Traditional Chinese Medicine Xu Yang

Xu Yang's expression became more dignified, and he continued to diagnose the patient.The patient had obvious symptoms of wheezing and shortness of breath, and was maintaining non-invasive ventilator-assisted ventilation.

Peripheral blood oxygen saturation was around 90%, no fever, no obvious cough and sputum, anorexia, abdominal distension, and less stool volume.Tongue is dark, and yellow fur is thick and greasy.Pulse number.

"How is it, Dr. Xu?" Seeing that Xu Yang's diagnosis was over, Feng Chaoyang couldn't help asking.

Mrs. Zhengfang and Zhao Guobin also looked at him curiously.

Xu Yang frowned and said: "The patient is old, and has been ill for a long time. The cavalryman had high fever, chills, and shortness of breath in the early days. A young man with cough and phlegm, but accompanied by abdominal distension and constipation, showing lung congestion. The image of the viscera."

"But now the disease has progressed to the internal pathogenic heat, the excessive heat damages the body fluid, and symptoms of irritability and delirium have appeared. The shortness of breath has not diminished, the tongue has shrunk, and the coating has turned yellow and dry. "

Feng Zhaoyang asked: "I think it's the same, but we are a little hesitant about what prescription to use."

Xu Yang thought about it for a while: "Let's combine Da Chai Hu Decoction with Sheng Sheng San. The patient is physically weak and should not be taken down. Da Chai Hu Decoction also has a relatively strong effect of stagnant qi and purging heat in the internal organs."

Feng Zhaoyang hesitated for a while, and finally nodded and said: "Okay, Dr. Xu, I agree with you, may I trouble you to come up with a prescription?"

"Okay." Xu Yang also agreed.

After Xu Yang finished writing the prescription, Zhao Guobin asked again: "Doctor Xu, how did you get the internal condition of the patient based on the patient's symptoms?"

Feng Chaoyang hurriedly asked his wife to arrange to go.

Xu Yang and Zhao Guobin walked back, Xu Yang already knew that Zhao Guobin was very interested in Chinese medicine now, and it happened that nothing happened on the way back, so Xu Yang chatted with him a few more words.

Xu Yang said: "The foundation is to know the physical characteristics of the patient's advanced age and chronic illness. This is the first and biggest difficulty."

"In addition, we also need to know that he had been waiting for a bed at home for a week, but was not admitted to the hospital for treatment in time. This delayed treatment and pushed the degree of difficulty to a higher level."

"It is precisely because of the combination of the two that it brings great difficulty to the follow-up treatment. As soon as the patient was admitted to the hospital, the damp poison quickly turned into heat, and the lungs were smoked with gold."

"This also disturbed the normal Qi mechanism, so he developed high fever, shortness of breath and restless symptoms. The lung orifice was closed by the evil poison, and Zong Qi could not circulate blood, so his lips were cyanotic and his tongue was dark purple."

"Heat poison burns the body fluid in the stomach, forming dry excrement, which leads to abdominal distension and hard fullness. The lungs and the large intestine are the exterior and interior of each other. If the qi of the internal organs does not descend, it will be difficult to ventilate the lung qi."

"If the lung qi is not ventilated, it will be difficult to lower the qi in the internal organs. This is a vicious cycle. In the early stage of the treatment plan, because the damp poison transforms the heat and burns the qi, the lungs are blocked and the internal organs are strong."

"According to the theory of treating lung and intestine together, Xuanbai Chengqi Decoction is used as the main treatment. The purpose is to clear away heat and detoxify, clear the lung and unblock the internal organs."

Zhao Guobin half-understood, just nodded: "The theory of Chinese medicine is still very unique, like the lungs and the large intestine as the exterior and interior of each other."

"There is absolutely no such reason in the science of detoxification, but the logic of your use is to let the patient defecate smoothly to treat pneumonia, eh!"

Xu Yang said again: "This is the method of dredging from the bottom of the pot. I have already used it to treat coughs, recurrent fevers and other diseases. Well, I won't say more, I'm going to be busy."

When he reached the corner, Xu Yang turned to leave.

Zhao Guobin hurriedly asked: "Doctor Xu, is this patient sure?"

Xu Yang's leaving figure paused for a while, and then said: "Do your best."

Zhao Guobin looked at Xu Yang with a complicated expression.

……

And that patient is also taking the new plan given by Xu Yang, taking it every day, and going for a diagnosis every day, Xu Yang is also busy with his own ward affairs.

But at the eighth consultation, Xu Yang was invited over again.At this time, the patient was still a little irritable, and continued to maintain a small dose of sedative drugs pumped into the sedation, and continued to assist breathing with a non-invasive ventilator.

Peripheral blood oxygen saturation is between 92%-95%, obvious shortness of breath, no fever, occasional cough, no sputum, nasogastric feeding diet, slightly reduced abdominal distension, stool once a day, uncooperative tongue examination, pulse string.

Judging from the results of the eighth clinic, the patient's condition has improved slightly.If the effect is not improved, continue to use the medicine.

When it was time for the No.13 consultation, Xu Yang was invited again.

The patient is occasionally irritable, maintains drug shock, continues non-invasive ventilator assistance for the same period, peripheral blood oxygen saturation is 85%-89%, shortness of breath has not improved, no fever, and abdominal distension is relieved.

The tongue body is purple and dark, the tongue body is dry and shrinking, the fur is yellow and dry, and the pulse is thready.

Xu Yang also felt very tricky.

He judged that the evil had already entered the nutrient, the heat trapped the pericardium, the dampness poisoned the heat and entered the blood, consuming blood and mobilizing the blood. "Suwen Zhizhenyao Dalun" says that heat and evil are overcome, and it is balanced by salty cold, accompanied by bitter and sweet, and harvested by acid.

The treatment plan is to cool blood and activate blood, detoxify and promote body fluid, so Qingying Decoction is used. On the basis of the original prescription, Qingying Decoction is used, taking into account the dredging of the internal organs, releasing heat and reducing lung qi.

The effect of the combination of the three parties is to clear away heat and detoxify, cool the blood and purify the fire, clear both qi and blood, and let the pathogenic factors come out.

This time, even Feng Chaoyang's face was ugly.

This patient is really difficult to deal with.

Zhao Guobin didn't ask too much, and he knew it was very difficult.

Fortunately, No.13's medicine has worked.

At the No.17 clinic, the patient was still taking shock drugs and a non-invasive ventilator, but the blood oxygen status improved, and it was 92-95.

Finally, the shortness of breath was slightly relieved, no fever, nasal feeding diet, slightly distended abdomen, stool once every two days, normal urination.

Group Leader Feng finally had a smile on his face again, and the situation finally improved.

It's just that Xu Yang, who has always dealt with critical illnesses, didn't feel relieved, because he already had a bad premonition.

The facts proved that Xu Yang's premonition was correct.

During the second consultation on No.20, the patient's condition suddenly worsened!

Chapter 685

No.20 Second diagnosis.

The patient was drowsy, and the shock drugs had been stopped, and the non-invasive ventilator was maintained for the same period, the spontaneous breathing was weakened, and the oxygen saturation of peripheral blood fluctuated around 85.The extremities are extremely cold, the abdomen is full, and the stool has not been resolved yesterday.Body of the tongue is dull, yellow and dry thick fur, thready and rapid pulse.

After Xu Yang finished his diagnosis, he stood up and looked at the patient silently.

The old man was still looking at Xu Yang, but he was quite tired. He asked, "Doctor, am I not going to be able to get out of the hospital?"

At this time, the uncle's mind is clear, and he can communicate with people normally, but in Xu Yang's view, this is not good news.

This can only show that Uncle's patient has progressed again, and judging from other diagnostic data, it has been transferred to Shaoyin.

The progress of the disease, especially the invasion of external pathogens, is step-by-step.From the real to the imaginary, the most important.From the three yangs to the three yins, it is the most important.

These are the advanced stages of disease development.

Xu Yang's head suddenly became dizzy. After such a long period of treatment, he still failed to reverse his condition, and he still watched the patient's condition worsen and worse.

Xu Yang tensed his face, he didn't know how to answer the patient's question.

Feng Zhaoyang also let out a heavy breath. To be honest, this kind of moment is often the time when a doctor feels the most powerless.

Xu Yang could only say: "Don't think about it, and cooperate with the treatment."

Xu Yang nodded to Feng Chaoyang, and the two were ready to go out.

The old man on the bed suddenly said: "If I die, please notify my family later."

Xu Yang and Feng Chaoyang stopped at the same time, Xu Yang looked back at him.

The uncle smiled wearily and said, "My son is also a doctor, and my daughter works in the community. They are both busy, so don't bother them."

Xu Yang was silent for a while, turned his head and went out without saying a word.

Feng Zhaoyang frowned, then turned around and followed Xu Yang out.

When he got outside, Feng Zhaoyang took the time to ask, "Doctor Xu Yang, how is the patient's condition?"

Xu Yang also hastily replied: "You are also a first-class expert in the industry, can't you see it?"

Team leader Feng also choked on Xu Yang's words, and then he explained: "I'm wondering if there is any way to save it."

Xu Yang quickly replied: "The patient's current condition has entered the middle stage, the positive and negative yang is weak, and the turbid evil has penetrated into the Shaoyin. In the critical stage, the positive and weak will be lost, and the yang of the heart and lungs will weaken. The situation is very critical."

Team Leader Feng said, "But we have rescued many people from critical illnesses."

Xu Yang shook his head: "It's not the same, this is a patient whose body has been hollowed out, and we have been treating the whole process up to now, if we want to reverse it, it has been reversed long ago."

Team Leader Feng felt desperate: "Are you even going to give up?"

Xu Yang shook his head and said, "It's impossible to give up, but it's really not sure."

Group leader Feng asked: "Then what should we do now?"

Xu Yang said: "It is still necessary to follow the treatment plan. The evil enters Shaoyin, and the patient's yang energy is weakening at present, so the treatment plan of returning to yang and rescuing the adversity must be adopted."

"I plan to use Shenfu Sini Decoction to supplement the fire and support the yang, and restore the yang to rescue the adversity. See if it can stabilize the condition and even reverse it."

"Okay." Team leader Feng agreed, and it seemed that there was really no other way.

Xu Yang drew up a new prescription.

Then he went back to his ward.

Uncle Gao and Xu Huimin were discharged from the hospital without any problems after the examination.The pungent elder sister is still in the ward, and she is the only one left in the original Baduanjin trio.

It's that year, and new patients will come in the afternoon, and the beds here are still very tight.It's just another matter whether they can make up a sports group.

Seeing Xu Yang approaching, Elder Sister Polar stopped what she was doing in embarrassment, and didn't know whether she should continue to practice.

But Xu Yang encouraged her and said: "It's okay, you practice yours, I just came to see the patient's condition, is there any discomfort?"

Sister Polar replied honestly: "Yes, I still feel tired, and when I'm not moving, breathing and talking don't have any effect. If I exercise more, I just feel a little breathless."

Xu Yang nodded and said: "This is normal, the pathogenic factors have not been cured, and you are still in the stage of treatment and recovery."

The current big sister Po La is very honest, and she didn't dare to push her around, so she said politely: "Okay, thank you for your hard work, Dr. Xu."

"Yeah." Xu Yang didn't say any more polite words, he was preoccupied right now.

Xu Yang turned to leave.

Big Sister Po La had some hesitation on her face, but in the end, before Xu Yang went out, she shouted: "Before...before, I'm sorry."

Xu Yang turned his head and glanced at her.

Sister Po La's face was burning badly, she said: "I didn't understand before, I shouldn't listen to the nonsense of people on the Internet. When I go out, I must share my real experience. Chinese medicine is really effective. of."

"Okay." Xu Yang nodded, simply agreed and went out.

Sister Po La felt that she was a little lost, she always felt that Xu Yang's answer was a bit simple, shouldn't she say something heart-warming at this time, why did she just leave?

Xu Yang didn't act according to the script, which made Miss Polar feel a little annoyed.

……

The war against the epidemic is not a matter of one person, nor is it just a matter of doctors, it is the joint efforts of our entire country and society.

We can see that it is true that it is the doctor who rushed to the front, but there are still many respectable people who are silently contributing.

Including the spiritual uncle who played a big knife at the entrance of the village.

In fact, there are many stories that can be told in this war. Take the front-line soldiers as an example. In fact, there are not only medical staff, but also a large number of researchers.

It is they who are providing various data and various results, medical alcohol and high-temperature sterilization. The previous incident went viral on the Internet, and this is the result of the laboratory.

Of course, one of their biggest studies so far is to study what drugs can be effective against the virus.You have to know that so far, there is still no corresponding specific medicine for this disease.

That's what the lab studies.

Everyone knows that black Chinese medicine has always occupied a large proportion of the Internet.

Everyone also knows that Chinese medicine has been complained about some time ago.However, with the release of positive reports about Chinese medicine, one real case after another has become widely known, and the previous enthusiasm for public opinion has also come down.

In general, the image of TCM and its status in people's minds are gradually improving.

This change has also greatly encouraged Chinese medicine practitioners, because Chinese medicine practitioners regard this epidemic as an excellent opportunity for the rise of Chinese medicine.

It's just that no one thought that the pharmacological research in the laboratory almost wiped out all the efforts of Chinese medicine in the face of this terrible disease.

Chapter 686 Shuanghuanglian

Ask the county, the Zhang family.

Zhang Ke looked at the public opinion report sent by his colleagues in the company, and Mr. Zhang nodded with satisfaction. Under such an environment, it is considered good that they can do this.

At least recently, there have been quite a few positive reports, and the trend on the Internet is not all one-sided.

Zhang Ke can only be thankful that the people who went to the front this time are all very high-level Chinese medicine practitioners, so they didn't break down, and the curative effect was completely bearable, otherwise it would be over.

Zhang Ke showed a satisfied smile, and posted in the group: "Every colleague has worked hard."

"Then...does the boss give out red envelopes?" The colleague monitoring public opinion asked weakly in the group.

The bottom row followed suit: "Boss, please ask for a red envelope."