Chapter 6 Transfer Department of Obstetrics and Gynecology (please collect, comment, recommend, monthly vote, invest)

Monday, early morning.

Today is the first day of transfer. Huang Su arrived at the city hospital early. He first passed the obstetrics and gynecology department and entered the outpatient department of traditional Chinese medicine.

After opening the door, He Hui put down her book and stood up to say hello in unison: "Good morning, director."

Huang Su put on his white coat and said, "Let's have a morning meeting to talk about today's transfer from the Department of Traditional Chinese Medicine."

Ri Song and He Hui sat down facing Huang Su.

"There are two things I want to say about this transfer. First, you are not allowed to mention the treatment last week in the obstetrics and gynecology department. Second, we are communicating and learning, so we must be humble and pay attention to the words in the obstetrics and gynecology department. Especially in the obstetrics and gynecology department.

It’s your Narisong.”

"I know, director!" Narisong replied weakly.

Huang Su raised his head and glanced at the clock hanging on the wall. Holding the time, he took Na Risong and He Hui out of the outpatient clinic and came to the floor of the obstetrics and gynecology department in the inpatient area. He just happened to catch up with the obstetrics and gynecology department after finishing today's morning session.

meeting.

Liu Huiying enthusiastically stepped forward to shake hands with Huang Su and said: "Director Huang, welcome colleagues from the Department of Traditional Chinese Medicine to the Department of Obstetrics and Gynecology. I would also like to ask colleagues from the Department of Traditional Chinese Medicine for your advice during this month."

This does not sound like welcoming a new doctor who has transferred to another department, but rather like welcoming an expert who comes to guide the business.

Listening to the sarcasm in the words, Huang Su said in a neither condescending nor arrogant tone: "Director Liu, I don't dare to take your words seriously. Traditional Chinese medicine and Western medicine have their own strengths. We should communicate more with each other and deepen our understanding. As for giving advice, we don't dare to take it seriously.

, we are all students who have just stepped out of school, and we still focus on learning."

It seems that the grievances in the obstetrics and gynecology department are not small. I hope that a month of working together will slowly subside.

"Yes, yes, yes! Communicate with each other and deepen our understanding." Liu Huiying agreed inconsistently, and introduced Dr. Yan beside her to Huang Su: "This is Yan Bing, Dr. Yan. In the month since he was transferred to the department, he has been transferred to another department."

The doctor will guide you, even though Dr. Yan is young, he is the backbone doctor of our department."

Looking at Dr. Yan, who was intellectual and cold, Huang Su nodded gently and said, "Doctor Yan, please take good care of me in the future."

Yan Bing didn't speak, just nodded slightly.

The already delicate atmosphere was made even more embarrassing by Yan Bing.

Cough cough cough!

Liu Huiying coughed lightly and said: "Don't be offended, Director Huang. Dr. Yan has such a personality. Once you have been in contact with him for a long time, you will know that Dr. Yan is a cold-faced and warm-hearted person. We are about to go to the ward rounds, why don't you, Director Huang,

The three of them are also traveling together."

Huang Sudao: "Since we have been transferred to the Department of Obstetrics and Gynecology, we are now part of the Department of Obstetrics and Gynecology, so we naturally follow Director Liu's arrangements."

"good!"

Liu Huiying led all the medical staff to the obstetrics and gynecology ward area. The three Huang Sus and three new doctors who were also transferred to the department walked at the back according to their seniority.

That day, Risong looked at Liu Huiying, who was walking in the front, with more than a dozen medical staff behind her. He put his head next to Huang Su and whispered: "Director, with this arrogance, I must work hard to become a director in the future."

Physician."

Huang Su also joked: "It's easy to feel the momentum of this momentum. He Hui and I are walking behind you. Although we can't feel the momentum of the director of the Department of Obstetrics and Gynecology, we can first let you feel the momentum of the first brother of the Department of Traditional Chinese Medicine."

.”

He Hui came over to attack Narisong and said: "Director, tomorrow you will test his classics and let him feel the momentum of the ten thousand year younger brother in the department."

Huang Su echoed: "He Hui's idea is good. You will make a profit this time on Narisong. Big brother and little brother can switch freely."

While the three of them were chatting and laughing, the obstetrics and gynecology inpatient area soon arrived.

Liu Huiying called Huang Su and the others over and said, "Since Dr. Yan is leading the colleagues from the Department of Traditional Chinese Medicine, we will start investigating Dr. Yan's patients today."

The patient's husband saw the doctor coming over for examination and got out of the way.

Dr. Yan walked to the bed and began to introduce the patient's condition: "Chen Ping, a new patient admitted to the obstetrics and gynecology department on Saturday. The affected area has been compressed with 25% magnesium sulfate for two days, and has been injected with metronidazole and penicillin to reduce inflammation.

The fever remains high and the number of white blood cells has not decreased."

Huang Su was also observing the patient's condition at this time.

The patient was listless and lying weakly on the hospital bed.

Liu Huiying frowned and asked someone to close the blocking curtain, preparing to examine the patient's affected area.

The patient’s family members helped Chen Ping unbutton her shirt to expose the lesion on her left side.

During Liu Huiying's examination, Huang Su also carefully observed Chen Ping's affected area. Only one-third of the area of ​​the lesion was red and swollen, and some areas were purple-red. There was no ulceration or pus.

Liu Huiying separated her thumb and index finger and gently pressed the lesion with the tiger's mouth.

When pressing the lesion, Chen Ping felt a burst of pain, which made Chen Ping frown and take a breath of cold air.

Fortunately, no lumps were found, and there was no fluctuation in the lesions. Liu Huiying breathed a sigh of relief.

If there is a fluctuating sensation, it indicates that there are signs of suppuration within the lesion.

The patient's husband saw the doctor finishing the examination and asked hurriedly: "Doctor, how is my wife's condition? She has been hospitalized for two days and her condition has not improved at all."

Liu Huiying was just about to say that she would try cephalosporin, but she turned around and saw the three Huang Sus standing outside. She had the idea of ​​​​considering a competition. Yan Bing happened to have two patients with acute suppurative mastitis on his hands. Let's see who is better.

Can be cured first.

"Director Huang, what do your Chinese medicine doctors think of acute suppurative mastitis?"

Huang Su took Narisong and He Hui forward and hesitated: "Director Liu, this is not good, we are now transfer doctors."

"Director Huang, it doesn't matter. Since he is transferred to our Department of Obstetrics and Gynecology, and he is also a doctor in our Department of Obstetrics and Gynecology, we should communicate and learn from each other." Liu Huiying blocked Huang Su's mouth with what Huang Su just said, and turned to ask the family members.

He said: "Family of the patient, please see that our Western medicine treatment has not been ideal these past two days. How about using Chinese medicine to treat your wife?"

The patient's family members were very talkative and said: "It doesn't matter whether you Chinese medicine or Western medicine, as long as you can cure my wife."

Liu Huiying took the initiative to give up her position.

Seeing that Liu Huiying had made up her mind, Huang Su took the stool and sat beside the bed, gently took the patient's arm, put three fingers on the three parts, and felt the pulse while saying: "We Chinese doctors call this disease mastitis. That day

Song, He Hui, can any of you introduce breast cancer to the obstetrics and gynecology doctors?"

How could Narisong miss this opportunity to look good in front of others? He coughed twice and said: "Breast cancer is a common disease among postpartum women, especially first-time mothers. In the theory of traditional Chinese medicine, RT belongs to the liver and RF belongs to the stomach. Breast cancer is the cause of the disease.

Related to the liver and stomach meridians.”

Huang Su let go of the patient's arm and said, "Put out your tongue and let me see the tongue coating."

The patient slowly opens his mouth and slowly sticks out his tongue.

Carefully observe the tongue coating and see that the tongue coating is slightly yellow, and the yellow coating is mainly due to internal heat syndrome.

Huang Su asked the patient to put away his tongue and asked: "Do you feel dry in your mouth and want to drink water?"

The patient nodded slowly.

Huang Su continued to ask: "How is your appetite?"

The patient's husband picked up the insulated lunch box on the cabinet, unscrewed it and showed the four-fifths of the gruel left inside, saying, "I can't eat at all. Doctor, look, I stopped drinking a box of porridge after just two mouthfuls."

Huang Su nodded and stood up, looking at Narisong. He Hui asked, "Have you ever studied pulse in college?"

The two nodded and said, "I have learned."

"Then come over and feel the pulse. The patient has a typical pulse count."

After Huang Su finished speaking, he made way for the two of them to come over.

That day, Risong was the first to rush over. He sat on the stool and stared blankly at the patient's wrist for a moment.

Recall the knowledge taught in the textbook, carefully stretch out your middle finger to find the radial bulge behind the opponent's palm, move it down to set the gap, then stretch out your index finger and ring finger, tighten the three fingers, and look for the cun and chi parts.

Everyone's Cun Guan ruler width is different. The three parts are the same width as your index finger, middle finger, and ring finger.

When a Chinese medicine practitioner diagnoses a patient's pulse, he or she needs to adjust the distance between his three fingers. If the distance between his three fingers is thinner, he should tighten it, and if he is three fingers thicker than his own, he should open it up.

After seeing that Risong was in the right position, Huang Su said: "Adjust your breathing and feel the beating rate of your pulse."

"Mai Jing": "The number of pulses comes and goes quickly."

The number is yang heat, which belongs to heat and fire, and is the main cause of heat disease. It can be seen in wind-heat invading the lungs, dryness invading the lungs, flaming lung-heat, phlegm-heat blocking the lungs, Feng Shui competing with each other, liver stagnation turning into fire, blazing liver fire, and liver yang.

Hyperactivity, liver yang converts into wind, phlegm-fire disturbs the body, excessive stomach heat, intestinal damp-heat and many other heat syndromes.

The pulse rate of new diseases is mostly due to excessive heat syndrome caused by external pathogens.

A rapid pulse, yellow coating, body heat, dry mouth and thirst are all manifestations of Yang syndrome.

"Encyclopedia of Ulcer Medicine" says: "When diagnosing and treating carbuncle, one must first examine yin and yang. This is the guideline of medical ethics. There is no difference between yin and yang, so there is no difference in treatment."

Huang Su explained the diagnosis of traditional Chinese medicine to everyone around him: "The patient is caused by external evil poisons, liver stagnation, stomach heat, and milk stagnation that interact with each other, resulting in unblocked milk collaterals, accumulation of milk, blocked milk ducts, and qi stagnation.

High fever caused by blood stasis. If the stomach heat persists, no amount of anti-inflammatory drugs can reduce the fever."

He looked at the patient's family and said: "I will prescribe you a prescription to soothe the liver and regulate qi, clear away heat and detoxify, and activate blood circulation and promote lactation. Four doses in total, one dose a day. Combined with the external application of gold ointment, it is also four doses, changed once a day. Four days later.

We will add or subtract based on the condition."

Huang Su said: "He Huiji Prescription: 10g Bupleurum, 10g Scutellaria baicalensis, 15g Dandelion, 10g red peony root, 10g tangerine leaves, 10g each of milkmyrrh (frankincense and myrrh), 10g fenugreek, 10g passepartout, 10g honeycomb."

After He Hui memorized the prescription, he handed it to the patient's husband after checking the lutein, and then began to give Narisong. He Hui explained why he prescribed the prescription in this way.

"Treatment of mastitis depends on the liver, stomach, Bupleurum, and orange leaves to soothe the liver and regulate qi, so as to relieve the stagnation of Jueyin and stomach heat; use Scutellaria baicalensis, dandelion to clear away heat and detoxify and clear away the heat of Yangming; frankincense, myrrh, and red peony root.

It activates blood circulation and removes blood stasis, relieves pain and reduces swelling; Luolu can clear away heat, detoxify and open breasts; Passepartout is a good medicine for clearing breasts, and honeycomb is a good product for treating mastitis."

After the explanation, he bid farewell to the patient and his family. During the next ward rounds, Huang Su only carried his ears and eyes. He did not express a word of opinion, but whispered to He Hui to pay more attention to the patient's condition.

Along the way, Huang Su gradually figured out Director Liu's intentions. It seemed that the incident of robbing patients a few days ago could not be easily resolved.
Chapter completed!