Xu Yang asked several small Chinese doctors: "Have you read all the patient's medical records?"
Several people nodded.
Xu Yang asked again: "Then tell me, what is the syndrome? What is the pathogenesis?"
You guys look at me and I look at you, but they dare not say anything.
Xu Yang directly called Xu Yuan's name: "Xu Yuan, tell me."
Xu Yuan really wanted to pretend that he didn't exist, but there was no way, the cram school teacher knew him well.It's over, this pretense can't be done anymore, this patient is an intractable disease.
Xu Yuan couldn't escape, so he could only bite the bullet and say, "The patient's tongue was diagnosed with yellow coating, dry mouth, bitter mouth, and polydipsia, which should undoubtedly be due to heat syndrome, plus intestinal spasms that have not healed for five years..."
As he talked, Xu Yuan found that he seemed to be rushing to tell the truth about stagnant qi again, but Xiao Chengqi Decoction proved that it was not enough.
In the end, Xu Yuan could only say embarrassingly: "At least the yellow coating on the tongue is undoubtedly the main symptom of heat syndrome, and it should be treated with cold and cool medicine."
Xu Yang asked again: "What do you think?"
The others couldn't say anything either.
Xu Yang nodded slightly, and said: "This patient's pathogenesis is hidden very deeply, and it is also very inspiring to you. Now, take notes."
The boys all prepared their records in unison.
Guo Ju, who was sitting on the side, was also taken aback.
Chapter 132
Xu Yang said to several people: "In ancient times, there was a saying that the tongue does not deceive people, and the yellow coating governs fire. In most cases, it is naturally true. But the tongue coating is obtained from the transpiration of stomach qi. Spleen and stomach are like a cauldron, kidney qi is like fire, and the fire at the bottom of the cauldron is weak , steaming has no right, and the tongue phenomenon at this time cannot reflect the real pathogenesis.”
Everyone frowned upon hearing this.
One person asked: "Mr. Xu, do you mean that the patient is suffering from a decline in vital energy? Is it a cold syndrome?"
Xu Yuan was in high spirits at that time, and his life was on the decline. I am familiar with this question.
Xu Yang said again: "Don't worry, look carefully, I'm just telling you that the tongue phenomenon is often deceiving. If you look at the patient's dry mouth, pain, polydipsia, isn't it also a manifestation of heat?"
Everyone nodded.
Xu Yang said again: "But you have to observe carefully, her Guanyuan and Shenque acupoints are very cold and hard, and her knees are also icy, which is the basis for the coldness of the lower Jiao."
Everyone looked at the woman on the hospital bed.
Cao Dehua was also taken aback, what else is going on?
Even Guo Ju showed curiosity and turned his head to look.
Xu Yang said again: "Zhang Jingyue once said, 'Hiding traitors alone'. If there are one or two evidences mixed with false evidence, then the actual evidence is often the most important. If there are one or two falsehoods mixed with evidence Syndrome, this deficiency syndrome is often the pathogenesis.”
"The same principle applies to cold and heat. Among the very hot syndromes, one or two cold syndromes are hidden. These cold syndromes are often the key to the pathogenesis. This is hiding rape alone. You must be cautious when you are going to clinical practice." Be careful, what should you do if the appearance is muddled?"
Everyone was slightly startled.
Xu Yang clicked Xu Yuan again: "Xu Yuan, tell me."
"Eh..." Xu Yuan's mind froze for a moment.
Xu Yang shook his head slightly: "Didn't I tell you yesterday that if it is difficult to judge by the other three diagnosis, the pulse diagnosis should be used as the basis, so the pulse diagnosis can't be too meticulous."
Several other people looked at Xu Yuan in astonishment, and Xu Yuan's face turned red.
Everyone is convinced, and you agreed to be scumbags together, but you secretly went to make up lessons, and ended up coming back to pretend to be aggressive after finishing the lessons, which is too much!
Xu Yuan looked up at the ceiling, as long as I raised my head high enough, no one would be able to see my embarrassment.
Xu Yang continued: "The patient's pulse is thin and weak, which shows that the patient's yang energy is weak. You see, the patient seems to be thirsty because of the heat syndrome, but she spit out saliva after drinking water."
"She seems to be suffering from thirst and thirst, but she likes to drink hot water. And she has dry mouth, thirst and thirst. The upper burner looks hot, but the lower burner has coldness. It's really cold."
"After you used Xiao Chengqi Decoction before, her symptoms got worse instead, so you should know that it's not a syndrome of excess heat, otherwise there will definitely be some effect."
"The pathogenesis of this patient is that the pathogenic cold is directly in the Jueyin, the cold and silt are intertwined, and all the cold is induced to cause pain. This is the cause of her intestinal spasms for five years, and this is the root of the pathogenesis."
"But because of the misuse of Xiaochengqi Decoction and other cold medicines, the condition became more serious, so it caused rushing up, and you can see that it has become rushing porpoise. You can see that the patient has qi rushing back and forth in the lower abdomen under the navel, and when it hurts I felt a lump going straight to Zhongwan, so I pressed lightly, and she was in excruciating pain."
The other little Chinese doctors listened enthusiastically.
As for Cao Dehua, he was almost sweating. It couldn't be that they misdiagnosed and mistreated him.At the same time, he was also blaming Xu Yang, why are you so honest, kid?Didn't you see that Bureau Guo is still here?
He carefully looked at Guo Ju's face, but found that Guo Ju was not angry, but was looking at Xu Yang seriously.
Xu Yang continued: "Chongmai is one of the eight extraordinary meridians, it is the sea of twelve meridians, and governs the qi and blood of the twelve meridians. If the Chongmai is a disease, irregular menstruation, infertility, miscarriage, shortness of breath, Intra-abdominal cramping, rushing gas."
"The "Depei Materia Medica" of the Qing Dynasty summarized the medicines of the eight meridians. For example, the second meridian of Renchong used tortoise shell and amethyst as the main medicines for sedating Chong. Wu Zhuyu, etc. When you go back, remember to read this book."
Xu Yuan was speechless at the time, leaving homework again.
After finishing speaking, Xu Yang asked Xu Yuan again: "Oh, by the way, have you finished copying the "Thousand Gold Prescriptions" and "Su Wen" that you were asked to copy?"
Xu Yuan almost didn't cry, how much can he copy in just one night?
Others also showed disgust, this scumbag was actually punished for copying books.Hey... there is still a pretense!
Xu Yang also shook his head slightly: "The cure for this disease is to nourish the true fire of the gate of life by warming it up, nourishing the fire and regenerating the soil, nourishing the pulse, bringing the fire back to its original state, and subduing the Bentun. You can use Wen's Bentun Decoction."
"This prescription is the legacy of Mr. Wen Biquan, a famous doctor in Shanxi. It is the dried ginger in Ginseng Sini Decoction, Atractylodes Rhizoma Atractylodes in Guifu Lizhong Decoction, rehmannia glutinosa, Danpi and cornus in Guifu Bawei Wan. It is made of agarwood, amomum and achyranthes."
"It is a wonderful prescription for pure yang and fire, to rescue the poor and help the crisis. It is warm and flexible, and can pass through the inside and outside of the twelve meridians. It can eliminate the cold accumulation in the five internal organs, condense the six internal organs, remove the cold arthralgia of the bones, and break the cold Chronic cold, expelling cold and promoting qi to treat all pains.
"This prescription can mainly treat diseases such as liver, spleen and kidney three yin-cold syndromes, Bentun Qi, cold cholera, abdominal cramps, qi rushing up and down. You must learn this recipe carefully, after you learn it, it will have infinite uses.”
Mr. Li especially admired this prescription before his death, and often used it to treat diseases.Mr. Wen Biquan is also Mr. Li's correspondence teacher and his first teacher in medicine.
Xu Yang began to write the prescription. He said: "Use a small dose of Wen's Bentun decoction, add 30g of angelica, 30g of calcined amethyst to calm the pulse, and add 15g of Evodia rutaecarpa. Evodia rutaecarpa is best at relieving spasm. What Western medicine calls spasm , It’s the same as what we said about Zhuhan Shuyin.”
Xu Yang wrote the prescription and handed it to Cao Dehua: "This is the whole prescription."
Cao Dehua took a look at it, his heart moved slightly, he handed Fang Zi to Ju Guo, and said: "Leader, please see if there is anything wrong with Fang Zi."
Guo Ju frowned, took it over and looked at it, and asked, "Why did you use such a small dose this time? Aconite only used 10g, which complies with the Pharmacopoeia regulations. Is it because I'm here?"
Xu Yang was a little puzzled: "The patient's pathogenesis is weak fire, this dose of aconite is enough to ignite the fire, and it can also relieve the cold of the burns. 10g is enough for warming and nourishing in mild cases, and 15 to 30g is used for serious diseases. Reverse, use more when dying, how can anyone use so much when they come up?"
Guo Ju was taken aback by what Xu Yang said.
Xu Yang looked at Bureau Guo strangely. The leader of the health department didn't seem to know much about Chinese medicine, so he said to Cao Dehua, "Director Cao, hurry up and prescribe the prescription. I'll come back after giving the patient a dose." Take a look."
"Ah..." Cao Dehua responded. He was more sensible and knew to ask the leader first. He said, "Guo Ju, what do you think?"
Guo Ju looked at the prescription in his hand, and then turned his head to look at his wife who was lying on the bed much more comfortably. He frowned, pondered for a while and said, "Then use this prescription."
Cao Dehua took the prescription and hurriedly asked the pharmacy to prescribe the decoction.
Xu Yang asked: "Director Cao, didn't you say there is another patient?"
"Eh..." Cao Dehua glanced at Director Guo, and said, "Yes, yes, Director Guo, why don't I take Dr. Xu there first?"
Guo Ju nodded slightly: "Okay, you go about your work."
Cao Dehua said: "Okay, see you then, Ju Guo, let's go first."
"Okay." Guo Ju responded, and took a deep look at Xu Yang.
A group of people go out.
Not long after going out, Cao Dehua's exclamation came from the corridor.
"What about the patient?"
"What? Heart failure and respiratory failure, sent for rescue?"
Guo Ju in the room also frowned when he heard that, and he also walked out.
Chapter 133 The Human Trafficker Has a Terminal Illness
Guo Ju hurried out of the ward, he asked: "What's wrong? What's the situation?"
Cao Dehua replied: "Guo Ju, that's it. I originally wanted to take Dr. Xu to treat this patient, but I didn't expect her to be sent for emergency treatment."
Guo Ju asked a little strangely: "Is it suddenly serious?"
Cao Dehua nodded and replied: "Yes, the main reason is that this patient has a special identity. She is a human trafficker. After being arrested, she was locked up in our hospital for treatment. She is suffering from idiopathic pulmonary interstitial fibrosis combined with cor pulmonale. , this patient is very important to the police.”
Guo Ju's heart sank when he heard that.
The others also sank in their hearts.
This disease is terminally ill. It resembles acute and chronic bronchitis at the initial stage, and it will keep recurring. The main symptom is spasmodic severe coughing and wheezing.It seems inconspicuous in the early stage, but as long as it is diagnosed, it is basically in the late stage.
Moreover, this is a terminal disease, which cannot be cured. So far, no one can be cured. This is the most difficult disease among respiratory diseases, and it is difficult to find and even more difficult to treat.
Even if you are lucky and have mild symptoms, you can live for at most ten years.But most of them are diagnosed in the late stage of severe disease, and the basic life expectancy is about two to four years.
There is also lung transplantation now, but the cost is very expensive, and even if it is transplanted, its life expectancy can be increased by three to five years at most, and it is still incurable.
People who have this disease will eventually have pulmonary heart disease and die due to systemic failure, heart failure, and respiratory failure.At present, medicine is powerless, whether it is traditional Chinese medicine or western medicine.
Xu Yang also looked at Cao Dehua in surprise, he didn't expect Cao Dehua to let him treat such a patient!
Cao Dehua frowned tightly, and he said: "How about we go to the rescue side and see?"
"Okay." Guo Ju nodded in response.
A group of people went to the rescue side again.
Outside the rescue room.
There were several plainclothes criminal policemen standing there.
The leader is Cao Dahua, Cao Dehua's younger brother, the captain of the criminal police.
"Damn it." Cao Dahua cursed, kicked the wall with his foot, and spun around several times with his hips in annoyance.
The plainclothes men next to them also frowned, looking depressed.
Cao Dahua turned around and asked the nurse beside him, "I said, can this person be saved?"
The nurse also said helplessly: "This...it's hard to say, we won't know the result until the doctor is out of the rescue."
Cao Dahua asked again: "Then is there any medicine that can keep her awake for three to five days after the injection, so that she will be fine within three to five days and can accept our interrogation?"
The nurse was also dumbfounded, and she replied: "I don't know about this either, you can ask the doctor."
Cao Dahua scratched his short hair, a little irritable and anxious, he cursed again: "Damn it, don't die to me at this time!"
Cao Dehua and his group also rushed over.
Cao Dehua called out from a distance: "Dahua."
Cao Dahua heard the sound and looked.
I saw a group of doctors walking over quickly wearing masks.
Cao Dahua was stunned when he saw it. A group of doctors with masks and white coats rushed over in a uniform order. At first glance, they looked like masters of the Imperial Forest Army rushing over.
But after Cao Dahua took a closer look, it was his elder brother Cao Dehua who took the lead.Cao Dahua was a little discouraged immediately, it turned out to be an illusion.
The nurse lady was also stunned, she seemed very imposing.
Cao Dehua trotted over quickly and asked, "Dahua, how is it?"
Cao Dahua said angrily: "What else can I do? I sent it to the hospital for emergency treatment. They said that they were dying of three types of failure, heart failure, respiratory failure, this one and that one. I don't know if they can be rescued."
Without waiting for anyone to speak, Cao Dahua said angrily again: "I'm really angry, I'll be half dead if I'm caught. I've been tossing around for so long, and no one has tried yet. If it really disappears, it's all in vain."
Cao Dahua stomped his feet hard, then covered his stomach, and shook his head in discomfort.
"Captain Cao, don't be angry. Stomach pain and head pain are all caused by anger. Liver depression turns into fire, and it goes up against the peak, so I feel dizzy and have a headache. And then I go against the stomach, so my stomach hurts, calm down." The group of doctors said. Suddenly someone inside spoke.
Cao Dahua was startled and looked over.
Xu Yang took off his mask. He ran over to look around. There were not many doctors and nurses wearing masks. What the hell is Cao Dehua doing?
Xu Yang turned to stare at Cao Dehua.
Cao Dehua avoided Xu Yang's eyes with a guilty conscience.
Other small Chinese doctors also took off their masks.
"Doctor Xu?" Cao Dahua revealed a look of surprise, he hurriedly asked: "Doctor Xu, is there any way you can treat this patient?"
Cao Dahua hurriedly added: "It doesn't mean that it will be cured, let her not die, and then wake up for a few days, so that we can interrogate her."
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