doses of medicine in a row, excreted it more than ten times in a row, and his body temperature began to drop.
Seeing the patient excreting so frequently, some medical staff who were watching the excitement began to make sarcastic remarks.
"If we continue like this, I see that the patient will not only have a high fever, but also become severely dehydrated, and this time it will lead to death. I see how he will deal with it. After studying Chinese medicine, I really think that Chinese medicine can cure diseases."
"That's right, I think studying Chinese medicine has damaged your brain."
That day Risong heard these gossiping doctors and stood up to argue with them.
Huang Su grabbed Narisong, pushed him down on a chair and asked, "What do you want to do?"
Risong said angrily: "Old Huang, do you think what they are saying is still human? I have no ability to save people. Now that others are saving people, they are still making sarcastic comments. I have had enough of this kind of birdiness for more than a month."
"
"Why do you still want to fight with them?" Huang Suzhen asked, and continued: "The teachers in school didn't teach you how to heal. Don't laugh too much, talk and make noise, talk about right and wrong, talk about people, show off your reputation, and do nothing.
To destroy all doctors is to be proud of one's own virtue."
The meaning of this sentence is that as a doctor, you must not behave frivolously, play and joke, make loud noises, criticize others, show off yourself, slander other doctors, or praise yourself.
That Risong joked: "Old Huang, what age are we in now? You still abide by these rules. You said these people have never done anything. Why don't you put yourself up every day and shout to destroy us? It's us Chinese medicine doctors.
You are a great gentleman, and others can bully you."
"I can't control what they look like. As a Chinese medicine practitioner, you must first rectify yourself and then rectify things." Huang Su said firmly: "Besides, being quick to talk is the behavior of a shrew. If you want to fight back, just slap them in the face with the curative effect.
"
That Risong thought for a while before he figured it out, and laughed and said: "Old Huang, your slap in the face is too vivid. How did you come up with it?"
Realizing that he had accidentally spoken out a later Internet buzzword, Huang Su did not explain much and let Na Risong laugh.
In the early morning, Huang Su, who was resting on a stool, was suddenly shaken awake.
"Director Huang, go and see, my wife's temperature has dropped," Hu Bin's husband said excitedly while shaking Huang Su.
When they heard that Hu Bin's high fever had subsided, the faces of several medical staff standing in the distance who insisted on watching the excitement suddenly turned ugly. Some of them muttered something before leaving, which was all very unpleasant.
After being woken up, Risong and He Hui rubbed their dry eyes and followed them into the ward to see what happened.
Huang Su took the thermometer and saw that his body temperature had dropped to thirty-six degrees eight.
Hu Bin's husband would have been frightened if he hadn't seen his wife's body temperature dropping continuously and urinating fourteen or five times in half a day.
Huang Su walked to the bed and carefully checked Hu Bin's condition. She was very exhausted due to frequent diarrhea, and the exposed skin on her face, neck, and arms was covered with a layer of fine beads of sweat.
"How do you feel now?"
Hu Bin said weakly: "I feel much more relaxed, but I'm just a little thirsty."
Huang Su picked up the pregnant woman's arm and felt her pulse. The pulse was very slight and had improved a lot.
"Did you drink the third dose of medicine?"
The man replied happily: "It's been half an hour since I drank the third dose."
Huang Su nodded and said: "The patient's long-term fever will damage Yin and consume Qi, which may damage the vitality of the fetus. I will give you a prescription for recuperation and aftermath."
To be continued...