Chapter 1108: Buttocks Carbuncle
Ye Chen looked at the pulse and tongue of this Mr. Tao, and judging from the information he had just learned, he probably knew the other party's situation.
However, Ye Chen still got up from his seat and let him see the situation of Mr. Tao's left calf clearly.
He found that the other party not only had obvious swelling in the left calf, but also had erythema on the instep of the foot, with red spots at the edges and protruding.
Ye Chen can already confirm that Mr. Tao's illness also belongs to erysipelas. However, his illness was much worse than that of the old Vietnamese woman, Pan.
Mr. Tao had this situation because of a cold half a month ago, and he has not gotten better until now, and the stricter he is, after taking antibiotics, he just started to get better, and then he became stricter.
In fact, this situation is very similar to the treatment of this kind of disease by Western doctors in many large hospitals in China.
It can be said that the situation of this Mr. Tao is caused by the combination of heat, poison, dampness and evil, and if it is not handled carefully, it will be repeatedly delayed and difficult to heal.
The hot poison enters the blood, which is the basic pathogenesis of erysipelas, and the Qing Dynasty famous Gao Jinting's "Ulcer Science Experience Collection" surgical sores and ulcers Sanjiao Differentiation and Treatment Theory says: "The lower part of it is damp and hot, and the water is also tending to be so." ”
Therefore, the treatment of this disease is generally to clear away heat and relieve coolness.
Ye Chen picked up the white paper in front of him and wrote on the white paper: "Ruan, male, 40 years old. First visit on November 18, 2009. The patient's left calf was red, swollen and painful for half a month, accompanied by chills and body heat. ”
"First diagnosis: After the patient caught a cold half a month ago, his left calf was red, swollen and painful, cold and hot, and his body temperature was as high as about 39 degrees Celsius. After treatment with antibiotics in a hospital, the condition improved slightly, however, the condition has repeatedly worsened in the past few days. ”
"Now examined: the patient's left calf is still red, swollen and painful, burning and painful, and has a body temperature of 38 degrees Celsius. Finger-sized erythema on the dorsum of the foot with poorly defined and raised margins. Tongue: red tongue with yellow moss. Pulse: Pulse-slip number. ”
"Dialectics of traditional Chinese medicine: the diagnosis of erysipelas, which is a damp heat betting syndrome. Treatment: clear heat and cool blood, promote dampness and detoxification. ”
"Prescription: 12 grams of raw land, 10 grams of danpi, 10 grams of red peony, 12 grams of skullcap, 20 grams of honeysuckle vine, 15 grams of raw coix seeds, 9 grams of Ze Yuan, 10 grams of Ermiaowan, 30 grams of Liuyisan, 9 grams of large green leaves, 9 grams of honeysuckle, 5 grams of licorice. 7 doses, decoction with water, 1 dose per day. ”
After Ye Chen finished writing, he checked it and found that there were no other problems, and then handed it to the middle-aged Vietnamese man.
In fact, now he has seen two cases of erysipelas before and after. However, the time spent before and after, did not exceed ten minutes. So, after visiting the Vietnamese man, let the third patient come over and sit down.
In the preliminary round, I visited a patient with a boil, and in the main round, I visited two patients with boils, and now in the finals, there are three patients.
The first two, Ye Chen just finished reading them, both belong to erysipelas, one is hand erysipelas, and the other is flowing fire.
Now when the third patient hurriedly came over, Ye Chen just started, thinking that the other party also had erysipelas. However, when he saw that the other party also looked very painful, almost half of his butt was sticking to the chair, and he didn't dare to sit down, Ye Chen knew that his illness was in his buttocks.
"Sir, what's your name and how old is this year?" Ye Chen asked.
The man in his thirties hurriedly said his name and age, and the man who also wanted to be surnamed Nguyen. It's just that his situation seems to be even more severe than the situation of the middle-aged man in Vietnam who just visited him.
"Is your butt uncomfortable?" Ye Chen asked.
After the man surnamed Ruan nodded, Ye Chen asked him to unzip his pants and show him the affected area.
The Vietnamese man did not hesitate or be embarrassed, hurriedly unbuttoned his pants, and after pulling down his briefs, Ye Chen saw that the other party's left buttocks had been scratched by him, and that part was red and swollen.
After Ye Chen finished reading it, the other Vietnamese medical students also finished reading it, and after Ye Chen asked him to put on his pants, he naturally asked him to sit down and explain clearly what the situation was.
"Mr. Ruan, when did your situation appear, when did it appear, what were the specific symptoms, have you seen a doctor, and what kind of medicine have you ever taken?" Ye Chen asked.
Wu Yu asked the man surnamed Nguyen with a Vietnamese translator on the side, and the Vietnamese man still remembered it very clearly, so after he said it, Wu Yu translated it again.
"Mr. Yeh, he said that last week, he had itching in his left buttocks, and two days later he was swollen and painful, and he took Western medicine at a nearby hospital, but it had no effect, and later, he himself took some southern medicine, until the past two days, when he was more strict, and when he went to a big hospital in Hanoi to prepare for treatment, he was brought here and said that he could see a doctor for free. Wu Yu said simply.
If so, Ye Chen was already clear about this Mr. Ruan's situation. Of course, he still asked first, "Did you feel uncomfortable with your ass before?"
Like the sitting sores that Ye Chen got from visiting the first Vietnamese patient before, it was caused by sitting on the grass for a long time in summer and fishing.
Moreover, Ye Chen felt that no one would get sick for no reason, there must be other reasons.
After Mr. Ruan heard this, he recalled Ye Chen's question, and soon, he remembered that he had a round and soft lump the size of a soybean on his left buttocks two years ago, but it had been painless and itchless for the past two years, and he didn't care about it.
When Ye Chen heard this, he obviously knew that the other party's situation was caused by this pink tumor two years ago, and the other party had been ignoring this pink tumor, and he was infected with a buttocks carbuncle on the basis of this pink tumor.
Therefore, now after Ye Chen checked Mr. Ruan's pulse and tongue, he said: "This disease is called buttocks carbuncle in traditional Chinese medicine, and in Western medicine, it is difficult to treat simply by taking Western medicine. ”
Ye Chen brought a blank piece of paper, and then said, "Ruan, male, 33 years old. First visit on November 18, 2009. The left buttocks were red, swollen, hot and painful for a week. ”
"Initial diagnosis: 1 week ago, the patient's left buttocks had itchy skin, and after 2 days, there was swelling and pain, and he was treated in a nearby hospital, taking unknown Western medicine, and the effect was not obvious. In the past two days, the heat and pain in the left buttocks have been getting worse and worse. Restlessness. ”
"Two years ago, the patient found a round, soft lump the size of a soybean on his left buttocks, which was painless and itchy. Examination now: the patient's left buttocks are red and swollen about the size of the palm, with a burning sensation, obvious tenderness and hardness. Tongue image: The tongue is reddish and greasy. Pulse: Pulse number. ”
"Dialectics of traditional Chinese medicine: the diagnosis is buttocks carbuncle, and the bladder is confirmed by dampness, heat, fire and poison, which is real heat. Treatment: clear away heat and detoxify, and camp dampness. ”
"Prescription: 15 grams of purple didine, 10 grams of red peony, 10 grams of safflower, 20 grams of dandelion, 15 grams of honeysuckle, 10 grams of cork, 10 grams of saponaria thorn, 6 grams of frankincense, 6 grams of myrrh. Decoction with water, 1 dose, 3 doses per day. ”
"For external use: 15 grams of wild chrysanthemum, 10 grams of cork, 8 grams of peppermint, 10 grams of miscanthus salt, 10 grams of licorice. Decoction in water and apply it externally to moist heat. 1 dose per day for a total of 7 doses. ”
After Ye Chen finished writing, he thought of the patient's situation and his own situation, and then wrote an extra prescription for the other party, naturally after he drank the initial prescription, if he did not get completely better, he could only cut the abscess through guò, drain the pus, drain it, and drain the nucleus of the pink tumor in order to fully recover.
However, when will it be, it will take at least a week, in this case, Ye Chen has already taken a plane back to Shanghai, how can he treat the other party again?