"Sudden fainting, eyes closed and mouth open, incontinence, pale and dry tongue, heavy pulse, should be out of evidence....... See which doctor has time to notify the internal medicine consultation. ”

Chen Yuan took Solis around the ward in the bone injury section, and as soon as he came out, he saw Li Xiaofei with a resident doctor and nurse pushing a flat cart to the direction of the emergency room, so he hurriedly chased Solis with him.

"Dr. Chan. ”

"What's the patient's condition?" asked Chen Yuan as he looked at the patient.

"It should be out of the certificate, I have already asked the attending and internal medicine to be notified. ”

Chen Yuan stretched out his hand and touched the patient's wrist: "The pulse is heavy, this is a serious pulse, and measures need to be taken immediately." ”

"Well, emergency rescue is necessary, and this is a critical situation. ”

Li Xiaofei nodded, and at the same time instructed the nurse: "Silver needle sterilization, Ai Zhu prepare." ”

When the patient entered the emergency room, the nurse had prepared silver needles according to Li Xiaofei's instructions, and Li Xiaofei first used silver needles to puncture Renzhong, Suji, Neiguan, and Yongquan, and then used moxibustion Baihui and Renzhong with moxibustion after acupuncture.......

"Mr. Li is at a good level now. "

Watching Li Xiaofei's rescue, Chen Yuan couldn't help but praise, not to mention, since serving as the general hospitalist, Li Xiaofei's level has indeed improved a lot.

"I have seen the master rescue before, and I probably remember some acupuncture points. ”

Li Xiaofei said while rescuing.

Before Fang Han came to Jiang Intermediate Hospital, Li Xiaofei had been a resident doctor for three years, as a doctor in Jiang Zhong Hospital, Li Xiaofei still knew how to use basic acupuncture and moxibustion methods, not to mention how high the level was, and the basic operation was still possible.

This kind of rescue is actually similar to some rescues in the emergency department of Western medicine hospitals, such as opening the airway, establishing venous access, puncture, cardiopulmonary resuscitation, etc.

Basically, many doctors can and can operate, which is the most basic rescue method.

Of course, it will be yes, and the level will be completely different.

Take cardiopulmonary resuscitation as an example, many doctors know how to operate, but the difference between a master and an ordinary doctor is very big, for ordinary doctors, more than ten minutes is considered a long time, but for a powerful master, there are patients who are rescued in more than half an hour.

Li Xiaofei was rescuing here, and Miao Dalong, who got the news, hurried over.

"Fainting?"

"Yes. Li Xiaofei briefly talked about the situation while performing moxibustion.

"Ginseng is attached with 100 ml of injection, and the meridian is bolus, which returns to the yang and saves the adversity, and protects the heart and yang. ”

After giving an order, Miao Dalong asked Li Xiaofei: "Has Director Fang notified you?"

"I've been informed, and the internal medicine department has been informed, and it should be there soon. ”

About two or three minutes, the nurse had just injected the patient with ginseng injection, and Fang Haoyang and Liao Yunsheng came in together, and Fang Haoyang was in Liao Yunsheng's office just now.

After entering the rescue room, Liao Yunsheng quickly made a diagnostic examination for the patient, and said: "Yin and Jin are depleted, this is the disease of yin detachment, true yin is depleted, and deficiency and yang want to be removed." ”

As he spoke, Liao Yunsheng took the sterilized silver needle from the side, re-acupuncture the rescue, and said: "I said Fangzi, Shengmai Sanwei is flavored, ginseng, Maimendong ......."

Liao Yunsheng said, and the resident doctor on the side had quickly written it down, and then quickly arranged for the nurse to grab the medicine and suffer.

Solis's eyes widened as he watched from the sidelines.

As an extracardiac specialist at Hawkins Hospital, Solis is not the kind who doesn't know anything, and extracardiologists are not born, but learn step by step and grow up slowly.

Although there are differences between the medical system in foreign countries and those in China, the growth model of doctors is actually similar, and interns also start learning from knowing nothing and grow step by step with senior doctors.

What is the situation of the patient in front of him, although Solis has not started, he can also see one or two by looking at the symptoms, this is shock.

For Western medicine, for such patients, it is necessary to first clarify the type of shock before giving corresponding first aid measures, and according to the characteristics of hemodynamics, shock is also divided into many kinds.

What cardiogenic shock, hypovolemic shock, obstructive shock and distributive shock, etc., of which distributed shock is also divided into septic shock and anaphylactic shock, nervous shock and so on.

For such patients, the first thing is to quickly establish reliable and effective meridian access, and bone marrow cavity infusion can also be considered in case of emergency. Then the appropriate tests are done to confirm the condition and take the next step of treatment........

Kejiang Intermediate Hospital, from the time the patient entered the emergency room, Li Xiaofei did not do any examination for the patient, acupuncture, moxibustion, even after Fang Haoyang and Liao Yunsheng came.

There is an essential difference between Jiangzhong Hospital and Yenching Hospital.

The emergency department of Jiangzhong Hospital has been established for nearly 20 years, and it has long had its own set of relatively mature rescue mode, as a traditional Chinese medicine hospital, the rescue mode of the emergency department of Jiangzhong Hospital is completely different from that of Yanjing Hospital.

As the saying goes, since it is a traditional Chinese medicine hospital, the rescue measures and treatment measures taken by Jiangzhong Hospital are naturally what they are best at, but this model is very unfamiliar to Solis.

"Chen ......"

"Dr. Solis, just look at it, don't disturb the doctors' rescue treatment. "

Solis opened his mouth several times, but was interrupted by Chen Yuan, and Chen Yuan was not in the mood to explain anything to Solis at this time.

In this kind of rescue, both Li Xiaofei and Chen Yuan are beginners, their level is still limited, even Li Xiaofei's initial rescue is only the most basic, how to treat it in the future, how to do it, for those acupuncture points, how to use medicine, Li Xiaofei still needs to learn, Chen Yuan also needs to learn, so Chen Yuan has no time to explain anything to Solis at this time.

"The patient woke up. ”

Suddenly, Li Xiaofei's surprised voice sounded, and the patient who had fainted regained his senses slightly, opened his eyes, although he didn't seem to be very clear, and his consciousness was still a little confused, Liao Yunsheng asked a few words, and the patient was also slow to react, but he was finally awake.

"Director Liao, decoction. ”

No, the decoction was also delivered.

"Give the patient a feed and observe the situation. ”

"Chen ......."

Solis spoke again.

The rescue and treatment of Jiang Zhongyuan simply subverted Solis's cognition.

There were no tests, no labs, and he didn't even understand what the patient's condition was.

"The patient is awake and proves that he has been temporarily out of danger, Director Liao used medicine to observe the situation, and if it improves, he can be sent to the observation room, and then transferred to the general ward. Chen Yuan explained to Solis.

"Just looking, smelling, asking, and cutting to completely confirm what is the patient's disease?"

"That's pretty much the case, but the specific nature is not so simple, combined with various situations, Director Liao and Director Fang are both experts in this area and have rich experience. ”

"Dr. Solis. ”

At this time, Fang Haoyang also had time to greet Solis.

"Doctor Fang. ”

Solis had already met Fang Haoyang yesterday and knew that Fang Haoyang was a doctor in the emergency department, to be precise, the director of the emergency department, and Fang Han's leader.

"Doctor Fang, is the patient all right?" Solis still didn't quite understand.

"It's too early to say it's okay, but the situation has stabilized, and it will be interesting to see what happens next. ”

"I couldn't believe that the patient hadn't had any tests done all the time. ”

"Dr. Solis, this is what you don't know, but we have done a detailed examination of the patient, and we dare not be careless and sloppy in the face of the patient, but our examination method is different from yours. ”

"TCM diagnosis does not rely on current examination equipment. Chen Yuan also explained to Solis.

"Looking, smelling, asking, and cutting, I know and see the level of Doctor Fang, but I can't believe it. ”

"The looking, smelling, asking, and cutting of traditional Chinese medicine are simple to say, but it is difficult to operate, and the requirements for the doctor's personal level are quite high, and beginners can not even identify the cause, but for powerful Chinese medicine doctors, they can even judge where there is a tumor in the body through the diagnosis of the pulse, there is a blockage, and even where there is a boil can be diagnosed. ”

"Walter?"

Solis couldn't believe that a tumor could be diagnosed anywhere, a blockage anywhere, or even a boil anywhere.

"Can Director Fang do it?"

"I can't. ”

Fang Haoyang shook his head very directly: "The tumor is okay, the boil can't be done, Fang Han should be able to, when Fang Han goes to work another day, Dr. Solis can ask." ”

The observation and diagnosis of traditional Chinese medicine are easy to learn and difficult to master, and they seem simple, but in fact they are quite profound, and many people will feel impossible and bragging, but in fact, for the powerful grandmasters, they can indeed do it.

The same is true for palpation.

This is a very high requirement for TCM practitioners themselves, and there are too few TCM masters who can know and diagnose them.

Therefore, this situation cannot be used as an evaluation level to judge the pulse diagnosis and visual diagnosis of traditional Chinese medicine.

For example, what online pregnancy test, how many TCM people come, and see how many can be diagnosed accurately, this is universal.

If you change Fang Han like this, it will be 100% infallible, but if you change to Li Xiaofei, eighty percent of you will make mistakes, you can't just say that Chinese medicine diagnosis is a lie just because Li Xiaofei is not accurate, right?

When the time comes, ten doctors will go, one person will be accurate, and nine people will not be allowed, so it will be said that it is a lie, right?

You can't judge it that way.

The four diagnoses are combined, looking, smelling, asking, and cutting, and they can't be known because the powerful grandmaster and national hand can do it, and the other three diagnoses are not needed.

"Fang?"

Solis was still a little unconvinced, although he thought that Fang Han was very powerful, but he didn't believe that Fang Han could do what Fang Haoyang said, it was incredible.