Traditional Chinese Medicine Xu Yang

Xu Yang could not conceal the tiredness in his eyes. He did not have a good rest. Even when he returned to the hotel, he was still thinking about the analysis of his illness.

But Xiao Ma, who recorded the condition in the hospital, immediately went to Zhao Guobin with the patient's feedback.

"Director, the blood oxygen saturation of the patients in the second bed has reached 99%."

"Ah?" Zhao Guobin was startled.

Xiao Ma went on to say: "The patient's self-reported shortness of breath has been significantly relieved, and now there is no shortness of breath in a resting state. She got out of bed and moved a little bit, but she still has a little shortness of breath."

"With the flow of oxygen in the mask, the blood oxygen saturation has reached 99%. Other inspections have not yet come out."

"Let's go and have a look." Zhao Guobin rushed to the second bed.

Zhao Guobin checked the old aunt again.

The old aunt herself said that she felt much more comfortable.

Zhao Guobin looked at the state of the old aunt. Yesterday she couldn't even speak well, but today she spoke quite completely.Zhao Guobin asked Xiao Ma: "Is Doctor Xu Yang here?"

Pony shook his head: "I don't know."

Zhao Guobin nodded: "If he comes, let him come to me."

After speaking, Zhao Guobin wanted to leave.

"Hey, wait a minute, Director." Xiao Ma called out to him again.

"What's wrong?" Comrade Zhao asked.

Xiao Ma pointed to the other people in the ward, and said, "And they..."

Zhao Guobin asked suspiciously, "What happened to them?"

Xiao Ma said: "Their conditions have all improved to varying degrees."

Zhao Guobin said: "Well, this is a good thing... It shows that our treatment is still very effective... Uh, huh?"

Zhao Guobin seemed to realize something was wrong.

Xiao Ma reminded: "They all took traditional Chinese medicine yesterday."

"This..." Zhao Guobin was a little confused by the news, he subconsciously asked, "Is it all the prescriptions Xu Yang gave them?"

Xiao Ma said, "Of course not."

"Ah?" Zhao Guobin was puzzled, and then quickly said to Xiao Ma: "Hurry up and sort out the medical records of these patients who have been treated by traditional Chinese medicine. I will look at it later."

"Oh." Pony agreed.

Zhao Guobin looked at the room again in surprise, and then went out.

When Xu Yang came over, he also came to check the ward first. Today, the dry mouth of the old aunt has disappeared, and her sleep has also improved. She has defecated twice, and the stool is soft.

Still have a cough, dry cough without sputum.The tongue is light red, the yellow fur is slightly greasy, and the pulse condition is stringy and slippery.Yesterday's prescription is obviously effective, but the disease has not been completely controlled.

Xu Yang nodded, and said to the nurse beside him, "Madam Zhengfang, if the effect is not improved, continue to take yesterday's prescription."

"Okay." Peng Yuyan's main wife was already immune to this kind of address, and recorded it honestly.

Xu Yang continued to check the condition of other people.

At this time, the experts in the treatment group who were in the meeting all stared wide-eyed, because they found a very surprising thing, most of the patients who used traditional Chinese medicine had improved.

The scene was suddenly a little quiet, which was unimaginable for western doctors like them who had little contact with Chinese medicine.

"Whose... whose treatment plan worked?" Someone asked in a low voice.

Because these patients are all treated with Chinese and Western medicine, it is easy to explain clearly, but a horizontal comparison will tell.

It is still the initial stage, and the utilization rate of traditional Chinese medicine is not very high.

In a few days, the utilization rate of traditional Chinese medicine will gradually increase, and it has always exceeded 90.00%, and even [-]% utilization rate in many areas.

At that time, it was really unclear.

Therefore, many wise people on the Internet say that air and water have a [-]% participation rate and a [-]% effective rate, which is stronger than Chinese medicine.

You really deserve to be a wise person with [-]% logic!

You don't even think about it, if it is useless, will you use it [-]%?The thing on the neck is not for thinking, it's better to tuck it under the waist, and it's full of farts!

……

But at this moment, it can still be clearly distinguished, because it can be compared horizontally.

Zhao Guobin was very surprised and said: "This should mean that their Chinese medicine treatment plan has worked, so the conditions of these patients who have participated in Chinese medicine have all improved!"

Deputy team leader Lin said in disbelief: "No way, why didn't I know that the Chinese medicine practitioners in our hospital are so powerful?"

As soon as these words came out, the others were also taken aback.

The environment of Chinese medicine in their locality is very poor. People are not used to seeing Chinese medicine, and they go to Chinese medicine for health preservation.As with the people, so with the doctors.

Doctors in hospitals seldom consider involving traditional Chinese medicine in treating diseases.Sometimes it is forced by the above regulations and there is no way to do it. It is necessary to meet a certain participation rate of traditional Chinese medicine before pinching the nose to let others participate.

But from the heart, they really look down on Chinese medicine.But this wave really surprised them.

In fact, they didn't even think about it. This time, all the aces came. If they don't have this level, then the future of Chinese medicine is really hopeless.

Zhao Guobin looked at the materials and said, "This time TCM participated really early, much earlier than the 03 Anti-Africa campaign. This is enough to see the above policies."

"There are still these results to get the bottom line. I believe our hospital will not be an exception. So, I am afraid that the participation rate of traditional Chinese medicine will increase soon."

Everyone else nodded.

Another expert asked, "Then... can Chinese medicine be involved in the critically ill patient in the 411-bed 3?"

Deputy team leader Lin subconsciously asked: "Traditional Chinese medicine treats critical illness?"

"Eh..." The expert who made this suggestion was stunned, as if it didn't sound human, something was wrong.

"Well, Xu Yang is also here, right? Isn't he very popular on the Internet, isn't he a traditional Chinese medicine famous for treating critical and severe diseases?" Another expert interjected.

This time, deputy team leader Lin also frowned and pondered, and then said: "I have seen a few of his cases, and I feel...it feels a bit exaggerated, a bit apotheosis."

Others also showed hesitation.

Zhao Guobin, who was always in a hurry, immediately made a decision: "If you are not a god, you will know if you treat it. Anyway, my current policy is to treat it with Chinese and Western medicine. In this way, I will immediately invite Dr. Xu Yang and Team Leader He Dongjun for consultation."

……

Just like that, Xu Yang and Professor He came again.

This time, everyone didn't dare to underestimate it like before, but was a little surprised and uncertain.

Zhao Guobin said: "You two, I don't have time to say polite words. We have a critically ill patient here who needs a consultation with traditional Chinese medicine. Can you provide treatment?"

"Okay." Xu Yang replied without thinking.

Zhao Guobin said: "Then let me introduce your condition first..."

Xu Yang interrupted: "Give me the medical records, go to see the patient, and talk while walking. Inform the Chinese pharmacy, critically ill patients, give priority to decoction! Let's go!"

The others were stunned for a moment, oh, I'll go, this way is more familiar than them!

Chapter 653 Abdominal Diagnosis

On the way, while Xu Yang was looking at the case, Zhao Guobin was introducing the patient's condition to Xu Yang.

"Doctor Xu, Team Leader He, the patient is a female, 65 years old, with a history of chronic bronchitis and prone to coughing. The patient developed symptoms of coughing and expectoration on January 2020, 1."

"I went to the pharmacy to buy Chinese patent medicine and took it, and rehydration treatment in the community hospital, but we can't find out what medicine was used at that time."

"After taking it, the patient's symptoms were not significantly relieved. Then shortness of breath appeared, and it gradually worsened! The patient was fatigued and his appetite was obvious."

"Later, the nucleic acid test was positive, and it was confirmed to be new pneumonia. However, due to the shortage of beds, it was delayed for three days before being admitted to our hospital. After admission, he was given conventional moxifloxacin, ribavirin and other drugs for antiviral treatment. "

"But the day after the patient was hospitalized, that is, the night before, the patient's condition suddenly worsened, and his blood oxygen saturation dropped significantly. We had rescued him once the night before."

Having said that, Xu Yang, who was looking at the medical records, couldn't help but look up at Zhao Guobin.

Zhao Guobin said calmly: "After timely treatment such as methylprednisolone anti-inflammatory and non-invasive ventilator support, the patient's condition has eased a little."

Xu Yang nodded and said, "But the condition is still not optimistic, right?"

Zhao Guobin's tone also sank: "Yes, the patient's condition is still very dangerous. To be honest, this is a typical critically ill patient."

"It's hard to put it bluntly. It is very likely that there will be several rescues today. The patient is now on the edge of a cliff, which is very dangerous. We don't have any particularly sure plans. Therefore, we want to invite Chinese medicine to intervene in the treatment."

"En." Xu Yang responded softly, and continued to read the patient's case report. It was the patient's laboratory report, with a white blood cell count of 11.4, an absolute value of lymphocytes of 0.8, a percentage of lymphocytes of 7.4%, and an absolute value of neutrophils of 10.3.

At the end is the CT report of the patient's lungs.

After Xu Yang read it, he closed the case and said, "Which room is the patient in?"

Zhao Guobin pointed forward: "Turn left ahead, the first room."

Several people quickened their pace and quickly arrived at the ward where the patient was.

The patient is now conscious, curled up on the bed.

"Are you feeling better today?" Zhao Guobin came over and asked.

"Hmm..." The retired aunt replied weakly, her voice was very soft, and she didn't intend to say more.

Zhao Guobin said again: "I also invited two Chinese medicine experts to come over for you to check you up. Can you cooperate?"

Hearing Chinese medicine, the retired aunt rolled her eyes a little, and glanced at the two astronaut-like figures standing next to Zhao Guobin.

"Hmm..." The retired aunt replied again, but didn't say much.

Zhao Guobin nodded to Xu Yang and Professor He.

Professor He said: "Xu Yang, go and diagnose."

"Okay." Xu Yang was not polite, and went up to make a diagnosis.

The patient currently has no fever, but has shortness of breath. The nasal cannula is maintained, the mask is used for dual-channel high-flow oxygen inhalation, and the blood oxygen saturation is 87%.

Cough with sputum, sputum color and white matter are thin, and chest is slightly oppressed.

Afraid of the cold, staring blankly.

The stool is resolved in three days, the amount of urine is less, and the night sleep is restless.

Xu Yang observed the patient's face. The patient's complexion was pale and his eyelids were pale.

Xu Yang went to touch the patient's hands and feet again, and found that the extremities of the patient were cold.

He frowned.

Then go to press the patient's abdomen.

This is the abdominal diagnosis of Chinese medicine.

There are four subjects in TCM diagnosis. Look, smell, ask and cut. This cut not only refers to the pulse, but also includes the diagnosis of the abdomen.

The origin of abdominal diagnosis is also very old. Zhang Zhongjing has already discussed it in detail. There is a carved "Zhongjing Diagnosis Diagram" in the Baoding Grottoes in Sichuan.

But the strange thing is that abdominal diagnosis is rarely mentioned in medical books written by later generations of physicians.Especially after the Tang and Song Dynasties, it was even rarer.

Some people also analyzed that it was because after the Song Dynasty, feudal ethics were severely restrained, and the abdomen was also a hidden part, which should not be touched at will.Especially female patients...

Therefore, many laymen do not know that "cutting" in Chinese medicine also includes abdominal diagnosis.

Although many Chinese medicine practitioners no longer perform abdominal examinations, there are still many traditional Chinese medicines that have been passed down and require their disciples to pay attention to abdominal examinations.

For example, Mr. Pu Fuzhou and Mr. Pu's medical records basically recorded the abdominal diagnosis.

There is also Mr. Li, abdominal diagnosis often occurs in medical records.At that time, patients with Japanese encephalitis also appeared in Shanxi. At that time, Qingwenbaidu Drink and Angong Niuhuang Pills were of no use.

The patients had been in a coma for five days and were in a precarious and dangerous condition.Later, Mr. Li pressed the patient's abdomen and found that the patient's upper abdomen was hard and painful, so he decisively used Dachengqi Decoction.

After one dose, the fever subsided, and the mind came back to life.

There was also a patient who went into shock and used Dushen Decoction combined with western medicine, but his blood pressure could not be improved, and it seemed to be dying.

Later, Mr. Li found that the patient had tenderness in the epigastric cavity in the abdominal examination, which was due to stagnation in the stomach. Then he used Zhishi Houpu Decoction, added Erchou, ginseng, and relieved the stagnation, and he was rescued.

If you do not do abdominal examination, it is easy to misdiagnose.

Therefore, Mr. Li has always emphasized that in critical cases, abdominal massage must be done, and abdominal diagnosis must be done.

And as their student, Xu Yang naturally did not dare to underestimate abdominal diagnosis.

Xu Yang stepped forward, opened the patient's clothes, and was about to rub his hands, but found that he was wearing gloves.Before doing an abdominal examination, it is generally necessary to warm your hands first.