In fact, it’s too late to say anything now. This kind of thing is because the child feels that there is nothing wrong, so he bears not to tell the adults. When Tang Shan took Tang Mingyuan to practice medicine outside, he also encountered children who were uncomfortable and told their parents and teachers. I didn’t take it seriously, I even thought it was the child who didn’t want to go to class and pretended to be sick and scolded the child. No matter how uncomfortable the child was, he didn’t dare to say anything. .
There was no one in the ward, so I only found out after asking the nurse, because there were some tests to be done, the patient's mother and nanny pushed the patient to the B[-] floor, the middle-aged man first asked Tang Mingyuan to sit down, and took a bottle of mineral water out of the cabinet Put it in Tang Mingyuan's hand and said, "Doctor Tang, please wait a moment."
Tang Mingyuan said, "Why don't we go to the doctor's office and see if we can find the attending doctor. I want to see his medical records and find out about his medication and other conditions."
Hearing this, the middle-aged man nodded quickly and said, "Okay, I'll take Dr. Tang there."
Tang Mingyuan nodded, and the middle-aged man took Tang Mingyuan to the doctor's office. The attending doctor happened to be there. After the middle-aged man greeted him, the attending doctor took a look at Tang Mingyuan, and then called up the patient's information from the computer. I didn't know Tang Mingyuan, and thought he was a relative of a middle-aged man, who happened to be a medical student, so he was brought here by the middle-aged man. Some family members of patients just don't trust doctors, and they still have to ask questions about the treatment plan given by the doctor after consultation. It seems that they can cheat money, and the money for medical treatment does not fall into their hands at all.
The attending doctor simply got up so that Tang Mingyuan could sit down and read slowly. He didn't leave, but stood aside. After all, there were a lot of patient information in the computer, and he could explain anything that the patient's family didn't understand. They There is no repeated waste of examinations done by the hospital.
Tang Mingyuan didn't ask anything, and he read it very quickly. After reading it, he stood up and thanked him.
The middle-aged man was very nervous, but he found that Tang Mingyuan's face was calm, and he couldn't see what he was thinking at all. His heart was tense and he felt that he was afraid of being young. The attending doctor said, "Is there any problem?"
Tang Mingyuan said, "No, thank you."
The attending doctor said, "If you have any questions, you can come to me at any time."
"Okay." The middle-aged man said, "Thank you doctor."
Seeing that their attitudes were okay, the attending doctor felt much more at ease. Tang Mingyuan and the middle-aged man left the doctor's office, and the man asked, "Doctor Tang, can you treat them?"
Tang Mingyuan said, "I'll give you an answer after I see the patient."
The middle-aged man nodded, gritted his teeth and led Tang Mingyuan to the ward. When he arrived at the ward, he saw his wife and son had returned. A nurse was adjusting the infusion bottle. Tang Mingyuan went to the bathroom to wash his hands first, and wiped them clean with a napkin. The middle-aged man The man's wife's eyes were red. Seeing her husband bring someone over, "Is it Dr. Huang?"
"No." The middle-aged man held his wife's hand and said, "I happened to meet Dr. Tang, the one I told you about..."
The woman covered her mouth and couldn't help crying and said, "That's great."
Tang Mingyuan came out after washing his hands, and the nurse adjusted to see the family member's agitation, so he didn't say anything more, recorded the patient's temperature and other conditions, and left first.
The woman looked at Tang Mingyuan eagerly, and wanted to say something pleading, but she was afraid that Tang Mingyuan would be unhappy. Tang Mingyuan warmed his hands first, and then went up to examine the patient. The patient's tongue coating was yellow and dry, and his pulse was even weaker. He took off the patient's clothes and looked at the bleeding spots on his body, "It's a warm toxin spot plus kidney deficiency, cold syndrome. It's also a hemorrhagic fever, but his condition is very serious."
"Doctor Tang, can it be cured?" The middle-aged man asked cautiously.
Tang Mingyuan had already taken out a pen and paper, and while writing the prescription, he said, "According to the condition, we should invigorate Qi and solidify it, return Yang to rescue the adversity, use ginseng, aconite, paojiang, roasted licorice, and Rehmannia glutinosa, because the patient has diarrhea, so angelica should be replaced with Atractylodes macrocephala. Besides, use 50.00ml of 250% glucose plus vitamins..." In fact, this kind of treatment in the hospital will be opposed by the attending doctor, but this has nothing to do with Tang Mingyuan, it depends on the arrangement of the middle-aged man. "This is an emergency, and it is best to arrange it immediately." Not only traditional Chinese medicine, but also hypertonic sugar injections and intravenous infusions also require the cooperation of the hospital.
The middle-aged man was relieved when he saw Tang Mingyuan prescribe the medicine. As long as he could be saved, the middle-aged man greeted the hospital in advance and even signed an agreement. It doesn't matter, so he directly took out his mobile phone and contacted someone he knew. Not long after Tang Mingyuan finished prescribing the prescription, a slightly older lady wearing glasses and a male doctor in his forties came together. The middle-aged man hurried Talk about the prescription and treatment plan.
The male doctor frowned and said, "Are you sure you want to terminate the hospital's treatment plan, do this?"
"Yes." The middle-aged man said, "I'm sure."
The male doctor nodded, and then asked people to prepare for the treatment. The female doctor wearing glasses asked, "Your treatment is only the initial treatment, do you have the next step?"
Tang Mingyuan said, "Yes, because the patient's blood pressure is too low. After taking the medicine, wait until the patient's blood pressure rises steadily and the pulse condition is stronger, then switch to Danggui Sini Decoction. Add or subtract the medicine according to the patient's condition."
The female doctor said, "The prescription you just prescribed is "Jingyue Quanshu" written by Zhang Jingyue, a famous doctor in the Ming Dynasty. In addition to some treatment methods of Western medicine, it is in line with the patient's condition."
Tang Mingyuan said, "Yes, his situation is a little critical, so he used Liuwei Huiyang Drink to save his life, and when the situation stabilized, he used Angelica Sini Decoction to warm the meridians and dispel cold, nourish blood and unblock the veins." What I said was also explained to the patient's parents, "I will adjust the prescription tomorrow according to the patient's condition." If there is no accident, three doses of medicine are enough, and the rest is mainly for conditioning, but I didn't see it. In the specific situation, Tang Mingyuan would not easily say these words.
The male doctor stood aside, a little bored in his heart. He didn't believe that a bowl of medicine could make the patient's condition better. It wasn't that he thought Chinese medicine couldn't cure the disease, but that Chinese medicine was known as a "slow doctor" and couldn't cure the emergency at all. Severe illness, it is still possible to recuperate the body. Seeing the patient's family members as if seeing a savior, they couldn't help but said, "Don't you think about it again? His condition is not very good. If the treatment is delayed... …It is better to wait for the follow-up to use traditional Chinese medicine to regulate the body. It is better to use Western medicine to treat diseases and save lives, and Chinese medicine also pays attention to experience.”
The female doctor frowned and looked at Tang Mingyuan, but found that Tang Mingyuan was not angry at all. After all, outsiders' misunderstanding of Chinese medicine was not just one or two people. Compared with traditional Chinese and Western medicine, western medicine relies more on medical equipment for the research of emergency and critical illness, while traditional Chinese medicine relies on the accumulation of experience."
"Due to various reasons, the decline of Chinese medicine and the interest in Western medicine do not mean that Chinese medicine is really inferior to Western medicine. Now Chinese medicine is also working hard to improve, using advanced scientific instruments, or the method of combining Chinese and Western medicine. Chinese medicine can stand the test of time. Yes, it is time to precipitate the essence." Tang Mingyuan said, "If you don't get in touch with understanding and study, you are not qualified to limit Chinese medicine to a certain circle."
The male doctor's expression changed, and he said, "I'll wait to see the effect!"
Tang Mingyuan said, "Okay."
The female doctor sighed in her heart, the patient's parents stood aside in embarrassment, and the middle-aged man said, "Two sit down first."
Neither the female doctor nor the male doctor left, but stayed in the ward. According to Tang Mingyuan's wishes, the nurse injected [-] ml intravenously after the patient finished taking the medicine, and then continued to instill it. The male doctor asked directly, "Since you said Chinese medicine likes to treat emergencies, so why don't you tell me how long it will take for him to see the effect after using up the medicine according to your plan?"
The middle-aged man frowned. Although he also wanted to know when his son would recover, he didn't like the doctor's aggressive attitude. They were the family members of the patient, and they were anxious and uncomfortable because of the child's condition. Although they didn't want the doctor to comfort them , but it is also appropriate to give them a quiet space.
Tang Mingyuan said, "You can take his blood pressure now, and take another test in half an hour."
There was no need for a nurse. The female doctor took the initiative to measure the patient's blood pressure. After recording it, she said, "The current blood pressure is 80/70. Let's wait quietly for half an hour and take another test."
The middle-aged man was sitting beside the hospital bed with his wife. He held his wife's hand all the time. The two of them looked at their son on the hospital bed. Their eyes were red but they didn't really cry. If both of them were desperate, then their What should my son do?Who else can rely on for the sick son.
Tang Mingyuan sat on one side where he could see the patient, and the other two doctors sat on the side. The small room seemed to be divided into three separate parts.
For 10 minutes, except for Tang Mingyuan, those people felt that every minute was suffering, and Tang Mingyuan had already sorted out the patient's situation in his heart, and he would write down the condition in detail when he got home.
The male doctor looked at his watch from time to time, stood up and said, "It's ok."
Tang Mingyuan also stood up. The middle-aged man stepped forward and took the patient's blood pressure. The female doctor stood beside him and said after reading the result, "The blood pressure has risen to 100/80."
The male doctor pursed his lips tightly, and his expression became more and more serious. Tang Mingyuan seemed to have forgotten what happened just now. He stepped forward to take the patient's pulse again, thought for a while and prescribed the prescription, "The prescription is changed to Danggui Sini Decoction with Ginseng Beard, Danggui Sini Decoction The main medicinal materials are Angelica, Guizhi, Peony, Asarum, Tongcao, Licorice, and Jujube, which are mainly used to treat blood deficiency and cold, and give him once every four hours, and I will come back tomorrow morning to readjust the prescription." Although it is troublesome, But this is the most responsible for the patient, and the adjustment of a single medicine in the prescription can sometimes play a big role.
The middle-aged man said, "Shall I pick you up?"
"It's okay, you take care of your family." Tang Mingyuan said, "I'll just come here by myself. He may be very uncomfortable tonight and may vomit. You should pay more attention so that he doesn't choke you."
The middle-aged man said, "OK."
Does Tang Mingyuan really not care what the male doctor says?He cared, but he knew that after the result came out, his ignorance was the best counterattack.
The author has something to say: Please follow the doctor's advice. The medical records here are based on books, and there is a prescription for each disease. Don't really follow the prescription.
Reference books: "Medical Records of Famous Doctors in Shaanxi", "Golden Mirror of Medicine", "Soup Song Jue"!
There was no one in the ward, so I only found out after asking the nurse, because there were some tests to be done, the patient's mother and nanny pushed the patient to the B[-] floor, the middle-aged man first asked Tang Mingyuan to sit down, and took a bottle of mineral water out of the cabinet Put it in Tang Mingyuan's hand and said, "Doctor Tang, please wait a moment."
Tang Mingyuan said, "Why don't we go to the doctor's office and see if we can find the attending doctor. I want to see his medical records and find out about his medication and other conditions."
Hearing this, the middle-aged man nodded quickly and said, "Okay, I'll take Dr. Tang there."
Tang Mingyuan nodded, and the middle-aged man took Tang Mingyuan to the doctor's office. The attending doctor happened to be there. After the middle-aged man greeted him, the attending doctor took a look at Tang Mingyuan, and then called up the patient's information from the computer. I didn't know Tang Mingyuan, and thought he was a relative of a middle-aged man, who happened to be a medical student, so he was brought here by the middle-aged man. Some family members of patients just don't trust doctors, and they still have to ask questions about the treatment plan given by the doctor after consultation. It seems that they can cheat money, and the money for medical treatment does not fall into their hands at all.
The attending doctor simply got up so that Tang Mingyuan could sit down and read slowly. He didn't leave, but stood aside. After all, there were a lot of patient information in the computer, and he could explain anything that the patient's family didn't understand. They There is no repeated waste of examinations done by the hospital.
Tang Mingyuan didn't ask anything, and he read it very quickly. After reading it, he stood up and thanked him.
The middle-aged man was very nervous, but he found that Tang Mingyuan's face was calm, and he couldn't see what he was thinking at all. His heart was tense and he felt that he was afraid of being young. The attending doctor said, "Is there any problem?"
Tang Mingyuan said, "No, thank you."
The attending doctor said, "If you have any questions, you can come to me at any time."
"Okay." The middle-aged man said, "Thank you doctor."
Seeing that their attitudes were okay, the attending doctor felt much more at ease. Tang Mingyuan and the middle-aged man left the doctor's office, and the man asked, "Doctor Tang, can you treat them?"
Tang Mingyuan said, "I'll give you an answer after I see the patient."
The middle-aged man nodded, gritted his teeth and led Tang Mingyuan to the ward. When he arrived at the ward, he saw his wife and son had returned. A nurse was adjusting the infusion bottle. Tang Mingyuan went to the bathroom to wash his hands first, and wiped them clean with a napkin. The middle-aged man The man's wife's eyes were red. Seeing her husband bring someone over, "Is it Dr. Huang?"
"No." The middle-aged man held his wife's hand and said, "I happened to meet Dr. Tang, the one I told you about..."
The woman covered her mouth and couldn't help crying and said, "That's great."
Tang Mingyuan came out after washing his hands, and the nurse adjusted to see the family member's agitation, so he didn't say anything more, recorded the patient's temperature and other conditions, and left first.
The woman looked at Tang Mingyuan eagerly, and wanted to say something pleading, but she was afraid that Tang Mingyuan would be unhappy. Tang Mingyuan warmed his hands first, and then went up to examine the patient. The patient's tongue coating was yellow and dry, and his pulse was even weaker. He took off the patient's clothes and looked at the bleeding spots on his body, "It's a warm toxin spot plus kidney deficiency, cold syndrome. It's also a hemorrhagic fever, but his condition is very serious."
"Doctor Tang, can it be cured?" The middle-aged man asked cautiously.
Tang Mingyuan had already taken out a pen and paper, and while writing the prescription, he said, "According to the condition, we should invigorate Qi and solidify it, return Yang to rescue the adversity, use ginseng, aconite, paojiang, roasted licorice, and Rehmannia glutinosa, because the patient has diarrhea, so angelica should be replaced with Atractylodes macrocephala. Besides, use 50.00ml of 250% glucose plus vitamins..." In fact, this kind of treatment in the hospital will be opposed by the attending doctor, but this has nothing to do with Tang Mingyuan, it depends on the arrangement of the middle-aged man. "This is an emergency, and it is best to arrange it immediately." Not only traditional Chinese medicine, but also hypertonic sugar injections and intravenous infusions also require the cooperation of the hospital.
The middle-aged man was relieved when he saw Tang Mingyuan prescribe the medicine. As long as he could be saved, the middle-aged man greeted the hospital in advance and even signed an agreement. It doesn't matter, so he directly took out his mobile phone and contacted someone he knew. Not long after Tang Mingyuan finished prescribing the prescription, a slightly older lady wearing glasses and a male doctor in his forties came together. The middle-aged man hurried Talk about the prescription and treatment plan.
The male doctor frowned and said, "Are you sure you want to terminate the hospital's treatment plan, do this?"
"Yes." The middle-aged man said, "I'm sure."
The male doctor nodded, and then asked people to prepare for the treatment. The female doctor wearing glasses asked, "Your treatment is only the initial treatment, do you have the next step?"
Tang Mingyuan said, "Yes, because the patient's blood pressure is too low. After taking the medicine, wait until the patient's blood pressure rises steadily and the pulse condition is stronger, then switch to Danggui Sini Decoction. Add or subtract the medicine according to the patient's condition."
The female doctor said, "The prescription you just prescribed is "Jingyue Quanshu" written by Zhang Jingyue, a famous doctor in the Ming Dynasty. In addition to some treatment methods of Western medicine, it is in line with the patient's condition."
Tang Mingyuan said, "Yes, his situation is a little critical, so he used Liuwei Huiyang Drink to save his life, and when the situation stabilized, he used Angelica Sini Decoction to warm the meridians and dispel cold, nourish blood and unblock the veins." What I said was also explained to the patient's parents, "I will adjust the prescription tomorrow according to the patient's condition." If there is no accident, three doses of medicine are enough, and the rest is mainly for conditioning, but I didn't see it. In the specific situation, Tang Mingyuan would not easily say these words.
The male doctor stood aside, a little bored in his heart. He didn't believe that a bowl of medicine could make the patient's condition better. It wasn't that he thought Chinese medicine couldn't cure the disease, but that Chinese medicine was known as a "slow doctor" and couldn't cure the emergency at all. Severe illness, it is still possible to recuperate the body. Seeing the patient's family members as if seeing a savior, they couldn't help but said, "Don't you think about it again? His condition is not very good. If the treatment is delayed... …It is better to wait for the follow-up to use traditional Chinese medicine to regulate the body. It is better to use Western medicine to treat diseases and save lives, and Chinese medicine also pays attention to experience.”
The female doctor frowned and looked at Tang Mingyuan, but found that Tang Mingyuan was not angry at all. After all, outsiders' misunderstanding of Chinese medicine was not just one or two people. Compared with traditional Chinese and Western medicine, western medicine relies more on medical equipment for the research of emergency and critical illness, while traditional Chinese medicine relies on the accumulation of experience."
"Due to various reasons, the decline of Chinese medicine and the interest in Western medicine do not mean that Chinese medicine is really inferior to Western medicine. Now Chinese medicine is also working hard to improve, using advanced scientific instruments, or the method of combining Chinese and Western medicine. Chinese medicine can stand the test of time. Yes, it is time to precipitate the essence." Tang Mingyuan said, "If you don't get in touch with understanding and study, you are not qualified to limit Chinese medicine to a certain circle."
The male doctor's expression changed, and he said, "I'll wait to see the effect!"
Tang Mingyuan said, "Okay."
The female doctor sighed in her heart, the patient's parents stood aside in embarrassment, and the middle-aged man said, "Two sit down first."
Neither the female doctor nor the male doctor left, but stayed in the ward. According to Tang Mingyuan's wishes, the nurse injected [-] ml intravenously after the patient finished taking the medicine, and then continued to instill it. The male doctor asked directly, "Since you said Chinese medicine likes to treat emergencies, so why don't you tell me how long it will take for him to see the effect after using up the medicine according to your plan?"
The middle-aged man frowned. Although he also wanted to know when his son would recover, he didn't like the doctor's aggressive attitude. They were the family members of the patient, and they were anxious and uncomfortable because of the child's condition. Although they didn't want the doctor to comfort them , but it is also appropriate to give them a quiet space.
Tang Mingyuan said, "You can take his blood pressure now, and take another test in half an hour."
There was no need for a nurse. The female doctor took the initiative to measure the patient's blood pressure. After recording it, she said, "The current blood pressure is 80/70. Let's wait quietly for half an hour and take another test."
The middle-aged man was sitting beside the hospital bed with his wife. He held his wife's hand all the time. The two of them looked at their son on the hospital bed. Their eyes were red but they didn't really cry. If both of them were desperate, then their What should my son do?Who else can rely on for the sick son.
Tang Mingyuan sat on one side where he could see the patient, and the other two doctors sat on the side. The small room seemed to be divided into three separate parts.
For 10 minutes, except for Tang Mingyuan, those people felt that every minute was suffering, and Tang Mingyuan had already sorted out the patient's situation in his heart, and he would write down the condition in detail when he got home.
The male doctor looked at his watch from time to time, stood up and said, "It's ok."
Tang Mingyuan also stood up. The middle-aged man stepped forward and took the patient's blood pressure. The female doctor stood beside him and said after reading the result, "The blood pressure has risen to 100/80."
The male doctor pursed his lips tightly, and his expression became more and more serious. Tang Mingyuan seemed to have forgotten what happened just now. He stepped forward to take the patient's pulse again, thought for a while and prescribed the prescription, "The prescription is changed to Danggui Sini Decoction with Ginseng Beard, Danggui Sini Decoction The main medicinal materials are Angelica, Guizhi, Peony, Asarum, Tongcao, Licorice, and Jujube, which are mainly used to treat blood deficiency and cold, and give him once every four hours, and I will come back tomorrow morning to readjust the prescription." Although it is troublesome, But this is the most responsible for the patient, and the adjustment of a single medicine in the prescription can sometimes play a big role.
The middle-aged man said, "Shall I pick you up?"
"It's okay, you take care of your family." Tang Mingyuan said, "I'll just come here by myself. He may be very uncomfortable tonight and may vomit. You should pay more attention so that he doesn't choke you."
The middle-aged man said, "OK."
Does Tang Mingyuan really not care what the male doctor says?He cared, but he knew that after the result came out, his ignorance was the best counterattack.
The author has something to say: Please follow the doctor's advice. The medical records here are based on books, and there is a prescription for each disease. Don't really follow the prescription.
Reference books: "Medical Records of Famous Doctors in Shaanxi", "Golden Mirror of Medicine", "Soup Song Jue"!
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