"One pair of Chinese medicine is used every day, once in the morning and once in the evening after decoction, and this pair is used every day after decoction with a hot towel to warm the nose, and these sprays are used in the order and interval I marked above. Yun Tian prescribed a prescription, sandwiched it into the case, raised his hand and handed it to Dr. Shen, while explaining to the patient.

There are more patients with allergic rhinitis in the afternoon.

After being called by Dr. Shen on the phone, Yun Tian immediately received patients one by one.

"Okay, I'll be right over. ”

"Lao Shi, come to my department, hurry up. I vaguely heard Director Lin next door talking loudly, and then trotted away.

Yun Tian and Doctor Shen looked at each other in surprise,

What's wrong?

Listening to Director Lin's footsteps, he went to the observation room.

Could it be that something went wrong with the patient admitted in the morning?

Yun Tian looked at the time, and it was about five o'clock in the afternoon.

The peak of bleeding secondary to thrombolytic therapy is within 2-4 hours after treatment.

Could it be bleeding?

"After dealing with these two patients, you can go over and have a look, and you can see it for a long time. Seeing that Yun Tian looked like he couldn't help it, Dr. Shen said intimately.

"It's just a punctate hemorrhage around the infarction, the problem is not too big, take vitamin K, just observe closely. When Yuntian rushed to the observation duty room after dealing with the patients in his hands, Director Shi was holding the film to make a summary.

Seeing Yuntian coming in, Director Shi smiled and nodded at Yuntian.

The lad is really good,

Recently, Director Shi has seen everything in Yuntian.

Regarding this person Li Lishan wants to rob, Director Shi is still more attentive.

Although neither he nor Li Lishan grabbed it.

But it's the same when it comes to traditional Chinese medicine.

Fertilizer and water don't flow into outsiders' fields.

Li Lishan's skills in grabbing people are still much worse than his own.

Glancing at his wife standing on the side, and then looking at Yuntian, Director Shi was very satisfied with his skills in stealing people.

"The infarction site of lacunar cerebral infarction is mostly the cavity of brain tissue, and the surrounding tissue structure is relatively loose, so the need for thrombolysis is not so urgent. It is recommended not to use thrombolytic drugs such as urokinase in the future. ”

In Director Shi's opinion, his wife has to get some kind of observation room, and admitting patients with luminal infarction is like a child playing at home.

When I proposed to myself to assign the infarct patient to the Chinese medicine department for treatment, I agreed, but I thought I was giving my wife a small toy.

As long as she's having fun.

In the opinion of Director ---- Shi, an authority in the Department of Neurology in Kunnan Province, lacunar cerebral infarction is just a cold and flu.

More than 70% of lacunar cerebral infarctions have no clear clinical manifestations, and patients are not aware of it, and the treatment is not so strict.

But I never expected that Mrs. was still using urokinase to dissolve thrombolysis.

This matter still needs to be taken seriously.

Thrombolytic drugs need to be used with caution, and at present, the TCM department does not have enough business capacity to deal with various problems that may arise.

Therefore, after dealing with the patient, Director Shi decided to discuss the treatment of cavity infarction with everyone.

"In the direction of treating cavity infarction, you can actually try the method of traditional Chinese medicine. ”

"After all, a cavity infarction is not an emergency, and the main purpose of admitting a patient is to observe progression. In addition, it is mainly to prevent major infarction. ”

"From these two points, it is very consistent with the characteristics of your TCM treatment. ”

"Therefore, I still suggest that you can try to start from the aspect of Chinese medicine and try to find a treatment plan with the characteristics of your own department. "Director Shi understands the art of conversation.

If you directly say that the luminal infarction is a mild disease, you can't use such a big thrombolytic treatment at all, and you can maintain it with traditional Chinese medicine.

His wife must not be happy to accept it.

In other words, immediately rise tall.

"Before Yuntian proposed hirudin and rhodiola rosea extract. Director Lin also did not expect that the first patient had complications of cerebral hemorrhage after thrombolysis therapy.

At this time, there are still some lingering palpitations.

Listening to my husband's encouragement of using traditional Chinese medicine for treatment, I thought of hirudin and rhodiola extract that Yuntian said.

"Hirudin has some thrombolytic effect, but there is almost no risk of bleeding. Thrombolytic therapy for luminal infarction is sufficient. You can give this solution a try. Director Shi pondered for a moment and affirmed Yuntian's treatment plan.

Although Director Shi persuaded everyone in the Chinese medicine department to use traditional Chinese medicine for treatment, whether it was the treatment of cavity or the use of traditional Chinese medicine, Director Shi's tone was tinged with contempt!

This made Yuntian very uncomfortable!

"Not only hirudin, but also safflower extract, salvia extract and many saponin active substances have a good thrombolytic effect. ”

"The saponin active substances in the thrombolytic agent of traditional Chinese medicine can improve the excitability of platelets and blood cells, stabilize the cell surface charge, and promote the regulation of cell membrane ion channels. It can quickly disintegrate the thrombus without affecting the normal coagulation test index. Compared with Western drugs such as heparin and urokinase, it is safer and more effective for thrombolytic therapy. ”

Director Shi's contempt in his words made Yuntian very uncomfortable, so Yuntian's unconvinced Balabala said a lot of traditional Chinese medicine on the treatment principle of thrombolysis.

Dr. Xiao Huang was originally rejected by Director Shi because of the treatment plan, and he was shrinking in the corner to draw circles.

Hearing Yuntian's tirade, he couldn't help but open his mouth wide, and he couldn't close it in surprise.

Is this the director?

This boy, though he said it politely,

But talking to the director at such a length, isn't this an obvious run on the director!

Where does the courage come from!

Director Shi was also a little surprised.

I support the young man's treatment plan, the young man is not grateful, and he said such a bunch of words, is it too excited so that he is a little more expressive?

But it was clear that the young man was obviously full of stubbornness and looked at himself, although his unconvinced look was hidden deeply, how could he hide himself.

Not convinced of yourself?

Still not convinced by Western medicine treatment options?

What a guy with a lot of personality!

The patient's condition is stable, and it is enough to strengthen observation.

The treatment plan has also been sorted out.

It's past time to get off work.

Director Shi didn't care about studying what Yuntian thought, and gave his wife a look.

The intent is clear.

I'm hungry and want to go home for dinner.

Director Lin received Director Shi's eye wave, gave him a roll of his eyes, quickly arranged the rest of the work, and left with his husband in his arms.

"Do you like Chinese medicine very much?" asked Dr. Huang curiously, as everyone left.

Yun Tian's eyes were a little dilated and he didn't answer.

Traditional Chinese medicine has not been recognized in the world because its basic theoretical worldview is different from that of modern medicine.

Most of the domestic treatment guidelines for various diseases are revised on the basis of foreign treatment guidelines.

As a result, many TCM treatment options are marginalized and difficult to be recognized.

In fact, many of the treatments and drugs of Chinese medicine have great advantages.

Yuntian studied Western medicine clinically and had no contact with Chinese medicine before.

However, the treatment options offered by the system recently are a combination of Chinese and Western treatments.

Whether it is the traditional Chinese medicine for allergic rhinitis, or the acupuncture and anticonvulsant for previous fulminant encephalitis, Angong Niuhuang Pill reduces fever.

Yuntian can deeply appreciate the magic of traditional Chinese medicine.

The contempt in Director Shi's words and Director Lin's choice to follow the treatment guidelines at noon had a big impact on Yuntian.

There is obviously a better way to treat it, but it is denied and despised because the theoretical system is not recognized.

It seems to be too unfair to both patients and TCM itself.