Traditional Chinese Medicine Xu Yang

One is that it is impolite to fear that the ice will hurt the patient.The other one is also for preparation. If you give someone ice, and the abdominal muscles contract immediately, it will be harder, which will easily affect the judgment.

Xu Yang started directly.

Follow-up visits are also divided into false and true.

Generally speaking, if there is tenderness, it is true.Those who like to press and press like to press are false.Fullness without tenderness is qi stagnation.If there is tenderness in a small area under the xiphoid process, it belongs to phlegm excess.Tenderness in the entire epigastric cavity belongs to stagnation in the stomach.

I won't go into details...

After Xu Yang's abdominal examination, he found that the patient's abdomen was soft.

The abdomen is soft, which belongs to deficiency.

The patient has been unable to understand the stool for three days, but the abdomen is still so soft...

Xu Yang said, "Stick out your tongue and let me have a look."

The patient sticks out his tongue.

The tongue is dull, and the coating is white and greasy.

Then Xu Yang checked the patient's pulse. Xu Yang adapted quickly, and now he is used to taking the pulse with gloves on.

The pulse condition is heavy and weak, slightly counted.

After Xu Yang finished his diagnosis, he stood up.

Zhao Guobin hurried over and asked, "How is it?"

As Xu Yang walked out, he said: "The evil poison invades the lungs, and the vitality is seriously injured. It is necessary to return to the Yang in time to save the evil and detoxify. Use the four evils."

"Ah?" The sound came from Professor He.

Chapter 654 Four Ni

It doesn't mean that Zhao Guobin has already trusted Xu Yang unreservedly, the main reason is that he doesn't understand, and he doesn't know what the four evils are.

So when he saw Professor He making this noise, he also became curious.

Of course, Professor He is not an ignorant person, and naturally he would not foolishly think that pneumonia cannot be treated with the classic hot medicine Sini Decoction, which restores yang and rescues the adversity, nor would he think that this is heating up the heat and adding fuel to the fire up.

However, according to the progress of the disease, it is generally not until it is critically ill before going to the Si Ni and returning to the Yang to save the adverse.

So at this moment, Professor He was a little puzzled, and he asked, "Is it too early?"

Zhao Guobin interrupted and asked, "Isn't it suitable for TCM to intervene now?"

Professor He shook his head: "That's not what it means, it's that I think this prescription is a little early. Because this is a hot medicine..."

Zhao Guobin asked suspiciously: "Fever? Doesn't traditional Chinese medicine treat pneumonia by clearing heat and detoxifying?"

"Eh..." Professor He was at a loss for words for a moment.

Xu Yang said directly: "If you still use the cold medicine, then you should prepare to rescue it immediately."

"Ah!" Zhao Guobin was taken aback.

Zhao Guobin has never worked with Chinese medicine before, and he doesn't know much about Chinese medicine. Hearing Xu Yang's abruptness now, it sounds quite scary!

"Isn't it right to clear away heat and detoxify? I've heard a lot of Chinese medicine say that." Zhao Guobin hurriedly asked again.

Xu Yang said: "You are typically using Western medicine to understand Chinese medicine. It would be great if it were really that simple. Sending a few interns can do the job."

"This..." Zhao Guobin looked at Professor He, then at Xu Yang.

Xu Yang explained to him: "Medication also depends on the progress of the patient's condition. The patient did have symptoms such as fever, cough, and shortness of breath in the early stage."

"But she has been in treatment for a long time, and it has been more than ten days since I took over the diagnosis. Her vitality has already been seriously injured, and her symptoms have not been the same for more than ten days."

"She doesn't have a fever anymore, but what she sees is still short of breath, tired and weak, with a weak voice, afraid of cold, and cold limbs. The tongue is dim, and the pulse is deep and weak, all of which are signs of deficiency and cold."

"Her condition has reached this stage. Now that she has confirmed her deficiency and coldness, she will naturally use tonifying fire to boost heat, recovering yang and resuscitating adversity, and use Sini Decoction when it is appropriate. If you hesitate, you will miss the opportunity, teacher!"

Xu Yang said the last words to Professor He.

It's just that Professor He still hesitated a little.

Xu Yang said again: "The patient's condition is critical, and the evil prevails and the good declines. At this time, it is time to grasp the main contradiction, but to support the righteousness, let the evil take its own course!"

Professor He nodded: "OK."

After finishing speaking, he asked worriedly, "How much do you plan to use?"

Xu Yang said: "The condition is not so obvious, so a small trick is enough. Cooked aconite 10g, dried ginger 15g, roasted licorice 20g, honeysuckle 10g, saponin thorn 10g, that's all."

Professor He breathed a sigh of relief.

Professor He said, "Okay, I'll give the prescription when I get back."

"En." Xu Yang nodded and walked back.

Zhao Guobin caught up and asked, "Dr. Xu, I'm curious about your TCM diagnosis. Why do you say shortness of breath, fatigue, weakness, and fear of cold, which means deficiency and cold?"

Xu Yang glanced at him and said: "It's not such a simple judgment. Chinese medicine has no other means of examination and testing. We all judge the disease syndrome by observing the external condition of the patient."

"That's why there is a saying in Chinese medicine that there are all things inside, but all things are outside. The patient has been treated for a long time, and the good and the evil are fighting each other. The evil wins the good and hurts, so the vitality is seriously injured."

"Because the vitality is seriously injured, so the vitality is weak. Because the vitality is weak, so the fatigue is weak. Because the vitality is seriously injured, so the qi is floating on the top. Because the qi is floating on the top, so the shortness of breath."

"Because the yang energy is insufficient and the warmth is lost, the extremities are cold. The tongue is dull and the pulse is deep and weak, which are the obvious signs of deficiency and cold."

"White and greasy fur and poor stool are due to the failure of the spleen and stomach to transport and transform, resulting in the accumulation of dampness and evil poison. Therefore, the treatment plan at this time cannot clear away heat and detoxify, or remove dampness."

"It's about strengthening the righteousness. The Yellow Emperor's Neijing said, but support the righteousness and let the evil go away. Use Sini Decoction to return to the yang to save the adversity, and warm the yang to make the body healthy. When the yang qi returns, the vitality will appear. When the righteous qi is sufficient, the evil qi will naturally come out." go."

Zhao Guobin was taken aback by Xu Yang's chat. He didn't know much about Chinese medicine before, but he had only heard about the combination of Chinese and Western medicine, and the white blood cells increased, suggesting to use clearing away heat and detoxifying.

It was the first time for him to hear someone speak such pure Chinese medicine in his ear.

Xu Yang added: "Traditional Chinese medicine is not about seeing and treating diseases. It also needs to be prioritized and alleviated. Now my main conflict is not to treat pneumonia, but to strengthen the body."

"At this stage, it is dangerous to kill germs, engage in confrontation, or clear away heat and detoxify instead of quickly raising the righteousness. Every time you do it, you will hurt once."

After speaking, Xu Yang quickened his pace.

Zhao Guobin stood there and nodded, thinking that this theory was quite reasonable, but soon he realized something was wrong: "Hey, are you talking about me!"

……

Medicines for critically ill patients need to be decocted at the top of the list, so the medicines are delivered very quickly.After taking one dose, the patient complained that he felt an obvious sense of warmth radiating from his stomach to his limbs.

After taking two doses, the patient himself felt that his spirit had improved and his whole body became warmer.The next day, the symptoms of shortness of breath and chest tightness could not be relieved, and the blood oxygen increased from 87% to 90%.

This change surprised the people in the treatment group, and everyone was mentally prepared for rescue.But the patient's condition improved.

This once again proves that Chinese medicine works!

Zhao Guobin was also very excited and came to the ward for an examination again.

Xu Yang also went to a follow-up consultation. The patient's sputum volume increased, the color was white and sticky, his appetite improved slightly, his stool was still unresolved, and his sleep was slightly worse.

At about 5 o'clock this morning, the patient suddenly experienced a sudden hot feeling all over the body, which lasted for half an hour and then relieved on his own.

The patient is a little worried.

Xu Yang told him that this was the reaction of the struggle between good and evil.

When taking some traditional Chinese medicine, there will be discomfort for a period of time, such as diarrhea and vomiting, etc. This is the reaction of the struggle between good and evil.

If you are not at ease, you can ask the Chinese medicine doctor who prescribes for you.However, if he can't explain it himself, or if he doesn't know what to do, then he probably prescribed the wrong prescription and took the wrong medicine!

After Xu Yang's examination, since he saw that the traditional Chinese medicine was effective, he continued to take it if the effect was not changed.

Just as Xu Yang was about to leave, Zhao Guobin dragged Xu Yang away again.

Xu Yang asked, "Where are you going?"

Zhao Guobin asked back: "Where else can I go, you are the only one who is critically ill?"

ps: The doctor in charge of this medical case is Yan Fang, who is the director of the Traditional Chinese Medicine Department of Fangcun Branch of Guangzhou Traditional Chinese Medicine (known as the ICU of Traditional Chinese Medicine in the industry).

Chapter 655

Zhao Guobin rushed them to the next ward in a hurry, and complained: "Oh, these patients admitted before have not been discharged yet, and there are so many new ones coming in, they are all crazy busy!"

Xu Yang asked: "Isn't the hospital's capacity for treating patients insufficient?"

Zhao Guobin said: "Of course it's not enough. The second batch of hospitals is about to open, but it's definitely not enough. After all, the turning point has not yet come, and the number of people will only increase."

"So now it is said that it is going to follow the Xiaotangshan model of the year and build a new shelter hospital to treat patients. I heard that work will start in the next few days. I am too busy, so I didn't ask much."

Xu Yang and Professor He glanced at each other. According to the current situation, there are not enough beds, medical equipment, or medical staff.

There was a little more haze in the hearts of the two of them.

Xu Yang secretly reminded himself that he must quickly collect enough first-hand information to complete the syndrome differentiation and formulate an appropriate treatment plan.

Only in this way can Chinese medicine fully play its role in this battle!In order to alleviate the current tense and embarrassing situation to a certain extent.

Xu Yang's brows darkened a lot. Although he didn't sleep well all night, Xu Yang is not tired at all. As long as he walks into the hospital, he will have endless energy!

Professor He asked: "How is the patient's condition now? Are there many critical illnesses?"

Zhao Guobin replied: "There are still some, especially the elderly, especially those with underlying diseases, who can easily develop into severe diseases after getting sick."

"At present, there is no research on specific drugs, so our treatment plan is basically based on anti-inflammation, anti-virus, oxygenation, and immune support."

"Some young people who have always been in good health will be discharged from the hospital after a period of treatment. But those who are weak, old, and have underlying diseases will be troublesome."

Xu Yang frowned, sighed and said: "There is righteousness in you, you can't do evil. If the whole house is full of gentlemen, how can there be a place for villains."

"Is this also a theory of Chinese medicine?" Zhao Guobin asked curiously.

Xu Yang said: "This is the most basic theory of Chinese medicine."

Zhao Guobin was amazed. He had never cooperated with Chinese medicine before, but this time it was actually the first cooperation in a real sense. He really found Chinese medicine quite interesting. The theory was like an ancient poem, one set after another.

Xu Yang said: "I will explain it to you later, let me talk about the patient's condition first."

"Okay." Zhao Guobin agreed, handed the medical records to Xu Yang, and said, "This patient is also a woman, 49 years old, and has a history of gallstones in the past."

"The patient developed fever on January 2020, 1, with a maximum body temperature of 20 degrees, occasional dry cough, no sputum, and no shortness of breath. There was no obvious abnormality in blood routine examination in other hospitals."

"A chest CT scan showed that the upper lobes of both lungs and the lower lobe of the left lung had multiple calcifications. Afterwards, the body temperature dropped after oral administration of oseltamivir."

"On January 1, high fever appeared again, accompanied by diarrhea, fatigue, and loss of appetite. On January 24, the blood routine examination at the local community hospital showed no obvious abnormalities."

"On January 1, the chest CT was re-examined, showing infectious lesions in both lungs and secondary pulmonary tuberculosis in the left lung. The lesions were mainly induration, calcification, and fibrosis. Continue antiviral treatment."

"On January 1, the patient developed shortness of breath and went to the outpatient clinic of our hospital. Moxifloxacin was infused in the outpatient clinic and treated with ribashulin, but the symptoms did not improve. The patient was accompanied by chest tightness and headache symptoms."

"On January 1, he was admitted to the hospital. He was given conventional methylprednisolone anti-inflammatory and oseltamivir antiviral treatment. The second page is the laboratory report."

Xu Yang turned to the second page, the patient's white blood cells were 18.4, the absolute value of lymphocytes was 0.8, the percentage of lymphocytes was 4.1%, the absolute value of neutrophils was 17.3, and the C-reactive protein was 126.

The last page is the ct report.

Xu Yang looked at it, and then said: "Okay, I understand."

After speaking, Xu Yang turned around and entered the ward.

Zhao Guobin and Professor He quickly followed.

In the ward, he came to the patient.

The patient's mental state was extremely poor, and he was fatigued and weak. He maintained a dual-channel high-flow oxygen inhalation through a nasal cannula and a mask, but his blood oxygen was still only 92%.The patient also had paroxysmal cough, coughing from time to time.

Zhao Guobin also called the nurse in charge to inquire about the situation.

Xu Yang also mostly asked the nurses, and some patients who insisted on the cooperation of the patients also asked the patients, but the mental state of the patients was really bad.

Xu Yang learned that the patient had paroxysmal cough, less sputum, sticky texture, shortness of breath, shortness of breath when resting, obvious shortness of breath, dyspnea, severe chest tightness, and obvious palpitations and palpitations.

They also placed a urinary catheter in the patient.

The patient could no longer get out of bed to go to the toilet.

Xu Yang frowned, the patient's condition was really serious.

He went on to make a diagnosis, and the patient's condition had developed to the point where he no longer had fever symptoms, and Xu Yang's expression became a little more serious.

In fact, fever is not a bad thing.Fever is actually the confrontation between righteousness and evilness in the body, so in the early stage of disease development, the body is full of righteousness and wants to drive out evils, so it can generate heat.

But in the later stage, the righteousness is greatly lacking.Powerless to encourage evil, evil wins and recedes, even the ability to have a fever is lost, so this stage is more difficult.