"Oooh oh. Wei Dabao responded.

The patient's current appearance, with the hands up and the thumb and forefinger constantly twisting, is called "hollowing out the line". This is a sign that the vitality of a serious illness will be lost. Both positive and false evidence can be seen in this evidence, which is described in the "Chinese Tibetan Sutra". Chu Zhixi patiently explained to Wei Dabao.

"......" Wei Dabao was dumbfounded.

In this case, it is not written in "Diagnostics", do you still have to read the hellish "Zhongzang Sutra"?!

Half of the black hair has fallen off after carrying a book, and if you recite two more books, I'm afraid there won't be a single hair left.

Wu Youke said: "The certificate should have been down, but it was delayed and out of treatment, or it was for the delay of the medicine, the fire and evil were closed, the qi and blood were consumed, the spirit was exhausted, and the evil fire existed alone, so that the clothes touched the bed, the lines were emptied, the flesh was tired, the limbs were vibrating, and the eyes were gone, and they should all be blamed for the loss." If the evil heat is not eliminated at all, the original spirit will be taken off, and if it is supplemented, the evil poison will be deeper, and if it is attacked, it will be invincible. It is impossible to attack, it is impossible to make up, it is impossible to replenish the laxative, there is no physiology, and the Dow Huangyao soup has to be used as a last resort."

Chu Zhixi said with a smile.

“......”

This is a passage from "The Theory of Warm Epidemics: Supplementing and Purging". ”

"Plague?uh......" Wei Dabao asked in surprise.

"Well, when you see the symptoms of emptying, the first thing that comes to mind is the plague, not the haunting. Chu Zhixi said seriously.

Wei Dabao was completely dumbfounded.

I didn't expect Chu Zhixi, who is usually gentle and gentle, and always snuggled up to Section Chief Wu's side, was so powerful.

And the act of emptying -- this gesture of comparing the mind actually means some kind of plague? Why has no one ever said it? It is said that this obvious and unobvious behavior should be spread in medical circles.

With the courage to carefully observe He Guangzhi's "emptying" action, Wei Dabao thought of countless crazy fans at the concert site comparing their idols.

"I've never dared to go to a concert. Chu Zhixi said, "Because every time I go, I'm scared." Now when I watch TV dramas, as long as there is a heart-to-heart action, I think of the symptom of emptying. ”

"What kind of illness is this? Wei Dabao asked.

"Malaria. Chu Zhixi said, "Doctor Wei, I still have to read more books in the future." ”

Wei Dabao nodded again and again, not daring to have the slightest slander or disrespect in his heart.

You can nag a few words in your heart about Section Chief Wu, because Wei Dabao knows in his heart, even if he is known by Section Chief Wu, there will be no other consequences.

But if you slander Chu Zhixi...... People are well-behaved and cute, and they never speak harshly? Wei Dabao couldn't speak. And once it was known by Section Chief Wu? Wei Dabao was afraid that he would be beaten out of his overnight dinner.

The tragic situation of the traffickers is still fresh in my mind.

"The preliminary diagnosis is malaria. Wu Mian said, "Doctor Wei? Artemisinin? Do we have one in our hospital?"

Wei Dabao shook his head again and again.

Malaria is a rare disease in China, but because Tu Youyou Tu won the Nobel Prize for artemisinin, Wei Dabao also knew about it.

It's just that he never imagined that one day he would meet a patient who needed to use artemisinin.

"I'll make a phone call. "Wu Mian finished checking his body? said, "Ms. Sun? Don't worry? Your loved one's case is considered to have contracted malaria in Thailand and returned home to become ill. ”

"Malaria ......" Sun Xuesong could not believe this diagnosis.

In her consciousness, malaria is diarrhea, but Hiroshi doesn't have diarrhea at all? At most, it's vomiting. And he also said that he would get nightmares in his sleep? Is this malaria? Sun Xuesong didn't believe it.

If you don't believe it or not, she maintains a minimum of respect for the little uncle of the old eagle mountain forest chief, and she doesn't dare to refute it.

"I'm going to wash my hands and make a phone call. Wu Mian smiled and said to Sun Xuesong. Speaking in a gentle manner? The attitude of talking to Wei Dabao is completely different.

Seeing Wu Mian go out, Wei Dabao hesitated slightly? And he went out.

"Section Chief Wu. Wei Dabao followed behind Wu Mian like a student who had made a mistake.

"Doctor Wei? Call me at any time if you don't understand the disease, and be cautious about folklore. Wu Mian said in a deep voice.

"Oh oh oh? I remembered. Wei Dabao wanted to speak and stopped.

"What do you want to say?"

"Section Chief Wu? The patient's hand is ...... in mid-air than the heart"

"Nothing? Few people know the word emptiness. Wu Mian smiled, "It's more appropriate to say it than the heart, at least say it once, and others can remember it." ”

"It's like if you say Alzheimer's and you don't talk about Alzheimer's disease. ”

"Well, that's the truth. ”

"Section Chief Wu, you said that the patient can explain it more than the heart, but what do you say about the nightmare of sleep? Is the body too weak?"

"Have you memorized all the Diagnostics?"

"Basically, the infectious disease section...... I don't think it's very common to come across it, so I haven't memorized it yet. Wei Dabao told the truth.

"Malaria has four stages, the incubation phase, the chills phase, the fever phase, and the sweating phase. Wu Mian said.

Wei Dabao put away the shame in his heart and listened carefully.

"When the patient passes the chill period, that is, after the chilling period, the feeling of cold disappears, the complexion turns red, the cyanosis disappears, and the body temperature rises rapidly. In general, the more pronounced the chills, the higher the body temperature, which can reach more than 40°C. ”

"It's easy to understand that patients with high fever are in unbearable pain and aches. Some tossed and turned, groaned, some delirious, emptied, even convulsed or unconscious, some had severe headaches and stubbornly vomited. ”

"The patient has a red face, shortness of breath, conjunctival hyperemia, a burning, dry skin, a rapid pulse, and short, dark urine. Complain more about palpitations, thirst, and desire for cold drinks. It lasts for 2~6 hours, and some up to more than 10 hours. Some patients may have herpes on their lips and nose after a few episodes. ”

"On physical examination, there is no doubt that the patient has several symptoms that are typical of the febrile phase of malaria. Wu Mian said.

"Section Chief Wu, is it really malaria?" Wei Dabao was still a little unconvinced.

"The symptoms are like this, and you have to do a test to find the malaria parasite. Wu Mian said, "Wait a minute." ”

At the end of the six-step handwashing method, Wu Mian dried his hands with disposable dry paper towels and picked up his mobile phone.

"Do you know where you can buy artemisinin?"

"Okay, I'll tell the patient's family. ”

"You can ask them to bring the medicine. It can't be used for the time being, so find the malaria parasite first and make a clear diagnosis. ”

"Okay, good work. ”

After speaking, Wu Mian hung up the phone.

"Dr. Wei, do you know why you should consider malaria in the first place?"

"Empty. ”

"Nope. "At the beginning, I had a judgment when I was in the community, and I didn't see patients at that time. ”

"Uh...... Why?"

"Because the patient has a history of exposure to tropical jungles. ”

"......" Wei Dabaopin smacked Wu Mian's words, and felt that Section Chief Wu was really experienced in clinical practice, and he was even older than himself.

The patient drank too much, was "picked up" and went to the grove to take all the money. This passage, in medical terms, turned out to be a history of exposure to the tropical jungle......

Medicine, it's really amazing!