Chapter 281: Symptomatic and Methodical
Seeing Fang Han, Su Tiehang hurriedly greeted with a smile: "Doctor Fang!"
At this time, Fang Tiehang was slightly moved.
Fang Han had already learned about his lover's situation when he was making rounds just now, and at this time, he came as promised, could it be that he already had a way?
Li Wenjun also smiled and nodded to Fang Han: "Xiao Fang has already seen the patient's condition?"
Fang Han nodded and said, "I learned about it during the ward rounds just now, and Director Su also told me some information. ”
"What do you think?" Fang Haoyang asked.
In front of the two directors, Fang Han didn't hide it, and said directly: "I don't think you can try pulsatilla soup!"
"Pulsatilla soup?"
Li Wenjun glanced at Fang Haoyang, and then said: "This recipe and I actually thought of it, we were still discussing it just now, pulsatilla soup clears heat and detoxifies, especially for the intestines, it is extremely effective in clearing heat and detoxifying, but after all, pulsatilla soup belongs to bitter cold, will it have any effect on the fetus?"
Fang Haoyang nodded, and also looked at Fang Han,
When Fang Han said the pulsatilla soup just now, the two of them were slightly startled.
Pulsatilla soup is a famous prescription in the medical saint Zhang Zhongjing's "Treatise on Typhoid Fever", the effect is undoubted, for the situation of Su Tiehang's lover, Fang Han can think of this recipe, which shows that Fang Han really understands the patient's situation very well.
It's just that the medicine given to pregnant women is not the same.
Whether it is traditional Chinese medicine or Western medicine, it is very cautious to give medication to pregnant women.
Many drugs in Western medicine are contraindicated for pregnant women, and the same is true for traditional Chinese medicine, such as some toxic drugs such as Chuanwu, Caowu, smallpox pollen, etc., as well as some aromatic drugs, drugs that invigorate blood circulation and so on.
Friends who have watched "The Legend of Zhen Huan" know that musk is a taboo for pregnant women, and pregnant women who smell the fragrance of musk for a long time may cause miscarriage.
There are also some bitter cold medicines, and they should be used with caution, although the pulsatilla soup is symptomatic, it is a bitter cold, Li Wenjun was more hesitant, and he was discussing with Fang Haoyang just now.
The prescription of pulsatilla soup includes: pulsatilla, barberry, coptis chinensis, Qin bark, although these drugs do not have the toxicity of banned drugs, but they all belong to bitter cold, the bitter cold medicine will stimulate the stomach and intestines, the patient's gastrointestinal function is not good, if the bitter cold medicine is used more, will it cause any effect, will it hinder the fetus to take in nutrients?
The current Fang Han is no longer the Fang Han he was when he first came to Jiang Intermediate Hospital, in the past three months, he has not only cured a lot of patients, but the skill points of various primary skills have already exceeded the 50,000 mark, and he has moved a lot towards the intermediate threshold, and the level growth is not slow.
In addition to the increase in skills, the change in mindset is the most important.
Now Fang Han can deal with some illnesses even if he doesn't exchange temporary skill assistance.
Just now, Shang Han was thinking about Su Tiehang's lover's situation all the way, and he thought of pulsatilla soup, and naturally knew that pulsatilla soup was bitter cold, so he also thought of countermeasures.
"Pulsatilla soup is bitter and cold, we can add a medicine to use it together. ”
"What medicine?" asked Su Tiehang hurriedly.
He was the deputy director of the internal medicine department of Changqing County Hospital of Traditional Chinese Medicine, and his attainments in traditional Chinese medicine were not low, so he also knew the curative effect of pulsatilla soup.
If it can reduce the bitter cold effect of pulsatilla soup and ensure the stability of the fetus, then this medicine is indeed extremely symptomatic.
"Skullcap!" Fang Han slowly spit out two words.
Li Wenjun and Fang Haoyang's eyes lit up instantly, skullcap?
If you add skullcap, then this recipe is indeed extremely symptomatic.
Astragalus has the effect of clearing heat and stabilizing the fetus, the effect is very strong, since ancient times, many famous Chinese medicine experts have regarded skullcap as a holy medicine for clearing heat and stabilizing the fetus.
Su Tiehang is not a layman, and he is also thinking carefully at this time, if it can really not affect the child, then this drug is really very symptomatic, and it is already a little difficult for him to suppress his joy at this time.
He is forty-two years old this year, and he has been stumbling for half his life, who doesn't want a child of his own.
In fact, for so many years, Su Tiehang has also considered, is it to adopt a child?
After thinking about it, Su Tiehang finally gave up the idea of adoption.
A few years ago, Su Tiehang was only the attending doctor of Changning County Hospital of Traditional Chinese Medicine, and he was busy with work at that time.
After all, there is a difference between adoption and biological birth, there is no blood relationship, the relationship between the two parties mainly depends on getting along, the time spent together is short, and there is no blood relationship, in case the father and daughter or the father-son relationship is not harmonious......
I have to say that as a doctor, Su Tiehang considers the problem quite rationally.
"If that's the case, this recipe might just give it a try. Fang Haoyang looked at Li Wenjun with inquiring eyes.
"Then give it a try and see how it works. Li Wenjun looked at Su Tiehang.
Treating people who know how to treat diseases can save a lot of trouble in many cases, Su Tiehang is an expert, and he is listening to it on the side at this time, and Li Wenjun doesn't need too much explanation.
"Then follow Dr. Fang's method and give it a try. Su Tiehang also agreed.
Fang Han took the pen and opened the prescription, and then added a prescription to ensure the nutritional supply of the patient's body, and then handed it over to Fang Haoyang for a look.
Fang Haoyang and Li Wenjun signed the prescription one after another, and then asked the nurse to go down to grab the medicine.
。。。。。。
The patient took the medicine for one day that day, and when Fang Han came to the ward for rounds the next morning, he found that the effect of the medicine was not very good.
"Doctor Fang, is there something wrong with Fang Zi?" asked Su Tiehang cautiously on the side.
Fang Han shook his head: "Fang Zi shouldn't have any problems, compared to yesterday, the situation has not worsened, and there is indeed some relief, but this effect has not met my expectations!"
Fang Han said as he asked for the record in Chen Yuan's hand, which contained the patient's situation yesterday, which was indeed a little inconsistent with his expectations.
Since he couldn't figure it out for a while, Fang Han didn't bother with it for the time being, and continued to make rounds.
After checking the room, Fang Han looked at Su Tiehang's lover again.
It is said that the drug is symptomatic, otherwise the patient's condition will not change, but this change is really minimal, and if you look at it this way, it will not curb the trend of the patient's condition.
When Fang Han looked through the records, Chen Yuan was standing on the side.
Fang Han was thinking about it, and Chen Yuan was also thinking about it.
"Doctor Fang, is there something wrong?" Chen Yuan reminded in a low voice.
"Method?" Fang Han was slightly stunned and pondered.
The patient's disease site is in the colon, and if the oral drug wants to reach the lesion, it must pass through the mouth, esophagus, stomach, and small intestine.
However, after all, the patient is pregnant, and if the dosage is increased, it is afraid of adverse effects on the patient.
"From today, let's try it by changing the oral administration to an enema. Fang Han wrote down the method of change in the medical record book, and at the same time explained to Chen Yuan.
"Good. Chen Yuan nodded hurriedly, slightly excited in his heart.
When he reminded him just now, he was afraid of upsetting Fang Han, but now it seems that Fang Han agrees with him.
......
When Chen Yuan came to the ward, Fang Haoyang and Li Wenjun were at the patient's bedside at the same time, and it seemed that the two had just examined the patient.
"Director Fang, Director Li. Chen Yuan hurriedly greeted Fang Haoyang and Li Wenjun.
"Dr. Chen, what are you?"
Li Wenjun looked at the nurse who came in with Chen Yuan in surprise.
Chen Yuan didn't come in alone, he also brought a nurse, and the nurse brought a gas medicine enema machine.
"Dr. Fang felt that the effect of yesterday's medication was not satisfactory, and decided to change to an oral enema today. Chen Yuan explained.
"Qi medicine enema?"
Li Wenjun and Fang Haoyang glanced at each other, the two of them were still discussing this issue just now, but they didn't expect that Fang Han had already thought of the reason and adopted improvement measures.
Qi medicine enema is a new treatment for ulcerative colitis developed by Zhang Sumin, director of the anorectal department of Jingnan Hospital of Traditional Chinese Medicine, a few years ago.
Conventional drug enema often only reaches one-third of the colon, while the use of air enema can make the drug reach as deep as possible in the colon, from the perspective of efficacy, the effect of air drug enema is better than that of conventional enema.
After Director Zhang's air medicine enema method was published, the air medicine enema method was quickly popularized, and the Jiang Zhongyuan also purchased the air medicine enema machine.
"This kid ......" Li Wenjun shook his head with a smile.
When Fang Han first came to the emergency department, he actually didn't like Fang Han very much.
No matter how high the level of young people is, they still have to have humility, Li Wenjun feels that Fang Haoyang's convenience for Fang Han is too great, and in the long run, it will make Fang Han proud and complacent, and there is no one in his eyes.
But after such a long time, Li Wenjun was surprised to find that Fang Han was still Fang Han, what he was like when he first came, and what he is still like now.
Every day at four o'clock in the morning and leaving work at eleven or twelve o'clock in the evening, an intern was busier than the hospital.
In just three months, Fang Han not only won a lot of benefits for Jiang Zhong Hospital, but also won a lot of benefits for the emergency department of Jiang Zhong Hospital, and he himself became famous.
Now Fang Han's fame is definitely greater than that of most doctors in Jiang Zhongyuan.
If Fang Han gets the qualification to practice medicine, the Jiang Intermediate Hospital will add fuel to the fire, and in a short period of time, Fang Han will become a rising star in the field of traditional Chinese medicine.
......
Li Wenjun naturally didn't know what Fang Han was thinking, and he didn't want to know.
At this moment, he is talking to Director Yang on the phone, well, Director Yang of the Department of Health.
"Doctor Fang, the results of the second round of voting are out, have you paid attention?"
"Ah, is it so fast?" Fang Han was stunned for a moment, he really didn't pay much attention to this matter for a while, his main mind was on the temporary task of joint replacement, and he forgot about it after he came back.
Director Yang is full of black lines, Fang Han didn't worry about such a big thing at all, and several other people who also participated in the selection probably had to take a look at the results every day.
The selection of the top ten young doctors in the province is a great honor for young doctors, and being selected as the top ten outstanding young doctors in the province is not only an honor, but also helpful for the evaluation of doctors' professional titles in the future.