Chapter 81: You Misdiagnosed

"What's the patient's condition?" Xu Yang hurriedly ran to the Chinese medicine hospital.

Zhong Hua, Xu Yuan and Cao Dehua greeted him at the gate of the Chinese Medicine Hospital.

Cao Dehua looked at Zhong Hua, he didn't know what the situation was, strictly speaking, he was just a correspondent, and he was only responsible for calling Xu Yang.

Zhong Hua and Xu Yuan both had a little embarrassment on their faces, after all, they only came to the door yesterday to find faults, and today they called someone to help. However, Zhong Hua is an old man, and he quickly suppressed his embarrassment.

He stretched out his hand to Xu Yang: "Doctor Xu, thank you very much for coming to help." ”

Xu Yang also shook hands with him, and he said, "You're welcome, it should be, Dr. Cao told me that the patient was suffering from acute cholecystitis, how is it now, let's talk about the condition first." ”

"Good. Zhong Hua didn't grind anymore, stretched out his hand to ask Xu Yang to go first, and then a few people said as they walked.

Xu Yuan opened his mouth, he wanted to say a few words to Xu Yang, but he didn't have this opportunity. He sighed slightly, and then hurried to follow.

Zhong Hua said: "The patient's surname is He, 65 years old this year, abdominal pain for a day, and then came to our hospital of traditional Chinese medicine for treatment, after the emergency department diagnosis, it was found that the patient had pain in the right upper abdomen, B ultrasound report, there was an inflammatory mass near the gallbladder area, gallbladder wall hair, diagnosed with acute cholecystitis, and was admitted to the hospital. ”

"I was going to have surgery, but the patient was afraid of surgery and insisted on using traditional Chinese medicine. Therefore, I was invited to consult, and I found that the patient had a fever of 38.5 degrees, distension and pain in the right upper abdomen, dry throat, bitter mouth, nausea and vomiting, dry stool, red and yellow tongue, and a smooth pulse. ”

"In line with the Da Chai Hu Tang syndrome, I used a dose of Da Chai Hu Tang, and the patient felt a little relieved, but the pain was still there, and the effect was average. Western medicine has also used antibiotics for treatment, and the effect is mediocre. We persuaded the patient to undergo surgery again, but the patient still insisted on using traditional Chinese medicine, so we invited Dr. Xu to come for a consultation. ”

Xu Yang nodded, indicating that he knew.

Article 165 of "Treatise on Typhoid Fever", "Typhoid fever, sweating incomprehensibly, heart is hard, vomiting and going down is the main one." ”

According to Zhong Hua, the patient does meet the symptoms of Da Chai Hu Tang syndrome, the patient has fever symptoms, and the stiffness of the heart is the upper abdominal distension and pain; vomiting does not really mean vomiting, nausea, retching, belching and belching are all manifestations of stomach qi reversal; and the lower benefits include diarrhea and constipation.

Moreover, judging from the patient's other symptoms, the patient is indeed sick in the Shaoyang meridian, and the treatment with Da Chai Hu Tang should be correct. Moreover, traditional Chinese medicine also uses Dachai Hu Tang to treat cholecystitis, but it is generally used to treat chronic cholecystitis, and acute ones cannot be treated by traditional Chinese medicine.

But why is the effect mediocre?

Xu Yang also fell into thought.

"The Theory of Spiritual Expansion" says: "Those who are gallant will be swollen in pain under the flanks, bitter in the mouth, and good at resting." "Lingshu: Five Evils" says: "If the evil is in the liver, it will hurt in both sides." ”

These are some records of the dialectic of cholecystitis by predecessors, but now this acute abdomen is not the turn of traditional Chinese medicine.

As he was talking, several people came to the ward of the inpatient department, and the patient was still lying on the bed and moaning quietly, but his daughter He Xuan didn't know where to go.

Zhong Hua said to Xu Yang: "This is the patient. ”

Xu Yang nodded.

Zhong Hua said to the patient: "He Yuanchang, this is Doctor Xu Yang, he will come to diagnose you in a while, can you cooperate?"

The stubborn old man turned his head, didn't look at this side, and said stubbornly: "I don't, I just need Chinese medicine to cure me." ”

Several people were a little crying and laughing.

Zhong Hua said: "Doctor Xu is a Chinese medicine doctor, can you cooperate?"

The stubborn old man said: "Okay, it's good to be a Chinese medicine." ”

Xu Yang walked over and began to diagnose the patient, Xu Yang asked what the stubborn old man answered, and he was very cooperative, but he didn't feel any distrust because Xu Yang was young.

Xu Yang diagnosed them one by one, and the patient's symptoms were as Zhong Hua said before, and after Xu Yang thought about it for a while, he began to diagnose the patient's pulse.

"What are you doing?" suddenly came a cold voice at the door.

Several people looked back and saw that it was the stubborn old man's daughter, He Xuan.

"Heal, what are you doing?" Xu Yuan didn't have a good attitude towards He Xuan.

He Xuan glanced at Xu Yang, who was checking the patient's pulse, and she asked in a cold voice, "Who allowed your Chinese medicine to come over for treatment?"

Xu Principle said bluntly: "The patient himself allowed it." ”

He Zhen's face was even colder, but she was also angry, she pointed at Xu Yang and asked, "Who is this?"

Xu Yuan replied: "Chinese medicine expert, didn't you say that let us cure this Chinese medicine fan?"

He Xuan's face suddenly turned like frost.

Xu is secretly refreshed in his heart, and he is so happy to scare people.

The corners of Zhong Hua's mouth also showed a hint of happiness, but he said, "Okay, don't make noise, don't disturb Dr. Xu's treatment." ”

Xu Yuan stopped talking.

He Xuan swept over a few people with a cold look, and she said, "Okay, I'll go to his attending doctor, but I want to ask who approved you to come for treatment?"

"Please. "Zhong Hua is also very tough.

He Xuan turned his head and left angrily.

Xu Yang continued to carefully diagnose the pulse.

After a while, Director Qi and his entourage also came.

"That's them, let me ask you, who is his attending doctor, and why did we invite any Chinese medicine doctor to consult without our family's knowledge?" He Zhen asked angrily.

Director Qi also hurriedly took a step forward, leaned to Zhong Hua's side, and asked in a low voice, "Old Zhong, what's the situation?"

Zhong Hua replied to him: "I found a friend to come for a consultation." ”

Director Qi's brows suddenly furrowed, and he suddenly became embarrassed: "Old Zhong, don't be angry." ”

Now is the time to persuade the patient to undergo surgery, but Lao Zhong turned out to be good, and actually invited another Chinese medicine doctor to come over, isn't it vindictive.

Zhong Hua said: "This is not vindictiveness, it is that I want to do this." ”

Director Qi was speechless at the time.

He Xuan asked: "Director Qi, what do you say?"

Director Qi thought for a while and said stubbornly: "As for the hospital, naturally there are rules and regulations of the hospital, but if the patient himself has to invite someone to come, then it will be difficult for us to do it." ”

The stubborn old man lying on the bed immediately said: "I want to find this Chinese medicine doctor to treat me, it has nothing to do with others." You don't care about me, and you can't let me find a doctor myself?"

He Xuan was suddenly angry, and his chest kept rising and falling.

Xu Yang, who carefully checked the pulse, reminded the patient: "Don't talk, calm down." ”

The patient shuts up.

Xu Yang continued to check the pulse.

At this time, a few people outside looked at Xu Yang, and everyone was stunned.

That's too young, right?

Director Qi was speechless for a long time, Lao Zhong actually invited such a young Chinese medicine doctor to come for a consultation? What are you doing? This is not vindictiveness, this is doing something?

Cao Dehua explained on the side: "Lao Qi, that's the case, this doctor is the doctor who cured the postpartum second stool closure and the one-and-a-half-year-old adenovirus pneumonia severe disease. ”

Director Qi was stunned for a moment, and he asked, "Is that the one who persuaded Liu Jingning to go to Beijing?"

Cao Dehua didn't know how to answer for a while, daring Xu Yang's most famous record is this! He could only nod: "Yes." ”

Director Qi and the young Western doctors followed him and then looked at Xu Yang again, they had also heard the legend of Xu Yang, but they didn't expect Xu Yang to be so young.

He Xuan had a cold face, and he didn't even want to speak.

Xu Yang had been diagnosing the pulse for half an hour, and he finally finished diagnosing the pulse of both hands, his brows furrowed, revealing a look of doubt, he reached out and pressed the patient's lower abdomen, and asked, "Does it hurt here?"

"A little. The patient replied.

Xu Yang frowned again.

Zhong Hua asked, "Doctor Xu, how is it?"

Xu Yang said: "According to the symptoms, the red tongue and yellow tongue are mostly real heat syndromes. Moreover, from the patient's bitter mouth, dry throat, vomiting and other symptoms, the dialectic should also be a deficiency of yang. ”

"However, when I was diagnosing the pulse, I found that the patient's pulse was in the large intestine meridian, and when he went down to the large intestine, he showed a feverish appearance. Therefore, I suspect that the patient has intestinal carbuncles, but the patient has less abdominal pain and it is not obvious. ”

Several Chinese medicine practitioners were stupid.

The Western doctor was stunned when he heard this, and a young Western doctor whispered to someone next to him, "What is an intestinal carbuncle?"

"It seems to be acute appendicitis. ”

"Huh?" the young Western doctor was dumbfounded: "Isn't appendicitis a pain in the right lower abdomen? How can it be the right upper abdomen? Besides, the appendix does not belong to the large intestine!"

"Heh!" He Xuan's face turned even colder when he heard this.