Chapter 358: Mistreatment turns into syndrome
"Get back quickly, the dean is here, the dean is here."
The few people around the hospital bed quickly walked to the side and gave up their positions.
Gao Yuan strode over: "Who is the responsible doctor? What's the situation?"
The young doctor next to him hurriedly said, "Director, it's me."
Gao Yuan looked at him: "Xiao Qi, tell me what's going on?"
Dr. Xiao Qi said: "This patient came to the outpatient clinic for a cold three days ago. After I diagnosed it, I found that the patient had a strong headache, had a strong neck, had fever, no sweating and sore throat, but had a slight chills. Isn't the flu quite serious during this period?
And it’s basically all Yinqiao Powder syndrome, so I prescribed Penicillin and Yinqiao Soup.”
"It's just that after three days of taking the medicine, the patient's condition became more serious. When I came here today, I quickly admitted her to the hospital when I saw that the condition was not good. I was a little confused about what was going on, so I asked you to come and help me see it.
.”
"Yeah." Gao Yuan responded softly and looked at the patient again. The patient curled up against the wall and covered with two quilts, but he still kept chilling, looking very afraid of the cold.
"Comrade, comrade, come and let me take a look." Gao Yuan called on the female patient.
"Okay." The female patient replied tremblingly, ready to turn around, but said uncomfortable: "No, no, I can't turn my back hurt."
The patient's husband quickly stepped forward to help her turn.
When someone turned around, Gao Yuan gave her a facial treatment and found that her face was blue and gray, and her eyes turned red in white. Gao Yuan took a flashlight and said, "Open your mouth."
The patient opened his mouth.
Gao Yuan looked at it and found that the tonsils were slightly swollen, bright red in color, and white and moist in tongue coating. He asked again: "What is the body temperature?"
Dr. Xiaoqi replied: "39.5"
Gao Yuan continued to diagnose and inquire and found that the patient was not thirsty, had a deep and subtle pulse, and had cold knees. He drank a little warm orange juice in front of him, and felt cold stomach and noisy. He always wanted to sleep, but it was difficult to fall asleep.
Gao Yuan thought about it. Judging from these symptoms, the patient had symptoms of typhoid fever, but the pulse was deep and thin, and he wanted to sleep, so it was like the original syndrome of Shaoyin, but his throat and high fever were also symptoms.
It's like it's caused by warm evil.
Gao Yuan was also a little confused for a moment. He subconsciously asked: "Yan Xun, how do you think about this disease?"
After asking, Gao Yuan didn't wait for a reply. He looked up and found that Yan Xun was not there. He said in confusion: "Xiao Qi, where is your Director Yan?"
Dr. Xiao Qi touched his nose and said, "No..."
Gao Yuan asked again: "Where have you gone?"
Dr. Xiao Qi looked around and smiled awkwardly.
Gao Yuan frowned again. According to the normal procedure, Xiao Qi needed to consult Yan Xun first. Yan Xun could not solve the problem, so he came to him. But now Yan Xun, the director of Chinese medicine internal medicine, doesn't know where to go.
.
Gao Yuan suppressed his dissatisfaction and said, "When Yan Xun comes back, let him come to me!"
"Oh." Dr. Xiao Qi agreed weakly.
Gao Yuan saw the patient again, and he had difficulty judging for a while, so he continued to ask the patient: "How is your health in normal times? How are you eating and going to the toilet?"
The female patient is already feeling very uncomfortable.
Her husband replied: "I am not in good health in normal times, afraid of wind and cold. If I get a little blown by the cold wind or get a little rain, I will catch a cold. I don't eat much, and I will get diarrhea after eating a little. Oh, the chicken cries every morning.
I have to get up on time and have diarrhea.”
"Dispersal at the fifth update?" Gao Yuan frowned slightly. Seeing the patient covering his waist, he asked again: "When did the waist start to hurt? Does it usually hurt?"
The husband looked at the patient: "It hurts, it hurts normally. If you are at home, you will definitely lie down and don't even think about it. She said it hurts when you stand. There are so many work at home and you don't want to do anything. She is just a lazy woman."
Gao Yuan didn't care about other people's housework, but when he heard the other party's story, his thinking gradually became clear. He was usually afraid of wind and cold and had a headache with waist pain, which means that he had always had yang deficiency and was more obvious kidney deficiency.
People with strong qi will easily become heated and exteriorly after receiving evil. People with yang deficiency will easily become cold after receiving evil.
"The Treatise on Febrile Diseases" can distinguish between true and false cold and heat, "The patient's body is very hot and wants to get close to the clothes. The heat is in the skin and the cold is in the bone marrow." Look, although the patient's body temperature is very high, he still has two quilts covered with them.
It felt cold." Gao Yuan began to give advice to Dr. Xiao Qi.
Dr. Xiao Qi looked at the patient and Gao Yuan again. He asked: "So... the patient's red eyes, sore throat, and high fever are all fake?"
Gao Yuan showed a look of praise: "Not bad."
"But..." Dr. Xiao Qi hesitated again.
Gao Yuan encouraged: "Speak up, be bold, don't be afraid of mistakes."
Dr. Xiao Qi said: "But the patient's tonsils are very bright red and his body temperature is so high... I don't understand this, isn't it a hot image?"
Gao Yuan nodded and said, "When you are free, you should read more medical skills. At the same time, you should not read books until you die. You should read books alive."
"Ah..." Xiao Qi was stunned, why did he feel like he was being scolded for being uneducated?
Gao Yuan said: "Cao Bingzhang once said 'Red tongue is not fire.' Look, although the patient's tonsils are very bright red, they are not necessarily fire. Have you forgotten a medical term called 'Red face as red as makeup'?"
"But... this is not face...oh!" Xiao Qi suddenly understood. He knew why the dean said that he had studied hard.
Gao Yuan asked: "Do you understand?"
Xiao Qi nodded awkwardly.
Gao Yuan said: "This patient has yang deficiency, so the cold evil can directly penetrate Shaoyin, and the heart and kidney joints are weak. In addition, your mistaken use of cold and cold before has damaged the kidney yang. The patient's positive energy is not supported and he is unable to urge evil to go out.
, it became what it is now."
Upon hearing this, Xiao Qi became even more embarrassed.
Gao Yuan reminded: "You should reflect on this condition after you go back. There is no fixed way to treat the disease. It does not mean that there are many flu patients with Yinqiao Powder now, but all those who come are Yinqiao Powder syndrome. You need to have one disease.
One treatment, one treatment for one person, and adapt to the conditions of the person.”
Xiao Qi focused his head heavily. After nodding, his head hung down again, and he was embarrassed to look up.
Gao Yuan comforted: "It's okay, just reflect and learn from the lessons. Every doctor stumbling over. When I was young, I also suffered a lot of misfortunes. If I don't understand, I should ask my seniors more if I am uncertain.
, do you know?"
"I know, Dean."
Gao Yuan asked again: "How should we treat it now?"
Xiao Qi replied carefully: "If Shaoyin disease causes fever and the pulse is deep, is Mahuang Fuzi Xixin Decoction the main treatment?"
Gao Yuan said: "Yes, your foundation is still OK."
Before Xiao Qi was happy, Gao Yuan changed his tone: "It's just that he still lacks experience. Mahuang Fuzi Xixin Decoction is mainly biased towards attacking evil, but what I just told you that there is no fixed prescription and method to cure diseases.
, it should be adapted to the conditions of the person.”
"Look at this patient, there is more deficiency and less evil. This prescription is basically a symptom, but the focus is not completely accurate. Therefore, on this basis, we must also take care of the patient's lower abdomen and encourage kidney qi."
Xiao Qi nodded and agreed.
Gao Yuan personally wrote a prescription, Mafu Asarum Decoction combined with Erxian Decoction, remove Zhibai and add the four flavors of kidney. The patient sweats after taking it, and after sleeping for a night, he recovered the next day, his eyes were red and his throat pain was completely eliminated.
It proves that Gaoyuan's judgment is very accurate.
The next day, the patient was discharged from the hospital. Gao Yuan gave the following prescription. The original prescription was removed from the aphrodisiac, and added 30g of Codonopsis pilosula, 15g of Lingzhi, 30g of raw Astragalus, and 15g of Paojiang ginger to strengthen the spleen and kidneys to cure the aftermath.
It was not until the evening that Yan Xun, who had disappeared for two days, came back with a large bag of small items.
Chapter completed!