"Why?" Director Lu has been working as a traditional Chinese medicine doctor for his whole life, and he cannot be said to be timid, otherwise he would not be able to prescribe hundreds of grams of rhubarb.

But looking at Du Heng's dose, he still felt a little frightened.

Rhubarb is a purgative medicine that has the functions of purging and removing accumulation, clearing away heat and purging fire, cooling blood and detoxifying, removing blood stasis and promoting menstruation. However, rhubarb is bitter and cold and can easily damage stomach qi and qi and blood. It is not suitable for people with cold spleen and stomach and qi and blood deficiency.

For example, if used incorrectly, it is not just a good medicine to cure diseases, but a poison that can harm the body and life.

The current patient has just undergone an intestinal obstruction operation. Now he has intestinal adhesions and incomplete obstruction. It can be seen that he is a patient with severe qi and blood deficiency.

In this case, I am brave enough to use a dose of hundreds of grams.

You should know that the prescribed dosage is: when rhubarb is taken orally in decoction, the usual dosage is 3 to 15g, and 15 to 20g is used for severe heat knots.

An increase of five to six times, isn’t it bold enough?

But looking at Du Heng's medication, he couldn't stop it ten times.

Is this to cure a disease or harm someone?

Du Heng understood Director Lu's mood very well, so he did not leave in a hurry after writing the prescription, but waited to give them an explanation.

As for Director Lu's word "why", Du Heng also knew which aspect he was asking about, so he explained directly, "If the spleen is depressed due to external evils of the six evils or internal injuries due to diet, and the stomach qi is reversed, it will cause

If the barrier is blocked, use Dachengqi Decoction at this time, especially the amount used by Director Lu, is definitely enough.

But now, this patient's Qi is in chaos, rising but not falling, unable to enter from above and unable to come from below. This is a serious disease.

The patient is old and frail, has undergone another surgery, and has not eaten for many days, so the spleen and gastrointestinal organs are no longer able to rotate. The doses of rhubarb and Magnolia officinalis are not enough to mobilize the spleen and gastrointestinal linkage.

To treat serious diseases in Guange, we must use medicine to sweep away and attack the key points, and we must use Qi medicine as the commander-in-chief. If the dosage is too small, how can we be the commander-in-chief?"

However, Director Lu could not accept this explanation, but asked worriedly, "But can the patient survive such a large dose? What if it becomes unbearable?"

"So, I only prescribed two doses of medicine. Moreover, the amount of Magnolia officinalis also increased. Use Magnolia officinalis to reduce gastric reflux, and the gasification of the triple burner will return to normal quickly. It can be stopped after the obstruction is eliminated."

But Director Lu still shook his head, "No, I still think the risk of using medicine like this is too great.

This patient is over 60 years old. He couldn't endure an operation for intestinal obstruction and became a state of intestinal adhesion and semi-obstruction. If such a large dose of laxative is given, if something goes wrong, it will be a threat to him.

life.

No, I don’t agree with this method.”

Du Heng didn't feel uncomfortable at all with Director Lu's objection. Consultation was about taking advantage of the strengths of other experts and taking the best of them.

Some people object that it is a responsibility to the patient and also a protection for the person who made the suggestion.

Because once a problem occurs, the patient will suffer, and the doctor who made the suggestion will not be able to escape the blame.

At this time, after Director Lu clearly objected to this prescription, the director of the Anorectal Department also became entangled, and the attending physician on the side did not know how to describe his mood.

Say you are happy, your life-saving straw is gone.

You can say that you are not happy, but seeing the young deputy director who made you feel uncomfortable shrunk, you feel better.

Tangled, awkward, and uncomfortable.

On the contrary, Du Heng did not argue with Director Lu anymore, but lowered his head and thought for a while.

The advantage of the prescription is that it has been applied by a large number of predecessors, and a reliable and effective treatment effect has been obtained, giving future generations a practical tool that can be used immediately.

But its disadvantages are also obvious.

Just like now, if the prescription you prescribe changes too much beyond the original prescription, everyone will question it and even worry about problems.

So, to solve this problem, we can only formulate prescriptions by ourselves, and match the prescriptions that suit the patient's condition based on the actual situation.

However, in this case, the doctor must have very rich diagnostic experience and master a large amount of detailed knowledge of Chinese medicinal materials. This is not an easy task for today's traditional Chinese medicine doctors.

Nowadays, doctors of traditional Chinese medicine, not to mention freely formulating prescriptions, even if they can use the prescriptions clearly, it is not easy to give advice.

Otherwise, why are the voices of doubts about Chinese medicine getting louder and louder, and the reputation of Chinese medicine doctors as slow doctors getting louder and louder? There is something wrong at all.

However, these things have no influence on Du Heng. He really has the ability to make his own arrangements.

So after thinking for a while, Du Heng did not choose to argue with Director Lu, but took a pen and paper and wrote a new prescription.

Director Lu didn't know what Du Heng was writing, but when Du Heng started writing, he didn't bother him. But after Du Heng finished writing, he immediately got what Du Heng wrote before the director of the Anorectal Department.

ri.

"Nitrile soup?" Director Lu could see what Du Heng wrote at a glance.

Although a lot of medicinal materials have been added to it, the foundation of the recipe has not changed. All the extra medicinal materials are added around Glauber's salt and white radish.

Du Heng smiled and looked at Director Lu, "Director Lu, what do you think of this recipe?"

But Director Lu did not answer Du Heng's words, but frowned again.

He seemed to feel that his judgment just now was wrong. This recipe is not based on nitrate soup. It seems to be... a modified recipe of the Dachengqi soup just now.

But if you think about it carefully, it’s wrong.

Because Du Heng’s recipe does not include rhubarb as the main ingredient.

There is no main drug anymore, is it still Dachengqi Decoction? Not to mention the other auxiliary drugs, many of which have been removed by Du Heng.

Soon, Director Lu seemed to have thought of something. Although he didn't want to admit it, looking at the prescription in his hand, he had to admit that Du Heng had composed a prescription himself, although there were traces of Dachengqi Decoction and Nitrogen Soup.

Yes, but I did make the recipe myself.

And if you look at this recipe this time, it is much more complete and reliable than the large dose of Dachengqi Decoction just now.

At least the doses seemed to be within my acceptable range.

Even though these dosages are a bit excessive, I can really accept them.

After taking a deep breath, Director Lu looked at Du Heng and asked, "Deputy Director Du, please explain to everyone the characteristics of your recipe."

Du Heng smiled.

As soon as Director Lu said these words, Du Heng knew that Director Lu was convinced.

"The patient developed intestinal adhesion after the operation, accompanied by incomplete obstruction. This was the obstruction caused by Qi deficiency." Du Heng followed Director Lu's question and directly began to explain the composition of his prescription.

"This time I used ginseng root to replenish the patient's vitality. I mixed it with a small amount of wood incense and agarwood grinding juice to help the patient's air circulation. The radish seeds in the recipe are the mature seeds of white radish, which are closely related to the radish.

Of the same sex, it also has the function of breaking Qi and eliminating phlegm."

Du Heng spoke calmly and eloquently, starting from the beginning on the prescription he had composed, "This time I used a large dose of ginseng root to make full use of the good qualities of radish seed to avoid its disadvantages and avoid the use of rhubarb last time.

possible hazards."

Director Lu nodded and agreed with Du Heng's method, "Indeed, using radish seeds is more reassuring than using rhubarb."

Du Heng also nodded. It was precisely because Director Lu was worried about the dosage of rhubarb being too high that he chose to mix the prescription in this way.

After a slight pause, Du Heng continued, "This time I reduced the dosage of Magnolia officinalis, but added ocher to it. Together they can reduce gastric reflux, and can also quickly restore the gasification of the triple burner and break up the obstruction. This way

All symptoms can be cured immediately."

Director Lu fully accepted this explanation, and nodded again and said, "Deputy Director Du's recipe is naturally different from Dacheng Qi Decoction, which can break stagnant Qi and smoothen Qi. It mainly uses Jingjun to replenish Qi.

If the Qi is sufficient, the movements will return to normal, and the swelling and depression will disappear on their own.

You have taken a different path to achieve the same goal, Deputy Director Du, you are like everyone else."

As he said this, he turned around and handed the prescription to the director of the Anorectal Department, "I think there is nothing wrong with this prescription. You can give it to the patient."

But the director of the anorectal department was still a little hesitant.

Especially with Director Lu’s previous objections, this time he also had the same question, "Deputy Director Du, Director Lu, can the patient withstand this prescription?

But there must be no uncontrollable situations.

If we really can’t do it, we’ll do a second operation. Although it’s a bit risky, the problem won’t be serious.”

Director Lu smiled and said, "The prescription this time does not contain those medicines that can cause serious laxatives and diarrhea, so you can feel free to use it.

In this recipe, Deputy Director Du used white radish, which is a vegetable that can be found in all seasons. It is warm in nature, rises when raw and decreases when cooked, and is a top-quality food therapy.

If raw food is swallowed, there will be immediate belching and belching. The rising qi will widen the chest and the upper burners will be cleared first. Cooked food will cause sagittal qi, bowel sounds and loose bowels, rapid lowering of the qi, clearing the two stools, and the middle and lower burners can be cleared.

There is also Glauber's Salt in the recipe. Glauber's Salt and radish are boiled together, which is the traditional Chinese medicine dietary supplement recipe 'Nitrile Decoction'. It has the effect of softening and firming the intestines. Using the radish thick juice's property of lowering qi and pushing it down can relax the intestines.

The peristalsis speeds up, and the knots are opened quickly without harming the integrity.

As for other medicines, they are all tonics and will not harm the body."

With Director Lu's explanation, Du Heng didn't waste any more words. He just nodded after Director Lu finished speaking, indicating that Director Lu was right.

The director of the anorectal department looked at the prescription and took a deep breath, "Okay, I'll make arrangements now."

The rest of the things, as long as there are no problems with the patient, basically have nothing to do with Du Heng.

So he wandered back to the office, and then went to find the resident doctor, "Did that guy come yesterday?"

The resident doctor shook his head, "I specifically asked the outpatient department and Director Wu, and they all said there was no news about the young man.

I also called him, but it kept ringing and no one answered."

Du Heng thought for a moment and said, "Forget it, don't worry about him. He probably found the problem himself, so I'm sorry to come."

The resident doctor felt a little pity, he still wanted to see what was going on.
To be continued...