Xu Yang said again: "If the phlegm heat blocks the lungs, how can there be no reason not to cough during the day? Moreover, the phlegm coughed up by the phlegm heat block the lungs is mostly yellow phlegm. Didn't you listen carefully? The patient coughed up white saliva Ah, the phlegm hasn't come out yet."
Xu Yang continued: "Furthermore, according to the laws of the twelve meridians, coughing due to Yangming's internal organs is usually more severe at night, especially in the early morning."
"That's right, that's right." The aunt hurriedly agreed, "It's just that he coughed badly in the middle of the night, and we couldn't sleep because of him."
Now everyone understands completely.
It's just that Professor He is still frowning. It's not that he doesn't understand the disease. After reading the prescription, he has already judged that the medicine of Xuanfei and cough medicine before is not effective, and Western medicine is also ineffective.
That probably isn't an issue of focusing.
This is based on experience and level.
For example, Zhong Hua also read the prescription list, but he didn't dare to make a direct conclusion. Instead, he thought that the medicine might be wrong, and he didn't pay attention to clearing away heat, so the effect was not good.He wasn't sure, he was also hesitating.
But what Professor He couldn't understand was that Xu Yang didn't read the prescription. He had already judged that the other party was caused by food accumulation after the pulse diagnosis.
He was not simply asking about food accumulation, but had already judged Yangming's internal organs, and kept asking about the situation of Yangming's internal organs, as if he already knew the answer.
Is it by chance?He has seen such medical cases?
Professor He was puzzled.
A person in the crowd asked weakly: "But didn't the patient pull out the water? Is this also counted as internal organs?"
Xu Yang looked at this scumbag speechlessly: ""Warm and Epidemic Theory: Stool": People with heat stagnation and side effects, the stomach is strong, and the internal heat is blocked. No feces. Didn’t I tell you that hot knots flow sideways? No feces, and the stinky water coming out is also evidence of the internal organs.”
The man's expression froze.
Xu Yang asked the scumbag again: "Then what prescription should I use?"
The man thought for a while and said, "Since it's caused by food accumulation, then Baohe Pills..."
Xu Yang said: "What about Baohe Pills, it's not a big problem to eliminate accumulated food, or to treat children with fever caused by food accumulation. But this child is already a proof of Yangming's internal organs, so you will be slow to see results."
A look of embarrassment suddenly appeared on the man's face.
Xu Yang looked at the man and said: "Moreover, the evidence of Yangming's internal organs is very likely to be seen in severe illnesses, and even life-threatening. Are you not afraid of treating illnesses so slowly?"
Like this epidemic, many patients showed that the epidemic poison closed the lungs at an early stage, and Yangming Fu syndrome was positive, and symptoms such as high fever, cough, poor stool, and shortness of breath appeared.Then it spread rapidly, and after two or three days, it became a critical illness such as evil heat internal closure, yang qi bursting out, etc.!
To treat a disease, on the basis of correct syndrome differentiation, it is necessary to act decisively, so as to effectively block the transmission of the disease and save the patient's life!
"Ah? Is it so serious?" The aunt was taken aback by Xu Yang's words.
Xu Yang replied: "Your child can't reach this level."
Auntie is relieved.
Xu Yang went on to say: ""Golden Chamber Synopses" said: "If the pulse is rapid and slippery, it is true. There is food here, and it will be cured. Da Chengqi Decoction is suitable." Don't be afraid of this harsh medicine, the dialectics are correct. , it can be used, and the guidance of the medical sage will not be wrong."
Professor He looked at Xu Yang, and said, "Then you can prescribe a prescription."
"Okay." Xu Yang nodded and wrote the prescription.
Dachengqi Decoction is a harsh medicine, many Chinese medicine practitioners are afraid of its power and harm to the body, so they dare not use it.
However, the evidence of Yangming's internal organs is sometimes life-threatening.At such a critical juncture, it is not such a violent dose that can save lives.
Therefore, Chinese medicine practitioners often say that only by mastering the usage of this soup in clinical practice can one be said to be a mature Chinese medicine practitioner who can cure diseases!Because you not only need to be able to use it, but also dare to use it!
After Xu Yang finished writing the prescription, he handed it to Professor He: "Teacher, please read it over."
Professor He took it over and looked at it, frowning slightly. This prescription added a few herbs to Dachengqi Decoction, added medicine for clearing lung heat, and ginseng for strengthening the body.
Professor He looked at Xu Yang with some doubts. It has been more than half a year since he saw him. Has Xu Yang improved so fast?If he stays in the hospital and studies clinically, Professor He believes that Xu Yang will make rapid progress, he is confident in this.
After all, he had laid a solid foundation for Xu Yang at the beginning, and after going to the clinic, he would naturally improve rapidly.But he has been expelled for more than half a year, and he has been reduced to that kind of small clinic. Who did he learn from?
Professor He was a little puzzled, or did he happen to have seen the exact same medical record for this patient?After all, Xu Yang's theoretical foundation is too solid, and the reading comprehension of medical records is also one of the foundations.
At this time, there were several knocks on the door.
Xiaohui opened the door and came in. She said, "Professor He, Director Qi invites you to go over and consult with the patient together."
Chapter 106 Really Troublesome Patient
"Okay." Professor He agreed, and then continued to prescribe the prescription. He did not change the above dosage and compatibility.
Professor He told the patient to wait here for a while after taking the medicine. He needed to see the effect of the medicine.
The aunt also agreed.
Then a group of people rushed to the inpatient department in a mighty manner.
Went to the inpatient department.
"Doctor Xu?" A surprised voice came from the side.
It's a stubborn old man!
Xu Yang was taken aback, he couldn't remember who this person was.
"Hello, Doctor Xu." He Juejue was also there.
Xu Yang looked at He Juejue, but didn't think about it.
Professor He also looked at Xu Yang.
The stubborn old man excitedly said to Xu Yang: "Oh, Dr. Xu, let me tell you that your prescription is very effective. I will be fine soon after taking it. I can be discharged from the hospital. Let me observe for another two days."
"I can't even stay here anymore. The hospital is not a fun place, is it? You see, my appendicitis is cured, and they still won't let me go. It's unreasonable!"
Xu Yang finally remembered that it was because he cured an appendicitis that he was promoted by that official account, and he saved enough exposure to be able to go back to the past and learn from his teacher.
He Juejue said with a cold face: "It is my responsibility to you to let you observe for a few more days. Why do you have so many opinions?"
"Okay, okay, stay, I'll stay for a few more days!" The stubborn old man has met his nemesis, and now he doesn't dare to argue with He Juejue anymore.The relationship between the father and daughter had finally eased up a bit, and if he lost the fight, it would be over.
He Juejue showed a rare smile to Xu Yang, and she said: "Doctor Xu, I still want to thank you. When are you free, I will treat you to a meal."
Xu Yang shook his head: "No time."
He Juejue's expression froze for a moment, and she said again: "Then... add a WeChat..."
Xu Yanggang wanted to refuse.
He Juejue said: "After the official account article was published, many people asked in the background where your clinic is located. Do you think we should discuss how to publicize it?"
Xu Yang said: "How about this, I'll let our boss contact you, I have to go to a consultation, so I'm leaving."
After speaking, Xu Yang left directly.
"Hey!" He Juejue was a little discouraged, what happened to this man?Why do you always want to leave? Are you so scary?He Juejue almost doubted his own charm, and at the same time doubted Xu Yang...
The group continued to walk upstairs.
Professor He asked: "Is this a patient you treated before?"
"Yes." Xu Yang nodded.
Professor He asked with some doubts: "Do you also treat this kind of acute abdomen?"
Xu Yang smiled and replied, "I know how to order everything."
In the years before in the system, Xu Yang has been wandering between the county town and the countryside for decades. The advantage of being in the countryside is that you can't choose the patient, and you have to treat whatever disease the patient has.
Therefore, Mr. Li has been in the countryside for decades, and he can treat any disease, because he has to study what disease the patient has, and he has no choice.
This is different from the city. There are many departments in large hospitals, and doctors also specialize in a certain category. Every doctor has his own specialties.
Xu Yang is modest.
Professor He was even more suspicious.
Cao Dehua felt that he had to explain to Xu Yang: "Professor He, this patient had ectopic appendicitis before. The right lower quadrant did not hurt, but the right upper quadrant. The B-ultrasound also indicated acute cholecystitis. Everyone misdiagnosed it. Doctor Xu Yang made the right judgment alone."
"Huh?" Professor He was really surprised this time: "How is it possible? How did you do it?"
Cao Dehua blew his rainbow fart and said, "Pulse diagnosis, huh, my old Cao has lived most of his life, it is really an eye-opener! As soon as Dr. Xu got started, after the pulse diagnosis, he directly said that the pulse goes through the gallbladder and there is no disease. There was a hot image in the large intestine, and he immediately judged that it was an intestinal carbuncle, and it turned out that it was indeed, and my old Cao took it immediately."
Professor He looked at Xu Yang in the wrong way this time: "Breathing and moving pulse? This is a pulse diagnosis method for difficult meridians. How did you know this?"
Xu Yang smiled slightly, and replied: "Not much, just a little bit."
The group of Chinese medicine practitioners who followed were all in pain, so what the hell?
Professor He was very surprised: "You... why have you been there for the past six months?"
Xu Yang didn't know how to reply for a moment.
Cao Dehua blew rainbow fart again: "Professor He, in fact, Dr. Xu is really good. Last time, he treated a young child with severe adenovirus pneumonia, and all the symptoms disappeared after one dose! He was discharged from the hospital not long after. "
"There is also a postpartum patient with closed stools, and that chronic cough. That person went to many doctors but failed to cure him. There is also the patient with postoperative adhesive obstruction in the morning. The prescription is many. The doctor wrote it in front of us."
Professor He was completely stupefied, he couldn't even walk, he turned his head to look at Xu Yang: "Impossible! I know your level too well, even if a group of big players have been teaching you day and night for more than half a year, It's impossible for you to improve so fast!"
Professor He began to doubt life.
Xu Yang could only bite the bullet and say: "He has won the prize, I am not that good. Teacher, let's go, the patient is still waiting."
Professor He could only walk forward in a daze, and now he wondered if he was hallucinating.No one knows Xu Yang's level better than him, it's impossible for this kid to improve so fast!
A group of people walked outside the ICU ward.
Director Qi and others were waiting outside the door.
Director Qi hurried forward and stretched out his hand: "It's going to be hard on you again, Professor He."
It was time to diagnose and treat patients, and Professor He quickly suppressed the doubts in his heart. He nodded slightly: "You're welcome, you should."
Director Qi introduced to Professor He: "Professor He, this is Director Shi Rentong of the ICU."
Professor He also stretched out his hand: "Director Shi, hello."
Director Shi Rentong is tall, with broad palms and a rough voice: "Hello, Professor He."
Director Qi continued to introduce a middle-aged woman beside him: "Professor He, this is the patient's wife."
Professor He looked over, and the patient's wife was leaning against the wall, looking haggard and silent.
"Dahua." Cao Dehua called out.
"Brother." Standing beside the patient's wife was a man who looked more like Cao Dehua, except that he was younger and taller, with a very tall and straight figure and piercing eyes.
Everyone looks at Cao Dehua.
Cao Dehua laughed twice, and said: "Let me introduce, this is my younger brother Cao Dahua, the captain of the Criminal Police Brigade, known as the Tiger of the Criminal Police Brigade, and he is the patient's apprentice."
Cao Dahua also came to shake hands with Professor He.
Professor He asked: "Tell me about the condition of the patient."
Director Qi said: "The patient is Gao Xingliang, 55 years old. Thirty-five years ago, the patient suffered from severe frostbite, which was later cured. Ten years ago, the patient suddenly found that his lower limbs were cold and painful, and he was hospitalized for many times to no avail."
"Until the Chinese New Year this year, his condition suddenly deteriorated. Then he went directly to the provincial capital. He was hospitalized in the Provincial People's Hospital of Provincial No. 7, Provincial No. [-] and Provincial People's Hospital for a total of [-] months."
"Diagnosed with cerebral arteriosclerosis, myocardial inferior wall infarction, and thromboangiitis obliterans of both lower extremities. The hospital suggested amputation, but the patient disagreed, so he was discharged. He returned to the county, but the patient felt very cold and painful that day. Chest tightness and stinging pain."
"After taking nitroglycerin tablets, he was slightly relieved. With the advice of his family members, he first came to our hospital for inpatient treatment. We sent him to the ICU directly. The patient's condition is not optimistic, but he is still unwilling to undergo surgery. This is the patient's case."
Director Qi brought over the medical records.
Professor He took it and frowned. He didn't expect it to be such a difficult patient.
Cao Dahua, the tiger of the criminal police team, said to He Dongjun seriously: "Professor He, my master is a hero. The reason why he suffered from severe frostbite was that when he was serving as a soldier on the border, he encountered a heavy snowstorm, which caused an avalanche."
"In order to save the lives of the people affected by the disaster, they all rushed over. Five soldiers were sacrificed one after another, and many people were frozen toes and became permanently disabled."
"My master was lucky. His health was preserved, but he also suffered from sequelae. Later, he retired from the army and returned to work in the county, and worked conscientiously in the police station for so many years. If it wasn't for his health, with his contribution and ability, he would definitely not have stopped. In a deputy director."
"So no matter what, please take care and save my master. Please!" Cao Dahua said with a sound, and saluted Professor He.
Professor He's expression froze immediately.
The patient's wife was leaning against the wall, not looking at Professor He, but she lowered her head with calm despair on her face.
It's not like they haven't been to the provincial capital. They went to the best hospital and received the best expert treatment.
They have also treated Chinese medicine, and they are also great experts in the province. Isn't it still like this?It's true that Professor He is a provincial expert, but so are those big experts!
Chapter 107 Entering the ICU for the first time?
When the group of Chinese medicine practitioners following outside heard the news, their hearts sank. It's not that they didn't believe in Professor He's medical skills and abilities.
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