Font
Large
Medium
Small
Night
Prev Index    Favorite Next

Chapter 151 Guiding the maze

Then Dr. Huang talked about the combination of the prescription.

Then he explained: "Because the patient is already in a coma, he uses nasal feeding, 15 ml every hour, uninterrupted day and night. However, after using this prescription, his body temperature not only did not drop but also increased slightly, and the other symptoms did not improve. The tongue and pulse were the same as before. I carefully thought about my prescription and it was not wrong. I think it must be because the condition is critical and the medication is too light. So based on the original prescription, the gypsum was increased from 30 grams to 40 grams, and from 15 grams to 20 grams."

Speaking of this, Dr. Huang stopped, looked at Xiao Ying and said, "I would like to ask Mr. Xiao, what do you think of my prescription?"

"Of course not. If so, you wouldn't be so anxious just now."

Ke Yunda smiled coldly and said, "You are the result of observing words and expressions. I thought you really think this prescription is not good. It seems that Mr. Xiao's observation and hearing, asking and touching are good at diagnosis."

When Dr. Huang introduced the situation, Xiao Ying had already searched the medical record and read it quickly. He knew that the patient had been cured and found the final cure. So he was in his chest, picked up the folding fan on the table and opened it with a squeak, slap it gently, and slowly said to Ke Yunda: "Then please judge Dr. Huang's prescription so that I can have a long experience. How about it?"

Everyone looked at him.

Ke Yunda thought for a moment, picked up the teacup on the table and took another sip, and said, "For the treatment of epidemic type B encephalitis, it can be divided into eight methods such as spicy and cool, clearing heat and detoxifying, clearing the heart and opening the orifices, calming the liver and extinguishing wind, removing dampness and turbidity, and cleaning phlegm, purifying phlegm, purifying, nourishing yin..."

"Professor Ke, the patient is still waiting. - I am interested in listening to Professor Ke's lectures, I'm afraid the patient can't afford to wait." Xiao Ying said lightly.

Ke Yunda snorted and said, "The patient's chest is vaguely covered with pectoris. This is clearly a symptom of Qiying and burning. The reason why it was not effective before was because the disease was severe and the medicine was light. It should have effect after adjustment..."

As soon as he said this, he suddenly remembered that if it really worked, Dr. Huang would not be so anxious to ask you how to adjust the prescription. He quickly coughed twice and said, "If it doesn't work, the dose is definitely not enough. We should further increase the dosage of Achieveo and gypsum."

Xiao Ying sneered.

Ke Yunda was furious. He was the vice president and a dignified professor of the Chinese Medicine Hospital. He was ridiculed and sneered by a young man. He couldn't help but raise his voice and said, "What are you laughing at? Did I say it wrong?"

"According to your method, the patient will die! If you treat all the patients, don't you allow me to laugh?"

"What are you talking nonsense? How do you know that this recipe is not good?"

Xiao Ying closed the folding fan in his hand with a snap, and pointed Ke Yunda, saying: "The patient has type B epidemic type B encephalitis. This disease occurs rapidly and changes rapidly. It is easy to develop lesions and die in a flash. Can you adjust the medication step by step and take it slowly?"

This is the truth, and many old Chinese doctors nodded frequently.

Dong Guigui said to Xiao Ying: "Since the patient is in critical condition, please tell me directly if Mr. Xiao has any opinions!"

"Sharpening the knife will not delay the chopping of wood. I have to verify the condition first and then make a decision." Xiao Ying did not say the final prescription directly, because the patient was finally cured, so he was not in a hurry. He had to let things develop naturally. He asked Dr. Huang: "After you use this prescription, has the patient's condition not improved. Instead, he drooled and his pulse turned and slipped and rapid?"

Dr. Huang was shocked and nodded repeatedly and said, "Yes, Dr. Xiao made a very accurate judgment, that's it."

"Then are you thinking about where the problem is now?"

Dr. Huang smiled bitterly and said, "I just had no idea, so I came to ask everyone for advice and also ask Mr. Xiao for advice."

"It's easy to say." Xiao Ying pulled the folding fan away, pointed to the buzzing air conditioner in the corner of the wall, then turned on the folding fan and shook it gently, "This summer is very hot, right!"

"Yes!" Dr. Huang nodded. He didn't know what Xiao Ying suddenly said about the weather at this time, but he knew that Xiao Ying would not mention the weather for no reason. He concentrated his mind and suddenly realized it. He said in surprise, "Mr. Xiao means that the patient is the clear orifice of heat, dampness, phlegm and turbidity?"

Xiao Ying smiled and nodded, praising her heart. He is worthy of being an old Chinese medicine doctor in the Provincial Traditional Chinese Medicine Hospital. As long as you give a little tip, you will immediately find the correct idea.

Dr. Huang slapped his thigh heavily and said, "Yes, why didn't I expect that the patient's tongue coating is greasy, his pulse is slippery, and his mouth is drooling. Isn't this the disease that heat and dampness phlegm are concealed by turbidity in clear orifices? It should clear the heat and turbidity, cleanse the phlegm and open the orifices! I am really confused. Thank you for your advice!"

After saying that, Dr. Huang bowed repeatedly. Xiao Ying quickly returned the greeting.

The ideas Xiao Ying mentioned and the prescriptions that followed were all what Dr. Huang later thought of. He was a real master, and he was just using his skills to show off.

After hearing what the two said, other old Chinese doctors nodded frequently, thinking that this dialectic is correct.

Dr. Huang stood up and said to Dong Guigui, "Director, I will go and change the prescriptions and treat the patient first, and come back later."

Dong Guigu nodded, and Dr. Huang gave Xiao Ying a grateful glance and quickly walked out.

Dong Guigu was quite happy as if he was a man of his own. He glanced at the old Chinese doctors present and said, "How is it? What I told you before, Dr. Xiao is indeed not simple!"

Many old Chinese doctors nodded sincerely, but Ke Yunda, who was sitting next to him, started to cause trouble again. He took a sip of tea and said, "I also have a difficult disease. I want to ask you for advice. Of course, I mainly ask Mr. Xiao for advice."

Xiao Ying heard his mouth ask for advice, but his tone was very indifferent and a little sarcastic. He didn't say anything, picked up the sunglasses on the table and put them on his face, tilting the folding fan lightly, looking out the window with a very leisurely look.

Ke Yunda snorted heavily at his nostrils and said, "I have a patient whose information has been placed on your desk. He is a woman, 65 years old. This patient has had more than 30 years of repeated attacks of paroxysmal abdominal pain. He has undergone two surgeries, both of which are sigmoid torsions. This time, he was hospitalized two years after the last operation. He was paroxysmal abdominal pain and bloating. He was accompanied by vomiting for seven days and had no exhaust and defecation. He had continuous pain two days ago, accompanied by paroxysmal aggravation, and the pain has not been relieved. He vomited quickly when eating, and felt swelling in the lower abdomen. He could see intestinal shapes and peristaltic waves. The abdomen was soft and without tenderness and rebound pain. After gentle pressing, he disappeared. The intestinal rumbling sound was hyperactive, and the sound of gas passing through water can be heard. Two huge liquid planes can be seen in the abdomen fluorescence, which indicates acute obstruction."

Speaking of this, Ke Yunda stared at Xiao Ying and said slowly: "Mr. Xiao, how should I treat it?"

Xiao Ying shook the folding fan and said slowly: "You haven't told you about your treatment plan yet, but you came to ask me. Hehe, Professor Ke, I am a visiting doctor at our Chinese Medicine Hospital. Today I am going to consult with you, not to accept your professor's graduate entrance exam."

A few old Chinese doctors couldn't help laughing. Indeed, Professor Ke did not explain the condition as clearly as he did during consultations and then discussed it with each other. It was a teacher's questioning of students, and even with a provocative tone. It was no wonder that he answered him like this.

Ke Yunda snorted and said, "I want to ask you what kind of prescription you should use so that you can check with the prescription I use and verify and discuss with each other."

"So, Professor Ke used traditional Chinese medicine decoction to treat this mechanical intestinal obstruction, right?"

"Of course, traditional Chinese medicine has great advantages in treating intestinal obstruction. It does not require surgery. Patients suffer less and the price is cheap."

"Traditional Chinese medicine has its indications and contraindications for treating intestinal obstruction. Judging from the situation you just introduced, the patient's condition is no longer something that can be solved by decoction. It must be operated immediately. Have you ever thought that the patient should be operated immediately?"

"No need. I have used Chinese medicine and acupuncture to treat many patients with intestinal obstruction, and they are basically cured."

Xiao Ying had searched the case before, and looked at it again, and found that it was too late. He sighed and pointed the folding fan in his hand at Ke Yunda and said: "The frequency of paroxysmal abdominal pain in the patient, the shape of the abdomen and peristaltic waves of the abdomen have proved that mechanical intestinal obstruction is very serious, and it cannot be relieved by decoction. It is necessary to operate. If the patient is just admitted to the hospital, he will also be able to protect his intestines, but you have delayed that the patient's sigmoid colon has been necrotic and can only be removed. - Because of your stubbornness, the patient's loss of a period of intestines will have a great impact on his life."

Ke Yunda smiled and said, "Okay, don't exaggerate. I asked you, I didn't really ask you for advice. I deliberately took this medical record and wanted to test you. I wanted to see if you could prescribe a clever prescription. I didn't expect you to be so alarmist and wanted to get away with it. It really makes people..."

As soon as he said this, he saw a doctor hurried in and whispering in Ke Yunda's ear: "Director Ke, your intestinal obstruction patient has symptoms of shock!"

Although the sound the doctor said was low, because the venue was very quiet, almost everyone heard it. They were shocked and stared at Ke Yunda.

Dong Guiqi raised his thick eyebrows and said, "Professor Ke, you can hurry up first and transfer to surgery immediately, so you can't delay any further."

Ke Yunda quickly agreed and stood up. Although he was a little dissatisfied with Dongguigu, he certainly did not dare to contradict the president's decision and quickly left the venue.

This situation suddenly occurred, and the old Chinese doctors present were talking in a low voice.

At this time, a female Chinese medicine doctor held her glasses and said, "It's time to discuss my medical case?"

Dong Guigui smiled and nodded and said, "Okay, tell me!"

The female doctor picked up the information on the table and said, "I have put the information on the patient. This is a middle-aged woman. She is over 50 years old and has repeatedly itched in her vulva for half a year, especially for more than ten days before hospitalization. She has been very itchy and has to scratch and bleed. She has to scald it with hot water to get a little better. But after a while, she continues to itch and can make her sleep restless at night. Her waist is sore, and she can see the genitals of the gynecological examination. The lips are slightly dry and cramped, and the slightest congestion of the tracheal wall. The secretions are red and white, and the cervix is ​​smooth, the uterine body is atrophy, the tongue is red, the tongue is yellow and slightly greasy, and the pulse is less slippery and rapid."
Chapter completed!
Prev Index    Favorite Next