"The patient has dampness and heat in his body and is blocked by evil heat. He should use Dahuang Mudan Decoction to purge heat and remove blood stasis, eliminate carbuncle and invigorate qi."

Du Heng did not act coquettishly, but looked at Dr. Zhou and expressed his thoughts directly, "Similarly, if the patient has heat and chest knot, then I will use honeysuckle, the holy medicine for sores, as this medicine is best for treating carbuncle and swelling; and then use it again

Hibiscus leaves and forsythia are used to reduce swelling and expel pus to relieve pain; finally add coix seed, Toupu Powder to detoxify and expel pus, and betel birch to relieve water and reduce swelling.

The combination of various medicines can clear the bowels and eliminate carbuncle, and can easily release the poison, and the patient's critical illness can be relieved immediately."

Dr. Zhou had a look of surprise on his face, nodded and said, "Indeed, with this combination, Jiedu Chengqi Decoction is more intense, and it has the effect of detoxifying and draining pus, killing three birds with one stone."

Being praised by Dr. Zhou, Du Heng had nothing to be proud of. He chuckled and continued, "I am also planning to increase the use of Bupleurum Decoction and Wumei Pills.

Dabuihu Decoction can relieve Shaoyang and internal diarrhea due to heat knot, Dahuang Mudan Decoction can be used as a supplement.

As for Wumei Pills, it has the effect of warming the internal organs and expelling roundworms. This prescription is even more essential. Otherwise, if you only use the previous prescriptions, the patient can indeed detoxify and expel pus, but it is estimated that the pain will increase ten to twenty times.

If not, it will hurt to death."

When Dr. Zhou heard the words "warming the zang and expelling worms," ​​he slapped his thigh fiercely, "Oh, I'm confused. I was busy solving the problem of the patient's evil heat obstruction, but I forgot about deworming. I'm confused.

”

After saying that, he stood up and said, "Director Du, please write the prescription. I will prepare it now."

"Okay."

Du Heng agreed, took the pen and paper from Xu Pinglin, and started writing.

"Dr. Zhou, I'm sorry."

"Director Du, you are too polite. Isn't this what I should do?" Dr. Zhou reached out and took the prescription handed over by Du Heng. After taking a look at it, he asked, "Decoction and taking the medicine, is there anything I should pay attention to?"

This kind of emergency medicine is often different from ordinary medicine. Doctor Zhou must ask clearly about this.

"Add 2000 ml of water, soak for 1 hour, then boil on high heat for 10 minutes, take 600 ml of juice, then dissolve it into Glauber's salt, add gram of honey and ginger juice, divide one dose into three times...feed once every three hours

, take two doses continuously to stop the disease as soon as possible."

Doctor Zhou nodded to express his understanding, took the prescription and walked out.

Du Heng quickly added, "Dr. Zhou, I have been in the director's office today. If you need anything, just call me."

Dr. Zhou also agreed and left quickly.

At this time, Xu Pinglin made two cups of tea and came over, and happily put one cup for Du Heng, "Thanks to you again today, otherwise we would have to risk the operation."

Xu Pinglin walked back to his seat as he spoke, "You don't know, the patient didn't feel anything at all as he continued to inject Pethidine. He still had abdominal distension and fever. I felt like the bottle was almost full of penicillin."

There really is nothing we can do."

Du Heng blew into the tea cup and took a slow sip. The aroma of tea soaked in boiling water filled his entire mouth.

Du Heng squinted and felt the aroma. What is that word called?

Yes, your mouth is full of flavor!

"Biliary ascariasis is the first time I have seen such a disease, and the roundworms actually come out directly from the trachea, which I did not expect."

Du Heng put down his cup. Thinking of the appearance of the patient just now, he instantly felt a little off-putting. He quickly shook his head to expel that image from his mind.

Xu Pinglin nodded in agreement, "Yes, I haven't seen ascariasis in many years, and I didn't expect to get biliary ascariasis directly. I also became numb. But it also shows that it is really important to pay attention to hygiene.

Based on the patient’s condition and the length of the roundworm, I don’t know how long it stayed in the patient’s stomach.”

Du Heng didn't want to discuss the issue of roundworms, so he changed the subject directly, "This patient should be sent to the Hepatobiliary Department. Why did he send us to the Department of Gastroenterology?"

Speaking of this, Xu Pinglin immediately became depressed, "As you know, our Department of Hepatobiliary Surgery is actually the Department of Hepatobiliary Surgery. Today's patient has fever, nausea, and acute pancreatitis. These are all matters of the Department of Gastroenterology. Those in the Department of Hepatobiliary Surgery

They sent it to us directly, and I can’t push it out.”

Du Heng curled his lips and said nothing about Sheng Yi's housework.

Xu Pinglin also sighed and directly skipped the topic. He would shed tears if he talked about it too much. Because of this matter, they had three digestive departments, and they often argued with the hepatobiliary department.

After all, if you need to transfer from one department to another, it must be a very difficult case. If it were a simple case, who would transfer it to you, they would have quietly admitted you to the hospital and started treatment.

Although these departments all belong to the same hospital, each department has its own tasks and is a relatively independent existence. If there is any benefit, it must be supported by itself.

"By the way, how are things going at your health center? Can you give me an explanation?"

"The investigation is over. Nothing happened. But now that the district bureau has not come to a conclusion or given an explanation, I still suspend all work in the health center." Du Heng sighed. He said he was not angry, but he didn't believe it himself.<

/p>

But now that the district bureau has just completed the leadership adjustment, he also went to ask once, but they just asked him to wait and talked a lot of official talk, so he didn't like to go.

Xu Pinglin touched his tea cup with one hand, "Then what are your plans now? You can't just hang on like this, right?"

"The teacher asked me to go to the outpatient clinic in the Traditional Chinese Medicine Department starting the day after tomorrow."

"That's okay. Anyway, you are still the external deputy director of the Department of Traditional Chinese Medicine and I am the external deputy director of the Department of Gastroenterology. As long as your practice is still there, this working relationship will always exist."

Xu Pinglin said, his eyes suddenly rolled, "How about this? You see how miserable you are now, why not just resign and come to my Department of Digestion as the deputy director, and I will get you a job in the hospital.

quota.

If you want to establish a system, Lao Li and I will think of a way, and with your current reputation, I believe the hospital will consider it."

Du Heng's heart moved. This suggestion may not be a good solution now.

But when he thought of Zhonghu Health Center, a feeling of reluctance emerged in his heart. It was a situation he had worked hard to create. He had just started serving the local people and solved some of their practical problems. He was leaving now.

, reluctant to part with it, and unwilling to do so.

He smiled bitterly and said, "Let's do this for now. Once the situation is stable, I believe there will be results soon."

Xu Pinglin also smiled and said, "Okay, you can make up your own mind. But since you go to the Traditional Chinese Medicine Department for consultation, you can also help me with the gastroenterology department one or two days a week."

Xu Pinglin is not in a hurry, everyone is still young and there are plenty of opportunities.

Last year I couldn't beat Li Jianwei, but in the end, Du Heng still became an external physician in his department, so I can't eat hot tofu in a hurry, so just take your time.

Hearing Xu Pinglin's request, Du Heng laughed and said, "How can there be such a thing? I am going to the outpatient clinic in the Department of Traditional Chinese Medicine today and the Department of Gastroenterology tomorrow. I won't be complained to death, no, no, no.

Furthermore, I am a traditional Chinese medicine practitioner. After going to the outpatient clinic, I rarely perform examinations. However, most people who come to the Department of Gastroenterology also come for examinations, otherwise they go directly to the Department of Traditional Chinese Medicine for medical treatment. So...

, I’ll just go to the outpatient department of Traditional Chinese Medicine.”

That's what Xu Pinglin said. When Du Heng refused, he let it go. After all, the employment contract they signed at that time did not mention outpatient visits.

The two of them chatted happily in the office, talking about patients and conditions. More than an hour passed quickly, and it was time to get off work.

Just then Gu Ping hurriedly walked in, "Director, Teacher Du, the patient has had a bowel movement."

Du Heng was delighted and quickly asked, "What does it look like?"

"It's extremely black, extremely smelly, sticky and shapeless, and there are three roundworms five centimeters long inside, and one is over twenty centimeters long."

Gu Ping answered Du Heng's question very quickly, trying to minimize the discomfort caused by the answer.

It’s really a lot, really disgusting.

Du Heng stood up and asked Gu Ping to walk to the ward together, "Come on, let's go take a look."

When he arrived at the ward, the patient could already lie down very comfortably and no longer had the same painful symptoms as at the beginning.

"Will this hurt anymore?"

"There's still a little pain here, just a throbbing pain, but it's already very mild."

"Has the fever gone away? Is your body feeling hot anymore?"

"It seems like it's gone too."

Du Heng did another pulse diagnosis, and the pulse condition also recovered a lot.

"Okay, keep taking the recipe just now, don't stop, you'll be fine soon."

"Thank you doctor."

Du Heng smiled, and then led Gu Ping out of the ward, "Tell Dr. Zhou and ask him to take the Glauber's salt, and keep the other original prescriptions unchanged."

Gu Ping nodded and took note, "Teacher Du, what should you pay attention to when treating this condition?"

"The first step is to use acupuncture to bleed, to relieve pain, stop vomiting, and reduce high fever as quickly as possible. It must have the effect of killing the disease and clearing the way for syndrome differentiation and medication. Otherwise, it will cause great interference in medication.

”

Du Heng recalled the treatment process just now and slowly told Gu Ping, "When using classic prescriptions, the first point is to clearly identify the symptoms and act immediately when the opportunity arises without hesitation. This kind of acute abdominal disease develops very quickly.

Every second of your hesitation increases the patient's risk.

Secondly, it is a common issue we talk about. We must pay attention to the dosage. We cannot see that the patient has an acute abdomen, so we just increase the dosage and think about achieving the effect quickly. This is very unrealistic."

Gu Ping carefully thought about what Du Heng said, and then asked, "Teacher Du, can the prescription you used today be used when encountering similar symptoms in the future?"

Du Heng stopped walking for a moment, thought for a moment and then said, "Acute cholecystitis, cholelithiasis, biliary colic, acute pancreatitis and other diseases diagnosed by Western medicine are all febrile diseases with triple burner, big heat, fullness, dryness, and heat.

I think it is a feasible solution to strengthen the breasts and use Dachaihu Decoction as the core formula."

Gu Ping also stopped, thought for a moment and said, "Then the added ebony plum, Sichuan pepper, coptis, asarum, mirabilite and other medicines are specifically for ascariasis?"

"Yes, this is recorded in "The Golden Chamber", so just use it with confidence, but if you encounter such a disease again, in addition to these medicinal materials, you'd better add honey as a guide, so that the medicinal effect can be maximized.

”
To be continued...