Chapter 1246: Blood Serrheology
According to Ye Chen's understanding of Zhang Youkun, most of his situation is clear to Ye Chen. After checking his pulse, and now after checking his tongue, as well as other conditions, Ye Chen can confirm that his disease, vomiting blood under the action of gastric perforation, can be summarized as hemorrhealogy in traditional Chinese medicine.
What is a blood discharge?
Hemorrhea, which refers to a disease in which the blood does not follow the usual path, or overflows through the mouth and nose, or leaks into the front and back yin, or seeps out of the skin, resulting in long-lasting and unstoppable bleeding.
The cause is mostly due to insufficient congenital endowment or acquired loss, qi deficiency and inability to take blood, or yin deficiency and fire, forcing blood to act in vain.
Clinically, it is also the most common type of three types: heat and blood, yin deficiency and fire, and qi deficiency and lack of intake. According to the etiology and different locations of the disease, it can be expressed as nosebleeds, tooth bleeding, hemoptysis, vomiting blood, blood in the stool, blood in the urine, purple spots and so on.
This disease has long been recorded in the traditional Chinese medicine book "The Yellow Emperor's Neijing Lingshu". Therefore, as long as the right medicine is prescribed, Ye Chen feels that it is not difficult to treat.
Of course, in the case of this Zhang Youkun, if in ancient times, when he was nearly fifty years old, he belonged to the fifty knowing the mandate of heaven and sixty flowers, he could be regarded as an old man.
However, modern times are better than the ancients in all aspects, and fifty is at most the age of a middle-aged person. Because he has been sick for a long time, his body does not look very good.
Ye Chen saw that he was now playing a hanging bottle, mainly a hanging bottle of glucose and other hanging bottles, because he felt uncomfortable in his stomach because he was eating food.
After Ye Chen asked Lin Xinting to bring a new medical record, Ye Chen looked at Zhang Youkun and said, "Mr. Zhang, I'll treat you." But you must listen to me, or the divine doctor will not be able to cure you. ”
"Doctor Ye, then you say. Zhang Youkun hurriedly said.
"First, you must quit drinking, whether it is high-purity liquor or ordinary beer, from today onwards, not a drop of alcohol can stick to it anymore. Ye Chen said.
"I can do this, I can talk about business now, I can ask my secretary to drink for me, and even replace wine with tea. Zhang Youkun said.
There is no doubt that in the case of Zhang Youkun, drinking high-purity liquor is the most fatal to his stomach, so Ye Chen continued: "If you don't listen, continue to drink, I'm afraid you won't live to seventy." ”
No one is afraid of death, let alone the current Zhang Youkun, his business is on fire, he doesn't want to die so soon.
Therefore, when he heard Ye Chen say that if he drank for a long time again, he would not live to be seventy, it was a stern reminder to him.
"Second, in recent times, avoid spicy and stiff food, those spicy and stiff foods, your stomach can't bear it. It's best not to eat until you're well. Ye Chen said.
At this point, it's not really a big deal, as long as you keep your mouth shut.
As the saying goes, the disease comes from the mouth, and it is precisely this, if it is done, in fact, there will not be the current situation.
"Dr. Ye, I can do it, I can eat other foods, no chili peppers, and no stiff foods. Zhang Youkun said.
"The third point is that before you get well, don't overwork, and it's best to have a normal daily routine. At this point, even if you are discharged from the hospital, you must comply with it in the future, as long as it is of great use to you. Ye Chen said.
Needless to say, Ye Chen also knows Zhang Youkun.
At his current age, he is already fifty years old, and even if he works hard, he is not a young man anymore. So, he can't be like that again.
Now he should say that everything is clear, Ye Chen didn't say anything else, took the medical record of the affiliated hospital, and wrote on it: "Zhang, male, 50 years old. Repeated vomiting of blood for many years after gastric perforation surgery. ”
"Initial diagnosis: The patient reported a sudden gastric perforation in 1997 for surgical repair, and since then he has had multiple bleeding at the anastomosis, about 15 times, and the amount varies. On weekdays, he is a drinker, drinking half a bottle of high-purity liquor and adding 6 bottles of beer. Due to the need to drive out for work, irregular diet, often eat instant noodles and sausages, love to eat pickles, mother and eldest brother both suffer from stomach ulcers. ”
"Current symptoms: occasional vomiting of blood, burning pain and distension in the stomach, especially fasting, pantothenic acid, heartburn, belching, dry mouth and no desire to drink, fatigue, poor appetite, general sleep, normal stool. ”
"Examination: Pale and bloodless, pale eyelid nails, tender to the touch of the sword. Tongue image: The tongue is fat and large, the tongue is light, and the lichen is thin and white. Pulse: Thin pulse. ”
"Dialectics of Traditional Chinese Medicine: Heat Injury Blood Circulation Blood Semorrhea. Treatment: Strengthen the spleen and dampness, clear away heat and detoxify. ”
"Prescription: 25 grams of white grass root, 15 grams of lotus root, 15 grams of poria cocos, 10 grams of coix seeds, 5 grams of notoginseng, 20 grams of lost sauce, 1 gram of Coptis chinensis, 20 grams of squid bones, 20 grams of forsythia, 5 grams of agarwood, 15 grams of bamboo leaves, 15 grams of malt. 6 doses, decoction with water, 2 doses per day. Tell him to avoid spicy, stiff, and overworked. ”
After Ye Chen finished writing, he checked it and found that there were no other problems, so he naturally read it to Zhang Youkun.
After Ye Chen gave the prescription to Lin Xinting, asked Lin Xinting to take it to the pharmacist to pick up the medicine, and sent the decoction to Zhang Youkun to drink.
Now that Lin Xinting is going outside, Ye Chen naturally follows her.
Out of the door, Lin Xinting looked at Ye Chen and said: "The head nurse of the group told me, she said that my performance has been very good in the past few months, and I have been praised by those nursing patients, and the hospital leaders are ready to promote me to be the deputy head nurse of the group." ”
"Sister Xinting, aren't you going to be promoted?" Congratulations!" Ye Chen said with a smile.
"Ye Chen, if it weren't for you, I would still be a nurse in the general ward. Lin Xinting said.
Of course, she knew very well that it was Ye Chen who she should be most grateful for. If it weren't for him, she knew that she was in the affiliated hospital, and she didn't know how long she would have to stay up before she could go to the senior ward to care for those patients.
Ye Chen followed Lin Xinting to the big pharmacy of the affiliated hospital, and after seeing her hand over the prescription, soon the pharmacist inside was checking the medicine, six doses of Chinese medicine.
It takes less than five minutes to wrap it up, and then take it to the pharmacy of the affiliated hospital to decoction the medicine.
Now in the decoction pharmacy, there are about dozens of female nurses and hundreds of decoction pots working, and before they reach the door of the decoction pharmacy, they smell the strong smell of Chinese medicine.
Ye Chen liked it very much and enjoyed the smell of traditional Chinese medicine.
Although the Chinese herbal soup tastes bitter and unpleasant, when I smell it, I find that it has the smell of plants, and it is not unpleasant.
Because Lin Xinting hasn't gotten off work yet, Ye Chen definitely can't go out with her. Therefore, when Ye Chen arrived here now, he naturally left here and then went to Fan Dazhu's father's ordinary ward.
When he came to the door of the ordinary ward, he had just entered the inside, and he had already seen Fan Dazhu's father chatting with the patient in the next bed.