149 disulfiram-like
Wu Buwei is also a doctor now. He can treat patients, but he cannot prescribe medicines. However, it is perfectly fine to prescribe some over-the-counter medicines or proprietary Chinese medicines.
Doctors do not have the right to prescribe. Prescribing must be supervised and guided by a superior doctor.
But in Zhonghu Town, most of the village doctors are medical practitioners, and only three people, including Du Fei, are junior practitioners.
For them, the policy is a little more relaxed, and they can prescribe some prescription drugs in their own clinics.
Otherwise, there is an emergency in the village, and there is no prescription medicine to help. By the time they get to the hospital, they will probably be cold.
Du Heng did not disturb him, but found a place next to Wu Buwei's stool and sat down.
Wu Buwei glanced at him, and Du Heng shook his head gently, "Leave me alone, it's up to you."
After hearing what Du Heng said, Wu Buwei no longer looked at Du Heng, but took the pulse seriously.
Du Heng said nothing, but kept observing the patient in front of him carefully.
Female, in her fifties, with red face and eyes, sweating profusely.
At this time, Wu Buwei also finished diagnosing the pulse, but it took a bit long. It was similar to Du Heng before. It should be confirmed with the things in his mind while diagnosing the pulse.
"Auntie, apart from dizziness, nausea, and vomiting, do you have no other symptoms?"
"No, I'm just sweating a lot right now. Look, my clothes are already soaked through now."
"Have you taken any medicine before coming here?"
The patient thought for a while and said, "I felt a little dizzy at noon and felt nauseous. I thought I might have heat stroke, so I drank a bottle of Huoxiang Zhengqi water. I still felt dizzy afterwards, so I went to sleep.
I don’t know why, but when I woke up, I was like this. I was sweating too much."
Wu Buwei was also a little unsure.
The patient's pulse is counted. According to "Pin Hu Pulseology", it can be seen that the pulse is yang and heat. Only Jun Xianghuo is used for treatment. In fact, it is suitable for cooling and diarrhea, deficiency and warm tonic, but lung disease is severe in autumn, but it is afraid of it.
Combined with the patient's physical characteristics, this is a disease of heat invasion, that is, heat stroke, and it is also a mild heat stroke.
But the sweating now is really weird. Even if Huoxiang Zhengqi Water has the effect of sweating, it will only cause slight heat and sweating on the body surface, and it is impossible to be like the sweating profusely now.
Wu Buwei was unsure about paying attention and turned his attention to Du Heng.
Du Heng looked at Wu Buwei and asked for help, but Du Heng was also puzzled.
Wu Buwei's pulse diagnosis should be correct, and judging from the patient's symptoms and self-report, it was indeed like heatstroke, but the sweating also stumped Du Heng.
But now that Wu Buwei couldn't take it anymore, he could only take the initiative to ask the patient, "I hear you are a little mute when speaking. Do you have a cold?"
The patient nodded, "The wind blew me last night. I already had pharyngitis, so my voice was a little hoarse when I woke up in the morning. It must have been caused by inflammation again."
"Oh, have you taken anti-inflammatory drugs?"
"Then you must take it. You don't know, my pharyngitis is driving me crazy. If I don't control it in advance and take anti-inflammatory medicine every time, I won't be able to speak, and I won't be able to eat."
After saying this, Du Heng immediately thought of the content of his chat with Yu Haiting just now. The two of them had really talked about this issue.
Du Heng perked up and quickly asked, "What medicine did you take?"
"It's just that cephalosporin or something, I can't remember the last three words."
It doesn’t matter if you don’t remember the last three words, as long as you remember the first two words.
As the saying goes, cephalosporin is used to match wine, and the suona is played all night long.
But if you take Cephalosporin and Huoxiang Zhengqi Water, you can just go.
Drinking these two medicines together will also cause drug reactions.
Mild dizziness, nausea, vomiting, chest tightness, and weakness in the limbs can lead to anaphylactic shock, liver damage, acute heart failure, and even death.
For one reason, Huoxiang Zhengqi water contains alcohol.
Therefore, after taking cephalosporin, it is best to wait for about a week before drinking or drinking alcoholic beverages, otherwise you will really have to play the suona all night long.
"Oh my God, you have a reaction between cephalosporin and Huoxiang Zhengqi Water, which is called a disulfiram-like reaction." He said to Wu Buwei, "Go and call Dr. Yu down and let him handle this situation.
The methods of Western medicine are more direct and better than those of traditional Chinese medicine."
Wu Buwei also understood and quickly got up to find Yu Haiting.
The aunt didn't understand the disulfiram-like reaction, so she asked in a panic, "Doctor, am I poisoned?"
"Almost the same meaning."
"Then can I still be saved?" There was a cry in his voice.
Du Heng laughed and shook his head, "It's okay. Your situation is not serious. Just let Dr. Yu help you deal with it later."
The aunt was relieved when she heard what Du Heng said.
Chatted with the patient for a few more words to help him relax and not be so nervous.
While they were chatting, Yu Haiting had already walked in quickly.
"Dean, what's going on?"
"Take a look, it should be the disulfiram-like reaction caused by mixing cephalosporin and alcohol as you just told me."
Yu Haiting's heart skipped a beat.
Just now, Du Heng solved the problem that trapped him with just two medicines. He was very impressed. But he didn't want to talk to him just now and introduced him to the disulfiram-like reaction. He could use it so quickly.
This brain is also very useful.
Yu Haiting checked carefully and then confirmed what Du Heng said, the patient was really reacting to cephalosporin.
In fact, the correct approach now is to give the patient a blood test, but the conditions in the health center are such that these auxiliary methods can only be omitted.
Du Heng looked at Yu Haiting and nodded, then asked, "Can you handle it here?"
"Yes, our medicines are complete and can be processed completely."
"That's good, I'll leave the patient to you."
Seeing Yu Haiting leading people out, Du Heng sat on his chair and became silent.
This is not the first time that a patient drank the wrong medicine, leading to more severe disease.
When he entered the village in March, he discovered several cases. One of them was his mother-in-law, who suffered from general edema caused by taking cold medicine.
This problem also exists in cities, but it is rare. Every time when taking medicine, whether it is the doctor who prescribes the medicine or the nurse who takes the medicine, they will tell the patient which medicines cannot be mixed and how long the interval is.
p>
But in rural areas, one is limited by the overall level of village doctors, and they themselves don’t know whether these medicines can be mixed. The other is that there is no habit of telling people who take medicines what medicines cannot be mixed.
Patients don't have this awareness and rarely ask. Even if they ask, they forget it as time goes by.
However, medicines such as Cephalosporin and Huoxiang Zhengqi Water are commonly used at home. If you feel slightly uncomfortable, don’t go to a clinic or hospital, just drink some medicine and be done.
But this is what happens all the time.
Nowadays, the weather is getting hotter and hotter. We turn on the air conditioner, drink cold drinks, eat ice cream, work in the fields under the bright sun, and sit directly on the ground when we are tired. The intrusion of heat and moisture is particularly likely to cause intestinal discomfort.
Fever, sore throat, diarrhea and other problems will become more and more common, and the frequency of use of Huoxiang Zhengqi Water will become higher and higher.
Huoxiang Zhengqi Water is available in every village clinic, and patients will not go to the health center to get medicine.
Chapter completed!