Chapter 361: Changing the Prescription
"Doctor Xu, my niece doesn't have any skills, you better ask for another master!" Qi Lian directly helped Qi Xuan refuse. COP> "Sister-in-law, can you forgive me for my behavior yesterday? Yesterday it was me who was wrong, it was me who looked down on people. ”
"Doctor Xu, don't say that. ”
"It's good if you call me Lao Xu, sister-in-law, I am really anxious for a patient, I want to consult Dr. Qi, I will pay the fee, you can rest assured." I'm really asking for advice. Doctor Qi, it's a doctor's nature to save lives and help the wounded, I don't think you will watch patients suffer, will you?"
If it hadn't happened suddenly, he wouldn't have rushed over in such a hurry.
"Auntie, I'll just listen to Dr. Xu about the patient's condition!" Qi Xuan saw that Xu's attitude was indeed sincere, so he let down his guard.
"That's right, a patient of mine, 60 years old this year, has a history of hypertension for more than 10 years, three months ago, suddenly had a severe headache, and then he was in a coma, and was sent to the hospital to be suspected of cerebral hemorrhage.
After hospitalization, he was conscious, but he woke up and was half paralyzed. Later, the People's Hospital invited Chinese and Western medicine for consultation, and I was the representative of Chinese medicine.
At that time, in addition to hemiplegia, the patient also had headache and tinnitus symptoms, a swirling pulse, and a purple tongue.
After consultation, our TCM medicine believes that the patient is suffering from qi deficiency and blood stagnation, and the veins are blocked. COP> According to the usual practice of this kind of disease, we used to use Buyang and Huanwu decoction, but after taking ten doses, the patient's half of his body not only did not improve, but also showed facial flushing, mental irritability, dizziness and headache, and vomiting.
I checked the pulse again, and the patient's pulse was smooth and smooth, and the tongue coating was yellow and greasy. Why is that?
Usually, such patients can move immediately as long as they use Buyang and Five Soups, at least they will get better, but this patient is ineffective. ”
Because the patient's condition worsened last night, coupled with the increase in blood pressure, he was treated with Western medicine again.
The patient's family decisively gave up Chinese medicine. This makes them feel a lot of pressure on Chinese medicine, but Western medicine can lower blood pressure for patients, but there is no countermeasure for the patient's hemiplegia.
Although Qi Xuan had not seen the patient, he had heard the general idea of Xu Fangfang's dictation.
Although the patient has undergone emergency treatment, it is useless to take the five decoctions of Buyang, and there is a phenomenon of qi and blood channeling, it must be that the patient's wind and yang have not been extinguished, and the phlegm and fire in the body are still blazing.
The fire is burning more and more, and it is strange that the patient's qi and blood do not escape.
"Stroke hemiplegia is caused by vein obstruction, and there are many reasons for choroid obstruction, some are due to qi deficiency and blood stagnation, and some are due to hyperactivity of liver yang, fire rises and wind moves, qi and blood meet in parallel, and the blood overflows. COP> Replenish yang and return five soups to nourish qi, invigorate blood circulation.
It is suitable for patients with qi deficiency and blood stagnation, and for the latter, it is to fan the flames. Qi Xuan spoke slowly.
Xu Yifang also listened carefully. Sure enough, Qi Xuan's opinion was different from that of their consultation, but he said the point, but he still didn't understand.
"Why can't you make five soups for yang?"
"There is a taste of astragalus in the five soups, the astragalus is sweet and warm, and it is necessary to nourish the qi in the medicine. It can help the blood and qi rise, if it is a person with qi deficiency, the help is obvious, but the wind and yang in the patient's body have not been extinguished, and when the fire rises and the wind moves, there is a suspicion of fanning the wind and igniting the fire, and the danger is immediate. ”
When Qi Xuan talked about astragalus, he immediately understood, and sure enough, it was astragalus who was in trouble. He had doubts at the beginning, but he thought that the ancients' recipe should have no problem after being tested, so he boldly tried it, and there was a problem.
"So what now?"
"The top priority is to calm the liver, extinguish the fire, and expel phlegm, you use antelope hook vine soup and huanglian warm bile soup to remove ginger, chrysanthemum and hyssop for the patient to try. ”
Antelope hook vine soup is to remove the heat of the liver meridian, and Coptis warm bile soup is used to clear heat and dampness, regulate qi and dissolve phlegm. The hyssop itself and the hook vine have the effect of clearing the upper and lower.
"Can't you go with me to have a look?" Xu Yifang asked regretfully.
"Do you think it's appropriate for me to go to your hospital as a child? There will only be one attending doctor for the patient, and will you treat him or will I treat him? The prescription is given away for free, and I believe you can figure it out after a long time, and I am an outsider who can see it more clearly. ”
Rejection is not antagonism, the reason why she doesn't go is to hand over an olive branch of cooperation.
"You're leaving now?" Xu Fang couldn't figure out the question.
After Qi Xuan said it, he suddenly opened up, isn't this his patient like this?
The patient had cerebral thrombosis and half of his body was paralyzed, so he and several doctors ignored that this wind had not passed, and directly applied the five decoctions of tonifying yang and returning the blood to invigorate qi.
As a result, the treatment is not only ineffective, but also aggravates the patient's condition.
Now he is a little reluctant to give up on Qi Xuan.
Qi Xuan nodded, it didn't make sense to stay, there was still a big push waiting for her in the county, although she didn't know why Xiao Feng hadn't appeared yet, but she was still thinking about the business with Xiao Feng, waiting for Xiao Feng's ginseng.
After buying the tickets, Qi Lian kept sending them on the bus before leaving.
"Qi Xuan, why didn't you treat the person? Instead, you told the person the correct diagnosis?" Qi Hai didn't understand why Qi Xuan did this, obviously Xu Fang still didn't trust her so much before, and he made a lot of difficulties and doubts about her. In other words, he would not be so easy to laugh and grudge.
"That's his patient, if I don't know this doctor, or if my family invites me to make a move, I won't make a move if I know this doctor, this person has a deep relationship with my uncle, it can be regarded as a face for my uncle!" Qi Xuan would not feel that He Dong and Xu had a bad relationship because He Dong spoke for her, on the contrary, it was a good relationship that made him so unscrupulous.
In the end, she had seen a lot of people in her previous life and knew the powerful relationship, and today she gave Xu a face, which can be regarded as a good fate. Regardless of whether it is useful or not, it is her principle not to offend people easily, and not to steal the limelight, but Qi Xuan also knows that it is impossible to not be in the limelight with her medical skills. So the only way to do it is to do it as much as possible.
After Xu Yifang went back, he did not immediately listen to Qi Xuan's prescription, but had another consultation and discussion with several experts from the Chinese medicine hospital, and then these experts unanimously affirmed Qi Xuan's formula, and then gave the patient medicine.
"Director Xu, you are sure that you will not make a mistake this time! My father has no life to toss again. If you're not sure, don't experiment with my dad!"