943 Minimalism is pragmatism(1/2)
This pregnant woman will die if she turns to the left or to the right. Even if she stays where she is, she will still die.
In this situation, what doctors can do is to live toward death and try their best to create possibilities out of the impossible.
As for the final result, don’t think about it and just try your best.
Du Heng followed Director Tao to meet the mother. He found that the mother's current condition was actually more serious than Director Tao said.
Director Tao previously said that postpartum women suffer from edema in their lower limbs, but Du Heng discovered that the edema can be seen from almost any position.
Moreover, the squeaking sound on the monitor next to it is extremely loud. The numbers on each of the four monitoring sub-screens will be stuck at the critical value.
Looking at the mother on the hospital bed, she is also in a semi-conscious state, and it can be seen from her distorted expression that she is in pain and uncomfortable.
"Director Tao, what treatments have you had before?"
"Let's put it this way, we have done everything we can." Director Tao sighed and said helplessly, "The medicine can be used, and it has been used for the second time within a reasonable range.
Like conventional massage methods, packing methods are also used.
Except for a slight reduction in volume, there are no other changes."
After finishing speaking, Director Tao immediately took the treatment records and handed them to Du Heng so that Du Heng could clearly understand their treatment process.
"And considering that the mother's blood pressure remains high, palpitations and other problems, we don't dare to use some medicines." Director Tao glanced at the mother and then turned his attention to Du Heng, "Director Du, now I hope you can use traditional Chinese medicine
aspects and find some ways to help patients."
Du Heng did not appear anxious at this time, but patiently went through Director Tao's treatment records in detail. While mastering their treatment process, he also gained a better understanding of the actual situation of the mother.
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After reading the treatment records in his hand, Du Heng put down his things and walked to the mother to start the examination.
Soon, he had a solution in mind for postpartum hemorrhage.
This method is a combination of acupuncture and decoction.
Acupuncture selects two acupoints, Sanyinjiao and Xuehai.
Sanyinjiao, three inches above the ankle, is the qi and blood of the three meridians of the liver, spleen and kidney. It has the function of promoting qi and stopping bleeding, dredging the meridians and dredging the meridians. This acupoint has a very good effect on some menstrual problems caused by women.
This seems to be recorded in books such as "Qian Jin Yifang" and "Qian Jin Yao Fang".
Moreover, it has been found in modern research that this acupoint also has a very good effect on high blood pressure.
Therefore, choosing the Sanyinjiao acupoint can kill two birds with one stone.
As for the choice of another Blood Sea Point, the reason is also very simple.
The mother is bleeding non-stop. According to Director Tao and others, this is a problem caused by the mother's platelets being too low.
But in the theory of traditional Chinese medicine, the liver stores blood and the spleen governs blood.
Tong means to control, govern, and control. Tongxue means to control the blood so that it does not overflow or leak out of the blood vessels.
Now that the maternal bleeding is not stopping, it means that the spleen has lost control of the blood.
In addition, Chinese medicine also says that blood is the mother of qi, and qi is the leader of blood. This means that the spleen’s control of blood is accomplished by ‘qi’.
Therefore, when the temper is strong, the blood-collecting function is normal, and the blood can only be collected and run within the blood vessels, but cannot overflow outside the vessels.
If the spleen is deficient, the spleen will inevitably weaken and lose the ability to control it, and the blood will overflow outside the veins, which will lead to a situation where the blood flows erratically or the spleen does not control the blood.
The function of the Xuehai acupoint is to turn blood into qi and transport spleen blood to enhance the spleen's ability to fix and stop bleeding.
This effect is recorded in "Acupuncture Dacheng": if the collapse continues, the sea of blood dominates.
At the same time, considering that the mother had just finished giving birth and was already physically weak, and the acupuncture method was somewhat "diarrhea", Du Heng did not dare to choose more acupoints.
And he was also prepared to use moxibustion on these two acupoints immediately after the acupuncture.
Because there are not many acupuncture points to choose from, and the mother is physically weak and intolerant, decoctions must be used as auxiliary treatment at this time.
However, the mother's current condition obviously makes it impossible to use the compound formula. She is afraid that when the medicine has a reaction, she will also react too much.
Even though Du Heng is an expert at using medicine, he doesn't dare to take the risk now.
But after thinking about it, Du Heng could not find one or two herbs, or they could stop bleeding, but if not combined with other herbs, the effect would not be fully realized.
Or the medicinal properties are sufficient, but the toxicity of the medicinal material itself cannot be controlled when used alone.
Director Tao didn't dare to disturb Du Heng when she was nearby. She could only wait eagerly for Du Heng to speak. However, the squeaking sound of the monitor next to her made her feel inexplicably irritable.
"Director, the mother's blood oxygen is low again." At this time, the colleague on the side reminded Director Tao in a low voice, which made her feel even more irritable.
This patient has not let them rest for a day since he was admitted to the hospital.
Now she's fine, but she didn't listen and put herself in an extremely dangerous situation. It also created an extremely difficult problem for the medical staff like them.
Come on, I’m really helpless now, like a tiger eating a hedgehog but having nowhere to bite.
Don't worry, the mother obviously has a chance of survival, which is unacceptable to both conscience and morality.
"Yes."
When Director Tao was melancholy, he was startled by Du Heng's sudden voice.
But she reacted immediately, looked at Du Heng with hope and asked, "Director Du, have you found a way?"
Du Heng let out a heavy breath, and then nodded solemnly.
In the thought just now, Du Heng almost gave up, because he could not find any medicinal materials that could meet the current requirements in the common pharmaceutical classics.
But just when he was about to give up, an idea flashed in Du Heng's mind, and a medicinal herb called "Churmonwood root" appeared in his mind.
Barbarum root, also known as barbarum root, has a fragrant earthy taste, is slightly warm in nature, and has a bitter taste. It enters the four meridians of the liver, stomach, large intestine, and kidney. It has the effects of stopping bleeding, activating blood circulation, astringing and fixing astringency, and is mainly used to treat hemoptysis, hematemesis, hematochezia, and traumatic bleeding.
, metrorrhagia, postpartum lochia and other symptoms.
Moreover, according to modern pharmaceutical research, wolfberry root can significantly increase the swing and tension of the uterus. It can also expand blood vessels, fight against edema caused by histamine, and has a hemostatic effect.
If you think about the effect of this medicine carefully, isn't it just in line with the current situation of pregnant women?
The reason why Du Heng only remembered it now is because this medicine is not recorded in common basic medicine books. Instead, it is mostly recorded in local medicine books in the south, such as "Fujian Folk Herbal Medicine", "Jiangxi Herbal Medicine", and "Hunan Herbal Medicine".
"Drug History" and other books.
For an academic doctor like Du Heng, his first choice of classics are books and documents that are well-known throughout the country and have great influence. Even if he is rewarded by the system, it is difficult for him to change this thinking habit.
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Therefore, he did not think of this medicinal material at the first time.
Now that I can think of it, Du Heng must be grateful for the extra study habit he gained after coming to the capital.
The stimulation he received when he joined the health care group before winning money, and also because of the influence of academician Sun Jiaxiang, made him no longer focus all his studies on traditional classics, but instead devoted some of his energy to modern Chinese literature.
Studying medical research.
The reason why Cumonia chinensis root suddenly popped up in his mind was because he had just read the "Chinese Journal of Traditional Chinese Medicine" not long ago, and there was a research report on Clumpy wolfberry root.
However, there is a problem with this medicinal material, that is, it is highly toxic, which is very unfriendly to patients with heart disease.
If you look at it this way, it seems that this medicine cannot be used, but Du Heng happens to know that if this medicine is taken directly, it is indeed highly toxic, but once it is boiled, the toxicity can be completely ignored.
Therefore, according to Du Heng's current method, acupuncture and this single medicine can be used together to stop bleeding, lower blood pressure, relax blood vessels, and relieve edema.
After Du Heng expressed his thoughts and explained everything clearly, Director Tao and her colleagues all showed disbelief.
Such a complicated situation made their foreheads burn, but now it was solved using only two acupuncture points and herbal medicine?
Are you kidding?
Although Chinese medicine has the ability to simplify the complex and transform the mundane into the miraculous, is the method proposed by Du Heng too simple? Is it too miraculous?
But now Director Tao and the others have no choice. Even if the method Du Heng said is exaggerated, they can only give it a try.
Soon, the things Du Heng needed were delivered.
After Du Heng confirmed with Director Tao that it could be treated again, he began to focus on acupuncture treatment.
Just at this moment, a person suddenly walked in and whispered a few words in Director Tao's ear, which immediately made Director Tao's face change. He glanced at Du Heng, who was about to give the injection, and Director Tao retreated in silence.<
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After Du Heng received Director Tao's confirmation, he stopped caring about her and focused on her treatment.
After waiting for the injection to be completed, he was not surprised when Director Tao was nowhere to be seen when he turned around. He was just waiting quietly for the pomegranate root concoction to be delivered.
However, when the concoction was delivered and taken, Du Heng did not leave in a hurry. Instead, he kept waiting by the side to prevent the mother from having any accidents due to the consumption of the pomegranate root juice.
Although this probability is very small, Du Heng is confident in his heart, but as far as this patient's situation is concerned, he does not dare to be careless at all.
After nearly two hours of observation, the mother's condition began to improve as expected. First, the bleeding was stopped, and then the blood pressure also dropped slightly.
Although it is still not in the healthy range, it is at least almost acceptable. And according to this trend, by tomorrow morning, the requirements for surgery will basically be met.
But at this time, Du Heng saw that Director Tao still had no intention of coming back, so he said goodbye to the doctor in the ward and left.
At this time, the doctor on duty in the ward was impressed by Du Heng's minimalist method of treating the mother. Seeing that Du Heng was about to leave, she respectfully sent Du Heng out of the ward.
Du Heng also breathed a sigh of relief after leaving the ward, and the pressure in his heart also disappeared.
He has accomplished what he has to do, and the rest is no longer under his control. He can prepare his own affairs with peace of mind.
To be continued...