world famous doctor

Chapter 188
Zhou Chen raised his head and asked about the elderly patient's son.

"Has he had any abnormal symptoms these days?"

"Just two days ago, he stayed at home and said he was dizzy all the time, and he couldn't walk very steadily. I thought he was bored staying at home, so I took him out for a walk today, but I didn't expect to faint suddenly..."

The young man said eagerly:
"Oh, by the way, he kept saying that he couldn't use his right side..."

After hearing the words, Zhou Chen's expression became more serious.

According to the patient's medical history, symptoms, signs, and immediate performance.

Nine times out of ten, it can be determined that it is a cerebral infarction.

Calculated from the time, this elderly patient has not exceeded the time window for thrombolysis in cerebral infarction.

Therefore, thrombolytic therapy can be taken completely.

But right now in the Chinese medicine hall, there is no western medicine, let alone any equipment.

Not even the most basic drip bottle.

How to do thrombolysis? ?
Time passed by minute by minute.

Every second of delay may be life-threatening for such critically ill patients.

In order to be sure, Zhou Chen spent 2000 likes, and immediately opened the famous doctor system in the sea of ​​knowledge, and performed a brain examination for the elderly patient.

After Zhou Chen gave an order, the system immediately responded.

"The system is checking the patient, please wait..."

Since the famous doctor system was upgraded to version 2.0, it has also run much faster than before.

"The system is printing the report..."

"System examination revealed: the patient had multiple lacunar infarctions in the pons, bithalamus, bilateral basal ganglia, and bilateral ventricles."

"The patient had degeneration of the white matter next to the anterior and posterior horns of the bilateral ventricles."

The patient was finally diagnosed by the famous medical system as: multiple cerebral infarction.

At the same time, the famous doctor system also gave treatment suggestions from Western medicine for Zhou Chen to use as a treatment reference.

"The patient has a clear diagnosis and needs to improve cerebral circulation, nourish the nerves, protect the brain against free radicals, dehydrate and reduce intracranial pressure to reduce brain cell edema if necessary, and treat with lipid-lowering and anti-platelet therapy."

If Zhou Chen is in the emergency department of the municipal hospital at this time, then these treatment suggestions are quite useful.

But now he is in Bao Chai Tang Traditional Chinese Medicine Clinic.

There is absolutely no condition for Western medicine treatment here.

Cerebral infarction is called stroke in Chinese medicine.

Wind is the root of all diseases, so medical books list stroke as the first.

Its theory of treatment: then there are the treatments of attacking wind and robbing phlegm, nourishing blood and moistening dryness, nourishing qi and nourishing vitality.

Gaizhen's stroke comes from the outside, but also from the void inside, and the evil can take advantage of the void to enter.

Due to fatigue, the five wills are too extreme, and strokes due to fire are all caused by excessive heat.

Because of the lack of vitality, evil will come together, making people stiff and stunned like the wind, because of deficiency of qi.

The longer it takes, if the elderly patient's motor pathway or language center is damaged, even if the treatment is finally completed, there will be serious sequelae.

Zhou Chen immediately opened the Chinese medicine section in the famous doctor system, and inquired about the treatment plan for the acute attack of cerebral infarction.

Bian Que Xin Shu contains:

This disease is all due to the deficiency of true qi, which is exploited by wind evil, and the guest is in the Shu of the five internal organs, which is the syndrome of apoplexy and partial dryness.

If it is in the Shu of the spleen and stomach, the right foot and the foot are not used.

Shu of the liver in the center, the left hand and foot are not used.

Most of them can be used, but those who are weak and paralyzed are the lightest, those who can lift but cannot be used are slightly lighter, and those who cannot move at all are the heaviest.

When evil qi enters the viscera, the nine orifices will be abolished, and some people will suffer from stroke and die.

Entering the internal organs will damage the limbs, or some may be cured.

Symptoms of apoplexy, suddenly falling down, unconscious, if phlegm suddenly rises, wake up after a while, the mildest of them.

Sudden fall down, unconsciousness, phlegm and phlegm, loss of voice, not awake for a long time, gradually becoming heavy, which is the most serious.There are external sensations and internal injuries.

People with exogenous sensations are real strokes; people with internal injuries are quasi-strokes.

"Neijing" named Rifengfei, which is also the so-called severe disease of the internal organs in Dongheng.

If you fall down in a hurry, you will wake up in a short time, with fever and phlegm, or you may see left paralysis and right disease, and hemiplegia.

The "Neijing" calls it dry in the sun; Dongheng's so-called milder internal organs have no cold and heat in the six meridians outside, no obstruction of defecation and defecation inside, no phlegm and wheezing, clear speech, but the skin is not benevolent, or numb or numb, and the mouth and eyes are slanted. , the lightest one of Dongheng's so-called middle blood.

In the treatment of traditional Chinese medicine, at the onset of stroke, it is advisable to dispel wind and purify evil.

Those who have a watch, Xiaoxuming Decoction, Qianghuo Yufeng Decoction and Khan.

For those with insides, put it in Sanhua soup.

Those who see both inside and outside, Daqin Gentiana Decoction, Fangfeng Tongsheng San and it.

For those with excessive phlegm and saliva, Zhuli Erchen Decoction, Hedanxing Decoction, and Shenghuang Qingxin Pills; with accumulated heat and dizziness, Haizang Qingxin Pills.

Zhou Chen thought about it carefully, and immediately adopted the treatment method of clearing heat and purging fire, promoting blood circulation and dredging collaterals.Use Xiaoxuming Decoction to add or subtract.

Add some diuretics.

Such as Achyranthes bidentata, Dai Zhu Shi, etc., which can control cerebral edema and high intracranial pressure, and Astragalus and Waterweed can dissolve thrombosis.

A group of kidney-tonifying medicines (Dihuang Yinzi and the like) nourish brain cells and promote the regeneration of necrotic brain cells.

This time, Zhou Chen didn't have time to write the prescription for Liu Hai to take the medicine.

He personally came to the medicine cabinet and took out the Chinese patent medicine at an extremely fast speed.

Ephedra, Ginseng, Scutellaria baicalensis, Paeoniae Alba, Licorice, Fangfeng, Almond, Chuanxiong, Fangji...

In spring, add Fangfeng; in summer, add gypsum; in autumn, add Anemarrhena; in winter, add cassia twigs.For body pain, add Qianghuo and Gentiana in principle.

He Jian said: For all strokes, do not examine the addition and subtraction of the six meridians, even if it is cured, it cannot get rid of its evil. "Internal Classics" states that when it is open, it will be cold and cold, and when it is closed, it will be hot and stuffy. If you know the wind and evil in a storm, you should use Xiao Xuming Decoction to treat it according to the symptoms and classics.

Zhou Chen threw all the Chinese medicinal materials he had grabbed to Liu Hai, and ordered him to go to the backyard to make Xiaoxuanming soup immediately.

The situation was urgent, and Liu Hai didn't dare to neglect it.

He took the medicine and went straight to the backyard.

Zhu Dayong was stunned.

Anyway, staying in this lobby is useless right now, so he turned around and ran to the backyard to help make the soup.

Taking advantage of this time, Zhou Chen turned around and took out a needle bag from the closet, and came to the fainted elderly patient.

He took out a silver needle and held it in his hand.

The middle-aged son of the elderly patient looked at Zhou Chen with wide eyes, and asked:
"Doctor, are you going to give him acupuncture?"

"Of course!" Zhou Chen nodded.

So far, the middle-aged man still doesn't know why his father fainted.

So he asked a question:
"Doctor, why did my father faint?"

"Cerebral infarction, also known as stroke!"

The words that Zhou Chen spat out were like a bolt from the blue, which suddenly exploded in this young man's mind.

The explosion made him shrink back a few steps, with a worried and frightened expression on his face:

"Stroke?... How could this happen?"

Among the people present, some started whispering in low voices, and they were watching with a complete attitude of watching the excitement.

"I looked at the young Chinese medicine practitioner. If something happens to Zhenzhi, who can take the responsibility?"

"Yes, a stroke is not a minor illness."

"Human life is at stake, send it to a big hospital."

The discussion in the crowd became louder and louder, and the middle-aged man lost his mind.

He should no longer be at a loss for what to do.

The legs of the middle-aged man couldn't help but feel weak, and he could hardly stand.

(End of this chapter)