Chapter 509: Treatment of rabies

In the discourse of traditional Chinese medicine, rabies virus belongs to the wind evil of traditional Chinese medicine, and rabies is called dog bite sore. Bitten by rabies, at first I saw local tooth marks, or rotting flesh, the wound was black and purple, and the surrounding area was light yellow, followed by a feeling of discomfort all over the body, numbness all over the body, dizziness, shortness of breath, sensitivity, muscle spasms all over the body by the wind, and hearing the sound of gongs, especially panic.

In addition, patients often do not dare to drink water, and gradually become afraid to see water, or as soon as they hear the word "water", they can have strong throat muscle spasms and convulsions all over the body, causing severe pain, so it is also called hydrophobia.

Eventually, he became irritable and eventually died of myocardial insufficiency due to paralysis of breathing.

Rabies patients are afraid of three things, afraid of wind, afraid of water, afraid of smelling the sound of gongs, one more, and more saliva. In addition, it is recorded in ancient Chinese medicine books that the top of the rabies patient's head must be plucked out if there are several red hairs. Generally, the onset is about three months, the shortest is six to ten days, and the elderly can reach more than two years.

Rabies is mostly caused by people with both feet and legs, and there are bites on both hands. Just bitten by an ordinary dog, urgently wash it with raw licorice decoction, then the poison is dispersed but not yellow, with jade really scattered, or liniment or take, generally will be fine.

But the mad dog is the most poisonous, and the hair is scattered in a hurry, and if you look carefully at the top of the head, there is red hair like a copper needle, that is, it is plucked. Then take a handful of earth bone skin, about one or two, decoction to wash off the yellow, and take it inside; and use the dragon dung as the end, seal the bite, and the dog hair will come out of the mouth, and it will be fine.

If the person has gone crazy like a dog, his urine and urine are closed, the external heat is urgent, the abdominal pain is even worse, and the front cannot be solved, and he urgently uses the elixir of life to relieve his heat poison, and he can still be saved.

When I heard Ye Chen's explanation from the perspective of traditional Chinese medicine, in addition to the fact that Liao Lao had heard about this aspect before, Ding Gui, as an emergency department, was the first time he had heard of the information of traditional Chinese medicine in rabies.

He also studied Chinese medicine, but he preferred the modern emergency department, but his familiarity with Chinese medicine was not as good as that of those who really studied Chinese medicine.

"Doctor Ye, is there really a record of this in ancient Chinese medicine books?" asked Ding Gui.

"Of course there is!" Ye Chen said.

Ding Gui knew that even though he was much older than Ye Chen. However, I have much less understanding in Chinese medicine books than Ye Chen.

"Traditional Chinese medicine dialectic, rabies belongs to the category of typhoid fever blood stasis madness, the overall dialectic is that the wind evil enters the blood, and finally causes the accumulation of blood stasis (blood accumulation), the early stage of the disease is dominated by wind, and the main blood stasis is after the onset of the disease, which has both wind poison and stasis. ”

Among them, it is said in the Neijing that the blood is chaotic and forgetful, and the blood is mad. The stasis is inside, and the people are like crazy. The theory of typhoid fever has established a number of treatment formulas for the etiology and pathogenesis of blood stasis and madness. The focus of treatment is to argue and treat the disease, which varies with the symptoms. ”

"Among them, the incubation period is mainly to dispel wind and sweating, and the strict zhòng period is mainly to break the stasis and disperse the knots, mainly 'sweat', 'elimination', 'down', dispelling wind, breaking stasis, detoxification, rabies is actually poison into the blood, blood stasis and heat storage, blood stasis and blood, is the superior treatment, and the lower blood congestion soup is and the pathogenesis, which is the method for Shunzhi. ”

Obviously, Wu Hongwen's current situation belongs to the strict zhòng period, that is, the excitement period mentioned in Western medicine, and in this case, the only way to treat rabies is to treat the strict zhòng period according to the dialectic of traditional Chinese medicine. ”

Wu Hongwen no longer remembers when he was bitten by a dog, and he doesn't know where he was bitten by a dog. Therefore, it is already very difficult to find the wound back then. However, at least it can be judged that the dog that bit him at the beginning was not the kind of mad dog with rabies, but just an ordinary dog carrying the rabies virus. ”

When they heard this, Liao Wenen and Ding Gui were clear. In fact, the most difficult thing in Chinese medicine is whether or not dialectic, which is convincing and the basis for treating diseases.

This is just like a person, whether it is illegal to do things in ordinary times must be assessed according to the law. The appearance of the so-called diseases in traditional Chinese medicine cannot be related to the six external senses and the five evils of the internal senses, and the rabies virus that we are talking about now is related to wind poison.

"According to the judgment of ancient books of traditional Chinese medicine, I can be sure that Wu Hongwen's current situation, buttocks, or lower body, will be in a state of bruising. Ye Chen said.

Among them, in traditional Chinese medicine, in the severe zhòng stage of rabies, the patient has a symptom, which is a state of hemorrhagic accumulation, that is, the two positions below Wu Hongwen bleed, and there was blood congestion blocking those two positions.

Liao Wenen, Ding Gui, and Wu Hongwen's wife all felt a little incredible after hearing it. However, when Wu Hongwen's wife took off Wu Hongwen's pants and Ding Gui, who was wearing medical gloves, personally examined it, she really found that there was that kind of symptom, I am afraid that even Wu Hongwen himself is not clear about this kind of symptom, and now these people are even more surprised to see Ye Chen's expression when they hear it.

Ye Chen, Liao Wenen, Ding Gui, and Wu Hongwen's wife, when they went out of the emergency ward, the female nurse and Wu Hongwen's daughter were left in the ward. This ward is for emergency patients, so naturally it is not intended for patients to be hospitalized.

"Director Ding, hurry up and arrange that Mr. Wu in a dark and quiet ward. Ye Chen looked at Ding Gui and said. Because the impact of those three fears on the patient is too great, the general ward is really not suitable for him to recuperate.

Faced with the treatment of rabies patients, Ding Gui may not know how. However, in terms of arranging a ward, it can be done, after he left in a hurry.

Ye Chen, Liao Lao, and Wu Hongwen's wife Zhang Yinglan came to the emergency department office next to it, and after Liao Wenen asked a female nurse to bring new medical records, Ye Chen began to talk to Zhang Yinglan and ask about her husband's recent situation. For example, Wu Hongwen's age, and the symptoms before and after the recent rabies attack.

Ye Chen sat at the table, and after asking all the questions clearly, he began to write on the medical record: "Wu, male, 48 years old. More than a month before and after the onset of rabies. Initial diagnosis: The patient was bitten by a dog many years ago, did not pay attention, did not take the epidemic vaccination, a month ago, suddenly appeared in the initial state of rabies, the patient had a low-grade fever, headache, laziness, nausea, irritability, fear and restlessness. ”

"It's just that the patient was in a cold state and didn't pay attention to it, and after being reminded, he went to a big hospital for examination and found that it was confirmed to be rabies, and he was vaccinated against the epidemic, and then found that all the symptoms disappeared, thinking that the disease had recovered, and the patient didn't pay attention. ”

Half a month later, the patient reappeared with rabies symptoms, and the condition became more severe, and after examination, he had entered the state of rabies' severe zhòng (excitable period). ”

"Examination: The patient is sensitive to wind, water, light, sound, fear, fear, and consciousness, sometimes lucid, sometimes in a state of nonsense, and in a state of blood accumulation in the lower body. Tongue image: dark tongue. Pulse: Tight strings. TCM dialectic: The patient is in the excited stage of rabies, which is wind evil and blood accumulation. Traditional Chinese medicine treatment: dispelling wind, breaking blood, invigorating blood, and clearing stagnation. ”

"Prescription: 20 grams of ginseng, 20 grams of Qianghuo, 10 grams of Duhuo, 20 grams of Bupleurum chinensis, 10 grams of Citrus aurantium, 20 grams of Citrus aurantium, 20 grams of Chuanxiong, 20 grams of Yunling, 10 grams of licorice, 60 grams of Ulmus vulgaris, 500 grams of purple bamboo root. 7 doses, decoction, 1 dose per day. ”

After Ye Chen finished writing the prescription, he handed it to Liao Wenen next to him, and after Liao Wenen read it carefully, he hurriedly found a female nurse, immediately decocted the medicine according to the prescription, and then brought it to Wu Hongwen to drink.

Now after it's done, it's about fifteen minutes before and after. However, Ye Chen couldn't be equally careless, after all, he had not treated this kind of patient before.

However, he knew that as long as Wu Hongwen drank the medicinal soup according to the dialectic and treatment of traditional Chinese medicine, it would definitely be fine.

It's just that Wu Hongwen's wife Zhang Yinglan is puzzled and admired, can the young man in front of her, who is younger than her daughter and even better, really cure her husband?

"Mrs. Wu, you can rest assured that the patients who have been treated have recovered safely. Now in this situation, she can only choose to believe Ye Chen and this hospital.

Because of the current situation, even if her husband is sent to other hospitals, other hospitals will no longer dare to accept her husband, and Wu Hongwen will only be in pain and will not be able to leave this world for long.