Traditional Chinese Medicine Xu Yang

like now...

"Teacher Xu, Teacher Xu." Zhang Hua hurried to find Xu Yang.

Xu Yang was about to go out to work for others to pay off his debts, when he heard Zhang Hua calling him, he turned around and asked, "What's wrong?"

Zhang Hua trotted over and said, "Mr. Xu, Director Liu Baoquan in Ward No. [-] invites you to consult a patient."

Xu Yang was already used to going out to work, so he subconsciously nodded and agreed, "Okay, I see, I'll go and see later."

Xu Yang was about to go out, but suddenly he stopped and asked, "What is the ward?"

Zhang Hua replied: "No. 3."

Xu Yang suddenly became a little puzzled, and asked: "No. 3? Which traditional Chinese medicine hospital took over it? Why didn't I go to pay off the debt... No, why don't I have any impression?"

Zhang Hua said: "No, it's not the ward of the traditional Chinese medicine hospital, but the ward of the Western medicine."

Xu Yang nodded: "I see..."

The principle of current treatment is based on the cooperative treatment of Chinese and Western medicine, and the wards in charge of Western medicine are also treated with Chinese medicine.

Therefore, there is a Chinese medicine doctor in charge of them, and the ward over there is not under the responsibility of Xu Yang.But now I have asked him for help through internal communication, so this can only prove that there is a very difficult patient over there, and the Chinese medicine practitioner over there can't handle it.

Xu Yang immediately said: "I see, I'll go to Ward No. 3 first."

Zhang Hua said, "Mr. Xu, shall I go with you?"

"What are you going to do..." Xu Yang said this subconsciously, but after thinking about it, this is also a very good opportunity to get in touch with intractable diseases. He thought about it and asked Zhang Hua: "The work here is very difficult. Have you finished?"

Zhang Hua's original expression was still a little gloomy, but when he heard Xu Yang's words changed, he immediately raised his head and said, "It's done, it's done!"

Xu Yang said: "That's fine, you go and have a look with me."

"Okay." Zhang Hua immediately agreed happily.

Xu Yang took Zhang Hua and rushed there quickly. Ward No. 3 was not far away, and the two of them walked quickly for a while and arrived.I found the nurse here and asked her to take Xu Yang to their expert Liu Baoquan.

"Doctor Liu, hello." Xu Yang stepped forward.

"Hello, hello, thank you for your hard work, Dr. Xu." Liu Baoquan was also very polite.

Xu Yang nodded, but when he looked up, he saw Li Yishan.These medical staff all have famous brands. Although they wear masks and protective clothing, they can tell just by looking at the famous brands.

"Hello, Dr. Li." Xu Yang also greeted Li Yishan. He didn't expect Li Yishan to come to see it. He probably couldn't get it off, so he looked for him.

"Hmph." Li Yishan hummed lightly, and turned his face away.He doesn't like to talk to this guy who is a good teacher.

Xu Yang didn't care too much, so he asked, "What's the matter, is it a patient with special circumstances?"

Liu Baoquan, a respiratory expert of western medicine, immediately said: "Yes, there is a patient with many complications, the most serious one is systemic lupus erythematosus."

When Xu Yang heard this, he was startled.

During his long medical practice, he only treated two or three cases of this disease. The most dangerous and urgent one was the one that Zhang Ke sent out last time.

Xu Yang frowned, quickly regained his composure, and said, "Have you been diagnosed? Tell me, what's going on?"

Expert Liu showed the case to Xu Yang, and said: "The patient is 44 years old. Two months before admission, he developed joint pain in both knees and wrists, but no systematic diagnosis and treatment was done."

"One month before admission, there was intermittent cough and sputum. He started to have fever half a month ago, with a temperature of up to 38.5 degrees Celsius, accompanied by chest tightness, palpitation, and shortness of breath."

"Lung CT showed multiple infectious lesions in both lungs and multiple enlarged mediastinal lymph nodes. Bilateral pleural effusion was evident on the left side. Anti-infection treatment in the emergency department did not improve, and the accounting test was positive. Then he was admitted to the hospital."

"After we were admitted to the hospital, we were diagnosed with new crown, thrombocytopenia, and systemic lupus erythematosus. The inspection report is on the next page of the report in your hand."

"For the treatment plan, we gave Arbidol oral antiviral and moxifloxacin intravenous infusion for anti-infection. After admission, the tuberculosis nucleic acid test of the sputum sample was negative, and the autoimmune test showed that the anti-double-stranded DNA antibody was positive."

"The antinuclear antibody was positive, and the clinical diagnosis was systemic lupus erythematosus. Then we gave him intravenous infusion of dexamethasone and pulse therapy of immunoglobulin."

"To be honest, this patient was sent here as a severe patient with new pneumonia, and she was accompanied by such serious complications, so her condition became more complicated."

"And the patient had a history of arthritis before admission, and also had pleural effusion and pericardial effusion. The examination after admission showed that her blood system and kidney system were abnormal."

Expert Liu frowned: "Our treatment is also targeted, anti-virus, anti-infection, and immunotherapy. But now, the effect is not particularly obvious."

"So we found Chinese medicine to combine treatment together. Expert Li Yishan came to prescribe Chinese medicine prescriptions before, but the patient's condition still did not improve significantly after using them."

Li Yishan frowned a little, but didn't say much, if he didn't get cured, he didn't get cured, it's nothing to lose face.

Liu Baoquan looked at Li Yishan and said, "Doctor Li, why don't you talk about the diagnosis and treatment of traditional Chinese medicine?"

"En." Li Yishan responded softly from the tip of his nose, and then said expressionlessly: "I came here for the first consultation on the third day after the patient was admitted to the hospital. The first visit found that the patient was tired and weak, with a fever of 38 degrees, accompanied by chills."

"Excessive sweating, shortness of breath after exercise, cough with little phlegm, poor appetite, no abdominal distension and abdominal pain, a little dry mouth and bitter mouth, normal urination, loose stools, 2-3 times a day, pale tongue, white, thin and greasy fur. The pulse is slow."

"The conclusion of my first diagnosis was that the yang qi was weak and the dampness and poison were blocked. So I used a prescription for nourishing the qi and yang, promoting qi and removing dampness. The prescription is on your next page. After three days of treatment, there was no obvious improvement. "

"I also considered that it should be due to spleen deficiency and excess dampness, so I decided to treat it by invigorating the spleen and removing dampness, so I used Shenlingbaizhusan addition and subtraction, and the prescription is also on the next page."

"After five days of treatment, the patient's shortness of breath worsened, and dyspnea occurred in a resting state. The blood oxygen saturation was 4% under oxygen inhalation of 95l/min, and the diarrhea worsened, 5-6 times a day, in the form of water. Just like that."

"Alas..." Li Yishan frowned tightly when he said this, he had no choice but to participate in the treatment, not only failed to control the disease, but also became more and more serious.

In desperation, he went to Xu Yang to help again, otherwise he really didn't want to find this guy who is a good teacher, listening to him is like teaching elementary school students.

Li Yishan said: "The situation is basically the same. Dr. Xu, you are a great expert, you can take a look. I heard that Mr. Gao Mingcheng said that you have treated critical systemic lupus erythematosus and the effect is very good."

Expert Liu of western medicine also took a few more glances at Xu Yang.

Xu Yang also finished reviewing the medical records, and he directly said: "The previous thinking was not very good, warming the yang is the cure, why change the thinking of treatment if it is good?"

Li Yishan was stunned for a while, and said, "Because the treatment for three days has no effect."

Xu Yang said in displeasure: "I've wanted to talk about this issue for a long time. These 10g supplementary tablets are invincible. What kind of yang can you warm?"

Chapter 710 Can you still understand it this way?

Xu Yang wanted to complain about this question for a long time.

This time, the Chinese medicine practitioners who supported the frontline came from all over the country, experts from different factions, and everyone had different treatment habits and medication styles.

In order to deal with the epidemic, they have successively designated many sets of treatment plans, but no matter how the plans are designated, the medication is limited, especially for some toxic Chinese medicines that are relatively controversial, they are required to strictly follow the regulations of the Pharmacopoeia.

For example, Sini Decoction requires all 10g, because the pharmacopoeia regulation of aconite is 3-15g, you may think it meets the pharmacopoeia regulation.Many critically ill patients are also used in this way. Although it is very stable, the treatment process is indeed very slow, and some patients who need to be rescued, Xu Yang is very anxious.

But the general situation is like this, and he can't do anything about it. This is not Mingxin's branch, and it's not something he can count on.There are too many people staring at the fight against the epidemic, and even more people who want to find fault, and they are very cautious.

But if you are cautious, the situation that the medicine is overwhelmed occurs.

Those patients in the past were all treated with Chinese and Western medicine.The efficacy of the traditional Chinese medicine is weaker, and the Western medicine can make up for it. It is okay to work together.

However, some patients are special and have weaker constitutions, especially those with severe yang deficiency and dampness. If both traditional Chinese medicine and western medicine can't cure the pathogenic factors, the situation is dangerous.

When expert Liu Baoquan heard this, he immediately looked at Xu Yang. As a medical expert, he naturally knew the toxins contained in these aconitum plants.A few milligrams of toxin can overwhelm a cow.

It's just that he didn't say much. After all, it's not the first time he's cooperating. In the past, he might have said a few words. During this period of time, he also has a certain understanding of the treatment methods and abilities of Chinese medicine.

As for Li Yishan, let alone, as an expert in traditional Chinese medicine, he naturally knows Xu Yang very well, he is notoriously fierce.

In the past, many people thought that Xu Yang was from the Vulcan school, because he was good at using large doses of ginger, but later saw that this kid was as smooth as a large dose of plaster, and dared to use Angong Niuhuang pills for pregnant women. Such a fierce man, who has seen it?

So when Xu Yang said such words, Li Yishan did not show any surprise.It's impossible for him to be surprised. Do you really think that he asked Xu Yang to help for no reason?

After watching Xu Yang, Expert Liu turned his head to look at Li Yishan. Seeing that Li Yishan didn't speak, he could only speak for himself. After all, he was the doctor in charge of this patient. He asked, "Doctor Xu, what should this patient do?"

Xu Yang closed the medical record book and said, "Go and see the patient first."

"Okay." Expert Liu nodded.

After Xu Yang went in, he made a diagnosis for the patient, and everything else was the same as what they said.Xu Yang focused on tongue examination and pulse examination. The patient's tongue was pale and dark, with white and greasy coating.The pulse condition was heavy and counted.

The combination of the four diagnostic methods can actually clearly discover the disease and syndrome.

This is the deficiency of yang qi and the obstruction of dampness and turbidity.

Xu Yang frowned and said: "In addition to the usual fever, cough, less phlegm, and shortness of breath, the most prominent ones of this patient are anorexia and obvious diarrhea. In the worst case, watery stools appeared."

"Her tongue is different from other patients. Other patients are usually pale red or red with a greasy coating. But hers is dull, with a white coating and thin greasy coating."

"This time the epidemic is actually a damp poison epidemic, which is caused by damp poison. The epidemic poison belongs to yang evil and warm evil. After people feel the epidemic poison, the damp poison generally turns from heat to dryness."

"But this patient's body is too weak, and she has such a serious underlying disease, so she is powerless to fight against the pathogenic factors. Therefore, the epidemic virus has shown a rare chill in her body, so we follow the previous general It’s not enough to use experience to treat her.”

Zhang Hua nodded thoughtfully.

Expert Liu was also looking at Xu Yang seriously.

Li Yishan curled his lips, well, this guy started to show off again.

Xu Yang went on to say: "So the method of warming yang and replenishing qi in the first diagnosis is the right way. Insufficient yang qi can't expel these cold water vapors at all. Worse cause."

Zhang Hua nodded solemnly, and said, "Then this patient, like Mr. Zhang Ke, belongs to the yang-deficiency lupus erythematosus?"

Xu Yang said: "It should be. They are all too weak in constitution and unable to stimulate evil. At this time, the treatment must warm the sun. When the sun shines, it will naturally be easy to hydrate and eliminate dampness. Therefore, the treatment plan should be to warm the sun and strengthen it." Take it off, mainly promote qi and transform dampness."

Li Yishan couldn't help asking: "Then how many grams of aconite do you plan to use?"

Aconite is the first medicine for warming yang, which is indispensable.

Li Yishan added: "Let me tell you, this is not as much as you say, you have to convince the expert group above."

Xu Yang was taken aback.

Expert Liu also blinked, why this has nothing to do with him as the doctor in charge, he hasn't spoken yet.

Zhang Hua also looked at Xu Yang cautiously.

Xu Yang frowned, then said, "I'll go find them."

After speaking, Xu Yang turned his head and left.

Expert Liu was even more confused, it's really none of his business?

After Zhang Hua stood still for three seconds, he quickly followed.

Li Yishan was a little hesitant, and after a little hesitation, he followed.

Expert outdoors.

Neither Zhang Hua nor Li Yishan followed up. Zhang Hua felt that he was not qualified to follow up, and Xu Yang also let him stay outside.But Li Yishan didn't know whether he should go in, he was still hesitating.

There were also constant quarrels coming from inside.

"I don't care what the pharmacopoeia stipulates or not. Now I don't need a large dose of aconite to warm the yang, and this person will be gone!"

"Are you [-]% sure to cure her? How many pairs of eyes are staring at us now, do you know what bad consequences it will cause if you ignore the pharmacopoeia and regulations like this?"

"At such a critical time, a small matter will become a big thing. Complying with the regulations of the Pharmacopoeia is the major prerequisite for our Chinese medicine to fight the epidemic this time."

Then there was the voice of Xu Yang cursing.

Outside the door, Zhang Hua and Li Yishan looked at each other helplessly.A pharmacopoeia is a code of law. When you are in the hospital, sometimes you exceed the standard, and that’s fine.

Now that the whole country is paying attention, Chinese medicine must not violate laws and regulations, otherwise it will become nothing.

Li Yishan just sighed, and finally didn't go in.

Soon, Xu Yang came out angrily.

Zhang Hua asked nervously, "Teacher Xu, what's going on?"

Li Yishan also looked at Xu Yang.

Xu Yang said angrily: "What else can I do? According to the Pharmacopoeia, 3-15g."

Li Yishan said with some concern: "15g, is this dose okay? I'm afraid it's not enough?"

But Xu Yang said: "Enough."

"Huh?" Li Yishan and Zhang Huaqi were taken aback.

Xu Yang straightened his neck, and said confidently: "He didn't say that aconite was born or cooked!"

"Damn it?" Both of them were stunned!

Chapter 711

Unprocessed ones are called Shengfuzi.The processed ones are called Zhifuzi. According to different processing methods, there are also Heishunpian, Baifupian, Yanfuzi and so on.

The biggest effect of processing is to reduce harmful ingredients and improve or highlight the characteristics of a certain aspect of medicinal materials.For example, raw radish seeds and cooked radish seeds have different efficacy focuses, and raw Atractylodes macrocephala and fried Atractylodes macrocephala are also different.

Aconite is known to be poisonous, and the biggest function of making aconite is to reduce the toxicity in aconite, but in this process, the medicinal effect of aconite is correspondingly reduced a lot.

Because when the bile fluid is soaked, most of what comes out is medicine dregs.The concocted market is very chaotic, and drug farmers do everything randomly in order to prevent the aconite from rotting.