Chapter 336: Are You Crazy?
Both of them stepped forward to diagnose it.
Xu Yang carefully observed the patient's expression, her breathing was very rapid, there was a slit in her eyes, and her consciousness was almost unconscious, so she basically didn't react, but her eyes moved slightly.
Xu Yang came up to widen her eyelids and found that her eyeballs were red. As soon as Xu Yang let go, her eyelids retracted.
Now the patient's tongue is contaminated with filthy vomit, and her mind is like this, and there is no way to clean it, so she can't see the tongue.
Ask her questions now, and she can't answer them.
After the two of them made a visit, they invariably diagnosed his pulse.
The two of them each grabbed a hand and made a diagnosis.
After a while, the two of them each exchanged hands, and after a while, the two frowned and thought.
The ICU director stood by with some boredom.
The director of the Department of Internal Medicine of Chinese Medicine asked, "How is it? Do you want to continue the diagnosis? If the diagnosis is over, let's go out." ”
Sun Ziyi and Xu Yang glanced at each other and nodded.
The patient wanted to follow in, but he didn't let him in, so he could only do it outside.
The small conference room was basically full of young Chinese medicine practitioners, and then there were several Chinese medicine practitioners in the hospital, two Western doctors were there, and then there was the director of the ICU.
The director of the internal medicine department of traditional Chinese medicine stepped forward and asked, "Have you seen the patient's condition?"
Everyone in the conference room looked solemn and nodded.
The director of the Department of Internal Medicine continued: "Then everyone will share their opinions?"
No one spoke, everyone looked at Xu Yang and Sun Ziyi.
The director of the Department of Internal Medicine also asked directly: "Two, let's talk about it." ”
Sun Ziyi also forgot whether it was a competition at this moment, and he carefully analyzed the condition: "The patient is now vomiting, many brief convulsions, crooked eyes and slanted mouth, headache like a break, and red eyes. ”
Therefore, judging from the patient's pulse syndrome, she is attacking the phlegm of the liver and stomach, so the qi is reversed, and there is no rise but no fall, so the stomach qi is reversed, vomiting is endless, and the liver wind carries the fire to the peak, so the headache is like a break. ”
"At this moment, the wind has moved, and for the past few days there have been convulsions and crooked eyes and slanted mouths, and if they are not controlled, they will blind the gods. At that point, it will be even more dangerous. The cause of the patient is what we call internal stroke. ”
Everyone else nodded.
Xu Yang is also slightly bowed, Sun Ziyi's analysis is very good, it is rare not to be trapped by the diagnosis of subarachnoid hemorrhage in Western medicine, if you are trapped in this, you will think about how to get rid of bruises, how to stop bleeding, then you will be confused.
But from this point, it is enough to see that Sun Ziyi's level is not bad.
But how to use the medicine next is the key, the patient's condition is already very serious, to say something unpleasant, if you can't control it today, you will be completely comatose tomorrow, and then the liver wind will be more dangerous.
But the key patient is a five-month-old pregnant woman, and many drug methods cannot be used on her, and the most difficult point is here.
When Sun Ziyi was in the ICU, he was already thinking about it, at this time, he bowed slightly, and then said: "No matter what, the condition is critical, and the symptoms will be treated first." Personally, I recommend that you treat the stomach first. ”
As long as her stomach qi is lowered, the symptoms of vomiting can be patient, and the intracranial pressure can also be reduced to a certain extent. After that, it is treated with the suppression of liver and the reduction of stomach inversion. ”
Sun Ziyi frowned and said: "I personally recommend using Xiaobanxia plus Poria cocos soup to treat it first, first quickly stop its vomiting, and at the same time cleanse the phlegm." In addition to stopping adversity, this recipe can also relieve its vertigo and palpitations, so that it can be conscious. ”
He didn't care about Xu Yang, so he turned his head and said to the director of the internal medicine department: "Director Wang, what do you think?"
The director of the internal medicine department also frowned, and he said: "We also used the method of reducing adversity before, but we used two doses of medicine, and the effect was average, and I vomited soon after reversing. ”
Sun Ziyi frowned and said: "I have read the medical records, one is to add ochre to reduce inversion, in addition, increase the dose of ginger Banxia to 10g, in addition to adding ginger, and then mix it with 10 ml of ginger juice to increase its effect of reducing inversion." ”
As soon as these words came out, everyone next to them was surprised.
The director of the Department of Internal Medicine was also a little surprised: "This dose is a little high, Banxia is harmful to the fetus, this is a five-month pregnant woman, we only dared to use 3g of ginger Banxia before." ”
Sun Ziyi said in a deep voice: "Although Banxia is a forbidden medicine in pregnancy, phlegm and drinking block the middle belly, and yin and yang are reversed, so it will not be removed." The situation is critical, 10g is not enough to harm the fetus, let me write a prescription. ”
"Okay. The internal medicine nodded in agreement, and Sun Ziyi sat down to write.
Xu Yang, who was standing on the side, stared at Sun Ziyi, who was writing a recipe, and said, "Your recipe can't cure her." ”
Hearing this, Sun Ziyi looked up in amazement.
Everyone else also frowned and looked at Xu Yang.
"Why?" Sun Tzu asked, confused.
Xu Yang said: "The patient's condition is critical, and if he can't control it today, tomorrow will be the real danger." There is nothing wrong with the idea of lowering stomach gas, and the choice of prescription is not very problematic, but there is a problem with the dosage. ”
Sun Ziyi frowned and said: "I have treated patients with pregnancy obstruction before, and the obstruction is very serious, and I have used ginger Banxia to 10g, and there is no problem with the fetus." ”
Xu Yang said: "I'm not saying that you use too much, but that you use too little." ”
As soon as these words came out, everyone's eyes widened and looked at Xu Yang.
"What?" Sun Ziyi thought he had misheard.
Xu Yang said calmly: "Banxia should be used to 30g, and you can't use ginger Banxia, just use raw Banxia!"
"Wow!" everyone in the audience was taken aback, this person is crazy!
Sun Ziyi also stayed.
The corner of the director of the internal medicine department twitched when he heard this, he just said that his grandson is a little ruthless with easy medication, good guy, this is the real ruthless person, extremely fierce!
Everyone in the conference room immediately began to discuss.
Shengbanxia, which is poisonous, is clinical, rarely used to treat diseases with Shengbanxia, and is generally used after concoction. In the second half of the summer after processing, the recommended dosage of the pharmacopoeia did not exceed 9g.
This master, good guy, is 30g raw Banxia!
Xun Wusheng couldn't help but said: "Hey, if you go down with this medicine, don't kill the patient, besides, can the fetus be saved?"
Xu Yang said with a straight face: "There is no death, and there is no fall, how can you waste food because of choking?"
As soon as these words came out, the venue suddenly fell silent.
A few Western doctors looked at each other, what do you mean?
Xu Yang said: "To treat this critical illness, it is not only necessary to quickly reduce stomach gas, but also to quickly cleanse phlegm. After the vomiting stops, one Angong Niuhuang Pill needs to be taken quickly. ”
As soon as these words came out, the venue almost didn't explode, why do you want to give an palace to a pregnant woman?
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