Chapter 402: Surgical treatment or not
Of course, Jiang Huijia didn't know that this unilateral card was originally prescribed by Imperial Doctor Zhao. Pen, fun, pavilion www. biquge。 info
Although the imperial doctors of the Taiyi Bureau did not perform well in the previous incident of the prince's external injury, it was caused by the limitations of the times, which does not mean that they are really mediocre in their medical skills!
The problem of acute appendicitis is mostly surgery to remove the appendix in modern times, which seems to be very ordinary, but in ancient times, surgery was not a simple matter.
Let's not talk about medical conditions, and don't consider how to prevent postoperative infections, just talk about appendix cutting, which is not acceptable to ordinary people.
This is different from the several trauma patients Jiang Huijia has treated before, Jiang Huijia can operate on trauma patients, that is on the premise that there are already large wounds on the patient's body - ancient Chinese medicine is not without surgery, although the matter of trauma suturing is rejected by the mainstream, but after all, there is a precedent.
But appendicitis is not a trauma!
The ancients paid special attention to the principle that the parents of the body should not be easily damaged. Hair is not allowed to be easily picked, let alone a good cut on people's stomachs, and cut off a piece of people's intestines?
What? You say that this intestine is inconsequential and can be cut off if it is broken? What are you kidding, do you say I will believe it? When people call you a miracle doctor, you are a true God?
And seriously speaking, Jiang Huijia doesn't think that the appendix is really a useless organ.
The biggest difference between Chinese medicine and Western medicine is that Chinese medicine pays attention to the balance of yin and yang, and the five elements are unified.
The human body itself is a treasure, and there is a balance that can be upset without any part.
In other words, if the appendix is really useless, then why should there be such an organ in the human body? Shouldn't this part of the existence naturally degenerate in the long course of evolution?
Jiang Huijia's heart was racing, and she felt extremely embarrassed for a while.
Although it is true that she is not really able to cure any disease, since she came to this era, things in the medical path have mostly gone smoothly. This invisibly made her think very highly of herself, and at that time, who would have expected that some real incurable diseases could not stump her, and this ordinary acute appendicitis seemed to stump her?
"Divine Doctor Jiang!" Mrs. Yin's sudden voice interrupted Jiang Huijia's contemplation.
She looked at Jiang Huijia with suspicion, expectation, and nervousness, and asked in a raised tone: "This prescription is a good prescription, but it failed to cure my son, does Doctor Jiang have a better prescription?"
A better recipe?
Jiang Huijia didn't know how to answer her for a while!
Modern common sense is that once you have acute appendicitis, it is best to have the appendix surgically removed immediately. But in reality, not all acute appendicitis must be treated surgically.
But in modern times, even if there is no surgery, then at least antibiotic treatment is chosen.
As for traditional Chinese medicine treatment, even if Jiang Huijia has been a Chinese medicine since elementary school, she has to admit that in terms of antibacterial and anti-inflammatory, Chinese medicine is really far behind Western medicine.
The patient in front of him has been ill for more than 36 hours, and he has not yet reached the most serious step of perforation and suppuration, thanks to the clever methods of the doctor in front of him!
What to do?
Jiang Huijia put down the unilateral prescription in her hand, asked the white fruit to return it to the patient's family, and then thought: "It turns out that this unilateral prescription is focused on Tongli, clearing heat and dampness, and the intestinal carbuncle born by the patient is a heat-containing type, so it is very symptomatic. This unilateral card is not useless, it is just not effective enough......"
The antibacterial and anti-inflammatory of Western medicine is to clear heat and detoxify in traditional Chinese medicine.
Jiang Huijia took heat clearing and detoxification as the main idea, and then added blood stasis and pain relief, and wrote a unilateral party with honeysuckle, dandelion, purple lily, white flower snake tongue grass, rhubarb, neem seed, danpi, red peony, and knotweed.
This unilateral prescription can be said to be completely different from the previous one, Jiang Huijia prescribed a prescription, recorded it in the medical case, and copied it to Liu Siyuan to catch the medicine.
And explained: "It can't be said that my prescription is better, but the symptoms have changed, so the medication must be changed." ”
Speaking of this, Jiang Huijia suddenly had another thought in her mind.
Let's not talk about the previous unilateral prescription of the stagnation decoction, the medicine is not right, it is very mediocre, but the other unilateral prescription is very clever.
Those who can prescribe that kind of unilateral must not be nameless, and the Yin family is not an ordinary family.
Jiang Huijia heard Aunt Zhixian say that most of the nobles at the time of the founding of the country have declined so far, and only a few families are becoming more and more prosperous, and this Yin family is one of them.
Their family is qualified to hire a doctor, and the one who opened this unilateral card for Yin Erlang in front of them can't say which one it is!
What does this mean? The Yin family came to the dry grass hall at this time, was it Grandma Kong behind the scenes, or was it actually recommended by a certain imperial doctor?
Jiang Huijia turned her mind around, and she was a little vigilant in her heart.
Yin Erlang, who was lying there, suddenly let out a high groan, and Mrs. Yin was in a hurry, so she hurriedly rushed over and shouted, "Erlang!"
Jiang Huijia hurriedly approached again, only to see Yin Erlang pressing his hand on his abdomen in pain, his whole body curled to the side, and his face was suddenly white.
Whether or not to have surgery is still to be considered, but for now, acupuncture can be used for emergency pain relief.
Jiang Huijia took out the needle bag from her sleeve, and Mrs. Yin saw that she wanted to use the needle, but she was stunned and said, "Doctor Jiang wants to do acupuncture for my son?"
Yin Erlang was curled up on his side, exposing his knees, legs and feet. Jiang Huijia did not mention that the patient pulled up his trouser leg this time, moved his wrist lightly, and two stitches in a row had come down.
It is the appendix point and Zusanli that are stabbed.
"Ah!" Mrs. Yin exclaimed.
Have you ever seen a doctor acupuncture a patient through his clothes?
Jiang Huijia quickly took another needle at this time, and this time it was Ah is acupoint.
Ah Shi acupoint is a very interesting acupuncture point, Ah Shi acupoint, also known as indefinite acupoint, often depends on the disease, and the location is not inherent. Doctors who are not experienced are often not prepared to tell where the Ah Shi acupoint is.
Of course, Jiang Huijia's recognition of acupoints goes without saying.
As she went down these few stitches, Yin Erlang's crying pain gradually became smaller, and later, he wheezed a few times, and he was surprised first: "Ah...... It doesn't hurt anymore?"
Mrs. Yin was overjoyed and surprised: "Doctor Jiang, is my son okay?"
Jiang Huijia shook her head and said, "No, acupuncture is only a temporary pain reliever, and it can't cure this disease." ”
After a pause, he still said it in the end: "The disease of intestinal carbuncles, if the disease is slow, it can also be slowly treated, but the second young master of your mansion is an emergency. This disease is extremely difficult to cure even with medication. ”
When she said this, Mrs. Yin's face, which was still a little happy, instantly sank, she was full of nervousness, and she stared at Jiang Huijia all of a sudden, and she didn't even dare to blink her eyes in a trance.