"Director He, the patient's body surface temperature has dropped suddenly. Chills at the ends of the limbs, chills on the back and body. Goosebumps on the skin, cyanosis of the mouth, lips and nails, pale face, and muscle and joint aches all over the body. Then the whole body shivered, the teeth chattered, and it was very cold. ”

A doctor was taken aback by the sudden change when he was taking the child's temperature. But soon, he calmed down and reported the situation to Director He.

After the doctor finished speaking, the doctors from several other wards also came to report the situation, and all the children were basically the same. At this time, they were all very cold, their faces were pale, and their teeth chattered.

"Prepare a hot water bottle, prepare a bed quilt, and be careful to report the situation at any time. Director He frowned. This sudden turn of events is a bit strange, but the most important thing at the moment is to stabilize the patient's condition first. Cover the quilt when it's cold, wipe the alcohol hot, drink water when you're thirsty, eat hungry, stabilize the patient first, and seize the time to study the condition.

The wards were busy with people turning over on their backs, and the families of the patients outside the wards were also frightened. Due to the problem of manpower, the bedside is accompanied by mothers, or aunts or grandmothers. Everyone was busy, but Huo Tianlei was standing aside and observing the situation of a child.

Since this is the case for everyone, there is no need to check them one by one, just study one by one. So Huo Tianlei stayed in the corner and watched the situation of a little girl lying on the hospital bed.

First I had chills, and then I started to have a fever about 10 minutes later, and my body temperature was about 40 degrees, and I kept moaning. The patient has a red face, shortness of breath, conjunctival hyperemia, burning, dry skin, rapid pulse, and short, dark urine. Complain more about palpitations, thirst, and desire for cold drinks.

Thinking about it, Huo Tianlei thought of a possibility, that is, malaria. Malaria is the most well-documented infectious disease in ancient medical books. As early as Su Wen, there were special articles such as "On Malaria" and "On Piercing Malaria", which systematically and in detail discussed the etiology, pathogenesis, symptoms, and acupuncture treatment of malaria.

It is also known as malaria in the Neijing. The characteristics of malaria are that it is abandoned to camp qi and hidden in half of the surface and half of the inside. For example, "Su Wen • Malaria Treatise" says: Malaria gas "is hidden in the skin, outside the stomach, and the place where this camp qi is abandoned". "The Law of Medicine, Malaria Theory" says: "External evil can be malariated by people, and every time it is hidden in half of the surface and half of the inside, people will be cold when they compete with yin, and it will be hot when they fight with yang." "With the meridians, the five internal organs are beaten, and the original is recruited horizontally. Sheng Xuan replacement. If it is combined with Wei Qi, it will cause the onset of disease, and if it is separated from Wei Qi, it will be sick and rest.

"Jingyue Quanshu • Malaria" says: "To treat malaria, we should distinguish between cold and heat, and the winner of cold is the yin evidence, and the heat winner is the yang evidence." "For general malaria, the typical symptom is orthomalaria; compared with orthomalaria, the yang heat is more abundant, and the cold is less and the heat is more, it is warm malaria, and the yang deficiency is cold, and the cold is more and the heat is less, it is cold malaria. In malaria, if the heat is very cold, or even if it is strong and not cold, it is a hot miasma, and if the cold is very hot and slight, or even if it is not hot, it is a cold miasma.

Isn't the current situation exactly the same, Huo Tianlei frowned when he thought of this. But the most important thing now is to tell them what the hell is wrong with it. Huo Tianlei inquired all the way, and then found Director He.

"Director He, has you determined your condition yet? I may have a conclusion. ”

After finding Director He, Huo Tianlei said such a sentence. Immediately, the doctor next to him opened his mouth to accuse Huo Tianlei that he was so busy now that he didn't hurry up and keep an eye on the patient's condition, but ran around what kind of system. However, he didn't care about this Huo Tianlei, but Director He listened to Huo Tianlei's words, pondered for a while, and then took Huo Tianlei to the side.

As expected, it should be malaria, and the "Three Causes and One Disease Syndrome Formula: Malaria is Not Treated by Internal and External Causes" points out the characteristics of epidemic malaria: "Between the age of one year, the appearance of young and old, or when it is infected, it becomes cold and hot, and it is called epidemic malaria." Right now, it seems to be exactly that. ”

Huo Tianlei just told Director He about his guess, and Director He was also a little moved when he heard this. Malaria was a thing that raged everywhere in the early years, but it was not a small scourge. It's just that in this world, why does there still exist such a problem? The most important problem now is to save these children first, now all of them have a body temperature of more than 40 degrees, if this temperature continues, all the good children will be burned into fools by then, but what can I do?

At this moment, Vice President Zhou and Vice President Peng also came to look for Director He to discuss countermeasures. Now that the three people in charge are here, Huo Tianlei directly said his opinion. After saying this, everyone was shocked and didn't quite believe the result, but more and more data shows that it seems to be the case.

In the end, Zhou Wei chose to believe Huo Tianlei's judgment and immediately issued an order to mobilize all the artemisinin and artesunate that could be used. Now the situation is urgent, and there is no way to wait, so I can only take special drugs to stabilize the condition and cool down first. The heat has been going on for dozens of minutes, and it can't be dragged on any longer. If it drags on any longer, the child's body will not be able to hold it, and accidents will easily occur.

An order was issued here, and artemisinin was being called for first aid, but this is only a small county town, and the amount of artemisinin is also limited, so at most it can only be put together. Both Zhou Wei and Bloomberg have begun to call the nearest major hospital, hoping to call some artemisinin. But it all takes time, but the disease waits for no one.

The emergency here has entered a white-hot state, and the exact medical report in the hospital has only come out, and it has been determined that it is malaria. Malaria has four clinical manifestations, the first is the incubation period, during which the patient's oral temperature is better than 37 degrees, which lasts for about 7-10 days.

The second stage is called the chill period, chills, first chills at the ends of the limbs, and chills on the back and whole body. Goosebumps on the skin, cyanosis of the mouth, lips and nails, pale face, and muscle and joint aches all over the body. Then the whole body trembled, the teeth chattered, and some people couldn't stop it by covering a few quilts, which lasted for about 10 minutes, or even an hour, and the chills naturally stopped, and the body temperature rose. This is followed by the third stage of febrile.

The clinical manifestations of the fever period are that after the cold sensation disappears, the complexion turns red, the cyanosis disappears, and the body temperature rises rapidly, usually the more significant the chills, the higher the body temperature, which can reach more than 40 °C. Patients with high fever are in unbearable pain. Some are restless and groaning, some are delirious, empty, or even convulsive or unconscious, and some have severe headaches and stubborn vomiting. The patient has a red face, shortness of breath, conjunctival hyperemia, burning, dry skin, rapid pulse, and short, dark urine. Complain more about palpitations, thirst, and desire for cold drinks. It lasts for 2~6 hours, and some up to more than 10 hours. Herpes is common on the lips and nose after several episodes.

The last stage is the sweating phase. Also known as the late stage of high fever, the face and palms are slightly sweaty, and then spread all over the body, sweating profusely, soaking clothes, and the body temperature decreases in 2~3 hours, often to 35.5 °C. People feel comfortable but very sleepy and often sleep peacefully. When you wake up, your spirit is light, your appetite is restored, and you can go about your work as usual. At this moment, there is a break period.

After seeing that the report had malaria written in the diagnosis column, no one read the report again. Everyone put into the work, a total of thirteen children were sent here, all of them were in a state of high fever at this time, for the children who were not very ideal for individual conditions, Huo Tianlei proposed that artemisinin be used by others first, and then he would solve these serious patients, first drag the development of the disease as much as possible.

This is already his best effort, twisting the silver needle, and the rapid ups and downs fall on the children's bodies. The cool acupuncture method used seems to be the only one that is more effective at the moment.

In fact, using the Thirteen Needles of the Ghost Gate may have the same effect, or even better. But this is the fifth-layer needle method of the thirteen needles of the Ghost Gate, and now he is not enough to perform it, so he will settle down with the cold weather first.

Skillful movements. Whether it is pressure or lifting, or massage, Huo Tianlei has already used all his skills. Slowly, the child's condition improved, his face was no longer so flushed, and although his body temperature was high, it was not scary.

It's not a way to go on all the time, Huo Tianlei thought of another way. He categorized the children according to their actual situation. In total, there are five types: evil depression and less yang type, summer heat and internal depression, summer dampness connotation, epidemic virus invasion, and positive and false evil love. And different treatments are taken according to different types. I quickly found paper, brushes, and wrote it down.

Evil depression and Shaoyang It is necessary to reconcile Shaoyang in order to dispel evil and intercept malaria. Huo Tianlei gave a recipe for a small chaihu soup with a different dosage from usual, including 12 grams of chaihu, 12 grams of skullcap, 12 grams of banxia, 7 grams of Changshan (fried in wine), 7 grams of grass fruit, 7 grams of licorice, 3 slices of ginger, and 3 jujubes. If the surface is really cold and even sweaty, add cinnamon branches, Qianghuo, and parsnip 7 grams each. For those who are thirsty, add 12 grams of kudzu, dendrobium, and smallpox pollen, and add 7 grams of green bark, atractylodes, and magnolia bark.

The recipe was written down, and he listed all the precautions for decoction one by one on the side. Since there is a branch of traditional Chinese medicine in the hospital itself, there is a pharmacy, and these are all common medicinal materials, so Huo Tianlei handed the prescription to Vice President Zhou with confidence.

After Zhou Wei took a quick look, he took the medicine house and left, presumably going to the medicine cabinet to grab the medicine decoction. Fortunately, Huo Tianlei said that he should have two more recipes to use here. After Zhou Wei explained, he returned to Huo Tianlei's side.

Huo Tianlei, who was performing acupuncture for the children, saw Zhou Wei appear, and gestured to the table with his eyes, and Zhou Wei saw that it was two prescriptions. The efficacy of these two recipes is naturally different, after all, Zhou Wei has also learned some traditional Chinese medicine, and the medicinal properties of some medicinal materials are still understood, looking at the dosage and labeling on the formula, he couldn't help but smile.